Item C04
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: _2-18-09
Division: _Community Services
Bulk Item: Yes ~ No
Department: _Social Services
Staff Contact Person: _Sheryl Graham, x4592_
AGENDA ITEM WORDING: Approval of Amendment #001 to the Alzheimer's Disease Initiative
(ADI) Contract #KZ897 between the Alliance for Aging, Inc. (Aging Resource Center) and the Monroe
County Board of County Commissioners (Community Services/In-Home Services) for fiscal year
7/1/08 to 6/30/09
ITEM BACKGROUND: The purpose ofthis Amendment is to reduce funding from $65,888.00 to
$59,733.00. A total of$6,155.00.
PREVIOUS RELEVANT BOCC ACTION: Prior approval granted to the Alzheimer's Disease
Initiative (ADI) Contract #KZ897 on June 18, 2008.
CONTRACT/AGREEMENT CHANGES: Reducing the funding amount for the contract by
$6,155.00
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $59,733.00
BUDGETED: Yes
No
COST TO COUNTY: No Cash Match Required
SOURCE OF FUNDS: N/A
REVENUE PRODUCING: Yes....L No AMOUNT PER MONTH appro $50.00
f/x4A Year $600.00
APPROVED BY: County Atty.. X OMB/Purchasing ~ Risk Management _ X_
DOCUMENTATION:
Included X
Not Required_
To Follow
DISPOSITION:
AGENDA ITEM #
Revised 8/06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Alliance For Aging, Inc. Contract Amendment #001 for Contract
#KZ-897
Effective Date: 07/1/2008
Expiration Date: 06/30/2009
Contract Purpose/Description: Approval of Amendment #001 to the Alzheimer's Disease Initiative (ADI)
Contract #KZ897 between the Alliance for Aging, Inc. (Aging Resource Center) and the Monroe County Board of
County Commissioners (Community Services/In-Home Services) for fiscal year 7/1/08 to 6/30/09 to reduce
funding from $65,888.00 to $59,733.00. A total of$6,155.00
Contract Manager:
For BOCC meeting on
2-18-09
CONTRACT COSTS
Sheryl Graham
(Name)
4510
(Ext. )
Social Services/Stop 1
(Department/Stop #)
Agenda Deadline:
2-3-09
Total Dollar Value of Contract:
Budgeted? Yes X No D
Grant: $ 59,733.00
County Match: $0
$59,733.00
Account Codes:
Estimated Ongoing Costs: $
(Not included in dollar value above)
Current Year Portion: $
125- 6153608-
/yr
ADDITIONAL COSTS
For:
(e.g. Maintenance, utilities, ianitOlial, salmies, etc)
Division Director
?~te In
J-/J/c0
~<tt'i
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'/~g /0'1
Risk Management
fu 0 r..!N
o .M.B./Purcha!ing
County Attorney
Comments:
OMB Form Revised 2/27/01 MCP #2
CONTRACT REVIEW
Changes
Needed
YesD No~
YesD No~
YesLJ NofJ
Yes!] No~
Date Out
cY)~q
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Amendment 001
CONTRACT KZ 897
Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and Monroe County Board of Commissioners
The purpose of this amendment is to decrease the amount under contract by $6,155 from
$65,888 to $59,733. This decrease includes a 4% holdback from DOEA
The provider must adjust the Unit Cost Methodology to take this decrease in funding into
account.
METHOD OF PAYMENT:
1, This amendment shall begin on July 1, 2008 or the date it has been signed by both parties,
whichever is earlier.
All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract are hereby amended to conform with this amendment.
This amendment and all its attachments are hereby made a part of the contract. This
amendment and all its attachments are hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this 1-page amendment to be executed
by their undersigned officials as duly authorized.
PROVIDER:
Monroe County Board of
Commissioners.
ALLIANCE FOR AGING, INC.
SIGNED BY:
SIGNED BY:
Max B. Rothman, JD, LL.M.
NAME:
NAME:
President & CEO
TITLE:
TITLE:
DATE:
DATE:
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CONTRACT KZ-897
Page 1
ALZHEIMERS' DISEASE INITIATIVE CONTRACT
2008-2009
THIS AGREKHE~T is entered into between the Alliance for Aging, Inc., hereinafter
referred to as the '''Alliance,'' and Monroe County Board of Commissioners, hereinafter
referred to as the "'recipient." This agreement is subject to all provisions contained in the
.\IASTER AGREE.\IENT executed between the Alliance and the Recipient, Agreement No.
