DSPD oversees the following business processes:
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DSPD oversees the following business processes: Contact Process – This occurs whenever someone contacts DSPD to inquire about services for themselves, a relative, or someone for whom they are legally responsible. This process also includes people seeking referrals to other agencies. Intake Process – When a consumer makes application for DSPD services this process starts by collecting information that is used to assess a consumer’s eligibility for services. Over time, this information may be updated to reflect changes in the consumer’s status or condition. Eligibility Process – When sufficient information has been gathered, an eligibility decision is made. If the consumer is found to meet State requirements, they are placed on the waiting list for services. If they do not meet State requirements, they are notified and the process ends. When transitioning into Services, this process also covers Financial Eligibility, Medicaid Eligibility, and a Level of Care Determination.
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DSPD oversees the following business processes: Contact Process – This occurs whenever someone contacts DSPD to inquire about services for themselves, a relative, or someone for whom they are legally responsible. This process also includes people seeking referrals to other agencies. - PowerPoint PPT Presentation
Transcript of DSPD oversees the following business processes:
DSPD oversees the following business processes:
Contact Process – This occurs whenever someone contacts DSPD to inquire about services for themselves, a relative, or someone for whom they are legally responsible. This process also includes people seeking referrals to other agencies.
Intake Process – When a consumer makes application for DSPD services this process starts by collecting information that is used to assess a consumer’s eligibility for services. Over time, this information may be updated to reflect changes in the consumer’s status or condition.
Eligibility Process – When sufficient information has been gathered, an eligibility decision is made. If the consumer is found to meet State requirements, they are placed on the waiting list for services. If they do not meet State requirements, they are notified and the process ends. When transitioning into Services, this process also covers Financial Eligibility, Medicaid Eligibility, and a Level of Care Determination.
Division of Services for People with Disabilities (DSPD)
DSPD oversees the following business processes (Continued):
Waiting List Process – When a consumer is found eligible for State services, they are placed on the DSPD waiting list. Depending on their level of need(s), and funds available, they may be on the waiting list for some time. This process includes an annual contact process to determine ongoing eligibility to remain on the waiting list and to identify the specific services the person is waiting for.
Support Coordination Process – When a consumer enters services, this process begins with and includes building an annual Person Centered Support Plan for them along with an appropriate budget(s). Supports and services are arranged on the consumer’s behalf with providers and family. This process also includes Medicaid disenrollment, and closing or ending of services when a consumer no longer meets eligibility criteria.
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
Consists of the following elements:
Please Note: Topics in this slide presentationare hyperlinked to the online USTEPS Help Manual.
If you are connected to the internet, clicking on the links will take you to that portion of the Help Manual where the topic is covered in more detail.
If you have any questions about this or any other USTEPSTopic, please contact the USTEPS team at (801) 538-4200, or email us at [email protected]
Thank You!
Your USTEPS Team
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Initial Contact Decision:– Intake workers manage the Intake process.
• USTEPS provides a way to track calls about a consumer
• USTEPS provides a way to record referrals made to other agencies.
• USTEPS provides a way to gather information about a prospective consumer and begin the intake process
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Intake Data Collection:– Data is collected in the following areas to
help make the decision on a consumer’s eligibility for DSPD State services.
• Assessments and Evaluations• Social History• Diagnosis• Functional Limitations
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Eligibility for State Services:– Intake workers manage the Eligibility Process.– (See graphic of the Eligibility Process on the next slide)
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Eligibility for State Services (continued):
– Eligibility decisions are made by the Intake worker or designated QMRP/ABISC
– Eligibility cases can be sent ‘up the line’ to the Eligibility Committee, for recommendation(s) on the Eligibility decision
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Activation / Inactivation• Inactivation / Re-activation, as requested by the
Consumer, is performed by the Intake worker.
