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Maryland DDA Self Directed Services Family As Staff Hourly Cap Survey
Please only fill out 1 time per Participant. Thank you!
1.
What Maryland County does the Participant live in?
2.
How many service hours per week are currently performed by Family As Staff?
0
1-20 hours per week
21- 40 hours per week
41- 60 hours per week
61- 80 hours per week
81- 100 hours per week
101+ hours per week
3.
Will DDA’s proposed service hour limitations (40/60 Cap) on Family As Staff require any currently paid Family As Staff hours to be replaced by another, non- family worker or become unfilled?
Yes
No
Not sure
4.
For Family As Staff hours that will need to be replaced by non- family staff because of the 40/60 Cap, is qualified non- family staff currently available to fill those hours?
Yes, for all affected hours
Yes, for some affected hours
No, qualified staff are not available
Not Sure
Not Applicable
5.
Does the Participant have authorized hours that are currently unfilled due to lack of available, qualified non- family staff?
Yes
No
6.
In the past 12 months, has the Participant/ Team attempted to find additional qualified non- family staff?
Yes
No
7.
How long have you been trying to fill currently unfilled hours?
Less than 1 month
1- 3 months
4-6 months
7- 12 months
More than 12 months
Not Applicable
8.
Has DDA or the Participant’s CCS provided information or resources to assist the Participant/ Team in recruiting qualified, available staff to replace paid Family caregiver hours?
Yes
No
Not Applicable
9.
If you have contacted provider- managed agencies about services, what staffing was actually available or unavailable?
A provider had qualified staff available to provide the needed services/ hours
A provider could accept the Participant, but the Participant would need to bring their own staff
A provider could accept the Participant, but did not currently have staff available to provide the needed services/ hours
Providers were contacted, but could not meet the needs of the Participant (due to health, behavior, Participant being a Minor, etc)
The Participant previously utilized a Provider and switched to Self Direction due to lack of qualified or available staff
Have not contacted provider managed agencies
Not Applicable
