Delivery Characteristics 650-25-45-20

(Revised 07/01/22 ML #3690)

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Caregiver support services must be available statewide.

  1. All referrals must be contacted within five working days of receipt of the referral

  2. With prior approval, caregivers can be enrolled in the FCSP virtually, either using Microsoft Teams, department-approved virtual options, or the telephone. A home visit should be completed within 30 days of enrolling virtually.

  3. The Caregiver Assessment Tool must be completed in the web-based data collection system.

  4. Individuals seeing services must be provided with service options. The individual has the right to make an independent choice of service providers.

  5. All contacts, including telephone calls, must be documented in the narrative section of the Caregiver Assessment Tool.

  6. Each client and provider case record must be maintained in an individualized file and secured in a locked file cabinet, a locked area, or a restricted computer program.

  7. All service providers must have a current NDFCSP Provider Agreement (SFN 128) on file.

  8. Service activities must be coordinated with existing community agencies and voluntary organizations to maximize service provision and avoid duplication.

  9. All services must be promoted through a variety of networks i.e., churches, service organizations, schools, professional conferences, etc.

  10. Permission of the individual or the individual’s legal representative, if applicable is required before any information can be shared or released. Written permission should be obtained whenever possible. Complete a Release of Information (ROI) (SFN 1059) and provide a copy to the individual. If the visit is virtual and/or by telephone, verbal permission is acceptable. Verbal permission must be clearly documented in the narrative section of the Caregiver Assessment Tool using the web-based data collection system.

  11. A Notice of Privacy Practices (DN 900) will be given to every caregiver and a signed Acknowledgement of Receipt of the Notice of Privacy Practice (SFN 936) will be kept in the record.

  12. Determine eligibility for rural differential rate as per the standard NDFCSP rural Differential Unit Rate for Qualified Service Providers and complete the Rural Differential Authorization form (SFN 225).

  13. In the event of a state and/or national emergency or other emergencies as determined by the department, required face-to-face visits with consumers to enroll for services or to continue services may be done by alternate methods such as phone interviews or other technology. The reason for not conducting the face-to-face visit must be documented in the caregiver's record. A face-to-face visit must be made within 60 days following the declaration that the emergency is over.

Exception Criteria

 

The NDFCSP Program Administrator may grant approval for FCSP services to address special, unusual, or unique caregiving situations.