HAR §11-800-27. Service monitoring

(a) The case management agency shall provide continuing, regular contact with the client, caregiver, and other service providers to ensure that: (1) Services are being provided in accordance with the service plan and continue to meet the client's needs; (2) The caregiver and residential care facility environment continue to meet the client's needs; (3) Sufficient progress is made towards achieving desired goals and outcomes; and 800-33 B325 11-800-27 (4) All of the client's rights, as provided in section 11-800-50, are met. (b) The service monitoring process shall include: (1) Face-to-face contact with the client at least once a month, with more frequent contacts depending on the client's condition and the caregiver's capability. The frequency of this contact shall be specified in the service plan; (2) Regular RN monitoring of the client who has a medically complex condition, as determined by a physician or RN. The frequency of this monitoring shall be specified in the service plan; (3) Ongoing evaluation of the client's response to and satisfaction with services provided and follow-up as needed; (4) Ongoing evaluation of the appropriateness, timeliness, adequacy, and quality of services, caregivers, and home-like environment provided; (5) Ongoing evaluation of the caregiver's status, behavior, and skills competency; substitute caregiver coverage and skills competency; and other caregiver responsibilities, such as child care or employment, to identify areas that may necessitate case management intervention; (6) Assessment for, review, and follow-up activities on all reports of unusual occurrences involving the client, such as adverse events and inappropriate or lack of client supervision; (7) Follow-up activities to assure that substandard care and unsafe practices or conditions have improved, or to arrange for alternative placement, as provided in section 11-800-44; (8) Assurance that a qualified caregiver is physically available to the client twenty-four hours a 800-34 B325 11-800-27 day, seven days a week; (9) Facilitating and documenting conflict resolution of client complaints or grievances about services, service providers, as well as conflicts between contracted personnel and the client; (10) Monitoring and documenting continued medicaid eligibility for medicaid waiver service recipients; and (11) Reporting to the department any concerns the case management agency may have about the home in which a client has been placed, including but not limited to: (A) Changes in the composition of the household; and (B) Inappropriate activities on the premises. [Eff 2/11/02, am and comp 2/7/05] (Auth: HRS §§321-481, 321-482, 321-485, 346-14) (Imp: HRS §§321-481, 321-482, 321-485, 346-14)