1. IRIS: Include, Respect, I Self-Direct Self-Determination Conference Wisconsin Dells November 9, 2010

2.  Freedom to decide how to live life  Authority over a budget allocation  Support to organize resources in ways that are enhancing and meaningful  Responsibility for the wise use of dollars  Confirmation of the importance of self-advocacy Principles of Self-Determination

3. Self-Directing Services Considering a whole life – not just services Expanding choices and increasing control over supports Weaving public funding into existing supports

4. IRIS Basics  Federal requirement for choice  Availability matches managed care  Transfer between programs  Current plan continues until IRIS starts  Assistance is available

5. IRIS Participants by Target Group Three target groups:  Adults with developmental disabilities  Adults with physical disabilities  Elders in frail health

6.  Choosing your IRIS Consultant  Program & Planning Specialists – Coming Soon  Self-Directed Personal Care  Focus on community connections IRIS – New & Improved!

7. Getting Started in IRIS Local Aging or Disability Resource Center :  Completes Long-Term Care Functional Screen  Verifies functional and financial eligibility  Informs about monthly IRIS allocation  Non-biased enrollment counseling  Makes referral to IRIS

8. Monthly IRIS Allocation  Based on information in the Functional Screen  Individualized  Predicted ongoing services cost  Geographic adjustment (urban/rural)  Excludes MA card services and infrequent expenses  Process to adjust allocations or request one-time expenses

9. Customized Goods and Services Help meet needs and achieve goals related to:  living arrangement  relationships  community inclusion  work  medical or functional status Listed on plan, allowable per Fed/State rule, no other fund obligation, not experimental Maintains or increases:  Safety in home or community  Skill  Community access or involvement  Maintains or decreases Medicaid service dependence

10. Assistance in IRIS In IRIS, assistance is available from:  The Service Center  IRIS Consultants  Program and Planning Specialists  Fiscal Agent Services  Whoever you bring to the table!

11. IRIS Service Center  Service available 24hrs/day 7days/week  Solve problems, answer questions and provide information  Review and process: – New referrals – Initial plans – Plan updates  Assist with IRIS Consultant matching

12. IRIS Consultant Roles  Navigates, links, supports  May provide IRIS orientation, explain responsibilities and benefits of self-direction  Helps identify strengths, challenges and goals  Helps build support and service plan  Helps identify providers  Partners on developing community networks  Helps develop a back up plan

13. IRIS Self-Directed Personal Care  People hire their own personal care workers  Hours match Medicaid Personal Care agency hours  Worker wages - $13.50/hour  IRIS Nurse visits included  Personal care can be provided outside of the home IRIS Allocation IRIS SDPC Funding

14. 14 IRIS Financial Services  Twice-monthly payments to vendors and employees  Taxes and withholdings  Criminal and caregiver background checks  Monthly spending reports

15. Imagine, Create, Act

16. Questions? 16