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Caregiver Onboarding Training - Colorado Family Caregivers — Transcript

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0:03all right so again welcome everyone to
0:05our training and orientation for
0:07Colorado Family caregivers we're really
0:09excited to welcome you to the team today
0:12uh the training today's probably like I
0:14mentioned will go about two hours or so
0:18uh just depending on the number of
0:19questions that are asked on the screen
0:22is all of the topics we will be covering
0:25today we'll start with just a little
0:27background about who we are as an agent
0:30we'll talk about what are the key
0:32onboarding steps there's three of them
0:35and how each one will occur so that way
0:38you can begin to provide
0:40services we'll then talk about each of
0:42those services that you can provide to
0:45make sure you know the dos the don'ts
0:47the rules regulations uh and make sure
0:49you feel comfortable in providing
0:51Services whether it's to your own child
0:54or whether it's uh to a family that
0:56you're supporting we'll also talk about
0:58compliance so how do we make sure we uh
1:02protect and keep the families and
1:03clients we serve safe and protected as
1:05well as ourselves as caregivers and then
1:08we'll ship gears a little bit and we'll
1:09do a live demonstration to show everyone
1:12how they will log and document the
1:15services that they're providing uh so
1:17that way they can get paid so that'll be
1:19our training session again that first
1:21part will probably last about 90 to 100
1:24minutes and then we'll shift gears to
1:26more open Q&A so that way anyone who has
1:29um questions can get those
1:32answered so go ahead and dive again the
1:34first thing is I want to make sure
1:36everyone is in the right spot so there
1:39are two different things that our
1:41company does the first thing is Medicaid
1:44waiver services and that's what we're
1:47talking about in today's training and
1:49orientation this is specifically
1:51covering the CES waiver children
1:54extensive support and SLS waiver
1:57supported Living Services waiver so
1:59we're talking about those two Medicaid
2:01waiver programs CES is for children
2:05under 18 SLS is for adults 18 and over
2:10we also do parent CNA
2:13services this is where we will hire a
2:16parent to do skilled nursing or CNA
2:19activities for their child if you're
2:21already a CNA we transfer those Services
2:24over in a week or two if you're not yet
2:26a CNA we will pay for you to go and get
2:29your CNA license which can take about
2:31four to six weeks to get your license
2:33that way you can get paid additional
2:35money outside of the waivers however
2:38that's not what we're talking about
2:39today I always have one or two three
2:41people join thinking this is CNA
2:44onboarding and it is not so if you are
2:47interested in either switching over your
2:49CNA services or becoming a CNA so you
2:54can get paid to do those activities for
2:55your child feel free to reach out to us
2:58uh give us a call or an email the
3:00process is very simple and easy uh to
3:04get you going there but just want to
3:06upfront let everyone know that today's
3:07session is focused strictly on the
3:09Medicaid waivers the CES waiver for
3:12children and the SLS waiver uh for the
3:17adults okay so uh on the screen this is
3:23my older sister who has Down syndrome so
3:27we always like to start here just to say
3:30we get it to some degree right what it's
3:33like to either live with someone who has
3:34an intellectual or developmental
3:36disability or to provide services and be
3:39a caregiver for someone in that
3:41situation I've obviously been a
3:43caregiver and done services for my
3:45sister for quite some time and so we
3:47start here to say we get it to some
3:49degree so we want to help so if you're a
3:52new caregiver you've never done
3:54caregiver services to someone who has an
3:57intellectual disability or a
3:58developmental disability
4:00feel free to reach out we're happy to
4:02walk you through the process tips tricks
4:04Etc we obviously support hundreds of
4:07families so we want to make sure
4:09everyone feels comfortable with the
4:11services they're providing or if you're
4:13new to Medicaid waivers in general you
4:16have a sense of how this whole system
4:18works and uh how you can get the most
4:21out of your waiver funding so that way
4:23you're allocating your services properly
4:25you're maximizing your funding and
4:27you're set up for success and providing
4:30Services uh whether you're the caregiver
4:32or whether you're the parent um and
4:34providing those services to your family
4:37members so we love helping people reach
4:40out it's why we started this company so
4:42reach out we want to make sure that
4:44you're feeling good and you're set up
4:46for success in providing services for
4:48again your child or a
4:50family now let me on that note just back
4:53up a little bit and walk everyone
4:55through how this whole system operates
4:58so this will be
5:00pretty helpful if you're new to Medicaid
5:02waivers if you've been doing this for a
5:04while this will probably just be a quick
5:06refresher but want to make sure everyone
5:08has some understanding of how this whole
5:11thing even works and where you fit into
5:13the grand scheme of things so everything
5:16we do starts up there in the blue with
5:19our state government Colorado Medicaid
5:22they are the ones who uh have passed the
5:24laws and legislation to allow these
5:26services to be provided and they have
5:29the budget the funds that they've raised
5:32and are allocated to them to then pay
5:35Caregivers for their services so the two
5:38important things our state government
5:39does is one they set the policies and
5:43procedures and then two they have the
5:45funding that eventually will hit your
5:47bank account as we provide those
5:49services and following those policies
5:50and procedures that they've outlined now
5:54our state government they can't run the
5:56program themselves so what they've done
5:59is is in every County in Colorado
6:02they've assigned one agency to be what's
6:05called a
6:06CCB Community Center board and they're
6:10now starting to be called
6:12CMAs case management
6:15agencies the reason why is because this
6:17is where your case manager works so for
6:20one County there is one CCB or CMA
6:25assigned where your case manager is and
6:28their job for their county is to make
6:31sure is to do really two big things one
6:33see who qualifies for these Medicaid
6:36waivers and then two once they qualify
6:40put together the service plan we're
6:43going to talk a lot about the service
6:45plan on today's call it's very important
6:48because it tells us exactly when you can
6:51start what services you can provide and
6:54how much you can provide so it's very
6:58important and we'll talk about that a
6:59little later on now once your case
7:02manager has basically created that
7:04service plan to specify what services
7:07you can provide and when you can start
7:09then it comes to us Colorado Family
7:12caregivers we are what's called a posa
7:15which stands for program approved
7:17Service Agency our job then is to hire
7:23train and pay the caregivers who will do
7:26the work as specified in that service
7:30plan so that's our role is to make sure
7:33that that's why I guess I should say
7:34we're the ones who are hosting
7:36orientation today you'll document your
7:39time through our agency your paychecks
7:42we will send them out to you Etc since
7:44that's the role we plays to make sure
7:46the caregivers are trained they know
7:48what they're doing they're documenting
7:50their time and then they're getting paid
7:52for the services that they are
7:55providing ultimately then it falls to
7:57the caregivers down there in the green
7:59y'all are obviously the most important
8:01piece to the whole puzzle since that's
8:02where the rubber meets the road the
8:04services are actually provided to our
8:06clients to benefit and enrich their
8:08lives so we're really grateful for all
8:10the caregivers out there uh specifically
8:13those who are going to be coming into
8:14the home it makes such a big difference
8:16for families when someone is willing to
8:19come in and provide services for their
8:21family for their client um so we just
8:24want to give a big shout out and thank
8:26you to all the caregivers out there it
8:27really does make a big big benefit us
8:30knowing firsthand since we've had people
8:31come in and help us out
8:33so so that's kind of again just the
8:3630,000 foot view highlevel overview of
8:39the grand scheme of things not too
8:41important to your day-to-day job but
8:43sometimes helpful just to see where you
8:45fit into the grand scheme of
8:48things now we're going to shift gears
8:50and talk about
8:52onboarding after we talk about
8:54onboarding I'll pause for any questions
8:56about the onboarding process
8:59there are three steps that everyone will
9:03need to complete before they can provide
9:06services and get paid okay so number one
9:09is to attend today's orientation so
9:12we've already put a big green check mark
9:14there because you've made it what 10
9:16minutes in so far so if you can hang on
9:19through uh the boring presentation you
9:21pass part one I'll do my best to make it
9:23a little more lively but hang on you
9:26pass part one if you make it through
9:27today's orientation
9:29as a reminder if you have not yet put
9:32your name in the chat box please open up
9:35the chat box in zoom and send in your
9:37first and last name so that way we can
9:39take attendance for those who joined a
9:41few minutes late just send your name in
9:44the chat box so that way we can get that
9:47captured so that's number one number two
9:51is we then need a copy of your client's
9:53service plan again the service plan
9:56comes from your case manager at at your
9:59CCB or CMA so call your case manager and
10:03you can get that service plan sent to us
10:06again the reason we need that is because
10:08it tells us when you can start what you
10:11can do and how much you can do without
10:13it we don't know when you're authorized
10:15to start so if you know who the case
10:18manager is because you're a parent give
10:20them a call just remind them to send
10:22over that service plan if you're working
10:24for a family the next time you see them
10:27just touch base and make sure that
10:28they've been in contact with their case
10:30manager to send that over to us we
10:33always make an initial inquiry but as we
10:36know case managers are busy so sometimes
10:38a follow-up reminder can help prompt
10:40them to get that over to us so that way
10:42you can uh get going on
10:45Services one thing I'll note here as
10:47well if the client you're working for
10:50has been receiving CES or SLS waiver
10:54Services through us for quite some time
10:57we do not need to request it we already
11:00have one on file but if you're new to
11:02our agency or the client you're working
11:04for is new then we're definitely going
11:06to need that before you can start
11:08providing
11:09Services all right the last thing number
11:11three is we need everyone to complete
11:14online paperwork everyone should have
11:17already received an email from sign now
11:21uh it comes to your email you click the
11:23link and in that email there's a little
11:26button you can click that will take you
11:27to online paperwork
11:29where you can then complete it all fully
11:31online in a secure Manner and it gets
11:34sent into to us if you do not see that
11:37email make sure to check your junker
11:39spam but then feel free to call or email
11:41our office and we can resend that
11:43paperwork over to you it probably will
11:46take everyone 15 to 30 minutes based on
11:49how Savvy you are with computers to fill
11:52out that paperwork so it's nothing too
11:55burdensome but let me now walk through
11:57for a couple minutes what's involv
11:58involved in that online paperwork so
12:01that way everyone has a sense of hey
12:03what am I signing and completing when I
12:05open that
12:06link one of the first things you'll
12:08complete is a background check
12:10authorization form this allows us to run
12:13a background check this is a state of
12:15Colorado requirement to make sure that
12:18uh we're only allowing those who will
12:20ensure our our clients are safe and
12:22protected to provide services so we have
12:24to run a background check on everyone it
12:27will ask for a full fiveyear living
12:30history please make sure it goes back
12:33the full five years and that there's no
12:36gaps if there's a gap if it doesn't go
12:39back five years uh it's going to reject
12:42and it will slow down the process so
12:44make sure you provide a full fiveyear
12:46living
12:48history once we run those background
12:50checks it's right now taking the state
12:52about 4 to five business days to process
12:55those and get them sent back to us uh so
12:57about four to five days days once we get
13:00those back if something comes up in your
13:02background check we'll reach out to you
13:04the family chat about it and how to move
13:06forward if nothing comes up in your
13:08background check we don't reach out to
13:10you specifically about
13:12that all right your service contract
13:15number two and by the way I just got a
13:17little message that my internet is
13:19unstable so if my internet drops for a
13:22minute and I exit the call I'll be back
13:24on in a minute or two so bear with us if
13:27that that work happen okay also in the
13:30online paperwork number two is the
13:32service contract basically just an
