Support to People Who Self-Direct G-09

PURPOSE:

The purpose of this policy is to identify the methods used for monitoring and oversight of self-directed services. Self-direction is a service model that allows an individual/guardian or designee to have decision making authority to manage, promote personal choice and control over the delivery of Home and Community Based Services Intellectual and Developmental Disability (HCBS IDD) Program services and State Aid services.

POLICY:

Individuals who self-direct services will cooperate with the targeted case management (TCM) community service providers (CSP), Sedgwick County Developmental Disability Organization (SCDDO) staff, the Quality Assurance Committee, and the Kansas Department for Aging and Disability Services (KDADS) in monitoring to ensure that services meet minimum requirements set forth per K.A.R. 30-63-10.

PROCEDURES:

1. The TCM provider shall review and monitor services regularly to ensure at least the following:
   1. The individual’s needs are met;
   2. Annual evaluation of service;
   3. Backup plan is developed and adequate;
   4. There shall be a written agreement when the individual providing services also lives in the home, specifying the individual receiving services will not be required to move if there is change in staff;
   5. Any individual or business entity chosen to provide services is allowed full and reasonable access to the home in order to provide services.
2. Prior to initiation of self-directed services and at least annually thereafter, the TCM provider shall ensure an explanation is provided about the benefits and responsibilities of self-directed services as well as the possible consequences if responsibilities are not met.
3. When a mandatory reporter believes that the individual receiving self-directed services is/or may be at risk of imminent harm, a report must be made to Adult/Child Protective Services (APS/CPS), in addition to submitting a Critical Incident Report to the SCDDO Quality Assurance Department and Adverse Incident Report (AIR) to KDADS.
4. TCM shall re-educate individual/guardian or designee about self-direction responsibilities upon provider change and/or when requested by SCDDO.
5. If it is determined by APS/CPS or SCDDO the individual receiving services is or may be at risk of imminent harm to the individual’s health, safety, or welfare, SCDDO will provide written notification to the individual directing and controlling the service to correct the situation promptly.
6. If the situation is not corrected SCDDO will make a recommendation of termination to the appropriate authority.