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Q&A
Changes in assessment process for home care services
1:44:30
ยท
77 sec
Council Member Hudson asks about the duration of assessments for home care services and the agencies responsible. Chief Special Services Officer John Rojas explains the recent changes in the assessment process and the agencies involved.
- Assessments are now conducted by a third-party vendor (Maximus) contracted by the state
- The process applies to clients enrolled in HRA's managed long-term care plan or receiving services through CASA offices
- Managed care organizations are responsible for their own clients' assessments
- The target timeframe for assessments is within 30 days
- Initial implementation had some challenges, but improvements have been observed
- Exact numbers on assessment duration were not immediately available, but a follow-up was promised
Crystal Hudson
1:44:30
How long do those assessments take and which state agency is responsible for them?
John Rojas
1:44:35
So a couple of things, if it's through HRA it's for clients who are enrolled in our managed long term care plan and if they're receiving services through our CASA offices.
1:44:46
It's separate or a part of an individual is getting care through a managed care organization, that plan is responsible.
1:44:51
So the bulk of the clients who are receiving home care, it's usually through a managed care organization.
1:44:58
There are about anywhere on any given day between four to 7,000 clients who are carve outs, who come through HRA directly, who receive what we call cost of services community alternative services.
1:45:12
And those services are processed through HRA.
1:45:16
That changed when the independent assessor now does the assessment for those clients.
1:45:21
So we do, we no longer do the initial assessment, it goes through it, the third party vendor Maximus who is conducting that assessment.
Crystal Hudson
1:45:29
And did you mention how long it takes?
John Rojas
1:45:31
If it's in a it's supposed to happen within the first thirty days, it's supposed to happen fairly expeditiously.
1:45:36
The rollout for some of our clients have been a little more bumpy but we have seen improvement in that process.
1:45:42
I could pull numbers for you, don't have them in front of me.
Crystal Hudson
1:45:44
Okay, if you could follow-up that'd be great and I'll go to council member Lee with some follow ups.
Linda Lee
1:45:47
Yeah, sorry.