WHAT
TYPES OF SERVICES ARE AVAILABLE?
In order to be
referred to the Family Support Services program, you or
your family member must be currently eligible for MRDD
Services and all of your family member's needs should be
addressed and included in the ISP or IFSP. Your service coordinator
is required to help you find other resources before
referring you to Family Support Services.
Respite/Support Service Needs
-
Respite:
More than 60 percent of our families utilize their
funds for respite services. Families can choose
their own provider or choose from a listing of
LCBMRDD-approved providers. Respite is approved as a
total dollar amount and can be distributed as the
family prefers.
-
Adaptive
Equipment: Include items needed for therapy; or
specialized equipment for the home, school or family
vehicle.
-
Summer
Programs: Covers individual pool passes, summer
school programs, and summer camps or retreats.
-
Supplies:
This may include medical supplies, diapers and
general supplies needed for the individual not
covered under any other services.
-
Home
Modifications/Ramps: FSS may help pay for home
modifications needed to help the individual live
more comfortably. Ramps are also covered for the
family home, although other sources must be
exhausted before utilizing these funds.
-
Therapeutic
Services: May help families cover the cost of copays
and/or alternative therapies. These therapies may
include standard physical, speech and occupational
therapy, but also holistic and alternative therapies
not covered under insurance and/or Medicaid.
-
Special
Diet/Medications: FSS may be used to help with
monthly medication expenses, and any special diet
needs.
-
Other
Special Requests: Any reasonable request will be
considered by the FSS Review Committee.
WHO
PAYS?
Copays
-
Copays
are based on the federal taxable income (after
deduction) and include everyone living in the home.
The income verification portion of the FSS Plan will
be used to determine the financial responsibility of
the family.
-
If
a copay is necessary, the family will receive a
waiver form with their approval letter.
The waiver of copay may be filled out any time after
the approval is received. This form allows for
extenuating circumstances within the family to
reduce or waive the copay.
-
The
FSS Committee will make final recommendations
regarding a reduction or approval of a waiver of
copay.
-
Families
approved for a waiver or reduction of copay will
receive a letter stating the approval. Also included
in the letter will be a new Payment Authorization
for Services (PAS)
with the updated dollar amount approved.
Payments
-
Pay
sheets and original receipts are sent to the Licking County Auditor's
office on the 15th and 30th of each month. In order
to ensure reimbursement is processed, families need
to have all information to the Administration office
(65 W. Church St., Newark, OH 43055) no later
than the 14th and 29th of each month.
-
Receipts
and timesheets are required to process payment. It
usually takes 10-14 days for the auditor's office to
cut a check after receiving the required
documentation.
-
To
be assured reimbursement, families shall obtain
estimated costs and prior approval from Arletta
Hinger, FSS Coordinator, before submitting expenses
for services other than respite.
-
Families
utilizing Board-approved providers need to know that
those providers will be receiving their checks
directly.
-
Family-approved
providers are paid by the family, either when the
service is completed, or when the check is received
from the auditor's office.
-
Please
be advised that the auditor's offices closes
annually from Dec. 15 to Jan. 15 to complete its
year-end reporting process. All reimbursement
requests submitted after Dec. 10 cannot be processed
until late January.
CAN
I CHOOSE MY OWN PROVIDER?
There are two
types of providers within the FSS program -- those that
are Board-approved, and others that are family-approved.
-
Board
approved providers must have certain qualifications
and be certified by LCBMRDD before their name is
added to the FSS Provider List. These requirements
include: a supervised practicum, time spent with
individuals served by the LCBMRDD and their
families, criminal background checks, CPR and first
aid, and a health and safety inspection of the home.
Board-certified respite providers receive up to 40
hours of training. The superintendent and/or
designee may waive the training if the provider has
documented experience with individuals with MRDD.
-
Family-approved
providers are familiar with the individual to be
served and are, in many cases, neighbors, friends or
even extended family members. In order to utilize a
family-approved provider, our FSS families must
complete and return a Provider Packet. This packet
is a three-page document that lists the provider
name, address and phone number, the agreed-upon
hourly/daily rate, the location of services, an
authorization to transport and a waiver of liability
for the Licking County Board of MRDD. If a family
chooses their own provider, it is the family's
responsibility to make sure training is provided, if
needed.
Click
here to see the latest LCBMRDD Family Support
Services Provider List
ELIGIBILITY
AND THE APPROVAL PROCESS
In order to be
referred to the Family Support Services program, you or
your family member must be currently eligible for MRDD
services, and all of your family member's needs should
be addressed and included in the ISP or IFSP. Your
service coordinator is required to help you find other
resources before referring your family to Family Support
Services.
Within 7 days of receiving a referral, we will send you
the annual FSS Plan. Your service coordinator will be
happy to help you with any questions or with filling out
this plan. Specific directions are given on the last
page of the FSS Plan. This plan needs to be completed
and returned to:
Arletta Hinger,
FSS Coordinator
The Licking County Board of MRDD
65 W. Church St.
Newark, OH 43055
Distribution of money will take place in June and
December of each year. In order to receive FSS money,
families must return a completed plan to the Board of
MRDD by the May 15 and November 15.
The FSS Review Committee will review each plan and
distribute all FSS money in a fair and equitable manner.
Decisions will be based on the number of families
applying, needs identified by the family and a maximum
amount of money available for the total program. Once
approved, families will receive a packet of information
that will include the following:
-
Payment
of Authorization or voucher for (includes total
money available to you).
-
Approval
letter with a list of service codes for the services
you are approved to use.
-
A
copy of the appeals process.
-
Timesheets
if you have requested respite.
-
A
provider Packet if you have requested respite.
-
Waiver
of Copay Request form if the total family income
exceeds $27,258.
Annually,
the superintendent or other designated representative
will appoint a committee for a term of two years to
assist with FSS allocation. This committee will review
and make recommendations on such issues as: waiver of
copays, request for goods and services that fall outside
the approved items, and emergencies. The committee will
be composed of the LCBMRDD Director of
Finance/representative, a parent of an individual who
receives LCBMRDD services, a provider of MRDD services,
and two service coordinators. The committee will meet no
less than twice a year, or when requests warrant
additional meetings.
ADAPTIVE
EQUIPMENT BULLETIN BOARD
Do
you have adaptive equipment you are trying to sell or
need to purchase? Post your request, inquiry or item on
this bulletin board by sending a detailed message to: admin@LCBMRDD.org
and we'll post it for you.
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