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科罗拉多消费者直接关怀网络
In-Home Support Services (IHSS)
Consumer Direct Care Network Colorado (CDCO) serves as the Training and Support contractor for IHSS. We guide individuals through training and provide program guidance.
We work collaboratively with the IHSS agencies, case management agencies, and Colorado Department of Health Care Policy & Financing (HCPF) to ensure individuals successfully enroll as IHSS members.
资格
To use IHSS, you must:
- 参加 科罗拉多州健康第一计划（科罗拉多州医疗补助计划）
- 符合申请 CFC 计划的资格包括
- 经评估需要个人护理、家政服务和/或健康维护活动
- 达到机构护理水平
- 如果您已加入 HCBS 减免计划，则自动达到机构护理级别
- 与您的 个案管理机构（CMA）
如果您仍在通过豁免接受 CDASS，并且尚未过渡到 CFC，您的个案经理将引导您了解时间安排和下一步措施。
了解更多 停火委员会的资格和服务 并与您的 当地个案管理机构 开始。
尚未加入科罗拉多州健康第一计划？
注册的 8 个步骤
There are eight steps to enrolling in the IHSS program:
1. Enroll in Community First Choice
- IHSS is available to members through Community First Choice (CFC).
- 了解更多 社区第一选择（CFC）.
- 联系您的 当地个案管理机构 启动程序。
2.与个案经理会面
- Meet with your case manager to discuss why IHSS is right for you compared to other options.
- When you meet with your case manager, you will complete an assessment of your care needs and additional enrollment paperwork.
- After completing the assessment process, your case manager will provide you a list of IHSS agencies in your area. or you may review the HCPF IHSS Provider List for approved agencies in your area.
3. Begin to complete required IHSS forms
Below are forms required to enroll into IHSS:
- Physician Attestation of Consumer Capacity is completed by your (the member’s) physician and helps determine what supports you need to be safe in your home and community. The physician also determines if you require an Authorized Representative (AR). This form is required at initial enrollment and any documented change in your condition. An additional form is required for ARs. It is important to know that a person can be an AR or attendant, but not both.
- The Direct Care Services Calculator is a tool used by the case manager to indicate the number of hours of attendant services a member needs for each covered service (Personal Care, Homemaker, and Health Maintenance Activities).
The IHSS Shared Responsibilities Plan is required for all members. This form should not be completed before you have your Physician’s Attestation form completed. The Shared Responsibilities Plan is completed by you (or your AR) and your chosen IHSS agency during initial enrollment and any documented change in your condition.
4. Select your IHSS agency
- Choose the IHSS agency that is the best fit for you. You may contact them and ask questions about their services.
- After picking an IHSS agency, your case manager will check that it is accepting new members. If they are not, work with your case manager to choose another agency or look into other service options.
- Your case manager will send your chosen IHSS agency a referral and your enrollment paperwork.
5. Enroll with your IHSS agency
- Your IHSS agency will review your referral and contact you to set up an intake assessment.
- Attend your intake assessment and share with your agency your needs and desires for care.
- After your intake assessment, your IHSS agency will create a care plan and send it to your case manager for approval.
6. Case Manager approves care plan and completes the Prior Authorization Request (PAR) Process
- Your case manager will review and approve your care plan. They will work with your IHSS agency to make corrections if needed.
- If additional information is needed, your case manager will contact you.
- After your case manager approves your care plan, they will enter your PAR in HCPF’s system called the interChange (also called Bridge). A PAR has information about your authorized services, service hours, and certification period for IHSS.
7. IHSS agency begins staffing and orientation
- Your IHSS agency will hire your attendants. As the employer, your agency is responsible for your attendants, but you are welcome to participate in the selection and interview process.
- Attend your IHSS agency’s orientation.
- Work with your IHSS agency to train your attendants.
8.服务开始
- Once your attendants are hired and trained, your IHSS agency will set up their work schedule and begin services.
- If at any time an attendant cannot come to work or doesn’t show up, your IHSS agency is responsible for sending a backup attendant.
- Stay in communication with your IHSS agency to manage your attendants and get ongoing support. If you are struggling to work with your agency, you can contact Consumer Direct for Colorado (CDCO) or HCPF at HCPF_PDP@state.co.us 或 303-866-5638.
- After services begin, CDCO is always available to help answer questions about IHSS. As the Training and Support contractor, we have many resources available to help you navigate IHSS!
IHSS Program Guide – CFC & Waiver
The IHSS Program Guide is your comprehensive materials to understanding the roles of everyone in the IHSS program. This training tool will provide you with answers to many of your questions about IHSS.
IHSS 表格
IHSS 资源
HCPF 资源
如果您有任何与电子就诊验证 (EVV)、注册、税收或其他主题相关的问题，可以直接向科罗拉多州医疗政策与筹资部 (HCPF) 的参与者指导计划 (PDP) 部门发送反馈。
调解服务
为会员和个案管理员提供的调解服务
Consumer Direct Care Network Colorado (CDCO) helps mediate concerns about the services Health First Colorado (Medicaid) Members receive through In-Home Support Services (IHSS). If Members are unable to work with their Case Manager to achieve the care they believe is needed, Members and Authorized Representatives (AR) have the option to utilize the mediation process.
调解服务由 CDCO 提供，作为以下活动的一部分 信息和援助服务 提供给会员和 AR。通过 CDCO 进行的调解可以帮助促进就护理计划和授权服务中的分歧进行讨论和对话。
Requests for mediation can be submitted by the Member, an AR, Case Managers, or the provider agency. The Member or AR must consent to mediation. When requested, reasonable accommodations will be provided for people with disabilities by notifying CDCO prior to the scheduled mediation call.
调解会议结束后，CDCO 仅会提出建议，而不会做出最终决定。对于个案管理机构做出的决定，会员保留所有法律上诉权。在获得授权的情况下，个案经理将负责根据调解结果最终确定服务决定。
调解程序
- 申请调解者填写 调解申请表 并将其发送至 CDCO。
- CDCO 将处理调解转介，并在一个工作日内联系个案经理收集信息。
- CDCO 将与会员或 AR 联系，收集信息并要求其同意参加调解。
- CDCO will contact the IHSS Provider Agency to collect information.
- CDCO 将召集所有相关人员进行调解，并根据要求提供合理便利。
- After listening to information from all the participants during the mediation call, CDCO will provide a recommendation for services and notify the IHSS Agency.
- 个案经理将发出一份 Health First Colorado 行动通知，其中包括决定、可能批准的新服务或修订服务，以及关于会员上诉权利的信息。
IHSS 视频
消费者指导服务
标准预防措施
IHSS 概览
Introducción a IHSS
Case Manager Role in IHSS
Puesto de gestor de casos a IHSS
Agency Role in IHSS
El rol de una agencia a IHSS
预防欺诈
预防欺诈、教育和报告是消费者直接关怀网络最重要的职责之一。
识别欺诈迹象也是您的责任。通过这段预防欺诈视频，了解您在预防和报告欺诈行为方面的权利和责任。