“Planning Our Future” All Ages May 9, 2015 Wildwood, Florida Barbara Palmer Director Rick Scott Governor.

Slides:



Advertisements
Similar presentations
Making a Difference Improving the Quality of Life of Individuals with Developmental Disabilities and their families.
Advertisements

Medicaid Division of Medicaid and Long-Term Care Department of Health and Human Services Managed Long-Term Services and Supports.
1 Department of Medical Assistance Services DD Waiver Provider Training Department of Medical Assistance Services Division.
9/10/20121iBudget Florida - APD Training. 9/10/2012iBudget Florida - APD Training2 iBudget Florida The Waiver of the Future Rick Scott, Governor Barbara.
What It Means for HCS Participants & Their Families Hill Country Community MHMR Center March 23, 2010 Changing from HCS Case Management to Service Coordination.
Maryland Choices “One Team – One Mission”. Regional CME Maryland Choices is …  The Northwest Regional Care Management Entity.
Jeff Grosvenor, Interim Director
Partnership for Community Integration Iowa’s Money Follows the Person Demonstration Project.
The Department of Medical Assistance Services Barbara R. Seymour, BSW, HCCS 1.
Home and Community Based Services for Children with Autism Waiver (HCBS-CWA)
Michael P. Hansen APD Director Rick Scott Governor Proposed Reductions for Fiscal Year Schedule VIII-B Health Care Appropriations Subcommittee.
TY: Understanding the Plan, Process, and other options.
Drake Class.  Home and Community Based waivers are Medicaid programs from the federal government which have rules set aside or waived.  Iowa currently.
Autism Waiver. Approved by the Centers for Medicare and Medicaid Services (CMS) and became effective Includes 8 services; services are available.
STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE Statewide Transition Plan for Compliance with Home and Community-Based Setting Final Rule 1 Public.
Joint Finance Committee Hearing Delaware Health and Social Services
Planning for the Future: Understand DMH-DD Systems and Service Options Presented By: Kadesh Burnett; St. Louis County Regional Office Family Support Coordinator.
11 Opportunities to Improve Care for Persons with Disabilities: The Community Living Initiative IMPLEMENTING NATIONAL HEALTH REFORM IN A DIFFICULT ECONOMIC.
1 Rick Scott, Governor Barbara Palmer, Director Geraud Moreland II, et al v. Palmer, Case No. 4:12-cv MW-CAS (N.D. Fla.)
Medicaid Long Term Care Task Force: Where Are We Now? Michigan’s Long-Term Care Conference Troy Hilton March 23, 2006 RoAnne Chaney, MPA Chair, Medicaid.
October 31, 2008 Charlie Crist, Governor Jim DeBeaugrine, Agency Director LEGISLATIVE BUDGET REQUEST FISCAL YEAR
Illinois’ Money Follows The Person Demonstration “Pathways to Community Living Illinois’ Money Follows The Person Demonstration “Pathways to Community.
Ontario’s Special Needs Strategy Spring The Vision “An Ontario where children and youth with special needs get the timely and effective services.
Questionnaire for Situational Information
Agency for Persons with Disabilities Consumer-Directed Care Plus Program 13 th Annual Family Café Conference June 3, 2011 Rhonda Sloan Operations Review.
VISIONING SESSION May 29, NWD Planning Grant  One year planning grant, started October 1, 2014; draft plan by September 30, 2015; final plan by.
UPDATE NOVEMBER 10, 2011 Money Follows the Person Rebalancing Demonstration.
1 Long-term Care Vermont’s Approach Individual Supports Unit Division of Disability and Aging Services Department of Disabilities, Aging & Independent.
Balancing Incentive Program and Community First Choice Eric Saber Health Policy Analyst Maryland Department of Health and Mental Hygiene.
HCBS Final Rule and Settings. Goals of the Presentation Review of the Final Rule Medicaid HCBS Requirements Intent of the Final Rule Requirements of the.
New York State Department of Health Office of Long Term Care Long Term Care Restructuring Annual Long Term Care Ombudsman Training Institute October 18,
DBHDS Virginia Department of Behavioral Health and Developmental Services Improving Discharge Processes Updates on Waiver Changes Heidi Dix Assistant Commissioner.
07/17/20121 Rick Scott, Governor Barbara Palmer, Director An Introduction for Individuals and Their Families.
