[G4s Employee Handbook .pdf | Checked
Virginie Fayad
The Illinois Department of Human Services' Home Services Program (HSP) is a Medicaid Waiver program that helps individuals to live independently in their home. HSP supports individuals with severe disabilities who are at risk of living in a nursing home, group home, or other state or private institution. People who receive services from HSP are called Customers. As a Customer, you will work with an HSP Counselor to establish eligibility, and a service plan that supports your needs. Depending on the type of provider listed in your service plan, you will have the ability to hire and manage a provider of your choosing. This handbook provides basic information to help you understand the Home Services Program's eligibility criteria, policies and procedures, available services, and much more.
To submit a referral online, please visit our website at: www.dhs.state.il.us and search "Apply Online". To find the DRS local office, please search "office locator" and select Office type: "Rehabilitation Services".
This meeting will be conducted by the HSP Counselor assigned to your referral. You and an HSP Counselor will discuss many topics including your limitations, needs, preferences, medical diagnosis, financial status, and other areas of your life. This information will be used to determine if you meet the eligibility criteria listed on the previous page.
Once eligible for the Home Services Program (HSP), you and your HSP Counselor (or MCO Care Coordinator) will work together to develop your service plan. The service plan is an outline of the services that will be used to determine your current unmet needs. A service plan can be thought of as a contract between yourself, HSP, and your service providers. The service plan will always be developed with your participation and agreement.
Every year, you and your Counselor will meet to complete a new Determination of Need (DON) assessment and verification of all eligibility requirements. This is called an annual redetermination. This meeting will also discuss any changes needed on your service plan, your service providers, and other general areas of need. If you have a change in condition or need, a new assessment may be requested at any time before your next annual redetermination.
As an HSP Customer, you have the right to appeal any action, or lack of action, made by Home Services Program staff through the Illinois Department of Human Service's Bureau of Hearings. You can file an appeal with your HSP Counselor at any time. You will receive an HSP Appeals Fact Sheet (HSP 1), Request for Hearing form that will provide you will information you need for the appeal, and a copy of the HSP Customer Bill of Rights. If you need assistance with your appeal, the Illinois Home Care Ombudsman Program (HCOP) may be able to help. They can be reached by emailing the following address: Aging.HC...@Illinois.gov or calling (800) 252-8966, pressing 4, and asking for the Home Care Ombudsman.
Homemakers help with personal care and household tasks. Homemakers are employed, trained, and supervised by homemaker agencies and work for Customers unable or unwilling to supervise an Individual Provider.
In-home skilled healthcare services provided through a treatment plan prescribed by a doctor or other health care professional. Other services offered include nursing care and physical, occupational, and speech therapy.
Modifications that increase the safety in the home and decrease the Customer's dependence on assistance from others. Examples could be modifications such as a ramp to access the home or grab bars in the bathroom.
Temporary care for adults and children with disabilities aimed at relieving stress to families. Respite services may be provided for vacation, rest, errands, family crisis or emergency and may include personal assistant, homemaker, or home health.
As an HSP Customer, you will be the employer of any Individual Providers (IPs) that work in your home. It is your responsibility to find, hire and manage your IPs. You will also be responsible for making sure your IPs can complete the tasks on your service plan. The following are tips for finding and managing IPs:
Most of the time, you can choose who provides the services listed in your plan. There are some situations where the person you choose may not be able to provide services. One example would be a legally responsible person: such as your spouse or a parent and guardian if you are under the age of 18.
You can find a provider through your local Center for Independent Living (CIL), word of mouth, friends, and family, or other HSP Customers. You may also try local ads or social media to find a provider.
It is a good idea for you to interview the provider you are thinking about hiring. Ask questions about their background, what they like to do, past work experience,and their ability to do the tasks on your service plan. Be ready to answer any questions the provider may have.
