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Compassionate Care Staff

Our Team Of Experienced And Compassionate

Care Providers Can Assist You Or Your Loved

Ones At Home.

 

Disclosure

Statement

In Home Senior Care Provider Assistance Services

Admissions Process & Criteria

Care begins with the assessment visit. In order to make a determination about suitability for home care, it is important to provide relevant information during the admissions process thus, your cooperation is imperative. We encourage you to permit members of your family and those assisting you in your home to share relevant information with us in order to complete a comprehensive admission process.

Part of the admission process consists of your giving our agency permission to treat you, to release medical information concerning you care to appropriate sources, and to collect payment for services directly from your payor source.

Before we can treat you, we must obtain your permission. At any time, you may decline any or all treatment. If you decline any treatment, you will be advised of the possible medical consequences of your actions. Your physician will be notified if you decline to receive treatment.

Promise Senior Solutions will provide a service or a combination of services in your home to help you keep your independence. We offer the following Personal Assistive Services:
  • Bathing;

  • Dressing;

  • Grooming;

  • Meal Preparation;

  • Feeding;

  • Exercising;

  • Toileting;

  • Positioning;

  • Assisting with self-administered medications;

  • Routine Hair, Skin, Oral Hygiene Care;

  • Transfer or Ambulation;

  • Light Housekeeping – Dusting, Vacuuming, Laundry, Dishware, Bathroom;

Your Rights & Responsibilities as a Client

As a personal assistance provider, we have an obligation to protect the rights of our clients and explain these rights to you before treatment begins. Your family or your designee may exercise these rights for you in the event that you are not competent or able to exercise them for yourself.

As a client you have the right to:
  1. Competent, individualized health care without regard to race, color, creed, sex, age, national origin, handicap, ethical/political beliefs, ancestry, religion, or sexual orientation or whether or not an advance directive has been executed.

  2. Receive appropriate care without discrimination.

  3. Exercise your rights, a client of this agency or, if appropriate, the client representative with legal authority to make health care decisions has the right to exercise your rights.

  4. Be treated with consideration, respect, and full recognition of the client’s human dignity and individuality, including privacy in treatment and care for personal needs.

  5. Receive treatment, care, and services that are adequate, appropriate, and in compliance with relevant state, local, and federal laws and regulations.

  6. Participate, either yourself or your designated representative, in the consideration of ethical issues that arise in your care.

  7. Have your property treated with respect.

  8. Be free from mental, verbal, sexual, and physical abuse, neglect, involuntary seclusion, and exploitation including humiliation, intimidation, or punishment.

  9. Be admitted for service only if the agency has the ability to provide safe, professional care at the level of intensity needed.

  10. Expect all personnel caring for you will be current in knowledge and have completed a training –program or competency evaluation regarding his/her respective areas of employment.

  11. Be informed that you may participate in the development of the client’s service plan and medical treatment, the periodic review and update, discharge plans, appropriate instruction and education in the service plan and be informed of all services the agency is to provide, the staff to provide care and the frequency of visits/shifts to be furnished and to be advised of any change in the service plan before the change is made.

  12. Know when and how each service will be provided and coordinated, the agency ownership, name and functions of any person and affiliated agency personnel providing services.

  13. Choose services providers, to communicate with those providers and to reasonable continuity of care.

  14. Be fully informed, orally and in writing, at the time of admission and in advance of services provided, a statement of services available by the agency and related charges. This must include those items and services for which you may be responsible for reimbursement. The agency will advise you of changes orally and in writing as soon as possible, but no later than five (5) calendar days from the date that the agency becomes aware of a change.

  15. Be informed of any financial benefits. 

Your Rights & Responsibilities as a Client 

  1. Be taught and have your family members taught the service plan, so that you can, to the extent possible, assist yourself and your family or other designated party can also understand and assist you.

  2. Request information regarding the services including alternatives to care risk(s) involved. This information will be given in a language or format so that you and your family members can readily interpret and understand so that informed consent may be given.

  3. Refuse service after the possible consequences of refusing services have been fully explained.

  4. The agency shall allow a client, or client representative with legal authority to make decisions, to accept or reject, at the client’s or client representative’s discretion without fear of retaliation from the agency, any employee, independent contractor, or contractual employee that is referred by the agency.

