Summary: Bi-Weekly ILP Review

Your client Sue is a Social Work Assistant. In your last session she disclosed that she is concerned that on a recent home visit, herself and a senior colleague did not follow the necessary policies and procedures. They had visited a family with a history of neglect and domestic violence and did not ask to see the child or enter the home, both these actions are prescribed as appropriate as part of their work.

RESOURCE UPDATE: Client continues to report last week she went to Center 37 and she was told that her Center is now 066. Client was upset that she was transfer to another shelter. As per the client she will lose her Linc V if she is transferred to Center 66. CM tries to explain to the client HRA transfer many clients because Center 37 is overcrowded. Client reported she requested for her case to be closed. Client continues to report she spoke with HRA Rep Ms. Perez who requested for the client to put her request in writing. Client stated she did put her request in writing to have her case closed from center 66. Then the client provided this worker with copy

A designated office within the state agency is responsible for coordinating, scheduling, and facilitating appeals for Medicaid beneficiaries. All appeals are heard by an impartial hearing officer employed by or on contract with the Agency. The designated office handles the appeals process from receipt of the request from a beneficiary/client through the final administrative decision. During the hearing process, the designated office is responsible for ensuring that the use or disclosure of beneficiary information is in compliance with federal law (HIPAA), state law and Division of Medicaid policies, and procedures regarding the safeguarding of beneficiary information.

Medical Update: Client has no current medical issues. CM observed that the client is having problem with the eyes. CM on numerous occasions referred the client to Laser Eyes but the client was no show.

Gomez is unemployed. PA case is fully active and family is entitled to FS for the amount of $528 and Cash Assistant for the amount of $1003. Alos, child Xavier Baez Gomez receives SSI for the amount $756.Client was reminded that she must save at least 30% of the SSI and continue to seek for

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.

Housing Update: client NY NY I, II was approved. Client is waiting for DHS manifest to tour apartment. Another alternative housing is MRT once client SSI is approved. Client also mentioned she signed up with Brightpoint Health Home Health Services since 5/9/2015, Client report she will like to sign up with CAMBA/Home Health and she provided BrightPoint Home Health approval letter for CM to submit to CAMBA/Home Health Coordinator. Client is waiting for her coordinator at Brightpoint to return from vacation to close her case, so that she can sign up with CAMBA/Home Health

On 9/15/2016, CM met with the client for Bi-Weekly ILP Review. Client was dressed appropriately for the weather. She was well groomed. As usual client in the meeting was loquacious, and loud. Client continues to be hostile towards this worker. Client continues to repeat to this worker as quote: "I am not mad with you, and this has nothing to do with you. It's all about DHS and your supervisor." Client was hostile due to an Authorization of Release Form client signed for staff to contact her therapist Dr. Iris Yankelevich for a copy of the client psychosocial and psychiatrist evaluations. Client continues to report that she didn’t signed the Authorization of Release Form because the form stated that the form is for HRA 2010e and she doesn’t know how many time she need to repeat herself that she doesn’t meet the ‘CRITERAI FOR SRO”. CM tries to explain to the client that staff is requesting a copy of her psychosocial and psychiatrist evaluation, but then client continue to talk over CM and threat to contact the Coalition and DHS. Client continues to set in her way and refuses to work with staff to meet her unmet needs. CM observed that the client walk with a book bags and a small shopping cart. Client reported she walk with all her documents and letters from Adult Protective Services & Social Security Administration stating that she is capable of living independently.

Medical: Ms. Williams failed to submit her medical documentation. Ms. Williams is expected to submit her medical evaluation or physical by 03/2017. Case Manager explained to Ms. Williams that if she failed to submit the documents required she would be considered as non-compliance.

Entitlement/ Benefits: Client’s PA case is closed. Case Manager explained to client that all clients are expected to open and maintain active and open a PA case. Client was referred to HRA for the purpose of opening of PA case. Client is expected to apply for public assistance by 12/12/2016.

She asked if we will take a look into her case to see if the CW caseworker followed policy and laws, she was informed that since she appealed, the CW OPA will review her case, and also since she does not have a CW open case, the GAO only review complaints about open DHS cases.

On September 15, 2017, the Office of Eligibility received Ms. Heigle’s request for a State Fair Hearing, and her Medicaid coverage was reinstated pending the outcome of her appeal. The State Fair Hearing request was received in the Office of

SOCIAL SUPPORT UPDATE: Client reported she wasn’t feeling well. She has bronchitis and takes prescribed medication. CM inquires if the client got in touch with her children and sister. Client replies “her children live in Florida and she doesn’t know the whereabouts of her sister. She also reported no community support.

The workforce Innovation and Opportunity Act (WIOA) and reauthorization of the Rehabilitation Act created the Independent Living Administration. Centers for Independent Living (CILs) are “advocacy-driven organizations that are run by and for people with disabilities (p.3).” CILs wants to see people with disabilities valued equally, and capable of doing anything in society without discrimination. One of the things to help achieve their envision to participate fully is by their core service by WIOA which is called Transition. This service helps the transitions from nursing homes to community-based residencies, the ones at risk of entering institutions, and the youth with significant disabilities.

The constituent wanted to file a grievance against a CW caseworker that no longer works for the DHS.