PA429, and its successor, incorporated herein by reference.
I. Recipient Agrees:
A. Services to be Provided:
1. The recipient's service provider application for state fiscal year 2008 and any
revisions thereto approved by the Alliance and located in the contract manager's
tile, are incorporated by reference in this contract between the Alliance and the
recipient, and prescribe the services to be rendered by the recipient.
., Consumers may not be enrolled in a Department of Elder Affairs' state general
revenue funded program, including ADI, \vho are also enrolled in a Medicaid
capitated long-term care health plan or program, These programs include the
Frail Elder Program operated by United Health Care, the Channeling Program
operated by Miami Je\vish Home and Hospital for the Aged, the Long Term Care
Community Diversion Program and the Program of All Inclusive Care for the
Elderly (PACE) program scheduled to begin operation in the J\liami-Dade
County area.
B. Manner of Service Provision:
The services \\iil! be provided in a manner consistent with and described in the recipient's
service provider application for state fiscal year 2008 and the Department of Elder
AtTairs Home and Community Based Services Handbook dated 01/03. In the event the
handbook is revised, such revision will automatically be incorporated into the contract
and the recipient \vill be given a copy of the revisions.
II. The Alliance Agrees:
A. Contract Amount:
To pay for ser"vices in an Jmount not to exceed ~65,888.00. subject to the availability of
tiJnJs,
Obligation to Pay:
The .\J]i;mce's performance Jnd obligation to pa) unuer this contract is contingent ~lpon
e'11 ;,nnual appropriation by the Lc:;isbture.
B. Source of Funds:
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CONTRACT KZ-897
Page 2
Ihe costs of services paid under any other contract or from any other source are not
eligible for reimbursement under this contract. Ihe funds awarded to the recipient
pursuant to this contract are in the state grants and aids appropriations.
III. Aging Resource Center Outsourced Functions:
A. Perform ARC outsourced functions in accordance with policies and procedures
developed by the Alliance for Aging. Refer to the following attachments:
1. Attachment IV: Policies and Procedures for Outsourced Function-
Screening
11. Attachment V: Policies and Procedures for Outsourced Function-
Triage
111. Attachment VI: Policies and Procedures for Activation tl-om
Waitlist- Client Services
IV. Attachment VII: Policies and Procedures for Termination tl-om
Waitlist- Client Services
B. Maintain wait lists in CIRIS in accordance with DOEA requirements.
C. Report number of client contacts to the Aging Resource Center.
D. Adhere to prioritization policy as set forth by the Department of Elder Affairs.
E. Update the agency Disaster Plan to incorporate ARC outsourced functions,
F. Ensure against contlicts of interest and inappropriate self-referrals by referring
consumers in need of options counseling or long-term care services beyond the
provider's scope of services to the Aging Resource Center.
G. Ensure that services provided are in the clients' best interest, are the most cost
effective, of high quality, and are responsive and appropriate to the assessed
needs.
The Assessed Priority Consumer List (APCL) is maintained when services funded by the
department are not available. Contracted providers of registered services for Alzheimer's
Disease [nitiative (ADI), Older American's Act (OAA), and Contracted Services (CS)
maintain waiting lists in the CIRIS database for registered services when funding is not
available. Note: OAA3E is an exempt funding source for ARC Wait List purposes, For
services provided through OAA3E, no CIRIS client data entry is required.
Registered Services for the above listed programs are as follows: Adult Day Care (ADC),
Adult Day Health Care (ADHC). Chore (CHO), Escort (ESC). Home Health Aide (HHA),
Homc?maker (H\[K). "vfode! Day Care (:\lDC), Personal Care (PECA), Facility-Based Rc?spite
(RESF). In-Home Respite lRESP).
IV. Recipient and Alliance Mutually Agree:
A. Effective Date:
1. ThiS contract shall begin on July 1 2008 or on the date the cor;tract r3S teen
s,,;;r:ed by beth parties 'lvh:chever :s earlier.
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CONTRACT KZ-897
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IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed by
their undersigned officials as duly authorized.
PROVIDER:
SIGNED BY:
Monroe Co~ Board of
Commu5sioners
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ALLIANCE FOR AGING, INC.
NAME:
SIGNED BY:
NAME:
President & CEO
TITLE:
Mayor Pro Tem
TITLE:
:/:;, 30 ~O"'] /'/
. /d v,y'
/
DA TE:
June 18, 2008
DATE:
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Page 4
ATTACHMENT I
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
I. STATEMENT OF PURPOSE
The Alzheimer's Disease Initiative (ADI) Program is focused on caring for persons 18 + with
memory disorders.