  5. A cognitively capable adult client or a client representative with legal authority to make decisions, to refuse any portion of planned service or other portions of the service plan.

  6. Review all of your records during normal business hours.

  7. Assistance in the locating appropriate community resources before you run out of funds. However, in keeping with proper fiscal responsibility, uncompensated care may not be provided.

  8. Be informed of anticipated outcomes of services and of any barriers in outcome achievement.

  9. Privacy including confidentiality of all record communications, personal information and to transfer to a health care facility, as required by law or third-party contracts. You shall be informed of the policy and procedure regarding disclosure of your records.

  10. Receive the care necessary to assist you in attaining optimal levels of health, and if necessary, cope with death. To know that a client does not receive experimental treatment or participate in research unless he / she give documented voluntary informed consent.

  11. Provide information to a client about advance directives and the right to have an advance directive and this agency request information regarding the client’s advance directives to determine whether the advance directive information has an impact on care provided.

  12. Be informed in writing of policies and procedures for implementing advance directives, including any limitations if the provider cannot implement an advance directive on the basis of such as living wills or the designation of a surrogate decision-maker, are respected to the extent provided by law.

  13. Know that Do – Not – Resuscitate orders shall not constitute a directive to withhold or withdraw medical treatment other than CPR. Withdrawal of life sustaining treatment is done only after the physician has ordered it and the family / significant other is notified.

  14. Be informed of the procedures for submitting complaints with respect to client care, that is, or fails to be furnished or regarding the lack of respect for property by anyone who is furnishing services on behalf of the agency with suggested changes in services without coercion, discrimination, reprisal, or unreasonable interruption of services.

  15. The consumer or authorized representative has the right to be informed of the consumer’s rights through an effective means of communication.

  16. The client has the right to be informed about the individuals providing services. The client has the right to be informed of the full name, staff position and employer of all persons with whom the consumer has contact and who is supplying, staffing, or supervising care or services. The client has the right to be served by agency staff that is properly trained and competent to perform their duties. Be able to identify visiting staff through proper identification.

  17. The telephone number where a client or the client representative can contact the agency 24 hours a day, 7 days a week regarding care is (210) 736-4677.

  18. This agency shall disclose of any sub contractual relationship with any individual or agency to be assigned or referred to provide care to the cline

  19. Be provided with updates and state amendments on individual rights to make decisions concerning medical care within 90 days from the effective date of changes to state law.

  20. Receive information about the services.

  21. A client has the right to receive information about the scope of services that the organization will provide and specific limitations on those services.

  22. Be informed of the procedure for submitting a written complaint / grievance to the home health agency. All complaints / grievances may be given to any agency member. If not satisfied with the response or any step in chain of command, continue to the next person. Contact, Promise Senior Solutions and speak to the following:

  1. Operations Manager

  2. Branch Administrator

  1. Receive a prompt response, through an established complaint or grievance procedure, to any complaints, suggestions, or grievances the participant may have. Administrator or designee documents and investigates the grievance/complaint within 10 calendar days of receipt of the complaint. The Administrator or designee must complete the investigation and documentation within 30 calendar days after the Agency receives the complaint unless the Agency has and documents reasonable cause for delay. You may appeal the administrator findings to the Governing Board by submitting a written complaint to:

Attention Governing Body

Promise Senior Solutions

4606 Centerview Drive, Suite 255, San Antonio, Texas 78228

Your Rights & Responsibilities as a Client

  1. Be informed of your state’s hotline and the agencies contact information make suggestions or complaints, or present grievances on behalf of the client to the agency, government agencies, or other persons without the threat or fear of retaliation.

Department of Aging and Disability Services,

DADS' Consumer Rights and Services Division,

P.O. Box 149030,

Austin, Texas 78714-9030,

Toll free 1-800-458-9858

Texas Department of Family and Protective Services

Toll free 1-800-252-5400

Your Rights & Responsibilities as a Client

To ask questions of the staff about anything they do not understand concerning their treatment or services provided.

Client Responsibilities:
  • To provide complete and accurate information concerning their present health, medication, allergies, etc.

