LOOKING FOR ASSISTANCE

Consultant-Support Guide services on the Mi Via Waiver are person-centered and intended to educate, guide and assist participants in making informed planning decisions for services and supports. This leads to development of a Service and Support Plan (SSP), based on the participant’s assessed needs. Consultants assist participants with implementation and quality assurance for the SSP and Authorized Annual Budget (AAB). Consultant services provide support to participants for maximizing their ability to self-direct their Mi Via Services.

In general, consultant services include:

• Assisting with activities and information needed to complete the pre-eligibility/enrollment services process and to provide information, support and assistance during annual recertification for medical and financial eligibility.
• Assisting the participant in utilizing all program assessments to develop the SSP.
• Educating the participant regarding Mi Via covered and non-covered supports, services and goods, and helping participants to identify resources outside the Mi Via Program that could assist in meeting their needs.
• Reviewing the Mi Via Service Standards, processes and paperwork with the participants.
• Assisting participants with navigating the Mi Via program and supporting communication with the TPA and FMA.
• Assisting the participant in assuring that chosen service providers are adhering to applicable Mi Via Service Standards.
• Assisting participants with identifying and resolving issues related to implementation of the SSP.
• Assisting the participant with required quality assurance activities to ensure implementation of their SSP and utilization of the authorized budget.
• Assisting participants in identifying measures helpful with assessing the quality of services, supports, and goods and self-directing their quality improvement process.
• Serving as an advocate for participate, as needed, to enhance his or her opportunity to be successful with self-direction.
• Providing training to participants related to recognizing and reporting critical incidents.
• Providing support guide services which are more intensive supports that help. participants more effectively self-direct services based upon their needs. The amount and type of support needed must be specified in the SSP and reviewed quarterly.
• Assisting the participant with reconsiderations of goods or services denied by the Third-Party Assessor (TPA), submit documentation as required, and participant in Fair Hearings as requested by the participant or state.

Qualified Consultant Providers

Mi Via Consultant Agencies are located throughout the state. Consultants are required to meet minimum training requirements, have experience working with individuals with intellectual and/or developmental disabilities and medically fragile conditions. As Consultants provide an essential role of support and direction for participants, they are expected to work collaboratively with the Health Care Authority and  its  contractors (TPA and FMA) and to follow the rules of the Mi Via Waiver program.

Forms

• Mi Via Self-Directed Waiver: Consultant Services EMOD Sample Form
• Mi Via Self-Directed Waiver: Consultant Services LRI Form
• Mi Via Self-Directed Waiver: Consultant Services Monthly Update Form
• Mi Via Self-Directed Waiver: Consultant Services Monthly Update Form (printable)
• Mi Via Self-Directed Waiver: Consultant Services Quarterly Update Form
• Mi Via Self-Directed Waiver: Consultant Services Quarterly Update Form (printable)
• Mi Via Self-Directed Waiver: Consultant Services Allocation Reporting Form
• Mi Via Self-Directed Waiver: Consultant Services CCR 90-Day Exception Form
• Mi Via Self-Directed Waiver: Consultant Services Employer of Record Questionnaire
• Mi Via Self-Directed Waiver: Annual Understanding Participant Responsibilities Consent Form
• Mi Via Self-Directed Waiver: Service and Support Back-Up Plan Acknowledgement Form