Multipurpose Senior Services Program - - CA Welfare And Institutions

Section § 9560

The Multipurpose Senior Services Program is designed to assist people aged 65 and older who are eligible for nursing home care but prefer to stay in their communities. This program aims to help seniors maintain independence by providing easy access to community health and social services, thus preventing early institutionalization. It focuses on effective use of public funds and enhances service delivery by coordinating various services. The initiative allows for flexibility in service organization and emphasizes outreach and information dissemination.

(a) The purpose of this chapter shall be to establish a program to serve frail elderly individuals 65 years of age and older who are certifiable for placement in a nursing facility. This program shall be known as the Multipurpose Senior Services Program, and shall be structured and carried out in a manner consistent with Section 1396n(c) of Title 42 of the United States Code.

(b) This chapter clarifies the intent of the Legislature that the Multipurpose Senior Services Program shall continue:

(1) To prevent premature disengagement of older individuals from their indigenous communities and subsequent commitment to institutions.

(2) To provide optimum accessibility of various important community social and health resources available to assist active older individuals to maintain independent living.

(3) To provide that the frail older individual who has the capacity to remain in an independent living situation has access to the appropriate social and health services without which independent living would not be possible.

(4) To provide the most efficient and effective use of public funds in the delivery of these social and health services.

(5) To coordinate, integrate, and link these social and health services, including county social services, by removing obstacles that impede or limit improvements in delivery of these services.

(6) To allow the state substantial flexibility in organizing or administering the delivery of social and health services to its older individuals.

(7) To provide access to social and health services by providing information and outreach activities in the community.

Multipurpose Senior Services Program frail elderly assistance independent living support nursing facility alternative community health resources social service coordination elderly outreach programs efficient public fund use senior community integration service delivery improvement elderly independence social and health service access preventing institutionalization senior information services Title 42 Section 1396n(c) compliance

(Amended by Stats. 1999, Ch. 859, Sec. 1. Effective January 1, 2000.)

Section § 9561

This section explains that program services, meant to help individuals in need, can be funded by the program itself or through other community sources. These services include a wide range of support such as case management, recreation, education, and senior center activities. Additionally, it encompasses services like transportation, housing assistance, volunteer programs, legal help, home repair, and health assessments. The aim is to provide comprehensive support through various forms of assistance like nutrition, psychological and mental health services, home health care, and adult day care.

Program services provided pursuant to this chapter may be purchased by program funds or received from other community sources that consist of, but are not limited to, case management services, recreation services, educational services, senior center programs, information and referral services, transportation, income maintenance counseling, housing services, outreach services, volunteer programs, legal services, home repair services, escort services, telephone reassurance services, friendly visiting services, health assessment services, psychological assessment services, nutrition services, home health services, preventive health services, mental health services, homemaker chore services, meals services, adult day care services, including adult day health care, and nonmedical respite care services.

case management services recreation services educational services senior center programs information and referral services transportation services income maintenance counseling housing services outreach services volunteer programs legal services home repair services health assessment services nutrition services mental health services

(Added by Stats. 1996, Ch. 1097, Sec. 13. Effective January 1, 1997.)

Section § 9562

This section outlines that the administration of this chapter is managed by a department in collaboration with the State Department of Health Services, which handles Medicaid. It also allows for various departments within the Health and Welfare Agency to waive rules and make resources available as needed, as long as federal law permits, to ensure the chapter can be effectively administered.

(a) This chapter shall be administered by the department, under the authority of an approved interagency agreement with the State Department of Health Services, the single state medicaid agency.

(b) To the extent permitted by federal law, each department within the Health and Welfare Agency including departments designated as single state agencies for the programs described in Section 9561, shall waive regulations and general policies and make resources available which are necessary for the administration of this chapter, upon request of the agency.

interagency agreement State Department of Health Services single state Medicaid agency Health and Welfare Agency waive regulations federal law compliance program administration resource allocation Department of Health Services cooperation interagency collaboration programs in Section 9561

(Added by Stats. 1996, Ch. 1097, Sec. 13. Effective January 1, 1997.)

Section § 9563

This law requires the department to set criteria for approving local Multipurpose Senior Services Program (MSSP) sites. The standards include creating a team to evaluate seniors' needs and ensuring they receive continuous social, economic, and health care. It also involves developing and maintaining necessary services, ensuring service quality, and coordinating integrated services.

It specifies the number of sites based on available funding and emphasizes coordination with local agencies and nonprofits. The law aims to use local resources effectively. It includes guidelines for evaluating site proposals and determining when to replace existing sites without necessarily using competitive bidding, unless it's in the state's best interest.

The department shall formulate criteria for approval and designation of local Multipurpose Senior Services Program sites. The criteria shall include, but need not be limited to, all of the following:

(a) Specifications for a social and health review team to evaluate older individuals and to ensure that continuity of social, economic, and health services is provided to maintain older individuals at the appropriate level of care.

(b) Development of social and health services necessary to maintain the older individual at the appropriate level of care.

(d) Coordination and integration of the social and health services described in Section 9561.

(e) The number of local sites, which shall be consistent with the funds made available for purposes of this chapter.

(f) Coordination with local governmental and nonprofit agencies concerned with multipurpose senior services.

(g) Maximize utilization of local resources, including service provided by established community-based senior citizen organizations and information and referral networks.

(h) Specifications for the evaluation of the proposals submitted for the new local sites and for the evaluation of the local sites.

