Medicaid Case Modify consent form to identify Improved December 31, 2014 case staffing every monthly with: a) Tribal Affiliation for case communication and ADS; b) APS/Muckleshoot Tribal Police; Management Improve management clients. coordination between Hilary CMP c) Interdisciplinary meetings. communication Assign all Muckleshoot CMP ADS, HCS and Tribal Deputy Director between ADS, clients to one ADS Case Manager. re all Muckleshoot 1st Quarter Caseload HCS and ADS Case Manager will receive client cases. CMP Core Cases - 9 Hiroko Muckleshoot referrals for all discretionary Coordinated joint case Supervisor Discretionary Cases - 32 Tribal staff re clients 60 yrs old and older from staffing with ADS & New Referrals - 19 case transfers, Tribal staff. HCS RE: tribal Keith Rapacz, Case Initial Assessments - 3 and CARE Plan ADS Case Manager will members and non tribal Manager Care Transitions - 0 development. encourage Tribal to refer all community member Referrals to CDSMP - 0 Assign one ADS clients under 60 years old directly clients bi-monthly or Interim, Division Family Meetings - 6 Case Manager to HCS, assist clients with the whenever APS or Director Muckleshoot for all benefits application process, and cases are Human Services Muckleshoot notify ADS Case Manager once involved. Special events for tribal elders CMP clients for application is sent to HCS. Tribal staff will help Wendy Burdette, May 2013 Elders Luncheon – continuity. ADS Case Manager will contact ADS Case Manager Program Manager honored 800 elders Increase focus Tribal staff to coordinate home establish rapport with Muckleshoot Senior May 2013 Cedar Weaving – on non-tribal visits with a tribal representative CMP clients so that Services Community Event members on the for all initial home visits and as Case Manager will be Traditional meals are served every reservation and preferred by CMP clients and/or able to provide services Friday. in the staff. for CMP clients if Tribal Year-to-total served 52. – community. Tribal staff will coordinate client staff is not required for Follow all releases. each home visit. persons referred Tribal and ADS Case Increased referrals and by ADS to HCS Manager will conduct monthly joint coordination of LTC to confirm that case staffings. services for Tribal and they are set up non-Tribal community on services members. based on eligibility. ADS will encourage Tribal staff to communicate directly w/ HCS/ADSA re: offering New Freedom Program to CMP
Medicaid Case Management Improve communication between ADS, HCS and Muckleshoot Tribal staff re case transfers, and CARE Plan development. Assign one ADS Case Manager for all Muckleshoot CMP clients for continuity. Increase focus on non-tribal members on the reservation and in the community. Follow all persons referred by ADS to HCS to confirm that they are set up on services based on eligibility. ADS will encourage Tribal staff to communicate directly w/ HCS/ADSA re: offering New Freedom Program to CMP Modify consent form to identify Tribal Affiliation for case management clients. Assign all Muckleshoot CMP clients to one ADS Case Manager. ADS Case Manager will receive referrals for all discretionary clients 60 yrs old and older from Tribal staff. ADS Case Manager will encourage Tribal to refer all clients under 60 years old directly to HCS, assist clients with the benefits application process, and notify ADS Case Manager once application is sent to HCS. ADS Case Manager will contact Tribal staff to coordinate home visits with a tribal representative for all initial home visits and as preferred by CMP clients and/or staff. Tribal staff will coordinate client releases. Tribal and ADS Case Manager will conduct monthly joint case staffings. Improved communication and coordination between ADS, HCS and Tribal re all Muckleshoot client cases. Coordinated joint case staffing with ADS & HCS RE: tribal members and non tribal community member clients bi-monthly or whenever APS or cases are involved. Tribal staff will help ADS Case Manager establish rapport with CMP clients so that Case Manager will be able to provide services for CMP clients if Tribal staff is not required for each home visit. Increased referrals and coordination of LTC services for Tribal and non-Tribal community members. December 31, 2014 Hilary CMP Deputy Director Hiroko CMP Supervisor Keith Rapacz, Case Manager Interim, Division Director Muckleshoot Human Services Wendy Burdette, Program Manager Muckleshoot Senior Services case staffing every monthly with: a) ADS; b) APS/Muckleshoot Tribal Police; c) Interdisciplinary meetings. 1st Quarter Caseload Core Cases - 9 Discretionary Cases - 32 New Referrals - 19 Initial Assessments - 3 Care Transitions - 0 Referrals to CDSMP - 0 Family Meetings - 6 Special events for tribal elders May 2013 – Elders Luncheon honored 800 elders May 2013 – Cedar Weaving Community Event Traditional meals are served every Friday. Year-to-total served – 52.
ALTSA%207%2001%20Plans%202015%20final%20draft%205-18-15.docx