SDS e-Alert
11/17/2009
Waiver Regulation Workshop Follow-up Teleconference – Care Coordination
The Medicaid waiver regulation workshop follow-up teleconference on 7 AAC 43.1041 – Care Coordination will be Thursday, November 19th from 1:00 until 3:00pm. To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#).
Attached is a copy of waiver regulations as well as the input received at the October 2nd meeting in Anchorage.
Please contact Angela Salerno at 465-4874 or angela.salerno@alaska.gov for questions or more information.
10/28/2009
Waiver Regulation Workshop Follow-up Teleconference – Provider Certification and Enrollment
The Medicaid waiver regulation workshop follow-up teleconference on 7 AAC 43.1090, Provider Certification and Enrollment will be tomorrow, Thursday October 29th from 1:00 until 3:00pm. We were not able to cover this topic during our face-to-face meeting, so please plan to provide input on possible regulation or policy changes to in this area. Attached is a copy of waiver regulations.
To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#).
Please contact Angela Salerno at 465-4874 or angela.salerno@alaska.gov for questions or more information.
10/28/2009
Anchorage Office Communications Restored
Thanks for your patience.
10/28/2009
Anchorage Phones, Fax and E-Mail Down 10/28/09
Due to technical problems related to the Anchorage office move, SDS phones and e-mail are inoperable at this time. We will notify you when the problem is solved. Sorry for the inconvenience.
10/23/2009
SDS Faxes Off-line for Move 10/23/09
Beginning at noon, SDS will begin to shut down fax machines for the move. The only exception is the Adult Protective Services (APS) fax that will remain operational until 5pm. Thank you.
10/21/2009
CORRECTION – PLEASE USE FAX #269-3639. Thanks
Fax at 269-3689 is Down
The SDS fax at 269-3689 is down and will be inoperable until after the office move. Please use 269-3689 or hold submissions until Monday when SDS will open at its new location. Sorry for any inconvenience.
10/20/2009
Regulation Workshop Follow-up Teleconference – EMOD and SME
The first Medicaid waiver regulation workshop follow-up teleconference on Environmental Modifications (EMOD) and Specialized Medical Equipment (SME) will be held on Thursday, October 22nd from 1:00 until 3:00p.
To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#).
Attached are comments made by participants at the October 1st workshop. The goals for this meeting are to identify which requested changes require amendments to regulation and which can be accomplished through SDS policy changes, to collect any additional input and to identify any further workgroup activities.
Please contact Angela Salerno at 465-4874 or angela.salerno@alaska.gov for questions or more information.
10/20/2009
CORRECTION – The Anchorage SDS office will reopen at the new location on Monday, October 26th. Sorry for any confusion.
SDS E-Alert – SDS Anchorage Office is Moving
SDS Anchorage office is moving over the next week to 550 W. 8th Avenue, Anchorage, AK 99501. This is at the corner of 8th and F Streets. Please be patient with us on non-urgent matters during this time. Our phone, fax and email will remain the same. The SDS office at the Frontier Building (3601 C Street) will remain open until 5pm on Friday, October 23. However, we will not accept drop off documents at that location after 3pm Friday. We will reopen at our new location on Monday, October 28th.
Phone, fax and other contact information will remain the same:
Phone (907) 269-3666 or
(800) 478-9996, toll-free in Alaska
Fax: (907) 269-3688
The new mailing address is:
550 W. 8th Ave.
Anchorage, AK, 99501
Adult Protective Services will remain open regular hours, 8-5 pm Monday-Friday. (SDS is currently in the Frontier Building in mid-town Anchorage, 3601 C St.)
Thank you.
10/20/2009
SDS E-Alert – FASD Speaker Series
Please see the attached flyer for information on the upcoming FASD Speaker Series.
10/12/2009
Medicaid Waiver Regulations Follow-up Teleconferences Scheduled
Thank you to everyone who participated in the October 1st and 2nd pre-revision workshop and review of the Medicaid waiver regulations. Participants agreed that additional input on selected topics would take place by teleconference. Below is the schedule for those teleconferences:
All teleconferences will be on Thursday from 1:00 until 3:00pm
- October 22 – Environmental Modifications (EMOD) and Specialized Medical Equipment (SME)
- October 29 – Provider Certification and Enrollment
- November 19 – Care Coordination
- December 3 – Screening, Assessment, LOC, POC
- December 10 – Nursing Services
To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#)
SDS will send meeting reminders by E-Alert.
Thank you
10/12/2009
Domestic Violence Awareness Month Activities
It's that time of year again for the annual Domestic Violence Awareness Month activities to "Build Safe Families; Make Safe Communities!" The Center for Human Development (CHD) in partnership with many community partners proudly presents our brown bag lunch video series FREE to the public! Come and watch interesting videos that may help you identify and understand the barriers teens, people with disabilities, and elders experience in leaving an abusive relationship AS WELL AS recognize the solutions each population recommends helping professions use to provide meaningful and useful support.
OCTOBER 13, 2009 |
OCTOBER 20, 2009 |
OCTOBER 27, 2009 |
thread - connecting early care & education to Alaska |
Access Alaska |
Alaska Native Justice Center |
“Let’s Talk About It: Teens Speak Out About |
“Disability, Violence, and Survival: |
“The Golden Years” |
Respond to Violence Against People with Disabilities
For more information or to request a reasonable accommodation to fully participate, please contact Christine King at 264-6241 (V), 264-6206 (TTY), or by email at anckk@uaa.alaska.edu
To ensure the best learning environment for all participants, please refrain from wearing scents, thank you!
Sponsored by grant funding provided by the Alaska Mental Health Trust Authority in partnership with Center for Human Development/UAA. Additional support and collaboration provided by Abused Women’s Aid in Crisis (AWAIC) and other community partners invested in addressing interpersonal violence.
09/25/2009
Critical Incident Reporting Training Schedule for October, November, December 2009
SDS requires all Medicaid waiver service providers to receive training on Critical Incident Reporting and Critical Incident Improvement Plans. SDS will offer this training via “GoTo Meeting” throughout November and December 2009.
SDS assures the federal Centers for Medicare and Medicaid (CMS) that recipients of Medicaid waiver services are safe and healthy in their homes and communities. Critical incident reporting by providers of waiver services is one important way of carrying out this mandate. In addition, the collection and aggregation of critical incident data by SDS allows the agency to track trends and identify gaps in services. In addition, critical incident reporting offers the opportunity for greater communication between providers and SDS as well as a channel for technical assistance.
Providers may train their staff. Provider agencies may choose staff to attend the online training, and then may train additional staff at their own agency. All CIR/CIIP learning materials are available to participants upon request, after attending the online class, to use for this purpose.
Training schedule: All trainings will be held from 2:00 until 3:30pm
Each Tuesday in October:
October 6
October 13
October 20
October 27
Each Monday in November
November 2
November 9
November 16
November 23
November 30
Mondays in December
December 7
December 14
December 21
About GoTo Meeting
GoTo Meeting is very easy to use. Attendees will receive an email with instructions detailing how to join the meeting online, and a link to the scheduled meeting. To hear and speak during the class, attendees will need to use a computer headset with a microphone, or call in on the telephone and participate, much like a teleconference. Upon joining the meeting, everyone will be able to view the learning materials on their computer screen right at their desk.
All trainings will be from 2 until 3:30 pm. The first 5-10 minutes of each training will be used to get connected and make sure all attendees are online and can communicate with each other in the online training space.
How to register
If you are working with an agency, please communicate with your supervisor about your plan to register. All attendees may register by sending an email to Kara Thrasher-Livingston, SDS Training Specialist II at: Kara.Thrasher-Livingston@alaska.gov.
Please state in the email the day you would like to attend. Each class can accommodate up to 25 attendees. You will receive a confirmation email inviting you to the GoTo Meeting. You may want to choose a second class that would work for you in case your first choice is full.
Thank you.
09/25/2009
SDS E-Alert – Waiver Regulations Stakeholder Feedback Session – Meeting Documents
On October 1st and 2nd, Senior and Disabilities Services (SDS) is offering Waiver Regulations Stakeholder Feedback Sessions. The October 1st session will focus on environmental modification (EMOD) regulations, and the October 2nd session will focus on the balance of the Medicaid waiver regulations. Regulations covering Medicaid rates and reimbursement will not be covered in these sessions.
The meetings will be held in Anchorage from 9:00am until 4:30pm at the Frontier Building, 3601 C Street, Room 880. You are invited to attend in person, or by teleconference.
To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#).
If you are planning to attend in person: please respond to this email with the number of people attending from your agency.
Attached are the meeting agenda, copies of the regulations to be discussed, and a handout outlining the regulation process.
If you have questions please contact Angela Salerno at 465-4874 or angela.salerno@alaska.gov
09/24/2009
SDS Care Coordination Training
Alaska regulation at 7 AAC 43.1041 - Care coordination services, require SDS-certified Care Coordinators to attend and successfully complete SDS-provided care coordination training every 24 months. Proof of successful completion of SDS training is required to apply for initial certification, or recertification as a Care Coordinator. Only care coordinator training provided by SDS will satisfy this regulatory requirement.