13:34agreement of the things you will do as a
13:37caregiver provide the services document
13:40in a timely manner it also outlines the
13:42things we do as an agency such as make
13:45sure that you're trained you have access
13:46to policies uh you get paid etc for the
13:50services you
13:51provide you'll also complete a W9 form
13:56this allows us to hire you as an
13:58independent cont contractor and allows
14:00us at the end of the year to generate
14:02your $10.99 tax
14:04document one important note on
14:08taxes if you live in the same house as
14:12the person you're providing services for
14:15so you permanently reside in their home
14:18so typically you're a parent a sibling
14:21maybe a living grandparent Etc but if
14:23you live in the same house as them then
14:25none of this income is reportable or
14:29taxable if you want to learn more you
14:31can Google or look up IRS notice
14:352014-7 it's listed on the screen as well
14:39that's the tax regulation that specifies
14:42that since these are all Medicaid waiver
14:44uh payments through a home and community
14:46based service program all this income if
14:50you live in the same home is considered
14:53a difficulty of care payment and as such
14:58you do do not need to report or pay
15:00taxes on that income as an independent
15:03contractor so again if you live with
15:06them you do not pay
15:09taxes sadly the rest of us I do not live
15:13with my sister anymore my parents kicked
15:15me out of the house so I don't live with
15:17her so when I provide services for her
15:20since I do not live in the same house
15:22with her anymore at the end of the year
15:24I get a$ 1099 tax document that I use to
15:27file my
15:30taxes all right you'll also complete a
15:32training and acknowledgement form or
15:34sign off on it basically that you've
15:36attended today's training and
15:37orientation
15:38session we need a driver's license or
15:41any sort of uh governmen issued photo ID
15:44so we can put name to a phase like a
15:46passport would also work we need if it
15:50applies your electronic visit
15:53verification attestation form and let me
15:56talk about this for just a second
15:59electronic visit verification which is
16:03abbreviated typically to
16:05evv which most of you probably already
16:07heard of evv it's a fairly new probably
16:11two or three years old state of Colorado
16:13requirement where they require now that
16:16whenever we provide services we pull
16:18open our smartphone and we clock in and
16:22clock out the state wants to know
16:25exactly when we started and when we
16:27stopped provid proving
16:29services and everyone needs to do this
16:33unless you live in the same house with
16:37them
16:38permanently if you live in the same
16:41house as them then you complete this
16:44form you have to upload a piece a proof
16:47of address or piece of mail for you with
16:50your name and address a proof of address
16:53with the person you're working for with
16:54their name and address to prove we both
16:58live in the same house that can be
17:01medical record uh utility bill uh school
17:05records anything to prove I live at this
17:08house they live at this house then the
17:10state of Colorado says fine you are
17:12exempt from having to clock in and clock
17:15out when you provide services because
17:18they understand that hey if you live
17:20with them a lot of times services are
17:22spontaneous you show up and you provide
17:25a service um or you don't show up you're
17:28already living with them so you walk
17:30into the room it's messy and you just
17:32start cleaning so there's a lot of
17:33spontaneity so if you live with them the
17:35state does not require you to clock in
17:37and clock
17:39out so the moral of the story is if you
17:44live in the same house as your client
17:47you live a great life you don't have to
17:49pay taxes you don't have to clock in and
17:51clock out sadly the rest of us we will
17:55have to clock in and clock out since we
17:57do not live with our clients and we will
18:00also get our $199 tax document at the
18:02end of the year we will show you how to
18:05clock in and clock out here in just a
18:07little bit um so just know it's coming
18:09so just plug that away that I don't live
18:12with them I'm going to have to clock in
18:13and clock out in order to get paid we'll
18:16talk about that and show you how to do
18:17that in just a little
18:18bit all right we also need your banking
18:21information so we can pay everyone via
18:23direct deposit to your bank account we
18:26pay every other week so buy weekly uh
18:29and we'll show you that pay calendar at
18:32the end and talk a little bit more about
18:34how uh your deposits and pay
18:37work the last thing we need for your
18:39online paperwork is your first aid in
18:41CPR certification if you are already
18:45first dat in CPR certified they're
18:47typically good for two years you can
18:49just attach that to the application and
18:51send that into us if you were not yet
18:55first aid CPR certified it's now very
18:58simple and easy to do so uh we recommend
19:01the American Red Cross but you can use
19:04anywhere to get first aid CPR certified
19:06the reason we like the American Red
19:08Cross is because it's fully
19:11online it's pretty quick it only takes a
19:14few hours and it's an excellent course
19:17and it's pretty affordable there's lots
19:19of promo codes flying around there may
19:21even be one on the screen um where you
19:23can get half off so it's only like $20
19:26so it's fast it's online and it's a
19:29great course so we recommend the
19:30American Red Cross but you can go
19:32anywhere it doesn't matter where you go
19:34there's in-person classes if you prefer
19:36that as well but we will need that
19:38certification before you can start
19:39providing
19:41services so one tip that I always
19:45recommend is if you were not yet first
19:48aid CPR
19:49certified what I would do is send us the
19:53paperwork today so that way we can start
19:56to process it we can run your background
19:59check since that's going to take four or
20:01five days and then get first aid CPR
20:03certified here in the next few days and
20:05then email us that certificate and we
20:08will attach it to your application for
20:10you so if you're looking to get going
20:13fast fill out your paperwork and send
20:16that into us and then do your CPR uh
20:19here in the next few days and send that
20:20into us well but getting that paperwork
20:23in allows us to start your background
20:25check in the paperwork so it can help
20:26speed things along if you're looking to
20:29move
20:30fast now going back once you've done
20:34these three things you've attended
20:36today's orientation we've received a
20:39copy of your client service plan and
20:41you've completed the online paperwork
20:44once all those three things are done you
20:46will get a welcome email from us that
20:49says welcome to Colorado Family
20:51caregivers you're ready to begin
20:53Services it will have your username and
20:56password so you can log into our website
20:58s it and start documenting Services
21:00again we'll show you how to do that in a
21:03little bit but you'll get that welcome
21:05email it will have lots of helpful
21:08attachments uh user guides YouTube
21:12videos policies and procedures Etc so
21:15that's when when you get that email
21:17that's when you know you are ready to
21:19provide
21:20services up until that point every
21:24Wednesday you'll receive an automated
21:26email from us that tells you what you're
21:28still missing so that'll be tomorrow on
21:31Wednesday so tomorrow on Wednesday Keep
21:33An out for that email it will tell you
21:35what we're missing once we get
21:38everything typically the next day after
21:40we get everything you'll get that
21:42welcome email and you can begin uh
21:44providing
21:47Services okay so let me go ahead and
21:49pause here to take some questions just a
21:52reminder that today's session is being
21:54recorded So if you do not want to be
21:56recorded then don't ask a question now
21:59and wait until the end where we'll have
22:01open Q&A which is not recorded but if
22:05you have a question right now feel free
22:06to come off mute uh and ask any question
22:09about
22:12onboarding hi if we've already submitted
22:16our documentation for CNA do we need to
22:19resubmit it for this program great
22:22question the answer is yes I wish you
22:24didn't have to double up on the
22:26paperwork but unfortunately you do just
22:28because they're tailored to the
22:30different services that you're providing
22:32so you will also need to fill out a
22:33paperwork for uh the CES or SLS waiver
22:38good
22:39question where can we submit our CNA
22:44certification yeah and are you talking
22:45about if to apply for our parent CNA
22:48program no I'm already a CNA so they I
22:51don't do you guys need proof that I'm
22:52already a CNA and all that
22:54jazz good question so for these services
22:58the CES and SLS waivers we don't need
23:00any verification of if you're a CNA or
23:02not however if you're enrolling in our
23:05parent CNA program to get paid to do CNA
23:08care there's a separate paperwork
23:10separate onboarding that you'll go
23:12through where we will need that CNA
23:14certificate so you can provide that CNA
23:16care good
23:21question sorry I had a question so oh go
23:24ahead oh okay sorry uh so if I'm going
23:27to be my kids Community Connector and
23:30advanced
23:32Homemaker and I live in the same house
23:34do I get tax exempt for those two or
23:36will I pay taxes for those if you live
23:38in the same house you don't pay taxes we
23:41H you you're hired as a 1099 contractor
23:44and that's what allows us to basically
23:46pay you and then you do not have to
23:48report or pay taxes if you live in the
23:51same household as them for Community
23:54Connector and enhanced Homemaker the CES
23:56waiver services
23:58okay and real quick sorry one more
24:00question um I uploaded two of the mail
24:04addresses of my own name because I
24:06couldn't find one with my child's but
24:08then I found one with my child so will I
24:09just go back and redo the paperwork then
24:12yeah so what you can do is just email us
24:14that document and we'll attach it for
24:16you you don't have to refill out the
24:18paperwork out standing thank you yeah no
24:20problem and then I think there was one
24:22more question we'll get to and then
24:23we'll move
24:24on yeah so you said um if because I'm
24:28doing this for my daughter as well um if
24:31you're CNA you can get paid
24:35additional yeah great question so yes so
24:38there's the CES waiver Services which as
24:40a parent you can get paid to do
24:43Community Connector homaker enhanced
24:45Homemaker basic for the CES yes so you
24:49can do that you can also if you're a CNA
24:51get paid a separate pool of money in
24:54addition to all of this to get paid to
24:57do CNA services for your child and for
25:02that just reach out to us it's a very
25:04simple process where you do a video call
25:08you fill out some paperwork and then we
25:10come out to your home for that one uh
25:12since we need to do an eval or an
25:14assessment evaluation on your child to
25:17qualify them and then yep you can get
25:19paid extra money to be a CNA in home as
25:23well okay and that's something that you
25:25guys decide MH y exactly so that video
25:29call that is we do an online assessment
25:32it's called the Pediatric assessment
25:33tool or Pat tool which will qualify you
25:36to receive those CNA
25:38Services okay and um I a nurse will that
25:43qualify yeah so if you're a nurse like
25:45an RN or an LPN then you can yep so
25:49you're already that so you can still get
25:51paid to do those CNA Services okay
25:54awesome um I'll reach out to
25:56you no problem all right one more
25:58question from Miranda and then we'll
26:00move on go for it
26:04Miranda okay sorry I had to hit unmute
26:07um so thank you for thank you for
26:10explaining that um so the difference um
26:13between Community Connector and
26:15Homemaker um from what my understanding
26:17is Homemaker is more of um like the
26:19cleaning services and stuff that you do
26:21on the house or if you're providing the
26:23cleaning services for somebody else um
26:26or you're providing you know them for
26:28you and yourself your kiddo um my son is
26:32uh developmentally disabled too so he's
26:34autistic level three autistic um so
26:38would Homemaker be um a certain amount
26:42of hours and then Community Connector if
26:44I signed up for both would that be like
26:47an allotted amount of hours I would say
26:49or yeah great question great question so
26:53that service plan that comes from your
26:55case manager that service service plan
26:58is what specifies how many hours you can
27:00work for each of the services now
27:03starting this year 2024 the state has a
27:07limit for how much parents can do for
27:09Community Connector and Homemaker which
27:11is 10 hours a week on average so as a
27:16parent you can do about 10 hours a week
27:18of Community Connector 10 hours a week
27:20for Homemaker that's both enhanced and
27:23basic so you can do a total of 20 hours
27:26of services a week and get paid to do
27:28that as a parent and then if there's
27:31additional on top of that then someone
27:33else would need to provide those
27:36Services okay so uh if I'm already my
27:39son's certified nurse aid and want to
27:42switch to your guys's
27:43company I could potentially be doing uh
27:46the CNA program through you guys and
27:48then the Community Connector and the
27:50Homemaker exactly yep okay yep and
27:53that's a big reason we we do both that
