Options Counseling. An interactive decision-support process whereby consumers, Family members and/or significant others are supported in their deliberations to determine appropriate longer services and supports choices in the context of the consumers’ needs, preferences, values and individual circumstances.
Options Counseling impartially informing a person of the types and availability of community services provided within the service area and of the licensed providers and other agencies existing within the service area that the CDDO has been advised might be willing to provide services to the person, and the way to contact those licensed providers or other agencies as defined in K.A.R. 30-64-23.
Options Counseling. Upon request of persons served and/or guardians, the CDDO will provide choice of available provider(s). When notified of choice, the CDDO shall collect a signed statement providing evidence that the person has been provided options counseling. The CDDO shall make a referral to the chosen provider(s) and send documentation to the Managed Care Organization designee to facilitate the Person- Centered Service Plan revision.
Options Counseling. Contractor will conduct face-to-face meeting(s) with Member to discuss various service options through a person centered process intended to support informed long-term care decision-making through assistance provided to individuals and families to understand their “strengths, needs, preferences, and unique situations” and translate this knowledge into possible “support strategies, plans and tactics based on the choices available in the community.”
Options Counseling. An interactive decision-support process whereby consumers, family members and/or significant others are supported in their deliberations to determine appropriate longer services and supports choices in the context of the consumers’ needs, preferences, values and individual circumstances.
Options Counseling. The PO, through its employees, contractors, or agents, must not use or attempt to use its position as an employee, contractor, or agent of the PO to directly or indirectly influence member enrollment options for the benefit of the PO, its parent firm, corporate affiliates, subsidiaries, Health Maintenance Organizations, health plans, self-directed Medicaid benefits, or any other entity affiliated with the PO. The PO must refer any potential enrollee to the ADRC for options counseling. Disenrollment
Options Counseling. This session focuses on the various options that women have when facing a pregnancy, including abortion, adoption, xxxxxx care, and choosing to parent. Session 3 Activities
Options Counseling. An increase of nearly 1,600 referrals (an increase in excess of 47%) has occurred since the service was implemented. LTSS Options Counselors see all potential Target Population Members in every Skilled Nursing Facility (SNF) in North Dakota, assuring that individuals are aware of home and community-based living options. Total LTSS Options Counseling visits climbed to nearly 2,900 for the three (3)-year period, with post-pandemic in-person visit totals showing a sharp and significant rise. Visits to nursing facilities showed a 35% increase from 2021 to 2022. There was, however, a similar level of decline (34%) from 2022 to 2023. This may be a result of the effectiveness of outreach at the onset of the program and the increasing number of diversions from institutions. It may also reflect that the number of individuals using SNF care remains fairly constant. Options counselors, in addition to ensuring that individuals are aware of home and community-based living opportunities also do yearly contacts with the person. This is a lower requirement for person centered planning than those for TPMs who are transitioning from SNFs or have been diverted from the SNF, who are seen four (4) times annually. This is a metric that requires continued attention in order to track and respond to shifting trends. In review of data on monthly caseloads by program, referrals have decreased yet caseloads have increased. The State believes that some of the decrease in referral comes through the Aging and Disability Resource Link (ADRL) that is doing a better job of screening individuals. By doing so, the persons reaching home and community based services (HCBS) case management are more likely to qualify and be eligible for services. Of note is the 61.5% increase in the number of individuals served through the Medicaid Waiver (335 to 541) over the three (3)-year period, all of whom are Target Population Members. The State continues to strengthen the ADRL screening process through which HCBS referrals become eligible cases. The data reflects this as HCBS referrals have decreased by 23% over the period, while the percentage of opened cases per referral has grown from 48% to 63% – a 15% increase. An important element of the Settlement Agreement and the provision of HCBS, is the State’s growth in its capacity to divert clients from institutional settings for as long as possible. Data reflects that diversions have risen, on an annual basis, from 273 to 319 during the three (3)-year compa...
