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3400 Community Resources

APS IH September 2014

The Human Resources Code (HRC) §48.202 requires APS to work collaboratively with community agencies to provide protective services when APS validates abuse or neglect and the client is in need of services. The APS specialist uses community resources to the fullest extent possible to meet clients’ needs.

A variety of community resources may be required to resolve the problems described in the client’s service plan. APS specialists, subject matter experts, and supervisors contact mental health facilities, public health facilities, advocacy groups, churches, volunteer and service organizations, and other social services agencies to:

  •   inform other agencies of DFPS’s responsibility for protective services; and

  •   obtain information about community services for APS clients.

Types of APS Community Resources Subject Matter Experts 

Resources and External Relations Specialist (RERS): The RERS is responsible for supporting service and professional collaborations and interactions within regions. The RERS interacts with service providers, law enforcement, judicial and court advocates, and other professional organizational representatives.

Community Initiatives Specialist (CIS): The CIS is responsible for supporting civic and volunteer collaborations and interactions within regions. The CIS interacts with community boards, volunteers and volunteer organizations and civic and religious groups.

3410 IMPACT Community Resource Databases

APS IH September 2014

APS staff may search the IMPACT case management system resource directory to obtain information to assist with:

  •   information and referral calls;

  •   referrals to other state agencies;

  •   provision of services to clients; and

  •   other informational calls.

Staff also search the resource directory to identify specific available resources and services as part of the procedure to complete a service authorization.

The resource directory is updated to add, change, or delete information. Staff request a change in the IMPACT resource directory by sending an e-mail, with the designated form attached, to the regional resources maintainer:

  •   Open a new e-mail in Outlook.

  •   Click To.

  •   Type regional in the name field.

  •   Select the regional resource maintainer for your area, such as Regional Support Region 7.

For changes to local or regional resources, the regional resource maintainer obtains approval, makes the changes in IMPACT, and confirms changes with the requester by e-mail.

3411 Information and Referral (I&R) Network: 2-1-1 Texas

APS IH September 2014

The 2-1-1 Texas network is a service of the Health and Human Service Commission's Texas Information and Referral Network.

The network provides free information and referral about health and human services programs in Texas. The APS specialist may:

  •   speak with knowledgeable and specialized staff by dialing 211; or

  •   visit the 2-1-1 Texas Web site.

Information is available to assist with:

  •   food;

  •   legal issues;

  •   financial issues;

  •   utility bills;

  •   rent;

  •   housing and shelter;

  •   senior services;

  •   counseling;

  •   physical and mental health services;

  •   transportation;

  •   services for families and children;

  •   education;

  •   money management and debt counseling; 

  •   emergencies;

  •   disaster relief; and

  •   other services.

In the IMPACT case management system, the APS specialist can access the 2-1-1 Texas Web site by using the 2-1-1 push button located to the right of the FYI push button. 

3412 Medicare

APS IH September 2014

Eligibility

Medicare is a health insurance program for adults who:

  •   are age 65 years and older;

  •   have a disability; or

  •   have end-stage renal disease (permanent kidney failure requiring dialysis or a transplant).

Types of Coverage

Medicare has:

  •   Part A Hospital Insurance: Most people do not have to pay for Part A.

  •   Part B Medical Insurance: Most people pay monthly for Part B.

  •   Prescription Drug Coverage: Most people pay a monthly premium for this coverage.

The APS specialist can find more information about the Medicare program at:

Centers for Medicare and Medicaid Services (a federal HHC Web site)

Medicare Services (a DADS Web site)

3413 Medicaid

APS IH September 2014

The Title XIX Medicaid program pays medical bills for low-income persons who have no other way to pay for care. Medicaid is a federal and state matching program that requires both the federal and state governments to contribute a specified percentage of total expenditures. Medicaid is different in every state. The Texas Health and Human Services Commission (HHSC) Medicaid office is responsible for statewide oversight of the Texas Medicaid Program.

APS specialists can find more information about the program at:

Centers for Medicare and Medicaid Services (a federal HHC Web site)

Medicaid Services (a DADS Web site)

3414 STAR Medicaid Managed Care Program

APS IH September 2014

STAR (State of Texas Access Reform) is a Medicaid managed care program of the Texas Health and Human Services Commission. The STAR program allows Medicaid recipients to choose their health plans and primary care providers. Medicaid recipients who live in counties where the program is offered are required to use it to obtain their health care.

3420 Using Legal Resources

APS IH September 2014

Use of appropriate legal resources is essential to effective delivery of adult protective services in certain situations. Staff in each region communicate and cooperate with local legal resources.

Because the Human Resources Code Chapter 48 allows court action in certain cases, the APS specialist routinely works with:

  •   district or county attorneys;

  •   probate judges;

  •   DADS guardianship specialists; and

  •   law enforcement agencies and other officials with jurisdiction in the APS specialist’s area.

The DFPS regional attorney supports the APS specialist in understanding and using the proper local legal resource to serve the client.

See 4000 Legal Actions.