II. SERVICES TO BE PROVIDED
A. Services:
1. The recipient's service provider application for state fiscal year :2007 and any revisions thereto
approved by the Alliance and located in the contract manager's tile. are incorporated by reference
in this contract between the Alliance and the recipient. and prescribe the services to be rendered
by the recipient.
.., Consumers may not be enrolled in a Department of Elder Affairs' state general revenue funded
program, including AD!. who are also enrolled in a Medicaid capitated long-term care health
plan or program, These programs include the Frail Elder Program operated by United Health
Care, the Channeling Program operated by Miami Jewish Home and Hospital for the Aged, the
Long Tenn Care Community Diversion Program operating in Planning and Service Areas 7 and
9. and any other areas that may participate in the Long Term Care Diversion Program through
expansion and the Program of All Inclusive Care for the Elderly (PACE) program scheduled to
begin operation in the Miami-Dade County area.
B. Manner of Service Provision:
The services will be provided in a manner consistent with and described in the
recipient's service provider application for state tiscal year 2007 and the Department
of Elder Affairs Home and Community Based Services Handbook dated Oli03, In
the event the handbook is revised, such revision will automatically be incorporated
into the contract and the recipient \\till be given a copy of the revisions.
III. METHOD OF PAYMENT
.\. rhe 111dhod ufpaY!1lc'nt in 'his contrJct is bJsed 0n a tl,d rate reimbursement forlppr0\cd services.
fhe t\:cipicnt 111'.lst ensure tl'..:d "1tes include ,JIll: tho~e Cl"ts tint are in accordance.\ iih :lil 1;:plicJble
"Uk tdld (cder:ll "tarutes JnJ i"e::;,.tiatlons Jnd are oa"ed \.m :ll1Jitcd hi,wr:cJi cOots in ,i1~:anccs \\l1c,'e :tfl
,n(lepel1d~nt Judit is rc:quired. ..\ II requests for pJ: ment .lnd ce'penditure repons subl11it:'.:d to Sll~'pOI1:
'c?cllle~rs {;II" .oJ;' :l1ent,hJiI he on DOE.-\ forms I 1)6Z Jnd : 05Z. Duplic:tri,)/1 (lr !\cD!icJtlon .)f both
1>;;'Q;5 '. ,J ,JatJ prI2'C('~:)in~ r:'~lul~nlcnt is pcrnlisSlb!~. ;roVilk'd :ill ,-LttJ ~;c111cnt5 ~ir~ in ~]~c ~<U~:e l~,Jrl1~Jt
,l:) 'llc::.rd,..:.J \.)n ,je~:Jrtn~~1~r3! r~)n~lS.
B. ~~',c < .."~ :::;;2:lt !~:t!! ',"',;, ;dJ;n :;,,~( _,'~~c:~t~-~t:cn
_:::;PC11 pJ: ;1~,::~:~ :'c'_~'..j2:~S \\ !~-',..:h Ji~l;. <-_\.. \ I ... ~ ~I-' :I~~
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CONTRACT KZ-897
Page 5
C. The recipient shall maintain documentation to support payment requests \vhich shall be available to the
All iance, the Department of Elder Affairs or the Comptroller upon request.
D. The recipient may request a monthly advance for seryice costs for each of the first two months of the
contract period, based on anticipated cash needs. Detailed documentation justifying cash needs for
Jdyances must be submitted \~ith the signed contract approved by the Alliance, and maintained in the
contract m::mager's tile. All payment requests for the third through the t\velfth months shall be based
on the submission of monthly actual expenditure reports beg inn ing with the tlrst month of the contract
The schedule for submission oLldvance requests is A TTACHME~T II to this contract.
Reconciliation and recouping of advances made under this contract Jre to be completed by the time the
final payment is made. All adv:mce payments are subject to the a\ailability of funds.
E. Advance funds may be temporarily invested by the recipient in an insured interest bearing account.
All interest earned on contract fund advances must be returned to the Alliance within thirty (30) days
of the end of the first quarter of the contract period,
F. The Alliance shall make payment to the provider for provision of services up to a maximum number of
units of service and at the rate(s) stated below:
Service Maximum Maximum
Service to be Provided Unit Rate U nits of Dollars
Service
In Home Respite $24.03 2,7 42 $65.888
G. Any payment due by the Alliance under the terms of this contract may be withheld
pending the receipt and approval by the Alliance of complete and accurate financial
and programmatic reports due from the recipient and any adjustments thereto,
including any disallowance not resolved as outlined in Section I.T. of the Master
Agreement.
