Adult Protective Services Handbook Revision December 2010
This revision of the Adult Protective Services Handbook was published on December 3, 2010. Summaries of new or revised items are provided below.
Exploitation Allegations
APS policy has been revised to clarify that an incident that is only theft is not investigated as exploitation. For an incident to be considered exploitation, the client has to have had the opportunity to provide informed consent. In an act of theft, the client was not aware of the event and therefore not given the opportunity to provide consent.
When a Client Dies During an APS Case
Historically APS has often discontinued an investigation when the client dies because the protective services for the client are no longer needed. Reevaluation of this policy has led to clarification on when APS continues to investigate or opens a new intake and may take action in the Employee Misconduct Registry (EMR) or release information to an employer when a designated perpetrator is an ongoing threat to other persons age 65 or older or persons with disabilities.
See:
1360 Death Allegations
2650 Client Dies During the Investigation
2651 Procedure to Follow When a Client Dies During Investigation
2652 Documentation for Death of a Client During the Investigation
3472 Client Dies During Service Delivery
3472.1 Procedure to Follow When a Client Dies During Service Delivery
3473 Documentation for Death of a Client During Service Delivery
Temporary Removal of DADS Guardianship Appendices
The following appendices are temporarily deleted until new content regarding guardianship is provided by DADS.
Appendix 4000-3: Joint Staffing Process for DFPS Referrals to DADS Guardianship Services
Appendix 4000-4: Review of Guardianship Decision
Addition of Appendix Regarding the EMR Database
The following appendix has been added to the handbook.
Appendix 5000-1: Instructions for Entering Information Into the APS EMR Database
Clarifications of Existing Policy
The items below are revised to provide clarifications of existing policy. Some items have been renumbered or contain new cross-references. No policy changes have been made in these items.
1347 Exploitation (EXPL) Allegations
1347.10 Procedure for Assessing Exploitation (EXPL) Allegations
1511 Allegations in Facilities That Are Licensed or Unlicensed but Subject to Licensure by DADS Regulatory Services
1511.10 Procedure for Assessing Allegations in Facilities That Are Licensed or Unlicensed but Subject to Licensure by DADS Regulatory Services
1511.20 Procedure for Determining Whether an Assisted Living Facility Is Licensed or Subject to Licensure by DADS Regulatory Services
1511.30 Procedure for Emergency Situations Involving Facilities That Are Licensed or Unlicensed but Subject to Licensure by DADS Regulatory Services
1511.40 Procedure for Closure of Facilities That Are Licensed or Unlicensed but Subject to Licensure by DADS Regulatory Services
2211 Procedure for Case Initiation
2271 Procedure for Referrals to Law Enforcement
2332 Documentation of Information About Principals
2342.2 Procedure for Not Interviewing the Alleged Perpetrator
2352 Documentation for Photographs
2381.3 Criminal History Records Checks and Referrals to DADS Guardianship Services
2511.1 Exceptions for Monthly Status Contacts During Investigations
2650 Client Dies During the Investigation
2651 Procedure to Follow When a Client Dies During the Investigation
2651.1 Client Dies Before the Initial Face-to-Face Is Completed
2651.2 Alleged Perpetrator's Actions Contributed to the Client's Death
2651.3 Self-Neglect Contributes to the Client's Death
2651.4 Alleged Perpetrator's Actions Did Not Contribute to Client's Death
2651.5 Rapid Closure When Client Dies During the Investigation
2651.51 Rapid Closure When All Allegations Are Self-Neglect
2651.52 Rapid Closure When the Alleged Perpetrator's Actions Did Not Contribute to the Client's Death
2651.53 Alleged Perpetrator Is EMR Eligible
2652 Documentation of Date of Death and Reason for Death When a Client Dies During the Investigation
2652.1 Allegation Detail Page
2653 Documentation When Client's Death Involves Abuse or Neglect
2652.2 Documentation When Client's Death Does Not Involve Abuse or Neglect
2652.3 Documentation for Rapid Closure Following Client's Death
2661 Exploitation Allegations Involving a Guardian of the Estate
2662 Alleged Perpetrator Role for Allegations of Neglect Involving Wards
2662.1 Procedure for Determining Perpetrator Role for Allegations of Neglect Involving Wards
2663 Gaining Access to the Ward During an Investigation
