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科羅拉多消費者直接關懷網路
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.
8 個註冊步驟
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).
- 進一步了解 社區第一選擇 (CFC).
- 聯絡您的 當地個案管理機構 以啟動程序。
2.與您的個案經理會面
- 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.服務開始
- 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 資源
HCPF 資源
如果您有任何與電子就診驗證 (EVV)、投保、稅務或其他主題相關的問題，您可以直接將反饋意見寄至科羅拉多州健康照護政策與財務部 (HCPF) 的「參與者導向計畫」(PDP) 組。
調解服務
為會員和個案經理提供的調解服務
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.
調解服務由 CDCO 提供，作為以下服務的一部分 資訊與協助服務 提供給會員和 AR。透過 CDCO 進行的調解可協助促進關於護理計劃和授權服務分歧的討論和對話。
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.
調解會議結束後，CDCO 只會提出建議，而非最終決定。會員保留對個案管理機構所作決定的所有法律上訴權利。在獲得授權的情況下，個案經理將負責根據調解結果對服務作出最終決定。
調解程序
- 要求調解的人填寫 調解申請表 並將其傳送至 CDCO。
- CDCO 將處理調解轉介，並在一個工作日內聯絡個案經理以收集資訊。
- CDCO 將聯絡會員或 AR 以收集資訊，並要求同意參與調解。
- CDCO will contact the IHSS Provider Agency to collect information.
- CDCO 將安排與所有相關人員進行電話調解，並應要求提供合理便利。
- After listening to information from all the participants during the mediation call, CDCO will provide a recommendation for services and notify the IHSS Agency.
- 個案經理將發出一份 Health First Colorado 行動通知，其中包括決定、可能授權的新服務或修訂服務，以及有關 會員上訴權利的資訊。
IHSS 影片
消費者導向服務
標準預防措施
IHSS 總覽
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
預防詐欺
防止詐騙、教育和報告是消費者直接關懷網路最重要的職責之一。
識別詐騙的跡象也是您的責任。在這段預防詐騙的視訊中，瞭解您在預防和報告詐騙方面的權利和責任。