The
DADS caseworker mails the service plan to the PHC agency. The agency is chosen by client
preference or by agency rotation if the client has no preference. When the agency RN obtains the service plan
from DADS, she has 14 days in which to complete the packet and request a signed
physicians statement. The packet to be completed consists of the forms from the
RN’s physical assessment of the client, a physicians statement that the RN must
send to the physician to be signed, and the RN’s assessment of the needed
services. Once the signed physician statement is received, services can
begin. The PHC agency then has 7 days in
which to hire, train, and place the attendant in the client’s home. If an attendant cannot be placed within the
7-day deadline, the DADS caseworker must be notified of the problem. The hiring and training process consists of a
Criminal History affidavit, a Criminal History check by the Texas Department of
Safety in
HOW
DOES THE SERVICE PLAN WORK?
The
service plan designates exactly what tasks are to be done for the individual
client, exactly how many hours per week will be allowed, the approximate time
of day in which the tasks are to be done, and any other information that the
caseworker deems necessary. The
services will be provided at the client’s home unless an alternative location
is approved by the DADS caseworker.
The agency attendant is ONLY authorized to do the tasks listed on the
service plan, and ONLY during the days/hours specified unless different
arrangements are made. The attendant is
ONLY authorized to provide services for the client only... not the client’s
family or any other person. If changes
need to be made to the service plan, please notify the PHC agency. Service plans are usually issued to an agency
for a period of 1 year, with an annual review recertification process performed
by the DADS caseworker.
ELIGIBILITY CRITERIA FOR PRIMARY HOME CARE AND
FAMILY CARE
(The eligibility criteria for
Primary Home Care and Family Care differ as shown below.)
|
ELIGIBILITY
REQUIREMENTS FOR PRIMARY HOME CARE (PHC) ARE MET IF: |
ELIGIBILITY
REQUIREMENTS FOR FAMILY CARE (FC) ARE MET IF: |
|
You receive Medicaid or have monthly income not
more than $1,809 if single or $3,618 if married and resources not more than
$2,000 (if single) or $3,000 (if married). |
same as PHC, except resource limit: $5,000 (if
single), or $6,000 (if married). |
|
you have doctor’s orders for PHC. |
no requirement for doctor’s orders. |
|
you have a functional impairment score of at
least 24. |
same as PHC. |
|
you need at least one of these tasks-bathing, feeding, meal preparations,
getting to or using the toilet, transferring in or out of bed or chair/on or
off a toilet, reminders to take medications. |
no task requirement. |
|
you need assistance with activities of daily
living that you have difficulty with. |
same as PHC. |
|
you need at least six hours of service per
week, but
NOT if: - your functional impairment score is above 29;
or - you live with someone who also receives FC or PHC; or - you receive one of these services: - home delivered meals - assistance with activities of daily
living -Day Activities and Health Services -Special Services to Persons with
Disabilities -Aid and Attendant Benefits from the
Veterans Administration,
In-Home and Family Support Program, or Medically Dependent Children Program. |
same as PHC. |
{To make a referral, call this toll free hotline #
1-888-902-9990.}
If possible, you will need to have as much of the
following information available when you call:
Referrals can be made even if you do not have all
of the above information.
If you have any questions, you may call us at
Cuero Home Health at (361) 275-8650 or 1-800-348-4364.