2663.1 Procedure for Gaining Access to the Ward During an Investigation
2680 Investigations Involving Certain Types of Facilities
2681 Investigations Involving Schools
2681.1 Procedure for Investigations Involving Schools
2682 Investigations in Boarding Home Facilities
2682.1 Procedure for Investigations Involving Boarding Home Facilities
2690 Allegations Involving Home and Community Support Services Agencies (HCSSA) Employees
2691 Procedure for Allegations Involving Home and Community Support Services Agencies (HCSSA) Employees
2692 Procedure for Exploitation Allegations Involving HCSSA Employees
2710 Allegation Disposition
2821 Investigation Closure Reason Codes
2821.10 Rapid Closure Codes and Disposition of Other
3251.1 Exceptions for Monthly Status Contacts During Service Delivery
3470 Case Closure During Service Delivery
3471 Client Withdraws From Services
3472 Client Dies During Service Delivery
3472.1 Procedures to Follow When a Client Dies During Service Delivery
3473 Documentation for Death of a Client During Service Delivery
3473.1 Documentation When Client's Death Involves Neglect
3473.11 Neglect Allegations Validated in the Investigation Stage Contribute to a Client's Death During Service Delivery
3473.2 Documentation When Client's Death Involves Natural Causes or an Accident
3473.3 Documentation When Client's Death Involves Certain Abuse or Neglect by an Alleged Perpetrator
3511 Assessing the Need for Purchased Client Services
3521 Client’s Budget and Financial Resources
3600 Methods for Use of Purchased Client Services
3610 State Term Contract Procurement Cards
3611 Procedures for the Use of State Term Contract Procurement Cards
3611.1 Transaction Limits of Procurement Cards
3611.2 Returns of Goods Purchased With a Procurement Card
3611.3 Decline of a Procurement Card
3611.4 Security for Procurement Card
3611.5 Lost or Stolen Procurement Cards
3611.6 Reconciling the State Term Contract Procurement Card Billing Statement
3612 Documenting State Term Contract Procurement Card Purchases
3620 Purchase Order for Placement Services (POPS)
3621 Procedures for POPS
3622 Determining Rate for POPS
3623 Responsibilities of Contract Staff and Regional Management
3624 Monitoring Medicaid Eligibility Status for POPS
3625 Documentation Requirements for POPS
3625.1 Documentation Requirements for Subsequent 60-Day Placements
3630 Contracts
3631 Procedure for Contracts
3632 Documentation Requirements for Contracts
3640 Claims Processing
3641 Procedure for Claims Processing
3642 Documentation Requirements for Claims Processing
3650 Using Program-Directed Purchase
3651 Procedure for Program-Directed Purchase
3652 Documentation Requirements for a Program-Directed Purchase
3660 Travel Purchases
3661 Procedure for Travel Purchases
3662 Documentation Requirements for Travel Purchases
4783.3 Procedure for Emergency Referrals to DADS Guardianship Services to Protect Client Assets
4785 General Issues Regarding DADS Guardianship Services Referrals
5118.2 Notification of Investigation Involving a Guardianship to Probate Court
5241 When to Merge Cases
5331 Notification of Results of the Administrative Desk Review for Designated Perpetrators
5410 Due Process for Employee Misconduct Registry (EMR) Cases
5411.1 Definition of Reportable Conduct
5411.2 Subject Matter Expert Review
5411.3 Valid ‑ Reportable Conduct Allegation Disposition
5411.4 Regional Director Review
5411.5 APS EMR Database
5412 Notification of Reportable Conduct
5413 Duties of State Office EMR Coordinator
5413.1 Decision to Pursue Inclusion on the EMR Is Reversed
5413.2 Additional Procedures for Processing EMR Referrals
5413.3 Request for Hearing by the Employee
5413.4 Deadlines for Filing Request for Hearing
5413.5 Request for Hearing Is After the Deadline
Appendix II: Facilities and Jurisdictions
Appendix 3000-A: APS Service Codes, Descriptions, Unit Types and Descriptions
Appendix 5000-1: Instructions for Entering Information Into the APS EMR Database
Cross-references to renumbered items have been revised in the items below. No other changes were made to these items. See:
2441 Procedure for Undue Influence
5119 Providing Information to DADS on Adult Foster Care Applicants or Staff of a Home and Community Support Services Agency (HCSSA)
5425.3 Notification of Release of Findings for School Employees
1520.10 Procedure for Assessing Allegations Involving Schools
3217 Documenting the Client’s Withdrawal From Services
3254 Documenting Monthly Status Contacts
3523 Receipt of Purchased Goods or Services by Client
3513 Authorizing Purchased Client Services
3525 APS Service Authorization
3740 Claims Processing