(i) Conditions for determining the need for procurement of existing sites. Notwithstanding any other provisions of law, the department is not required to procure existing sites by the competitive bidding process, unless it deems it in the best interests of the state to do so.

Multipurpose Senior Services Program local sites approval senior care coordination service quality standards social and health review team local government collaboration nonprofit agencies community resources fund allocation site proposal evaluation existing sites procurement continuity of care senior services integration competitive bidding community-based organizations

(Amended by Stats. 2000, Ch. 558, Sec. 1. Effective January 1, 2001.)

Section § 9564

This law allows for the expansion of the Multipurpose Senior Services Program in California, as long as it's shown to be cost-effective. The expansion can happen by creating new service locations, increasing the number of clients served at current sites, or adding locations in more parts of the state.

Nothing in this chapter shall preclude expansion of Multipurpose Senior Services Program services if cost effectiveness is demonstrated. The expansion shall be accomplished by establishing new sites, by increasing numbers of clients served in existing sites, or by expanding the number of sites to include additional geographic regions of the state.

Multipurpose Senior Services Program MSSP expansion cost effectiveness new service sites increase client numbers geographic expansion senior services program site expansion client service increase regional program expansion California senior care expanding senior programs cost-effective services senior care sites statewide expansion

(Amended by Stats. 2000, Ch. 135, Sec. 171. Effective January 1, 2001.)

Section § 9565

This law section explains the responsibilities of a department involved with local sites. It requires the department to work with nonprofit organizations or government entities on contracts to operate these sites without expecting future funding increases. They must also provide grants, oversee operations, and ensure evaluations consistent with certain criteria. Additionally, they are tasked with seeking public or private funding and coordinating with other programs, especially those for older individuals. They can also enter into agreements for participating as Medi-Cal providers with the state’s Department of Health Services.

The department shall do all of the following:

(a) Enter into agreements and negotiated contracts with any nonprofit organization or governmental entity to operate the local sites, consistent with the criteria adopted pursuant to Section 9563. In letting these contracts, the department shall not anticipate future appropriations.

(b) Make grants to local sites from available funds.

(d) Cause the service sites to be evaluated in accordance with the established criteria.

(e) Seek and utilize any available federal, state, or private funds that may be available for carrying out the purposes of this chapter.

(f) Notwithstanding any other provision of law, local sites established pursuant to this chapter may contract with the Director of Health Services as Medi-Cal programs pursuant to Chapter 8 (commencing with Section 14200) of Part 3 of Division 9. Contracts with the local sites shall be deemed to be for the purposes specified in Section 14494, and may utilize funds appropriated from the Health Care Deposit Fund pursuant to Section 14157.

(g) Assist in coordinating local site programs with local governmental programs and services for older individuals.

nonprofit organization agreements governmental entity contracts local site operation grant funding site monitoring site evaluation federal funding state funding private funding older individual services Medi-Cal program contracting Health Care Deposit Fund service site coordination health services agreements local governmental programs

(Added by Stats. 1996, Ch. 1097, Sec. 13. Effective January 1, 1997.)

Section § 9566

This law allows the relevant department to advance up to 25% of the annual funding for a Multipurpose Senior Services Program to local governments or nonprofit agencies running the program. This advance is based on the program's estimated budget and ensures smooth operation. Future payments will adjust based on this initial advance.

The department may, where necessary to ensure the effective operation of a multipurpose senior services program, advance to the program’s local government and private nonprofit administering agency, an amount not to exceed 25 percent of the estimated annual allocation to the program, under this chapter, as determined by the department pursuant to the estimated annual budget submitted by the program. Subsequent payments to the local government and private nonprofit administering agency for the Multipurpose Senior Services Program shall be prorated to reflect any advance payment made under this section.

Multipurpose Senior Services Program annual funding advance budget estimation program administration local government funding nonprofit agency funding senior services operation departmental advance payments effective program operation estimated annual allocation prorated payments program funding management

(Added by Stats. 1996, Ch. 1097, Sec. 13. Effective January 1, 1997.)

Section § 9567

This law states that the chapter will stay active as long as the federal Department of Health and Human Services grants a specific waiver under Section 1396n(c) of the United States Code to California's Department of Health Services.

This chapter shall remain in effect so long as a waiver pursuant to Section 1396n(c) of Title 42 of the United States Code has been granted by the federal Department of Health and Human Services to the State Department of Health Services.

waiver Section 1396n(c) Title 42 United States Code federal Department of Health and Human Services California Department of Health Services effectiveness grant chapter state waiver health services program continuation federal approval Health and Human Services waiver legal activation

(Added by Stats. 1996, Ch. 1097, Sec. 13. Effective January 1, 1997.)

Section § 9568

The law requires the department to find ways to expand the Multipurpose Senior Services Program across the state. They need to get approval from legislative and governmental bodies to do this. Additionally, they should seek necessary federal permission to provide more widespread access to case management services and enhance how these services are provided.

The department shall explore options for, and obtain necessary legislative and governmental agency approvals to expand, the Multipurpose Senior Services Program. The department shall attempt to obtain the necessary federal approval to expand access to case management services into every planning and service area in the state and to improve the delivery of case management services.

Multipurpose Senior Services Program case management services federal approval statewide expansion legislative approval governmental agency approval service delivery improvement planning and service area senior services access expansion elder care program program expansion California Department service area access government approvals

(Added by Stats. 1996, Ch. 1097, Sec. 13. Effective January 1, 1997.)