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Programs and Services Checklist

If you decide to pursue a community program or in-home service, there are some steps you can follow to help make the best possible choice. Finding a quality service provider can be confusing and time consuming. To begin the process, it is important to explore the reputation of each provider you consider.

The following should be considered:

  • Determine if the NJ Department of Health and Senior Services currently licenses the agency or provider. Find out if the agency is Medicare-certified or accredited. Some funding sources will reimburse for services only if the provider is certified or accredited.
  • Ask how long the agency has been in business or ask for references from people who are currently receiving services.
  • Inquire about how the services will be paid for, and how often the agency bills its clients.

In addition, the following checklist will help you determine the suitability of each provider to adequately meet your needs. This is a very broad checklist that should be used at your discretion. Not all of the questions will apply to each provider, but in general it should offer a good basis, whether you are investigating, for example, a home health care agency or an adult medical day services center.

Credibility

  • Is the agency or organization (provider) approved or licensed?
  • How long has the provider been serving the community?
  • How does the provider ensure the quality of the service it supplies?
  • How does the provider evaluate the skills and abilities of its staff?
  • How are client rights protected?

Services

  • What kind of services does the provider specifically offer? Do they offer the services that you need?
  • When is the staff on duty? Are they on-site or available 24 hours a day, 7 days a week, on holidays, or over the weekend?
  • Are clients asked to evaluate employee performance and other factors such as courtesy and behavior?
  • How are emergencies handled?

Health Care (if applicable)

  • Will there be a care plan developed and can families and clients help decide this plan of care?
  • Does the provider teach family members or caregivers about the type of care being provided?

Staff

  • Who is the executive director, supervisor or administrator of the provider organization and what are his or her qualifications?
  • Whom can a client call if he or she has a problem or complaint?
  • What type of training have the staff members received?
  • Have there been any background and reference checks completed on the employees?
  • Are the staff members trained in specialty care required by the clients, such as Alzheimer's disease, diabetes, or depression?
  • What happens if the staff member assigned to my care is not available or does not show up for a scheduled appointment?
  • Will the provider be in contact with the other services that clients are receiving, such as their primary care physician or specialist?
  • Does the provider ensure that the staff members are professionally licensed and insured?

Cost

  • What are the charges or costs for the services or supplies required for client care?
  • Are there any financial assistance programs that can help cover the cost of services? How do potential clients apply for them?
  • Will Medicare, Medicaid, or private insurance cover any costs?
  • Will the provider arrange funding assistance for the cost of the care received?
  • Does the provider present all financial arrangements in writing with a copy for the client?
  • What policy does the provider have to inform clients if services are to be canceled? What is the policy for clients to cancel services with the provider?

In recent years, the availability of home and community-based services has increased dramatically. Since there are a variety of services and programs to choose from it is important to know: what options exist in your community, how these services can be paid for, and what care is specifically offered by each provider. The answers to these questions will help you find the service provider that will best meet your individual needs or the needs of your loved one.

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Last Modified: Thursday, 13-Dec-07 12:23:03