STAR+PLUS Handbook

Section 7000

STAR+PLUS Waiver Program Services
Table of Contents

7100
Adult Foster Care
7110
Introduction
7111
Purpose
7112
Other Services Available to Adult Foster Care Members
7120
Four-Bed Adult Foster Care Homes
7121
Small Group Homes
7122
MCO Responsibilities
7130
Adult Foster Care Eligibility
7131
AFC Intake, Assessment and Response to Request for Services
7132
Assessing Potential Adult Foster Care Homes
7133
Classification Levels of Adult Foster Care Members
7134
Adult Protective Services and Adult Foster Care
7134.1
Placement of Adult Protective Services Clients in Adult Foster Care
7134.2
Adult Protective Services Investigations of Adult Foster Care Providers
7135
Private Pay Members in Adult Foster Care
7140
Adult Foster Care Managed Care Organization Procedures
7141
Eligibility Determination
7142
Service Planning
7150
Finalizing the Care Plan
7151
Member and Provider Agreement
7152
Copayment and Room and Board Requirements
7153
Trust Funds
7154
Hospital Leave
7155
Authorization of Adult Foster Care
7156
Adult Foster Care and Day Activity and Health Services
7160
Monitoring Quality of Care
7170
Significant Changes
7171
Termination of Adult Foster Care Services
7172
Discharge and Termination Due to Health and Safety
7180
Annual Reassessment
7200
Assisted Living Services
7210
Introduction
7211
Housing Options in Licensed Personal Care Facilities
7211.1
Single Occupancy Apartments
7211.2
Double Occupancy Apartments
7220
Description of Services
7221
Requirements Related to Assisted Living
7222
Initial Responsibilities for Members Residing in AL Facilities
7223
Admission to Facility
7224
Personal Care 3
7230
Other Services Available to Members
7240
Room and Board and Copayment Requirements
7241
Room and Board Requirements
7241.1
Copayment Requirements
7242
Personal Leave
7243
Nursing Services for AL Members
7244
Response to AL Member Condition Change
7245
Hospital and Nursing Facility Stays
7246
Termination Due to Failure to Pay the Required Contribution to the Cost of Care
7250
Standards for Operation
7251
Facility Reporting and Notification Requirements
7252
Member Documentation
7260
Staffing and Training Requirements
7270
Copayment and Trust Fund Records
7271
Copayment
7272
Trust Fund Records/Written Receipts
7273
Records and Receipts
7274
Vendor Receipts
7275
Group Purchases
7276
Payment of Copayment and Room and Board from Trust Fund
7277
Member Authorization
7278
Refunds to Discharged or Deceased Members
7300
Respite Care
7310
Service Coordination Duties Related to Respite Care
7311
Requesting MCO Approval to Exceed the Respite Service Cap
7320
In-Home Respite Care
7330
Out-of-Home Respite Services
7331
Member Eligibility
7332
Provider Qualifications
7333
Description of Services
7334
Respite Service in a Personal Care Facility or AFC Home
7335
Respite Service in a Nursing Facility
7340
Room and Board
7400
Emergency Response Services
7410
Introduction to ERS
7420
ERS Program Purpose
7430
Member Eligibility
7440
Referral and Selection of Providers
7450
Duties Related to ERS
7460
Provider Duties
7500
Home-Delivered Meals
7510
Description
7520
Provider Responsibilities
7520.1
Frozen or Shelf-Stable Meals
7600
Transition Assistance Services
7610
Introduction
7611
Service Description
7620
Procedures at the Initial Interview
7630
Assistance from Relocation Specialists
7640
Identification of Needed Items and Services
7641
Items and Services Included Under TAS
7641.1
Deposits
7641.2
Household Needs
7641.3
Housewares
7641.4
Small Appliances
7641.5
Cleaning Supplies
7641.6
Other Items Not Listed
7642
Services and Items Not Included in Transition Assistance Services
7643
Site Preparation
7650
Estimated Cost of Items and Services
7651
Totaling the Estimated Cost and Authorization of Transition Assistance Services
7652
Changes to the Authorization
7660
Transition Assistance Services Agency Responsibilities
7670
Three-Day Monitor Required
7680
Failure to Leave the Facility
7690
Member Notifications and Appeals