A.
Definition and Purpose
Supplemental Services are services in addition to the
Information and Assistance, Counseling/Support Groups, Respite and Adult Day
Care Services that might be necessary for meeting the needs of the caregiver.
These services are provided on a limited basis.
The purpose of supplemental services is to:
(1) supplement the services provided to the
caregiver to help meet a nutrition need,
(2) provide assistance with ADLs,
housekeeping, laundry, meal planning, food preparation, and/or
(3) provide minor home modifications,
assistive devices, some durable medical supplies, etc.
Eligibility
Family caregivers or grandparents or older individuals who
are relative caregivers. Priority will be given to older individuals with
greatest social and economic need. Particular attention will be give to
low-income older individuals and to older individuals providing care and
support to persons with mental retardation and related developmental
disabilities.
B.
Unit of Service
A unit of service depends on the service provided. Refer to
the unit as it is defined in other HCBS standards. Example: Homemaker
service-is one hour of activity related to, for or on behalf of the caregiver
or care recipient.
C.
Service Activities
Supplemental services may include:
1.
Personal care
services, such as assistance with walking, grooming, eating and
toileting.
2.
Nutrition - A meal that meets the daily dietary
requirements.
3. Social services
services provided to caregivers/care recipients and their families to help them
with personal, family and/or adjustment problems that interfere with the
effectiveness of the treatment plan. These services are an essential part of
care management, which also may include counseling services provided by private
physicians, therapists, professional counselors, etc.
4. Transportation Services - provided when
needed, for participants to and from their homes and to other community
facilities used in implementing the participants' plan of care. All contracted
transportation systems shall meet local, state and federal regulations.
Handicapped accessible transportation should be available.
5.
Emergency
Services Medical supplies, durable goods and medication, on a
limited basis.
D.
Location of Service
Services shall be located in a centralized area accessible to
the caregiver, in the agency's service delivery area.
E.
Access to Service
The client may enter the service system at any point, through
an appropriate referral.
F.
Delivery Characteristics
1. If only supplemental services are
required, the caregiver's record may include the following:
a. Emergency contact person's name and
telephone number;
b.
Approval/termination for services;
c. Authorization releases where
appropriate;
d. Medical health and
impairments; and
e. Documentation
of services provided.
2.
Services shall be available to meet the need(s) of the caregiver as determined
by the provider.
G.
Staffing
1. There
must be a person designated to be responsible for the day-to-day operation of
the program at the Area Agency on Aging.
2. There must be adequate staff to accomplish
the purpose of the program.
3.
Volunteers must be trained and must meet minimum requirements as determined by
provider.
H
Monitoring
The Bureau of Audit and Evaluation, Department of Human
Services, shall monitor at least annually.