DESCRIPTION OF SERVICE COORDINATION:

             Service Coordination Services (a.k.a. Case Management) are designed, on an Individualized basis, to assist our consumers with accessing supports within their communities in order to afford a greater sense of Integration and Independence.  The purpose of Service Coordination Activities is to assure that each consumer has the opportunity to actively participate in planning their daily activities, choosing their service providers and affecting their futures.  Based on the needs and desires of the consumer, the Service Coordinator will assist the individual in locating and securing a variety of services, including educational, vocational, residential, financial, medical, and clinical supports, as well as social and recreational opportunities. 

            Medicaid Service Coordination (MSC) is the result of the consolidation of HCBS Waiver Service Coordination and Comprehensive Medicaid Case Management systems.  MSC took effect on March 1st, 2000. 

          Eligibility for the MSC program includes;

Documented Developmental Disability prior to age 22

Eligible for Medicaid

Individual Does Not Live in ICF, Skilled Nursing Facility, Acute    Care Hospital, or Psychiatric Center                                                                      

MSC Application Approval by Taconic DDSO

          Medicaid Service Coordination (MSC) Activities include the following;

-          Assisting with Medicaid Application and Eligibility

-          Providing Information on Available Supports and Services

-          Accessing, Linking and Referring Individual to Desired Services

-          Monitoring Status in Various Services

-         Intervening on Behalf of Consumer and Assisting in Conflict

Resolution

-          Developing an Individualized Service Plan

-          Reviewing Plan and Making any Necessary Changes

-          Monitoring Individual’s Satisfaction with Services

-          Coordinating/Attending any Necessary Meetings

-          Advocating on Behalf of Individual

-          At Least 1 Face to Face Contact with Individual per Month

-          Complete Service Coordination Agreement with Individual/Family

-          Complete Service Coordination Activity Plan and Update as   

Needed

-          Complete SCOR Report for Individuals Residing in Agency

-          Sponsored, Certified Residences

-         Complete ICF Level of Care Forms for Individual Participating in   

      HCBS Waiver Program

-         Attend 15 Hours of Approved Training per Year

      PARC’s Medicaid Service Coordination Unit currently provides services to 296 individuals of all ages, living in a variety of residential situations.  The Unit consists of a Director of Service Coordination, a Service Coordination Supervisor, Assistant Service Coordination Supervisor, Senior Service Coordinator, Service Coordination Compliance Specialist, 7 Full Time Service Coordinators, and 1 Part Time Service Coordinator, specializing in Traumatic Brain Injuries. The Unit is overseen by PARC’s Assistant Executive Director.  Hours of operation are Mon through Fri, 8:30 - 4:30, by appointment in the evenings and available by 24 hour phone for emergencies.                                             

For more information contact:
Jennifer Tobin
Director of Service Coordination
845-278-7272 X487
Jennifer_Tobin@putnamarc.org