27:56is so that way for families you can
27:57consolidate your CNA Homemaker and
28:00Community Connector with one company
28:02just makes it a lot simpler and easier
28:04for fam so yeah so reach out to us if
28:06you're interested in also bringing over
28:08the CNA Services again that takes a week
28:11or two so it's super simple super easy
28:14and we handle the transition with your
28:16current agency to make it seamless for
28:18you all so uh yeah feel free to reach
28:20out and happy to chat with you about
28:22that as well definitely definitely want
28:24to do that thank you great yeah no
28:26problem all right let's go ahead and
28:29move on now to the services so what
28:32we'll do for the next about 30 minutes
28:34is chat through each of these services
28:36that you can provide to make sure that
28:40you know what the dos the don'ts are
28:42what the expectations are um for each of
28:46these services that you're providing
28:47again whether it's for your own child or
28:49whether it's for a family that you'll be
28:52working for so we're going to trat out
28:54about each of them we'll also give lots
28:55of examples uh for for each of them but
28:58before that I do that I'm going to talk
29:01about four principles that apply to all
29:04of them so no matter which of these
29:07Services you are going to provide we're
29:10going to talk about four things that
29:12apply to all of them that you'll need to
29:14make sure to keep in mind as you provide
29:17services so let's go through each of
29:19those number
29:21one is that we do not overlap Medicaid
29:26services
29:28and what that means is we are not
29:30providing two services at the same time
29:35for an individual so they cannot receive
29:39rbit and Community Connector at the same
29:41time or a CNA shift and rest bit or
29:45something at the same time the state
29:47says no and the big reason why is
29:50because they feel like a client the
29:52individual receiving Services can only
29:54be in one place at one time they can't
29:57rece receive two things simultaneously
29:59and the state also doesn't want to pay
30:01for two things at once right so they say
30:04you can only do one service at a time
30:07now there is an exception to this and
30:10that is with Homemaker basic Homemaker
30:14basic and we'll talk about it in a lot
30:16of detail in just a minute but it's the
30:18only service where the client does not
30:21need to be physically present all right
30:24they don't need to be physically present
30:26because you're basically just cleaning
30:28and doing laundry they don't need to
30:30watch you you know was the countertops
30:32or do a load of laundry so because it's
30:34the only service where the client does
30:36not need to be present you are allowed
30:39to do Homemaker basic at the same time
30:42as another service and that's the only
30:44exception because someone one caregiver
30:47could be doing Homemaker basic and
30:48cleaning the bathroom someone else can
30:51be doing another service for that client
30:54and again if you just want to keep it
30:55simple and easy just remember we're
30:57never going to document two things
31:00happening at the same
31:03time again with the only exception being
31:05Homemaker
31:06basic all right number
31:08two the services are meant to be used
31:11over the entire duration of the service
31:14plan so again that service plan remember
31:17it tells us when you can start what you
31:20can do what services and how much you
31:23can do in a given time period and that's
31:25what we're talking about here that
31:27service plan that we get from your case
31:29manager will say something to the extent
31:32of hey you get to use this much for the
31:34whole year and this much per month and
31:38about this much per week okay so when we
31:42get that service plan from your case
31:43manager we upload that into our system
31:46I'll also show you that as well where
31:48you can view
31:49that and we will put on a monthly limit
31:53to help you stay on track so that way
31:57you don't burn through everything in 3
31:59four months and then your client gets no
32:02Services uh for a long time that's not
32:04good for them the services are meant to
32:06be used over the entire year so they can
32:08receive that benefit over the entire
32:10year so to help with that we have a
32:12monthly limit to help you stay on track
32:14so that way you don't burn through it
32:16too quickly now with that monthly limit
32:19if there's ever a month where you need
32:21to use a little bit more that's okay
32:24just call us let us know we'll document
32:26it and we can increase that for a month
32:28because we know life EVs and flows
32:31sometimes you might need to use a little
32:32more sometimes you'll use a little less
32:35so if you ever hit that monthly limit
32:37feel free to reach out to us we'll try
32:38to understand why we'll document it
32:40we'll bump that up so that way you can
32:43uh provide those services in that month
32:45knowing that in future months you'll
32:47have to use a little bit less and at any
32:50time you can log into our website and
32:53see exactly how many you've used and how
32:56many you have left for each service so
32:59at any time there's full transparency on
33:02where you're at how you're progressing
33:05maybe you haven't been using as much so
33:07you can use a little bit more or ver
33:09inversely you've used a little bit
33:11you've gone a little bit over now you
33:13can dial it back a little bit so at any
33:15point in time you can always see where
33:16you're
33:17at number three there are daily limits
33:22to what you can do in a single day okay
33:26the most most important one is we have a
33:2910hour limit for respit which means
33:33within a 24-hour period you can only get
33:36paid for doing 10 hours worth of respit
33:39you can stay there longer so you can
33:42show up at 700 p.m. stay till 7 a.m. the
33:45family may ask you to stay a little bit
33:47longer for an overnight visit or
33:49something so you can stay longer however
33:52you're only going to get paid for 10
33:54hours within that 24-hour period this
33:57one this is actually a state of Colorado
33:58regulation so I shouldn't say yes but
34:00this is a state of Colorado reg they
34:02only allow up to 10 hours of RIT again
34:05you can be there longer but the state's
34:07only going to pay 10 hours within a
34:1024hour period the big reason why is they
34:13want to make sure those units last so
34:15they have to cap it so that way people
34:17don't burn through it too quickly so
34:20again 10 hours of respit is the limit in
34:23a single day most the other services
34:26you're really only going to use them in
34:27one or two hour increments um it's hard
34:30to do too much Beyond you know a two or
34:32three hour block however we do allow
34:34people to go up to five hours within a
34:36single day for the other services so um
34:40if it's a big day sure you can use up to
34:42five hours in a day that's okay but
34:44typically you're using them in just a
34:46few hour uh blocks and increments and
34:49that's just again for one day these
34:51limits are also per child so if you have
34:55two children
34:57right you then you'd have 10 hours of
34:58rest bit for one 10 hours for the other
35:00in a single day that's okay so these are
35:02all per child daily limits to keep in
35:07mind number four on this list is to note
35:11that we are a hands-off agency so what
35:13that means is when we provide services
35:16we do them in a hands-off manner said
35:20another way we are not allowed to be
35:24grabbing touching moving Direct our
35:27clients we are hands off so a few
35:30examples we cannot oh and I should say
35:34the reason why is because to provide
35:36handson care you typically need a CNA an
35:40RN LPN license Etc to do Hands-On care
35:43because that's considered skilled
35:45nursing care all right so a few examples
35:48for instance we cannot brush teeth
35:52that's handson okay but what we could do
35:55instead is put the toothpaste on the
35:56toothbrush hand it to them time them
35:59monitor them hand them a cup of water
36:02Etc so we're there to supervise and
36:04monitor okay we are not Hands-On so we
36:07supervise we monitor we direct we coach
36:11we guide uh we demonstrate Etc but we
36:15don't do it for them so just a few other
36:17examples we do not shave we do not bathe
36:22uh we do not feed okay again those are
36:24all Hands-On care which is considered
36:27nursing but what we can do for all those
36:29is be there to support and to help okay
36:32so that's a thing to keep in mind we are
36:35hands off any time where you have to be
36:40handson if you have to be handson for a
36:43time then you will dock that time off
36:46your shift and it will be done outside
36:48of the waivers since the state of
36:51Colorado says Hey for these waivers this
36:52is unskilled care so you don't need a
36:55CNA license to do that's the benefit but
36:58in these instances if you have to be
37:00Hands-On make sure the parents are okay
37:02with it and the Guardians that they're
37:04okay with that and then you'll dock that
37:05time off the end of your shift and
37:07that's just done on your own time not
37:10underneath these
37:12waivers so again just a few guiding
37:14principles that will apply to all the
37:16services we don't do two things at once
37:19unless one is Homemaker basic we use
37:21them over the entire year we don't want
37:23to burn through things too quickly daily
37:25limits remember the big one respit you
37:28can be there as long as you want but the
37:30state's only going to pay you for 10
37:31hours in a day and then hands-off
37:34service since we do not have CNA LPN RN
37:37license under the waiver program we
37:40cannot get paid to do that Hands-On care
37:43so if we're Hands-On we're going to dock
37:44that time off we can only supervise
37:47monitor coach instruct and guide so just
37:50a few things to keep in
37:52mind all right let's we're now going to
37:54talk about each of the services
37:57as we go through each of them we'll
37:59probably pause a couple times for
38:01questions um so we'll talk about rest
38:03bit we'll talk about Homemaker and then
38:06we'll pause for some Q&A either for
38:08respit and then Homemaker so those will
38:10be the first two services that we cover
38:13with both of them rbit and Homemaker
38:16they are available to everyone so the
38:19CES waver and the SLS waiver so they're
38:22available to everyone so we're going to
38:24talk about both of those now we'll then
38:26move into the last three which are only
38:29available to specific waivers so that's
38:32a little teaser PE peek your interest
38:34for when we get there but the first two
38:36respit Homemaker available to anyone on
38:40the waiver so let's start with respit
38:43available to anyone on either waiver so
38:46let's start with respit
38:49respit the whole goal of respit is the
38:53state of Colorado will pay for someone
38:56to come into the home and to watch and
38:59supervise that individual so the
39:01individual on the waiver so that way the
39:04parent or Guardian can get some time
39:06away whether that's to go upstairs and
39:10take a nap to go grocery store shopping
39:13to go on a three-day vacation it doesn't
39:15matter but it's to allow that parent or
39:18Guardian to get a break to get that
39:20resit to get that relief and some time
39:22away to do whatever they see fit so
39:26because of that parents cannot do RIT
39:32okay parents are not allowed to do rbit
39:34since the whole goal is to give parents
39:36the brain so if you are the caregiver
39:39providing RIT your job then is you'll
39:42show up to the house parents or
39:45Guardians will leave and your job while
39:48they're gone is to kind of assume that
39:50parental Guardian role and to Monitor
39:53and supervise that individual while
39:56they're their parents are away to make
39:57sure they're safe they're protected
40:00they're happy they're secure and they're
40:03in a good spot while their parents are
40:05guardians or away so you'll definitely
40:07want to talk with the parents the family
40:10talk with the client and individual to
40:11see what things they like to do enjoy to
40:14do what are the family Rules household
40:15rules Etc so that way while they're gone
40:19the parents are gone you can monitor
40:21supervise and engage in any
40:23activities rest bit is activity as
40:26agnostic which means it doesn't matter
40:29what activity you're doing all the other
40:32services there has to be a specific
40:34activity tied to it but for RIT it
40:37doesn't matter what you're doing you can
40:39watch a movie play a board game play a
40:42video game go on a walk go to the park
40:45um color draw play with toys build Legos
40:49it doesn't matter what you're doing as
40:51long as you are supervising and
40:54monitoring them making sure that they're
40:56safe they're happy and they're healthy
40:58while their parents or Guardians are
41:00away there's three types of respit in
41:04your service plan it will specify which
41:06type you have you can either have respit
41:09individual which is when one caregiver
41:11watch is one client for up to 10 hours
41:15there's respit day which is the same
41:18thing one caregiver watching one client
41:21however it's specifically designed for
41:23if we know that individual will be there
41:25for 10 hours or more then they'll group
41:29it into a respit day remember you'll be
41:32there longer than 10 hours but the State
41:34caps your payment at 10 hours within a
41:3724hour
41:39period the third type is respit group
41:41this is when one respit caregiver
41:43watches at least two but can be more
41:46individuals on the waiver and because
