As used in this subpart:

1. (1)

   1. (A) “Active client” means a client who is receiving services coordinated by the area agency on aging.
   2. (B) “Active client” also means a client for whom services have not been terminated;
2. (2) “Area plan” means an area agency on aging plan of operation which has been approved by the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services;
3. (3) “Assessment” means the process of determining the type and extent of assistance needed by a client;

4. (4)

   1. (A) “Assistance” means linkage with appropriate resource or resources to ensure that necessary service will be delivered to the client.
   2. (B) “Assistance” must include contact and follow-up with the provider and/or client;
5. (5) “Case file” means a file containing all relevant information about an individual client and meeting the specifications of applicable procedures;

6. (6)

   1. (A)

      1. (i) “Case management” means an activity under which responsibility for locating, coordinating, and monitoring necessary and appropriate services for a client rests with a specific person.
      2. (ii) Case management services will assist clients in gaining access to all needed medical, social, educational, and other services, informal and formal, regardless of source.
      3. (iii) Case management also may be provided to individuals who are at risk of abuse, neglect, or exploitation in order to determine the proper placement and/or need for services, including protective services.
   2. (B) “Case management” includes examining and reexamining the client’s needs and altering the service plan to meet the changing needs.
   3. (C) “Case management” also includes measuring the client’s progress toward specific goals;
7. (7) “Client Bill of Rights” means a list of rights to which all area agency on aging clients are entitled;
8. (8) “Client record”. See “case file”, subdivision (5) of this section;

9. (9)

   1. (A) “Client representation” means an activity under which a client’s needs are assessed and services to meet these needs are either provided directly by the client representative or arranged for in an organized and consistent manner.

   2. (B)

      1. (i) “Client representation” includes, but is not limited to, such things as:

         1. (a) (a) Outreach;
         2. (b) (b) Referral for legal assistance;
      2. (c) (c) Providing information on and determining eligibility for public benefits such as QMB and SLMB;

      3. (d) (d) Assisting with completion of applications and paperwork;

         1. (e) (e) Attending meetings on behalf of clients; and
         2. (f) (f) Information and assistance.
      4. (ii) Travel and waiting time are also included.
   3. (C) “Client representation” excludes any service covered by Title XIX under the Targeted Case Management Program for an eligible Medicaid recipient.
   4. (D) “Client representation”. See “case file”, subdivision (5) of this section;
10. (10) “Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services” means the agency of the state government to which the Governor and the General Assembly have assigned responsibility for all matters relating to the needs of older adults in Arkansas;
11. (11) “Formal service provider” means the paid provider of services;
12. (12) “Informal provider” means an unpaid provider of services or assistance, such as a client, family member, and/or a friend;

13. (13)

    1. (A) “Information and assistance” means the provision of concrete information to a client about available public and/or voluntary services and linkages to ensure the service will be delivered to the client.
    2. (B) “Information and assistance” includes contact with a provider or providers and/or a family member or family members on client’s behalf;
14. (14) “Intake” means initial information gathering and preliminary evaluation of the client’s need for services;
15. (15) “Follow-up” means checking with clients regarding outcome of action taken and any need for further services; and
16. (16) “Unit” means a measurement of work for which funds are disbursed in payments for services rendered.

Codification Notes: “QMB” means Qualified Medicare Beneficiary. "SLMB" means Specified Low-income Medicare Beneficiary.