SDS offers an online self-study Basic Care Coordination course as well as a two-day, face-to-face Basic Care Coordination class. SDS will offer the face-to-face Basic Care Coordination class on the following schedule through December 2009:
October 28 and 29
November 3 and 4
December 1 and 2
These trainings will be held in Anchorage, at 3601 C St, 8th floor, rooms 890-896. The hours are 9am-4:30 pm.
You can view a complete class schedule and register on line.
Please note: All SDS Care Coordination trainings are free of charge. Attendees receive a training packet with resource materials and receive a certificate of attendance upon completion. Trainings cover the basics and what’s new, and feature interactive sessions and SDS staff presentations.
If you have questions or would like additional information, please email Kara Thrasher-Livingston, M. Ed., Training Specialist II, Kara.Thrasher-Livingston@alaska.gov
Thank you.
09/22/2009
Corrective Action Plan Submitted to the Centers for Medicare and Medicaid Services
The Division of Senior and Disabilities Services (SDS), in collaboration with technical assistance from National Quality Enterprise (NQE), submitted the initial Corrective Action Plan (CAP) to the Centers for Medicare and Medicaid Services (CMS) on September 3, 2009. This plan was created in response to preliminary findings outlined to the State of Alaska on June 26, 2009 regarding Quality Improvement Strategies and sub assurances found in Waiver Application Version 3.5. Revisions to this action plan are to be anticipated and will evolve from ongoing discussion between SDS, CMS, and NQE technical assistants.
The CAP submitted on September 3, 2009, is a preliminary document and will change significantly over the course of the next weeks and months. It would be premature to comment on specific components of this document while formal discussions with CMS are ongoing. SDS will provide updates on the web and via SDS E-Alerts as matters are resolved and formalized with CMS.
Providers and Medicaid recipients with questions may contact Angela Salerno at 465-4874, or angela.salerno@alaska.gov
09/22/2009
Resources for Flu Season
The onset of flu season, specifically H1N1 Influenza, requires planning by both recipients and providers of services administered by SDS. We encourage each recipient and provider agency to have a specific written plan that addresses their needs and plans for emergencies, including influenza.
There are many excellent resources available to provide information about H1N1 Influenza and emergency planning. Attached please find six attachments SDS believes you will find helpful:
- SDS Influenza Fact Sheet
- “Home Health Care Services Pandemic Influenza Planning Checklist” by the Centers for Disease Control and Prevention,
- “It’s Not Flu as Usual: An H1N1 Business Preparedness Guide” by the U.S. Chamber of Commerce,
- “Information About the Flu for People with Certain Medical Conditions”, by the Centers for Disease Control and Prevention,
- “Home Care Guide for Pandemic Flu” by Alaska Division of Public Health, and
- “Emergency Planning Checklist: Recommended Tool for Persons with Medical Needs Living At Home, Their Family Members, Guardians & Caregivers”, by Centers for Medicare and Medicaid Services.
09/16/2009
Waiver Regulations Workshop to be Held in Anchorage
The Division of Senior and Disabilities Services (SDS) is in the process of revising Medicaid waiver regulations at Alaska Administrative Code, Title 7, Chapter 43, Sections 1000 – 1110, which cover home and community-based Medicaid waiver services. SDS will be hosting a two-day workshop to take input from providers and other stakeholders regarding changes needed to correct problems, streamline processes and make our services as accessible as possible.
The workshop will be held in Anchorage on Thursday October 1st and Friday October 2nd, 9:00 until 4:00pm, Room 880 in the Frontier Building at 3601 C Street. The October 1st meeting will be dedicated to discussion of Environmental Modification services (EMOD) and the October 2nd meeting will cover the balance of the regulations. A full agenda will be sent by E-Alert next week.
The meetings will also be teleconferenced. To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#).
Thank you.
09/16/2009
Senator Bettye Davis, Chair of the Senate Health and Social Services Committee, has announced the rescheduling of a hearing on the CMS waiver moratorium. The hearing, originally scheduled for October 1st has been rescheduled for Tuesday, November 3rd from 1:00 until 5:00pm. A copy of the memo from Senator Davis’ office is attached.
09/16/2009
– Care Coordination Agencies Must Identify Care Coordinator on Claims – 9/16/09
Effective October 16, 2009, Affiliated Computer Services, Inc. will begin editing care coordination claims to ensure the rendering care coordinator information is contained on each claim. The attached flyer explains the requirements for both paper claims and electronic claims.
Activating this edit will help ensure correct reimbursement for currently certified care coordinators as well as ensuring active billing to the individual care coordinators to help them maintain active status in the MMIS.
Please request additional information from ACS Provider Inquiry Unit at (907) 644-6800 or (800) 770-5650.
09/16/2009
SDS E-Alert – Care Coordinator Teleconference – Notice of Insufficient Documentation
On Tuesday, September 22nd , 10:00 – 11:00am, SDS is hosting a teleconference meeting for Care Coordinators regarding the Notice of Insufficient Documentation. We welcome your feedback, questions, and observations. SDS Director Rebecca Hilgendorf and other SDS staff who interact with Care Coordinators will discuss and clarify the letter and its purpose. This discussion will help us improve communications and teamwork overall.
We invite Care Coordinators with questions, concerns and/or comments about the Notice of Insufficient Documentation to call in and participate:
September 22, 2009, from 10 am-11 am
Call number: 1 800-315-6338
access code: DSDS# (3737#)
09/112009
SDS to Reconsider PCA Eligibility Using New Criteria
Effective immediately, SDS will consider applying the new Personal Care Assistance (PCA) eligibility criteria for any client who was initially assessed for PCA services between February 12 and August 12, 2009.
Former criteria: Need for limited assistance with at least one activity of daily living (ADL) and extensive assistance with at least one additional ADL.
Revised criteria: Need for limited assistance with at least one ADL or physical assistance with at least one instrumental activity of daily living (IADL).
Upon receipt of a new, updated screening for PCA services, the assessment will be reviewed and eligibility will be determined. If the client is determined eligible, a service plan will be developed by a PCA reviewer. The service plan will be approved for 12 months from the date of receipt of the screening.
Example: The client was assessed on March 18, 2009, and was denied for services. The PCA agency identifies that the client may now be eligible for services. The PCA agency contacts the client to determine whether the client continues to have a need for services. If the client indicates a need, the PCA agency submits a NEW screening. Once the client is determined eligible, the level of service date for the client is consistent with the date the screening is received by SDS after 8/12/09.
Example: The client was assessed on January 12, 2009 and was denied for services. A new screening is submitted and the client is assessed in the usual manner.
The request for review under this criteria will only be considered through Friday, October 16, 2009. Any screenings received after that date will follow the usual process.
If you have questions, please contact Odette Jamieson at (907) 269-3656 or via e-mail at odette.jamieson@alaska.gov09/10/2009
Request for Letters of Interest to Administer DD Mini-Grants
Senior and Disabilities Services (SDS) is seeking a single entity to provide statewide distribution of Alaska Mental Health Trust Authority (AMHTA) Developmental Disabilities Mini-Grants. A Request for Letters of Interest (RFLOI) is posted on the “Online Public Notice” site or is available from Anna Yadao, Grants Administrator at the contact information listed below. Interested applicants are encouraged to apply. The deadline for the receipt of Letters of Interest is 4:30pm Friday, September 18, 2009.
MAILING ADDRESS:
Anna Yadao, Grants Administrator
Department of Health & Social Services
Grants & Contracts Support Team
P.O. Box 110650
Juneau, Alaska 99811-0650
PHYSICAL ADDRESS:
Anna Yadao, Grants Administrator
Department of Health & Social Services
Grants & Contracts Support Team
State Office Building, Suite 760
333 Willoughby Avenue
Juneau, Alaska
(Note: U.S. Post Office will not deliver to the physical address)
09/9/2008
ical address listed above.)
Aging and End-Of-Life Webinar Series Begins
The American Association on Intellectual & Developmental Disabilities and other organizations are hosting a series of webinars on aging and end-of-life care for individuals with developmental disabilities. Each webinar begins 1:00 – 2:00 p.m. Eastern Time, every third Wednesday of each month, starting September 16.
September Topic: Key Issues in Healthcare Decision Making and Care at End of Life: How to use person-centered practices to support quality planning with people with critical, chronic and/or terminal illnesses.
Date: Wednesday, September 16, 2009
Time: 1:00-2:00 pm
Speaker: Leigh Ann Creaney Kingsbury, MPA, Gerontologist
To Register, click here.
Leigh Ann Kingsbury is one of a small group of professionals actively working on using person-centered practices for planning around healthcare decision-making and care at end of life. She was an invited contributor for an expert panel convened to report to Congress; she is the author of People Planning Ahead: A Guide to Communicating Healthcare and End of Life Wishes, published by AAIDD in December 2008 and several other articles regarding planning and care at end of life.
Webinar Description: As people with intellectual and/or developmental disabilities have more opportunities for decision making and are living to old age; and as family caregivers are aging, the need to think about healthcare decision making, advance directives and wishes about end of life care is rapidly increasing. It is critical as systems and providers of support services that we begin to help people with ID/DD identify surrogate decision makers for healthcare, should one be unable at any point in time to make his/her own decisions. This presentation will discuss some of the key issues we need to be aware of related to decision making and care at end life, including capacity, competency and how to identify surrogate decision makers.