41:49you're watching multiple individuals
41:51respit group pays a little more money
41:53than the others which are the same uh
41:55since you're watching and providing
41:57services for multiple individuals on the
42:00waiver now one thing to note is that
42:02respit cannot be used so the parents and
42:06Guardians can go to work unless the the
42:09child or the client is 12 years of age
42:11or older okay so for instance if the
42:14client is a seven-year-old you cannot
42:17use respit so the parents can go to work
42:20however if they are 14 or 32 then that's
42:25fine you can use respit so the parents
42:27can go to
42:28work so that is respit again parents are
42:32Guardians away and your job providing
42:34respit is that monitor and that
42:36supervision make sure you consult with
42:38the family about what activities are
42:40appropriate for you to do but you
42:42monitor them then the parents get back
42:45you document what you did which again
42:47will show you how to document your time
42:49in just a bit and that is
42:51respit now the next service is Homemaker
42:54which again available to anyone
42:56there's two types of Homemaker there's
42:58Homemaker basic there's Homemaker
43:01enhanced okay both of them have the same
43:05goal which is homemaking and put in
43:08another way it's to make sure that the
43:10home or wherever the client resides is
43:13clean tidy organized well-maintained so
43:16two ways to accomplish that goal or that
43:19Vision the first is with Homemaker basic
43:23Homemaker basic is if you as the car
43:26Giver are going to be doing any cleaning
43:29laundry or household maintenance so you
43:33come into a dirty room and you pick it
43:35up you clean the kitchen you sweep the
43:37floor you run a load of laundry you fold
43:39put it away if you were doing it that is
43:42Homemaker
43:44basic Homemaker enhanced on the other
43:47hand is instead of you just doing it you
43:50bring that client in the room and say
43:52hey John Sally come over here let's
43:55let's do it together and we can do it
43:58together I'll teach you these skills so
44:00you can build these skills uh up
44:02yourself so you're doing it together
44:04you're teaching you're educating you're
44:06sharing those skills with
44:08them you can also use Homemaker enhanced
44:13to do any extraordinary or deep cleaning
44:17so this is probably you you have
44:19chemicals or a few examples maybe
44:22there's a smearing problem in the
44:23bathroom your client has accidents in
44:25the carpet you got to pull out the
44:27carpet cleaner the Deep cleaners
44:29chemical sanitize Etc stuff that you
44:32probably don't want the client involved
44:34with because it's not safe or sanitary
44:35for them to be in those situations so
44:37you're going to do it that can also be
44:40Homemaker
44:41enhanced Homemaker enhanced pays a
44:44little bit more money than Bas Homemaker
44:47basic the reason it pays a little more
44:49is because you're either teaching them
44:51how to do it so the state pays you a
44:54little more for passing those skill sets
44:55on on or two you're having to do deep
44:59extraordinary cleaning okay so if you're
45:02doing that deep extraordinary clean the
45:04state will also pay you a little bit
45:05more than Homemaker
45:07basic now there's a few things that are
45:10specifically prohibited Lawn Care snow
45:13removal air duct cleaning and Animal
45:16Care okay so you can't get paid to mow
45:18your yard or shovel the driveway or
45:21clean your air ducts I don't know how
45:23many of y'all clean your own air ducts
45:25uh maybe I shouldn't admit this I don't
45:27clean my Air Duct so I've never had that
45:29conflict of interest but uh be that as
45:31it may no air duct cleaning and no
45:33animal care I don't know why the state
45:36specifically prohibits those but
45:38nonetheless they do so you can't get
45:40paid to do that but otherwise any sort
45:42of cleaning uh household maintenance
45:46laundry anything you're doing in that
45:48home to make it clean safe sanitized
45:51organized well-maintained that's the
45:54essence of Homemaker services so that
45:55way way that client can live in a safe
45:58clean organized environment again if you
46:01are doing it that's Homemaker basic if
46:04you're teaching them how to do it or
46:06doing that extraordinary deep cleaning
46:09that can be Homemaker
46:11enhanced all right so let me just pause
46:14here for just a minute uh again we'll
46:16open it up for Q&A for anyone who would
46:18like to ask a question remember as a
46:20note this is being recorded So if you
46:22don't want to be recorded save it till
46:24the end for open Q&A that's unrecorded
46:27otherwise feel free and uh to come off
46:29mute and ask a question about uh respit
46:32or Homemaker Services which again is
46:35available to anyone on the CES and SLS
46:44waivers I I have a question I'll go
46:48ahead
46:50soon um so my daughter's on the CES
46:54waiver she's um
46:56she's
46:57autistic for the basic and enhanced what
47:01is it one or the other what if it's both
47:03because
47:04she's because she has other things going
47:07on too and so some days I am teaching
47:10her and like we cook together and then
47:13other days especially if she's got like
47:15an insomnia night her day isn't as good
47:18and so I'm going to be doing more I
47:20might be doing her launch because she
47:22can't so can you mix and match I guess
47:25is what I'm asking
47:26yeah great question and you definitely
47:28can so again for parents you can do up
47:31to 10 hours a week so you can talk to
47:34your case manager and say hey I think
47:36it's five hours of each or maybe it's
47:39seven hours of basic because I clean for
47:42an hour a day and then there's three
47:44hours a week I'm teaching so you can
47:45work with your case manager to find that
47:47split and then again if there's
47:50additional time like let's say you need
47:5220 hours a week of Homemaker well you
47:55can do 10 but someone else they can do
47:58additional of either so absolutely you
48:00can Mi a match and I have a question
48:02about that because my 18-year-old
48:04daughter so I have six kids my
48:0618-year-old daughter um lives at home
48:09and could she do that could she be the
48:12other person absolutely and or do respit
48:16for her for her sister she yeah she can
48:18do both she can do rbit Homemaker basic
48:21Homemaker enhanced and Community
48:23Connector which we'll talk about in just
48:25a second but she can do all of those
48:28okay and then my last question is my
48:30daughter does have insomnia and some
48:33nights it is really bad is there a
48:35provision for kids like that who maybe I
48:38am up two or three hours a night and it
48:41is all the time but sometimes she does
48:43have a night and I do need to be up
48:46because you know impulsivity so sure
48:49sure yesion for that great question so
48:52there's not a time constraint in the day
48:55so if you're up at 3:00 a.m. and you're
48:58having to I don't know clean the Linens
49:00or something for 30 minutes because
49:02there's been an accident or something
49:04you can go ahead and document that 30
49:06minutes under Homemaker or if your
49:0818-year-old daughter she could be doing
49:10a respit shift during the night where
49:13she's the one who's monitoring and
49:15supervising let you know if she wakes up
49:17at 400 a. your 18-year-old daughter is
49:19sitting with her for an hour that could
49:22count as respit okay thank you yeah
49:25absolutely
49:26and I think there was another
49:27question yeah I I'd like some
49:30clarification on respit because my
49:33daughter um attends a day
49:36program an adult Day program which I'm
49:40assuming is build separately to
49:43[Music]
49:44Medicaid um
49:47so
49:49so how would the respit be paid to
49:52somebody else if I if I arrange for
49:55somebody else to uh care for my daughter
49:58for a period of
50:00Time how how would they get paid yeah
50:04that's a great question you're right so
50:06Day program is a separate pool of
50:09funding so if you have respit in your
50:12service plan and let's say you find a
50:14neighbor a friend someone from your
50:16church or whoever someone's willing to
50:19come and sit with your child then they
50:22would just need to do the same
50:24onboarding process your doing attend the
50:27orientation fill out the paperwork
50:31um uh orientation and paperwork those
50:34are the two and well we have the service
50:36plan so they just do those two things
50:39and then they can get paid to do that
50:41respit and come and sit with your child
50:43so uh you would just need to find that
50:45person make sure they're willing to do
50:47it and then just notify us of their name
50:49and email and phone number we'll contact
50:52them and get them all set up okay good
50:55question all right thanks yeah no
50:59problem so um I have two questions one
51:03was what if they
51:06don't what if they don't
51:09learn the the task for like enhan say we
51:14you know I've been working for years to
51:15try to get my son
51:17to clean and he's improved in very small
51:21areas and we spend lots of time doing
51:24that um
51:26but we still report it the same and just
51:28say we did this many hours and then you
51:30know REO you know re look at it later on
51:33in the year with our case manager then
51:37yeah it's a great question so we do not
51:40care about the end result because you're
51:42right it I think about my sister too and
51:45there's things we've been trying to
51:46teach for 10 20 years right so we don't
51:48care about the end goal but if we're
51:50still teaching and trying you will
51:53definitely document and get paid for
51:54that time that you're trying to teach
51:56and educate and pass on those skills
51:58okay and then my other question was my
52:01wife has been part of this I'm just
52:03getting on it to basically try to help
52:06her um sure uh do I need to send the
52:09service plan myself since it's already
52:11been sent for my kid and she's already
52:13part of
52:14the no if we if your kids have your
52:17wife's been doing it through us and
52:19doing it for your kids we already have
52:21them on file um so we won't need that
52:24again and tomorrow tomorrow you'll get
52:26an email saying what you're missing and
52:28my guess is the service plan is not
52:30going to be listed there because we
52:31already have it okay that's I was gonna
52:34have her send it because I know she
52:35knows the case manager better than yeah
52:37we probably already have it so you're
52:38all set thank you no problem and then
52:41Angie with a hand raise will be you'll
52:43be our last question and then we'll keep
52:45moving
52:46on okay can you hear me yes we can hear
52:50you okay good now the intake coordinator
52:54at d DRC told me that my son has 28,000
52:59a year or something but that if he goes
53:02to a DAT program that money comes out of
53:06that
53:0928,000 but you said they were
53:13separate yep great question Angie so let
53:16me clarify so it's the same pool of
53:18funding that you use I was saying it's a
53:21separate service but you're right it's
53:24the same pool of fun for the SLS waiver
53:27good question okay thank you yeah yeah
53:30thanks for the
53:31clarification all right so now let's go
53:33ahead and move on to the next three
53:36services uh we're going to start with
53:38Community Connector which is only for
53:41children and then we're going to talk
53:43about personal care and mentorship which
53:45are only for the adults so Community
53:48Connector again only for children under
53:52the age of 18 on the CES waiver
53:56the goal of Community Connector is we
53:59are taking our children out into the
54:02community and teaching them how to be
54:04successful and helping them to integrate
54:07into the community to learn how to
54:09leverage resources in the community so
54:11that way as they age into adulthood they
54:14have a foundation to be successful as
54:16they leave their home and venture out
54:18into the community so there's two
54:20important pieces to Community Connector
54:23number one you go into the community
54:26outside your home and it can be anywhere
54:29it can be uh the library the park the
54:33museum a baseball game the grocery store
54:37a restaurant anywhere outside your home
54:40you're going to go there and then number
54:42two while you're there you're working on
54:45specific skills and goals to help them
54:49be successful in the community they can
54:52be social behavioral navig ational
54:56safety resources it doesn't matter but
54:59you're out in the community you're
55:01working on skills and goals tailor to
55:03them to teach them and show them how to
55:06behave and socialize and engage and
55:08interact with their community so a few
55:11examples it could be you're taking your
55:13eight-year-old out to the park and while
55:16you're there you're working on how do we
55:19keep our hands to ourselves not yell at
55:22other kids how do we vocalize that we
55:24want to turn on the swing set how do we
55:27find a restroom how do we stay safe and
55:30not go into the roads stay on the
55:32sidewalk and stay at the park to be some
55:35ideas right or examples maybe you have a
55:3816-year-old and you're going to the
55:40movie theater and you're working on how
55:42do we purchase a ticket how do we get
55:44into the theater we know we want to go
55:46see uh the new Super Mario movie how do
55:50we do it well we got to buy a ticket how
55:52do we buy a ticket how do we pay for it
55:54with money how do we use the kiosk Well
55:57we'd like to buy some popcorn so how do
56:00we vocalize to the concession worker
56:02that we want popcorn but with no butter
