Service Coordination Handbook

Revised 2/8/2023

For: Audrain, Benton, Callaway, Clay, Dallas, Hickory, Jackson, Platte, Polk, and St. Louis Counties

CHS Core Values

  • We are Leaders in Excellence
  • We are Steadfast in our Commitment to Solutions
  • We Respect All Differences, Similarities, and Abilities
  • We Advocate Autonomy

Our Vision: Life Beyond Limitations
Our Slogan: Creating Opportunities – Changing Lives

Welcome

Service Coordination Program

  • Since 1955, CHS has provided high quality services to individuals with intellectual and developmental disabilities with service coordination located in the following counties: Audrain, Benton, Callaway, Clay, Dallas, Hickory, Jackson, Platte, Polk, and St. Louis County. Service coordination will assist in coordinating, linking, and connecting individuals with resources and services to achieve a life without limitations.
  • This manual can be provided in different formats such as Braille, read aloud, sign language interpretation, non-English interpretation, or large font.
  • Office hours are 8:00 a.m. – 5:00 p.m., Monday-Friday
    • Central Region:
    • Western Region:
    • Eastern Region:
      • St. Louis County - TBD. Contact your Service Coordinator on their CHS cell
        phone

Contacts

Emergency After Hours

Supervisor Contacts

Vice President/Director Contacts

  • Associate Vice President of Service Coordination
  • Central Region (Audrain, Benton, Callaway, Dallas, Hickory, and Polk Counties)
    • 362 Country Meadows Lane, Fulton, MO 65251
  • Western Region (Clay, Jackson, and Platte Counties)
  • Eastern Region (St. Louis County)

 

Rights and Responsibilities

Individual Rights

People receiving CHS services shall be entitled to the following rights and privileges without limitation:

  • Treated with respect and dignity
  • Same legal rights and responsibilities as others
  • Right to due process when any right limitation is proposed
  • Receive services regardless of race, gender, creed, marital status, national origin, disability, or age
  • Free from physical, verbal, and sexual abuse and neglect
  • Receive appropriate and high-quality services and supports as determined by your support team
  • Receive services and supports in the least restrictive environment
  • Access to CHS rules, policies, and procedures pertaining to services and supports
  • Personal records are confidentially maintained
  • Access to your personal records upon written request to your service coordinator.
  • Services, supports, and personal records are easily understood and explained
  • Being informed of changes to individual rights and receive updated descriptions
  • Right to decide the location and who attends your service plan meeting

Responsibilities

Because services are being provided to you with public and private funds, you and your family have the following responsibilities:

  • Treat staff with respect
  • Discuss services clearly and openly with others
  • Follow rules that pertain to you
  • Take part in your plan and communicate goals
  • Work toward personal goals by following individual plan
  • Request changes to plan when needed
  • Ask only for services you need rather than want
  • Understand services may be limited due to available funding
  • Maintain your own and others’ confidentiality
  • Follow the policies of your chosen provider

Individual and/or Family Roles

  • All addendums and/or individual plans must be signed and sent to CHS
  • When requesting records, CHS has three business days to respond to your request. If we deny the request, CHS will provide written notice for denial and explain your right to have the denial reviewed. If you want copies of your records, charges may apply. You may choose what portions of your information you want copied.
  • Communicate with your service coordinator at least quarterly
  • Meet with your service coordinator at least once a year face to face and update individual plan
  • Update service coordinator when phone number, address, or needs change
  • Natural supports should be explored first before requesting state-funded services

Service Coordination

Role

  • Advocating for the individual receiving services and their families
  • Connecting individuals and families with community resources i.e., self-help support services, advocacy support services, and/or legal entities for appropriate representation
  • Complete the annual individual service plan which is a living document that can be changed at anytime
  • Assist in scheduling the annual meeting
  • Document the meeting minutes
  • Develop long-term and short-term goals and writing the associated outcomes

ISP Monitoring and Review

  • Maintain a minimum of quarterly contact with the individual and/or family
  • Review monthly summaries from service providers, when applicable
  • Perform monitoring and review of the individual service plan based on the six Life Domains of the Missouri Quality Outcomes
    • Daily Life and Employment; Community Living; Social and Spirituality; Healthy Living; Safety and Security; and Citizenship and Advocacy
    • Findings from these monitoring and reviews are available to the individual and/or
      family upon request.