Target Audience: Executive leadership; QDDP’s; ISP/IHP writers, person centered plan developers
October Topic: Supporting People with Dementia
Date: Wednesday, October 21st
November Topic: Aging and End of Life: Crisis or Opportunity?
Speaker: Bill Gaventa, M.Div
Date: Wednesday, November 18th
December Topic: Ethics and Caregiving
Speaker: Michael Henderson, M.D.
Date: Wednesday, December 16th
Time: 1:00 – 2:00 p.m.
Additional Webinars will be scheduled for 2010.
AAIDD, the Association of University Centers on Disabilities, The Arc of the United States, American Network of Community Options & Resources, AAIDD Gerontology Division, and RRTC on Aging & Developmental Disabilities at University of Illinois in Chicago sponsor the series.
8/24/2009
– Provider Information Search Tool – 8/24/09
Good news! DSDS has created a web link designed to help you look up our service providers around Alaska. We hope it becomes a good tool for anyone searching for provider information. We think it will be especially helpful for care coordinators and others in identifying resources to provide information and referral assistance. Here is the web link for the Provider Information Search Tool:
http://www.partners.hss.state.ak.us/dsds/ds3/fx/pub/ProviderList.aspx
For Medicaid waiver care coordinators, the Provider Information Search contains provider information, the Medicaid number, service codes and rates which you need to include in your proposed waiver plan. DSDS expects you to obtain prospective service providers’ information and rates directly from them while including them in a plan of care. The search tool may be used to confirm information, but should not replace the necessary planning process that informs the providers about new clients.
We recommend that DSDS providers look up and validate their own information. If there is incorrect information displaying through the link, please use the “submit corrections” button located at the bottom right of each provider’s information screen, to inform us about incorrect information and provide us the correct information.
We hope you find this new tool helpful! Suggestions for improvement may be sent via email to hss.dsdsqa@alaska.gov
8/11/2009
SDS E-Alert — Changes to PCA Eligibility Criteria — 8/11/09
Today SDS released this Program Memo regarding changes to eligibility criteria for Personal Care Assistance services.
08/10/2009
- Moratorium on PCA to be Lifted August 12th
- Waiver Applicants Found Financially and Functionally Eligible Prior to June 27th to be Enrolled
- SDS Program Memo: Updated Guidance for Providers
- Clarification Regarding Adults with Physical Disabilities Waiver Transitions During Moratorium
The Centers for Medicare and Medicaid Services (CMS) moratorium on Personal Care Assistant (PCA) services will be lifted 8 a.m. Wednesday, Aug. 12. The update comes after DHSS and CMS collaborated on a thorough review of how Alaska runs PCA services. A DHSS press release is attached.
The temporary moratorium remains in place for the four Medicaid waiver programs. However, CMS clarified that individuals who were found to meet financial and functional eligibility prior to June 27th are actively enrolled in the program and are not affected by the moratorium. Please see the Aug. 7 program memo (attached) for more details.
People are encouraged to submit applications for Medicaid waiver programs so they will be ready to process as soon as the moratorium is lifted.
Waiver Transitions
Recipients that are currently receiving services via an Adults with Physical Disabilities (APD) waiver, but who will age out of the APD waiver, may apply for services to the Older Alaskans (OA) waiver.
While those individuals will not be affected by the CMS moratorium, the APD and OA waivers are separate programs and will not automatically shift from one program to another. The functional and financial eligibility for those two programs are the same and will not need to be redetermined during the transition year. However, effective immediately, one of two options must demonstrate that the planning team has discussed the transition between programs including the similarities and differences between programs as well as differentiate services to be provided.
Option #1: Transition plan year covered by a single level of care and one plan of care. The plan of care discusses the transition between programs including the similarities and differences between programs, the date of transition, and differentiates the services to be provided in each program. For example, the services are broken out separately for each waiver in the plan of care and on the cost sheet. The total duration of the transition plan year plan of care is no more than 12 months.
Option #2: Transition plan year covered by a single level of care and two plans of care. One plan of care describes the services to be provided under the APD waiver and ends the day before the recipient’s 65th birthday. The second plan of care describes the services to be provided under the OA waiver, begins on the recipient’s 65th birthday and ends so that the combination of the two transition plans does not exceed 12 months.
With either option, an amendment must be submitted if a change in the recipient’s condition warrants a change in service level mid-plan. At this time, the moratorium is still in effect for those individuals that are considered initial or new applications to the waiver programs.
Questions can be directed to Lynne Keilman-Cruz at 269-5606 or lynne.keilman-cruz@alaska.gov.
Please refer to our web site frequently for updates about the CMS review and related activities: http://hss.state.ak.us/dsds/cmsreview/Default.htm
Thank you.
07/31/2009
SDS E-Alert - Issues Analysis and Options Brief Released - Alaskans At-Risk of Out-of-State Placements due to Complex Behavior Management Needs – 7/31/09
In partnership with the State of Alaska Department of Health and Social Services (DHSS) and the Alaska Mental Health Trust Authority (The Trust), the Western Interstate Commission for Higher Education (WICHE) has completed an issue analysis and options brief to assist DHSS in developing and understanding the options available to meet the needs of persons who are now being placed out-of-state or are at risk for out-of-state placement due to complex behavior management needs. Their final report is attached.
07/31/2009
– Reminder: Provider and Family Suggestion Sessions
This is a reminder to providers and families affected by the waiver and PCA moratorium to join SDS, the Alaska Commission on Aging and the Governor’s Council on Disabilities and Special Education for Provider and Family Suggestion Sessions in Fairbanks, Anchorage and Kenai. We want your input as we work with the Centers for Medicare and Medicaid Services (CMS) on our plan to improve Alaska’s Medicaid Waiver and Personal Care Assistance services. All sessions will be held from 10:00am until noon.
Fairbanks – Tuesday, August 4 – Borough Assembly Chambers – 809 Pioneer Road
Anchorage – Wednesday, August 5 – Frontier Building, 3601 C St., 8th floor
Kenai – Thursday, August 6 – NOTE NEW SITE – Soldotna Sports Center - 538 Arena Drive, Room 1
All meetings will be teleconferenced. To reach the teleconference: 1-800-315-6338. Use pass code DSDS# (3737#)
If you cannot attend a session, attached is a form to submit written suggestions. Thank you.
07/30/2009
– UPDATE – Kenai Provider & Family Suggestion Session Now at Soldotna Sports Center
Senior and Disabilities Services announces a change in the site for the Thursday, August 6 Provider and Family Suggestion Session. Because the Kenai River Center does not have teleconference capacity, the session will be held at the Soldotna Sports Center, Room 1. The Sports Center is located at 538 Arena Drive in Soldotna. We apologize for any inconvenience.
SDS Provider and Family Suggestion Session
Thursday, August 6, 10:00am – 12:00
Soldotna Sports Center
538 Arena Drive, Soldotna AK
07/27/2009
– Critical Incident Reporting Training Schedule for August, September and October – 7/27/09
SDS requires all Medicaid waiver service providers receive training on Critical Incident Reporting and Critical Incident Improvement Plans. This training will be offered via “GoTo Meeting” throughout August, September and October, 2009.
SDS assures the federal Centers for Medicare and Medicaid (CMS) that recipients of Medicaid waiver services are safe and healthy in their homes and communities. Critical incident reporting by providers of waiver services is one important way of carrying out this mandate. In addition, the collection and aggregation of critical incident data by SDS allows the agency to track trends and identify gaps in services. Also, critical incident reporting offers the opportunity for greater communication between providers and SDS as well as a channel for technical assistance.
Providers may train their staff. Provider agencies may choose staff to attend the online training, and then may train additional staff at their own agency. All CIR/CIIP learning materials are available to participants upon request, after attending the online class, to use for this purpose.
Training schedule: All trainings will be held at 2 - 3:30pm
August:
Aug 14 (Friday)
Aug 19 (Wednesday)
Aug 28 (Friday)
Each Tuesday in September:
September 1
September 8
September 15
September 22
September 29
Each Tuesday in October:
October 6
October 13
October 20
October 27
About GoTo Meeting
GoTo Meeting is very easy to use. Attendees will receive an email with instructions detailing how to join the meeting online, and a link to the scheduled meeting. To hear and speak during the class, attendees will need to use a computer headset with a microphone, or call in on the telephone and participate much like a teleconference. Upon joining the meeting, everyone will be able to view the learning materials on their computer screen right at their desk.
All trainings will be from 2 until 3:30 pm. The first 5-10 minutes of each training will be used to get connected and make sure all attendees are online and can communicate with each other in the online training space.
How to register
If you are working with an agency, please communicate with your supervisor about your plan to register. All attendees may register by sending an email to Kara Thrasher-Livingston, SDS Training Specialist at: Kara.Thrasher-Livingston@alaska.gov.
Please state the day you would like to attend in the email. Each class can accommodate up to 25 attendees. You will receive a confirmation email inviting you to the GoTo Meeting. You may want to choose a second class that would work for you in case your first choice is full.
Thank you.
07/24/2009
SDS Releases Final Policies on Health and Safety Rate Exceptions and Short-Term Assistance and Referral (STAR)
Requests for Rate Exceptions to Protect Health, Safety or Welfare
Senior and Disabilities Services (SDS) will consider a request for an increase in cost per unit of service for providers of residential supported living and residential habilitation services to Home and Community Based Waiver Services recipients. To secure approval of such an increase, the provider must demonstrate that it is necessary to protect the health, safety, or welfare of the recipient. This policy clarifies the circumstances for which a provider may request increased reimbursement for services and provides a process for rate exception requests.