56:05we don't want butter so how can we
56:07practice that or how do we find the
56:09restroom in a theater how do we behave
56:11do we talk loud or do we whisper do we
56:14kick the chair in front of us so you
56:16kind of get the idea but you're out in
56:18the community you're working on those
56:20skills and goals to help them be
56:23successful now a couple things for
56:25Community Connector number one it's not
56:28for just purely recreational play so if
56:32you're out at the park and you're
56:33sitting on the bench and they're playing
56:35that's not really Community Connector
56:38but if you're with them and teaching and
56:40coaching then that absolutely is
56:43Community
56:44Connector a second thing is it can have
56:47nothing to do with school so everything
56:50School related is off limits so uh no
56:54field trips volunteering in the
56:56classroom after school activities those
56:58are off limits but pretty much anywhere
57:01outside the community or I should say
57:02everything outside of school year fair
57:04game so that's Community Connector again
57:08only for the children now parents on the
57:13CES waiver or parents with a child on
57:17the CES waiver you cannot do respit but
57:21you can do Homemaker and community
57:24connector again I've already mentioned
57:26the limits you have 10 hours a week on
57:31average so you can go a little above
57:33that if you needed to for one week or
57:35something but you're shooting for the
57:38that's and I should say that's the max
57:40so you can do less than that but you can
57:42go up to 10 hours for Community
57:44Connector and up to 10 hours a week for
57:46Homemaker Services if you have more
57:50Community Connector or more Homemaker in
57:52your plan you'll just need to have
57:54someone else who can do that and again
57:57we can onboard them within a week uh to
57:59provide those services in addition to
58:01things you're doing or if you say I
58:03don't want to do it all I want to have
58:05someone else do it doesn't matter to us
58:07we're we'll do whatever is best for the
58:09family so but just know as parents you
58:12can do Homemaker you can do Community
58:14Connector for your children up to 10
58:16hours on average per week for each
58:20bucket now let's move into our last two
58:23Services which are specifically focused
58:25on the SLS waiver supported Living
58:28Services for our adults now parents of
58:32adult children on the SLS waiver you can
58:36get paid to do the Homemaker which we
58:39talked about and then these next two
58:41Services personal care and mentorship so
58:44let's talk about them so personal care
58:49the goal of personal care is we as the
58:52parent or as the individual supporting
58:54them
58:55we are there to help them
58:58accomplish their daily weekly frequently
59:02occurring tasks in their everyday life
59:05that they just need a little extra
59:06assistance in doing it uh so that way
59:09they can do it successfully it's things
59:11we're all doing as we go through our day
59:13and our week but because our clients
59:16have an intellectual or developmental
59:18disability they just need a little extra
59:20support as they go through those things
59:23as an adult now that 18 they're expected
59:26to do these things and since they need a
59:28little extra support in doing them we
59:30can get paid or caregivers can get paid
59:33to support and assist them in these
59:35activities to make sure that they're
59:37being successful in their Endeavors so a
59:40few things what this could entail
59:42accompanyment so as we accompany them to
59:45a doctor's visit uh we can get paid to
59:47do that as an adult they should be able
59:49to go to a dentist or a doctor that way
59:52they can make sure they're healthy but
59:54maybe they can't do that on their own so
59:55we're going to accompany them to those
59:58things to make sure they can get access
59:59to medical or health care as they need
1:00:03medication monitoring again we cannot
1:00:06administer medication that's a no no we
1:00:09can't give it to them but we can help
1:00:12them monitor it so set reminders the
1:00:14pill Boxes Etc give them a cup of water
1:00:17coach them through it that could be
1:00:20personal care meal planning or shopping
1:00:23so helping them put together grocery
1:00:25store list taking them to the grocery
1:00:27store shopping purchasing out how to use
1:00:30coupons going to the mall trying on
1:00:33clothes so you can help them with that
1:00:35and get uh for personal care managing
1:00:38their money once they're 21 you can also
1:00:41get paid to do their ADLs activities of
1:00:45daily living or assisted daily living
1:00:47activities whichever you subscribe to uh
1:00:49which is eating dressing bathing
1:00:51grooming uh personal hygiene all of that
1:00:54if they're 21 or older you can get paid
1:00:56to do again we're not doing it for them
1:00:59so we're not helping them we're not
1:01:01feeding them bathing them dressing them
1:01:05shaving them but we can get paid to
1:01:08support them in those things so we open
1:01:11up the shower they climb in we close it
1:01:14we're monitoring oh make sure you use
1:01:16the shampoo oh you missed a spot Etc so
1:01:19we're monitoring we're assisting
1:01:21coaching guiding them through those
1:01:23activities that they're doing
1:01:24as they move through their daily weekly
1:01:27their everyday life uh and we're we're
1:01:29supporting them accompanying them
1:01:31helping them that is the essence of
1:01:34personal care now contrasting that with
1:01:37the last service for our adults which is
1:01:39mentorship mentorship is specifically
1:01:42designed for when we need to have those
1:01:44kind of life conversations big
1:01:46conversations coach through difficult
1:01:48decisions Etc as the name would imply
1:01:51we're mentoring right so we're going
1:01:53Beyond just supporting them through an
1:01:56activity that's more personal care and
1:01:58now we're needing to have a conversation
1:02:00to mentor to coach to make sure they're
1:02:02making good decisions and things that
1:02:04will help them be successful so this
1:02:06could be things like hey they want to
1:02:09pursue additional education maybe
1:02:11they're going to a day program they want
1:02:13to do something else so we're going to
1:02:15do a mentoring conversation for a couple
1:02:17hours and chat about well what are
1:02:19options out there there's online courses
1:02:22there's a trade school and how do we EV
1:02:24valate the costs and the time commitment
1:02:26and the location or maybe they're moving
1:02:29out to an apartment how do we find a
1:02:31good apartment how do we evaluate
1:02:33roommates or there's a medical decision
1:02:36they've hurt their need well should we
1:02:38rehab or have a procedure done what are
1:02:40the pros and cons of each of them Etc so
1:02:43as you're helping them coaching them
1:02:45mentoring them through these types of
1:02:48decisions uh Etc that's the goal of
1:02:52mentorship mentorship has about a limit
1:02:55that most case managers put in of four
1:02:57hours a month so it's not too frequent
1:03:00but it allows for one or two three four
1:03:03conversations a month where you're
1:03:05needing to really mentor and instruct on
1:03:08different decisions that are being made
1:03:10so
1:03:12again SLS supported Living Services for
1:03:16adults you have access to respit
1:03:19Homemaker Personal Care mentorship
1:03:22parents you cannot do respit but you can
1:03:25do Homemaker personal care mentorship
1:03:29for the CES waiver children extensive
1:03:32support waiver for children under 18 you
1:03:35have access to respit Homemaker
1:03:38Community Connector parents cannot do
1:03:41rbit but you can do homemaking and
1:03:44Community
1:03:45Connector so let me pause there for a
1:03:48minute any questions about those last
1:03:51three services the Community Connector
1:03:53for the children children or for the
1:03:56adults personal care and
1:03:58mentorship yes uh Helena go for it if I
1:04:02say if I'm
1:04:07pronouncing oh sorry uh Helena I was
1:04:10getting some feedback so let me uh let's
1:04:13try that again see if we can hear
1:04:16you feel free to come off mute Helena
1:04:19and ask your question go for
1:04:21it okay can you hear me now yeah yes
1:04:24perfect okay so my question is regarding
1:04:28the Community Connector hours you said
1:04:31that we could get 10 right possibly so
1:04:35if we get 10 hours of Community
1:04:37Connector can they be split between two
1:04:41parents or are they per
1:04:44parent great question so you can
1:04:47actually have more Community Connector
1:04:50hours but the state will limit it to 10
1:04:54about 10 hours a week for parents and
1:04:57Guardians so if you and your husband
1:05:00were going to do it you both could go up
1:05:02to 10 hours in a week so you could go
1:05:05five hours for you five hours for your
1:05:06husband for the 10 but then you can have
1:05:10other people go above that 10hour limit
1:05:13does that make sense or any questions on
1:05:16that so it still equates to 10 the 10 is
1:05:19split between two parents it's not like
1:05:22he gets 10 and I get 10 correct yep the
1:05:2510 is split between the parents and then
1:05:27anything extra can be done by
1:05:31non-parents good question
1:05:33okay yeah Angie feel free to ask your
1:05:38question okay so for mentorship it's
1:05:43only
1:05:46conversation uh typically yes if did you
1:05:49have something else in mind well like I
1:05:54mean I work on a lot of that stuff with
1:05:57Zach when we go out in the community
1:06:00but his skill level doesn't give me a
1:06:05lot of room for
1:06:07conversation sure oh yeah yeah it's more
1:06:10show me rather than tell me I see I see
1:06:14yes so yep so nonverbal communication
1:06:17would also be okay for mentorship that's
1:06:19totally fine as long as you're still
1:06:21getting across those core ideas and
1:06:24Concepts in terms of hey what should we
1:06:27do how should we handle this situation
1:06:30that we're in that would be okay as well
1:06:33okay so like just for an
1:06:36example if I take him to a movie or
1:06:41something but you talk about safety and
1:06:45how you buy your stuff that is
1:06:50mentorship yeah so that would probably
1:06:53fall more under personal care which
1:06:56would be hey we're going to do some
1:06:57activities how do we behave and you know
1:07:01engage mentorship is more for kind of
1:07:04the big critical conversation so for
1:07:05instance it could be something like
1:07:07safety at the movie theater that would
1:07:10be okay to have a mentoring type
1:07:12conversation but if we're talking about
1:07:14how do we purchase concessions that's
1:07:16probably going to be outside the scope
1:07:18of mentorship does that make
1:07:20sense yeah he just is nonverbal so
1:07:25like a conversation's going to be pretty
1:07:28one way sure yeah and again nonverbal
1:07:32communication and and feel free to call
1:07:34us too Angie and we can give more
1:07:36specific examples right but if however
1:07:39you're communicating and engaging with
1:07:41your son about hey how we got to have a
1:07:44conversation or we need to convey the
1:07:47idea of safety at a movie theater and
1:07:49we're GNA signal there that's a no or
1:07:52whatever it is right to know that hey
1:07:55this is how you how we're going to be
1:07:57safe and protected at the movie theater
1:07:59then yeah that could fall under
1:08:01mentorship okay thanks yeah no
1:08:05problem uh Stella go ahead and ask your
1:08:08question and then this will be the last
1:08:10question and then we'll continue to move
1:08:12on um okay so you said you know school
1:08:16is not a thing um it's part of it uh
1:08:20however I homeschool my daughter um she
1:08:24goes to a program twice a week but then
1:08:26she's home three days a week and we try
1:08:28to she's actually fairly independent
1:08:30with it but how would a homeschooling
1:08:33parent fall under that like if I'm
1:08:35saying okay now it's time to do
1:08:37your you know English paper for me and
1:08:41it's not that I'm doing it for her but
1:08:43I'm I'm prompting her and I'm probably
1:08:46checking on her to make sure she's
1:08:48getting it done so how how would a
1:08:49homeschooling parent fall under that
1:08:51would that be a
1:08:52whole non thing yeah so it's it's a
1:08:57great question so we've asked the state
1:08:59a couple times about the homeschooling
1:09:01situation typically so here's the advice
1:09:04we've gotten right so if they're at home
1:09:06doing like an online group or something
1:09:09and that would probably not fall under
1:09:12Community Connector now if it's hey
1:09:14we're all going to meet up at the park
1:09:16for an hour their homeschool groups all
1:09:19going to do a meet up and engage with
1:09:21each other that could probably be okay
1:09:23to still be Community Connector but just
1:09:26doing schoolwork at home even if it's in
1:09:28a group setting it's probably not going
1:09:30to fall under the scope of Community
1:09:31Connector does that does that make sense
1:09:33or any other questions on that yeah that
1:09:36that's fine it it's just because it's
1:09:38it's it's a skill set that I'm teaching
1:09:41for one thing you know is it's for her
1:09:43to learn how to do work independently
1:09:46you know so I just wondered how that um
1:09:49that falls into things um because for
1:09:52somebody like her it's just just in our
1:09:54situation it's just better to do it that
1:09:56way but and then you know so like if I
1:09:59take her because she has like she does
1:10:01music therapy and she does actually
1:10:02through the CES waer and then she does
