ltss pos redesign *the ui in this presentation is for demonstration purposes only and the actual ui...
TRANSCRIPT
LTSS POS Redesign*The UI in this presentation is for demonstration purposes only and the actual UI could be different.
Plan of Service Create Date Program
TypeType POS Cost
NeutralityEffective Date
End Date Status Active Actions
12/30/2013 CFC Revised $65,000 1/06/2014 In Progress
5/12/2013 CFC Annual $65,000 5/17/2013 5/17/2014 Approved
9/18/2012 WOA Revised $62,000 9/20/2013 5/16/2013 Approved
5/10/2012 WOA Annual $60,000 5/16/2012 5/16/2013 Approved
7/23/2011 LAH Revised $57,730 7/24/2011 5/15/2012 Approved
5/03/2011 LAH Initial $55,000 5/15/2011 5/15/2012 Approved
View
View
Back Add
Revise
View
Revise
Revise
Revise
View
View
Revise
View
Plan of Service
Advanced Directives POS/POC DecisionClient Information Overview Services Cost Neutrality Signatures
Team Lead/Coordinator
Review
Back
Diagnosis
POS Decision
Status
Decision Staff Name
Decision Date
Comments
Approved
Marlana Hutchinson
9/19/2012
Plan of Service
Self DirectionStrengths/GoalsClient/Overview Information
Services POS Review
Back
Emergency Back-up Plan
POS Decision
POS Status
Decision Staff Name
Decision Date
Decision Comments
Approved
POS Summary Information
Client currently enrolled? Yes
Approved LOC? Yes
Back-up Plan entered? Yes
Personal interest(s) and goal(s) entered? Yes
Provider name entered? Yes
Waiver services within cost cap? Yes
Waiver services under 125% of cost cap? Yes
Participant signature captured? Does the POS meet the participant’s health and safety needs?
Additional Information
Clarification Request Comments
Save
Signatures
Yes
Yes
No
No
Marlana Hutchinson
05/15/2013
SubmitCancel
General Information
Client Name John T. Smith, Jr.
MA# 11111111111
DOB 05/25/1965
Current Address817 Main Street
Baltimore, MD 21201
Plan of Service SubmitSaveBack
Client/Overview Information Strengths/Goals Self Direction Services POS ReviewEmergency Back-up Plan
Home Setting
Home Type Congregate
Home Setting ALF
Lives with Family Yes
Is setting chosen by the participant? No
Is setting chosen by Guardian of Person? Yes
Guardian of Person Janice Smith
Overview
Program Type
Create Date
POS Effective Date
POS Type
Reason for New Plan of Service
Narrative
Revised
Change in health
12/30/2013
CFC
01/06/2014
Signatures
Plan of Service
Self Direction Strengths/Goals Services
SubmitSaveBack
Client/Overview Information
Strengths
Strength
Add Strength
Goals
Goal Category
Desired Goal
Steps/Actions
Annual Progress
How Achieved
Education
Achieved
Add Goal
Risk Factors
Risk
Add Risk
Strong family/informal supports
To attain GED
Took classes to prepare and sample tests
Study extensively and attended all classes to learn the necessary information to pass the GED tests
Alone for long periods of time
Emergency Back-up Plan POS Review
Date Created Strength Detail Actions
12/30/2013 Knowledge of disability/personal health Edit Delete
Date Created Goal Category Desired Goal Steps/Actions Annual Progress How Achieved Actions
01/01/2014 Health To lose 10 pounds
Weight watchers In Progress DeleteEdit
Disclaimer: If Other, Specify Other text field will appear
Signatures
Plan of Service SubmitSaveBack
Strengths/Goals Self DirectionClient/Overview
Information Services POS Review
Self Direction Options
Recruit, hire and select personal support providers
Dismiss personal support providers
Supervise personal support providers
Manage personal support providers
Determine duties
Scheduling
Training
Evaluating performance
Setting payment rate
Reviewing payment requests
Most recent training date
Is the client pending training?
Does the participant want to receive training on
how to select, manage and dismiss attendants?
Emergency Back-up Plan
No
No
No
No
No
No
No
No
No
No
No
*Disclaimer: If yes, the following subset of fields will appear
*Disclaimer: If yes, MDOD will receive an alert upon submit of the POSNo
01/11/2013
10/22/2013
Signatures
Referral Date:
Emergency Back-up Plan
Set as Primary
Name
Relationship
MA Enrolled?
Agency
Provider #
Address
Availability
Signature Status
Phone Type
Phone Number
Plan of Service SubmitSaveBack
Self Direction Emergency Back-up PlanClient/Overview Information Services POS Review
Yes
125635489
917 North Capital Street
Signature captured on file
Strengths/Goals
Jonathan Smith
Brother
Save Back-up
Available Monday through Friday from 9am until 5 pm
Primary Name Relationship MA Enrolled Agency Signature Actions
Yes Frank Gore Cousin Yes AAA Calvert County Pending Edit Delete
SearchAAA Baltimore County
Signatures
Mobile
443-698-9999 Add Phone
View
Services
POS Service
Type State Plan Service
Frequency Type
Frequency
Rate ($)
Units
Provider
Provider Number
Agency Association
MCO to pay for 2 months of services
Medicare/Medicaid Waiver will pay 20%
Medicare/Medicaid to pay 80%
Annual Cost
Reason for Service/Details
Plan of Service
Search
Self DirectionStrengths/GoalsClient/Overview Information Services POS Review
SubmitBack
Save Service
POS Service Type Provider Units Frequency Rate Annual ActionsPRP State Ben Groves 3 7 $20.00 $420.00 Edit Delete
Emergency Back-up Plan
Daily Weekly Monthly Annually
Days/year (max value is 366)
Daily (max value is $XX.XX)
times/day
$0.00
DMS
Signatures
Cost Neutrality
Annual Waiver Plan Service Total $0 Annual Non-Medicaid Service Total $0
Annual State Plan Service Total $420 Total POS Cost Neutrality $420 Annual CFC State Plan Service Total $0
Plan of Service
Self DirectionStrengths/GoalsClient/Overview
Information Signatures POS Review
SubmitBack
Provider Service Signature Name Signature Date ActionsProvider 1 PDN
Provider 2 REM
Provider 3 Assisted Living
Provider 4 Home Delivered Meals
Case Manager
Client
Sign
Emergency Back-up Plan Services
View
View
View
View
Sign
Sign
Sign
View
View
Sign
Sign
Note: all unique Providers identified when adding Services should be added to the Signature List. The list should display the Provider Name, the service(s) they are going to provide, Signature Name and Signature Date which by default will be blank. The participant and case manager signature also need to be captured in the Signature section. The system should also have the capability of clearing signature information in the event that a signature was added for the incorrect provider.
Plan of Service
Self DirectionStrengths/GoalsClient/Overview Information
Services POS Review
Back
Emergency Back-up Plan
POS Decision
POS Status
Decision Staff Name
Decision Date
Decision Comments
In Progress
POS Summary Information
Client currently enrolled? No
Approved LOC? Yes
Back-up Plan entered? Yes
Personal interest(s) and goal(s) entered? Yes
Provider name entered? Yes
Waiver services within cost cap? Yes
Waiver services under 125% of cost cap? Yes
Participant signature captured? Does the POS meet the participant’s health and safety needs?
Additional Information
Clarification Request Comments
Save
Signatures
Yes
Yes
No
No
System calculated fields will display
as text only
