Application for a §1915 (c) hcbs waiver Submitted by



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Service Title:

Consumer Directed Attendant Care skilled

Complete this part for a renewal application or a new waiver that replaces an existing waiver. Select one:

X

Service is included in current waiver. There is no change in service specifications.



Service is included in current waiver. The service specifications have been modified.



Service is not included in the current waiver.

Service Definition (Scope):

Consumer Directed Attendant Care skilled activities may include helping the consumer with any of the following skilled services under the supervision of a licensed nurse or licensed therapist working under the direction of a physician. The licensed nurse or therapist shall retain accountability for actions that are delegated. The licensed nurse or therapist shall ensure appropriate assessment, planning, implementation, and

evaluation. The licensed nurse or therapist shall make on-site supervisory visits every two weeks with

the provider present. The cost of the supervision provided by the licensed nurse or therapist shall be

paid from private insurance and other third-party payment sources, Medicare, the regular Medicaid

program, or the early periodic screening diagnosis and treatment program before accessing the HCBS

waiver.


(1) Tube feedings of consumers unable to eat solid foods.

(2) Intravenous therapy administered by a registered nurse.

(3) Parenteral injections required more than once a week.

(4) Catheterizations, continuing care of indwelling catheters with supervision of irrigations, and

changing of Foley catheters when required.

(5) Respiratory care including inhalation therapy and tracheotomy care or tracheotomy care and

ventilator.

(6) Care of decubiti and other ulcerated areas, noting and reporting to the nurse or therapist.

(7) Rehabilitation services including, but not limited to, bowel and bladder training, range of motion

exercises, ambulation training, restorative nursing services, reteaching the activities of daily living,

respiratory care and breathing programs, reality orientation, reminiscing therapy, remotivation,

and behavior modification.

(8) Colostomy care.

(9) Care of medical conditions out of control which includes brittle diabetes and comfort care of

terminal conditions.

(10) Postsurgical nursing care.

(11) Monitoring medications requiring close supervision because of fluctuating physical or psychological

conditions, e.g., antihypertensive, digitalis preparations, mood-altering or psychotropic

drugs, or narcotics.

(12) Preparing and monitoring response to therapeutic diets.

(13) Recording and reporting of changes in vital signs to the nurse or therapist.



Specify applicable (if any) limits on the amount, frequency, or duration of this service:

A unit of service is one hour or one eight to 24 hour day. Consumer Directed Attendant Care services may be provided to a recipient of in-home health related care services, but not at the same time. There is an upper limit per hour for both an agency provider and an individual provider that cannot exceed the daily upper limit rate. These rates are subject to change each year. The individuals’ plan of care will address how the consumer health care needs are being met. The services must be authorized in the service plan. The Case


Manager will monitor the plan.


Provider Specifications

Provider Category(s)

(check one or both):

X

Individual. List types:

X

Agency. List the types of agencies:

Any individual who contracts with the consumer to provide attendant care services

Home Care providers





Home Heath providers




Chore providers







Community Action agencies







Certified Supported Community Living Providers







Assisted Living Providers





Adult Day Care Providers

Specify whether the service may be provided by (check each that applies):



Legally Responsible Person

X

Relative/Legal Guardian

Provider Qualifications (provide the following information for each type of provider):

Provider Type:

License (specify)

Certificate (specify)

Other Standard (specify)

Individual







At least 18 years of age, and qualified or trained to carry out the consumer’s plan of care pursuant to the department approved plan

Home Care




Certificate from the Iowa Department of Public Health




Home Health




Certified to participate in the Medicare program





Chore







Letter of approval from the area on aging that they are qualified to provided services

Community Action Agencies










Supported Community Living




Certified by the Iowa Department of Human Services or CARF




Assisted Living




As certified by the Department of Inspections and Appeals


Adult Day Care


The Department of Inspections and Appeals

As certified by CARF




Verification of Provider Qualifications

Provider Type:

Entity Responsible for Verification:

Frequency of Verification

Home Care Providers

Iowa Department of Human Services Iowa Medicaid Enterprise

Verified based on the length of the certification or license

Home Health Agencies

Same as above

Same as above


Chore providers

Same as above

Same as above



Community Action Providers


Same as above

Same as above




Supported Community Living Agencies

Same as above

Same as above




Assisted living programs

Same as above

Same as above




Adult Day

Same as above

Same as above

Service Delivery Method







Service Delivery Method (check each that applies):

X

Participant-directed as specified in Appendix E





Provider managed




Service Specification

Service Title:

Mental Health Outreach

Complete this part for a renewal application or a new waiver that replaces an existing waiver. Select one:

X

Service is included in current waiver. There is no change in service specifications.



Service is included in current waiver. The service specifications have been modified.



Service is not included in the current waiver.

Service Definition (Scope):

Mental Health Outreach services are services provided in a recipients home to identify, evaluate and provide treatment and psychosocial support.

Specify applicable (if any) limits on the amount, frequency, or duration of this service:


A unit of individual mental health outreach for the waiver client is 15 minutes. A unit group counseling is one hour. The Mental health outreach On-site Medicaid reimbursement rate for center or provider with a maximum of 1440 units per year. The individuals’ plan of care will address how the consumer health care needs are being met. The services must be authorized in the service plan. The case manager will monitor the plan.


Provider Specifications

Provider Category(s)

(check one or both):



Individual. List types:

X

Agency. List the types of agencies:




Community Mental Health Centers













Specify whether the service may be provided by (check each that applies):



Legally Responsible Person



Relative/Legal Guardian

Provider Qualifications (provide the following information for each type of provider):


Provider Type:

License (specify)

Certificate (specify)

Other Standard (specify)

Community Mental Health Providers




Certified Community Health Center that meets the standards set in Iowa administrative Code 441 chapter 24




























Verification of Provider Qualifications

Provider Type:

Entity Responsible for Verification:

Frequency of Verification

Community Mental Heath Provider

Iowa Department of Human Services’ Iowa Medicaid Enterprise


Verified based on the length of the Certification or license



















Service Delivery Method

Service Delivery Method (check each that applies):



Participant-directed as specified in Appendix E

X

Provider managed




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