CMS 372 Report - OMB Control Number: 0938-0272

Annual Number of Section 1915c Waiver Recipients and Expenditures:

(Specify each service as in the approved waiver)

Service Name	Level of Care	Expenses	Participants
Adult Day Care (social model)	NF	$0	0
Adult Residential Care If Other, specify: Adult Host Homes	NF	$0	0
Adult Residential Care If Other, specify: Assisted Living Facilities	NF	$7,092,965	517
Adult Residential Care If Other, specify: Certified Residential Care / Alzheimer Secured Unit	NF	$1,122,086	77
Adult Residential Care If Other, specify: Licensed Community Residential Care	NF	$70,107	12
Assistive Technology	NF	$0	0
Attendant Care	NF	$73,162	63
-- Other If Other, specify: Caregiver Training	NF	$0	0
Case Management	NF	$1,650,584	604
Chore / Home Maintenance	NF	$2,613	2
-- Other If Other, specify: Consumer Preparation Services	NF	$0	0
Environmental Adaptations / Home Modifications	NF	$0	0
Vehicle Modifications	NF	$0	0
Fiscal/Employer Agent/Management Services	NF	$3,168	14
Habilitation [use only when subcategory not provided]	NF	$7,289	13
Home Delivered Meals	NF	$481	3
Homemaker	NF	$18,549	19
-- Other If Other, specify: Institutional Transition Services	NF	$7,221	20
Medication Management	NF	$16,045	32
-- Other If Other, specify: Personal Budget Assistance	NF	$47,569	196
Personal Emergency Response System (PERS) If Other, specify: Installation, Testing & Removal, Base	NF	$30	1
Personal Emergency Response System (PERS) If Other, specify: Purchase, Rental & Repair	NF	$30	1
Personal Emergency Response System (PERS) If Other, specify: Response Center Service	NF	$3,210	19
Respite Care If Other, specify: 15 Minute	NF	$0	0
Respite Care If Other, specify: Daily	NF	$0	0
Respite Care If Other, specify: Out Of Home/Room And Board Included	NF	$0	0
Behavior Management If Other, specify: Level I	NF	$0	0
Behavior Management If Other, specify: Level II	NF	$0	0
Behavior Management If Other, specify: Level III	NF	$0	0
Specialized Medical Equipment and Supplies	NF	$22,176	78
-- Other If Other, specify: Supportive Maintenance	NF	$0	0
Transportation If Other, specify: Mile	NF	$0	0
Transportation If Other, specify: One Way Trip	NF	$7,337	57
Transportation If Other, specify: Public Transit Pass	NF	$0	0

Assurances:

Assurances were submitted with the initial report. (If you are submitting a lag report this item must be checked.)
All provider standards and health and welfare safeguards have been met and corrective actions have been taken where appropriate
All providers of waiver services were properly trained, supervised, and certified and/or licensed, and corrective actions have been taken where appropriate.

Documentation:

Provide a brief description of the process for monitoring the safeguards and standards under the waiver:

Utah New Choices Waiver Quality Assurance Monitoring Activities FY 2007 372 Reports The New Choices Waiver was approved in April, 2007 and became operational in May, 2007. Since the New Choices Waiver was approved toward the end of FY 2007, there is little QA history to report. The quality assurance monitoring activity discussed below applies to the assurance of Qualified Provider. Also included in this report are Quality Improvement Initiatives that will be accomplished in FY 2008. Quality Contract: The DHCF LTCB has a Quality Contract with the Bureau of Health Facility Licensing, Certification and Resident Assessment The Bureau . This agency of the Department of Health licenses all health care facilities in Utah. The contract stipulates that during annual on site inspections of health facilities, the Bureau will include in their review a sample of 1915 c HCBS waiver participants who have been identified by the DHCF LTCB as receiving services by a licensed health care provider. During fiscal year 2007, the New Choices Waiver was approved and active only for the months of May and June. During that time, the Bureau of Licensing reviewed 41 active files and 2 closed files of participants on the waiver during annual surveys. The Bureau surveyed a total of 9 different assisted living facilities that served New Choices Waiver clients. When serious concerns are identified by the Bureau of Licensing, they will contact the DHCF LTCB designee who will follow up with the waiver case management agency for resolution. Quarterly meetings were held with the Bureau of Licensing staff to refine protocols, update the progress of inspections, and to assess the reporting process. This adds an additional component to the monitoring activities of the DHCF LTCB to assure qualified providers and the health and welfare of waiver participants. Quality Initiative: In addition to the assisted living reports currently received, the quality contract for FY 2008 will include annual survey reports from home health agencies that serve participants on the New Choices Waiver. Quality Initiative: A system was implemented during part of FY 2007 to communicate survey information to the case management agency to track individual deficiencies that were cited during annual surveys. This process will be further developed during FY 2008 to provide pertinent information on an ongoing basis. FY 2008 Quality Improvement Initiatives Cost Reporting Protocol: A facility cost reporting protocol will be developed to help monitor assisted living facilities. Care Plan Approval System: A system will be developed to help the case management agencies send the Long Term Care Bureau care plans for approval. Care Plan Accountability System: A system will be developed to help us compare the care plan and the actual services billed. FY 2008 Annual Review: As with existing waivers, an annual review will be conducted in FY 2008.

Findings of Monitoring:

No deficiencies were detected during the monitoring process;
Deficiencies were detected.

Provide a summary of the significant areas where deficiencies were detected, (Note: Individual reports or assessment forms for waiver individuals and/or providers disclosing deficiencies and which document the summary are not necessary):
Deficiencies have been, or are being corrected.

Provide an explaination of how these deficiencies have been, or are being corrected as well as an explanation of what steps have been taken to ensure the deficiencies do not recur:

372 - Annual Report on Home and Community-Based Services Waivers