1:10:04um I'm not really part of that though
1:10:07she goes into that by herself but then
1:10:09like she has physical therapy and she
1:10:11goes to the chiropractor those kinds of
1:10:12things because of other issues and I'm
1:10:15present sometimes I interact sometimes I
1:10:18don't how does something like
1:10:21that work yeah yeah so for instance
1:10:24right like if let's say she has a
1:10:26physical therapy appointment and we're
1:10:27we're we take her there and we're
1:10:29sitting out in the waiting room for 15
1:10:32minutes and we're chatting about hey how
1:10:34do we what do we do in a waiting room
1:10:36and how do we behave and who do we talk
1:10:38to and how do we what are we what are we
1:10:40waiting for right someone to come in and
1:10:42notify us so that could all be Community
1:10:45Connector once you're in the therapy
1:10:47visit then you can't get paid to do
1:10:49Community Connector because it's falling
1:10:51under the therapy session but before and
1:10:54after as you're talking about where you
1:10:56are and how to behave and you know what
1:10:58this whole thing is about that could all
1:11:00be Community Connector if that answers
1:11:02your question okay yeah that's that's
1:11:04because like waiting for the
1:11:05chiropractor sometimes there's things
1:11:06she's supposed to do beforehand and
1:11:08sometimes it's a long wait if absolutely
1:11:11that prior and then um just real quickly
1:11:14so I'm trying to get my brother here um
1:11:18and get him on like the SLS and but I'm
1:11:21not his parent I would be his his you
1:11:24know obviously so would I still be able
1:11:27to do things like the things that you
1:11:29were talking about because you said
1:11:31parents I was wondering if yeah yeah so
1:11:33if you're not so so a couple things so
1:11:36um if you're not his parent or Guardian
1:11:39then you could do respit for him but
1:11:42even but if you and I don't know the
1:11:44guardianship situation but even if you
1:11:46were his Guardian then you could still
1:11:48do the other services the key thing for
1:11:51you will be to reach out to your case
1:11:52manager to get him signed up on the SLS
1:11:56waiver and if he's an adult if he's his
1:11:58own Guardian then you as you know an
1:12:01authorized rep or something can work
1:12:03with the case manager and him to put
1:12:06together that service plan and then
1:12:07absolutely you could do the services for
1:12:09them okay thank you yeah no
1:12:12problem all right so now let's shift
1:12:15gears for a little bit we're g to talk
1:12:17about compliance for a little bit uh
1:12:20we're going to talk about really the key
1:12:22thing here is how do we make sure we
1:12:23keep the clients those that we're
1:12:25supporting safe and protected as well as
1:12:28ourselves as caregivers so that's what
1:12:30we're going to talk about for the next
1:12:31five or 10 minutes so couple things to
1:12:35note one is that our clients have rights
1:12:41and this is important to understand
1:12:43which is just because they have an
1:12:45intellectual or developmental disability
1:12:48does not remove or hinder in any way
1:12:52their rights okay they have the same
1:12:54rights that we all do so for instance
1:12:56they have a right to safety so just like
1:12:59everyone right they should never uh be
1:13:01in an environment where they're abused
1:13:03they live in fear retaliation they
1:13:05should be able to move around freely we
1:13:07never confine or restrain or lock them
1:13:10in a room pretty much we don't lock them
1:13:12up or they should be safe they should be
1:13:15able to move around freely we treat them
1:13:17with respect so them and their property
1:13:20I'll also mention so for instance we
1:13:22treat them with respect we in our speech
1:13:25our language our interactions with them
1:13:27we allow them to communicate to make
1:13:29choices to make decisions right we don't
1:13:32just supersede them and make all the
1:13:34decisions for them and not allow them to
1:13:36have a say in things they have rights to
1:13:39be treated with respect and have their
1:13:40opinions and voices heard we also keep
1:13:43everything confidential so if we're
1:13:44coming over to provide a service and we
1:13:46learn things about the family or their
1:13:48house or Etc we don't go home and gossip
1:13:51about that with our friends we keep
1:13:53those things confidential to the family
1:13:55and those that were supporting and then
1:13:57when it also comes to their services our
1:14:00clients have a right to know what we're
1:14:02there to do what's in their service plan
1:14:05when you show up for a service what are
1:14:07you there doing right none of us would
1:14:09want a surprise visit from the doctor
1:14:11where we show up and we don't know
1:14:13what's about to happen right so we make
1:14:15sure they're involved they have a say
1:14:17they have a voice they can file
1:14:19complaints or Express concerns about
1:14:20their care at any time we take them just
1:14:23as serious as any other concern so the
1:14:26moral here of the story
1:14:28is make sure your clients are safe
1:14:31they're respected and they have a part
1:14:34when it comes to their uh uh receiving
1:14:36Services they have a voice in that so
1:14:39again most of this is common sense but
1:14:41the key thing here is just because they
1:14:42have a disability it doesn't take away
1:14:45these rights they still have the same
1:14:46rights that we all do now back to the
1:14:49safety there are four instances Where We
1:14:52Are
1:14:53now mandatory reporters since we're
1:14:56operating under the state uh Medicaid
1:14:58waiver program so if any of these four
1:15:00situations arise our job is to call 911
1:15:04and alert the Police uh in order to keep
1:15:07them safe they are all urgent enough
1:15:10where we need some intervention so we're
1:15:13going to talk about each of them real
1:15:14briefly the first is
1:15:17mistreatment mistreatment is when you
1:15:19come into a situation you show up to do
1:15:22a respit visit
1:15:23and you notice that there is a threat or
1:15:26danger to your
1:15:28client something bad has not happened
1:15:31yet but is very likely there's an
1:15:35imminent threat or danger and if there's
1:15:37no intervention your client could get
1:15:39seriously hurt or injured so for
1:15:42instance this could be you notice
1:15:43there's a gun on the table you notice
1:15:45open medication Etc anything where
1:15:48you're thinking ooh if nothing happens
1:15:51my client could get involved and could
1:15:53could get hurt with this so we're going
1:15:54to call the police in almost all these
1:15:56instances they'll give some direction
1:15:58over the phone they'll send someone out
1:16:00Etc again the goal here is they will
1:16:02eliminate that threat so that way your
1:16:04client isn't exposed to a threat abuse
1:16:08if you ever witness or suspect your
1:16:11client is being abused we're going to
1:16:13call 911 and we're also going to report
1:16:16this this is any type of abuse physical
1:16:19sexual emotional verbal any type of
1:16:22abuse that again you see the bruising on
1:16:25them or they tell you things where you
1:16:27think my client may be abused we're
1:16:29going to report that so that way they
1:16:32can be protected
1:16:34okay confining or restraining if there's
1:16:37an instance of active abuse and to
1:16:40protect the client's immediate safety
1:16:42you need to confine or restrain them
1:16:44which means restrain would mean like
1:16:46hold them down uh or hold their hands or
1:16:49something confine would mean lock them
1:16:51in a room you're allowed to do that for
1:16:53a short period of time 10 minutes or
1:16:56less so you can call 911 and get the
1:16:58authorities there so for instance if
1:17:00they have a knife and they're posing
1:17:01self harm you can grab them so they stop
1:17:04or if someone's trying to get to them
1:17:06lock them in a room so you can do that
1:17:08for a short period of time while 911
1:17:10arrives to protect them otherwise we
1:17:12don't confine or restrain and then the
1:17:15the moral of the story for this one is
1:17:16if you witness or suspect abuse we're
1:17:20going to call the authorities to make
1:17:21sure it's investigated and stopped
1:17:24neglect if your client is ever being
1:17:27deprived the necessities of life food
1:17:29clothing shelter medication well they
1:17:32need those things to survive and to be
1:17:34healthy so if they're not getting them
1:17:35we're going to report that okay and then
1:17:38the last is exploitation if your client
1:17:41is ever being taken advantage of them or
1:17:44their property that's not okay so we
1:17:47report those things as well so if your
1:17:48client tells you things like hey my
1:17:50neighbor is forcing me to M's yard or or
1:17:53some guy rides by on his bike and tells
1:17:55me I have to pay him $10 to live here
1:17:57whatever but you feel like they're being
1:18:00exploited or taken advantage of them or
1:18:02their property we're going to report
1:18:05that so that way it stops that's not
1:18:07right so again mistreatment abuse
1:18:09neglect exploitation we're contacting
1:18:12the authorities to make sure they're
1:18:13aware because it requires some immediate
1:18:15or some urgency in um the resolution now
1:18:19sometimes other things happen bad things
1:18:22happen that don't rise to this level for
1:18:25those things we're going to file what's
1:18:27called an incident report an incident
1:18:29report is when hey we're out walking and
1:18:32they fall and tweak their ankle or um
1:18:35you get an offender Bender or they get
1:18:38really sick all of a sudden or you know
1:18:41um I don't know they drop their iPad and
1:18:43it shatters or something right so
1:18:45something bad happens no one's immediate
1:18:48safety or threat is at risk so we don't
1:18:51need to call the police
1:18:53so but we still need to report this and
1:18:55we do that through an incident report we
1:18:57will show everyone how to do this but
1:19:00whenever you go to document at the top
1:19:03it will say were there any
1:19:05incidents you know and it gives a few
1:19:07examples um and you would just say yes
1:19:10and click report and just file a little
1:19:12report it'll have things like who was
1:19:15involved when did this happen Etc we get
1:19:18that how was it handled so we'll get
1:19:20that we'll then follow up with you
1:19:22follow up with uh the family make sure
1:19:25everyone's aware on the same page about
1:19:28how to proceed and the biggest reason
1:19:30for this is no one likes bad surprises
1:19:33so we don't want to go four or five days
1:19:35and then find out like oh the client's
1:19:37knee is really bruised and injured so
1:19:39file an incident report as soon as
1:19:41possible within 24 hours so that way we
1:19:44can review it make sure that client is
1:19:46safe and they get the care that they
1:19:48need so you'll file an incident an
1:19:51incident report through the website
1:19:53we'll show you how to do this in just a
1:19:55second if any of those incidents occur
1:19:59okay any questions on compliance related
1:20:03topics before we move uh move
1:20:11on okay
1:20:14so um so we're kind of done with part
1:20:16one of the training which is our
1:20:19policies and procedures so round of
1:20:21applause for everyone for kind of making
1:20:22it through the first part we're now
1:20:24going to shift gears and we're going to
1:20:25talk about documenting uh put another
1:20:28way we're going to talk about how do you
1:20:30now go to our website and type in what
1:20:34you did so that way you can get paid to
1:20:36receive services so that's what we'll
1:20:38talk about for probably the next 20
1:20:40minutes and then again we'll go to open
1:20:42Q&A after that so that's what we'll be
1:20:45doing now
1:20:47so how do I get paid for my services
1:20:51well you have to document them how do I
1:20:54document them well we will show you that
1:20:57now there are two steps to documenting
1:21:01and getting
1:21:02paid step number one is to create a
1:21:06schedule which is a plan so it's hey
1:21:08this is when I think I'm going to work
1:21:11everyone will use our website to do this
1:21:14we'll show you how to do it in just a
1:21:15second after you've created the plan
1:21:19which is this is when I think I will
1:21:21work you will later go back in to do
1:21:24step two which is to document what
1:21:27actually happened when you actually
1:21:29worked and what you actually did now if
1:21:32you're a
1:21:33parent or you live in the same house you
1:21:36can also do this on the website but if
1:21:39you do not live with your client you're
1:21:41going to have to use your mobile phone
1:21:44to do this and we'll show you how but
1:21:46just keep that in mind so I'm what I'm
1:21:49going to do now is shift gears to our
1:21:51website here
1:21:54uh and walk everyone through what this
1:21:55is to look like let me zoom in a little
1:21:58bit
1:21:59here okay so the website that we use is
1:22:03called can time it's up here in the top
1:22:06left corner in your welcome email you
1:22:10will get the website and also your
1:22:13username and password so that'll come in
1:22:15your welcome email so you can just click
1:22:17the link and type in your username and
1:22:20password and this is then what it will
1:22:22look like so a brief
1:22:25orientation is there's not too many
1:22:27places to click but where you'll always
1:22:29go first is client and Client List the
1:22:33first thing we want to do is to go find
1:22:35the client that we're going to be
1:22:37logging services for when I click that
1:22:40at the top there's some fancy filtering
