Guest guest Posted January 10, 2008 Report Share Posted January 10, 2008 I didn't know the formatting would be lost. Why do they let you format it and then not post it that way!?! I'll put stars around my answers. Home-Based Support Services Info Greetings, All! Here I am pecking away at some of your questions as promised. I have pasted in the body of an e-mail that was forwarded to me. I deleted part of it, separated it out into some manageable (for me) junks, and tried to answer some questions. I'll paste in below. Hope it's helpful. My additional information is bolded and in blue. I'm still on jury duty for another week or more. So I can only answer here and there. Charlotte ******************************* Call Acces$ and ask them for the paperwork to fill out for an employer identification number. See if you can get that paperwork filled out and approved by the state, even before your funding is awarded. I think anyone can apply for an employer identification number; it's just navigating the system to do it properly. ****This is a great suggestion that I hadn’t heard before. Thank you!*** It is quite involved to fill out forms to be a PSW though, so you may have to wait to meet with Acces$ on that one. I am one of my son's PSW's-you can have as many as you need, although they will all need to fill out lots of forms for Acces$. Then, we decided that my husband will be my employer, as well as the employer for our other PSW that we will have. All the employer has to do is sign off on the timesheets. Seemed like the best idea to have my husband be the employer, although, he could've also been another of Nick's PSW's, in which case, we would've had to ask someone else to be our employer-friend, neighbor, grandparent, etc... ****Wonderful summary!**** We can use his funding for day programs, special rec programs (although we have to pay ourselves, then pay the SRA), anything we need to for his personal support. ****I think this is a little over simplified. Developmental training, day training, sheltered workshops (all the same things and sometimes referred to as DT) are a funded service in the Adult Home-Based Support Services Program. Special Rec Associations are a new service though I don’t think they’ve worked out the kinks enough yet that anyone is actually using it. The way it’s referred to here, a parent as a personal support worker is using their wages to pay for Special Recreation. I think I read the “anything we need to for his personal support” as also using their wages to buy him what he needs. Of course, we can all use our wages however we want regardless of the place of employment. **** We can use it for mileage, and our time, if we take him places. ****It will pay for mileage related directed to the person’s goals. The person must be in the vehicle. It will also pay for other kinds of transportation. For instance you can contract with a cab company or use the local bus system. It will not pay for trips for medical reasons. You have to use you Medicaid Insurance to pay for that. You should talk to you service facilitator on how to do that. It will only pay for your time if you are working as a personal support worker.**** We can use it for a gym membership, anything. ****It will not pay for gym memberships… though I adamantly think it should. I think the writer is referring again to using their own wages.**** We are hiring another PSW to spend 10 hours with him each week to take him to the gym to work out, take him to lunch, take him on a train ride, to the library, just spend quality time with him. In most cases, unless the provider is a Medicaid provider, you have to pay yourself first, in order to pay for that gym membership, you can't bill the state for it. ****(Ah, I should have read a little farther)**** What I highly suggest, is that anyone needing more information, go to the Family Support Network website and click on the link for the new Adult Waiver program, which is Home Based Support. Also, if the ARC of Illinois has any more training seminars on the Adult Waiver Program, make it a priority to go to it! It is an all day seminar, and quite overwhelming, but Charlotte Cronin (of FSN), who facilitated the seminar, was amazing and explained everything in detail, and in a language that we all could understand! They also supply you with a copy of the power point presentation at the beginning of the day, so as they go along, you can follow and make lots of notes! ****Gosh, THANKS!!! More seminars coming in March and April. We’ll keep you posted. The whole process of applying for Home Based Support is quite involved and lengthy, but it's important to learn as much as you can, and keep going to the meetings, seminars, anything that will go over and over what the process is about, and how to do it. I'll tell you, until I went to the ARC training on the Adult Waiver, everything was a big jumbled mess in my brain, and it truly all came together that day. Even the agencies are still just learning about the Waiver, so it's not a well traveled highway yet. This was an excellent topic to bring up Ellen. Thank you! ________________________________________________________________________________\ ____ Looking for last minute shopping deals? 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Guest guest Posted January 10, 2008 Report Share Posted January 10, 2008 Thanks, Charlotte. So sorry for all the extra work! I had no idea about the formatting problem... Ellen Ellen Garber Bronfeld egskb@... Home-Based Support Services Info Greetings, All! Here I am pecking away at some of your questions as promised. I have pasted in the body of an e-mail that was forwarded to me. I deleted part of it, separated it out into some manageable (for me) junks, and tried to answer some questions. I'll paste in below. Hope it's helpful. My additional information is bolded and in blue. I'm still on jury duty for another week or more. So I can only answer here and there. Charlotte ******************************* Call Acces$ and ask them for the paperwork to fill out for an employer identification number. See if you can get that paperwork filled out and approved by the state, even before your funding is awarded. I think anyone can apply for an employer identification number; it's just navigating the system to do it properly. ****This is a great suggestion that I hadn't heard before. Thank you!