Evaluation Services
Term of Contract: The term of this contract is for a three (3) year(s) period from July 1, 2010 through June 30, 2013 with two additional one (1) year renewal(s) by written agreement of the parties.
BACKGROUND
On September 7, 2006, CMS approved a State Plan package of service under the DRA - Flexibility in Benefits. The package of services is designed for individuals eligible for Working Healthy who have developmental disabilities, physical disabilities, and traumatic brain injury and require an institutional level of care. In order to determine whether individuals meet this requirement, an assessment will have to be performed.
The organization or organizations selected to perform assessments must enroll as a Medicaid provider. The organization/organizations will not be able to provide any of the other services in the WORK State Plan package, including personal attendant services, independent living counseling, fiscal management, and assistive services, for Working Healthy/WORK enrollees.
3.SCOPE OF WORK
a.Provide WORK initial assessments and annual re-assessments for approved Working Healthy eligible individuals using an instrument designated by KHPA.
b.Coordinate with the WORK Program Manager regarding who is eligible to be assessed, assessment results, etc.
c.Score the assessment and determine the number of hours necessary to live and work independently.
d.Assign a monetary amount to the number of hours based on a formula prescribed by KHPA.
e.Complete the WORK Assessment form and submit to the WORK Program Manager in requested format.
f.Provide eligible individuals who choose to self-direct their services with resource information regarding organizations enrolled as WORK providers who offer independent living counseling and assistive services.
g.Provide eligible individuals who choose not to self-direct their services with resource information regarding organizations enrolled as WORK providers who offer home health, independent living counseling, and assistive services.
h.Provide reassessments annually or more frequently if individuals indicate a change in their condition that results in a need for a reassessment.
