Case management is a collaborative process involving comprehensive assessment, planning, referral and linkage, and monitoring and followup. Our Agency has knowledgable and caring staff dedicated to providing quality services to those who we are privileged to serve.
- work with families and/or care givers to determine eligibility and assess needs.
- provide consumers with information about person-centered planning and facilitation.
- Develop a plan of supports
- work with individuals and their families to assess available community resources and develop circles of support.
- guide you through the Service Delivery System.
- are "resource experts".
- serve as advocates for individuals with disabilities and special needs.
We work with you and your family, and our goal is 100% consumer satisfaction!
In order to find out how you can get a Case Manager see our How to Begin Page.
If you have questions about Case Management or your choice of providers please call us at (803) 252-5179 or 1(800) 809-1475.
You have a choice of providers. For a list of providers in your area click the link below and see a list of options. LINK TO THE PROVIDER LIST.
Core Job Functions of a Case Manager:
Informal needs assessment should occur as the Case Manager assists the person throughout
the year. A more structured and comprehensive annual assessment and periodic reassessment of an individual is necessary to determine service needs, including activities that focus on needs identification, to determine the need for any medical, educational, social, or other services. Such assessment activities include the following:
- Taking individual history;
- Identifying the needs of the consumer and completing related documentation;
- Gathering information from other sources such as family members, medical providers, social workers, and educators, if necessary, to form a complete assessment of the consumer.
Needs assessment activities may also include reviewing information for or preparing a Level of Care re-evaluation to determine if a person continues to meet the ICF/ID Level of Care or Nursing Facility Level of Care.
Early Interventionist's complete a Family Assessment on an annual basis and a Curriculum Based Assessment every six months.
Development (and periodic revision) of a specific care plan based on the information collected through assessment that includes the following:
- Specifies the goals and actions to address the medical, social, educational, and other services needed by the consumer;
- Includes activities such as ensuring the active participation of the consumer and working with that person (or that person's authorized health care decision maker) and others to develop such goals;
- Identifies a course of action to respond to the assessed needs of the consumer.
REFERRAL AND LINKAGE
Referral and related activities (such as scheduling appointments for the consumer) to help the consumer obtain needed services, including activities that help link the individual with medical, social and education providers or other programs and services that are capable of providing needed services to address identified needs and achieve goals specified in the care plan. In the course of time during which a plan is implemented, a Case Manager may have to perform activities with a greater intensity and sense of urgency due to crisis circumstances affecting the person/family. The Case Manager may also need to advocate on behalf of the person in order to access services and supports or to protect the rights of the person or the family.
MONITORING or FOLLOW-UP
Monitoring or follow-up activities include activities and contacts that are necessary to ensure that the care plan is effectively implemented and adequately addresses the needs of the eligible individual. Monitoring and follow-up may be with the individual, family members, service
providers, or other entities or individuals. These activities may be conducted frequently as necessary (but at least every six (6) months as a part of Plan Review), to help determine whether the following conditions are met:
- Services are being furnished in accordance with the individual's care plan;
- Services in the care plan are adequate to meet the needs of the individual;
- There are changes in the needs or status of the eligible individual. If there are changes in the needs or status of the individual, monitoring and follow-up activities include making necessary adjustments in the care plan and service arrangements with provider.
Case Management includes contacts with non-eligible individuals that are directly related to identifying the eligible individual's needs and care, for the purposes of helping the eligible individual access services; identifying needs and supports to assist the eligible individual in obtaining services; providing case managers with useful feedback, and alerting case managers to changes in the eligible individual's needs.
DDSN Case Management monitoring or follow-up to determine plan effectiveness may occur in a variety of ways or during a variety of activities to include:
- face-to-face contacts with the person receiving services;
- home visits;
- evaluation of services as they are being provided;
- telephone calls, e-mails, mail, and/or fax correspondence(s) with the person, legal guardian, family, providers of services and supports received and appropriate others;
- bi-monthly contacts;
- six (6) month plan reviews;
- monitoring newly implemented HCB Waiver services in accordance with the requirements in each specific Waiver manual;
- completing monthly contacts and quarterly plan reviews for Pervasive Developmental Disorder (PDD) Waiver participants.
*The above information was taken from the SCDDSN Case Management Manual
After You Become Eligible
Once you become eligible for DDSN Services if you have Mediciad you will be assessed for Medicaid Targeted Case Management. This is one method that is used to fund the Case Management activities. If you do not have Medicaid, it is possible that you will qualify for State Funded Case Management which is funded by SCDDSN.
Your Case Manager will be a guide to services and supports in the service delivery system.
Your Case Manager will work with you to determine the type of assistance or support you need or want through Assessment and Support Plan development.