Chapter 7Community-Based Services Network
Section § 9530
This law outlines the responsibilities of a department tasked with leading efforts to ensure older individuals and adults with functional impairments can stay in their homes or in similar environments. It mandates the department to contract statewide community services to support these individuals.
The Legislature wants to streamline access to these services by integrating how they're funded and managed locally, using area agencies on aging. The services should only be provided where they already exist unless new funds are introduced. Furthermore, contracts for these services should be awarded through a competitive process that considers costs and service scope, and shared resources are encouraged if it saves money.
Section § 9530.5
This section of the law emphasizes the importance of reorganizing and simplifying various programs that provide medical and social services for older adults and adults with functional impairments. The goal is to reduce unnecessary duplication and fragmentation in long-term care services. It calls for a centralized system where people can easily access necessary health and social services, provide their basic information, and be directed to the right resources for further help and care planning.
Section § 9531
This law sets up a Community-Based Services Network aimed at improving services for older adults and adults with functional impairments. The goal is to streamline and locally manage these services for better efficiency and flexibility.
The law allows local agencies to integrate and prioritize state-funded service programs while ensuring they continue to meet funding requirements through cash or in-kind support.
Local area agencies are tasked with managing these programs, aligning resources, and ensuring effective service delivery.
Section § 9532
This law explains key definitions for this chapter, which helps understand how certain terms are used. It defines an 'adult with functional impairment' as someone 18 or older who may need to leave their home without community support due to disabilities affecting daily activities. 'Community-based services programs' refer to specific local services to help such individuals, as outlined in a later chapter. 'Local program management' describes how area agencies on aging manage these services, and 'participating area agency on aging' means these agencies enter into contracts with the state to provide services.
Section § 9533
This law section outlines the responsibilities of the department in managing services for older adults. They must review and approve service plans from local aging agencies and set up agreements for carrying out these services effectively. They are tasked with clarifying roles, creating standard contract language, and ensuring statewide compliance with existing regulations. They also have to make sure that any local agency wishing to start directly providing services must first have their ability to do so reviewed and approved by the department to ensure quality and cost-effectiveness, or prove that there isn't enough service supply in the area.
Section § 9534
This law outlines the rules for contracts between the California Department of Aging and area agencies on aging. Such contracts are exempt from certain public contract regulations. For health insurance counseling, existing service agreements must be upheld unless legally terminated, or funding is withdrawn. Agencies covering multiple areas must collaborate to maintain services for the specified period, not beyond June 30, 1999. For other programs, existing arrangements should be kept unless contracts are legally ended or funds stopped. Agencies not providing direct services must competitively bid for contracts every four years unless certain outreach conditions are met with no additional applicants. Disputes about these contracts should be resolved locally.
Section § 9535
This law outlines the responsibilities of area agencies on aging. They must manage local community-based programs, integrate these services into local plans, and, if redirecting funds, they must consult a local advisory committee. The committee involves consumers and organizations related to long-term care, with at least half being service consumers. If funds are redirected, an administrative action plan needs approval from the agency's governing board before state submission.
Agencies have the power to decide funding for programs (except for the health insurance counseling and advocacy program) and may partner with others to provide services. If required, they must transfer funding to long-term care pilot programs. They also need to monitor contracts to ensure they meet legal standards, manage funds properly, and keep detailed records for audits.
The law mandates data reporting to the state and establishes a process for hearings. Providers whose contracts are terminated or applicants who believe there was an error in contract awarding can request a hearing.
Section § 9536
The law ensures that state funds for community-based services programs must be used only for the services outlined in specific chapters and limited to the appropriated amount. It emphasizes that administrative costs for these programs can't exceed a set federal ratio. Also, the funds cannot replace local matching funds required for other programs.
Section § 9537
This law explains how funding for local agencies that provide services to the elderly is determined in California. It includes funds specifically set aside for community-based services programs and savings made from efficient local management of these services. Additionally, it ensures that the funding provided is not less than what was provided in the fiscal year 1997-98, subject to the state's budget.
Section § 9538
This law section outlines rules for people involved in managing or providing community-based services for aging adults in California. It prohibits conflicts of interest and bars staff and volunteers from engaging in insurance businesses while associated with these programs. It restricts how service names can be used outside official duties and events. Importantly, it also protects the privacy of individuals receiving services by prohibiting disclosure of their information without written consent, except in the case of a court order. However, information can still be shared internally for program administration and oversight, or with authorities like law enforcement when necessary.