New York Codes, Rules and Regulations › Title 9 - EXECUTIVE DEPARTMENT › Subtitle Y - New York State Office for the Aging › Chapter II - Older Americans, Community Services, And Expanded In-home Services For The Elderly Programs › Part 6654 - Services › Section 6654.16 - EISEP case management

Current through Register Vol. 46, No. 28, July 10, 2024
(a) For
				  purposes of this section, the words "client" and "consumer" are interchangeble
				  except where otherwise noted.
(b)
				  Case management complying with this section must be provided to all clients
				  receiving in-home services, ancillary services, or noninstitutional respite
				  under EISEP. Case management consists of the following functions: screening,
				  assessment, care planning, determining eligibility for program subsidy,
				  arranging and authorizing service delivery, services follow-up and client
				  monitoring, reassessment and discharge. The conduct of screening, assessment,
				  care planning and eligibility determination in compliance with this section is
				  a prerequisite for the provision of in- home services, ancillary services, or
				  noninstitutional respite under EISEP.
(c) EISEP case management shall not be
				  provided to individuals eligible to receive the same or similar services under
				  title XVIII, XIX, or XX of the Federal Social Security Act or any other
				  governmental program or services provided to residents in adult residential
				  care facilities which had previously been provided by the facility or which by
				  law are required to be provided by such facility, provided that an EISEP case
				  manager shall provide sufficient case management services to verify eligibility
				  of or to assist such individuals in applying for such other program or services
				  and to determine a need for and, if necessary, arrange for the receipt of EISEP
				  ancillary services not available from such program or facility.
(d) Only persons meeting the qualifications
				  and training requirements specified under subdivision (ab) of this section
				  shall conduct assessments or reassessments, do care planning, authorize
				  services, or terminate or discharge clients from the program.
(e) A designated case manager must be
				  assigned to each client. In situations where the case management functions for
				  any one client are performed by more than one staff person, the designated case
				  manager shall be responsible for coordinating the conduct of the various case
				  management functions and for acting as the primary contact for the
				  client.
(f) Case management may be
				  provided to individuals who are not receiving any other EISEP
				  service.
(g) All potential EISEP
				  clients must be screened using the standardized process and instrument
				  prescribed by the office, unless the area agency has received approval from the
				  office to use a different instrument.
(h) An assessment shall be conducted for each
				  EISEP service applicant:
(1) identifying the
				  older person's problems and care needs in the major functional areas, including
				  information necessary to determine the individual's functional level and to
				  identify unmet care needs;
(2)
				  unless impracticable, no later than 10 working days after completion of the
				  screening process unless EISEP services are not then available, in which case
				  an assessment shall be conducted when such services become available;
(3) prior to providing any in-home services,
				  ancillary services, or noninstitutional respite services or, if the record
				  documents an emergency, within five working days after the start of service
				  delivery;
(4) which includes the
				  requirements prescribed by the office;
(5) unless impracticable, face-to-face with
				  the older person and, if requested by the older person, his or her authorized
				  representative;
(6) unless
				  impracticable, in the older person's usual living environment, except that it
				  may be conducted in another setting if the older person is institutionalized or
				  will be temporarily residing in another residence, in which case, a home visit
				  shall be conducted within five working days of the individual's return to his
				  or her usual residence;
(7)
				  involving informal caregivers if the older person does not object to the
				  involvement of such caregivers; and
(8) under consumer directed in-home services,
				  evaluate the willingness and capability of the individual or his or her
				  representative to meet the requirements listed in section
				  6654.15(b)(1) or (2) or (3) and (d)(1) or
				  (3)  of this Part.