New Provider Residential Services Orientation State of Georgia
- Slides: 90
New Provider Residential Services Orientation State of Georgia Orientation 1
Am. Way The Miracle of Pyramid Marketing How to sale soap and rule the world. Orientation 2
Introduction • What We Will Do - Educate • Presented By – Georgia Association of Homes and Services for Children (GAHSC) – Department of Human Resources (DHR) • Office of Regulatory Services (ORS) • Division of Family and Children Services (DFCS) • Division on Mental Health, Mental Retardation, Substance Abuse (MHMRSA) – Department of Juvenile Justice (DJJ) Orientation 3
Overview Normer Adams, Executive Director Georgia Association of Homes & Services for Children www. gahsc. org normer@gahsc. org 404 572 6170 Orientation 4
Steps to Provision of Services 1. - Organizational Capacity and Needs Assessments 2. - Licensure 3. - Approval Process for Vendors 4. - Referrals and Payments Orientation 5
Steps to Provision of Services Step one - Organizational Capacity and Needs Assessments Orientation 6
FIRST PRIORITY Develop the “BUSINESS PLAN” • The Plan vs Good Intentions – Board – Mission – Constituency -Facilities -Budgets -Policies & Procedures Needs Assessment Organizational Capacity Assessement
FIRST PRIORITY THE BUSINESS PLAN (continued) • Research – The Need – The Competition • Interviews • Field Trips Needs Assessment Orientation 8
SECOND PRIORITY Develop “YOUR CONSTITUENCY” (Who Supports You) • Your Community Church, Civic Groups, Interested Parties • Your Supporters Give Time, Money, and Resources • Your Board Developed from your Constituency Organizational Capacity Assessment Orientation 9
Board Development (Those who are accountable to the organization) • Truism - An organization is as strong as its Board. • Choose people who can help you • Go beyond friends and family • Movers and Shakers of community make good Board Members Organizational Capacity Assessment Orientation 10
Executive Director (He/She who manages the organization) • Choose person of experience, integrity, responsibility and history • He/She will represent your organization • He/She will carry out your policies and procedures Organizational Capacity Assessment Orientation 11
Mission (Drives the activities of the organization) • Clear concise mission statement important “We do good” is concise but not clear. • Determines the nature of your services Organizational Capacity Assessment Orientation 12
Budgets and Budgeting Budget Development Expenses Income 62% of cost=State Reimbursement 38% = Your subsidy Organizational Capacity Assessment Orientation 13
Budgets and Budgeting Medical Care Covered by Medicaid - Nearly all children in residential care qualify for Medicaid. Organizational Capacity Assessment Orientation 14
Budgets and Budgeting (See Handout) • Staff--Base Pay • Benefits • Insurance--Property, Casualty, & Liability • Other, including: Food, office supplies, clothing, travel & recreation, medical expenses, school supplies & activities, gifts, allowances, conference expenses, vehicle repair, fuel, maintenance, grounds, promotions, postage, utilities, telephone, moving expenses of staff, GAHSC membership dues, and legal and professional Organizational Capacity Assessment Orientation 15
Fundraising Grants for Startup List of all the Foundations and Charities that give to new organizations starting children homes and group homes: Organizational Capacity Assessment Orientation 16
Fundraising Grants for Startup All Foundations and Charities 1. 2. 3. 4. Organizational Capacity Assessment Orientation 17
Fundraising Grants for Startup • Very Few • Only to Existing Groups • Need 501(c)(3) status • Anticipate 18 months for startup support • Build constituency Organizational Capacity Assessment Orientation 18
Not-for-profit Organization (Nearly all are 501(c)3) • IRS Regulations for securing tax deductible contributions • Takes at least 1 year to secure • A knowledgeable person can do it without lawyer Organizational Capacity Assessment Orientation 19
Your Facilities • Fire Inspection – #1 Problem Area – Most Expensive to Correct – State Regulations, County Interpretations and enforcement • Community – Build Support Carefully – If negative, hard to overcome Orientation – Use community leaders to lead 20
Your Facilities Zoning -- Required before Licensing -- #2 Problem Area -- Zone for “a licensed childcare institution for six or more unrelated children” -- Movers and Shakers of community can help with this Organizational Capacity Assessment Orientation 21
