Caseworker Liability Report

On Tuesday July 7, 2015, at approximately 3:01 PM, Kiana Beekman, (MFCU Investigator) (Beekman) received a call on the state office telephone from HILL, Lucy (Service Facilitator of Lucy Hill Services (LHS). During the conversation, Beekman asked HILL to clarify her role and responsibilities as a service facilitator, in addition to the role and responsibilities of HARRIS, LaFrance as the Employer of Records (EOR) for Medicaid Recipient DANIEL, Rose and MCGHEE, Inocencia as DANIEL’s aide. She was also asked to provide any documentation of training on timesheet submission and approvals that she provided HARRIS and MCGHEE under the Department of Medicaid Services (DMAS) Consumer-Directed care aide program.

contacted us about the denial, so by the time we needed to pick up the medication it was too late to

15,2017 Contacted Ms. Maxine Bargelle on her condition since leaving the hospital and have she found any money for the eye drops yet . Ms.Maxine stated she is still having financial problems and can not get any of the medications until April 3,2017 when she receive hers SSI check. Ms. Maxine explained she had so many medical issues and no family members to help her out. I let Ms. Maxine know she will reach out to her eye doctor Bruce Cohen MD for free eye drops samples.And her primary care doctor Philip Conway, MD for samples of her medications to get her over until her check comes in April 3,2017.I provided Ms. Maxine my name again and telephone number to DHSS if she has any incidents before my visit Monday 20,2017.

She mentioned that her lawyer told her that he was told by DHS worker that they have the intent to denied her application. As of today, nobody has called her.

Pt. has been in the program for over 3 years and she is currently in Phase 0. Pt. has participated in the AMS of De methadone clinic, she has been able to achieve abstinence from illicit drugs but she is failing to comply with the mandatory counseling sessions. Pt. is now eligible to receive phase 1 take home privileges if she maintains satisfactory attendance and scheduled appointments. Pt. identified her children as a motivational factor to change and to reinforce the importance of remaining in recovery. Pt. was advised to obtain a sponsor and attend 12 Step meetings. Pt. has done in achieving her goal of maintaining financial compliance despite the holiday financial stress. Pt. seemed to accumulate a back balance, but normally pays for late account balance in full upon notice of an administrative taper.

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

The member called and gave me her DHS worker name B. Wilkerson, phone number 313-387-7166 and her case number 121646891. The member report her worker said that she does have medicaid insurance but, the member had questions about her food stamp because she is paying $700 a month and is only getting $27.00. The member also states that her worker will not change her rent from $500 which was what she was paying on Appleton St and she is now paying $700 a month on Cedargrove

She leaves her front door unlocked because she lives alone, which places her at risk for harm along with her health conditions. She has been hospitalized four times in the last six months for CHF. Her blood pressure and heart rate are low, respirations high, and no oxygen saturation. She refused the home oxygen delivery. She has had a fourteen pound weight gain since her last admission. There is no edema, has hypoactive bowel sounds, and no bowel movement for three days. She is nauseous, has no appetite, a cloudy head, and has no energy. Her nutritional intake is probably poor. She appears lonely, and may be depressed. She has three new medications, and discharge orders to continue her previous mediations also. There are duplicate prescriptions for two medications with different dosages than she was taking previously. The medication bottles were on the coffee table in disarray. Sallie Mae may not know what medications she is

I sent the forms to the member on 06/06/2016 as per request but she doesn’t want to fill them out. She went to the Medicaid office (115 Chrystie St., NY, NY 10002) on Wednesday June 8,2016 and they informed that her case is being handle and not further documentation is needed. Medicaid Office gave this case # 0237738221E. That’s the reason why she doesn’t want to fill out further documentation.

Ms. Pollard wanted to know when Javon'Tay would receive the DD waiver. ISC explained the process, than she asked about receiving a case manager. She said she was told by the other lady he would receive a case manager, which would take him out to his appointments and take him places.

In regards of the BRS referrals, I communicated to her that I have found in our system (I did not mentioned OR-KIDS). I told her that several attempts and referrals have been made to BRS providers, but unfortunately they do not have available space for Evan until April 2017. I informed her that this is something that DHS-CW has

I hope everything is going well with you. Jason, I received a call from Ms Davies-Rock stating wants to complain about how she was treated in Tigard APD Office.

A Corrective Action Plan meeting was held on 8/3/15. Present during the meeting were Elena Briceno, Regional Director, People's Care, Dara Mikesell, Manager of Quality Assurance, Kristen Gener SG/PRC Service Coordinator, and Adriane Picazo, Manager of Client Services, RS1. Plan of Correction: A, Staff will dispense medications as prescribed by physician B, The Administrator arranged for staff to received medication training by a pharmacy on July 24, 1=2015, verification of this training was submitted on August 3, 2015. C, The Administrator will instruct the staff to continue following the present Medication Dispensing Protocol, which indicates that DSP A dispenses the medications and DSP B verifies the medications with the Medication Administration

Care manager called Sarah (Marvin's counselor). Care manager asked Sara about Marvin SPOA application, and she said she said she helped him to complete and submit the application 5 months ago. She said she had tried several times to call the SPOA representative but has not responded. Care manager told Sarah that I will try my best to contact them to check on the status of Marvin application

Adrian is a 32yo, G3 P2002, who is presently 22 weeks 6 days. She was initially seen for a history of Crohn’s disease with significant diarrhea. She has been unable to get into a GI doctor. We were able to make her a GI appointment and upon doing so, we learned that she had 2 other appointments scheduled by your office that she had reportedly “no showed” to; however, once we obtained the appointment for her we could not contact her to give her the appointment date and time and I feel that perhaps this happened from your office as well. At her visit because of her significant Crohn’s flare I started her on prednisone. She was also having extreme anxiety related to the constant diarrhea. I gave her some hydroxyzine. At today’s office visit