IV. SPECIAL PROVISIONS
A. State Laws and Regulations:
The recipient agrees to comply with applicable parts of Rule 580-1, Florida
Administrative Code promulgated for administration of Sections 430.501 through
430.504, Florida Statutes, and the Department of Elder Affairs Client Home and
Community Based Services Handbook dated 01/03.
B. Assessment and Prioritization for Service Delivery for New Consumers:
The following are the Criteria to priOritize new consumers for service delivery. Its
not the ,ntent of the Department of Elder AffairS to remove eXisting clients from any
program in order to serve new clients being assessed and prioritized for ser/lce
delivery.
Pnor:t; Cn:er:a fcr Ser.iiCe Del:"er:r
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CONTRACT KZ-897
Page 6
a. individuals in nursing homes under Medicaid who could be transferred to
the community;
b. individuals in nursing homes whose Medicare coverage is exhausted and
may be diverted to the community;
c. individuals in nursing homes which are closing and can be discharged to
the community; or
d, individuals whose mental or physical health condition has deteriorated to
the degree self care is not possible, there is no capable caregiver and
institutional placement will occur within 72 hours.
1 Priority Criteria for Other Assessed Individuals:
The assessment and pro~ision of services should always consider the most cost effective means of service delivery Funcriona!lInpalnllent
shall be determined through the department's consumer assessment t,!rm administered to each applicant The most frail individuals not
prioritized in groups one. t\~O or three abo~e, regardless of rderral source, will receive services to the e'\tent funding is available.
C. Co-payment Collections:
I. The recipient will establish annual co-payment goals. The Alliance also has the option to
\~ithhold a portion of the recipient's Request for Payment ifgoals are not met according to the
Department of Elder Atfairs' co-payment guidelines.
I Co-payments include only the amounts assessed consumers or the amounts consumers opt to
contribute in lieu of an assessed co-payment. The contribution must be equal to or greater than
the assessed co-payment.
D. Evaluation, Statistics and Reports
The recipient agrees to respond to requests for evaluation information and statistical
data concerning its consumers based on information requirements of the Memory
Disorder Clinics and Brain Bank. The recipient will ensure Model Day Care Centers
supported by this contract develop innovative therapies and interventions which can be
shared with other Alzheimer's Disease Initiative health and social services personnel via
training. Model Day Care Centers supported by this contract must report to the provider
all training activities provided to health care and social service personnel and caregivers,
as well as serve as a natural laboratory for service related applied research by Memory
Disorder Clinics, An annual Model Day Care Center Training Report is due by July 5,
2008,
E. Collaboration with Memory Disorder Clinics:
\kmor} Disordl:r Clinics are required to provide four hours of in-senice training to ell!
rcspik' and modI:! ,Jay Cclre centers in their designated Sc:r\ ice J.rCJS, [he r<;:cipi-:rH clgr~-:s
to ..:\..)lbh()rClt~ \\(th \kmury Disoder Clinics to ~15sist in this cftort.
F, Service Cost Reports:
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CONTRACT KZ 897
Page 7
The recipient \vill submit semi-annual service cost reports \vhich retlect actual costs of
providing each service by program. This report provides information for planning and
negotiating unit rates.
7
Report
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16
Leqend:
Note # 1:
Note # 2:
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CONTRACT KZ 897
Page 8
ATTACHMENT II
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
CONTRACT REPORT CALENDAR
Based On
July Advance * ,.. .,.... ...,.,......... .... ,. ,.. ... ,.. ...... ... ... ... ... ... ...
August Advance * ,................................ ..........................
July Expenditure Report.., .,. ... ... ... ,. . .. . .. . ... ...,., .. . ... ,.. . .. ,.. . . . .
August Expenditure Report... ,., '" .,. . ., .. . .. . ... ... ... .. . .. . . .. ,.. .., ..,
September Expenditure Report,.. .,. . .. .., ... .. . . .. .,. ... ... ... . .. '" ., . .
October Expenditure Report ... ... ... .. . ... '" .. . ... .., .., ... ... ... ... .....
November Expenditure Report... .., . . . , ,. ,.. .,. ... .., ... .., , .. .. . ... .. . ,.
