Participant will provide to the Center copies of identification and insurance cards as well as copies of power of attorney/guardianship documents and any advance directives.
Participant / responsible party must complete a Consumer Contract. The Consumer Contract will be reviewed at least annually by the participant / responsible party and the Executive Director.
Participant information will be transferred to case management electronically or sign a release form by the individual care giver for information to be release to a new provider listed on the individual’s plan by paper or electronic.
Management reserves the right to decline admission to any applicant for whom Phoenix Cares, LLC determines, in its sole judgment, that it cannot meet his/her needs.
The staff, volunteers, and business associates of Phoenix Cares, LLC respect all rights recognized by law with respect to discrimination, service decisions (including the right to refuse services), freedom from abuse and neglect, privacy, association, and other areas of fundamental rights. Participants receiving services at Phoenix Cares, LLC may contact their local or state ombudsman if they have concerns about the provision of services.
Phoenix Cares, LLC respects the basic rights of all participants, including but not limited to:
· Freedom from verbal, sexual, physical, emotional, financial, and mental abuse
· Freedom from physical or chemical restraints for the purposes of discipline or convenience, and not required to treat the participant’s medical symptoms
· Freedom to have records kept confidential and released only with a participant’s consent consistent with state law
· Freedom to have service animal consistent with the “reasonable accommodations” clause of the Fair Housing Act.
(1) The participant has the right to have the participant property treated with respect.
(2) The participant has the right to temporarily suspend, permanently terminate, temporarily add, or permanently add services in the service plan.
(3) The participant has the right to file grievances regarding services furnished or regarding the lack of respect for property by Phoenix Cares LLC and is not subject to discrimination or reprisal for filing a grievance.
(4) The participant has the right to be free from verbal, physical, and psychological abuse and to be treated with dignity.
(5) A statement that it is not within the scope of Phoenix Cares LLC license to manage the medical and health conditions of the participant if a condition becomes unstable or unpredictable.
(6) The charges for services provided by Phoenix Cares LLC.
(7) Phoenix Cares LLC’s policy for notifying the client of any increase in the cost of services.
(8) The hours the personal services agency's office is open for business.
(9) That on request Phoenix Cares LLC will make available to the participant a written list of the names and addresses of all persons having at least a five percent (5%) ownership or controlling interest in Phoenix Cares LLC.
(10) The procedures for contacting Phoenix Cares LLC’s manager, or the manager's designee, while the personal services agency's office is open or closed.
(11) The procedure and telephone number to call to file a complaint with Phoenix Cares LLC.
(12) That the state department does not inspect personal service agencies as part of the licensing process but does investigate complaints concerning personal service agencies.
(13) The participant has the right to know how to file a complaint with the Indiana State Department of Health. To file a complaint with the Indiana State Department of Health call the toll-free number at 1-800-246-8909. The business hours are 8:15am-4:45pm, Monday-Friday.
All participants will receive a copy of “Rights and Responsibilities of Adult Day Service Participants” prior to admission. Participants and responsible parties will review the information and sign/return the acknowledgement form.