Individual Residential Support Services (IRSS) Oversight and the - - PowerPoint PPT Presentation

1

July 2019

Kara Masteller and Cassandra Keller

Oversight and the Enhancement of Safety and Welfare

Individual Residential Support Services (IRSS)

Our Mission

Improving health care access and outcomes

for the people we serve while demonstrating sound stewardship of financial resources

2

Key Edits

• DOH inspection
• Homes must meet HUD S

ection 8 Housing Quality S tandards

• Contracts with Host Home Providers (HHP)
• PASAs to create contracts with HHPs and provide copy of contracts

to the Department upon request

• Colorado Adult Protection background check
• To be conducted for those who provide direct care
• Critical Incident Reporting (CIR)
• Guidance on what qualifies as a CIR, when to report, and how to

report

3

Edits from May Feedback

• 3-person Host Homes
• Language modified to provide clarity on expectations for 3-person Host Homes
• Qualifying criteria for 3-person Host Home added to rule
• Added language requiring Host Home providers to reside in

the Host Home

• Modified contract requirements
• Revised to state must have contracts in place and available upon request
• Added language for oversight during a transition
• Who must be present during transition
• Ensure during move money and personal items are transferred

4

Edits from May Feedback

• Training Requirements
• Removed requirement for CPR. Trainings for providers must be included in the

policies and procedures

• Responsibility for home environment
• Provider is responsible for ensuring entrance and emergency egress are

accessible by members residing in the home

• HCBS Settings Final Rule
• Member must have key or key code to the home, locks on bedroom doors, and

residential agreement

5

Options for Information Sharing

• DOH database Elite
• Manual submission to HCPF
• Enrollment as a rendering Medicaid Provider
• Additional ideas welcome

6

Specific Areas for Input

• Best way for PAS

A/ HHP to share information of each setting location with the Department

• Language on section 8.609.5.B.3.c, page 4 – persons

moving settings

• During a move, what would be the best way to document that

an individual's possessions have been transferred? Refer to page 4, 8.609.5.B.3.b

7

Future Meetings

• Tentative time and dates for meetings:
• August 21, 2019: review regulat ions prior t o t he rule

promulgation process

• Oct ober 2019: Presentation t o Medical S

ervices Board (MS B)

8

Questions?

9

Contact Information

10

Cassandra Keller HCBS Benefits Supervisor Cassandra.Keller@ state.co.us Kara Masteller HCBS Benefits Specialist Kara.Masteller@ state.co.us Please submit written feedback on revisions to ltss.publiccomment@ state.co.us

More informat ion:

www.colorado.gov/ hcpf/ long-term-services-and-supports-programs www.colorado.gov/ hcpf/ OCL-stakeholder-engagement#IRSS

11

Thank You!