December Expenditure Report,.. . .. . . . ... ,.. . .. ,. , ... ." ... ... .. . ... . .. ..
January Expenditure Report.., ... ... . . . . .. ... '" ... ... .. . ... . .. . . . " .....
February Expenditure Report... ... ... . .. . .. . . . .. . . .. . " .,. ... .. . . . . .,. ... .
March Expenditure Report... ... . .. .. . .. . ... " , ... ... ... ... '" ,.. ". ... . .. "
April Expenditure Report ......... . . , . . . . . . . . . . . . . . . , , . . , . . . . . . . . . , . . . . . , . . , .
May Expenditure Report/July Advance Reconciliation ** ....,......
June Expenditure Report/August Advance Reconciliation ** ....,.
Final Expenditure and Closeout Report.,. ... ." '" ,.. ..
*
Advance based on projected cash need.
Submit
to the Alliance
on This Date
July 1
July 1
August 10
September 10
October 10
November 10
December 10
January 10
February 10
March 10
April 10
May 10
June 10
July 10
July 20
Submission of expenditure reports mayor may not generate a payment request.
If final expenditure report reflects funds due back to the Alliance, payment is to
accompany the report,
**
Report #1 for Advance Basis Contracts cannot be submitted to the Alliance prior
to July 1 or until the contract with the Alliance has been executed. Actual
submission of the vouchers to the Department of Elder Affairs is dependent on
the accuracy of the expenditure report.
The last two months of the recipient's fiscal reports covering actual expenditures
should reflect an adjustment repaying advances for the first two months of the
contract.
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Page 9
ATTACHMENT III
ANNUAL )>IODEL DAY CARE CENTER TR4I~ING REPORT
Model Day Care Center Name:
Printed Name of Person
Completing Report
Signature of Person
Completing Report
Date Executed
The purpose of each model day care program must be to provide service delivery to persons
suffering from Alzheimer's disease or a related memory disorder and training for health care and
social service personnel in the care of persons having Alzheimer's disease or related memory
disorders. This report documents the required training for the State Fiscal Year July I st through
June 30th.
Number Number Total
Actual Training Event(s) Health Care Social People
Professionals Services Trained
Trained Personnel
Trained
Training Title:
Date:
Training Summary:
... *' * .... * +
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Page 10
Attachment IV
Policy and Procedure for
Outsourced function - Screening
Objective: To ensure that a comprehensive list of clients in need of services is maintained in CIRTS by
appropriate funding source and that the ARC is thereby able to effectively gauge the level of
elder service need in Miami-Dade and Monroe Counties.
Policy:
To obtain necessary information from clients in order to assist in determining level of need
and eligibility for DOEA funded services
Procedure:
1. ARC Contracted Providers will collect information from callers and conduct a 701A
assessment. Alternatively, jf a 7018 assessment already exists or is provided from another
source (i.e. CARES) the information from the 7018 can be utilized.
2. Based on the information provided via the 701A(8) assessment, the ARC Contracted Provider
will make a determination as to the services that the caller is in need of receiving (see
Contract Amendment APCL).
3. The ARC Contracted Provider will determine the appropriate funding source(s) that provides
the needed services (see Contract Amendment APCL).
4. If the caller is in need of a service(s) that is not provided by the ARC Contracted Provider,
the ARC Contracted Provider will refer caller to the ARC Elder Helpline utilizing the ARC
Referral Form and/or to an ARC Contracted Provider that provides the needed service.
5. The caller will be provided with general information regarding the ARC as well as the ARC
Elder Helpline contact number.
6. The caller will be informed of the services and funding sources that they are being placed on
the wait list for in CIRTS.
7. ARC Contracted Provider will create a client record in CIRTS (if there is no existing record)
and enter the services needed for the caller by funding source and service. [If there is an
existing record in CIRTS, the appropriate fields will be updated].
8. If the ARC Contracted Provider determines that the caller may qualify for more than one
funding source, ARC Contracted Provider is encouraged to enter the appropriate information
under multiple funding sources. [If there is an existing client record in CIRTS, the client
record in CIRTS will be updated with appropriate information].
9, 4RC Contracted Provider will inform caller that they will receive a fellow-up call (or home visit
n case of active client) to check on their status based on DOEA "'fait List Reassessment
Standards and encourage caller to contact the ARC Elder Helpline with any questions.
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Page 11
Attachment V
Policy and Procedure for
Outsourced function - Triage
Objective: To ensure that clients in need of DOEA funded services receive services based on
the highest level of need, first, as funding becomes available.
