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General
1.  Where and how do I get my son's medical records from a doctor who is now deceased? What happens to the medical records after a physician dies and how can I get copies of them?
2. At what age can my child be eligible to receive services from CSHS?
3. Can a woman have both Medicaid and TAKE CHARGE?
4. Can a woman have private insurance and TAKE CHARGE?
5. Does an advisory mean that the beach is closed?
6. How can I apply for a State job?
7. How can I get a copy of Adobe Acrobat Reader?
8. How can I schedule a CPTP class?
9. How do I apply for this program?
10. How do I find Facility Need Review reports on the web site?
11. How do I know what offices fall under DHH and which ones fall under DSS?
12. How does the Parent Liaison help families?
13. How long does it take to complete the program?
14. How long is an enrollee eligible for TAKE CHARGE?
15. How often are the Long Term Care reports updated?
16. I need help with my child's Individualized Education Plan (IEP). Who can I speak to for assistance?
17. I want my child to be involved in activities during the summer, what is available?
18. If I need to talk to someone in the Department about the Facility Need Review reports, who should I call?
19. Is there a charge for these services?
20. Is there a mission to this program?
21. May I call more than once for CART services?
22. MRO-14 - Who do I contact to obtain MRO 14 Reports?
23. NEMT - How long will it take to get my Medicaid Provider number?
24. NEMT - Must I purchase insurance before I submit my application to Health Standards for approval?
25. NEMT - Where do I get the forms to add new drivers or new vehicles to my fleet?
26. What are activities of daily living?
27. What are instrumental activities of daily living?
28. What are juvenile competency restoration classes?
29. What are personal care services?
30. What Facility Need Review reports are posted on the web site?
31. What happens to an individual if they do not comprehend the legal process, but has completed the course?
32. What if I don't want to speak with the Parent Liaison, do I have to?
33. What is a responsible representative?
34. What is meant by available family and community supports?
35. What is the difference between the "Bed Inventory" report and the "Bed Utilization" report?
36. What qualifies a person as disabled?
37. What services are not covered?
38. What state jobs are open?
39. What type of vehicle must I use in the NEMT program?
40. When can I apply for TAKE CHARGE?
41. Where can I find someone who will accept children with disabilities into their daycare?
42. Where do I get an NEMT provider enrollment packet (application)?
43. Who can apply for TAKE CHARGE?
44. Who can I talk to about services available for Louisiana Citizens with disabilities?
45. Who is eligible for the LT/PCS program and its services?
46. Who receives competency restoration services?
47. Why can't I schedule my child's appointment in the late afternoon or on Saturdays?
48. Why do we need to travel for my child's surgery?
49. Why is my child scheduled to arrive at the clinic 1-2 hours before the clinic actually begins?
50. Will competency restoration classes help my case?
51. Will I be able to get help at any hour of the day or night?
52. Will my child see a doctor?
General
  Where and how do I get my son's medical records from a doctor who is now deceased? What happens to the medical records after a physician dies and how can I get copies of them? Back to Top

You will need to contact the

Board of Medical Examiners 
John Bobear, M.D., Executive Director
630 Camp Street
New Orleans, LA 70130

Phone: 504-568-6820
Fax: 504- 568-8893

 At what age can my child be eligible to receive services from CSHS? Back to Top

Children from birth up to age 21 are eligible to receive direct health care services from one of the 9 CSHS health unit clinics.  For more information on eligibility requirements, click here to open the Familes webpage.

 Can a woman have both Medicaid and TAKE CHARGE? Back to Top
No. Medicaid covers a more comprehensive package of services for family planning.  TAKE CHARGE is for women who do not qualify for Medicaid.
 Can a woman have private insurance and TAKE CHARGE? Back to Top

Yes. Applicants can enroll in the TAKE CHARGE program if their private insurance does not cover all family planning services. If the private insurance covers some family planning services, Medicaid will not pay for those covered services. When a Medicaid recipient has private insurance, Medicaid is always the "payer of last resort."

