Ohio Assisted Living Association 2016 1 HCBS Compliance …ALW Provider Self-Assessment Jean B. Thompson OALA Executive Director June 14, 2016 Welcome! Jean B. Thompson, OALA Executive Director • Password to log-in on your computer: HCBS • Please type your questions in the “question box” ☺ • If you are having trouble connecting, call or e-mail us 614-481-1950 (leave message) [email protected]…please not to Jean
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HCBS Compliance …ALW Provider Self-Assessment · 2017. 7. 31. · Ohio Assisted Living Association 2016 1 HCBS Compliance …ALW Provider Self-Assessment Jean B. Thompson OALA Executive
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Ohio Assisted Living Association 2016 1
HCBS Compliance…ALW Provider Self-Assessment
Jean B. ThompsonOALA Executive Director
June 14, 2016
Welcome!
Jean B. Thompson, OALA Executive Director
• Password to log-in on your computer: HCBS
• Please type your questions in the “question box” ☺
• If you are having trouble connecting, call or e-mail us 614-481-1950 (leave message) [email protected] …please not to Jean
• RCF rules: The management of resident funds cannot be a condition of admission OAC 3701-17-61(C)
�RCF rule & law being followed.
Control Personal Resources
• Access to telephone for private calls OAC 3701-17-65 H
• Physical & chemical restraints prohibited in RCFs, OAC
3701-17-57 (B) 3 …& Residents’ Rights ORC 3721.13(A)13
• IF you have a secured unit: Yes, with explanation
…individual modification for safety (need documented)
• Ohio law required Grievance Committee, with all residents
informed on how to file a complaint ORC 3721.12(A)2
Protecting Rights
Ohio Assisted Living Association 2016 9
• Can chose Home Health, Hospice, or other provider.
OAC 371-17-59.1(D)2e
AL choice documented in AAA care plan
• Care can not be “imposed upon” OAC 3701-17-51(C);
Residents’ Right to participate in decisions OAC
3721.13A; ALW supports “choice” OAC 173-39-02.16
• No requirement to follow a set schedule. Not forced to
attend any activity. Range of hours for dining room,
menu choices. …Asked schedule preferences.
Make choices & Control schedule
• Residents can use all community “common areas” that residents not on Medicaid can.
• Residents’ Rights: No difference in provision of service based on payment source. ORC 3721.13 (A)3
Choices regarding physical environment
Ohio Assisted Living Association 2016 10
• No practice of assigning seats in dining room. Residents can choose where, and who to sit with; or not to go/attend activities.• Private apartment with area for “socialization” required. OAC173-39-02.16 B(2)c(v) • Other accessible quiet areas (library, chapel, computer area, etc…)
Choice with whom to interact
• Resident Council meetings (if you hold)• Other feedback from residents (“suggestion box”,
input on menu, etc…)• Procedure to contact Case Manager to assist
resident when care plan changes are needed• Choice of Home Health or Hospice agency.
OAC 371-17-59.1(D)2e
Choice …services & agency
Ohio Assisted Living Association 2016 11
Additional Requirements (Provider-Owned or Controlled)
�Privacy (sleeping/living unit)
• ALW rules require private unit, unless existing
relationship. OAC 173-39-02.16 B2a
… AL service “supports privacy”
• Resident Right to privacy ORC 3721.12
• RCF rules OAC 3701-17-64 – unit to ensure privacy
(window covering, bathroom)
• Room & Board rate for ALW set by state • Also a set ALW service package.• Any modifications to the resident’s care plan,
must be made by AAA Case Manager• Nonpayment policy - Room & Board ALW
resident’s responsibility
� Room & board
Ohio Assisted Living Association 2016 12
• RCF resident agreement requirements & other
information required to be provided
OAC 3701-17-57; also ORC 3721.12
• Residents’ Rights concerning transfer/discharge
required in RCF rules OAC 3701-17-58
• Ohio law for all “licensed homes” (30 day notice,
right to hearing & appeal) ORC 3721.16-.162
Agreement …responsibilities & “eviction”
• ALW rules require unit with lock that allows consumer to control access OAC 173-39-02.16 B(2)c(iii)
• Physician approved (annual) exception documented in
Care Plan
Lockable unit
Ohio Assisted Living Association 2016 13
• RCF rules requirement for staff to have access to a locked unit, but limits to “in case of emergency” OAC 3701-17-65 (I)5
• Suggest policy (when the key is used, by whom)
Staff Key
• RCF rules: Right of residents to personalize their space, bringing personal furnishings & items OAC 3701-17-65 (D)
• Community Transition Servicefunding available for furnishings if moving from NH OAC 173-39-02.17
Furniture & Decor
Ohio Assisted Living Association 2016 14
• Absence of policy/practice requiring a set schedule
• Resident’s preferences discussed on admission as part
of orientation; also in Care Plan
• Floor plan: private unit, “common areas” for all residents
(Medicaid & Private Pay)
• Residents’ Right to participate in decisions
OAC 3721.13A
(Laundry included in ALW service package)
Control schedules & activities
• 3 meals a day included in ALW rules service package
OAC 39-02.16 B
• Timing of meals & availability of evening snack in RCF
• Range of dining times available; provisions made if
resident misses meal, snack area (fruit out, machines),
food storage/prep area in unit. (private unit, common
areas, picnic table)
Food …available at all times
Ohio Assisted Living Association 2016 15
• Residents’ Right ORC 3721.13(21) to private communications & visits
• If policy, inform residents prior to move in (front door locked at 8 p.m. for safety, process for after hours visitors: call to be admitted, code); same for both waiver & private pay residents
RCFs must balance rights of all residents:
visitors, safety, noise
Visitors …at any time
• RCF rules require providing information on physical accessibility to resident prior to admission OAC 3701-17-57 E(6)