Is Flexible Choices the right option for you?



Do you think the Flexible Choices option is the Choices for Care option that would work best for you? The Flexible Choices option will allow you greater flexibility in how your Vermont Long Term Care Medicaid funding can be spent, however, it will require more responsibility on your part. Choosing to take part in the Flexible Choices option means that you will be willing to work with Transition II as the Supportive Intermediary Service Organization (SISO) to learn your role and responsibilities as an employer and that you will be willing to carry out these roles and responsibilities on an ongoing basis.

To take part in the Flexible Choices option the employer will need to be able to, at a minimum, fulfill the following roles and responsibilities: 

• Understand and follow program requirements

• Work with the Flexible Choices Advisor to develop a budget

• Arrange and coordinate employee and/or agency care

• Assure that employment forms are completed and submitted to the payroll agent (ARIS Solutions)

• Manage the budget and stay within the funding limits

• Maintain updated copies of the approved Flexible Choices budget

• Complete and submit accurate Non-Payroll Reimbursement Requests (NPRR) in a timely manner to ensure any services provided are paid for. Any NPRR not submitted within 5 months of service or receipt date will not be reimbursed and become the responsibility of the employer to pay for out of pocket.

• Notify the Flexible Choices Advisor if the participant is admitted to the hospital, nursing home, or rehab facility

• Notify the payroll agent (ARIS Solutions) of any necessary changes

• Participate in the assessment and reassessment of Choices for Care and Flexible Choices eligibility

• Communicate with the Flexible Choices Advisor on a regular basis

• If applicable, assure a monthly patient share is paid to the payroll agent (ARIS Solutions)

• Have an emergency back-up plan in place

• Recruit and select qualified employee(s) that are 18 years of age or older

• Notify selected employee(s) of their responsibilities

• Train employee(s) to specific tasks as needed

• Develop a work schedule based on the approved budget

• Arrange for substitute or back-up employees as needed

• Develop and maintain a list of tasks for the employee(s) to perform

• Authorize employee(s) timesheets

• Maintain copies of all employee(s) timesheets

• Evaluate employee(s) performance

• Provide ongoing performance feedback to employee(s)

• Terminate employee(s) employment when necessary

• Avoid conflict of interest with employee(s), the individual and/or other participating agencies

• Perform supervisory visits in the home of the participant receiving services at least once every thirty (30) days to assure that tasks are performed by the employee correctly and completely