 Does an advisory mean that the beach is closed? Back to Top
No.  A beach advisory means that bacterial indicator quantitites exceed compliance levels, and the public is encouraged to use diligence in deciding whether or not to swim.
 How can I apply for a State job? Back to Top

First- Download a Civil Service application (SF-10) and complete. (Website to find application http://www.dscs.state.la.us/ go to Downloadable Forms then Employment Application (SF-10).   

Second-Look on the Job Search page of the Civil Service website and see which jobs are open that you are interested in applying for.  (Website for Job Search http://www.civilservice.louisiana.gov/jobs.nsf)

Third-bring your application to the Civil Service testing center, take the test needed to acquire a grade. (Address to testing center 5825 Florida Blvd., Baton Rouge, LA 70806, Information phone #925-1911) 

 How can I get a copy of Adobe Acrobat Reader? Back to Top
Go to the Adobe Website and download a free version.
Click Here.
 How can I schedule a CPTP class? Back to Top

You can go to the CPTP web site at the following address:

http://www.state.la.us/cptp/cptp.htm

Then click on class schedules to see dates, times and city classes are available.

 How do I apply for this program?  Back to Top

To begin the process call 1-877-456-1146.  At that number, a prospective recipient may speak to a representative at Affiliated Computer Services (ACS). ACS is contracted with, and serves as an agent of the State of Louisiana to assist in the administration of this program. If a Responsible Representative is calling to apply for an applicant, he/she  must have the potential recipient's name, physical/home address, and their Medicaid number readily available when they call, contact, or correspond with ACS.

 How do I find Facility Need Review reports on the web site? Back to Top

Go to the top Menu on the Health Standards Web Page and click on "Reports." Scroll down the alphabetical listing to "Long Term Care." The reports are listed there.

 How do I know what offices fall under DHH and which ones fall under DSS? Back to Top

All of the offices that fall under DHH are listed here. To find out what offices fall under the Department of Social Services, visit their website by clicking here.

 How does the Parent Liaison help families? Back to Top

Parent Liaisons are parents of children with a special health care needs.  They are individuals who know first hand both the joys and sometimes unique challenges family's face raising a child with a special health care need.  As a compassionate advocate for familes, they can assist family members seeking care for their child at a CSHS clinic by helping them navigate the sometimes complex system of health care, health care financing, community resources, educational processes and the like that every family must learn to receive the most comprehensive care for their child.

 How long does it take to complete the program? Back to Top

The length of the course varies based on the individuals need.  On average a course can be completed within eight weeks.  For a child who takes the course for a second time it could be completed very quickly.  If a child has reading difficulties or a learning disability it may take a little longer.

 How long is an enrollee eligible for TAKE CHARGE? Back to Top
Unless the enrollee becomes pregnant or moves out of state, a woman eligible for TAKE CHARGE,may keep her coverage for 12 months, even if there are changes in income or household composition.  Eligibility for TAKE CHARGE must be re-determined every 12 months.
 How often are the Long Term Care reports updated? Back to Top

Under the Facility Need Review rule: " The LTC-2 is issued by the Department in the fourth month following the end of each calandar quarter." For convenience to the public, Health Standards updates all of the other reports at that time as well.

 I need help with my child's Individualized Education Plan (IEP). Who can I speak to for assistance? Back to Top
The Parent Liaison knows a great deal about the IEP and the processes involved.  Your regional Parent Liaison can assist you, as well as connect you with the Families Helping Families (FHF) Project Prompt.  Rest assured, these services are offerred free of charge.
 I want my child to be involved in activities during the summer, what is available? Back to Top
Summer can be a difficult transition time for families, especially for families who receive needed services through school and who also benefit from the structured time the school days offer.  A family's best resource is their local
Families Helping Families regional office or their CSHS parent liaison
 If I need to talk to someone in the Department about the Facility Need Review reports, who should I call? Back to Top

James H. Taylor, III, Sanctions/Appeals Coordinator, Facility Need Review Manager, Health Standards Section, (225) 342-5457 or email jhtaylor@dhh.la.gov

 Is there a charge for these services? Back to Top
No, these services are free.
 Is there a mission to this program? Back to Top

The mission of Medicaid funded personal care services is to supplement the family and/or community supports that are available to maintain the recipient in the community. This program is not intended to be a substitute for available family and/or community supports.

