Name of the Procedure:

Supports Brokerage, Self-Directed, Waiver

• Common Name: Supports Brokerage
• Technical Term: HCPCS Code T2041

Summary

Supports Brokerage is a service that guides and assists individuals with disabilities or special needs, as well as their families, in managing self-directed waiver services. This involves helping them understand various service options, managing budgets, and ensuring they receive appropriate care.

Purpose

Supports Brokerage aims to empower individuals with disabilities to take control of their own care and support needs. The goals include enhancing independence, ensuring informed decision-making, and maximizing the efficacy of allocated resources under the self-directed waiver program.

Indications

• Individuals with intellectual or developmental disabilities.
• People eligible for self-directed waiver programs.
• Families seeking assistance in managing and coordinating care services.

Preparation

• Discussion with a case manager to determine the need for Supports Brokerage.
• Gathering of relevant medical records, care plans, and budgetary information.
• No specific fasting or medication adjustments are required.

Procedure Description

1. Initial Assessment: Reviewing the individual's needs and existing care plans.
2. Planning: Assisting in the development of a self-directed care plan, including budget management.
3. Coordination: Helping to coordinate services and ensuring services are delivered as per the care plan.
4. Monitoring: Continuously monitoring the effectiveness of the services and making necessary adjustments.

Tools and Equipment:

Primarily involves paperwork, digital tools for budgeting and planning, and communication devices.

Anesthesia or Sedation:

Not applicable.

Duration

Services are billed per 15-minute increments and the duration can vary significantly based on the individual's needs and the complexity of their care plan.

Setting

Supports Brokerage services are usually provided in community settings, including the individual's home, via telehealth, or at community organizations.

Personnel

• Supports Brokers or Specialists with expertise in self-directed care.
• Case Managers and other support staff.

Risks and Complications

• Common Risks: Administrative errors, mismanagement of funds.
• Rare Risks: Potential gaps in care if services are not coordinated properly.

Management:

Regular reviews and adjustments in the care plan, continuous communication between the supports broker and the individual/family.

Benefits

• Empowerment: Enabling individuals to make informed decisions about their care.
• Flexibility: Tailoring services to meet specific needs.
• Benefits can be realized immediately and improve over time as the care plan becomes more refined.

Recovery

• Post-Procedure Care: Continuous support and monitoring.
• Recovery Time: Not applicable as it's an ongoing support service.
• Restrictions: None, but regular follow-up appointments or check-ins are typical.

Alternatives

• Traditional Case Management Services.
• Agency-Directed Waiver Services.

Pros and Cons:

• Case Management: Pros - Professional oversight; Cons - Less autonomy.
• Agency-Directed: Pros - Comprehensive care package; Cons - Less personalized control.

Patient Experience

• During the Service: Expect regular meetings or consultations to discuss plans, adjust budgets, and coordinate services.
• After the Service: Continuous access to support and guidance.
• Pain Management: Not applicable.
• Comfort Measures: Ensuring clear communication, providing resources and ease of access to service information.