6-6-1 Disability Allowance
PURPOSE
1. To support families in their care of adult family members with a disability. (Persons eligible for the Disability Support Program are not eligible for an allowance under this policy as their supports are received under that program.)
PRINCIPLE
2. Families should be encouraged and supported in their efforts to contribute to the care of adults with disabilities.
3. Adults with a disability should be supported to live in as normative an environment as possible.
4. Case planning should determine the least amount of support required to maintain activities of daily living.
POLICY
5. A disability allowance may be provided to assist in the care of an adult applicant with a disability where the applicant:
a) is being cared for by a family member; and
b) lives in the home of the family member providing the care; and
c) demonstrates a need for a level of personal and/or supervisory care as determined by an assessment profile.
6. The assessment profile should reflect as much as possible the clients actual abilities for self care and not necessarily the current level of care being provided.
7. For purposes of this policy, family is defined as parents, spouse, grandparents, brothers, sisters or children over the age of majority.
PROCEDURE
8. Complete with the client and care provider an assessment profile. This assessment will provide a determination of the disability allowance, respite care rate and rates for sitting services. Respite care and sitting service rates will apply in Policy 6-6-2 Respite Care Services.
9. Determine the range within which the total score falls using the following scoring ranges:
Points
0 - 50
51 - 60
61 - 70
71 - 80
81 - 90
Allowance
$150
125
100
75
50
Respite Rate
45
45
35
35
25
Sitting Rate
$4.00/hr
4.00/hr
3.25/hr
3.25/hr
2.50/hr
10. Add to the allowance any additional dollars indicated by the Behavioural Factors Scale. The total amount cannot exceed $150.
11. To determine the Respite Care Rate and Sitting Service Rate, use the rates beside the total allowable arrived at after adding in any allowance for behavioural factors.
12. When completing the assessment profile with the family, workers are expected to explain the respite care policy and help the family identify respite/sitting needs.
13. Any special care allowance on the file should be reviewed as to its purpose when determining the need for a disability allowance. Where the special care allowance was for personal and supervisory care, it should be deleted. If there are incidental costs of a material nature that can be specifically documented a special care allowance may still apply.
14. Reviews of the Disability Allowance are to be completed every three years unless the client/caregiver requests a review more frequently.
Sunday, July 4, 2010
Housekeeping or Home Care
6-6 Housekeeping or Home Care
PURPOSE
1. To meet short-term home care needs of applicants. Persons eligible for the Disability Support Program are not eligible for funding under this policy.
POLICY
2. Family members are expected to provide for the home care support needs of applicants where it is reasonable to do so.
3. Workers should encourage family members to engage in a problem-solving process to determine the family’s ability to contribute to the applicant’s support needs.
4. Where family support is non-existent or insufficient, referrals should be made to the Home Care and Support Division.
PRINCIPLE
5. Where family, government services and community resources do not meet the required need, and where family financial resources are not sufficient, housekeeping or home care expenses may be authorized at a reasonable rate as determined by the Department for up to 40 hours per week for a maximum of four months for services provided in the applicant’s home.
6. Where home care services appear to be required on a long-term basis, it may be necessary to assist the family to explore other options, either by further problem-solving or referral and consultation with other services.
PURPOSE
1. To meet short-term home care needs of applicants. Persons eligible for the Disability Support Program are not eligible for funding under this policy.
POLICY
2. Family members are expected to provide for the home care support needs of applicants where it is reasonable to do so.
3. Workers should encourage family members to engage in a problem-solving process to determine the family’s ability to contribute to the applicant’s support needs.
4. Where family support is non-existent or insufficient, referrals should be made to the Home Care and Support Division.
PRINCIPLE
5. Where family, government services and community resources do not meet the required need, and where family financial resources are not sufficient, housekeeping or home care expenses may be authorized at a reasonable rate as determined by the Department for up to 40 hours per week for a maximum of four months for services provided in the applicant’s home.
6. Where home care services appear to be required on a long-term basis, it may be necessary to assist the family to explore other options, either by further problem-solving or referral and consultation with other services.