  • To inform staff of their health history, including past hospitalization, illnesses, injuries.

  • To involve themselves and/or Caregiver, as needed and as able, in developing, carrying out, and modifying their service plan.

  • To review the Agency’s information on maintaining a safe and accessible home environment in their residence.

  • To request additional assistance or information on any phase of their service plan they do not fully understand.

  • To inform the staff when a health condition or medication change has occurred.

  • To notify the Agency when they will not be home for a scheduled home care visit.

  • To notify the Agency prior to changing their place of residence or telephone.

  • To notify the Agency when encountering any problem with equipment or services.

  • To notify the Agency if they are to be hospitalized or if a physician modifies or ceases their prescription.

  • To make a conscious effort to comply with all aspects of the service plan.

  • To notify the Agency when payment source changes.

  • To notify the Agency of any changes in or the execution of any advanced directives.

Agency Responsibilities 

Before the care is initiated, the agency must inform a client orally and in writing of the following: 
  1. The extent to which payment may be expected from third party payers;

  2. The charges for services that will not be covered by third party payers;

  3. Services to be billed to third party payers;

  4. The method of billing and payment for services;

  5. The charges that the client may have to pay;

  6. A schedule of fees and charges for services;

  7. The nature and frequency of services to be delivered and the purpose of the service;

  8. Any anticipated effects of treatment, as applicable;

  9. The agency must inform a client orally and in writing of any changes in these charges as soon as possible, but no later than five (5) days from the date the home health agency provider becomes aware of the change;

  10. If an agency is implementing a scheduled rate increase to all clients, the agency shall provide a written notice to each affected consumer at least 30 days before implementation;

  11. The requirements of notice for cancellation or reduction in services by the organization and the client;

  12. The refund policies of the organization; and

  13. The agency shall not assume power of attorney or guardianship over a consumer utilizing the services of the agency, require a consumer to endorse checks over to the agency or require a consumer to execute or assign a loan, advance, financial interest, mortgage, or other property in exchange for future services.

Complaints and Grievances

You may report a complaint or grievance at any time without reprisal or disruption of services.

Any staff member may receive a complaint or grievance about services or care that is or is not furnished or about the lack of respect for the consumer's person or property by anyone furnishing services on behalf of the personal care agency.

Complaints and Grievances Procedure: 
  1. Client or client representative reports a complaint/grievance to any staff member.

  2. Staff members receiving complaints or grievances report them to the Administrator or designee.

  3. Administrator or designee documents the complaint and investigates the grievance/complaint within 5 business days of receipt of the complaint. The Administrator or designee must complete the investigation and documentation within 30 calendar days after the Agency receives the complaint unless the Agency has and documents reasonable cause for delay.

  4. If the Administrator or designee is unable to resolve the complaint/grievance, the Governing Body is notified and takes action toward resolution.

  5. Notify the client when appropriate action has been taken or that the problem has been resolved. 

  6. Document the action taken and resolution on the Complaint Form.

  7. You may appeal the administrator findings to the Governing Body by submitting a written complaint to:

Attention: Governing Body

Promise Senior Solutions

4606 Centerview Drive, Suite 255, San Antonio, Texas 78228

The client may contact at any time without reprisal or disruption in services the:

Department of Aging and Disability Services,

DADS' Consumer Rights and Services Division,

P.O. Box 149030,

Austin, Texas 78714-9030,

Toll free 1-800-458-9858

Texas Department of Family and Protective Services

Toll free 1-800-252-5400

Rights of the Elderly

This Agency advises you of the following rights:

Definitions:
  1. "Convalescent and nursing home" means an institution for onsite, ongoing skilled care.

  2. "Personal Assistance Services (PAS)” means routine ongoing care or services required by an individual in a residence or independent living environment that enable the individual to engage in the activities of daily living or to perform the physical functions required for independent living, including respite services. The term includes:

  3. "Alternate care" means services provided within an elderly individual’s own home, neighborhood, or community, including: 

    A. Day care,    

    B. Foster care,    

    C. Alternative living plans, including personal care services.    

    D. Supportive living services, including attendant care, residential repair, or emergency response services.

  4. "Person providing services" means an individual, corporation, association, partnership, or other private or public entity providing convalescent and nursing home services, personal assistance services, or alternate care services.

