2003 Research and Demonstration Grants Community-Integrated Personal Assistance Services and Supports
TEXAS
Grant Information
- Name of Grantee
- Texas Department of Human Services
- Title of Grant
- Community-Integrated Personal Assistance Services and Supports Service Responsibility Project
- Type of Grant
- Community-Integrated Personal Assistance Services and Supports
- Amount of Grant
- $599,763
- Year Original Funding Received
- 2003
Contact Information
Cindy Kenneally, Director
DHS Community Care Provider Services Section
701 West 51st Street
PO Box 149030, Mail Code W-521
Austin, TX 78714
5124384151
cindy.kenneally@dhs.state.tx.us
Subcontractor(s)
To be determined by an RFP process in first year of the grant.
Target Population(s)
Adults and children who are eligible for Medicaid state plan personal care services. To be eligible, individuals must have health problems that cause functional limitations in activities of daily living.
Goal
Implement a service responsibility model in the Primary Home Care Program, which is funded under the Medicaid state plan through the personal care option.
Activities
- Develop materials for statewide use to train consumers, providers, and Department of Human Services (DHS) staff.
- Educate consumers about the service responsibility model, and train them to perform activities under this model, such as recruiting, hiring, supervising, and conflict resolution.
- Train consumers to carry out the responsibilities of the budget and service responsibility model (also known as the consumer-directed services model).
- Train providers and DHS case managers and regional staff to implement and oversee all service delivery models: agency, consumer direction, and service responsibility.
- Pilot the service delivery model in one region of Texas that includes rural and urban areas.
- Calculate provider rates under the service responsibility model.
- Add the service responsibility model to the state's automated service authorization and billing system, and to its automated eligibility and referral system.
- Analyze the differences between the three models of personal assistant care (agency model, service responsibility model, and budget and service responsibility model).
- Assess the effectiveness of the service responsibility model and recommend improvements based on the assessment.
- Expand the service responsibility model statewide.
Abstract
The primary goal of the grant is to implement a service responsibility model in the state's Primary Home Care Program, which is funded under the Medicaid state plan through the personal care option. The model will be piloted in a region of the state that includes both rural and urban areas.
The project includes training components and consumer surveys to assess the effectiveness of the training. Consumer surveys will also be conducted to develop an understanding of why consumers choose particular models of service delivery, and their satisfaction with those models.
The effectiveness of the service responsibility model will be assessed and improvements made as needed prior to expansion of the model statewide.