CDDO FAQ

                Targeted Case Managers assist the person and/or their support network to identify, select, obtain, coordinate and use both paid services and natural supports to achieve their preferred lifestyle.  The case manager serves as an advocate and the coordinator of services that are needed.  Case Managers do not provide any direct care to individuals.  Case Management Services include the following:

• Assessment- ongoing review of the individuals’ needs, the preferred lifestyle and available resources to the individual in formal and informal methods.
• Support Planning- developing, updating and reviewing of the individuals’ person-centered support plan in order to build upon assessment information to assist the individual in achieving the preferred lifestyle.
• Support Coordination- arranging for and securing supports outlined in the person-centered plan and accessing natural or community support systems.
• Monitoring and follow up- ensuring the person-centered support plan and related supports/services are effectively implemented and adequately addressing the needs of the individual.
• Case Managers can also assist individuals on their behalf at meetings, appointments or events as requested.

• There is not a waiting list for services.  However, there is a waiting list for funding to pay for those services.  The one exception is Targeted Case Management, which is immediately available to anyone who is eligible for developmental disability services.  Cowley County CDDO assists individuals who are not Medicaid eligible to access this service usually local funding. 

• A crisis occurs when a person has no services or natural supports and is at significant, imminent risk of serious harm to themselves or others.  There is documentation supporting the need for the person’s protection from confirmed abuse, neglect or exploitation (ANE) and whose needs can only be met through immediate access to services available through the HCBS-IDD Program.

• All individuals requesting crisis access or exceptions to the HCBS I/DD waitlist must meet I/DD eligibility criteria as well as functional eligibility requirements.  When an individual/guardian believes the individual to be in crisis, or at imminent risk of crisis, the individual/guardian would request assistance from the Targeted Case Manager to complete the crisis request.  Prior to the CDDO being able to finalize processing of the crisis request an updated BASIS/Functional Assessment will be needed if more than 365 days from the last one.  The CDDO requires the application request be complete including supporting documentation as listed on the request form.  This includes: APS letter confirming ANE or any pending action for the same; Third party letters/documentation of incidents of serious harm to self or others in current situation; current Person-Centered Support Plan and a Needs Assessment.  Documentation of any community resources that have been accessed as well as information about the availability of natural supports and the ability to privately pay for a service should be included.

• Financial Management Service (FMS) provides administrative and payroll services for people who choose to self-direct some or all services.  FMS provides payroll, payment, reporting services, employer orientation, skills training, and other fiscal-related/administrative services to participant-employers.
• Personal Care Services (PCS) means both physical assistance and/or prompting and supervising the performance of direct personal care tasks as determined by the person’s needs and does not include assistance with tasks performed by a licensed health professional.

• Self-Directed provides supervision and/or physical assistance with instrumental activities of daily living and activities of daily living, health maintenance activities, and in some cases socialization/recreation.  You get to hire your own staff.
• Agency Directed used to be called Supportive Home Care, provides one on one assistance for people living with family or foster family to provide assistance with activities of daily living and/or instrumental activities of daily living, socialization and supervision.  The agency hires staff for you.

Kansas contracts with three health plans or Managed Care Organizations (MCOs) which are: Aetna, Sunflower and United Healthcare.  These are the 3 plans you can choose from under KanCare.  MCO is a health care provider or group or organization of medical service providers who offers manage care health plan.  It is a health organization that contracts with insurers or self-insured employers and finances and delivers health care using a specific provider network and specific services and products. The individual/guardian has the right to select the MCO of their choice annually; a provider does not choose for the individual/guardian.