  5. "Elderly individual" means an individual 60 years of age or older.

Prohibition:
  1. A person providing services to the elderly may not deny an elderly individual a right guaranteed by this chapter.

  2. Each agency that licenses, registers, or certifies a person providing services shall require the person to implement and enforce this chapter.  A violation of this chapter is grounds for suspension or revocation of the license, registration, or certification of a person providing services.

Rights of the Elderly:
  1. An elderly individual has all the rights, benefits, responsibilities, and privileges granted by the constitution and laws of this state and the United States, except where lawfully restricted. The elderly individual has the right to be free of interference, coercion, discrimination, and reprisal in exercising these civil rights.

  2. An elderly individual has the right to be treated with dignity and respect for the personal integrity of the individual, without regard to race, religion, national origin, sex, age, disability, marital status, or source of payment. This means that the elderly individual:

    A. Has the right to make the individual's own choices regarding the individual's personal affairs, care, benefits, and services;

    B. Has the right to be free from abuse, neglect, and exploitation, and

    C. If protective measures are required, has the right to designate a guardian or representative to ensure the right to quality stewardship of the individual's affairs.

  3. An elderly individual has the right to be free from physical and mental abuse, including corporal punishment or physical or chemical restraints that are administered for the purpose of discipline or convenience and not required to treat the individual's medical symptoms. A person providing services may use physical or chemical restraints only if the use is authorized in writing by a physician or the use is necessary in an emergency to protect the elderly individual or others from injury. A physician's written authorization for the use of restraints must specify the circumstances under which the restraints may be used and the duration for which the restraints may be used. Except in an emergency, restraints may only be administered by qualified medical personnel.

  4. A mentally retarded elderly individual with a court-appointed guardian of the person may participate in a behavior modification program involving use or restraints or adverse stimuli only with the informed consent of the guardian.

  5. An elderly individual may not be prohibited from communicating in the individual's native language with other individuals or employees for the purpose of acquiring or providing any type of treatment, care, or services.

  6. An elderly individual may complain about the individuals' care or treatment. The complaint may be made anonymously or communicated by a person designated by the elderly individual. The person providing the service shall promptly respond to resolve the complaint. The person providing services may not discriminate or take other punitive action against an elderly individual who makes a complaint.

  7. An elderly individual is entitled to privacy while attending to personal needs and a private place for receiving visitors or associating with other individuals unless providing privacy would infringe on the rights of other individuals. This right applies to medical treatment, written communications, telephone conversations, meeting with family, and access to resident councils. An elderly person may send and receive unopened mail, and the person providing services shall ensure mat the individual's mail is sent and delivered promptly. If an elderly individual is married and the spouse is receiving similar services, the couple may share a room.

  8. An elderly individual may participate in activities of social, religious, or community groups unless the participation interferes with the rights of other persons.

  9. An elderly individual may manage the individual's personal financial affairs. The elderly individual may authorize in writing another person to manage the individual's money. The elderly individual may choose the manner in which the individual's money is managed, including a money management program, a representative payee program, a financial power of attorney, a trust, or similar method, and the individual may choose the least restrictive of these methods. A person designated to manage an elderly individual's money shall do so in accordance with each applicable program policy, law, or rule. On request of the elderly individual or the individual's representative, the person designated to manage the elderly individual's money shall make available the related financial records and provide an accounting of the money. An elderly individual's designation of another person to manage the individual's money does not affect the individual's ability to exercise another right described by this chapter. If an elderly individual is unable to designate another person to manage the individual's affairs and a guardian is designated by a court, the guardian shall manage the individual's money in accordance with the Probate Code and other applicable laws.

  10. An elderly individual is entitled to access to the individual's personal and client records. These records are confidential and may not be released without the elderly individual's consent, except the records may be released:    

    A. To another person providing services at the time the elderly individual is transferred; or    

    B. If another law requires the release.

  11. A person providing services shall fully inform an elderly individual, in language that the individual can understand, of the individual's total medical condition and shall notify the individual whenever there is a significant change in the person's medical condition.

  12. An elderly individual may choose and retain a personnel physician and is entitled to be fully informed in advance about treatment or care that may affect the individual's well-being.

