Fortress.wa.gov



H11- 050 – Information

August 18, 2011

|TO: |Area Agency on Aging (AAA) Directors |

| |Home and Community Services (HCS) Division Regional Administrators |

| |Division of Developmental Disabilities (DDD) Regional Administrators |

|FROM: |Bill Moss, Director, Home and Community Services Division |

| |Linda Rolfe, Director, Division of Developmental Disabilities |

|SUBJECT: |Revised Standardized Homecare Agency Statement of Work (SOW) & Monitoring Tool and Non-core Billing Forms |

|Purpose: |To implement revisions to the standardized statement of work for AAA and ADSA contracted homecare agencies. |

| |To implement revisions to the homecare agency monitoring tool effective September 1, 2011. |

| |To distribute revised billing forms and procedures related to Family Caregiver Support Program (FCSP) Respite|

| |and other non-core state funded personal care services contracted by AAAs with homecare agencies. |

|Background: |A statewide, standardized statement of work (SOW) for AAA-contracted homecare agencies was implemented July |

| |1, 2005. The DDD homecare contract was consolidated with the homecare agency statement of work in 2007. A |

| |statewide, standardized homecare agency monitoring tool was implemented January 1, 2005. |

| |Recent legislation requires changes to language in both the SOW and the monitoring tool related to Agency |

| |Worker Health Insurance (AWHI). A federal audit finding necessitates a clarification on rounding hours for |

| |SSPS billing. Some SOW sections have become outdated, such as transition to TCARE® and the transition period|

| |of the family relation prohibition. Minor modifications to formatting and language clarification are also |

| |included in this revision to the SOW. |

| |Beginning September 1, 2011 the Home Care Agency (HCA) vendor rate increased $2.15 an hour to include AWHI |

| |compensation. Prior to that date AWHI was billed outside the rate. This new method of reimbursement will |

| |affect how AAAs will bill ADSA for FCSP Respite and other non-core personal care. |

| | |

|What’s new, changed, or | |

|Clarified |Statement of Work |

| |Effective September 1, 2011, ADSA and AAAs shall use this standardized language as their statement of work |

| |for contracted homecare agencies that provide state-funded, personal care services to LTC and/or DDD clients.|

| | |

| |ADSA’s Interlocal agreement with AAAs requires that all clauses within the Agreement also be part of AAA |

| |subcontracts. These clauses must be added to the statement of work or included in other sections of each |

| |AAA’s contract. |

| |Throughout the statement of work the following phrase, (Insert AAA specific reference here: |

| |Subcontractor/vendor/contractor), must be replaced with the specific terminology used in AAA contracts to |

| |refer to a contractor. |

| |AAAs shall be permitted to add additional statement of work clauses only related to the following issues: |

| |Other services for which the AAA may contract with the homecare agency such as Respite, SCSA personal care, |

| |Family Caregiver Support, etc; |

| |Special terms and conditions related to contract performance in the form of corrective actions and/or |

| |remedies; |

| |Parameters for use of excess revenue related to services delivered under the contract. |

| |Any other AAA-specific clauses or recommended revisions to the standardized statement of work must be |

| |submitted to ADSA for prior approval. |

| | |

| |Other revisions to the SOW under consideration that could have minor policy implications will be brought to a|

| |collaborative workgroup that will be convened in early 2012 for implementation into the SOW next fiscal year.|

| | |

| |The standardized monitoring tool for homecare agencies has the following addition, “AWHI funds received |

| |through the Vendor Rate were spent on Health Insurance for eligible workers.” |

| | |

| |FCSP Respite and other non-core personal care |

| |Effective September 1, 2011, the hourly rate for these services will be the same as the Medicaid Homecare |

| |Agency Vendor Rate of $19.72. Billing forms have been modified. When the AAA bills ADSA for FCSP Respite or |

| |other non-core funded personal care, they will be billing on two lines. The first line will contain the net |

| |balance (minus participation and AWHI). The other line, located above the Match section, will show the |

| |number of hours provided multiplied by $2.15 per hour to determine AWHI costs. Updated BARS forms are |

| |attached and can be found online at . |

| | |

| |AAA State/Fed and Older Americans Act contracts will be amended to include AWHI in the SOW. It is not |

| |necessary to update budgets or increase the maximum consideration; the amounts reimbursed for AWHI are |

| |considered pass through funding. |

|ACTION: |Incorporate the attached standardized statement of work language into all homecare agency contracts as they |

| |are renewed or amended with start dates of September 1, 2011 or later. |

| |Begin using the revised monitoring tool for all homecare agency monitoring after September 1, 2011. |

| |Begin using the revised BARS forms for SFCSP, OAA Title 3B, Title 3E, and SCSA for service months beginning |

| |with September 2011. |

| | |

|Related |MB H11-047 |

|REFERENCES: | |

|ATTACHMENT(S): |Homecare Agency Statement of Work: |

| |[pic] |

| |Homecare Agency Statement of Work in Track Changes: |

| |[pic] |

| |Homecare Agency Monitoring Tool: |

| |[pic] |

| |BARS forms: |

| |[pic][pic][pic][pic] |

|CONTACT(S): |Susan Engels, Acting Office Chief, State Unit on Aging |

| |(360) 725-2527 |

| |Susan.Engels@dshs. |

| | |

| |Bev Lord, Program Manager, State Unit on Aging |

| |(360) 725-2529 |

| |Beverly.Lord@dshs. |

| | |

| |Debbie Roberts, Program Manager, DDD |

| |(360) 725-3525 |

| |Debbie.Roberts@dshs. |

| | |

| |Fiscal Questions: |

| | |

| |Anna Glaas, Grants Unit Supervisor |

| |(360) 725-2374 |

| |Anna.Glaas@dshs. |

| | |

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