STAR Discretionary Funds Awards
Senior and Disabilities Services (SDS) administers the Short-Term Assistance and Referral (STAR) grant program. Provider agencies apply to SDS for grant funds to make STAR programs available within the areas they serve. The STAR grants include discretionary funds which are made available to qualified individuals with developmental disabilities (DD) to meet disability-related needs on a short-term basis when no other source is available to fund services. This policy clarifies the services for which discretionary funds are available, outlines responsibilities for management of STAR discretionary funds, and describes the eligibility requirements and the application process for discretionary funds awards. Attached is the revised STAR grant application form.
You may also view these policies at the SDS on-line Policy Manual. Thank you.
07/21/2009
– Clarification Regarding CCMC Transitions During the Moratoruim
Senior and Disabilities Services has received clarification from the Center for Medicaid and Medicare Services (CMS) regarding the transition of recipients aging out of the Children with Complex Medical Conditions (CCMC) waiver. Recipients that are currently receiving services via a CCMC waiver, but who will age out of the CCMC waiver may apply for services to the Adult with Physical Disabilities (APD) waiver or the Mental Retardation and Developmental Disabilities (MRDD) waiver. Those applications can be processed and those individuals will not be affected by the CMS moratorium. The recipient must still meet functional eligibility criteria for the waiver that they are applying for.
At this time, the moratorium is still in effect for those individuals that are considered initial or new applications to the CCMC waiver and for others in transition situations. Senior and Disabilities Services continues to seek clarification from CMS on other circumstances related to the moratorium, and updates will be provided as clarification is received.
Please refer to our web site frequently for updates about the CMS review and related activities: http://hss.state.ak.us/dsds/cmsreview/Default.htm
Thank you.
07/15/2009
SDS E-Alert - Rate Increase FAQ’s –
SDS is updating existing home and community based service waiver prior authorizations to adjust for the 1.5% rate increase that became effective for services provided on and after July 1, 2009. Those edits should be in-place by the end of this week. The following FAQ’s are provided to assist you transition to the new rates.
Does the previous 4% & 2% increase from 2008 remain? Yes,services that received the previous 4% increase in 2008 as well as those services that received an additional 2% are being carried forward into the new fiscal year as previously approved.
What services are included in the current 1.5% increase effective 7.1.09? All Home and Community Based Waiver services that were included in the 2008 regulatory rate change will have the new 1.5% increase applied.
Will my Assisted Living Home (RSL) still be able to receive the extra 2% that was authorized in 2008? Yes, but starting 7.1.09, the extra 2% authorization from last year will be added into your PA's with the new 1.5% increase. This will result in a total factor change of 3.53%.
Will the new 1.5% increase require PA's to be split as they were last year? Yes. Given the limitations of our current PA system, this is the fastest and most efficient way to enact rate changes.
Should our agency begin submitting cost sheets with waivers that include the PA/unit split? While it is not required, agencies wishing to show the split in order to clarify rate/unit division can do so. Keep in mind that service units are still bound by the application set forth in the POC and should not be arbitrarily "banked forward" to the new rate after 7.1.09. Agencies choosing not to declare the unit split on their submitted cost sheets will have the split accomplished for them as they are processed. We realize this may result in some fine tuning later as services are rendered.
How can I confirm my current service rate? While HCBW service rates are not yet completely updated in our database, you may soon begin confirming these using the following search tool http://www.partners.hss.state.ak.us/dsds/ds3/fx/pub/ProviderList.aspx . Any further questions not answered as a result of this search should be directed to the Office of Rate Review (ORR) 269-3469.
What if I’ve already billed for services after 7.1.09? If you have already been paid for a July 1, 2009 or later date of service and would like to take advantage of the 1.5 % rate increase, please do the following:
- Void claims for dates of service July 1, 2009 or later that have paid on PA's for the old rates.
- Contact ACS Provider Inquiry department 644-6800 if assistance is needed.
- Once voids have been processed by ACS, contact the appropriate SDS PA Staff listed above for the final rate adjustment.
What if the unit split is not accurate to how we will be providing the services? We understand that the needs of a recipient may require some adjustments (fine tuning) as services are planned/rendered. If you determine a particular recipient’s service units are inaccurately prorated, carefully review the approved frequency and duration within the Plan of Care first. If a problem still exists, notify SDS as described below.
To request a PA adjustment email or fax the following:
- Recipient identifiers
- Service name and code
- Accurate description of units/dates/needing adjustment, including rationale
- Contact information if clarification needed
Send edit request to:
- Recipient last name A through G = Sybil Blue, sybil.blue@alaska.gov
- Recipient last name H through N = Lori Renke, lori.renke@alaska.gov
- Recipient last name O through Z = Melissa Meade, melissa.meade@alaska.gov
- You may fax requests to 269-3688, attention the appropriate individual listed above.
Thank you.
07/15/2009
SDS E-Alert - Clarification RE: Accepting/Tracking Applicants during the Moratorium –
To ensure that SDS can track and refer applicants in need of services during the moratorium, SDS will accept completed new applications. However, except for tracking and reviewing for completeness, no action will be taken to process them during the moratorium.
Incomplete applications will be returned to the applicant. Applicants affected by the moratorium will be notified by mail. Those notices will begin this week. When an application is able to be processed, either upon clarification from CMS or a lifting of the moratorium, the applicant will be re-noticed with that information and the application processed. The care coordinator or PCA agency of record will be courtesy copied with those notices.
Please refer to our web site frequently for updates about the CMS review and related activities: http://www.hss.state.ak.us/dsds/cmsreview/Default.htm.
07/13/2009
SDS E-Alert – CMS Preliminary Report and SDS Response Available on DHSS Web SDS to Host Informational Teleconferences–
The Department of Health and Social Services has released the following press release along with the CMS Preliminary Report and the SDS response on the SDS website. For additional information, SDS will host two teleconferences on Tuesday, July 14th and Wednesday July 15th from 10:00 until 11:00 am. To reach the teleconferences: 1-800-315-6338. Use pass code DSDS# (3737#).
07/10/2009
The rate for Plan of Care – Code: T2024-U2 is $344.29 rather than the $344.35. Corrected cost sheets will be posted to the SDS web. Sorry for any confusion.
07/10/2009
Rate Adjustment for HCBS Rates
Starting July 10, 2009, SDS will begin updating existing home and community based service (HCBS) waiver prior authorizations (PAs) to adjust for the 1.5% rate increase that became effective for services provided on and after July 1, 2009. Those HCBS providers that received an increase in 2009 will receive this increase. This increase is currently authorized through June 30, 2010.
To make these changes as quickly as possible, we are prorating service units evenly over the approved plan-year. New PA’s will be issued for the period starting July 1, 2009 through the end of the plan-year to reflect the 1.5% rate increase.
We understand that the needs of a recipient may require some adjustment of this averaging of units over a plan year. If you determine a particular recipient’s service units are inaccurately prorated, carefully review the approved frequency and duration within the Plan of Care (POC). If a problem exists, SDS is to be notified by as described below.
To request a PA adjustment email or fax the following:
- Recipient identifiers
- Service name and code
- Accurate description of units/dates/needing adjustment, including rationale
- Contact information if clarification needed
Send edit request to:
- Recipient last name A through G = Sybil Blue, sybil.blue@alaska.gov
- Recipient last name H through N = Lori Renke, lori.renke@alaska.gov
- Recipient last name O through Z = Melissa Meade, melissa.meade@alaska.gov
You may fax requests to 269-3688, attention the appropriate individual listed above.
If you have already been paid for a July 1, 2009 or later date of service and would like to take advantage of the 1.5 % rate increase, please do the following:
Void claims for dates of service July 1, 2009 or later that have paid on PA's for the old rates. Contact ACS Provider Inquiry department 644-6800 if assistance is needed.
Once voids have been processed by ACS, contact the appropriate SDS PA Staff listed above for the final rate adjustment.
Please remember that 7 AAC 43.040 still applies, and that the new increased Medicaid rate cannot exceed charges to non-Medicaid residents.
Questions about this E-Alert should be directed to Andy Sandusky at andy.sandusky@alaska.gov or 269-3448.
07/08/2009
SDS E-Alert - Commissioner Outlines Strategy for Rate Setting Methodology -
The attached letter from Department of Health and Social Services Commissioner Bill Hogan outlines plans for developing a rate setting methodology for home and community-based services.
06/24/2009
– Recipient Rights Policy and Form –
The SDS policy Program Rights Information for Recipients includes a revised Program Recipient Rights form , both of which are available on the SDS website. SDS requests that those care coordinators not yet using the form begin so at their earliest convenience. SDS will accept the old form until October 1, 2009. Thank you.
06/23/2009
Exceptional Family Member Program Conference – 6/23/09
The 2009 EFMP Conference will be held in Fairbanks on July 23-25. See attached flyer and registration form.
