Also, Linda Wilson attended the DHR meeting on the new waiver last week. She is sharing her notes with all of us because for now, the trainings will be only in held in Macon and Atlanta. Thanks Linda!
December 8, 2008
Dr. Hall:
Separate allocation from rates.
Let families decide how to spend funds—gives them choices.
NSE and CHSS unbundled per Fed.
Rollout over one year.
Rates—required to do a rate analysis prior to 10/31/2009.
Still ranked 50th in funding in services for DD funding.
o 9th in new funding.
o 17th in wealth.
o 5th moving out of institutions—Olmstead.
Darlene:
Transition—NOW and COMP.
Services overview.
Region contacts.
Participant Directed Services list.
Doris:
Participant direction
Option—how and who delivers services.
o Participant in control:
Can use traditional agencies
Can handle yourself:
• All about choices:
o Services.
o How get services.
o How delivered.
o When delivered.
o Amount delivered.
Can use traditional and self-directed.
Centered around meeting needs of individual.
o Co-employer
Self-direct services but have traditional provider handle employee issues.
Do same function as Acumen.
Support Services Provider.
o FSS:- for self-direct you must have Financial Support Services provider
Today Acumen is the only provider, need more so have a choice, others are applying.
You do time sheets, etc.
Provider handles:
• HR services.
• Pay employees.
o Support Coordinator—work with SC:
To do FSS
Or co-employer option.
o Can opt out of FSS if don’t like it.
o Community Guides.
o Can have combination of self-directed and agency.
o PA—Prior Authorization—work with SC.
o Community Access—category for summer camps.
NOW/COMP:
NOW—mostly for those who live at home; extremely flexible.
COMP—for those who do not live in family home; generally need more services.
Ladder to move from NOW to COMP when required.
Exceptional rate—do anything to keep individuals out of institutions or nursing homes.
Respite—Office of Regulatory Services (ORS) is part of DHR.
o If two or more adults served in a facility require personal care license.
o Host home legislation—not under ORS regulation; can be respite homes.
COMP—for individuals needing more than $25K.
Rate caps on new waiver—Lower than providers currently charging.
Unbundle of NSE:
Perceived loss of services.
Individual situations—need to review with DD office individually.
Office of DD applying to Federal for changes to certain rates.
Has asked for individuals to give:
o Name.
o Contact number.
o So they can be contacted to discuss individual issues.
Dental Services—work to add to available services.
o Self-directing: can use “Individual Directed Goods and Services.”
o If under age 21, can be done by state.
Families cannot be reimbursed or handled by self-direct. Must be in ISP.
DHR reorganization:
o Standalone Division of DD, will still have regional systems.
Developing user manuals and guides to be able to understand details more easily.
o Available in January—“hopefully.”
o Thirteen overnight days for respite-today.
1244 15 minute units up to max of 3744
3744 units (15 minutes) per year.
250 hours.
ABA Services—new ways to handle.
o Community Access Services.
o Community Living Services.
August 1 started: Quality Assurance Initiative
o 3 to 1 funding from Fed.
Category caps are creating problems.
DCH leadership changes?
o More—can do.
Transportation issues.
o To fix permanently.
o Individuals decide.
Will post answer to questions on website: FAQ’s.
o Go to: What’s New with the Waivers?
Day Habilitation—Community access group, unbundle of prevocational support
o Prevocational support.
Day Support—Community access group, unbundled of prevocational support.
o Plus supported employment.
Chapter 1200—Respite documentation.
Dr. Hall will come to other locations.
Vendors can enroll to provide products such as diapers, etc.
o More applying or do separately through self-direct.
NSE and CHSS
o Had to be changed on 11/1.
o Others will changes when ISP is written on birthday.
If not getting answers from SC, contact the Office of DD.
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