For those of you still on the CAP-I/DD waiver, the manual has been posted to DMA's web site.
Here is the link to the new CAP-I/DD MANUAL ... I copied page 35, Section 4.4 that talks about family member as provider. I put the bold on the word "recommended." It seems some of the LME's still on the CAP-I/DD waiver are telling families NO MORE THAN 40 HOURS at all. It is clearly "recommended" rather than absolute. Your provider agency needs to go to bat for you with the LME and needs to tell the LME they want you to work more than 40 hours.
Mary K. Short
828.632.5888 or 704.451.4144 (cell)
http://www.ncdhhs.gov/mhddsas/statspublications/Manuals/index.htm
CAP-MR/DD Waiver Manuals
CAP I/DD Comprehensive and Supports Waivers (Released 1/2/13)
Manual Revisions
Manual for 2008 Waiver Comprehensive Waiver (Released 7/21/10)
Manual for 2008 Supports Waiver (Released 7/21/10)
http://www.ncdhhs.gov/mhddsas/statspublications/Manuals/cap-manual1-2-13.pdf
4.4 Waiver Services Furnished by Family Members Natural supports are the personal relationships that occur in every day life that support people to participate more fully in their community and enhance their quality of life. Natural supports include informal and unpaid supports that are generally reciprocal in nature. Person centered planning promotes the concept that paid supports should supplement, but not replace, natural resources and supports available to the participant.
Waiver services cannot be provided to minor children (18 years or younger) by their legally responsible person (parents, adoptive parents or step parents) and / or other family members living inside the home. Waiver services may not be provided by the spouse of the participant. In addition, the legally responsible person cannot own or operate the provider agency that provides services to their minor child / step child / adopted child or spouse.
When parents, family members and / or guardians of the person are paid care providers, they must meet all of the following conditions:
1. They must be employed by a provider agency and meet the same requirements for employment as any other employee.
2. They must meet all required provider qualifications as identified in the service definition(s).
3. A parent or relative who lives in the natural home of the adult participant may only provide Personal Care and/or Home and Community Support services. It is recommended that no more than 40 hours of service per week be provided by a parent or relative who resides in the same home as the adult participant. Additional hours may be provided by a parent or a relative as appropriate, as long as health and safety can be ensured and isolation does not occur.
4. When parents, family members or guardians of the adult participant are paid care providers, there must be a clearly defined back up plan that specifies who will provide the care when the parent, family member or guardian is unable to do so.
5. When parents, family members or guardians of the adult participant are paid care providers, the PCP must outline measures that will ensure the participant’s choice and control over his or her daily life and ensures community integration. Targeted case managers will monitor for compliance, health and safety and evidence of possible social isolation.