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Waiting List Placement:– Intake/Waiting List workers manage Waiting List
placement• Once a consumer is found to be eligible for State services,
they are immediately placed on the waiting list within USTEPS
• Tasks to be completed, in the following order, are:– Waiting List Information – This is done first. If they have
immediate needs, then a Needs Assessment is done.– Needs Assessment: Information summarizing multiple
categories is entered – Needs Assessment Score: Scores from 0-4 are entered for
each category in the Needs Assessment
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Waiting List Management:– Intake/Waiting List workers manage the Waiting List
• Once a consumer is on the waiting list they remain on the waiting list until they are either brought into services, or their eligibility status changes
• Tasks in this area include:– Waiting List Survey: To assess the consumer’s current needs, and
insure that the consumer is still eligible for services– Updating Waiting List Information – The needs that a consumer is
waiting for are updated– Managing Waiting List Survey Contact Attempts– Inactivation / Re-activation, as requested by the Consumer (Intake
Processing only)– Removal from the Waiting List, when the Consumer is no longer
eligible for services, or can’t be located or chooses to be removed from the list
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Entry into services:– Intake workers manage the Intake and Eligibility processes.– Intake/Wait list workers manage the Wait List Placement and
Wait List Management Processes.– Support Coordinators work with the consumer and the
Health Department to determine Waiver Eligibility.– Each Waiver has unique business rules and a workflow for:
• Acquired Brain Injury (ABI)• Intellectual disability (ID)• Related Conditions (RC)• Physical Disability (PD)
- Support Coordinators work with the consumer to determine Financial Eligibility
- Support coordinators manage the transition into services process and perform case management for the consumer while they are in services.
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Person Centered Support Planning:– An initial plan for Support Coordination is prepared
to facilitate service to the consumer while the Person Centered Support Plan is developed
– Person Centered Support Planning (PCSP) has a focus on goals that are important TO the consumer.
– Person Centered Support Planning is an Annual process
– Support coordinators develop this plan using input from the consumer, their families, and chosen providers
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Support Coordinators Develop and Manage Consumer Budgets:– Budget management is part of the PCSP
process• Fiscal Year expenditures• Planning cycle expenditures• Pro-Forma Budget
– Support coordinators work with Contract Analysts in developing and managing Consumer Budgets
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
•Manage Supports and Services:– Managing Supports and Services is part of the PCSP process
•Documenting the Amount, Duration, and Frequency (ADF) of purchased services
–Support coordinators work with the consumer, their families, and chosen providers in developing, implementing, and managing supports and services
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Dis-enrollment Process (Medicaid)
– This happens when the consumer is no longer eligible for Waiver services:
•Consumer moves out of state•Change in medical diagnosis or status•Different than ‘closing an episode’
– This can result in the consumer either staying in State Services (waiver dis-enrollment only) or leaving DSPD Services completely. Support coordinators work with the consumers family, service providers, and other agencies in dis-enrolling a consumer from Waiver Services.
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Provider Billing Review Process (coming soon to USTEPS)
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Authorization and Payment Process (coming soon to USTEPS)
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
• The Manual’s “Table of Contents” and “Index” are sorted alphabetically• The opening screen of the Manual is the “Introduction” to USTEPS and contains:
• “What’s New” sections• “Application Scope” section• Basic information on using USTEPS
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
•The manual contains both “Books” and “Pages”
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
• You can also find topics in the manual by using the “Search” function:
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
• Type in the topic you want to search, and press the “Enter” key on your keyboard. The search results are shown like this:
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
Search Criteria
Search Results
* Clicking on the search results will open that topic in the Help Manual’s window, where it can be viewed or printed.
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
• Hyperlinks are on many pages in the manual. Clicking on them will take you to a more detailed explanation of the topic.
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
• The Help Manual table of contents/index can be toggled to show or be hidden:
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
• Using the Help Manual (continued) http://168.177.185.72/helpmanual/webhelp/USTEP_Manual.htm
• Help Manual pages have breadcrumb navigation at the top of the page:
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
If you have any questions about this presentation or any other USTEPS topic, please contact the USTEPS team at (801) 538-4200, or email us at [email protected]
Thank You!
Your USTEPS Team
Utah System for Tracking Eligibility,Planning, and Services (USTEPS)