Personal/Clothing Allowance for Residents of Anderson House
6-5-1 Personal/Clothing Allowance for Residents of Anderson House
PURPOSE
1. To provide, in emergencies, an allowance for personal needs and minimum clothing
needs for the women and children residing in Anderson House.
PRINCIPLE
2. The women and their children seeking the safety of Anderson House have usually left a crisis situation and often have no financial resources.
Although Anderson House provides for the basics in shelter and food, the women often need their own funds for such items as personal care for themselves and their children, social and school related expenses for their children, and some minor clothing needs.
POLICY
3. A personal and clothing allowance may be granted to the residents of Anderson House who are without financial resources. The rate to be granted shall be in accordance with the personal and clothing portion of the Food, Clothing, Household and Personal (FCHP) Allowance for the particular family size and ages of the children. (Refer to Pre-Added Budget). This amount would be granted on a pro-rated basis.
PROCEDURE
4. For administrative simplicity, the staff of Anderson House will take an application for Social Assistance with the women once they are settled into the house. Anderson House will forward the completed application to the Intake Supervisor at the office for the area of the person's primary residence.
5. Anderson House staff will act as Agent and the monies will be issued to the Agent, in that they, as Agents, will advance the client's money from their petty cash fund which we will reimburse.
PURPOSE
1. To provide, in emergencies, an allowance for personal needs and minimum clothing
needs for the women and children residing in Anderson House.
PRINCIPLE
2. The women and their children seeking the safety of Anderson House have usually left a crisis situation and often have no financial resources.
Although Anderson House provides for the basics in shelter and food, the women often need their own funds for such items as personal care for themselves and their children, social and school related expenses for their children, and some minor clothing needs.
POLICY
3. A personal and clothing allowance may be granted to the residents of Anderson House who are without financial resources. The rate to be granted shall be in accordance with the personal and clothing portion of the Food, Clothing, Household and Personal (FCHP) Allowance for the particular family size and ages of the children. (Refer to Pre-Added Budget). This amount would be granted on a pro-rated basis.
PROCEDURE
4. For administrative simplicity, the staff of Anderson House will take an application for Social Assistance with the women once they are settled into the house. Anderson House will forward the completed application to the Intake Supervisor at the office for the area of the person's primary residence.
5. Anderson House staff will act as Agent and the monies will be issued to the Agent, in that they, as Agents, will advance the client's money from their petty cash fund which we will reimburse.
Personal Comfort Allowance
6-5 Personal Comfort Allowance
PURPOSE
1. To provide for the additional personal needs of the applicant. Persons eligible for the Disability Support Program are not eligible for an allowance under this policy.
PRINCIPLE
2. Personal care or comfort items may include items for personal care and hygiene, or to meet leisure, social and recreational needs.
3. Persons with a disability generally have fewer opportunities to earn casual income.
4. Employable persons should be able to earn casual income or perform functions in the home in exchange for some items of personal need.
POLICY
5. A Personal Care allowance of $53 per month may be granted to applicants who are unable to provide for themselves, to pay for items of personal care or comfort.
6. An employable applicant capable of earning casual income is not eligible to receive this allowance. An applicant with a disability earning casual income greater than $100.00 per month, is not eligible to receive this allowance. These persons shall receive the personal allowance included in the FCHP rate only.
PROCEDURE
7. Allowance levels should be determined on the basis of real need. It may be that an individual has very few personal expense needs, depending on his/her circumstances.
8. The Personal Care Allowance is not to be confused with the Comfort Allowance payable to residents of nursing homes or manors. Social assistance benefits to persons living in nursing homes or manors, as defined in Regulation 1(1)(q), are administered by the Director of Long Term Care.
PURPOSE
1. To provide for the additional personal needs of the applicant. Persons eligible for the Disability Support Program are not eligible for an allowance under this policy.
PRINCIPLE
2. Personal care or comfort items may include items for personal care and hygiene, or to meet leisure, social and recreational needs.
3. Persons with a disability generally have fewer opportunities to earn casual income.
4. Employable persons should be able to earn casual income or perform functions in the home in exchange for some items of personal need.
POLICY
5. A Personal Care allowance of $53 per month may be granted to applicants who are unable to provide for themselves, to pay for items of personal care or comfort.
