Individual Residential Support Services (IRSS) Oversight and the - PowerPoint PPT Presentation

Individual Residential Support Services (IRSS) Oversight and the Enhancement of Safety and Welfare Kara Masteller and Cassandra Keller July 2019 1

Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2

Key Edits • DOH inspection  Homes must meet HUD S ection 8 Housing Quality S tandards • Contracts with Host Home Providers (HHP)  PASAs to create contracts with HHPs and provide copy of contracts to the Department upon request • Colorado Adult Protection background check  To be conducted for those who provide direct care • Critical Incident Reporting (CIR)  Guidance on what qualifies as a CIR, when to report, and how to report 3

Edits from May Feedback • 3-person Host Homes  Language modified to provide clarity on expectations for 3-person Host Homes  Qualifying criteria for 3-person Host Home added to rule • Added language requiring Host Home providers to reside in the Host Home • Modified contract requirements  Revised to state must have contracts in place and available upon request • Added language for oversight during a transition  Who must be present during transition  Ensure during move money and personal items are transferred 4

Edits from May Feedback • Training Requirements  Removed requirement for CPR. Trainings for providers must be included in the policies and procedures • Responsibility for home environment  Provider is responsible for ensuring entrance and emergency egress are accessible by members residing in the home • HCBS Settings Final Rule  Member must have key or key code to the home, locks on bedroom doors, and residential agreement 5

Options for Information Sharing • DOH database Elite • Manual submission to HCPF • Enrollment as a rendering Medicaid Provider • Additional ideas welcome 6

Specific Areas for Input • Best way for PAS A/ HHP to share information of each setting location with the Department • Language on section 8.609.5.B.3.c, page 4 – persons moving settings • During a move, what would be the best way to document that an individual's possessions have been transferred? Refer to page 4, 8.609.5.B.3.b 7

Future Meetings • Tentative time and dates for meetings:  August 21, 2019: review regulat ions prior t o t he rule promulgation process  Oct ober 2019: Presentation t o Medical S ervices Board (MS B) 8

Questions? 9

Contact Information Cassandra Keller HCBS Benefits Supervisor Cassandra.Keller@ state.co.us Kara Masteller HCBS Benefits Specialist Kara.Masteller@ state.co.us Please submit written feedback on revisions to ltss.publiccomment@ state.co.us More informat ion: www.colorado.gov/ hcpf/ long-term-services-and-supports-programs www.colorado.gov/ hcpf/ OCL-stakeholder-engagement#IRSS 10

Thank You! 11