2 Consumer Directed Option DRAFTConsumer Directed OptionKentucky Independence Plus ProgramOverview of Course:This course will present information about the principles and tools of self-determination. Participants will learn about the effects the service system has had on people with disabilities and how self-determination works to free people to have more control over their own lives.Target Audience:Persons with disabilities and their families, support providers, advocacy groups.Start/Stop Times:9:00 a.m. to 4:00 p.m.Recommended length: 6 hoursIce Breaker:Ask participants to introduce themselves, share their role as self-advocate, parent, support provider, etc., and share a word or phrase that comes to mind when they think about self-determination for themselves or others. Instructor should document these words or phrases on a flip chart and keep posted throughout the training.
3 What is Consumer Direction Principles of CDOFreedomAuthoritySupportResponsibilityConfirmation
4 Consumer Directed Option (cont’d) Projected start date is Fall 2005.Consumer Directed Option is NOT anincrease or expansion of current services.
5 These Services May Be Consumer Directed HCB services:Respite, Personal Care, Homemaking, Attendant CareSCL services:Respite, Community Living Supports, Community HabilitationABI services:Respite, Companion Care, Personal Care
6 What are Blended (Traditional & CDO) Services CDO and traditional waiver services may beprovided at the same time depending on the individual’s needs and approved plan.Services may not be duplicated.Medicaid and Waiver eligibility will not change.
7 Who can Participate ? Individuals meeting the eligibility and financial requirements for the following Medicaid Waivers:Home and Community BasedSupports for Community LivingAcquired Brain Injury
8 Who can Participate? (cont’d) Individuals who can:Understand the rights andresponsibilities of managing their own care.Manage or have someone assist themwith their budget and self-direction.
9 What is a Representative? A person to assist you with aspects of consumer direction.Chosen by the individual.Must be at least 21 years of age.Cannot be paid to act as arepresentative or provide CDO services.
10 Tools for Implementation DRAFTTools for ImplementationSupport Brokerage EntityIndividualized BudgetsFinancial Management Agency
11 What is Support Brokerage? Required for all individuals participatingin CDO.Available 24 hours/ 7 days a week.A single entity will provide support brokeragestatewide under contract with the Commonwealth /Department of Medicaid.Individuals choosing CDO may select a supportbroker of their choice from this entity.
12 Role of Support Broker Represent the INDIVIDUAL. DRAFTRole of Support BrokerRepresent the INDIVIDUAL.Assist with the development, revision, and monitoring of the Plan of Care/Support Spending Plan (POC/SSP).Assist with the development, revision and monitoring of an emergency back-up plan.Provide education/information on self-determination and community resources.
13 Role of Support Broker (cont’d) DRAFTRole of Support Broker (cont’d)Assist with recruiting, hiring, and managingemployees of the individual and negotiating rates.Assist with all paperwork and the CDO process.Coordinate all services for individual receiving a blended package of services.Be accountable to the individual and the state.
14 What is an Individualized Budget? DRAFTWhat is an Individualized Budget?Based on individual’s needs identifiedon approved POC/SSP.Allow flexibility on who will provide the identified services.The amount of money in the budgetwill be determined by Medicaid basedon past service usage.May be amended if individual needschange.
15 What is Financial Management? DRAFTWhat is Financial Management?Required for individuals participating in CDO.Primary role is paying for services provided.A single entity will provide financial management services statewide under contract with the Commonwealth/Department of Medicaid.Provides budget reports to the individual, support broker, and Medicaid.
16 Role of Financial Management Agency DRAFTRole of Financial Management AgencyAssist individual with administeringtheir individualized budget.Assist with payroll requirements.Ensure all labor laws and staterequirements are met.Ensure payments are made forservices approved in the POC/SSP.
17 Who can provide CDO services? The individual and/or their representativemay recruit, hire, and supervise theirown employees to provide services asapproved in their plan of care.Employees may include:FamilyFriendsRelativesNeighborsEmployees recruited by consumerProvider agencies
18 Assistance with Consumer Directed Option When an individual chooses the ConsumerDirected Option, he/she can get assistancewith finding and managing employees fromhis/her representative, support broker, andcircle of support.
19 CDO Requirements CDO individuals and/or representatives employees, and Support Broker mustcomplete training on self-determination.Employees shall complete other trainingas needed and directed by the individual,including CPR and First Aid.Employees must submit to background check.Adhere to tax and labor laws.
20 Person Centered Planning POC/SSP developed based on person centered planning.Guiding Principles of Person Centered Planningused.The plan ensures services will meet the overallhealth and safety needs of the individual.Ensures budgeted amount to meet individual need.
21 What will be the individual’s responsibilities? Work with support broker to develop POC/SSP and emergency back-up plan.Work with financial management agency to work within their budget.As employer – hire, train, schedule, fire staff.Follow the POC/SSP.Select representative, if desired/needed.
22 What happens if the individual no longer wants or is able to consumer direct? Return to traditional services.No break in service delivery.
23 QuestionsFor further information, please contact one of the following people at (502)Debbie Bolton-PlucknettBenita JackieCece VestMary Walker(Medicaid) at (502)