  13. An elderly individual may participate in an individual plan of care that describes the individual's medical, nursing, and psychosocial needs and how the needs will be met.

  14. An elderly individual may refuse medical treatment after the elderly individual: 

    A. Is advised by the person providing the services of the possible consequences of refusing treatment; and    

    B. Acknowledges that the individual clearly understands the consequences of refusing treatment.  

  15. An elderly individual may retain and use personal possessions, including clothing and furnishings, as space permits.  The number of personal possessions may be limited for the health and safety of other individuals.

  16. An elderly individual may refuse to perform services for the person providing services.

  17. Not later than the 30th day after the date the elderly individual is admitted for service, a person providing services shall inform the individual;

    A. Whether the individual is entitled to benefits under Medicare or Medicaid; and

    B. Which items and services are covered by these benefits, including items or services for which the elderly individual may not be charged.

  18. A person providing services may not transfer or discharge an elderly individual unless:

    A. The transfer is for the elderly individual's welfare, and the individual's needs cannot be met by the person providing services;

    B. The elderly individual's health is improved sufficiently so that services are no longer needed;

    C. The elderly individual's health and safety or the health and safety of another individual would be endangered if the transfer or discharge was not made;

    D. The person providing services ceases to operate or to participate in the program that reimburses the person providing services for the elderly individual's treatment or care; or

    E. The elderly individual fails, after reasonable and appropriate notices, to pay for services.

  19. Except in an emergency, a person providing services may not transfer or discharge an elderly individual from a residential facility until the 30th day after the date the person providing services provides written notice to the elderly individual, the individual's legal representative, or a member of the individual's family stating:

    A. That me person providing services intends to transfer or discharge the individual;

    B. The reason for the transfer or discharge listed in Subsection(R);

    C. The effective date of the transfer or discharge;

    D. If the individual is to be transferred, the location to which the individual will be transferred; and

    E. The individual's right to appeal the action and the person to whom the appeal should be directed.

  20. An elderly individual may:

    A. Make a living will by executing a directive under the Natural Death Act;

    B. Execute a durable power of attorney for health care; or

    C. Designate a guardian in advance of need to make decisions regarding the individual's health care should the individual become incapacitated.

List of Rights:
  1. A person providing services shall provide each elderly individual with a written list of the individual's rights and responsibilities, before providing services or as soon after providing services as possible and shall post the list in a conspicuous location.

  2. A person providing services must inform an elderly individual of changes or revisions in the list.

    Rights Cumulative:

    The rights described in this chapter are cumulative of other rights or remedies to which an elderly individual may be entitled under law.

HIPAA Notice of Privacy Practices

In compliance with HIPAA - The Health Insurance Portability and Accountability Act of 1996

If you are a client of Promise Senior Solutions, this notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review this notice carefully.

1. Uses And Diclosures

The Agency will not disclose your health information without your authorization, except as described in this notice.

Plan of Care. The Agency will use your health information for the plan of care; for example, information obtained by the admitting staff member will be recorded in your record and used to determine the course of care. The staff will communicate with one another personally and through the case record to coordinate care provided. 

Payment. The Agency will use your health information for payment for services rendered. For example, the Agency may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse you or the Agency. The Agency may also need to obtain prior approval from your insurer and may need to explain to the insurer your need for personal assistance services and the services that will be provided to you.

Health Care Operations. The Agency will use your health information for personal assistance services operations. For example, Agency field staff, supervisors and support staff may use information in your case record to assess the care and outcomes of your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of services we provide. Regulatory and accrediting organizations may review your case record to ensure compliance with their requirements.

Notification. In an emergency, the Agency may use or disclose health information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, of your location and general condition.

Public Health. As required by federal and state law, the Agency may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

Law Enforcement. As required by federal and state law, the Agency will notify authorities of alleged abuse/neglect; and risk or threat of harm to self or others. We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

Charges against the Agency. In the event you should file suit against the Agency, the Agency may disclose health information necessary to defend such action.

HIPAA Notice of Privacy Practices

Duty to Warn. When a client communicates to the Agency a serious threat of physical violence against himself, herself or a reasonably identifiable victim or victims, the Agency will notify either the threatened person(s) and/or law enforcement.

