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' �CA 46 E6) �
II. Generel Assurances
;�---, - Regarding �
� �•,.� . The Home aod Cormunity 8ased Services Program
of the ColoraQo Department of Soc9a1 5ervices
�uly 1,.1986 througn June 30, 1987
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• We, the undersigned, heretry aqr:e that each of r.he folToNing assurances will � T� '
°-°� � be met in relation to the Nome an4 Comnunity Based Services Program of the :: �
Colorado State Department of Sociai Services. We understand that these � jy.?
assurances constitute the contractual terms oF certification, against which' '; '
perforr.iance will be monitored.,authorized services will be rei�r�bursed, and•;�;'
future recertification will.be �onsidered. -
_ . , t;. -.
� A. The case management agency deslgnate has deveToped and su�mitted to the`� '�J�
; State a plan For local operatinns and program implemen+_ation for FY 86-87. . i;":�,
y This local operattonal plan conForms to a State-prescribed format and outlines
the process by yhtch the followinq assurances �fli be met. The agency can ��:?;��: �
document that at least the Fol�ouing.entities :�ere invited to participate in
i the public input process which preceded"the deveiopment oF the plan: The �
• board of county comnissioners, the fiel_d supervisor of CDSS, the district
health department, the area agency on`aging, county department(s) of social � �
servlces, nursing home(s;, hospital(s)� city and town goverrrment(s), and the ' �•
general public. -
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... -- Co. Camn. /T/�i� � CHA /7� ,
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-•� B. The CkA assures that clients will have access to Home and Comnunity 8ased
• Services in a tiRely manner� ar.d that L1C program targeting guidelines are
followed. �. ,
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C. The CMA assures that clients' rights will be protected within the HCBS `��`
-program. Clfents have the rights to apply for services, to have the-ir
eligitii N ty for s�rvices detennined, ta receive an adequate quantity and
- quality of the servtce; For uhich they are el;gible� ta appeal denials of
service, and to have their tomnunications xith tha agency dealt with �
ConFidenti211y. The CF1A will notiEy each client of his/her rights to appeal, � `�"� �
and will facilitate appropriate access to advowcy servtces from the Colorado
Long Term Care Omb�dsman, Adult Protective and Supportive Services, and the :
Area Agency on Agin@/Title III UAA Advocacy Services. '�
_ . Co. Cortm._ T-/��/ CMA��) •'-
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D. The CMA assures compliance with all current regulations af Federal and
State Medicaid and HCBS programs, as amended and revised. . The CHA will
'� �., proCess paperGrork in a timely and accurate manner to promote prompt service to .
`- +-' tlients and prompt payment of provider clalms. The CMA will assure adequate
• documentation to support all medicaid claims. ' '
. Co. Corrm._T�� CMA � �
• � . �.
E. The CMA assures competent and proFessional operation oF the agency and of �
the Home and Comnunity Based Services Program. Case managers and their "`.; �� ".
support staff will be qualified, both by education and experience, to carry+;.; t�' .
out tAeir assigned duties. '-The-C!SA will provide them with adequate training' '� -
- and supervision to maintai'n ongoing quality of service. _� . Ss
Co. Comm. ��i�, CHA_��"!� '' � �
� �� ` i:- .
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F. The CMA assures that deinstitutionalization of Medicaid long-term-care
clients W111 be a ma�or program objective for FY 86-87. ' .
� Co. Comm. ,l�i�� CMA� �
_ �
G. The CHA assures that it will assume a lead responsibility For developing a � ,. •
- local continuum of care for the elderly. Dlind and disabled. The CMA will `�
make ongoing efForts toward development of new resources, enhancement oP x� *
f=J•; exis•ting resources and coordinatlon of resources. Coordination � .
responsibilities include the initiation of regular and adequate comnunications
� with providers, potential providers, physicians and other entities cited in • . ,� �
Assurance A above. Coordination alsc includes making reasonable efforts to
respond to inquiries and requests for assistance from persons seeking long
term care. without regard to program or income eligibility. �,�j, }
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• Co. Cortm. ;/��X CMA� • ,
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H. The. CMA assures that HCBS provider certification wilt Ge extended only to F�• •
individuals who are qualified to perform their assigned duties. 1'he CMA will
maintain documentation tAat all certlfied individual providers meet all `
applicable certification standards. The agency will provide adequate � : '"
monitoring and assure that adequate training takes place to maintain the �.
ongoing quality of service. � -
� _ Co. Comn: � �`'�C.4 CMA ( . �,�
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I. The CHA assures a system oF�data cotlection tAat Will• assist in the � �
evaluatfon of the HCBS program and oF CHA performance. . , $
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Co. Comm. ���� CMA - �
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; o�-�-��(�•(e6 Uirec�4vr of� si ated C e Management Agency _ " '�
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b cba rnma� the,:, oard of County Comnissloners
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Pitl:in
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a ,� - 14 JULY, 1986 . • . _ ��
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