6. An employable applicant capable of earning casual income is not eligible to receive this allowance. An applicant with a disability earning casual income greater than $100.00 per month, is not eligible to receive this allowance. These persons shall receive the personal allowance included in the FCHP rate only.
PROCEDURE
7. Allowance levels should be determined on the basis of real need. It may be that an individual has very few personal expense needs, depending on his/her circumstances.
8. The Personal Care Allowance is not to be confused with the Comfort Allowance payable to residents of nursing homes or manors. Social assistance benefits to persons living in nursing homes or manors, as defined in Regulation 1(1)(q), are administered by the Director of Long Term Care.
Medical Supplies
6-4-1 Medical Supplies
PURPOSE
1. To provide for the purchase of needed medical supplies.
PRINCIPLE
2. Applicants with medical needs should have the necessary supplies available that will facilitate care outside the medical institutions.
POLICY
3. The purchase of necessary medical supplies may be authorized when required for health, safety or well-being of the applicant.
4. Medical supplies include such items as bandages, disposable needles, hospital room supplies, disposable diapers for applicants confined to a bed, etc., but do not include basic need items such as toothpaste, soap, etc. covered by the personal or household allowances.
5. Medical supplies may not be authorized if a special care allowance was previously authorized intending to cover those same items.
PROCEDURE
6. Need and quantity of items shall be verified by a physician or attending medical personnel.
7. Authorization and purchase may be by C/SA or, where previously authorized, an applicant may present receipts for reimbursement.
PURPOSE
1. To provide for the purchase of needed medical supplies.
PRINCIPLE
2. Applicants with medical needs should have the necessary supplies available that will facilitate care outside the medical institutions.
POLICY
3. The purchase of necessary medical supplies may be authorized when required for health, safety or well-being of the applicant.
4. Medical supplies include such items as bandages, disposable needles, hospital room supplies, disposable diapers for applicants confined to a bed, etc., but do not include basic need items such as toothpaste, soap, etc. covered by the personal or household allowances.
5. Medical supplies may not be authorized if a special care allowance was previously authorized intending to cover those same items.
PROCEDURE
6. Need and quantity of items shall be verified by a physician or attending medical personnel.
7. Authorization and purchase may be by C/SA or, where previously authorized, an applicant may present receipts for reimbursement.
Expenses Incidental to Special Care
6-4 Expenses Incidental to Special Care
PURPOSE
1. To meet the recurring Special Need costs related to a disability. Persons eligible for the Disability Support Program are not eligible for funding under this policy.
PRINCIPLE
2. Persons with disabilities frequently have additional regular expenses related directly to their disability.
3. Such costs may not be consistent each month and therefore should be averaged.
4. It may be an unnecessary burden to expect the applicant and worker to deal with such minor expenses on a monthly or periodic basis.
5. Special care expenses may also include compensation to the care-taker for extra services or other time-consuming commitments provided to the person with a disability for which it would be difficult to establish specific fees, e.g. constant supervision, managing difficult behaviour, life skills development, etc.
6. A disability does not, in itself, justify a special care allowance, particularly if the room and board rate is intended to include some special care provision.
POLICY
7. Up to $40 per month may be granted to an applicant with a disability to enable him/her to pay for special needs arising from his/her disability.
8. Special Care Allowance shall not be paid to persons residing in a Licensed Community Care Facility, residential institution or nursing home.
PROCEDURE
9. To avoid paying twice for the same item, the worker shall ensure that the special care allowance does not cover expenses already allowed under another section of the Regulations or approved policy, e.g. room and board, transportation personal/comfort, etc.
10. The allowance paid is up to $40 per month. The worker shall be required to document a rationale for the specific amount allowed in each case.
PURPOSE
1. To meet the recurring Special Need costs related to a disability. Persons eligible for the Disability Support Program are not eligible for funding under this policy.
PRINCIPLE
2. Persons with disabilities frequently have additional regular expenses related directly to their disability.
3. Such costs may not be consistent each month and therefore should be averaged.
4. It may be an unnecessary burden to expect the applicant and worker to deal with such minor expenses on a monthly or periodic basis.