*** It is quite involved to fill out forms to be a PSW though, so you may have to wait to meet with Acces$ on that one. I am one of my son's PSW's-you can have as many as you need, although they will all need to fill out lots of forms for Acces$. Then, we decided that my husband will be my employer, as well as the employer for our other PSW that we will have. All the employer has to do is sign off on the timesheets. Seemed like the best idea to have my husband be the employer, although, he could've also been another of Nick's PSW's, in which case, we would've had to ask someone else to be our employer-friend, neighbor, grandparent, etc... ****Wonderful summary!**** We can use his funding for day programs, special rec programs (although we have to pay ourselves, then pay the SRA), anything we need to for his personal support. ****I think this is a little over simplified. Developmental training, day training, sheltered workshops (all the same things and sometimes referred to as DT) are a funded service in the Adult Home-Based Support Services Program. Special Rec Associations are a new service though I don't think they've worked out the kinks enough yet that anyone is actually using it. The way it's referred to here, a parent as a personal support worker is using their wages to pay for Special Recreation. I think I read the " anything we need to for his personal support " as also using their wages to buy him what he needs. Of course, we can all use our wages however we want regardless of the place of employment. **** We can use it for mileage, and our time, if we take him places. ****It will pay for mileage related directed to the person's goals. The person must be in the vehicle. It will also pay for other kinds of transportation. For instance you can contract with a cab company or use the local bus system. It will not pay for trips for medical reasons. You have to use you Medicaid Insurance to pay for that. You should talk to you service facilitator on how to do that. It will only pay for your time if you are working as a personal support worker.**** We can use it for a gym membership, anything. ****It will not pay for gym memberships. though I adamantly think it should. I think the writer is referring again to using their own wages.**** We are hiring another PSW to spend 10 hours with him each week to take him to the gym to work out, take him to lunch, take him on a train ride, to the library, just spend quality time with him. In most cases, unless the provider is a Medicaid provider, you have to pay yourself first, in order to pay for that gym membership, you can't bill the state for it. ****(Ah, I should have read a little farther)**** What I highly suggest, is that anyone needing more information, go to the Family Support Network website and click on the link for the new Adult Waiver program, which is Home Based Support. Also, if the ARC of Illinois has any more training seminars on the Adult Waiver Program, make it a priority to go to it! It is an all day seminar, and quite overwhelming, but Charlotte Cronin (of FSN), who facilitated the seminar, was amazing and explained everything in detail, and in a language that we all could understand! They also supply you with a copy of the power point presentation at the beginning of the day, so as they go along, you can follow and make lots of notes! ****Gosh, THANKS!!! More seminars coming in March and April. We'll keep you posted. The whole process of applying for Home Based Support is quite involved and lengthy, but it's important to learn as much as you can, and keep going to the meetings, seminars, anything that will go over and over what the process is about, and how to do it. I'll tell you, until I went to the ARC training on the Adult Waiver, everything was a big jumbled mess in my brain, and it truly all came together that day. Even the agencies are still just learning about the Waiver, so it's not a well traveled highway yet. This was an excellent topic to bring up Ellen. Thank you! ________________________________________________________________________________\ ____ Looking for last minute shopping deals? Find them fast with Search. http://tools.search./newsearch/category.php?category=shopping Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2008 Report Share Posted January 13, 2008 Ok...here is my update on Home based medicaid waiver funding... We met with a representative from Aces$ and the agency that will be providing service facilitation (Glenkirk). Our case coordination agency (CAU) case worker, was unable to make the meeting but we did talk by phone, prior to the meeting. The most important bit of information I got from him was that the service facilitation agency should not be charging any more than 5 service hours per month, and that should go down to 2-3 service hours (taken out of the home based funding) within a few months. The good news is that our service facilitator started off the meeting stating that he wanted to preserve Noah's funding for direct supports and services and he would be taking only two service hours out starting this month and ongoing for the time being. I filled out my employee packet, since my husband will be acting as employer. It was very long...make sure you have your social security card (or you will have to fax a copy) and your driver's license or state photo ID when filling out the forms. Any of your employees will need these as well when filling out their forms. After going through this experience, my husband and I have decided that any future support workers will fill out all paper work with us present. Giving these massive packets to direct support workers will probably result in not getting the paper work done! It is not easy stuff and