Monthly contacts with your Support Coordinator
By now many of you know the process of Support Coordination. As a team with you, we develop a plan, the plan is implemented meaning services start and then we monitor the plan. The requirements are that the Support Coordinator has to make at least 1 home visit per year, make monthly phone contact and quarterly visits. At this time, the quarterly visits are being conducted virtually. Monitoring is not only to check in, there are many things that go into these contacts so we wanted to bring this to your attention so you have information and questions ready for your support coordinator.
The easiest way to ensure a valuable contact occurs is to have standing meetings with your support coordinator. For example you may schedule this with your support coordinator for the first Tuesday of every month at 11am. These times should be arranged with you and the Support Coordinator ahead of time.
The Support Coordinator is required to make contact to the place where services are rendered as well so you may want to coordinate a time after the SC has discussed progress with the service provider.
Some of the things we are monitoring are:
Identifying any pertinent issues, obstacles and resources that need to be explored
Follow up on any issues that may have occurred over the last month
Medicaid Waiver eligibility. Since the Supports and CCP are Medicaid waivers it is important to have this discussion regularly to prevent any lapses in Medicaid coverage. Discuss Medicaid re-determination and remind about Medicaid financial limits as well as review info about HMO’s.
Budget assessments. Review of what the budget is, how much was spent, what is left and uses for the budget as well as description of line items in the SP and CCP waivers.
Service review. Are the services provided meeting the needs of the individual? Are the services in line with the outcomes the team has developed? What are the goals that will help the individual achieve those outcomes? And what is the progress of those goals? If services are not meeting needs, a discussion of other services and referrals will occur.
Are there physical, emotional or behavioral changes that need to be addressed? Did someone have surgery? Monitor regular MD visits. Make sure all annual MD visits have occurred- Primary MD, Dental, Vision, Specialists.
Community involvement. Is the individual getting out in his/her community? Interacting with others? If not, why? Anything that can be put in place to assist in reaching a goal of community integration.
Friendships and Social Interactions. Discussion of hobbies, success in new areas and what may be needed to help this occur.
Any employment issues or supports needed, review of health and safety issues.
Unusual incidents that have occurred during the last month and action needed or resolution.