The state will automatically run a background check on all providers after they turn in the provider employment packet. You can also request a separate background check be completed and have the results sent directly to you. HSP pays for all background checks, you will never be charged a fee. Your Counselor can provide the documents you will need to request the second background check.
You and your provider both have responsibilities to one another. Customers and providers must build a strong professional business relationship. You should expect professionalism and courtesy from your providers. Providers should be timely, understanding, flexible, and display professional behavior. Providers are always expected to maintain confidentiality.
You will be required to train your new provider on how to complete the tasks listed on your service plan. You know your needs better than anyone and it is important that your provider is able to safely provide these services.
An organized daily routine, a 'how-to' list, good communication, and people familiar with your care are all helpful for training new providers. Additional mandatory training is available through your provider's union. Details on this training are available on the next page.
HSP is a Medicaid Waiver program and your Individual Providers must be enrolled as a Medicaid provider. In order for HSP to pay your providers, they must complete and submit the 'Individual Provider Employment Packet'.
You can request an Individual Provider Employment Packet from your DRS local office or your Managed Care Case Coordinator. You can visit the IDHS website at www.dhs.state.il.us and search "Provider Packet".
It is very important that you and your providers complete all the necessary forms and submit them to the DRS local office. Furthermore, your DRS local office cannot assist with the W4 tax forms nor the Federal I-9 employment verification form.
Once your provider's packet has been approved, the provider will receive a unique number called a Santrax ID. The Santrax ID number will be used to clock in and out of the timekeeping system called the Electronic Visit Verification (EVV) system. Once the Santrax ID has been given to your provider, you can give them a start date and schedule the days and times for them to work.
CILs are community-based non-profit organizations that provide services and support to people with disabilities. There are 21 CILs throughout Illinois, covering all regions of the State. Your local CIL supports the community by helping people with disabilities gain independence in all aspects of their lives. CILs provide peer support, information, referral, advocacy, independent living skills training, and transition support services.
If you are enrolled with a Managed Care Organization (MCO) for payment of medical services, that MCO will also be responsible for management of your Home Services. The Home Services Program and the MCO work together to ensure your services are delivered similarly to HSP Customers not enrolled in an MCO.
Providers use the Electronic Visit Verification (EEV) system to clock in and out of work. Providers are also required to fill out and turn in a paper timesheet. EVV is a call-in, phone-based system. Your provider must clock in and out using EVV immediately upon arriving at your home for work and before leaving your home at the end of the provider's shift.
If your provider has questions about the EVV system, they can visit our website by going to www.dhs.state.il.us and searching "EVV", refer to the documents in their employment packet, or contact the DRS local office.
The HSP Fraud Unit investigates allegations of fraud by Individual Providers, Customers and Agencies. They coordinate investigations with Local, State and Federal Agencies. Common types of fraud are secondary employment fraud, hospitalization fraud, ghost employee fraud, and postmortem fraud. If you suspect Fraud by your Individual Provider or any other Individual Provider, please report this to your local DRS office.
IMPACT, or Illinois Medicaid Program Advanced Cloud Technology, is a provider enrollment system that allows the Home Services Program to claim federal Medicaid dollars for all eligible providers. All providers, including individual providers and agencies, are required to be enrolled in IMPACT.
Providers will be enrolled in IMPACT when they are hired by Customers, and the necessary paperwork is provided in the Individual Provider Employment Packet. If your provider has questions about IMPACT, you can direct them to your HSP Counselor or the DRS local office.
The HSP Labor Relations unit provides support to your Individual Providers. IPs are unionized and represented by SEIU. This unit is responsible for SEIU related inquiries, SEIU Training, IP Grievances, Unemployment Claims, IP Employment Verification, IP Workman's Compensation, etc.
Programs, activities and employment opportunities in the Illinois Department of Human Services are open and accessible to any individual or group without regard to age, sex, race, sexual orientation, disability, ethnic origin or religion. The department is an equal opportunity employer and practices affirmative action and reasonable accommodation programs.
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