SelfDirection Part 1 Quiz.docx

Self-directing participants were up to 90% more likely to be very satisfied with how they led their lives.  Benefits of Self-Direction include: The Participant's Health &welfare display better health outcomes​ Individuals are more likely to obtain the services and care they need​ When needs are...

Self-directing participants were up to 90% more likely to be very satisfied with how they led their lives.  Benefits of Self-Direction include: The Participant's Health &welfare display better health outcomes​ Individuals are more likely to obtain the services and care they need​ When needs are met, cost of services are reduced ​ Self-Direction provides a positive influence on the quality of life​ for the participant Increased satisfaction​ because they can stay at home Enhanced feeling of safety​ Continuity of care​ Access to services improved Participants can receive necessary services​ from home Significantly reduces unmet needs​ Promotes life in the community​ Shown to reduce nursing facility placements even more than traditional services​ Caregivers of Self-Directing Participants are very satisfied with overall care. Self-Direction Allows greater access to services in rural areas. Self-Direction Expands labor force by creating new opportunities for caregiver employment. Self-Direction Honors cultural uniqueness of individuals with workers. Self-Direction Allows participants to be served by individuals they know and trust. Continuity is critical particularly for those with dementia. Self-Direction Preferences may change over time. Self-Direction Cost is same or less that traditional personal care services. Self-Direction Facilitates easier access to services on nights and weekends. Self-Direction Flexible budgets allow for persons to have greater access to community activities. Participant Directed Goods and Services (PDGS) can include: Dental Vision Health-gym memberships, swim membership, home exercise equipment Sensory items Adaptive equipment Therapy Services Music, Dance Art Hippotherapy Aqua therapy Weighted blankets Music lessons Easy Grip Key Turner Lever Doorknob Handle Extender. Universal Handspring Clip Hook Sit Up Assist Rail Adapted wheelchair Universal Turning Handle Electrical Wall Outlet Cover Wall Light Switch extender Utensil hand Gripper Aids Tub/shower chair/bench Computer software and hardware, such as voice recognition programs, screen readers, and screen enlargement applications, to help people with mobility and sensory impairments use computers and mobile devices. Tools such as automatic page turners, book holders, and adapted pencil grips Lightweight, high-performance mobility devices that enable persons with disabilities to play sports and be physically active Fiscal Management Service (FMS) Option​ The participant is normally considered the employer of record (EOR) and the employee is considered the car provider​ The EOR is responsible for federal, state, and local tax reporting which the FMS handles on the behalf of the employer of record. Employee obligations such as Federal, state and unemployment withholdings, unemployment insurance and payments to Social Security and Medicare payments are deducted and reported by the FMS on the behalf of the employer of record. The FMS provider serves as an agent to the participant to ensure compliance, filings, and payments for Federal, State and other local employee obligations are made accurately and timely.​ This option provides the most power, choice and control over services.​ This option is most popular.​ Agency with Choice Option An agency such as a home health agency or other provider agrees to serve as the employer for tax purposes.  The participant oversees recruiting, hiring, and managing the worker. ​ Many Intellectual and Developmental Disability programs use this model.​ Scrutiny must ensure the participant’s rights are fully protected. ​ Employer Authority means that a member can directly hire attendants of his/her choice and train, manage, schedule, and dismiss attendants as needed.​ Employer Authority is most common form of employer authority is to hire an attendant to assist with activities of daily living (e.g., bathing, dressing, grooming, etc.) or instrumental activities of daily living (e.g., meal preparation, running errands, shopping, etc.)​ Employer Authority means hired individuals are considered domestic workers and all national, state, and local labor laws apply to them.