1:22:43options you can ignore that and you'll
1:22:45come down here and all the clients that
1:22:48you work for will be listed so if you're
1:22:51a parent and have one or two children
1:22:53they'll be here if you're working for
1:22:55two or three families their names will
1:22:57all be here and if you click on their
1:23:00name it will load that client or that
1:23:02individual's
1:23:04profile there's three parts up here in
1:23:07the top left part one their profile just
1:23:11high level overview of name and their
1:23:14address the third one is their
1:23:17authorization or put in another way this
1:23:19is their service plan so this will
1:23:22specify what services they've
1:23:25received or they can receive how much
1:23:28you've used and how much you have left
1:23:31so again at any time you can get in to
1:23:34see exactly how much have I used how
1:23:37much do I have left to make sure you
1:23:39stay on track so that's found here in
1:23:41the
1:23:42authorization where you will do 99% of
1:23:46your work though in can time is in this
1:23:48second part here
1:23:49schedules when you click schedules the
1:23:52first thing that you'll notice is that
1:23:54there's a history of all your past work
1:23:57so at any time you can always get in to
1:23:59see hey you know what's this date back
1:24:02on May 2nd we did rest fit from 10: to
1:24:0510:30 okay so you always have a history
1:24:08of what was ever provided and who did it
1:24:10and what service was
1:24:12provided okay so now let's get into for
1:24:16our purposes today the two steps so
1:24:21let's say I'm going to provide respit
1:24:24this Friday night okay let's say I'm a
1:24:26grandparent I live in my client's home I
1:24:30live in the basement there's a room for
1:24:32me set aside there that's where I live
1:24:35and I'm going to be doing RIT for the
1:24:37parents so that way they can go out for
1:24:39Friday and I'll be watching the
1:24:41individual so Two Steps step one I
1:24:46create a schedule which is my plan for
1:24:49working how I do that is here in the top
1:24:51right there's 's a button that says
1:24:53create
1:24:54schedule you'll click that and then
1:24:57you'll click custom pattern there are
1:25:00some other fancier scheduling options
1:25:03that will pretty much never apply to
1:25:04what we're doing so you'll hit Uh custom
1:25:08schedule when you do that you'll Focus
1:25:11here on the schedule info
1:25:14section for shift you'll put the service
1:25:18that you're providing so
1:25:21respit
1:25:23the discipline will always say Aid it's
1:25:25the only thing you can pick so you can
1:25:27typically just skip it for
1:25:30service here is where you will clarify
1:25:33if you live with the client or if you do
1:25:38not live with them if I live with them I
1:25:42just select respit but if I don't I
1:25:44would select non live in
1:25:48respit okay I live with them so I'm just
1:25:51going to select rest
1:25:53bit for my start time I'll input the
1:25:57time that I'm planning to start and be
1:25:59done now notice can time uses military
1:26:04time or Hospital time so if you don't
1:26:09know what 4M is or sorry what 4M
1:26:12converts to just type the AM and PM and
1:26:15hit enter and it will convert it for you
1:26:18if you already know military time great
1:26:20just you can input it directly in but if
1:26:22you don't know just put 8:30 p.m. and if
1:26:25you click away it will automatically
1:26:27convert it for you so military time is
1:26:31critical then you will select your name
1:26:34as the individual who's providing it and
1:26:38then you come down to this calendar
1:26:40where you'll
1:26:42identify when you are working this isn't
1:26:45updated for 2024 yet so you know I'll
1:26:48just pick a random date back in December
1:26:50and then I'm going to go up to the top
1:26:52and hit create
1:26:55schedule when I do that I'll get a
1:26:58message if it was successful or not if
1:27:01not it will tell me why a few things it
1:27:04could say there's something else already
1:27:06at that time remember we can't do two
1:27:09things at once unless one is Hemer basic
1:27:11so it'll say something else is already
1:27:13happening or it might say you're at your
1:27:16monthly limit or a daily limit or your
1:27:19annual limit and then you can go back
1:27:21and just as
1:27:24needed now once I do that if I go down
1:27:27to the very bottom I will notice there's
1:27:31that shift I just made right here at the
1:27:34bottom Friday December 29th there's my
1:27:38rest bit from 4: to 8:30 p.m. and there
1:27:42it is and that is step one okay let's do
1:27:47it
1:27:48again repetition will bring the power
1:27:51the the knowledge so again let's now use
1:27:54a different example I'm a parent I clean
1:27:57the house every day for about an hour I
1:28:01know I do that so how would I document
1:28:03that well I'm going to go to create
1:28:05schedule and custom pattern that's how I
1:28:08always will
1:28:10start now for my shift well is it
1:28:14Homemaker basic Homemaker enhanced well
1:28:17I'm just doing this one so I'll select
1:28:19Homemaker
1:28:20basic always Aid
1:28:22for service again I'm going to clarify
1:28:25if I live with the client or don't and
1:28:31if I'm a parent so for instance there
1:28:34are three types of Homemaker basic there
1:28:37is a non livein Homemaker basic for
1:28:39people who do not live with their client
1:28:42there is a CES parent Homemaker basic
1:28:46well this is for CES parents there's
1:28:50also a homemaker a regular Homemaker
1:28:52basic this would be for an SLS parent or
1:28:57for a sibling who lives in the home so
1:29:00again you'll clarify do I live with them
1:29:02or not and am I a parent or not okay for
1:29:05this example let's say I'm a parent so
1:29:08I'll select CES parent Homemaker basic
1:29:12my start time let's say I do this every
1:29:14morning from 7 a.m. to 8:00 a.m. I know
1:29:19that I always do an hour of cleaning
1:29:20every morning then I'll select my
1:29:25name and now I go down and I would
1:29:28select you
1:29:30know I can select any day that I want
1:29:35okay so the nice thing is you can
1:29:38schedule in bulk so if you do the same
1:29:40thing every day the same routine go in
1:29:42and schedule it all out at once it'll
1:29:44save you a ton of time from having to
1:29:47schedule each visit
1:29:49individually so I know a lot of people
1:29:51who will schedule like a month out they
1:29:54kind of know when they're going to work
1:29:55so they'll schedule that month out again
1:29:57in step two when we document we'll
1:29:59clarify the specific time that we
1:30:02started and that we stopped and then
1:30:04I'll come up and I'll hit create
1:30:06schedule okay how about one more time
1:30:10little faster so again let's say I'm
1:30:14going to do Community Connector create
1:30:16schedule custom pattern I would Select
1:30:19Community Connector a
1:30:23clarify do I live with them or not or if
1:30:25I'm a parent my start time remember
1:30:28military time use the am and PMs they
1:30:31will help a ton select your name come
1:30:35down to the
1:30:37calendar click the dates that you're
1:30:39working and click create schedule and it
1:30:41will tell you success so once you've
1:30:44done it a few times you should be able
1:30:46to create a schedule
1:30:49in a a minute under a minute but but
1:30:52right about there if it's taking you
1:30:53longer we have some helpful YouTube
1:30:56videos we have step-by-step guides that
1:30:58are all going to be in your welcome
1:30:59email so check out those videos those
1:31:02tutorials they're excellent resources um
1:31:05because you should be able to schedule
1:31:07very
1:31:08quickly okay let's move on to step
1:31:12number two we're now going to document
1:31:15what we actually did so we can get paid
1:31:18okay and again if you live with them you
1:31:22will document on the computer if you do
1:31:24not live with them you will use your
1:31:27smartphone we'll show you how to do that
1:31:29in just a second I'm first going to show
1:31:32you how you document if you live in the
1:31:34same household as
1:31:36them what you do is you'll scroll down
1:31:39all your list and find the visit that
1:31:41you're wanting to
1:31:43document let's say I'm going to go down
1:31:46here at the bottom and I'm going to
1:31:47document this visit that happened back
1:31:50on December 30th
1:31:53we'll do this rest bit one
1:31:55first you'll notice over here at the
1:31:57right it says
1:31:58planned and next to that there's this
1:32:01word
1:32:02echart this is the golden ticket if you
1:32:06can remember to click this word e chart
1:32:09some popups will appear that you'll
1:32:11complete and you're done so this is the
1:32:13most important part remember to click e
1:32:16chart when you click e
1:32:20chart a box will will appear and you'll
1:32:23first confirm the time that you started
1:32:25working if you need to change that
1:32:28that's a okay just and put that
1:32:31time again military time so use PM if
1:32:34you don't know so it'll convert it for
1:32:36you and then you'll confirm you're also
1:32:38a livein caregiver okay because again
1:32:41only livein caregivers or people who
1:32:43live in the home can document on the
1:32:46website and then you'll
1:32:49confirm when you do that you'll notice
1:32:51right right here at the top here's our
1:32:53incident reporting so if there was an
1:32:55incident you can report that incident
1:32:58otherwise leave that blank and then
1:33:00you'll come down to these check boxes
1:33:02and you'll check what you did during
1:33:04that visit so you'll say hey I did some
1:33:07general supervision and we played some
1:33:10games you then scroll down to the bottom
1:33:13where it says signature and you click
1:33:16that box to sign off that what you're
1:33:18doing is accurate and you'll hit submit
1:33:21to Q QA if you hit save it will save it
1:33:25for you so you can finish it later if
1:33:28you hit submit to QA it will send it to
1:33:31us so you can get paid and the last
1:33:34thing it will ask you to do is to put in
1:33:36your checkout time and hit
1:33:40submit once you've done that everything
1:33:43will refresh you can go ahead and close
1:33:46out of uh the popup that's
1:33:50appeared and when when you close out
1:33:52you'll notice that this visit at the
1:33:55bottom of my screen now says
1:33:58completed that's how you know you did it
1:34:02and then so everyone knows on Fridays
1:34:05typically we review and we'll mark this
1:34:07is approved so it'll change to approved
1:34:09and be in a dark green and then you'll
1:34:11get paid for
1:34:13it so that's it so let's do another
1:34:15example Homemaker basic again the key
1:34:19find the visit and click e to document
1:34:22when you actually worked and what you
1:34:24actually did so you'll confirm the time
1:34:27you started and that you're a live-in
1:34:29caregiver when you do that the boxes
1:34:33will appear and you'll just check what
1:34:35you're going to do okay I cleaned the
1:34:37bedroom and I cleaned the toys please
1:34:41only check the boxes for what you
1:34:43actually did if you select all of them
1:34:47it's going to get rejected because it's
1:34:49highly unlikely you did every single
1:34:51activity in that visit so only check the
1:34:54boxes that you did and then again you'll
1:34:57sign it and come up to the top and hit
1:35:01submit to
1:35:02QA confirm the time you finished and hit
1:35:07submit and that's it so again to
1:35:10document should only take about a minute
1:35:15again if it's taking longer go to your
1:35:17welcome email which will have that
1:35:18stepbystep tutorial it has helped
1:35:21YouTube videos and check those out to
1:35:24see hey why is this taking me so long
1:35:26because all you should be doing is just
1:35:27clicking echart filling out the prompts
1:35:30and submitting them now the last example
1:35:33we'll do here is for Community
1:35:36Connector again you click echart to open
1:35:39it up confirm the time you started and
1:35:43that you live in the home so you can do
1:35:45it on the
1:35:46computer when you do that for Community
1:35:49Connector there's something specific
1:35:51specific that you have to
1:35:53do which is in the today's note section
1:35:58you need to give us a one sentence
1:36:00summary of what where you went and what
1:36:03you did okay this is the only time you
1:36:06need to inp put a note you don't need a
1:36:10note for the other services you're more
1:36:12than welcome to if you would like but
1:36:14the only time we require a note is if
1:36:18there's Community Connector and again
1:36:20does not need to be a novel but does
1:36:22need to give us some detail about where
1:36:25you went and what you did so went to the
1:36:27grocery store and worked on staying near
1:36:30the cart purchasing
1:36:33items and um you know talking to the
1:36:38store R something something where we
1:36:42know hey this is what you did and this
1:36:43is what you worked on and then the same
1:36:46thing you'll sign it at the bottom and
1:36:49you'll hit submit to QA confirm the time
1:36:52you're done and hit submit okay so that
1:36:56is how you will document if you live
1:36:58with them is go down and click e chart
1:37:03once you click e chart you fill out the
1:37:05popup box and again just like anything
1:37:08else this may seem totally foreign
1:37:11that's okay this is just a general
1:37:13introduction you'll get into it and
1:37:16after you do it two or three times it'll
1:37:18soon become very simple and easy go to
1:37:21create schedule to identify when you
1:37:24think you'll work you'll then hit echart
1:37:27to document when you actually worked and
1:37:30what you did and then it will say
