| ELIGIBILITY
GROUP (ALSO SHOWN AS THE SPECIAL POPULATION)
|
>>Individuals age 65 and over
>>Financially eligible for
Medicaid
|
| LEVEL
OF CARE REQUIREMENTS (ALSO KNOWN AS FUNCTINAL ELIGIBILITY
RULES) |
Meet
Medicaid LTC treshold requirements |
| ASSESSMENT
AND ACCESS (CASE MANAGEMENT) |
Authorized
case managers employed by, or under contract with, AAA using
uniform assesment instrument |
| CHOICE
OF CASE MANAGEMENT AGENCIES AVAILABLE |
Customers
must use the AAA covering the county in which they live (customer
may request a change of case manager) |
| FINANCIAL
ELIGIBILITY RULES |
Only
individuals own income and resources are considered beginning
in the first month of HCBS (income over $691 per month must
be contributed towards cost of care) |
NUMBER
OF UNDUPLICATED CONSUMERS PER MONTH
|
3,332
|
| TOTAL
FY 98 HCBS WAIVER EXPENDITURES |
$26,884,055
|
| MONTHLY
AVERAGE COST PER CONSUMERS FY 98 (WAIVER SERVICES)
|
$672
|
| MONTHLY
AVERAGE COST PER CONSUMER FY 98 (XIX SP SERVICES)
|
$460
(includes cost for case management) |
| CONSUMER
DIRECTED ATTENDANT OPTION AVAIL |
Yes
|
| SERVICES
(THOSE LISTED ARE PROVIDED IN ADDITION TO REGULAR TITLE
XIX STATE PLAN SERVICES |
>>Adult day care
>>Sleep cycle support
>>Emergency response
>>Health care attendant
>>Wellness monitoring
>>Respite Care
(case management is available through title XIX State Plan Services)
|
| QUALITY
ASSURANCE |
>>Independent audits
>>Oversight by KDOA quality
review staff
>>Customer satisfaction surveys
>>Fiscal agent post pay reviews
of providers
>>Fiscal agent provider and
consumer assistance units to register and follow up on all complaints
or grievances |