3430 Community Resource Coordination Groups for Adults (CRCGAs)

APS IH September 2014

CRCGAs are local interagency groups composed of public and private agencies that develop service plans for individuals whose needs can be met only through interagency coordination and cooperation.

Texas Government Code §531.055

The populations that are targeted by the local CRCG are determined by the community. CRCGs are organized to serve:

  •   children and youth, from birth to age 22 (CRCG available in all Texas counties);

  •   adults age 18 and over (CRCGAs available in a majority of Texas counties); and

  •   families (a combination of child- and adult-serving groups that serve individuals of any age)

By law, local CRCGs serving children and youth must be notified in cases involving clients who:

  •   are under 22 years of age;

  •   have developmental disabilities, as defined by the Federal Developmental Disabilities Assistance and Bill of Rights Act of 2000, P.L. 106-402; and

  •   have been placed in institutions, as defined in the Texas Government Code §531.151 Subchapter D.

The institutions are responsible for this notification. However, the APS specialist may refer to CRCGAs clients who:

  •   have multiple complex needs; and

  •   will benefit from comprehensive interagency service plans.

In addition to contacting the regional community initiative specialist or resource and external relations specialist, the APS specialist may visit the HHSC State CRGC website to find more information on CRCGs for families and children. While CRCGs for adults are different in function, they are similar in process to the model described in the HHSC website.

3440 Representative Payees and Money Management

APS IH September 2014

APS staff do not serve as representative payees for clients. The APS specialist works with community resources or the Social Security Administration (SSA) to locate individuals or agencies that can serve as representative payees. SSA may choose to recruit family members, friends, or neighbors to serve as a representative payee for a person receiving Social Security benefits. SSA may also elect to pay a qualified organization to act as a representative payee.

The Social Security Administration Representative Payee Program permits qualified organizations to collect a fee from beneficiaries for expenses (including overhead) incurred by the organization in providing services performed as the beneficiary’s representative payee. The fee is 10 percent of the beneficiary’s monthly benefit, with some exceptions.

The Health and Human Services Commission (HHSC), through the Guardianship Advisory Board, funds guardianship and money management programs in Texas. Funds are limited.

3450 Community-Based Long-Term Care

APS IH September 2014

As an alternative to institutional care, the Texas Department of Aging and Disability Services (DADS) operates programs that provide community-based long-term care in the client's own home, neighborhood, or community.

See DADS Find Services page for additional information.

3451 Service Planning and Community Based Long-Term Care

APS IH September 2014

When developing a service plan with the client, the APS specialist considers DADS community-based long-term care services if:

  •   the allegations are valid and the client is in a state of abuse, neglect, or exploitation;

  •   the services will alleviate the abuse, neglect, or exploitation;

  •   the client has the capacity to consent; and

  •   the client has accepted services.

3452 Accessing DADS Community-Based Long-Term Care

APS IH September 2014

The APS specialist helps the client obtain community-based long-term care by:

  •   contacting the local office of DADS Community Care for Aged and Disabled Services to request services;

  •   communicating with the DADS worker regarding the urgency of the client's health condition;

  •   cooperating with the DADS worker to help the client obtain and complete applications;

  •   cooperating with the DADS worker to help the client obtain any necessary verification documents;

  •   attending the initial assessment appointment, if needed;

  •   verifying with the DADS worker which services the client is eligible for; and

  •   verifying with the DADS worker that services are immediately available.

3453 When Services Are Not Available for Community-Based Long-Term Care

APS IH September 2014

If a client is eligible for long-term care services but services are not immediately available, the APS specialist addresses the abuse, neglect, or exploitation before closing the case by working with the client and the DADS worker to determine if the client meets the criteria to bypass the interest list, and if not:

  •   ensuring that the client's name is placed on the interest list;

  •   exploring other available community services jointly with the DADS worker;

  •   consulting the APS subject matter expert in the region or other parts of the state to determine comparable services to offer the client;

  •   offering more restrictive alternatives until community care services become available; and

  •   helping the client access community resources that may provide necessary community-based care until DADS services become available.

See also 3218 Making a Reasonable Effort.

3454 Resolution When a Client Rejects Alternative Services

APS IH September 2014

If community-based care is not available and a client who has capacity to consent refuses more restrictive alternatives, the APS specialist ensures that the client is on the appropriate interest list and closes the case.

See also 3213 Making a Reasonable Effort.

3455 Using Purchased Client Services (PCS) for Personal Attendant Care

APS IH September 2014

All PCS services are not available in all geographic areas of the state. PCS is also known as emergency client services because of the nature and use of the funds. APS may limit the units of service or length of time that clients can receive purchased client services based on:

  •   service plans;

  •   availability of funds; and

  •   availability of service providers.

DFPS Rules, 40 TAC §705.2940

PCS funds may be used only in accordance with policy. Long-term use of PCS funds while the client is on an interest list for services is not permissible.

See:

3210 Developing the APS Service Plan

3660 Verbal Authorization of Purchased Client Services

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