Fw: APD is reviewing all cost plans. Make sure you services are not cut.

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----- Forwarded Message -----To: Undisclosed List Sent: Friday, September 30, 2011 9:20 PMSubject: APD is reviewing all cost plans. Make sure you services are not cut.



Is Your Support Plan Current And Correct?

WaiverProvider.Com September 30, 2011

Is Your Support Plan Current And Correct?

All cost plans are being reviewed between now and November 15, 2011. If your need for services are not well documented, they could be eliminated or reduced. It's very important that all documentation be sent up at the time of review. If your services are reduced or eliminated, you will have a chance for due process, but the judge will only be looking at what was actually submitted. You will not be allowed to give the judge more documentation during your hearing. Contact your support coordinator to learn more.

Minor Differences, That Are Not So Minor

Is Justification For Your Residential Habitation Rate Documented?

Minimal

$2195.48 Month

Moderate

$3294.48 Month

Self care/daily living tasks:

including physical assistance and mealtime intervention to eat safely, may require mealtime interventions and/or devices.

May require consistent verbal and physical help to complete self care/daily living tasks,

Requires substantial prompting and/or physical assistance to perform self-care/daily living activities.

May be totally dependent on staff for dressing/bathing. May require mealtime interventions and/or devices OR receives all nutrition through a gastrostomy or jejunostomy tube.

Toileting

May require scheduled toileting or use of incontinent briefs.

Incontinent of bowel or bladder. May require scheduled toileting or use of incontinent briefs.

Walking

Walks independently or independently uses a manual or power wheelchair.

Independently uses a powered wheelchair, may need assistance with a manual chair.

Transfer / Change Positions

· May require assistance to change positions.

· Needs physical assistance of one person to transfer or to change positions.

· May require assistance to change positions.

· Needs physical assistance of one person to transfer or to change position.

· Disability prevents sitting in an upright position, has limited positioning options.

Behavioral

· May exhibit behaviors that require formal and informal intervention;

· requires frequent prompts, instruction or redirection, some environmental modifications or restrictions on movement may be necessary.

· May exhibit behaviors that require frequent planned, informal and formal interventions.

· Assistance from others may be necessary to redirect the recipient. May require psychotropic medication for control of behavior. Self-injury or aggression towards others or property results in broken skin, major bruising/swelling or significant tissue damage requiring physician/nurse attention. May have threatened suicide in past 12 months. May have required use of reactive strategies 5 or more times per month in last 12 months. May routinely wear protective equipment to prevent injury from self-abusive behavior.

Physical

· Seizures: If has seizures, no interference with functional activities;

· May require medication for bowel elimination.

· May require a special diet. May require staff supervision to self-administer medications.

· Seizures: May have seizures that interfere with functional activities; receives 2 or more medications to control seizures.

· May require medication and daily management, including enemas, for bowel elimination.

· May be nutritionally at risk and require a physician/dietitian prescribed special diet.

· May have experienced a pressure sore requiring medical attention in the past 6 months.

See All Provider Rates

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