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'3 CASE MANAGEMENT AGENCY CERTIFICATION DOCUMENT
FOR
THE HOME AND COMMUNITY BASED SERVICES PROGRAM
OF THE COLORADO DEPARTMENT OF SOCIAL SERVICES
JULY 1, 1987 through June 30, 1988
1. TITLE PAGE
County: County of Eagle, State of Colorado
Agency Name: F elCounty T)e}partm nt of Social.. S ervirbs
Address: p _ o _ Rox 660
Eagle, Colorado 81631'.
Telephone Number: 328-7311 (Ext. 560)
Director's Name: Mabel .T. Ri scb
Contact Person: Mabel T_ Ri sob
II. GENERAL ASSURANCES C87-99-80
REGARDING
THE HOME AND COMMUNITY BASED SERVICES PROGRAM -
'. OF THE COLORADO DEPARTMENT OF SOCIAL SERVICES
JULY 1, 1987 through JUNE 30, 1988
We, the undersigned, hereby agree that each of the following assurances will
be met in relation to the Home and Community Based Services Program of the
Colorado State Department of Social Services. We understand that these
assurances constitute the contractual terms of certification, against which
performance will be monitored, authorized services will be reimbursed, and
future recertification will be considered.
A. The case management agency designate has developed and submitted to the
State a plan for local operations and program implementation for
FY 87-88 or has indicated to the State in writing that the plan for
FY 86-87 will be continued'with no significant changes. The local
operational plan conforms to a State -prescribed format and outlines the
process by which the following assurances will be met. The agency can
document that at least the following entities were invited to
participate in the public input process which preceded the development
of the plan or the decision to continue the FY 86-87 plan for FY 87-88:
the board of county commissioners, the field supervisor of CDSS, the
district health department, the area agency on aging, county
department(s) of social services, nursing home(s), hospital(s), city
and town government(s), and the general public.
Co. Comm. CMA
B. The CMA assures that clients will have appropriate and timely access to
Home and Community Based Services. The CMA will facilitate the
application process for potentially eligible individuals. The CMA will
respond in a timely manner to all referrals of eligible clients. The
CMA will assure quality of assessments, which shall include appropriate
long term care program targeting.
Co. Comm. CMA
V
C. The CMA assures that clients' rights will be protected within the HCBS
program. Clients have the right to apply for services, to have their
eligibility for services determined, to receive an adequate quantity
and quality of the services for which they are eligible, to appeal
denials of service, and to have their communications with the agency
dealt with confidentially. The CMA will notify each client of his/her
rights to appeal, and will facilitate appropriate access to advocacy
services from the Colorado Long Term Care Ombudsman, Adult Protective
and Supportive Services, and the Area Agency on Aging/Title III OAA
Advocacy Services.
Co. Comm. CMA
D. The CMA assures compliance with current regulations of Federal and
State Medicaid and HCBS programs, as amended and revised. The CMA will
( provide monitoring at a frequency that assures quality of service
provision. The CMA will process paperwork in a timely and accurate
manner to promote prompt service to clients and prompt payment of
provider claims. The CMA will assure adequate documentation to support
all Medicaid claims. The CMA and the Board of County Commissioners
acknowledge that certification may be revoked by the State for material
failure to comply with HCBS regulations and assurances.
Co. Comm. CMA'
E. The CMA assures competent and professional operation of the agency and
of the Home and Community Based Services Program. Case managers and
their support staff will be qualified, both by education and
experience, to carry out their assigned duties. The CMA will provide
them with adequate training and supervision to maintain ongoing quality
of service.
Co. Comm. CMA
F. The CMA assures that deinstitutionalization of Medicai long -term -care
clients will be a major program objective for the agency in FY 87-88.
Co. Comm. CMA
G. The CMA assures that it will assume a lead responsibil-ty for
developing a local continuum of care for the elderly, blind and
disabled. The CMA will make ongoing efforts toward development of new
resources, enhancement of existing resources and coordination of
resources. Coordination responsibilities include the initiation of
regular and adequate communications with providers, potential
providers, physicians and the other entities cited in Assurance A
above. Coordination also includes responding to inquiries and
providing referral assistance to persons seeking long term care,
without regard to program or income eligibility.
Co. Comm. CMA
H. The CMA assures that HCBS provider certification will be extended only
to individuals who are qualified to perform their assigned duties. The
CMA will maintain documentation that all certified individual providers
meet all applicable certification standards. The agency will provide
adequate monitoring and assure that adequate training takes place to
maintain adequate quality of service and client safety.
Co. Comm. CMA
o
I. The CMA assures a system of data collection that will assist in the
evaluation of the HCBS program and of CMA performance. The CMA will
complete reports as requested by the State and will cooperate with all
program monitoring and evaluation efforts by the State.
Co. Comm. CMA
Signed,
Director of Dp gnated Case Management Agency
Mabel J is, , Director, Eagle County
De rtment of Social Services
Chair of the rd f Co " ommissioners
(or qu' alent)
Richard L. Gu tafson irman, Board of
County Commissione s f the County of
Eagle, State of Col ado
County
June 1, 1987
Date
f
