SB0591ham001 95TH GENERAL ASSEMBLY

Aging Committee

Adopted in House Comm. on Aug 01, 2007

09500SB0591ham001 LRB095 10550 CMK 38271 a

AMENDMENT TO SENATE BILL 591

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

by replacing page 5, line 21 through page 7, line 20 with the following:

"No later than July 1, 2008, the Department's case management program shall be transitioned to a fully integrated care coordination program. The care coordination program shall be voluntary and require the written consent of the client, shall incorporate the concepts of client direction and consumer focus, and shall take into account the client's needs and preferences. Implementation of a care plan shall require the written informed consent of the client, who shall retain the right to refuse any or all portions of the care plan. Information about the program, including an explanation of its purpose, policies, and procedures, and a description of available services that may be offered shall be provided to the client. Comprehensive care coordination shall include activities such as: (1) comprehensive assessment of the client; (2) development and implementation of a service plan with the client to mobilize the formal and family resources and services identified in the assessment to meet the needs of the client, including coordination of the resources and services with (A) any other plans that exist for various formal services, such as hospital discharge plans, and (B) the information and assistance services; (3) coordination and monitoring of formal and family service delivery, regardless of the funding source, including coordination and monitoring to ensure that services specified in the plan are being provided; (4) assistance with the completion of applications for services, referrals to non-government funded services, health promotion, and ensuring continuity of care across care settings; (5) periodic reassessment and revision of the status of the client with the client or, if necessary, the client's designated representative; and (6) in accordance with the wishes of the client, advocacy on behalf of the client for needed services or resources. The provisions of this paragraph are in addition to and shall not affect other eligibility requirements established under this Section.

A comprehensive assessment shall be performed, with the consent of the client, using a holistic tool identified by the Department and supported by an electronic intake assessment and care planning system linked to a central location. The comprehensive assessment process shall include a face to face interview in the client's home or temporary overnight abode and shall determine the level of physical, functional, cognitive, psycho-social, financial, and social needs of the client. Assessment interviews shall accommodate the scheduling needs of the client and the client's representative or representatives, who shall participate at the discretion of the client. The Department shall provide, by administrative rule, guidelines for determining the conditions under which a comprehensive assessment shall be performed, including policies and procedures for obtaining the written, informed consent of the client for conducting the assessment, and the activities of care coordination offered to each care recipient. The care plan shall include the needs identified by the assessment and incorporate the goals and preferences of the client. Care plans shall also include all services needed by the client regardless of the funding source and delineate between services provided, services unavailable, and services refused by the client. The Department shall establish policies and procedures for investigating and resolving complaints that may be filed by clients or their representatives regarding assessments or care coordination. Case coordination units shall be reimbursed for care coordination in a just and equitable manner reflective of the actual cost of providing care coordination. By January 1, 2008, the Department shall develop a rate structure, in collaboration with case coordination units and advocates for care recipients, that reflects the activities of coordination provided. The Department shall re-evaluate the rate structure by July 2010. The provisions of this paragraph are in addition to and shall not affect other eligibility requirements established under this Section.".