Policy: To assist clients in obtaining DOEA funded services as funding becomes available,
based on level of need as determined by a CIRTS priority score,
Procedure:
1. ARC Contracted Provider will conduct periodic follow-up calls (or home visit in case of
active client) to check on client status based on DOEA Wait List Reassessment
Standards.
2. Based on the information provided via the 701A(B) assessment, the ARC Contracted
Provider will update the client information in CIRTS specifically as it pertains to level of
need for services by funding source
3. The ARC Contracted Provider will ensure that the CIRTS prioritization score is
accurately maintained, according to DOEA Standards.
4. If the caller is in need of a service(s) that is not provided by the ARC Contracted
Provider, the ARC Contracted Provider will refer caller to the ARC Elder Helpline utilizing
the ARC Referral Form and/or to an ARC Contracted Provider that provides the needed
service.
5. The caller will be informed of the services and funding sources that they remain on the
wait list for and/or have been removed from the wait list for.
6. ARC Contracted Provider will advise client of any change in their CIRTS priority score
based on the updated information.
7. ARC Contracted Provider will remind client of the ARC Elder Help Line contact number
and to contact the ARC Elder Help Line with any questions or concerns.
8. As funding becomes available, ARC Contracted Provider will run CIRTS Prioritization
Report and acti'/ate clients according to DOEA Standards (refer to ARC Client Activation
Policies and Procedures). The Contracted Provider '.viII apply targeting criteria, as
appropriate, to prioritized clients to ensure acti'/ations meet programmatic
requirements.
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Page 12
Attachment VI
Policy and Procedure for
Activation From Wait List - Clients/Services
Objective: To ensure that elders in need of DOEA funded services in Miami-Dade and Monroe
Counties and on the CIRTS wait list begin to receive services as funding becomes
available.
Policy: ARC will work with ARC Contracted Providers to ensure that clients waiting for
DOEA funded services begin to receive those services as funding becomes
available,
Procedure:
1. ARC Contracted Provider will activate clients on CIRTS wait list based on DOEA
prioritization polices and funding availability.
2. ARC Contracted Provider will update CIRTS status by funding source and service for
any services being activated for the client using appropriate CIRTS codes.
3. Client may be left on wait list of a different funding source than the one being activated
if ARC Contracted Provider determines that it is appropriate.
4. Client may also be left on wait list in CIRTS if they are being activated by the ARC
Contracted Provider under a temporary non-DOEA funding source and ARC Contracted
Provider determines that the clients need will persist after the temporary funding
source is exhausted.
5. ARC Contracted Provider will inform the client of any services/funding source that they
are being activated for as well as those services and funding sources that they will
continue to be wait listed for.
6. ARC Contracted Provider will inform client to contact the ARC Elder Helpline if they
have any questions or concerns regarding the status of any of their services.
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Attachment VII
ine
Policy and Procedure for
Termination From Wait List - Clients/Services
Objective: To ensure that the comprehensive list of clients in need of services in CIRTS is
appropriately maintained by funding source and that the ARC is thereby able to
effectively gauge the current level of elder service need in Miami-Dade and Monroe
Counties.
Policy: ARC will maintain an accurate and current list of clients in need of elder services in
Miami-Dade and Monroe Counties with the assistance of the ARC Contracted
Providers,
Procedure:
1. ARC Contracted Provider will re-screen clients which the ARC Contracted Provider
initially placed on the CIRTS wait list for services based on DOEA Reassessment
Standards.
2. The re-screening may be in the form of a phone screening or a home visit depending
on the clients status (i.e. active/pending)
3. ARC Contracted Provider will determine if the client is no longer in need (or eligible) for
any of the services they were wait listed for.
4. ARC Contracted Provider will terminate the client from the wait list (entirely or by
specific service) using the appropriate CIRTS termination code for any services or
funding source for which the client is determined to no longer be eligible for or no
longer in need of.
5. ARC Contracted Provider will inform the client of any services/funding source that they
are being removed from the wait list for.
6. ARC Contracted Provider will inform client of their ability to be re-added to the wait list
if their level of need should change.
7, ARC Contracted Provider \'Iill inform client to contact the ARC Elder Helpline if they
'la'ie any questions or concerns regarding their wait ;ist status.
g, Reference DOEA Notice of Instruction: Assessed Pr:ority Consumer Lst=t:C62906-1-I-
avcs as applicable.
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