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Understanding Self-Directed Supports (SDS) in Family Care: Choices, Responsibilities, and Processes

This overview explores Self-Directed Supports (SDS) within Family Care, emphasizing the choice, control, responsibility, and accountability members have over their long-term care services. It outlines the enrollment process, options for counseling, the composition of the interdisciplinary team, and details on assessments and outcomes. Members may hire employees, contract services, or utilize fiscal agency resources, allowing flexibility in care management. The resource also highlights the vital support from Family Care Managed Care Organizations (MCOs) and the importance of creativity in utilizing SDS while adhering to quality standards.

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Understanding Self-Directed Supports (SDS) in Family Care: Choices, Responsibilities, and Processes

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  1. Choice and Responsibility SDS within Family Care

  2. Overview:Enrollment and Process ADRC options counseling Composition of the team Assessments, Outcomes, and the RAD process. The choice to self-direct lies with the member.

  3. Self-Directed Supports (SDS) • Option to self-direct one or many long-term care services. • High degree of: • Choice • Control • Responsibility • Accountability

  4. Examples A member hires employees to provide supports in the home. A fiscal agency processes timesheets Guardian hires a job coach to provide supports on the job. Fiscal agency processes mileage reimbursement only. No employee is hired.

  5. Examples • A member contracts with an independent contractor to provide lawn care and snow removal. • A fiscal agency makes payments to a provider agency or independent contractor of the member’s choice. • Keep in mind SDS is not intended to be a way around contracting and quality standards.

  6. Why Do Some Choose Family Care for SDS? • Support from an interdisciplinary team • Case management • RN involvement • IDT staff expertise and knowledge of community resources • Support from Family Care MCOs • MCOs have staff with specialized expertise (e.g. equipment and supplies.)

  7. Why Do Some Choose Family Care for SDS? May choose to self-direct some services but not others. Access to a provider network. Flexibility to change between self-directed supports and contracted providers.

  8. SDS: Opportunity for Creativity Most commonly used to hire employees to provide hands-on assistance, cleaning, respite, etc. However, that’s not the only option. Think creatively! SDS does not always equate to being an employer.

  9. SDS: Opportunity for Creativity • Day Programming example • Expanded options • Person specific • Flexibility

  10. SDS: Opportunity for Creativity • Transportation- many possibilities

  11. SDS includes Responsibility and Accountability • SDS Vendors • Assistance from other people • Natural (unpaid) supports • Lead staff • Monitoring use of hours and budget • Scheduling and verifying hours • Monthly budget reports

  12. Family Care’s contract with Department of Health Services • IDT has a responsibility to: • Assure member’s health and safety • Caregiver background checks • Caregiver’s ability to provide the right support • Ensure that expenses are consistent with the established SDS plan and budget • Supports were provided as authorized • Time sheets are legal documents

  13. Family Care’s contract with Department of Health Services • IDT has a responsibility to: • Minimize potential conflict of interest • Monitor Program Integrity – Medicaid Fraud

  14. Kerri’s story

  15. My Own Home story

  16. Small Group Activity To help with this activity, here is a list of some of the Family Care benefits: Personal Care (e.g. bathing) Supportive Home Care (e.g. cleaning) PT/OT/Speech Therapies Durable Medical Equipment Day Services Job Coaching Home Delivered Meals Counseling Daily Living Skills (e.g. learning how to cook) Personal Emergency Response System (button to call for assistance)

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