Aging Committee
Adopted in House Comm. on Aug 01, 2007
 
 

 




 

 		












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AMENDMENT TO SENATE BILL 591




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    AMENDMENT NO. ______. Amend Senate Bill 591 as follows:

 
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by replacing page 5, line 21 through page 7, line 20 with the 
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following:
 
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    "No later than July 1, 2008, the Department's case 
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management program shall be transitioned to a fully integrated 
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care coordination program. The care coordination program shall 
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be voluntary and require the written consent of the client, 
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shall incorporate the concepts of client direction and consumer 
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focus, and shall take into account the client's needs and 
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preferences. Implementation of a care plan shall require the 
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written informed consent of the client, who shall retain the 
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right to refuse any or all portions of the care plan. 
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Information about the program, including an explanation of its 
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purpose, policies, and procedures, and a description of 
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available services that may be offered shall be provided to the 
 


 






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client.  Comprehensive care coordination shall include 
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activities such as: (1) comprehensive assessment of the client; 
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(2) development and implementation of a service plan with the 
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client to mobilize the formal and family resources and services 
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identified in the assessment to meet the needs of the client, 
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including coordination of the resources and services with (A) 
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any other plans that exist for various formal services, such as 
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hospital discharge plans, and (B) the information and 
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assistance services; (3) coordination and monitoring of formal 
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and family service delivery, regardless of the funding source, 
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including coordination and monitoring to ensure that services 
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specified in the plan are being provided; (4) assistance with 
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the completion of applications for services, referrals to 
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non-government funded services, health promotion, and ensuring 
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continuity of care across care settings; (5) periodic 
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reassessment and revision of the status of the client with the 
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client or, if necessary, the client's designated 
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representative; and (6) in accordance with the wishes of the 
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client, advocacy on behalf of the client for needed services or 
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resources. The provisions of this paragraph are in addition to 
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and shall not affect other eligibility requirements 
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established under this Section.
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    A comprehensive assessment shall be performed, with the 
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consent of the client, using a holistic tool identified by the 
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Department and supported by an electronic intake assessment and 
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care planning system linked to a central location. The 
 


 






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comprehensive assessment process shall include a face to face 
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interview in the client's home or temporary overnight abode and 
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shall determine the level of physical, functional, cognitive, 
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psycho-social, financial, and social needs of the client. 
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Assessment interviews shall accommodate the scheduling needs 
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of the client and the client's representative or 
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representatives, who shall participate at the discretion of the 
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client. The Department shall provide, by  administrative rule, 
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guidelines for determining the conditions under which a 
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comprehensive assessment shall be performed, including 
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policies and procedures for obtaining the written, informed 
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consent of the client for conducting the assessment, and the 
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activities of care coordination offered to each care recipient. 
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The care plan shall include the needs identified by the 
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assessment and incorporate the goals and preferences of the 
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client. Care plans shall also include all services needed by 
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the client regardless of the funding source and delineate 
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between services provided, services unavailable, and services 
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refused by the client. The Department shall establish policies 
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and procedures for investigating and resolving complaints that 
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may be filed by clients or their representatives regarding 
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assessments or care coordination.  Case coordination units 
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shall be reimbursed for care coordination in a just and 
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equitable manner reflective of the actual cost of providing 
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care coordination. By January 1, 2008, the Department shall 
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develop a rate structure, in collaboration with case 
 


 






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coordination units and advocates for care recipients, that 
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reflects the activities of coordination provided. The 
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Department shall re-evaluate the rate structure by July 2010. 
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The provisions of this paragraph are in addition to and shall 
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not affect other eligibility requirements established under 
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this Section.".