Billing

  • When your service coordinator completes various tasks on your behalf such as making phone calls, writing letters, completing the annual service plan and quarterly reviews, the service coordinator bills MO HealthNet
  • You will receive a quarterly MO HealthNet printout. This document will show all charges billed and the time your service coordinator dedicated in helping you

Conflict of Interest

  • Staff must request permission from the program director to enter into a business arrangement with an individual or their family
  • Business arrangements could include loans, borrowing money, co-signing for credit, purchasing contracts, or holding money or property that belongs to you unless legally authorized by a court

Qualifications

  • The service coordination program follows standards set forth by State and Federal funding regarding staff qualifications
  • All service coordinators have a bachelor’s degree with a minimum of one year field experience

Resolution Strategies

How to Request a Different Service coordinator

  • In the beginning, we will assign a service coordinator we think you will like. Most of the time
    this works well. However, if you would like to request a different service coordinator, please
    contact the supervisor of service coordination services in your area. The contact information for
    the supervisors can be found on the first page of this manual

Voicing Problems and/or Complaints

  • First, contact your current service coordinator to discuss the problem or issue
  • If the problem is unable to be resolved with your service coordinator’s assistance, then you will contact the supervisor of the service coordinator in your area. The supervisor’s contact information can be found on the first page of this manual
  • You may request a meeting with a supervisor where the complaint will be discussed. You will then receive a written decision from the supervisor within five (5) working days
  • If the problem persists, you may appeal the decision in writing to the Regional Director of Service Coordination. The Director will issue a written decision within five (5) working days, after consultation with both parties. This process will be reviewed by the Regional Director of Service Coordination; Associate Vice President , Linda Holland; and the Executive Director and CEO, David Kramer, if you feel your concerns are not being met
  • At your request, complaints will remain anonymous

Abuse and Neglect Complaints

  • CHS shall report abuse and neglect as mandated by law
  • If you have a complaint of abuse, neglect, misuse of funds or violation, or limitation of rights, you or an authorized individual may contact one of the following entities:
    • Service Coordinator
    • Supervisor
    • Associate Vice President of Service Coordination (Linda Holland)
    • Regional Office for your area
    • Department of Mental Health’s consumer rights monitor (Constituent Services) at 800-364-9687 or TTY 573-526-1201 for assistance

Waivered Services

Cost of Services

  • Individuals who have been determined eligible and referred by the Regional Offices, under the direction of the Department of Mental Health, Division of DD, are required to complete the Standard Means Test Financial Questionnaire (completed during the intake process)
    • The Standard Means Test determines if an individual or financially responsible party has the ability to pay the full or partial cost of services provided by or purchased by the Department of Mental Health. This includes service coordination or other direct support services such as personal assistance, day services, transportation, etc.
  • Along with completing this test, you will need to provide a copy of the individual’s or parents’ income tax return for anyone who does not receive Medicaid benefits.

DMH Medicaid Waivers

Division of DD Waiver Services Included

  • Applied Behavior Analysis
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Assistive Technology
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Benefits Planning
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Career Planning
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Community Networking
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Community Specialist*
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Community Transition
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Crisis Intervention
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
  • Day Habilitation
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Environmental Accessibility Adaptations-Home/Vehicle
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Group Home
    • Comprehensive Waiver
  • Health Assessment Coordination
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Home Delivered Meals
    • Community Support Waiver
  • Host Home (Shared Living)
    • Comprehensive Waiver
  • Individual Directed Goods/Services*
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Individualized Skill Development
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Individualized Supported Living
    • Comprehensive Waiver
  • Intensive Res. Therapeutic Hab.
    • Comprehensive Waiver
  • Job Development
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Occupational Therapy
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Personal Assistant*
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Physical Therapy
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Pre-Vocational Services
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Professional Assess/Monitor
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Respite Care - In Home
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
  • Respite Care - Out of Home
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
  • Shared Living
    • Comprehensive Waiver
  • Specialized Medical Equipment
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Speech Therapy
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Support Broker
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver
  • Supported Employment
    • Comprehensive Waiver
    • Community Support Waiver
    • Partnership for Hope Waiver
  • Temporary Residential
    • Partnership for Hope Waiver
  • Transportation
    • Comprehensive Waiver
    • Community Support Waiver
    • MOCDD (Sarah Lopez) Waiver
    • Partnership for Hope Waiver

*Allows self-directed options

Service Coordination Satisfaction Survey