Community-Integrated
Personal Assistance Services and Supports
TEXAS
Grant Information
Name of Grantee
Texas
Department of Aging and Disability Services (DADS)
Title of Grant
Community-Integrated
Personal Assistance Services and Supports Service Responsibility Project
Type of Grant
Community-Integrated
Personal Assistance Services and Supports
Amount of Grant
$599,763
Year Original Funding
Received
2003
Contact
Information
Cindy Kenneally, Director
512–438–4151
cindy.kenneally@dads.state.tx.us
Elizabeth Jones, Project Coordinator
DADS, Provider Services
701 West 51st Street
PO Box 149030, Mail Code W-521
Austin, TX 78714
512–438–4855
elizabeth.jones@dads.state.tx.us
Subcontractor(s)
Rebecca Wright and Associates
207 Summerhill
Court
Clermont, FL 34711
Target
Population(s)
Adults and children who are eligible for Medicaid State
plan personal care services. To be eligible, individuals must have health
problems that cause functional limitations in activities of daily living.
Goal
Implement a service responsibility model in the Primary
Home Care Program, which is funded under the Medicaid State
plan through the personal care option.
Activities
- Develop materials for
statewide use to train consumers, providers, and Department of Aging and
Disability Services (DADS) staff.
- Educate consumers
about the service responsibility model and train them to perform
activities under this model such as selecting, supervising, and training
their attendant and conflict resolution.
- Train consumers to
carry out the responsibilities of the budget and service responsibility
model (also known as the consumer-directed services model).
- Train providers and
DADS case managers and regional staff to implement and oversee all service
delivery models: agency, consumer direction, and service responsibility.
- Pilot the service
delivery model in one region of Texas
that includes rural and urban areas.
- Calculate provider
rates under the service responsibility model.
- Add the service
responsibility model to the State's automated service authorization and
billing system, and to its automated eligibility and referral system.
- Analyze the
differences between the three models of personal assistant care (agency
model, service responsibility model, and budget and service responsibility
model).
- Assess the
effectiveness of the service responsibility model and recommend
improvements based on the assessment.
- Expand the service
responsibility model statewide.
Abstract
The primary goal of the grant is to implement a service
responsibility model in the State's Primary Home Care Program, which is funded
under the Medicaid
State plan through the
personal care option. The model will be piloted in a region of the State that
includes both rural and urban areas.
The project includes training components and consumer
surveys to assess the effectiveness of the training. Consumer surveys will also
be conducted to develop an understanding of why consumers choose particular
models of service delivery, and their satisfaction with those models.
The effectiveness of the service responsibility model will
be assessed and improvements made as needed prior to expansion of the model
statewide.