Administration on Community Living: An Update APRIL Conference October 18, 2015 Jamie Kendall Timothy Beatty Independent Living Administration

Introductions Panel Staff 2

AOD and ILA Organizational Structure and Programs AOD – Relevance & Importance. ILA – Structure. ILA – Programs: – Independent Living – Paralysis Resource Center – Limb Loss

Ofc. of Nutrition and Health Promotion Programs Office of Supportive and Caregiver Services Administration on Aging Office of Budget and Finance Office of Grants Management Office of Information Resources Management Office of Admin. and Personnel Office of Policy Analysis and Development Administrator Principal Deputy Administrator ADMINISTRATION FOR COMMUNITY LIVING ORGANIZATIONAL CHART Office of Long- Term Care Ombudsman Programs Office of Regional Operations Independent Living Administration Admin. on Intellectual and Developmental Disabilities Office of Elder Justice and Adult Protective Services Office of External Affairs Center for Management and Budget Administration on Disabilities* Office of AI, AN, and NH Programs Office of Performance and Evaluation Center for Integrated Programs Regions I & IIRegions III & IV Region V & VII Region VI & VIII Region IX & X Office of Integrated Care Innovations Office of Healthcare Information and Counseling Office of Consumer Access and Self- Determination Center for Policy and Evaluation National Institute on Disability, Independent Living, and Rehabilitation Research Office of Innovation Office of Program Support Office of Research Sciences Office of Research Evaluation and Administration

Operational Systems & Processes: Update MIS System – RSA System – ILA System GrantSolutions(GS): How and When to use GS. PMS: How and When to use PMS. 704 Report Update SILC Standards and Indicators Updates

Technical Assistance – Onsite Review Process ILA: Philosophy of Compliance and Performance WIOA change and its impact. Options and Impacts. – High Risk – High Performing and Innovative – Hybrid What we are doing this year.

Upcoming NPRM and Commenting Process What is the NPRM. How do RSA and ACL differ regarding regulations? Where and how do I submit a comment? 8

APRIL Question #1 How should a CIL calculate travel costs - in the service contract or is it a part of Administrative expense? 6

APRIL Question #2 What is the current thinking on a timeline for standard and assurances and indicators for SILCs? 7

APRIL Question #3 In the event of a government shutdown will the new IL regulations be stalled? 7

APRIL Question #4 Will DHHS/ACL make strides to move from regressive funding models to progressive funding models...meaning annual increases in funding? 7

APRIL Question #5 Is or will there be an MOU or some other resolution that assures that DVRs across the country will fund youth transition services in collaboration with CILs? 7

APRIL Question #6 I have seen no mandate from HHS/ACL making sure ADRCs work directly with CILs and fund activities that would support mutual priorities...is this being considered? If so when will it be rolled out? 7

APRIL Question #7 The fifth core service is really fifth, sixth and seventh core services with no additional funding. Does ACL really believe we can do more with less? 7

APRIL Question #8 For many years CILs have advocated for an equity funding formula that takes into account vast geographic regions that have to be traveled for many CILs that have rural and frontier service areas versus the heavily urban/population based funding model that is in place, any chance of this happening? 7

APRIL Question #9 While a close, cooperative relationship with the DSE and other state stakeholders is necessary and desirable to the network of ILCs and the SILC, does ACL and ILA agree that it is the majority of the center directors and the SILC that develop the State Plan for Independent Living? 7

APRIL Question #10 Does ACL and ILA agree that as long as the developed SPIL comports with the provisions of the law, the DSE has no statutorily conferred authority to “veto” certain aspects of the SPIL, or demand changes in the SPIL as a condition to acquiring the DSE signature? 7

In Closing Thank You! ILA looks forward to working with you! 20