Policies & Procedures (Provides the why and how of the organization) • Get a person who has done residential child care to prepare your policies and procedures • These are your rule books for operations • You will live and die by them • They become your Bible for operation Organizational Capacity Assessment Orientation 22
Technical & Clinical Assistance (Gut instinct is not enough. ) Truism - Experience is more valuable than gut instinct. • A compliant child may be a depressed child. • An attentive, indulgent staff may be a pedophile. • Money in your pocket may not mean money in the bank. • Your High School Joe might like your facility as coed, but you won’t. Orientation 23
Staff & Personnel Issues (They make or break your organization) • Truism - Your program is as good as your worst staff. • A thorough background check is essential. • “Would you let these folks care for your child? ” Organizational Capacity Assessment Orientation 24
Reporting Requirements • Child Abuse Reporting Requirements • Stuff will happen! Self Report. • The law requires you to report abuse and neglect. • Do not even THINK of not reporting. Organizational Capacity Assessment Orientation 25
Working with the State • Some Steer The State is our partner in caring for children. Their role is regulatory and contractual. Respect it. • Others Row Our role is providing services to children. Together we work to provide the best care for children. Organizational Capacity Assessment Orientation 26
Departments & Divisions of State Agencies Orientation 27
Department of Family and Children Services (DFCS) Budgeting/Rate Setting Organizational Capacity Assessment Orientation 28
BUDGETING/RATE SETTING • Family Foster Care • Institutional Foster Care Organizational Capacity Assessment Orientation 29
Family Foster Care • DFCS Family Foster Homes Per Diem Rate -– $33. 30 Per Day – Provider Rate • Level of Care Family Foster Homes – Daily Per Diem Calculated Organizational Capacity Assessment Orientation 30
Institutional Foster Care PER DIEM RATE • Currently $44. 22 /day for new providers. • After first year reimbursement Rate Calculated-62% Total Allowable Costs Organizational Capacity Assessment Orientation 31
Allowable Costs • • • Salaries Consultation Fees Occupancy Costs Insurance Costs Maintenance & Repair • Depreciated Equipment • Consumer Supplies • Payroll Related Expenses • Travel • Utilities • Leased Equipment • Purchased Equipment • Lease Purchase Organizational Capacity Assessment Orientation 32
Unallowable Costs • Bad Debt • Contributions & Donations • Depreciation • Investments • Organizational Costs • • Contingencies Entertainment Fines & Penalties Prohibited Activities Organizational Capacity Assessment Orientation 33
Provider Reports Institutional Foster Care (IFC) • • Annual Group Facilities Cost Report Description of Treatment Program Independent Audit Report Typical Weekly Schedule Organizational Capacity Assessment Orientation 34
Steps to Provision of Services • Step Two - Licensure Orientation 35
DHR Office of Regulatory Services Child Care Licensing Orientation 36
DHR Office of Regulatory Services Child Care Licensing • License Category: -- CCI-Child Caring Institutions includes emergency shelters, group homes, and children's homes. (6 or more residents in (24 hour care) • Application Process -- How to apply, temporary licensing, license Licensure Orientation 37
How to Apply for Licensure (Handout # 3) • Purchase licensure application package • Familiarize yourself with ORS rules and regulations--develop a working knowledge of the meaning and intent of these rules and regulations • Prepare your agency for compliance with the regulations Licensure Orientation 38
Staff Qualifications (Handout # 5) • Director: Masters/2 years experience or Bachelors/4 Years experience • Human Services Professional (Social Services): Bachelors/2 Years Experience or supervised by Masters • Child Care Worker: 21 Years Old/ High School or GED • Satisfactory criminal records check Licensure Orientation 39
Staff Qualifications (continued) • Human Services Professional--Master’s Degree in social work, psychology, childhood education, education counseling and psychology, or related field , • OR a bachelor’s degree in one of these fields and two years experience, or under the supervision of another HSP with a Master’s degree. Licensure 40 Orientation
New Criminal Records Check Law----July 1, 1999 • Satisfactory state fingerprint result on Director, with FBI results pending • Satisfactory preliminary results-employees • Employee checks can be done by local law enforcement with results on file • If employee’s check reveals any crime, person cannot be hired until resolved. Licensure Orientation 41
Physical Plant (Handout #6) • Water/Sewage • Bedrooms: 63 Square Feet per resident Single: 75 Square Feet • Bathrooms - one sink /toilet per 8 kids, 1 shower per 10 kids • Proper Storage for Hazardous Items • SAFETY FIRST--Inside and Outside Licensure Orientation 42