06/19/2009
SDS Upgraded to Microsoft Office 2007 and Adobe 9.0
Microsoft Office 2007. SDS has recently upgraded to Microsoft Office 2007. Documents produced by Word in Office 2007 have a new file format identified by the *.docv extension. Computers using an earlier versions of Word (*.doc) will not support the *.docv file format and therefore cannot “read” documents produced by Office 2007.
If you are using Office 2000, Office 2003 or Office XP, SDS recommends installing the free Microsoft Compatibility Pack. You will then be able to open, edit, and save SDS and other documents using the new file format.
Adobe 9.0. SDS has received many messages from providers who are not able to use new forms posted to the SDS website because they are now in PDF format. We have converted these files to PDF format to comply with Department standards for public accessibility. These forms will be fully functional only if you are using the newest version of Adobe Reader, version 9.0. SDS recommends installation of the free upgrade to version 9.0. Thank you.
06/15/2009
Clarification on Required Training –
It is not necessary for every agency staff member to attend the SDS Critical Incident Reporting training. Each provider agency may choose staff to attend, then train its own staff as necessary. We apologize for any confusion.
06/15/2009
SDS E-Alert – Critical Incident Reporting Training –
SDS assures the federal Centers for Medicare and Medicaid (CMS) that recipients of Medicaid waiver services are safe and healthy in their homes and communities. Critical incident reporting by providers of waiver services is one important way of carrying out this mandate. In addition, the collection and aggregation of critical incident data by SDS allows the agency to track trends and identify gaps in services. Also, critical incident reporting offers the opportunity for greater communication between providers and SDS as well as a channel for technical assistance.
SDS is requiring that all Medicaid waiver service providers receive training on Critical Incident Reporting and Critical Incident Improvement Plans. This training will be offered via “GoTo Meeting” throughout June and July, 2009.
Training schedule: All trainings will be held 2-3:30 pm
June 25 (Thurs)
June 30 (Tue)
July 2 (Thurs)
July 7 (Tue)
July 9 (Thurs)
July 14 (Tue)
July 15 (Wed)
July 21 (Tue)
July 23 (Thurs)
July 28 (Tue)
July 30 (Thurs)
Additional trainings will be scheduled for August, September and beyond, until training needs are met.
About GoTo Meeting
GoTo Meeting is very easy to use. Attendees will receive an email with instructions detailing how to join the meeting online. Attendees can call in on the telephone and participate much like a teleconference, or use a computer headset with microphone if they have one. Upon joining the meeting, everyone will be able to view the learning materials on their computer screen right at their desk.
All trainings will be from 2-3:30 pm. The first 15 minutes of each training will be used to get connected and make sure all attendees are online and can communicate with each other in the online training space.
How to register
If you are working with an agency, please communicate with your supervisor about your plan to register. All attendees may register by sending an email to Kara Thrasher-Livingston, SDS Training Specialist at Kara.Thrasher-Livingston@alaska.gov. Please state the day you would like to attend in the email. Each class can accommodate up to 25 attendees. You will receive a confirmation email inviting you to the GoTo Meeting. You may want to choose a second class that would work for you in case your first choice is full.
Thank you.
06/15/2009
SDS E-Alert – The Alaska Network of Care Closing –
The Alaska Network of Care site will be closed on June 30, 2009. If you or your clients have saved personal medical information on the site, all of your stored information can be accessed at www.networkofcare.org. After the Alaska Network of Care site is closed, information stored in “My Folder” will not be saved.
In place of the Alaska Network of care, please access “Alaska 211”, a statewide information and referral resource for health and human services with an online database at www.alaska211.org . You can also dial 2-1-1 or call toll free 1-800-478-2221 between 8:30 a.m. and 5:00 p.m Monday through Friday to connect with a live Information and Referral Specialist.
If you would like to learn more about your options for long term support services you may also call the Aging and Disability Resource Center at 1-866-6AK-ADRC (1-866-625-2372).
For additional questions please email amanda.lofgren@alaska.gov.
06/10/2009
SDS Releases Draft Policies for Review and Comment – ICF/MR Placement – 6/10/09
Because the needs of people with developmental disabilities (DD) vary greatly, Medicaid funds a broad range of services, from home and community based services to placement in institutional settings. While the needs of most individuals can be met in the home and community, SDS recognizes that, at times, the level of support available in an Intermediate Care Facility for the Mentally Retarded (ICF/MR) makes this setting the best choice for services. When needs cannot be met in the home and community, SDS works to locate placements for Alaska residents in ICF/MR settings out-of-state. This policy defines the process and delineate responsibilities for obtaining services in out-of-state facilities for people with developmental disabilities.
SDS welcomes questions and comments regarding this draft policy. Please direct emails to DSDSwebsite@alaska.gov or use the link found on the SDS Policy and Program Planning section of the website. You may also call Angela Salerno, Policy & Program Planning Manager at 907.465.4874. We would appreciate comments reaching us by July 10, 2009. Thank you.
06/02/2009
SDS assures the federal government that recipients of Medicaid waiver services are given the opportunity to choose their service providers. Accordingly, SDS affirms the right of waiver applicants and recipients to choose a care coordinator and the right to change care coordinators at any time and for any reason.
The SDS policy on the appointment of care coordinators and the process of transferring care coordination duties between care coordinators was signed by the SDS Director and is now in effect. This policy sets out responsibilities when a care coordinator is appointed and the process to ensure that recipient services continue during the transfer of care coordinator responsibilities.
The policy is attached to this email and will also be posted in the SDS on-line Policy Manual.
If you have questions regarding the policy please contact Angela Salerno at 4654-4874/angela.salerno@alaska.gov or SDS Training Specialist Kara Thrasher- Livingston at 269-3685/kara.thrasher-livingston@alaska.gov . Thank you.
06/01/2009
OA/APD Fax Line Operational
For care coordinators that are submitting documentation for the Older Alaskan and Adults with Physical Disabilities waivers – the usual SDS fax line is now operational.
Please fax submissions for the OA/APD Waivers to either (907) 269-3688 or (907)269-3689.
06/01/2009
the Personal Information Protection Act and DPA Forms
SDS is currently implementing the Personal Information Protection Act that requires social security numbers be removed from all SDS forms. This directive is not intended to stop care coordinators from helping their clients complete paperwork required by the Division of Public Assistance (DPA) that does require social security numbers.
When assisting a client with DPA paperwork, care coordinators may ask for and record social security numbers, but they should create two files for each client served, one for copies of DPA documents and one for SDS care coordination business. The DPA file should not include any medical documentation unless it pertains directly to DPA eligibility such as copies of the MED1 – “Child's Medical History and Disability Report”, APA4 – “Vocational and Rehabilitation Report”, and the MED2 – “Medical Release of Information. “ Any other information related to actual medical documentation should be placed in the SDS care coordination file.
The assistance care coordinators provide with DPA paperwork is a crucial link to services for SDS clients. Thanks to all of you filling this important role that ensures initial and continued eligibility and access to services.
For questions about this SDS E-Alert please contact Jim Hughes at 907-269-3687 / james.hughes@alaska.gov or Terry Hamm at DPA - 907-269-3099 / terry.hamm@alaska.gov .
05/29/2009
OA/APD Fax Line Down
For care coordinators that are submitting documentation for the Older Alaskan and Adults with Physical Disabilities waivers – the usual SDS fax line is down.
Please fax submissions for the OA/APD Waivers to: (907) 269-3689 until further notice.
Sorry for any inconvenience.
05/28/2009
Implementation of the Personal Information Protection Act
Effective July 1, 2009, the Personal Information Protection Act as referenced in Alaska statute AS 45.48 takes effect. This new law provides strict guidelines concerning the collection and distribution of personal information maintained by the state and authorized agencies.
In compliance with this law SDS is removing social security numbers from waiver, PCA and other document forms. We have identified approximately 20 forms that will be updated within the next two to three weeks. These revised forms must be used as they become available on the SDS web site.
Agencies utilizing SDS forms should immediately discontinue disclosing applicant/recipient social security numbers. Until forms are revised, you may input “N/A” or “not required” in the place of social security numbers when submitting documents to SDS.
Please address any questions to Jim Hughes, the SDS Coordinator of this project at 269-3687 or james.hughes@alaska.gov .
05/19/2009
SDS E-Alert - Disaster Assistance Contact Information
SDS would like to thank everyone who has called requesting information about how they can help individuals who have been displaced and/or whose homes and belongings have been lost in the recent flooding in interior Alaska.
A disaster declaration for the flooded areas has been made and Homeland Security has assigned two people from the State Emergency Coordination Center (SECC) to coordinate relief efforts at Tanana Chiefs Conference (TCC) in Fairbanks.
To ensure that efforts are coordinated, that what is being shipped meets the current needs of the villages, and to avoid duplications all requests for food or supplies are routed through our local contacts from the SECC. The Villages have their appointed Point of Contact persons who are routing the village requests to the SECC, as well.
Please contact Bob Stewart (Homeland Security) at TCC, 452 -8251, extension 3568 to coordinate donations or requests to volunteer.
Thanks for your cooperation and all your help!
For more information:
05/19/2009
SDS E-Alert - FAQ Update Regarding Addendum to Authorize PCA IADLs or Chore Service Hours – 5/19/09
As a result of civil litigation brought by the Northern Justice Project (Quaiarte v. State of Alaska), Senior and Disabilities Services has changed how it determines whether an individual is eligible for IADL’s under the Personal Care Assistance (PCA) program and Chore services under the Home & Community-Based Waiver (HCBW) programs.