Agency for Persons with Disabilities Overview Michael P. Hansen Director Rick Scott Governor Budget Subcommittee on Health and Human Services Appropriations.
Delaware Department of Health and Social Services Division of Developmental Disabilities Services Joint Finance Committee Hearing Fiscal Year 2012 Roy.
Agency for Persons with Disabilities Overview House Health Care Appropriations Subcommittee February 12, 2013 Barbara Palmer Director Rick Scott Governor.
North Carolina and the Supports Intensity Scale
IBudget Florida Michael P. Hansen Director Rick Scott Governor Senate Committee on Children, Families, and Elder Affairs November 3, 2011.
Agency for Persons with Disabilities Overview House Healthy Families Subcommittee January 16, 2013 Barbara Palmer Director Rick Scott Governor.
HCBS Community Rule & Delaware’s Transition Plan JULY 22, 2015.
December 20, A Brief Overview: Real Choice and Independence Plus Systems Change Grants Connect the Dots Meeting December 20, 2004.
Cost-Containment Plan Status Update Michael P. Hansen Director Rick Scott Governor Health Care Appropriations Subcommittee November 15, 2011.
Section 1115 Waiver Implementation Plan Stakeholder Advisory Committee May 13, 2010.
Evaluation of the Indiana ECCS Initiative. State Context Previous Early Childhood System Initiatives –Step Ahead –Building Bright Beginnings SPRANS Grant.
October 31, 2007 Charlie Crist, Governor Jane E. Johnson, Agency Director FISCAL YEAR LEGISLATIVE BUDGET REQUEST.
Money Follows the Person Demonstration Grant & Waivers May 18, 2012.
Agency for Persons with Disabilities Update Senate Appropriations Subcommittee on Health and Human Services November 6, 2013 Barbara Palmer Director Rick.
Agency for Persons with Disabilities Update House Health Care Appropriations Subcommittee September 24, 2013 Barbara Palmer Director Rick Scott Governor.
HMA HealthManagement.com Alaska 1915(i) and 1915(k) Development & Implementation Council Presentation October 28 th, 2015 Shane Spotts, Principal Development.
Mark Leeds Director of Long Term Care and Community Support Services April 26, 2012 Maryland Medicaid Advisory Committee: Balancing Incentive Program.
Michael P. Hansen Director Rick Scott Governor Public Meeting December 9, 2011.
DIRECT NURSING SERVICES 1. WHAT ARE DIRECT NURSING SERVICES? Direct Nursing Services are a direct shift nursing service provided by an RN or LPN for an.
1 Strategic Plan Review. 2 Process Planning and Evaluation Committee will be discussing 2 directions per meeting. October meeting- Finance and Governance.
SUPPORTED LIVING ARRANGEMENTS (SLA) For Developmental Services Presented by: Kate McCloskey, M.A., C.P.M. Manager of Quality Assurance Sierra Regional.
1 1 Michele Goody, Director Cross Agency Integration July 2014 Community First MassHealth Initiatives and Programs.
Draft for purposes of discussion with iBudget Florida Stakeholders’ Group 1 6/21/11 iBudget Florida Stakeholders’ Meeting June 21, 2011.
PACE: A Foundation for Serving People with Intellectual Disabilities? Peter Fitzgerald National PACE Association Alexandria, VA
Draft for purposes of discussion with iBudget Florida Stakeholders’ Group 1 9/14/10 iBudget Florida Stakeholders’ Meeting September 14, 2010.
The Home and Community Base Services (HCBS) Rule: Transition Plan Update ARRM Business and Finance Forum November 18,
Agency for Persons with Disabilities Update House Health Care Appropriations Subcommittee February 18, 2014 Barbara Palmer Director Rick Scott Governor.
Employment and Community First CHOICES. Agenda Background and context Employment and Community First CHOICES Overview – What is it? – Who will it serve?
Home and Community-Based Medicaid Waiver Services Aged and Disabled Medicaid Waiver Update March 2016.
INFORMATION FOR CASE MANAGERS SHARED LIVING SERVICES.
3/4/20161 Barbara Palmer APD Director Rick Scott Governor Client Data Management System (CDMS)
Family Resource and Youth Services Centers: A Brief Overview.
Roadmap to Change: Updating Maine’s Response to the Olmstead Decision Project Overview.
MLTSS Delivery System SubMAAC
Agency for Persons with Disabilities Overview
A Client Data Management System
Understanding APD Services
Presentation transcript:

