Community-Integrated Personal Assistance Services and Supports

TEXAS

Grant Information


Name of Grantee

Texas Department of Aging and Disability Services (DADS)

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
512–438–4151
cindy.kenneally@dads.state.tx.us

Elizabeth Jones, Project Coordinator
DADS, Provider Services
701 West 51st Street
PO Box 149030, Mail Code W-521
Austin, TX 78714
512–438–4855
elizabeth.jones@dads.state.tx.us

Subcontractor(s)

Rebecca Wright and Associates
207 Summerhill Court
Clermont, FL 34711

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 Aging and Disability Services (DADS) staff.
  • Educate consumers about the service responsibility model and train them to perform activities under this model such as selecting, supervising, and training their attendant 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 DADS 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.