5. Special care expenses may also include compensation to the care-taker for extra services or other time-consuming commitments provided to the person with a disability for which it would be difficult to establish specific fees, e.g. constant supervision, managing difficult behaviour, life skills development, etc.
6. A disability does not, in itself, justify a special care allowance, particularly if the room and board rate is intended to include some special care provision.
POLICY
7. Up to $40 per month may be granted to an applicant with a disability to enable him/her to pay for special needs arising from his/her disability.
8. Special Care Allowance shall not be paid to persons residing in a Licensed Community Care Facility, residential institution or nursing home.
PROCEDURE
9. To avoid paying twice for the same item, the worker shall ensure that the special care allowance does not cover expenses already allowed under another section of the Regulations or approved policy, e.g. room and board, transportation personal/comfort, etc.
10. The allowance paid is up to $40 per month. The worker shall be required to document a rationale for the specific amount allowed in each case.
Transportation - Out-of-Province Medical Services
6-3-1 Transportation - Out-of-Province Medical Services
PURPOSE
1. To provide for non-medical expenses related to essential out-of-province medical care.
PRINCIPLE
2. Essential medical treatment may not be available within the province.
3. Applicants are expected to receive required medical services in the nearest capable facility.
4. All other sources of funding must be first explored by the applicant.
5. Family and friends should be reasonably expected to help out with financing, transportation, escorts, babysitting, etc.
6. Medical and hospital costs are not funded through Social Assistance.
POLICY
7. Assistance may be granted for non-medical costs such as transportation, accommodation and meals, associated with essential medical or hospital care, providing:-
(a) The applicant is referred out of province by his/her physician; and
(b) The medical and/or hospital service is not available in this province; and
(c) The Medical Services Division, Department of Health, have agreed to meet medical costs associated with the treatment.
8. Confirmation of approval by Medical Services shall be obtained prior to travelling, whenever possible. Normally, the physician will have the confirmation before arranging the out-of-province service or treatment.
9. Costs for an attendant/escort may be included when:
(a) clearly specified by the doctor as necessary for the safety and well-being of the patient;
(b) the patient has a disability and is unable to travel alone. Escorts/attendants for persons eligible for the Disability Support Program are not eligible for funding under this policy;
(c) the patient is a dependant child;
(d) An unusual circumstance is approved by the Department.
Attendants, as with applicants, should be expected to use the most economical travel accommodation and meals available when required to stay over with the patient.
PROCEDURE
10. If the out-of-province service or treatment is related to vocational rehabilitation, the application for funding should be processed through the Disability Support Program for eligible persons.
PURPOSE
1. To provide for non-medical expenses related to essential out-of-province medical care.
PRINCIPLE
2. Essential medical treatment may not be available within the province.
3. Applicants are expected to receive required medical services in the nearest capable facility.
4. All other sources of funding must be first explored by the applicant.
5. Family and friends should be reasonably expected to help out with financing, transportation, escorts, babysitting, etc.
6. Medical and hospital costs are not funded through Social Assistance.
POLICY
7. Assistance may be granted for non-medical costs such as transportation, accommodation and meals, associated with essential medical or hospital care, providing:-
(a) The applicant is referred out of province by his/her physician; and
(b) The medical and/or hospital service is not available in this province; and
(c) The Medical Services Division, Department of Health, have agreed to meet medical costs associated with the treatment.
8. Confirmation of approval by Medical Services shall be obtained prior to travelling, whenever possible. Normally, the physician will have the confirmation before arranging the out-of-province service or treatment.
9. Costs for an attendant/escort may be included when:
(a) clearly specified by the doctor as necessary for the safety and well-being of the patient;
(b) the patient has a disability and is unable to travel alone. Escorts/attendants for persons eligible for the Disability Support Program are not eligible for funding under this policy;
(c) the patient is a dependant child;
(d) An unusual circumstance is approved by the Department.
Attendants, as with applicants, should be expected to use the most economical travel accommodation and meals available when required to stay over with the patient.
PROCEDURE
10. If the out-of-province service or treatment is related to vocational rehabilitation, the application for funding should be processed through the Disability Support Program for eligible persons.
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