“Planning Our Future” All Ages May 9, 2015 Wildwood, Florida Barbara Palmer Director Rick Scott Governor

2 2 Arthur Barndt has more than 10 years working directly with people with Intellectual Disabilities and children in crisis and an additional 10 years with Florida ’ s Agency for Persons with Disabilities. Barndt is dedicated to seeing people with disabilities living, working and learning in their communities. A graduate of Kutztown University of Pennsylvania with a Bachelor of Arts degree in Speech Communications, Barndt is also a certified Project Management Professional, a certified Community Work Incentive Coordinator and a certified supported employment trainer Arthur Barndt PMP® iBudget Manager with the Office of Programs

3 3 o Legislative o Strategic Plan Goals o Questionnaire Situational Information (QSI ) o iBudget Waiver o Person-Centered Planning

4 4 Legislative Director Barbara Palmer was reappointed May 2015 by Governor Rick Scott

5 5 Legislative Director Barbara Palmer met with the Chair of House Appropriations, Chairs of both Senate and House Health Care Appropriations

6 6 Legislative And many other key leaders, totaling 52 legislative members during the 2015 Legislative Session, sharing APD’s goals and vision for the future

7 7 Legislative Governor Scott and the Legislature have provided $56 million to enroll new people from the waiting list

8 8 Legislative Because of Governor Scott’s recommendation and the Legislature’s approval, our agency has been able to offer waiver enrollment to more than 2,800 people with critical needs during the past two years

9 9 Legislative We are hopeful the Legislature will support Governor Scott’s budget recommendation for $8 million to move more than 400 people with critical needs from the waiting list to the Medicaid waiver next fiscal year

10 and Live-in)

LIVING LEARNING WORKING 2015 Strategic Plan Agency for Persons with Disabilities “Planning Our Future” Your own footer

12 Strategic Plan Goals Manage Agency Budget within Fiscal Allocation Deploy a client-data-management system (CDMS) Develop strategies to access program services for children through the Children and Youth Cabinet

13 Strategic Plan Goals Improve Management and Oversight of Agency and Provider Services People with developmental disabilities live in the most integrated setting that is safe and appropriate for their level of care Adhere to the new Home and Community-Based Services transition plan requirement established by the Center for Medicaid and Medicare Services (CMS)

14 Strategic Plan Goals Improve Access to Community-Based Services, Treatment and Residential Options Develop a service model and rate for individuals with dual mental health diagnoses and intensive behaviors Improve service delivery to individuals whose family caregivers are aging and have dementia

15 Strategic Plan Goals Increase the Number of Individuals with Developmental Disabilities in the Workforce Develop a systematic approach for job placement, customized employment, or a career path Expand the Employment Enhancement program to serve people on the waiting list annually

16 and Live-in)

17 Questionnaire on Situational information(QSI) What is a QSI? The QSI is the Agency’s approved functional needs assessment The assessment tool was determined valid and reliable by the University of South Florida and the Human Services Research Institute

18 Questionnaire on Situational information(QSI) Purpose of the QSI Gather key information about a person’s life situation over the last 12 months Plan for supports and services to meet the needs of the individual for the next 12 months