Attached is an FAQ update. These and additional FAQ updates will be available on the SDS web.
05/18/2009
SDS E-Alert - Complex Behavior Management – A Panel Discussion – 5/18/09
On Tuesday, June 2, 8:30am until noon, the State of Alaska-Department of Health and Social Services, the Alaska Mental Health Trust Authority and the Western Interstate Commission of Higher Education will present a panel discussion on Complex Behavior Management. The presentation will be held in Anchorage and by teleconference.
Registration Information:
To register to participate in this panel discussion, send an email to: serafine.bourne@alaska.gov with “meeting registration” in the subject line. The email must include your name, agency/organization, email address and whether you wish to participate in person in Anchorage or via teleconference. Meeting room or call in information will be forwarded upon confirmation of registration. Registration is free but subject to space availability. In-person meeting capacity is 55 persons. No registration will be available at the door.
Please contact Marcy Rein, Senior & Disabilities Services Chief of Programs at: marcy.rein@alaska.gov prior to the meeting if you register and find you cannot attend, or if you have any questions.
Complex Behavior Management
- Systems and policy issues in serving individuals experiencing disabilities
- Experiences, strategies and lessons learned
- Interventions, treatment, and placement options
- Funding mechanisms and options
Panel Members:
- Cathy Anderson, National Association of State Directors of Developmental Disabilities Services Alumni Association
- Gary Sappington, Oregon Technical Assistance Corporation
- Kim Jensen, Colorado Department of Human Services
Target Audience:
- Policy-Makers, Program Managers, Executive Directors, and Board Members of provider organizations, advocacy groups and state agencies.
Registration
05/05/2009
SDS E-Alert – Fifth Annual Kenai Peninsula Alzheimer’s Disease and Related Dementia Conference, May 26th & 27th in Soldotna
The Fifth Annual Alzheimer’s Disease and Related Dementia conference will take place on the Kenai Peninsula May 26th and 27th at the Soldotna Sport Center.
The conference features Dr. Peter Graf, director of the Memory and Cognition Laboratory at the University of British Columbia in Vancouver He will begin by presenting on human cognitive abilities, changes across the lifespan and the affect of disease on cognition. The balance of the workshop will be on assessing cognitive abilities and utilizing creative expression in activity programs for seniors with ADRD. A flyer and tentative schedule are attached.
This annual event is a collaborative effort between Frontier Community Services, Forget-Me-Not adult day center and the Senior Centers in Homer, Kenai, Nikiski, Sterling, Soldotna and Seward who pool their geriatric education funds from the Department of Health and Social Services, Division of Senior and Disabilities Service to bring leading experts in the field to the local area. The primary targets for this educational event are family care givers and direct care providers. Supervisors and care coordinators also profit by enhancing their knowledge of cutting edge techniques for care provision.
For more information or to register for this conference, contact Kathy Kenner at 262-6331 or kkenner@fcsonline.org
04/29/2009
SDS E-Alert – DHSS Swine Flu Update –
On April 28 the Alaska Department of Health and Social Services issued this update regarding swine flu in Alaska. In addition, the links below will take you to a flyer and “rack cards,” produced by the Division of Public Health, which you may find useful to help educate staff, clients and the public.
April 28 Media Update
Still no confirmed cases of swine flu in Alaska
- How many cases of swine flu have been reported in Alaska?
As of Tuesday, April 28, there are no confirmed cases of swine flu in Alaska.
- Is the state distributing its supply of antiviral medications to communities throughout Alaska?
Yes. The state of Alaska has about 80,000 courses of antiviral medications in a state stockpile at this time. The department had already sent around 10,000 of those courses to 22 acute-care hospitals throughout the state in preparation for a possible flu outbreak. These hospitals are located throughout the state, from the North Slope to Western Alaska to Southeast.
The department plans to begin shipping additional supplies of antiviral medications in the next day or two, with shipments arriving in Alaska communities within the week.
Finally, DHSS has ordered approximately 20,000 additional courses of antiviral medications to be shipped to Alaska from the Strategic National Stockpile. This supply should arrive in about a week.
- Who will be the first to get these antiviral medications?
DHSS will work with local governments throughout Alaska to dispense the antiviral medications. The medications will be used primarily for Alaskans who are sick with flu-like symptoms. The medications may also be used to prevent flu in exposed essential personnel. Tamiflu and Relenza are available only with a prescription; they are not sold over-the-counter.
- If I have not received a flu shot during this flu season, should I get a flu shot now?
There is no evidence that this year’s flu shot offers any protection against swine flu.
- What can I do to prevent getting swine flu, should it be detected in Alaska?
Health officials recommend following the same advice given for preventing seasonal influenza:
- Wash your hands often with soap and water. Use hand sanitizer when soap and water are not available.
- Cover your mouth when you cough or sneeze. Cough or sneeze into a tissue or inside your elbow. Then wash your hands or use hand sanitizer.
- Stay home if you are sick. If you have flu symptoms such as fever, body aches and cough, stay home from work or school and avoid public activities for at least five days (seven for children) to prevent spreading the disease to others.
- I have a trip planned to Mexico. Should I go ahead with that trip at this time?
Federal officials are recommending that people do not travel to Mexico at this time unless absolutely necessary. Alaska DHSS health officials support that travel warning.
- Where can I find more information about swine flu and Alaska’s response to the public health emergency?
DHSS will update its Web site http://www.pandemicflu.alaska.gov/ with state, national and international information about swine flu. This Web site is an ongoing Web site about preparing for pandemic influenza; it is NOT meant to be an announcement that the swine flu cases reported in multiple countries have risen to the level of being called a pandemic.
04/22/2009
Care Coordinator Training and Final Exam -
To be eligible to serve recipients of home and community-based Medicaid waiver services, Care Coordinators must be certified by SDS every 24 months. Certification requires that Care Coordinators do one of the following: attend a complete in-person SDS Care Coordination training, or take the online SDS Care Coordination training, and pass the online exam at 80% or better.
Care Coordinators who wish to take the online Care Coordination training final exam need to use the exam located at http://www.hss.state.ak.us/dsds/carecoordinationtraining/segmentZ.htm
In-person Care Coordination training schedule is located at http://hss.state.ak.us/dsds/carecoordinationtraining/ccTraining.htm
Online Care Coordination training is located at http://www.hss.state.ak.us/dsds/onlinetrainingmain.htm
04/21/2009
SDS E-Alert – 4/21/09
UAA Children’s Residential Services (CRS) Certificate Program to Offer Class for People Who Work with Children or Youth with Challenging Behaviors
The Center for Human Development at the University of Alaska Anchorage is offering “Teaching Social Skills,” as part of the UAA CRS Certificate Program designed for people who work with children, usually in some form of out of home care. Teaching Social Skills will be offered May — July, 2009 and includes on-line sessions and a practicum you can do at work. A course flyer is attached, or go to http://www.crscert.com/ for more information.
04/09/2009
SDS E-Alert - UPDATE for Assisted Living Homes (RSLA Providers): Additional 2 Percent Increase for All Assisted Living Homes
TIME IS RUNNING OUT!
In the FY 2009 State budget (which covers July 1, 2008 through June 30, 2009), the Alaska Legislature and Governor Palin approved an additional 2 percent increase, for one year only, for Assisted Living Homes providing RSLA service. The 2 percent is on top of the 4 percent increase built into the base rates. Below is an explanation of how this 2 percent increase will be accessible to providers of this service.
For procedure code T2031, Residential Supported Living/Assisted Living Homes, and for services paid between July 1, 2008 and June 30, 2009, an additional 2 percent of the authorized amount will be issued as follows:
For Claims Already Paid Since July 1, 2008
- To receive the additional 2%, providers must increase their billed charges by submitting an adjustment on the paid claim. The State cannot reimburse a provider of residential supported living services an amount that is greater than billed charges.
- Example: Billed Charges = $100.00; payment = $100.00. Submit an adjustment to increase billed charges to at least $102.00 (2% X authorized daily rate of $100.00)
Adjustments to increase billed charges need to be submitted immediately. Only those claims and adjustments processed no later than June 30, 2009 are eligible for this additional 2% payment.
New Claims: Billed Charges Must Include the Additional 2%
- New claims processed will have the additional 2% included in the original claim payment when the billed charges exceed the prior authorized amount by at least 2%. You will not be receiving a separate authorization for the additional 2%.
- The State cannot reimburse a provider of residential supported living services an amount that is greater than billed charges.
Please remember that 7 AAC 43.040 still applies and that the Medicaid adjusted rate cannot exceed charges to non-Medicaid residents.
No billings paid after June 30, 2009 will include this extra 2 percent. You must act now or risk missing this time-limited additional payment.
Questions regarding the process of making payments for this one time funding may be directed to the following staff at ACS:
Electronic adjustment questions: Rakia at 644-6800
Other questions: Christina Sprague 644-6800
04/08/2009
SDS Releases Draft Policies for Review and Comment – Health and Safety Rate Exception –
Senior and Disabilities Services (SDS) considers requests for increased rates for residential supported living and residential habilitation services to Home and Community Based Services waiver recipients when the provider demonstrates that the higher rate is necessary to protect the health, safety, or welfare of the recipient. The draft policy is attached.