 

The aim of the program is to assist the family in caring for a qualified recipient; not to replace existing family supports.

 May I call more than once for CART services? Back to Top

Yes, you may. The goal is to teach you how to handle your own crises, so you may just need to call once.

 

 MRO-14 - Who do I contact to obtain MRO 14 Reports? Back to Top

MRO14's are also known as Paid Claims Reports (PS&R's).

All requests for Nursing Home MRO-14's should be addressed to Michelle Whittington of the DHH Rate & Audit Review Section at mwhittin@la.gov , phone (225) 342-6116, fax (225) 342-1834.

For Hospital MRO-14:  Please contact Andrea Taylor (225)-342-3927

For ICF/MR MRO-14:  Please contact Enrika Buggage (225)-342-1999

To download forms for either a Detailed or Summary report click <here>.

 NEMT - How long will it take to get my Medicaid Provider number? Back to Top

Under the best circumstances (meaning that your enrollment packet is complete and correct when we send it to you initially, and we do not have to return it to you for any reason), it will take six weeks to two months.

 

When Health Standards Section initially receives your packet, we do our best to process it within 24 hours of receiving it.  If it is approved, a survey packet is e-mailed to the appropriate field office; the applicant is sent a letter at the same time.  When you receive this letter, you should immediately contact the Health Standards Field Office Manager named in the letter at the number given.  He or she will schedule your initial NEMT survey (inspection).  The Field Offices have three weeks to get your survey on the schedule (that does not necessarily mean that it will be conducted in three weeks).

 

Once your initial NEMT survey is completed, the results are then faxed to Health Standards Section.  Again we do our best to process these results and send the necessary paperwork to Molina Medicaid Solutions within 24 hours.  However, this paperwork must be mailed to Molina Medicaid Solutions as they must have original signatures.  From the point the approved allocation is received by Molina Medicaid Solutions, it will take them three weeks to process it.

 

 

 NEMT - Must I purchase insurance before I submit my application to Health Standards for approval? Back to Top

Yes, your application must be complete when it is received by Health Standards, or it will be returned.  This includes both automobile, and general liability insurance, and any applicable municipal permits.

 NEMT - Where do I get the forms to add new drivers or new vehicles to my fleet? Back to Top
You may get the Medicaid Driver Information Form (HSS MT-8), Medicaid Driver Change Form (HSS MT-8C), Vehicle Inspection Form (HSS MT-9), and NEMT Request for Inspection Form, and the necessary instruction from the General Forms portion of the Publication Page of this web site.  You may also get it by calling the Health Standards Sections fax-on-demand system at 225-342-0138.
 What are activities of daily living? Back to Top

By rule and by policy, the Department has established the following as activities of daily living:"

  • Eating
  • Bathing
  • Dressing
  • Grooming
  • Transferring (getting in/out of the tub, or from bed to a chair)
  • Ambulation (ability whether physically or motorized to move about the recipients home, the premises, or outside the home)
  • Toileting
 What are instrumental activities of daily living? Back to Top

Instrumental activities of daily living are those tasks that, although not absolutely necessary for day to day living, enhance the recipient's care and further assist staying in the home and community.  By rule and by policy, the Department has established the following as instrumental activities of daily living:

  • Light housekeeping
  • Food preparation and storage
  • Grocery shopping
  • Laundry
  • Reminding the recipient to take medication
  • Assisting with scheduling medical appointments when necessary
  • Accompanying the recipient to medical appointments where the recipient is in a very frail condition
  • Assisting the recipient to access transportation
 What are juvenile competency restoration classes? Back to Top

This is a course that educates alleged juvenile offenders on factual as well as rational understanding of the proceedings against them.  The goal is that the juvenile will be able to adequately assist his/her attorney in their defense.

