Sample Roles and Responsibilities Chart

Sample Roles and Responsibilities Chart

Minnesota Veteran-Directed Home and Community-Based Services (VD-HCBS) Roles and Responsibilities

Participant

Source: Lead Agency Operations Manual: pgs. 57, p. 10, p. 63, p. 65

? Decides whether to use VD-HCBS

? Develops support plan and obtains approval/assistance from AAA case manager

? Minimally assumes managing employer duties

? Establishes a service relationship with fiscal support entity (FSE) and extended support planner (optional)

? Defines direct worker qualifications and training requirements

? Selects, hires, trains, and supervises workers

? Determines how to evaluate service implementation and quality

? Develops emergency back-up plan

? Signs and submits

Veterans Administration

Medical Center ? Informs veterans of

option ? Determines veteran's

eligibility for VD-HCBS ? Assist with expediting

processing of VA benefit applications ? Holds a Provider Agreement with AAA and determines VDHCBS payment rates ? Reviews the assessment and case mix level and authorizes payment for "VD-HCBS services" for the full established Payment Tier Level amount ? Reviews and approves items on the VD-HCBS community support plan and budget ? Processes and pays VDHBCS claims ? Works with AAA and SUA to assure service quality and integrity ? Negotiates individual

AAA- Administration

? Directly provides and/or arranges for quality case management/support planner services

? Holds Provider Agreement with VAMedical Center

? Maintains contracts with FSE and case management providers

? Assures secure transfer of client data (e.g., Referral, Live ChatTM systems)

? Accountable to VA-MC for VD-HCBS expenditures and policy compliance.

? Bills the VA-MC for approved VD-HCBS expenditures including administrative fees.

? Assures VA-MC receives monthly client spending reports (submitted with billing claims).

? Implements HIPAA standards for securing private client information

AAA- Case Management Services

Source: Lead Agency Operations Manual: p.12; pgs. 59-60

? Conducts required assessments

? Determines NH/MA spend down risk

? Using a person-centered planning process, assists participant develop community support plan and spending budget.

? Obtains approval for VDHCBS spending from VA-MC

? Educates participant about VD-HCBS option, guidelines, safeguards, and quality assurance.

? Informs/assists with using FSE and extended support planner services.

? Provides budget and assessment information to participant

? Assure health and safety needs are addressed in the support plan.

? Assures that a back-up plan is in place.

? Helps participant get a

Extended Support Planner (SP) Service Provider (optional)

Source: Lead Agency Operations Manual p.51, p. 61

? Provides specialized education, planning, plan implementation, worker recruitment and training, and troubleshooting support for high or special-needs veteran

? Helps participant evaluate/improve service outcomes; and resolve issues participant has with FSE, or other providers.

? Facilitates community access and inclusion

? Assists with spending monitoring, addressing over-spending and VDHCBS compliance

? Instructs and guides participant in problemsolving, decision making, recognizing and reporting critical events

Fiscal Management Service Provider

(e.g., Fiscal Support Entity) Source: Lead Agency Operations Manual: p. 50, p. 64, pgs. 66-68

Uses only Agency with Choice and/or Payroll Models

? Umbrella organization providing a range of fiscal support services

? Submits billing claims biweekly to AAA for used services and goods.

? Pays bills and workers according to approved support plan/budget and timesheets and invoices submitted by participant and SUA policy

? Maintains a "rainy day" fund that is no greater than $100 less than the established budget tier level

? Conduct criminal background checks

? Manages all employment and payroll taxes; broker and/or pay workers

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