19 Questionnaire on Situational information(QSI) Frequency of the QSI Conducted every three years for all consumers, and Upon request from consumer, parent, or legal guardian

20 Questionnaire on Situational information(QSI) Frequency of the QSI Re-administered to identify any possible changes in levels of support in the event that an individual experiences a major life change (such as moving from one residential setting to another, major changes in caregivers or major health changes)

21 Questionnaire on Situational information(QSI) QSI Staff  65 certified APD staff administer the QSI full time  46 additional APD staff certified to administer the QSI as adjunct duty  Requires annual recertification

22 Questionnaire on Situational information(QSI) Face-to-Face Interview Must include the person being assessed Encouraged to invite anyone familiar with capabilities and life situation

23 Questionnaire on Situational information(QSI) Face-to-Face Interview Must include the person being assessed Encouraged to invite anyone familiar with capabilities and life situation

24 Questionnaire on Situational information(QSI) Face-to-Face Interview WSC must attend if the individual being assessed requests Legal representative must be contacted for consent, but participation is not mandatory

25 Questionnaire on Situational information(QSI) QSI Information APD website View, print, or download the QSI Version 4.0

26 Questionnaire on Situational information(QSI) QSI Information Review frequently asked questions about the QSI View, print, or download the QSI and You brochure in English or Spanish

27 and Live-in)

28 iBudget Handbook How services are to be administered Qualifications for providers Requirements Public Meetings held during past 2 years

29 iBudget Algorithm How money is allocated to each consumer for their individual budget Currently under revision Public meetings held since December, 2014

30 iBudget Current Algorithm Age (under 21, over 21) Living setting (family home, supported living/independent living, group home, residential habilitation center) QSI Functional and Behavioral Sum of Scores of all questions Additional QSI questions Question 18 = transferring Question 20 = maintain hygiene Question 23 = self-protect

31 Living Setting FH =Family Home Live2ILSL = Independent and Supported living Live2RH1 =Residential Habilitation (Standard) and Live-in) Proposed Tentative Algorithm

32 Age Ages:3 – 21 Ages:21 – 30 Ages:31+ n) Proposed Tentative Algorithm

33 Bum=Behavior Sum FHFSum =Family Home Functional Sum SLFSum =Supported Living/Independent Living Functional Sum SLBSum = Supported/Independent Living Behavior Sum Proposed Tentative Algorithm

34 Q16=Functional Status, Eating Q18=Functional Status, Transfers Q20=Functional Status, Hygiene Q21=Functional Status, Dressing Q23=Functional Status, Self-protection Proposed Tentative Algorithm

35 Q28=Behavior Status, Inappropriate Sexual Behavior Q33=Physical Status, Injury to the Person Caused by Aggression toward Others or Property Proposed Tentative Algorithm

36 Q34=Physical Status, Use of Mechanical Restraints or Protective Equipment for Maladaptive Behavior Q36=Physical Status, Use of Psychotropic Medications Q43=Physical Status, Treatments including Nursing Proposed Tentative Algorithm

37 Multiple R – Squared for proposed tentative model after removing 9.40% outliers (2,410 consumers): “R-square” Proposed Tentative Algorithm

38 and Live-in)

39 Person-Centered Planning is a planning approach based on the individual’s perspective rather than that of a program or resource to identify supports and services to meet needs Person-Centered Planning involves the individuals receiving services and the significant people in their lives Person-Centered Planning

40 Goals and outcomes that are important to the individual are identified, along with the supports needed to achieve them Currently, WSCs are required to use a person-centered planning approach in the support plan and cost plan development process. Providers are required to implement person-centered supports and services Person Centered Planning

41 New federal HCBS Rules layout specific requirements of a person-centered planning process. These include: items related to who participates in the process; ensuring no conflicts of interest; cultural considerations; goal and risk factor identification; choices in where to live; activities and services; etc. Stakeholders recommend training for individuals, families, and providers regarding person-centered planning requirements Person-Centered Planning

42 and Live-in)

43 Arthur Barndt PMP® iBudget Manager with the Office of Programs Thank You