Behavior Management (Handout # 7) • Forms of discipline which are not allowed • Excessive or unreasonable work tasks • Denial of meals and hydration • Denial of sleep • Denial of shelter, clothing, or essential personal needs • Verbal abuse, ridicule, or humiliation Licensure Orientation 43
Behavior Management (continued) • Chemical restraints or mechanical restraints • Denial of communication and visits unless restricted in treatment planning process • Corporal punishment Licensure Orientation 44
Specifics on Behavior Management • Regulations on the use of isolation rooms • Regulations on the use of physical control techniques--ONLY by staff trained by a certified trainer and documented in personnel record • Discipline/behavior management methods MUST be documented in the treatment plan Licensure Orientation 45
Management of Medications (Handout # 8) • System for Proper Storage, Administration and Documentation • Monitoring for Side Effects/Complications • Expired Medications • Accurate Medication Logs • Method of Managing Medication Errors • Documentation in Treatment Plan Licensure Orientation 46
Regulatory Process (Handout # 9) • Submit Application with local approvals • Self-Assess for Rule Compliance and Completed Application Materials • Initial On-Site Inspection: Temporary License (6 Months) • Annual Re-Licensing Inspections • Follow-Up Inspections • Complaints/Self-Reported Incidents Licensure Orientation 47
Break Orientation 48
Steps to Provision of Services Step Three - State Approval Process of Vendors Orientation 49
Division of Family & Children’s Services DFCS Orientation 50
DFCS (Division of Family & Children Services) Services Purchased by DFCS Services purchased by DFCS for children in it’s custody are: – Institutional Foster Care (IFC) – Family Foster Care (FFC) Services Purchased Orientation 51
Services Purchased by DFCS • Institutional Foster (IFC) requires license by the Office of Regulatory Services (ORS) • IFC includes group homes, emergency shelters, child care institutions, and therapeutic camps. • Family Foster Care (FFC) requires license as Child Placing Agency or Child Caring Institution with Foster Care Services. Orientation Services Purchased 52
Characteristics of Children in DFCS Custody • Age – Birth to 18 years old • Mental/Emotional/Behavioral Difficulties • Medical/Physical Difficulties Deprivation determined by the court • Abused, neglected, or abandoned • Committed status Characteristics of Children Orientation 53
DFCS Approval Process (Handout # 10) • Potential Provider requests application package from the Treatment Services Unit. • Completed Application is submitted to the Treatment Services Unit. • Application is reviewed by Treatment Services Unit. Approval Process of Vendors Orientation 54
Approval Process (continued) DFCS Approval (Handout # 10) Three Possible Outcomes: (A) Application accepted--will conduct an on-site visit and review the program (B) Application incomplete--will include an explanation of application items for which more information is needed (C) Application denied--will include an explanation of the basis for denial Approval Process of Vendors Orientation 55
Approval Process (continued) DFCS Approval Process (Handout # 10) • If approved to serve children who are in the custody of DFCS, a notification letter will be sent to the provider. • DFCS Treatment Services Unit notifies all county DFCS offices of the approval status. Approval Process of Vendors Orientation 56
Referral Process • Program will receive referrals directly from county DFCS offices. • County DFCS is responsible for reimbursement for services. Referrals and Payments Orientation 57
MHMRSA Division of Mental Health Mental Retardation Substance Abuse Orientation 58
MHMRSA • Division of DHR • Made up of 13 Regional Boards • Contract with 27 Community Services Boards (CSBs) and other private providers • CSBs also sub contract with providers Approval Process of Vendors Orientation 59
MHMRSA Regions Orientation 60
Characteristics of Children in MHMRSA Care • SED (Severely Emotionally Disturbed) • Under age of 18 • Major mental illness diagnosis, such as Major Depression, bi-polar disorder, anxiety disorder, PTSD, ADHD, oppositional defiant disorder, and substance abuse disorders • Many are multi-agency involved Characteristics of Children Orientation 61
MHMRSA Approval Process (Handout # 11) • Following appropriate licensing from ORS, contact the Regional Board or the Community Service Board (CSB) in your area (see handout material). • If chosen as an eligible provider, you must comply with all Division standards and provider manual requirements (Regional Boards have this information). Approval Process of Vendors Orientation 62
