6131 Money Follows the Person and Chronic Disease Self-Management Education

Georgia State Seal

Georgia Division of Aging Services
Access to Services Manual

Chapter:

6000 Community Transitions

Effective Date:

Section Title:

Money Follows the Person and Chronic Disease Self-Management Education

Reviewed or Updated in:

MT 2016-02

Section Number:

6131

Previous Update:

Summary Statement

Chronic Disease Self-Management Education (CDSME) is used to support Money Follows the Person (MFP) Participants using the Life Skills Coaching Transition Service.

Basic Considerations

MFP Field staff must work with the Participant and CDSME leader to enroll the Participant in the CDSME program of their choice.

MFP Participants may participate in either the in-person or online CDSME activities.

MFP Transition Service Taxonomy must be observed. CDSME Action Plan: The Action Plan(s), will be submitted as the Individualized Training Needs Assessment (ITNA) required by the MFP Transition Service Taxonomy (Appendix B of the Policies and Procedures for Money Follows the Person).

MFP Transition Services cannot pay for any ‘ongoing’ service unless expressly approved in the MFP Polices & Procedures.

AAA Procedures

Step 1

Transition Coordinator (TC) identifies in the Individual Transition Plan (ITP) that the Participant is diagnosed with a chronic disease and has expressed a desire to participate in an education program.
Step 2

TC refers the Participant to the local CDSME group leader and assures the Participant is enrolled. MFP Transition Services may not be used to transport the Participant to CDSME activities.
Step 3

MFP Field staff will ensure the ITNA documents are obtained and submitted with the Vendor Request for Payment document. CDSME vendors will not be reimbursed without copies of the ITNA.
Step 4

MFP Transition Services may be used to support the Participant’s use of the online CDSME resources. The Equipment, Vision, Dental, & Hearing Services Transition Service category can be used to purchase a baseline computer or tablet. The Utility Deposit Transition Service may be used to pay for set-up and installation of internet access.

References

  1. Policies and Procedures for Money Follows the Person (MFP Manual), dch.georgia.gov/georgia-money-follows-person-ga-mfp

  2. Living a Healthy Life with Chronic Conditions, Bull Publishing, 4th Ed., p.26