to receive services through an alternate service delivery method, including how the State assures continuity of services and participant health and welfare during the transition from participant direction: If a participant chooses to terminate the Family Provider Service Option the case manager will assist the participant in accessing their Personal Care Services through the traditional agency model. All efforts will be made to transition the person without any gap in service. Involuntary Termination of Participant Direction. Specify the circumstances when the State will involuntarily terminate the use of participant direction and require the participant to receive provider-managed services instead, including how continuity of services and participant health and welfare is assured during the transition If the use of the Family Provider Service Option or self-direction is involuntarily terminated for a participant, the care coordinator will assist the participant in accessing their Personal Care Services through the traditional agency model. All efforts will be made to transition the person without any gap in service. When this option is involuntarily terminated, due process is issued to allow the participant to access a fair hearing regarding the decision to terminate this service delivery option. Goals for Participant Direction. In the following table, provide the State’s goals for each year that the demonstration is in effect for the unduplicated number of demonstration participants who are expected to elect each applicable participant direction opportunity. Annually, the State will report to CMS the number of participants who elect to direct their demonstration services. Demonstration Year /Number Number of Participants Year 1 0 Year 2 : 1 1 Year 3 : 2 2 Year 4 : 2 2 Year 5 : 2 2 Participant Employer a. Participant – Employer Authority (Complete when the demonstration offers the employer authority opportunity as indicated in Item E-1-b) 71 Participant Employer Status. Specify the participant’s employer status under the demonstration. Check each that applies Participant/Co-Employer. The participant (or the participant’s representative) functions as the co-employer (managing employer) of workers who provide demonstration services. An agency is the common law
to receive services through an alternate service delivery method, including how the State assures continuity of services and participant health and welfare during the transition from participant direction: If a participant chooses to terminate the Family Provider Service Option the case manager will assist the participant in accessing their Personal Care Services through the traditional agency model. All efforts will be made to transition the person without any gap in service. Involuntary Termination of Participant Direction. Specify the circumstances when the State will involuntarily terminate the use of participant direction and require the participant to receive provider-managed services instead, including how continuity of services and participant health and welfare is assured during the transition If the use of the Family Provider Service Option or self-direction is involuntarily terminated for a participant, the care coordinator will assist the participant in accessing their Personal Care Services through the traditional agency model. All efforts will be made to transition the person without any gap in service. When this option is involuntarily terminated, due process is issued to allow the participant to access a fair hearing regarding the decision to terminate this service delivery option. Goals for Participant Direction. In the following table, provide the State’s goals for each year that the demonstration is in effect for the unduplicated number of demonstration participants who are expected to elect each applicable participant direction opportunity. Annually, the State will report to CMS the number of participants who elect to direct their demonstration services. Demonstration Year /Number Number of Participants Year 1 0 Year 2 : 1 1 Year 3 : 2 2 Year 4 : 2 2 Year 5 : 2 2 Participant Employer a. Participant – Employer Authority (Complete when the demonstration offers the employer authority opportunity as indicated in Item E-1-b) 71 Participant Employer Status. Specify the participant’s employer status under the demonstration. Check each that applies Participant/Co-Employer. The participant (or the participant’s representative) functions as the co-employer (managing employer) of workers who provide demonstration services. An agency is the common law