SED Residential Treatment Services of MHMRSA • Highly structured and supervised home • Individual, family, group and activity therapy services • Psychiatric services, including medication monitoring by an M. D. (psychiatrist) • Community Re-integration Services, including identification of natural support systems Services Purchased Orientation 63
MHMRSA Referral Process • Contracts are made directly with Regional Boards or Community Service Boards. • The Regional Boards or Community Service Boards are responsible for reimbursement for services. Referrals and Payments Orientation 64
DJJ Department of Juvenile Justice DIVISION OF COMMUNITY CORRECTIONS Orientation 65
Department of Juvenile Justice Division of Community Programs Serves to Protect the Citizens of Georgia by Providing Prevention Services, Court Services and Supervision, Treatment and Rehabilitation of Youthful Offenders. Approval Process of Vendors Orientation 66
DJJ Approval Process · No Formal, Written Application · Upon Obtaining Licensure, Contact the Residential Placement Specialist (RPS) in the District in which Your Facility is Located Approval Process of Vendors Orientation 67
State Outline of DJJ Districts (Handout # 12) Orientation 68
Residential Placement Specialists ( Handout # 13) Regional Placement Specialists 13 Districts match DHR Districts 1. Wayne Reynolds 2. Kim Settles 3. Marie Martin 4. Carl Harrison 5. Sue Riner Approval Process of Vendors Orientation 69
DJJ Approval Process • Residential Placement Specialist (RPS) Conducts Site Visit • Assesses Willingness and Ability to Service Delinquent Youth – School Issues – Supervision • Contract Approval Process of Vendors Orientation 70
DJJ Contracts and Payments • Contract - referrals and payments are negotiated through contracts. Referrals and Payments Orientation 71
Characteristics of Children in DJJ’s Care • • • Average Age - 15 (range is from 8 -17) 82% Males - 18% Females Most Common Offenses - Property & Status Oppositional - Lack Impulse Control Common Mental Health Diagnoses - Conduct Disorder, Depression, PTSD • Substance Abuse Issues Characteristics of Children Orientation 72
Services to Children in DJJ’s Care • During FY 1998, 789 youth were served in the Contract Home Program. • Youth were served in either – Group Homes – Private Family Placements Services Purchased Orientation 73
Private Placements Normer Adams, GAHSC Orientation 74
Private Placements Agency determines what services to sell (or give away) to the private individual. The nature of these services are determined on the ability to provide those services within the Licensing framework Services Purchased Orientation 75
Characteristics of Children in Private Placement • Characteristics of the children -Determined by agency according to their mission and ability to care for the child. • And by ability to serve. Characteristics of Children Orientation 76
Private Placements • Application Process-- Licensing allows an agency to provide out of homes services. Within the rules of Licensing, each agency develops their own application process. • Approval Process -- There is no approval process save Licensure. Approval Process of Vendors and Marketing Orientation 77
Private Placements Referrals and Payments • Referrals - Referrals are made by private individuals or agencies. This referral network is determined by the agency. • Payments - Payments are negotiated with each referring party. Referrals and Payments Orientation 78
MATCH Multi-Agency Team for Children Orientation 79
Characteristics of Child Served by MATCH • Children have severe mental, emotional and behavioral disturbances. Characteristics of Children Orientation 80
MATCH (Multi-Agency Team for Children) • Includes DFCS, DJJ, DOE, ORS, and DMHMRSA • MATCH is responsible for arranging and purchasing residential treatment services for children with mental, emotional and behavioral disturbances. Approval Process of Vendors Orientation 81
MATCH Services Purchased • Intensive Residential Treatment Programs • Intermediate Residential Treatment Programs • Outdoor Therapeutic Programs • Therapeutic Foster Care (Levels I and II) Services Purchased Orientation 82
MATCH Enrollment Process (Handout # 14) • Potential provider requests application package from the Treatment Services Unit. • Potential provider must have the appropriate license from ORS. • The agency must be in compliance with the “Certification Standards for Enrollment as a Provider of Therapeutic Residential Child Care Services” prior to the submission of the completed application to the Treatment Services Unit. Approval Process of Vendors Orientation 83