1:37:33completed we will review it to Market is
1:37:36approved and then you get paid for it
1:37:39okay any questions on documenting for
1:37:42our livein caregivers before we show you
1:37:46how to use the mobile phone for people
1:37:48who do not live in the home all question
1:37:52yes um I already have the cam time
1:37:55downloaded on my phone because I go
1:37:57through a different um home healthcare
1:37:59to get paid for my mom do I just go is
1:38:02that the same thing just add them add my
1:38:04client in there yeah so you'll have a
1:38:06new log in so unfortunately you'll have
1:38:09to log out and log back in but then you
1:38:11can do it okay yeah good
1:38:14question and
1:38:18then uh yes Tyler hi so um I guess two
1:38:23questions one of the questions I think
1:38:24you've already answered but for the
1:38:25respit care um for the parent and a
1:38:29child I'm a living parent for my child
1:38:31that would not apply to me but I could
1:38:34have somebody else come in the home and
1:38:35do that
1:38:36instead correct yep you cannot do respit
1:38:40but someone else could come in and do
1:38:42respit okay fantastic um and then as
1:38:46also so I can do this on a tablet the
1:38:48can time right would that be on the
1:38:52tablet and the phone or would it matter
1:38:55yeah good question so it's it's really
1:38:57about the can Time website so you could
1:39:00do this on a tablet just go to the
1:39:03website uh and then you could do this on
1:39:05a tablet as well it's a little trickier
1:39:07and harder to do this on the phone to go
1:39:09to the ctime website just because
1:39:11everything gets really scrunched
1:39:13together it is possible but it's much
1:39:15easier just to do it on a tablet or on a
1:39:18computer okay and then S one more
1:39:20question too um for the parent CNA
1:39:24program um I know this is different kind
1:39:26of so I need to talk to somebody
1:39:28afterwards or something about that um
1:39:31but um I guess basically would would I
1:39:35be doing this every day and then doing
1:39:38the hours like 7 to 7:30 8 or 8:30 to
1:39:429:30 or 7 to 9 or 7 to 10 and then
1:39:46flipping over to the CNA hours and doing
1:39:49that as well great question so the CNA
1:39:52is way easier than this um okay because
1:39:57yeah because we build all the schedules
1:40:00for you and you just go in and verify so
1:40:04it takes our CNAs a couple minutes a day
1:40:07two minutes a day because it's all done
1:40:09all the work is done for you you just
1:40:12verify you did it for these waivers you
1:40:15have to do or the waivers you have to do
1:40:18this one or two minute extra work for
1:40:20each one to just say when did I work or
1:40:23when do I think I'll work and then what
1:40:24I actually
1:40:26did okay and my um I guess my not
1:40:30supervisor what do you call her uh
1:40:33coordinator yeah Courtney Courtney
1:40:35coordinator she can kind of help with
1:40:37that too if if need be like your like
1:40:40your service coordinator at your CCB
1:40:43yeah yeah so they can advise you kind of
1:40:45on like hey here are some good thing you
1:40:47know guidelines to follow about how much
1:40:48you should be doing each week but in
1:40:50terms ter of for the waiver Services
1:40:53when you do it you have control of what
1:40:55day and time you want to do
1:40:57it okay fantastic right that's it thank
1:41:01you I have a quick question for that as
1:41:04well how many um hours are you allotted
1:41:07each
1:41:08week yeah great question so the service
1:41:11plan from your case manager will specify
1:41:15how much you're allotted each week um so
1:41:17you can always chat with them and say
1:41:19hey I need to use more and they can at
1:41:22any time do a revision to give you more
1:41:25or to give you less of something um so
1:41:27you can chat with them about
1:41:30that sorry go ahead applies to the CNA
1:41:32as well so for the CNA Services feel
1:41:36free to reach out to us but we do a
1:41:38video call and that's when we would
1:41:40confirm with you how many hours you'll
1:41:42be getting you don't need to go through
1:41:44your case manager for CNA just call us
1:41:48we'll do a video call to tell you how
1:41:50many hours you get and then you fill out
1:41:52some paperwork and you either will go
1:41:55get your license or if you already have
1:41:56it you can start getting paid yeah
1:41:59awesome thank you yeah no problem I have
1:42:02a question okay let me put one quick
1:42:05pause on questions and let me show you a
1:42:08few more things and then we'll come back
1:42:10to more questions during open
1:42:13Q&A so what I want to just show you real
1:42:16quick here is how you'll document your
1:42:18time if you do not live live with your
1:42:22client so if you do not live with them
1:42:25you will still do part one go on to our
1:42:28website schedule when you will work and
1:42:32then what you'll do is when you arrive
1:42:34to work this is what you'll do you'll
1:42:36open your phone on the screen is what
1:42:39it'll look like you'll log in and all
1:42:42the visits you've scheduled will appear
1:42:45okay this is why you need a schedule
1:42:48ahead of time so you'll schedule ahead
1:42:50of time time you'll come here you'll um
1:42:53click on or tap on the visit that you're
1:42:56doing when you tap on it you'll notice
1:42:59there in the middle it says checkin so
1:43:01you'll tap that checkin box and it will
1:43:04ask you to confirm because once you do
1:43:06that it timestamps and that's when
1:43:09you're in okay that's when you start so
1:43:12then you'll put your phone away you'll
1:43:14do the work and then when you're done
1:43:17you wrap up you head back out to your
1:43:19car you'll open the phone and you'll tap
1:43:21check out and when you tap it it again
1:43:24asks you to confirm because once you do
1:43:27it time stamps it you cannot edit that
1:43:30time and then it will say right here in
1:43:32the middle no tasks documented so if you
1:43:36tap that box it will pull up those same
1:43:39check boxes so you'll just tap on the
1:43:42check boxes that you did for that visit
1:43:46again remember do not select all of them
1:43:49because it will get rejected only select
1:43:51the one two three things that you
1:43:53did then you'll sign
1:43:57it you'll add a note if it's Community
1:44:01Connector okay if it's Community
1:44:04Connector you need a one or two sentence
1:44:06note about where you went what you did
1:44:08and then you'll hit
1:44:09submit and confirm when you do that it
1:44:13locks it so you're not able to edit it
1:44:15anymore and if you go back to your main
1:44:19screen it will look like this top one
1:44:21it'll go to green and say echart
1:44:24submitted and that's how you know you're
1:44:26done so I'll walk through it one more
1:44:29time but the most important thing if
1:44:31you're using the mobile phone is to make
1:44:34sure you clock in and clock out okay you
1:44:36don't want to get in and be seven
1:44:38minutes late and be like oh man I forgot
1:44:40to clock in and then clock in right so
1:44:43make sure you have reminders or do
1:44:45whatever you need to clock in and clock
1:44:47out on time it's very important so let
1:44:50me show you how to do it one more time
1:44:52you'll arrive to the home pull out your
1:44:55phone and log in you'll then tap on the
1:44:58visit that you're there to do and when
1:45:00you do that you'll H tap in the middle
1:45:03check in and again it timestamps it put
1:45:07your phone away do the work and then
1:45:09when you're done you'll open up your
1:45:11phone tap
1:45:14checkout you'll tap no task documented
1:45:17so that way you can tap on the few boxes
1:45:20of what you did when you were
1:45:22there you'll go back out and tap the
1:45:25clinician digital signature to sign and
1:45:28approve it you'll add a note if it's
1:45:31Community Connector and then you'll hit
1:45:34submit and once you do that you are done
1:45:38so again to get through both of these
1:45:40steps should only be taking one or two
1:45:43minutes okay in your welcome email you
1:45:45have the step-by-step guides and YouTube
1:45:47videos look at those if you're having
1:45:49struggles or again give our office a
1:45:52call if you forget to clock in and clock
1:45:56out on the mobile phone call us that day
1:45:59or the next day so we can fix it for you
1:46:02so you can still get paid this is a
1:46:05state of Colorado requirement that if
1:46:07you do not live in the home you have to
1:46:10clock in and clock out okay if you don't
1:46:14you're not going to get paid and it's a
1:46:16silly reason not to get paid so if you
1:46:18forget call us the next day day so that
1:46:21way we can get that fixed and you can
1:46:23still get paid okay the state's getting
1:46:25really strict about it so please make
1:46:27sure you clock in and clock out okay
1:46:30parents one last thing for you you have
1:46:33a superpower which is you can schedule
1:46:36and document things that happened in the
1:46:38past okay so you can go in there and say
1:46:42hey yesterday I did a homemaker shift
1:46:46schedule it and then document it for
1:46:49yesterday and you'll get paid for it
1:46:51okay but if you do not live in the home
1:46:54you cannot do that you have to schedule
1:46:57only in the future and then use your
1:47:00phone to clock in and to clock out if
1:47:03you want to get paid for it okay all
1:47:06right a few things before we wrap and
1:47:08then we'll go to open Q&A one is
1:47:11regarding to our pay calendar we pay
1:47:13every other week this schedule on the
1:47:15screen is
1:47:162023 so please ignore the dates for 202
1:47:20before but the principle is the same
1:47:23which is every other Friday is in green
1:47:26which means you get paid whatever you
1:47:29submit to us eight days prior in yellow
1:47:33the yellow highlighted dates is what
1:47:35gets included in payable the reason we
1:47:38need it eight days before is because on
1:47:42Friday after you submit you have up
1:47:44until midnight on Friday we review and
1:47:48approve everything and send it to the
1:47:50state to review they get that back to us
1:47:53on Monday they release the funding for
1:47:56it on Tuesday we take that funding and
1:47:59send it to your bank accounts and it
1:48:01takes a couple days for direct deposits
1:48:03to hit so whatever you submit by
1:48:06Thursday at midnight will get included
1:48:09in the next payroll so we always
1:48:11recommend parents document at least
1:48:14weekly by Thursday at midnight to make
1:48:16sure it hits if you forget that's okay
1:48:19just docu minute it just gets moved to
1:48:21the next pay cycle but if you do not
1:48:25live with your client you have to be
1:48:27documenting in real time so whatever you
1:48:30document by that Thursday at midnight
1:48:32will get paid to you the following
1:48:34Friday a few last reminders one make
1:48:38sure that you fill out your online
1:48:41paperwork get that into us we will start
1:48:44processing it and your background check
1:48:46again it can take four or five days for
1:48:47that background check if you already
1:48:49have your CPR send it in if you're not
1:48:52first aid CPR certified get that done
1:48:55and then email that and we'll attach it
1:48:57to your
1:48:58application also make sure we get a copy
1:49:00of that client service plan reach out to
1:49:02your case manager so that way we can get
1:49:04a copy of
1:49:06it once we have your service plan and
1:49:09the paperwork you'll get that welcome
1:49:11email from us pay attention to the
1:49:14attachments lots of great information
1:49:16and things we've covered in today's
1:49:18training um and again up until you get
1:49:22that welcome email every Wednesday
1:49:24you'll get notified of what we're
1:49:26missing so keep an eye out on for that
1:49:28tomorrow you'll get an email with what
1:49:29you're missing if this is the last step
1:49:32for you then probably this afternoon or
1:49:34tomorrow you'll get that welcome email
1:49:37and you can start documenting services
1:49:39and getting
1:49:40paid one of the last things to note if
1:49:42you do not live in the same house as
1:49:45your client I've said this 10 times but
1:49:48I have to keep saying it again please
1:49:50please remember to clock in and clock
1:49:52out on your mobile phone or you will not
1:49:55be paid for it clock in and clock out do
1:49:59whatever you need to do to remember to
1:50:02clock in and clock out so you can get
1:50:04paid we want to pay you so clock in and
1:50:07clock out and if you forget just contact
1:50:10us the next day and we can still fix it
1:50:12in
1:50:13time at the bottom of the screen is our
1:50:16support uh we have one email one phone
1:50:19number to keep it simple so contact us
1:50:22we get back to everyone within a few
1:50:23hours certainly within a day so reach
1:50:26out to us we want to make sure we get
1:50:27your questions answered you can also go
1:50:30to our website Colorado familyc
1:50:32caregivers.com there's a resources tab
1:50:35that has additional resources um it has
1:50:38a copy of this presentation our policies
1:50:41and procedures our pay calendar um I'll
1:50:44put that up on the screen now so you can
1:50:46go to our website it does ask for a
1:50:48username and password so you can use
1:50:50what's on the screen uh if you ever need
1:50:53to access these resources most of these
1:50:55are also included in your welcome email
1:50:58as well so with that everyone that
1:51:01concludes our training today so again
1:51:03big thank you to everyone who's attended
1:51:05our training in our orientation session
1:51:08for
1:51:09today I will go ahead and end the
1:51:12recording

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