SDS welcomes questions and comments regarding this draft policy. Please direct emails to DSDSwebsite@alaska.gov or use the link found on the SDS Policy and Program Planning section of the website. You may also call Angela Salerno, Policy & Program Planning Manager at 907.465.4874. We would appreciate comments reaching us by May 8, 2009. Thank you.
04/06/2009
SDS E-Alert - Update – Additional FAQs Regarding Addendum to Authorize PCA IADLs or Chore Service Hours –
As a result of civil litigation brought by the Northern Justice Project (Quaiarte v. State of Alaska), Senior and Disabilities Services is changing how it determines whether an individual is eligible for IADL’s under the Personal Care Assistance (PCA) program and Chore services under the Home & Community-Based Waiver (HCBW) programs.
Attached are additional FAQs regarding individuals receiving waiver services. These and additional FAQ updates will be available on the SDS web.
04/02/2009
SDS E-Alert – Critical Incident Reporting Policy Update
On January 30, 2009, Director Rebecca Hilgendorf signed the SDS Critical Incident Reporting Policy (CIR). While the policy is official, SDS is extending the planned April 1 roll-out and implementation. SDS will develop and provide internal and external training and will pilot the CIR policy and reporting form at the provider agencies represented in the SDS critical incident workgroup. The timeline for work is as follows:
- April 15 – SDS develops critical incident reporting training
- May 1 - SDS identifies an SDS critical incident coordinator and trains SDS QA staff
- May 15 - SDS managers and key staff trained
- June 1 – pilot sites trained
- July 1 – pilot begins
If your agency has begun using the new reporting form, please continue - SDS would appreciate any feedback or suggestions. Thank you.
04/01/09
April is Autism Awareness Month – 4/1/09
Attached is a message from Jay Butler, Chief Medical Officer for the Department of Health and Social Services, urging parents to take note of the early signs of autism. DHSS has also created an autism website for more information regarding autism and available resources for treatment.
Message From Dr. Jay C. Butler
03/31/09
SDS E-Alert - Update - Information Regarding Addendum to Authorize PCA IADLs or Chore Service Hours
As a result of civil litigation brought by the Northern Justice Project (Quaiarte v. State of Alaska), Senior and Disabilities Services is changing how it determines whether an individual is eligible for IADL’s under the Personal Care Assistance (PCA) program and Chore services under the Home & Community-Based Waiver (HCBW) programs. Please see the attached documents for important information about how this may impact recipients associated with your agency and what follow up action can be taken. Copies of these documents are available at the SDS web site in addition to an FAQ page that continues to be updated as needed.
Use this link for IADL Shared Living Explanation
Changes in the approval of Chore under 7 AAC 43.1042
03/31/09
Funds Still Available for Mini-Grants for Individuals With Alzheimer’s Disease and Related Dementia (ADRD)
The Alaska Mental Health Trust Authority funds a Mini-Grant Program to provide people with ADRD with up to $2,500 for items that directly improve quality of life and/or increase independent functioning. Items can include dental care, vision or hearing services, medical supplies, accessibility improvements, and adaptive equipment. The Alzheimer’s Disease Resource Agency of Alaska administers the ADRD Mini-Grant Program - please use their application attached.
Use this link for Mini Grant Application
Use this link forManagement Letter
03/26/09
Additional Information Regarding Addendum to Authorize IADL and Chore Service Hours
Attached you will find questions and answers regarding the recent offer to authorize IADL or Chore services for recipients who have been denied these services due to the shared living regulation. This information will also be posted to the SDS website, so please check there for more information.
Questions and answers will be updated frequently as they are submitted. Thank you.
03/24/09
SDS Releases RFPs for the Delivery STAR Services
DSDS is soliciting proposals from eligible applicants to provide services to individuals with developmental disabilities under the Short-Term Assistance and Referral (STAR) grant program.
STAR grants include discretionary funds which are made available to qualified individuals to meet disability-related needs on a short-term basis when no other source is available to fund services. STAR projects also oversee the distribution of Alaska Mental Health Trust Authority funded Mini-grants.
All eligible applicants are encouraged to apply. Details and complete Requests for Proposals can be found through the On-Line Public Notice Website:
http://notes4.state.ak.us/pn/pubnotic.nsf/PNByDeptActive?
OpenView&Start=1&Count=30&Expand=9.2#9.2
03/23/09
Mt. Redoubt has Erupted – Please Check In with Elderly or Disabled Individuals – 3/23/09
As of 11 a.m. Monday, the Alaska Volcano Observatory reports ash from the eruptions of Mt. Redoubt is done falling. Areas currently affected are the northern Susitna Valley, including Willow, Talkeetna and Cantwell, and the Kuskokwim Valley, including McGrath and Aniak.
To learn more about the current eruption visit the Alaska Volcano Observatory website.
Please review your communities’ Emergency Preparedness and Disaster Plan and check-in with elderly or disabled individuals who may need assistance in case of a volcanic eruption.
While volcanoes are located in other areas, ash may be carried some distance away during an explosive eruption. Heavy ash fall may reduce sunlight, causing a sudden demand on electrical power and possible brownouts. Ash can clog watercourses, sewage plants, and various machinery. A one-inch layer of ash weighs ten pounds per square foot. Fine ash is extremely slippery, hampering both driving and walking. Ash can also damage the lungs of small infants, the elderly and infirm, or those already suffering from respiratory illnesses. Other helpful websites include: the State of Alaska volcano preparedness and MOA Department of Health & Human Services, Air Quality; Volcano Information.
Assemble a Disaster Supplies Kit Disaster Supply Kits should include basic items listed on our website and Volcanic eruption-specific supplies should include the following:
- Goggles;
- N95 breathing masks for each member of the household
How to Protect Yourself During Ash fall
Volcanic ash is actually fine, glassy fragments and particles that can cause severe injury to breathing passages, eyes, open wounds, and irritation to skin.
- Wear long-sleeved shirts and long pants.
- Use goggles to protect your eyes.
- Wear eyeglasses instead of contact lenses.
- Use a dust mask or hold a damp cloth over your face to assist in breathing.
- Keep vehicle engines off.
How to Protect Your Pets from Ash fall
- Keep pets indoors as much as possible.
- If pets go out, brush or vacuum them before letting them back inside; Do not let pets track ash inside the house.
- Do not let them get wet, or try to wash the ash off of them.
- Keep extra pet food available that is clean and dry.
What to Do After a Volcanic Eruption
- Help a neighbor who may require special assistance - infants, elderly people, and people with disabilities. The elderly disabled may require additional assistance. People who care for them or who have large families may need additional assistance in emergency situations.
- If possible, stay away from volcanic ash fall areas. The fine, glassy particles of volcanic ash can increase the health risk to children and people with existing respiratory conditions such as asthma, chronic bronchitis, or emphysema. Stay indoors, wear face masks designed to protect against lung damage from small particles, use eyeglasses instead of contacts, and protective goggles to protect eyes.
- When outside, protect yourself from the fine, glassy particles of volcanic ash.
- Cover your mouth and nose.
- Wear goggles to protect your eyes.
- Wear eyeglasses instead of contact lenses.
- Keep skin covered to avoid irritation from contact with ash.
- Sweep roofs of ash. Do not wash off. Ash fall is very heavy and can cause buildings to collapse, especially if it is wet. Exercise great caution when working on a roof.
- If you have a respiratory ailment, avoid contact with any amount of ash. Stay indoors until local health officials advise it is safe to go outside. Volcanic ash can cause great damage to breathing passages and the respiratory system.
Volcano Links
Current Activity for all Alaska Volcanoes
Alaska Volcano Observatory
Volcano Air Quality Information
Anchorage Department of Health & Human Services
“VOLCANIC ASH…What It Can Do and How to Prevent Damage”
U.S. Department of Interior
“What To Do if a Volcano Erupts”
U.S. Geological Survey
“Ash Alert!” - brochure pdf
Alaska Division of Emergency Services
The following documents can be downloaded by clicking on the title. These require Adobe Acrobat for proper viewing.
Protecting Children from Ash Related Health Hazards
Removing Volcanic Ash from the Home
Driving and Vehicle Maintenance
03/20/2009
SDS Releases Draft Policies for Review and Comment – STAR and DD Mini-Grant – 3/20/09
STAR. Senior and Disabilities Services (SDS) administers the Short-Term Assistance and Referral (STAR) grant program. Provider agencies apply to SDS for grant funds to make STAR programs available within the areas they serve. The STAR grants include discretionary funds which are made available to qualified individuals with developmental disabilities (DD) to meet disability-related needs on a short-term basis when no other source is available to fund services.
DD Mini-Grants. SDS administers the Mini-Grant for Beneficiaries With Disabilities program which is funded by the Alaska Mental Health Trust Authority (AMHTA). These grant funds are distributed to STAR provider agencies which manage the process of issuing mini-grants for equipment and services essential to improving quality of life and increasing independent functioning of individuals with developmental disabilities.
SDS welcomes questions and comments regarding these draft policies. Please direct emails to DSDSwebsite@alaska.gov or use the link found on the SDS Policy and Program Planning section of the website. You may also call Angela Salerno, Policy & Program Planning Manager at 907.465.4874. We would appreciate comments reaching us by April 20, 2009. Thank you.