MATCH Enrollment Process (continued) • Completed application is submitted to the Treatment Services Unit. • Application is reviewed by Treatment Services Unit. Approval Process of Vendors Orientation 84
MATCH Enrollment Process (continued) Three Possible Outcomes: (A) Application accepted--Treatment Services Unit and ORS will conduct an on-site visit and review the program (B) Application incomplete--will include an explanation of application items for which more information is needed (C) Application denied--will include an explanation of the basis for denial Approval Process of Vendors Orientation 85
MATCH Enrollment Process (continued) • If enrolled as a MATCH provider, appropriate paper work, including rate notification and contract with DHR will be sent. • Program is added to the list of approved MATCH providers. Referrals and Payments Orientation 86
MATCH Enrollment Process (continued) MATCH Outcome Project • A system designed to measure and track the effectiveness and results of residential treatment services provided to children and adolescents with severe emotional disturbance. • All providers are required to participate. Services Purchased Orientation 87
MATCH Referrals and Payments • Provider will receive referrals from County DFCS or Community Mental Health after the child has been approved for funding by the State MATCH Committee. • Approval letter is sent to the MATCH provider. • The State Office of DHR is responsible for reimbursement for service. Referrals and Payments Orientation 88
Steps to Provision of Services 1. - Organizational Capacity and Needs Assessments 2. - Licensure 3. - State Approval Process for Vendors 4. - Marketing to Referral Sources, DFCS, DJJ, Private Sector Orientation 89
WRAP-UP • Questions? ? ? ? • Evaluation Forms • Training Certificate Orientation 90
- New provider orientation
- Georgia state orientation
- Penn state new student orientation
- Texas state university orientation
- Georgia coam reporting
- Geocentric orientation company example
- New york state division of criminal justice services
- Elchc
- Mit sloan
- Microsoft services provider license agreement
- Georgia registry for immunizations
- Georgia state success academy
- Georgia state motto
- Middle georgia state university scholarships
- Georgia flag pledge
- Tadra is an acronym for the state of georgia
- Georgia state beta convention
- Vital records ga
- Fccla mission statement
- Fcclainc.org logo
- Georgia state treasury
- Georgia state seal image
- What's georgia's state motto
- Marion morisson
- Georgia state properties commission
- Budget monitor georgia
- What is the georgia fccla state theme this year
- The legislative body
- "ph.d." "georgia state university" or "student success"
- Emphasis
- Indiana state orientation
- Florida state university orientation
- Texas state orientation
- Polk state orientation
- East river from the shelton hotel
- Northside hospital new hire orientation
- Lions learning centre
- New distributor orientation
- New distributor orientation program
- Famous toastmasters
- New teacher orientation agenda
- Gsu new student orientation
- Bcps teacher evaluation
- New nurses orientation
- Rotary new member orientation
- New teacher orientation presentation
- Occ new student orientation
- Fsu new faculty orientation
- Cpcc refund
- Code of ethics three major sections
- Nih new employee orientation
- New student orientation
- New employee orientation
- Coca cola orientation
- Pgl bawdsey manor address
- Grittleton house in 2 action
- Smart residential buildings
- Before and after residential schools
- Ap building rules 2012
- Denver quick permits
- Article 7 behavioral health residential facilities
- Main objectives of landscaping for industrial area
- Hollowford centre
- Foxhowl
- Residential ventilation fans market
- Truss steel design
- Dbhds sponsored residential regulations
- Examples of intermediate sanctions
- Brown and clough theory on group living
- Burwardsley school residential
- Salt lake city building code
- Bawdsey manor residential
- Income tax meaning
- Access networks and physical media
- Lancashire outdoor education
- 2000-1684
- Residential placement for students with disabilities
- Residential floor loading
- Rheem heat exchanger
- Lejac residential school
- Residential water supply
- Residential data collection
- National association of residential property managers
- Level 3 residential childcare
- Catering establishment
- Residential plumbing layout plan
- Chapter 2 basic house design answers
- Pinewood bowmanville
- Ucr residential life
- Tuberculosis in residential schools
- Ob youtube