The Agency may also contact you about appointment reminders, treatment alternatives or for public relations activities.

In any other situation, the Agency will request your written authorization before using or disclosing any identifiable health information about you. If you choose to sign such authorization to disclose information, you can revoke that authorization to stop any future uses and disclosures.

2.Individual Rights

You have the following rights with respect to your protected health information:

  1. You may request in writing that the Agency not use or disclose your information for treatment, payment, or administration purposes or to persons involved in your care except when specifically authorized by you, when required by law, or in emergency situations. The Agency will consider your request; however, the Agency is not legally required to accept it. You have the right to request that your health information be communicated to you in a confidential manner such as sending mail to an address other than your home.

  2. Within the limits of the statutes and regulations, you have the right to inspect and copy your protected health information.  If you request copies, the Agency will charge you a reasonable amount, as allowed by statute.

  3. If you believe that information in your record is incorrect or if important information is missing, you have the right to submit a request to the Agency to amend your protected health information by correcting the existing information or adding the missing information.

  4. You have the right to receive an accounting of disclosures of your protected health information made by the Agency for certain reasons, including reason related to public purposes authorized by law and certain research. The request for an accounting must be made in writing to Privacy Officer. The request should specify the time period for the accounting starting on or after April 14, 2003. Accounting request may not be made for periods of time in excess of six (6) years. The Agency would provide the first accounting you request during any 12-month period without charge. Subsequent accounting request may be subject to a reasonable cost-based fee.

  5. If this notice was sent to you electronically, you may obtain a paper copy of the notice upon request to the Agency.

3.Agency's Dutis
  1. law requires The Agency to maintain the privacy of protected health information and to provide individuals with notice of its legal duties and privacy practices with respect to protected health information.

  2. The Agency is required to abide by the terms of this Notice of its duties and privacy practices. The Agency is required to abide by the terms of this Notice as may be amended from time to time.

  3. The Agency reserves the right to change the terms of this Notice and to make the new Notice provisions effective for all protected health information that it maintains. Prior to making any significant changes in our policies, Agency will change its Notice and provide you with a copy.  You can also request a copy of our Notice at any time. For more information about our privacy practices, please contact the office (210) 736-4677.

  4. It is the duty of this agency to notify the patient of a breach of their protected health information. This agency will notify the patient within 15 business days of discovery of any breach in the patients protected health information. Notification will occur regardless of whether the breach was accidental or if a business associate was the cause. A “breach” of PHI is any unauthorized access, use or disclosure of unsecured PHI, unless a risk assessment is performed that indicates there is a low probability that the PHI has been compromised. The risk assessment must be performed after both improper uses and disclosures and include the nature and extent of the PHI involved, a list of unauthorized persons who used or received the PHI, if the PHI was in fact acquired or viewed, and the degree of mitigation. This agency and if any business associate was involved must consider all the following factors in assessing the probability of a breach:

    the nature and extent of the protected health information involved, including the types of identifiers and the likelihood of re-identification;

    the unauthorized person who used the protected health information or to whom the disclosure was made;

    whether the protected health information was actually acquired or viewed; and

    the extent to which the risk to the protected health information has been mitigated.

    “Unsecured” protected health information means protected health information that is not rendered unusable, unreadable, or indecipherable to unauthorized individuals through the use of a technology or methodology.

  5. If the breach is determined to have no or low probability of risk to the patient then the patient will not be notified. Any other risk factor requires the agency to notify the patient in writing within 15 business days of the conclusion of the determination.

HIPAA Notice of Privacy Practices

4.Complaints

If you are concerned that the Agency has violated your privacy rights, or you disagree with a decision the Agency made about access to your records, you may contact the office at (210) 736-4677. You may also send a written complaint to the Federal Department of Health and Human Services. The Promise Senior Solutions office staff can provide you with the appropriate address upon request.  Under no circumstances will you be retaliated against for filing a complaint.

5.Contact Informaction

Law requires the Agency to protect the privacy of your information, provide this Notice about our information practices, and follow the information practices that are described in this Notice.

