1020 L. (employer of record responsibilities)

Recommendation

Add language stipulating the responsibilities of the employer of record should the individual elect not to use services facilitation.

1020 L.6. (review of timesheets)

Recommendation

Remove the language requiring that services facilitators review timesheets.

Rationale

The timesheets may be submitted electronically and unavailable when the home visit occurs.

1020 L.11. (term “case manager”)

Recommendation

Clarify whether the term “case manager,” when used in the context of the proposed regulation, refers to the individual who is the staff person or to the CSB/BHA that provides case management.

1020 L.11. (case manager and services facilitator)

Recommendation

Allow the individual’s case manager to be the services facilitator if preferred by the individual.

Rationale

Individuals may prefer to have the case manager perform the services facilitation duties to minimize the confusion between services and to eliminate extra staff involvement in the individual’s life.

If individuals elect not to use services facilitation, the case manager will need to complete some of the tasks that would have been completed by the services facilitator.

1020 L.11. (role of case manager)

Recommendation

Describe the role of the case manager if the individual elects not to use services facilitation.

1020 L.14.c. (reference checks)

Recommendation

Modify the requirement that the employer of record check references of assistants.

Rationale

While it is generally best practice to check employment references, if the employer of record is hiring a family member or well known acquaintance, the employer may not feel it is necessary to check employment references.

1020 L.14.c. (hiring packets)

Recommendation

Add a requirement that the employer complete required hiring packets.

1020 L.14.d. (management training)

Recommendation

Clarify how management training for consumer-directed services will occur if the individual opts not to receive services facilitation.

1020 M. (home health criteria and skilled nursing)

Recommendation

Update the service description to clarify that individuals who meet home health criteria may also need ID Waiver skilled nursing services.

1020 P.2. (transition services)

Recommendation

Replace the word “funding” with “services.”