 What are personal care services? Back to Top
Personal care services are those services that provide assistance with activities of daily living and instrumental activities of daily living.  They may be either the actual performance of the personal care task for the individual or supervision and prompting so the individual performs the tasks by themselves. These are activities that help a recipient remain in their community (at home), rather than a nursing home setting. The program is not a medical program, nor does it provide for daily supervision (sitters) for those approved for services.
 What Facility Need Review reports are posted on the web site? Back to Top

1)Louisiana Inventory of Licensed, Approved and Enrolled Long Term Care Beds (LTC-1).

2) Louisiana Inventory of Nursing Home Bed Utilization (LTC-2).

3) Louisiana Inventory of intermediate Care Facilities/DD Beds (MR-1)

4) Louisiana Inventory of ICF/DD Bed Utilization (MR-2)

 What happens to an individual if they do not comprehend the legal process, but has completed the course?  Back to Top

 At the completion of the course, the competency restoration provider informs all parties involved of the outcome of the classes.  The childs attorney will then proceed based on the individual case.

 What if I don't want to speak with the Parent Liaison, do I have to? Back to Top
A family is not required to speak with the CSHS parent liaison.  Families have the right to talk with any member of the CSHS staff which includes the parent liaison.  Parent liaisons are an important part of the CSHS team who know first hand the joys and challenges of raising a child with a special health care need, and they are the voice for family advocacy.  Each parent liaison is an important resource for our CSHS families and aid in ensuring services are family friendly.
 What is a responsible representative? Back to Top

Responsible representative is defined as the person designated by the recipient to act on his/her behalf in the process of accessing personal care services.

This should be a person who is very familiar with a recipients medical condition, doctors care, hospitalizations, and with the recipients abilities to care for themselves. This person should have the authority of the recipient to speak in the recipients behalf and to make decisions concerning the needs and care of a recipient. VERY IMPORTANT Wherever and whenever possible, the responsible representative designated by the recipient should be present for the in-home assessment.

 What is meant by available family and community supports? Back to Top

Available family means a relative or relatives who reside with or close by a recipient, and who have been, or are capable of assisting the recipient with their daily living at home, rather than institutionalizing them. Community supports include local volunteer organizations, churches, charities, and other public programs that are presently assisting a qualified recipient with their daily living in a home setting.

 What is the difference between the "Bed Inventory" report and the "Bed Utilization" report? Back to Top

The "Bed Inventory" report shows the number of licensed, approved, and enrolled beds for each facility and service area. The "Bed Utilization" report shows the average annual occupancy rate for the identified period for facilities and Service Areas.

 What qualifies a person as disabled? Back to Top
Disabled is defined as meeting the eligibility criteria established by the Social Security Administration for disability benefits.
 What services are not covered? Back to Top

Personal care services may not be used to provide:

  • Specialized nursing procedures (e.g. insertion of feeding tube, indwelling catheter, tracheostomy care, or injections)
  • Skilled nursing services
  • Medication administration
  • Rehabilitative services
  • Specialized aide procedures (e.g. measuring/recording vital signs, specimen collection, special skin care, etc.)
  • Cleaning areas of home not occupied by recipient    
  • Food preparation or laundry for anyone other than recipient
  • Companionship
  • Supervision
  • Respite of the primary care giver

 

 What state jobs are open? Back to Top
Go to Civil Service Job Search webpage and look at the available jobs.   This site can be found at
http://www.civilservice.louisiana.gov/jobs.nsf.
 What type of vehicle must I use in the NEMT program? Back to Top

You may use any kind of vehicle except a pick up truck or a two door sports car.  Most vehicles in the program are fuel efficient mini-vans, and large capacity (14 passenger) vans.