it takes at least 30 minutes, though it may get faster as we do it more. My husband completed an employee packet with our respite worker and it took about 30 minutes. A few things to keep in mind: If you are in a higher tax bracket, it will be better to have direct support workers rather than paying yourself the entire month's allocation...you will be paying taxes on all of it... We have gotten a couple of calls from the representative from Aces$ to clarify some points and that is a good thing. He seems to be on top of things. We have been told that the processing of employee packets including background checks is done within a matter of days. We are planning on submitting a time sheet and hours for both me and our son's respite worker (now direct support worker) at the end of the month. I will keep you all posted on what happens... Ellen Ellen Garber Bronfeld egskb@... Home-Based Support Services Info Greetings, All! Here I am pecking away at some of your questions as promised. I have pasted in the body of an e-mail that was forwarded to me. I deleted part of it, separated it out into some manageable (for me) junks, and tried to answer some questions. I'll paste in below. Hope it's helpful. My additional information is bolded and in blue. I'm still on jury duty for another week or more. So I can only answer here and there. Charlotte ******************************* Call Acces$ and ask them for the paperwork to fill out for an employer identification number. See if you can get that paperwork filled out and approved by the state, even before your funding is awarded. I think anyone can apply for an employer identification number; it's just navigating the system to do it properly. This is a great suggestion that I hadn't heard before. Thank you! It is quite involved to fill out forms to be a PSW though, so you may have to wait to meet with Acces$ on that one. I am one of my son's PSW's-you can have as many as you need, although they will all need to fill out lots of forms for Acces$. Then, we decided that my husband will be my employer, as well as the employer for our other PSW that we will have. All the employer has to do is sign off on the timesheets. Seemed like the best idea to have my husband be the employer, although, he could've also been another of Nick's PSW's, in which case, we would've had to ask someone else to be our employer-friend, neighbor, grandparent, etc... Wonderful summary! We can use his funding for day programs, special rec programs (although we have to pay ourselves, then pay the SRA), anything we need to for his personal support. I think this is a little over simplified. Developmental training, day training, sheltered workshops (all the same things and sometimes referred to as DT) are a funded service in the Adult Home-Based Support Services Program. Special Rec Associations are a new service though I don't think they've worked out the kinks enough yet that anyone is actually using it. The way it's referred to here, a parent as a personal support worker is using their wages to pay for Special Recreation. I think I read the " anything we need to for his personal support " as also using their wages to buy him what he needs. Of course, we can all use our wages however we want regardless of the place of employment. We can use it for mileage, and our time, if we take him places. It will pay for mileage related directed to the person's goals. The person must be in the vehicle. It will also pay for other kinds of transportation. For instance you can contract with a cab company or use the local bus system. It will not pay for trips for medical reasons. You have to use you Medicaid Insurance to pay for that. You should talk to you service facilitator on how to do that. It will only pay for your time if you are working as a personal support worker. We can use it for a gym membership, anything. It will not pay for gym memberships. though I adamantly think it should. I think the writer is referring again to using their own wages. We are hiring another PSW to spend 10 hours with him each week to take him to the gym to work out, take him to lunch, take him on a train ride, to the library, just spend quality time with him. In most cases, unless the provider is a Medicaid provider, you have to pay yourself first, in order to pay for that gym membership, you can't bill the state for it. (Ah, I should have read a little farther) What I highly suggest, is that anyone needing more information, go to the Family Support Network website and click on the link for the new Adult Waiver program, which is Home Based Support. Also, if the ARC of Illinois has any more training seminars on the Adult Waiver Program, make it a priority to go to it! It is an all day seminar, and quite overwhelming, but Charlotte Cronin (of FSN), who facilitated the seminar, was amazing and explained everything in detail, and in a language that we all could understand! They also supply you with a copy of the power point presentation at the beginning of the day, so as they go along, you can follow and make lots of notes! Gosh, THANKS!!! More seminars coming in March and April. We'll keep you posted. The whole process of applying for Home Based Support is quite involved and lengthy, but it's important to learn as much as you can, and keep going to the meetings, seminars, anything that will go over and over what the process is about, and how to do it. I'll tell you, until I went to the ARC training on the Adult Waiver, everything was a big jumbled mess in my brain, and it truly all came together that day. Even the agencies are still just learning about the Waiver, so it's not a well traveled highway yet. This was an excellent topic to bring up Ellen. Thank you! ________________________________________________________________________________\ ____ Looking for last minute shopping deals? Find them fast with Search. http://tools.search./newsearch/category.php?category=shopping Quote Link to comment Share on other sites More sharing options...
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