Sunhsine Care Network
Sunshine Care Network provides professional staffing services to organizations that are licensed to provide HCBS services.
Purpose of Home andCommunity-Based Services (HCBS)
Enable children/youth to remain at home, and/or in the community, thus decreasing institutional placement.
To safely return a child/youth from a higher level of care and back to the community with services to maintain them at home and/or in the community.
Expand service options currently available to children and adolescents for better outcomes and to intervene earlier.
HCBS is for high needs and high-risk children/youth and to prevent institutional level of care (i.e., hospitalization, residential, nursing home, etc.)
To be eligible for the HCBS program, the client must:
- Be under the age of 21
- Be NYS Medicaid eligible
- Must have a physical health, Developmental Disability, and /or mental health diagnosis with related significant needs that place them at risk for hospitalization or institutionalization Or HCBS is needed for the Child / Youth to return home from a higher level of Care.
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Must Meet
- Target Population
- Risk Factors
- Functional Criteria
Target Population Criteria Defined
- Serious Emotional Disturbance (SED)
- Medically Fragile Children (MF)
- Developmental Disability (DD)* and Medically Fragile (MF)
- Developmental Disability (DD)* and in Foster Care
Risk Factors Defined
They point out the high needs or high risk for a Child/Youth at risk for treatment in a more restrictive setting
Risk are defined as:
- Child/Youth is currently in an out-of-home placement
- Child/Youth has been in out-of-home placement recently
- Child/Youth has applied for Out-of-home placement
- Child/Youth is currently multi-system involved and needs complex support to remain successful in the community
Risk factors differ based on the selected target population.
Functional Criteria Defined
- Functional Criteria refers to the specific, observable abilities or behaviors that a child should demonstrate in daily life activities.
- Functional Criteria assess how a child’s mental health diagnosis, behaviors, and/or conditions impact their ability to perform daily living tasks.
- Functional Criteria is a subset of questions that are determined by the designated Target Population and Risk Factors that are associated with the Child/Youth.
Programs Offered
Planned Respite
- Planned Respite – may be delivered at home, in the community, or at any allowable location.
- Planned Respite services provide short-term relief for families/caregivers and support the child’s mental health, substance use, and/or health care goals.
- Planned Respite is scheduled short-term care to provide caregivers a break while the Child/ Youth is in a safe and structured environment, engaging in supervised activities.
Community Habilitation covers in-person services and supports related to the Child/Youth’s acquisition, maintenance and enhancement of skills necessary to Activities of Daily Living ( ADLs) and Instrumental Activities of Daily Living (IADL’s) and/or health related tasks delivered in the community.
Service Components
- Self-Care
- Life Safety
- Medication and Health Management
- Communication Skills
- Mobility
- Community Transportation Skills
- Community Integration
- Appropriate Social behaviors
- Problem Solving
- Money Management
CFASS Services enhance the Child/Youth’s ability to function as part of a Caregiver/Family unit and enhance the Caregiver/Family’s ability to care for the Child/Youth in the home or community.
Service Components
Independently access Community Services and Activities.
Offers tools to appropriately prevent or de-escalate problems when the Child/Youth is experiencing difficulty
Assist the Caregiver/Family unit in understanding and addressing the Child/Youth’s needs related to their disability.
Prevocational Services are individually designed to prepare a Youth (14 or older) to engage in paid work, volunteer work, or career exploration. The services are not job-specific but rather geared toward success in any work environment.
Service Components
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Ability to:
- Communicate with co-workers, supervisors, and customers
- Follow directions
- Attend and complete tasks
- Punctuality and Attendance
- Problem-solving skills and strategies
- Appropriate Workplace Behavior
HCBS Modality and Settings
Modality
Indivdual
- Family – with or without the child present, as long as the contact is in the treatment plan.
- Collateral – family and/or collateral contact with or without the child present
- Group – may be delivered under Rehabilitative Supports and Rehabilitative Psychoeducation. Groups cannot exceed 8 participants.
Settings
- Site-based
- Home
- Other community-based settings where the child/youth lives, works, attends school, engages in services, and socializes.
Our Services
- Sunshine Care Network provides:
- Recruitment of non-clinical mental health staff
- HR onboarding of employees
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Initial and ongoing staff training, including:
- Documentation of state-sponsored trainings
- Orientation to the HCBS agency’s policies and procedures
- Medicaid Compliance training
- Use of the agency IT program
- Ongoing supervision of staff to ensure quality of service
- Collaboration with HCBS coordinators to ensure each child’s progress
Enrollment Process
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Step 1: The new client is referred using our website referral form
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Step 2: An intake coordinator contacts the parent to explain the intake process and notifies the Health Home Care Management or C-YES providers
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Step 3: The Enrollment / Eligibility process is completed by the Care Management team.
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Step 4: Appropriate Caregiver is assigned and introduced to the Family and Child/Youth.
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Step 5: Services begin. Care Management and Service Providers work with Family to ensure that Child/Youths life is enhanced by services as provided.