03/20/2009
SDS Senior Information Office Presents Medicare 101
The SDS Senior Information Office will offer three sessions of “Medicare 101” in Juneau. On Monday, March 23rd an afternoon session will be held from 1:00 until 2:00pm at the Juneau Senior Center, 895 W. 12th St, and an evening session, 5:30 until 7:00pm, will be held at the Centennial Hall Egan Room. On Tuesday March 24th, an evening session will be held from 6:00 until 7:30 at Bartlett Regional Hospital in the Robert Valliant Classroom. These presentations will offer answers to a variety of Medicare questions important to seniors, people with disabilities and those caring for aging parents.
03/17/2009
SDS Releases RFPs for the Delivery of Home & Community Based Services – 3/17/09
DSDS is soliciting proposals from eligible applicants to provide home and community based services through the following grant programs:
Community Developmental Disabilities Grant Program
Adult Day Grant Program
National Family Caregiver Support Program
All eligible applicants are encouraged to apply. Details and complete Requests for Proposals can be found through the On-Line Public Notice Website:
Use this link to see public notices
03/13/2009
Attention Care Coordinators - Change in Processing of Waivers – 3/12/09
Effective immediately, SDS will begin mailing care coordination agencies a copy of a completed waiver Plan of Care (POC) and cost sheet that will serve as notification that the waiver is approved and PA’s have been requested. The OA/APD Waiver Long Term Care Unit will no longer send an e-mail to care coordinators notifying them that a plan of care or amendment has been reviewed and approved. The MRDD/CCMC Waiver Long Term Care Unit will no longer email copies of cost sheets to care coordinators or providers.
For those care coordination agencies that would prefer to receive POC copies via email, a process to accommodate those requests will be available in the near future. A separate e-alert will contain those details when available. If you have questions about this process, please contact Odette Jamieson at (907) 269-3656 for OA/APD waivers, Lynne Keilman-Cruz at (907) 269-5606 for MRDD/CCMC waivers, or Andy Sandusky at (907) 269-3448 for prior authorizations.
03/12/2009
SDS Releases Draft Policy for Review and Comment – Care Coordinator Appointment and Transfer – 3/12/09
Individuals who receive services through the four Medicaid waiver programs administered by SDS have the right to choose a care coordinator to assist them develop a plan of care and, the right to change care coordinators at any time and for any reason. This policy outlines the responsibilities and the process for providing notice of the appointment or change of a care coordinator.
SDS welcomes questions and comments regarding this draft policy. Please direct emails to DSDSwebsite@alaska.gov or use the link found on the SDS Policy and Program Planning section of the website. You may also call Angela Salerno, Policy & Program Planning Manager at 907.465.4874. We would appreciate comments reaching us by April 10, 2009. Thank you.
03/03/2009
State Email Experiencing Problems
SDS staff may be experiencing problems sending and receiving emails in a timely fashion. If you have urgent business with SDS and know who to call, please do. If you are not sure who to speak to, please call 465-4874 and someone will help you connect. Thanks.
2/4/2009
Please review your communities’ Emergency Preparedness and Disaster Plan and have a plan in place to check-in with elderly or disabled individuals who may need assistance in case of a volcanic eruption.
Volcanic Ash Information
More than 50 Alaskan volcanoes have been active since 1700, and a few have erupted dozens of times during this time period. The Alaska Peninsula, Kodiak Island, Kenai Peninsula, and Cook Inlet areas are the most likely areas in the state to experience ash fall from a volcanic eruption.
To learn more about Alaska volcanoes visit the Alaska Volcano Observatory website.
Plan for a Volcanic eruption:
Develop a Family Disaster Plan and include specific preparedness procedures for volcanoes. While volcanoes are located in other areas, ash may be carried some distance away during an explosive eruption. Heavy ash fall may reduce sunlight, causing a sudden demand on electrical power and possible brownouts. Ash can clog watercourses, sewage plants, and various machinery. A one-inch layer of ash weighs ten pounds per square foot. Fine ash is extremely slippery, hampering both driving and walking. Ash can also damage the lungs of small infants, the elderly and infirm, or those already suffering from respiratory illnesses. Other helpful websites include: the State of Alaska volcano preparedness and MOA Department of Health & Human Services, Air Quality; Volcano Information.
Assemble a Disaster Supplies Kit Disaster Supply Kits should include basic items listed on our website and Volcanic eruption-specific supplies should include the following:
- Goggles;
- N95 breathing masks for each member of the household
How to Protect Yourself During Ash fall
Volcanic ash is actually fine, glassy fragments and particles that can cause severe injury to breathing passages, eyes, open wounds, and irritation to skin.
- Wear long-sleeved shirts and long pants.
- Use goggles to protect your eyes.
- Wear eyeglasses instead of contact lenses.
- Use a dust mask or hold a damp cloth over your face to assist in breathing.
- Keep vehicle engines off.
How to Protect Your Pets from Ash fall
- Keep pets indoors as much as possible.
- If pets go out, brush or vacuum them before letting them back inside; Do not let pets track ash inside the house.
- Do not let them get wet, or try to wash the ash off of them.
- Keep extra pet food available that is clean and dry.
What to Do After a Volcanic Eruption
- Help a neighbor who may require special assistance - infants, elderly people, and people with disabilities. The elderly disabled may require additional assistance. People who care for them or who have large families may need additional assistance in emergency situations.
- If possible, stay away from volcanic ash fall areas. The fine, glassy particles of volcanic ash can increase the health risk to children and people with existing respiratory conditions such as asthma, chronic bronchitis, or emphysema. Stay indoors, wear face masks designed to protect against lung damage from small particles, use eyeglasses instead of contacts, and protective goggles to protect eyes.
- When outside, protect yourself from the fine, glassy particles of volcanic ash.
- Cover your mouth and nose.
- Wear goggles to protect your eyes.
- Wear eyeglasses instead of contact lenses.
- Keep skin covered to avoid irritation from contact with ash.
- Sweep roofs of ash. Do not wash off. Ash fall is very heavy and can cause buildings to collapse, especially if it is wet. Exercise great caution when working on a roof.
- If you have a respiratory ailment, avoid contact with any amount of ash. Stay indoors until local health officials advise it is safe to go outside. Volcanic ash can cause great damage to breathing passages and the respiratory system.
Volcano Links
Current Activity for all Alaska Volcanoes
Alaska Volcano Observatory
Volcano Air Quality Information
Anchorage Department of Health & Human Services
“VOLCANIC ASH…What It Can Do and How to Prevent Damage”
U.S. Department of Interior
“What To Do if a Volcano Erupts”
U.S. Geological Survey
“Ash Alert!” - brochure pdf
Alaska Division of Emergency Services
The following documents can be downloaded by clicking on the title. These require Adobe Acrobat for proper viewing.
Protecting Children from Ash Related Health Hazards
Removing Volcanic Ash from the Home
Driving and Vehicle Maintenance
1/29/2009
SDS PCA Faxes Still Experiencing Delays
The SDS PCA fax machines are operable but still experiencing delays in sending and receiving. If your fax does not immediately connect, please retry until you are successful. Sorry for the inconvenience. Thank you.
1/29/2009
SDS PCA Faxes Temporarily Down
The Anchorage office PCA faxes are experiencing trouble sending and receiving. We apologize for the inconvenience and ask for your patience while we get the problem fixed. Thanks.
01/28/2009
SDS Releases Draft Policy for Review and Comment – Core Services
The Core program was developed to meet limited disability-related needs on a short-term basis. Because of the restrictions on the types of services available through Core, and the large amount of unexpended funds, SDS has determined that recipient needs can be better met through other programs which offer a broader range of services plans. SDS plans to phase out the Core Services program for all but the current recipients who wish to remain in the program.
All recipients receiving Core Services funding may continue in the program, provided eligibility is maintained and funds are available and used appropriately. Alternatively, recipients may choose to transfer current Core Services funding to the Community Development Disabilities Grants (CDDG) program to gain access to more services.
SDS welcomes questions and comments regarding this draft policy. Please direct emails to DSDSwebsite@alaska.gov or call Angela Salerno, Policy & Program Planning Manager at 907.465.4874. We would appreciate comments reaching us by February 27, 2009. Thank you.
01/26/2009
Attention Providers for CCMC/MRDD Waivers
Effective immediately, all MRDD &CCMC prior authorization functions have been relocated to the Anchorage SDS Office. Providers should not notice a change in PA acquisitions. However, the SDS staff contact name & number to inquire about PA issues/problems are now divided by recipient last name as follows:
- For OA, APD, CCMC, MRDD waivers Alpha A through K = Sybil Blue, 269-3651 (sybil.blue@alaska.gov)
- For OA, APD, CCMC, MRDD waivers Alpha L through Z = Melissa Meade, 269-3698 (melissa.meade@alaska.gov)
Issues/concerns that need the attention of the program manager can be addressed to: andy.sandusky@alaska.gov
01/05/2009
2008 SDS Developmental Disabilities Waitlist Report Now Available
SDS is pleased to announce that the 2008 Developmental Disabilities Waiting List Report has been completed as required by Alaska Statute. The report is attached for your review and will be available at the SDS web site.
If you have questions or need further information please contact Marcy Rein at Marcy.Rein@alaska.gov or call 269-3610.
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