If you have any questions or complaints, please contact:

Agency Administrator

You may contact this person at:

Promise Senior Solutions

4606 Centerview Drive, Suite 255, San Antonio, Texas 78228

Complaints may also be directed to Texas Department of Disability and Aging without fear of retaliation.

Department of Aging and Disability Services,

DADS' Consumer Rights and Services Division,

P.O. Box 149030,

Austin, Texas 78714-9030,

Toll Free 1-800-458-9858   

Medicaid Fraud Reporting

If you have reason to believe that, someone is defrauding the Medicaid program please report to the appropriate agency listed below.

Medicaid

By Telephone: 1-800-HHS-TIPS

(1-800-447-8477)

TTY Toll-Free: 1-877-486-2048

Office of Inspector General Hotline

By Us Mail:

Office of the Inspector General

HHS TIPS Hotline

P.O. Box 23489

Washington, DC 20026

By Fax:1-800-223-2164

By email:HHSTips@oig.hhs.gov

Abuse, Neglect, Exploitation Policy & Drug Testing Policy

Agency employees and independent contractors shall report all actual or suspected cases of abuse, neglect, or exploitation of a client/child to an agency supervisor and the appropriate state agency. If agency personnel detect any signs of family violence, the information required by law is give to the victim and suspected family violence is reported to the employee's supervisor.

Abuse means: the negligent or willful inflection of injury, unreasonable confinement, intimidation, or cruel punishment with resulting physical or emotional harm or pain to an elderly or disabled person by the person's caretaker, family member or other individual who has an ongoing relationship with the person; or sexual abuse of an elderly or disabled person, including any involuntary or nonconsensual sexual conduct that would constitute an offense, (indecent exposure, assault offenses), committed by the person's caretaker, family member, or other individual who has an ongoing relationship with the person. 

Neglect means: the failure to provide for one's self the goods or services, including medical services which are necessary to avoid physical or emotional harm or pain or the failure of a caretaker to provide such goods or services.                       

Exploitation means: the illegal or improper act or process of a caretaker, family member, or other individual who has an ongoing relationship with an elderly or disabled person using the resources of such person for monetary or personal benefit, profit, or gain without the informed consent of such person.

Department of Family and Protective Services 1-800-252-5400

Your Responsibility As A Client

  1. Remain under a physician's care while receiving agency services.

  2. Provide the agency with a complete and accurate health history.

  3. Provide the agency with all requested insurance and financial records.

  4. Sign the required consents and releases for insurance billing.

  5. Participate in your Plan of Care.  

  6. Accept the consequences for any refusal of treatment or choice of non-compliance

  7. Provide a safe home environment in which your care can be given.

  8. Cooperate with your physician, agency staff and other caregivers.

  9. Treat agency personnel with respect and consideration.

  10. Advise the agency of any problems or dissatisfaction with the care being provided without being subject to discrimination or reprisal. 

  11. Notify the agency when unable to keep an appointment.

    Agency’s Drug Testing policy

    Promise Senior Solutions is a drug free workplace. The use of drugs or alcohol in the workplace or being under the influence while on duty is prohibited. Drug screening or testing may be requested as a condition of employment, conducted on a random basis, or in the event an associate is involved in a major accident during working hours. Alcohol use or chemical substance abuse during working hours and eight (8) hours prior to reporting for duty is prohibited and is considered grounds for immediate termination of employment. Any associate suspected of impairment or substance abuse is to be relieved of duty immediately.  The associate is to undergo drug screening within 2 hours adhering to the appropriate lab protocol. Refusal to consent to drug testing is considered grounds for termination of employment.

Evacuation Assistance

Agency actions and responsibilities of agency staff during and immediately following an emergency are:
  • To continue to the best of our abilities to provide services to all our clients, however clients categorized during the admission process as high risk will receive priority response followed next by the moderate risk category.

  • Attempt to communicate with all clients to determine their whereabouts and level of needs during and immediately following an emergency and adjust our response as necessary.

  • To coordinate with local officials to provide disaster relief.

Client's responsibilities in the agency's emergency preparedness and response plan;
  • To be prepared as outlined during the admission process to the best of your abilities for an emergency.

  • To have a plan in place for evacuation or sheltering in place.

  • To attempt to contact the agency to provide information about your status and whereabouts.