 When can I apply for TAKE CHARGE? Back to Top
Effective October 1, 2006, eligible women will be able to receive family planning waiver services through the TAKE CHARGE program. Don't wait. TAKE CHARGE has a yearly limit on the number of women who may enroll.
 Where can I find someone who will accept children with disabilities into their daycare? Back to Top

Your best resource is your local Families Helping Families

 Where do I get an NEMT provider enrollment packet (application)? Back to Top

To obtain a NEMT enrollment packet, you must call the Provider Relations Unit at Molina Medicaid Solutions; their telephone number is 1-800-473-2783.

 

The Provider Relations Department at Molina Medicaid Solutions also provides Medical Transportation Authorization (MT-3) Forms, and NEMT Provider Manuals.  You cannot receive your provider manual until you have been certified by Health Standards Section. (updated 5/24/2010)

 Who can apply for TAKE CHARGE? Back to Top
Women ages 19-44 who are Louisiana residents, with an income below 200% of the Federal Poverty level, without health insurance. For more detailed information, see our
Application page.
 Who can I talk to about services available for Louisiana Citizens with disabilities? Back to Top
Call the Disability Information Access Line:  DIAL--1-800-922-3425
 Who is eligible for the LT/PCS program and its services? Back to Top

Medicaid recipients who are either:

            1.  At least 65 years old, OR

            2.  At least 21 years old and disabled; AND            

      A Medicaid recipient who meets either of these criteria MUST ALSO:

  • Meet the requirements for nursing facility level of care, AND
  • Have the ability to direct their care independently or through a responsible representative,

      AND MEET ONE OF THE FOLLOWING CRITERIA:      

  • Reside in a nursing facility and be able to be discharged if community-based services were available; OR
  • Be likely to require nursing facility admission within the next 120 days; OR
  • Have a primary care-giver who has a disability or is over the age of 70; OR
  • Face a substantial possibility of deterioration in mental or physical condition or functioning if either home and community-based services or nursing facility services are not provided in less than 120 days.

     

 Who receives competency restoration services? Back to Top

Any child involved in the juvenile court system can be court ordered by the judge to receive competency restoration classes.

 Why can't I schedule my child's appointment in the late afternoon or on Saturdays? Back to Top
Clinics are scheduled when the specialist is available to see patients.  This is why clinics are schedule one day or two days each month.  The specialist your child sees at CSHS may travel far distances to care for patients in your region.  But this isn't his/her only job, this doctor also sees patients in his/her region.  It is for this reason that CSHS clinics are held on specific days and times to work around the doctor's busy schedule. 
 Why do we need to travel for my child's surgery? Back to Top
CSHS contracts with doctors in your region and other regions across the state.  If there are no specialists in your region who can perform the needed surgery, then the contracted CSHS surgeon who is able to do the surgery will be your child's surgeon.  And because your child is part of the CSHS network, he/she will receive the needed medical services, but at times may need to travel a bit further to get them.  For questions regarding travel or transportation assistance, your regional
Families Helping Families office or your CSHS parent liaison can help.
 Why is my child scheduled to arrive at the clinic 1-2 hours before the clinic actually begins?  Back to Top

The services provided at each CSHS clinic involve meeting many members of your child's health care team.  At each clinic your child sees the doctor, the Nurse, the social worker, the parent liaison, and if needed a nutritionist, and/or medical technologist.  Because CSHS provides many services that help families meet all their needs, it is important that each child/youth scheduled attends his/her appointment to make sure services are provided in a timely manner.  For each visit we suggest you bring items with you, such as toys, that your child enjoys playing with. 

 Will competency restoration classes help my case? Back to Top

Competency restoration classes will not determine the outcome of a case.  However, it will help the individual understand the allegations and process of the legal system.

 Will I be able to get help at any hour of the day or night? Back to Top

Yes, this is a service available at any time of any day. Just call your local mental health clinic or one of the emergency numbers for your location listed on this site.

 

 Will my child see a doctor? Back to Top

The person your child and you will see is a mental health professional. You will not see a doctor unless it is necessary.


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