What is Case Management?
Your Case Manager’s job is to enable you to receive a full range of appropriate services in a coordinated and efficient manner. Those services will include ones funded by your Medicaid Waiver, as well as any non-waiver State Plan, medical, social, educational or other supports that you may need. Case management is defined as those services which assist you to gain access to needed waiver supports, as well as to State Plan, medical, social, educational and other services, regardless of their funding source. Case management enables you to receive a full range of appropriate services in a planned, coordinated, efficient and effective manner.
Your IPMG Case Manager will do the following for you:
- Educate you and your guardian about the waiver program and ensure that you have the information needed to make thoughtful decisions about all of your services. We’ll also steer you toward additional resources that may help you make those decisions.
- Make sure that you understand your right to choice. This includes your choice of case management companies, Case Managers, providers and services. If you don’t like a choice that you make, you can make another. Nothing that you decide is set in stone if you want to change it.
- Create with you a Person-Centered Plan (PCP) that reflects what is important to you and for you. This plan will be the basis for all services that you will receive and will be updated annually and as your needs and desires change.
- Use your PCP to help you create an Individualized Support Plan (ISP) that defines specific outcomes that you would like to strive for in your life. Service providers will use this as their blueprint to guide them as they implement the services that you have chosen. It will also change as your needs and desires change.
- Create a Cost Comparison Budget (CCB), initially and at least annually, that requests the funding needed to provide your desired services. We’ll work to make that funding available to the providers that you have chosen.
- Conduct face-to-face meetings with you and your guardian at least every three months to complete a 90 Day Checklist. In this process, we’ll check on your health and safety, as well as your satisfaction with the services you are receiving, and follow up on any needed changes.
- Indiana's Division of Disability and Rehabilitative Services (DDRS) requires that three of these meetings take place each year in your home, and one in a community setting.
- In order to ensure the health and safety of all waiver participants, DDRS also requires Case Managers to make one unannounced visit each year.
- Facilitate meetings with your chosen Individualized Support Team (IST) at least every three months to ensure that services are consistent with your current desired outcomes. This is a great time to make sure that we are all focused on the things that are important to you and for you and to make any changes that might be necessary.
- We’ll communicate with service providers to solve problems as needed and monitor the quality of your services.
- We’ll take care of all the paperwork that is needed to maintain your eligibility in the program, and will make sure that you have current copies of your PCP, ISP and the Notice of Action (NOA) that records your current budget.