Counsels ls R Report Fall F Full ll Me Membe mbersh ship Me - - PowerPoint PPT Presentation

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Counsels ls R Report Fall F Full ll Me Membe mbersh ship Me - - PowerPoint PPT Presentation

Counsels ls R Report Fall F Full ll Me Membe mbersh ship Me Meeting Saratoga Sp Sar Springs, Ne New Y w Yor ork Ap April 28, 28, 20 2014 -JED B B. WOLKENBR BREIT EIT, C COUNSEL EL 1 REGU EGULATIONS 2 OMH PROPOSED


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SLIDE 1
  • JED B
  • B. WOLKENBR

BREIT EIT, C COUNSEL EL

Counsel’s l’s R Report Fall F Full ll Me Membe mbersh ship Me Meeting Sar Saratoga Sp Springs, Ne New Y w Yor

  • rk

Ap April 28, 28, 20 2014

1

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SLIDE 2

REGU EGULATIONS

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SLIDE 3

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OMH PROPOSED

  • Part 5

509 09 - Pr Prevent entio ion o n of Inf Influenz uenza T a Trans ansmis issio ion

  • Parts 2

27, 7, 526 526 a and 58 587 - Restraint aint and and Sec eclusio ion n

  • Part 50

501 - Ment ental al H Heal ealth Ser ervic ices es - Gener neral al Provisions

  • DSM o
  • r IC

ICD m means eans m most r rec ecent ent ver ersio ion

  • Inc

Incid ident ent m manag anagem ement ent f for Jus ustic ice C e Cent enter er

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SLIDE 4

4

OMH ADOPTED

  • Pa

Parts 1 s 10, 5 , 51,7 ,71 a and 103- Repeal ealed ed some o e out utdat ated ed pr provisions o

  • f Part 1

14

  • Part 57

577-Rat ates o

  • f Reim

eimbursem ement ent- el elim iminat inate t e trend end factor f from Article cle 3 31 f 1 facili lities

  • Part 57

578- Med edic ical al A Assis istanc ance R e Rat ates es- el elim iminat inate e trend nd for R RTFs Fs

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SLIDE 5

OPWDD PROPOSED

5

  • Parts 635

635-10 & & 635 635-99 99 a and d Section 686. 86.99 99- Pathway t y to E Employm yment t Service ce

  • Par

art 6 641 and and Sub ubpar art 6 641-Ra Rate S Setti ting f for IRA/CR R res esid ident ential ial h hab abil ilit itat atio ion n and and day habilitation

  • Part 6

641-2 R 2 Rate Setting f for Non-Stat ate Pr e Provid ider ers – Int Inter ermed ediat iate C e Car are e Fac acil ilit ities ies f for Per ersons ns wit ith Development ental al D Dis isab abil ilit ities ies (IC (ICFs Fs/DD)

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SLIDE 6

OPWDD ADOPTED

6

  • Pa

Part 635 35-10 10.5- Reim imbursement ent o

  • f Pr

Prevocat atio ional nal Ser ervic ices es in in Shel elter ered ed W Workshops

  • Part 671.7

7 AND 6 686. 86.17- Rent nt A Allowan ance e Offset (S (SSI I up updat ate) and e) and Sup upplem ement ental al N Nut utrit itio ion n Assis istanc ance e Pr Program B Benef enefit it Offse set

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SLIDE 7

OPWDD IN THE WORKS

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  • 1. Legal representative regulations/Enrollment in DISCOs

Will establish a mechanism for individuals without legal capacity to choose among DISCOs and establish a process for the appointment of a legal representative for individuals receiving services. Target effective date is Oct. 1, 2014.

  • 2. Community Transition Services – Regulations are in

development for this new HCBS waiver service. No firm target date.

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SLIDE 8

OPWDD IN THE WORKS -2

8

  • 3. Governance – Requirements concerning boards of directors
  • f voluntary agencies. No firm target effective date.
  • 4. SEMP – Regulations for supported employment services

concerning rates, unit of service and other features of this

  • program. Target effective date is Oct. 1, 2014.
  • 5. Changes to regulations concerning representative payees –

(Chapter 111 of the Laws of 2010)– repeal of requirements related to the Personal Expenditure Plan and new regulations regarding use of debit cards. No firm target date.

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SLIDE 9

OPWDD IN THE WORKS- 3

9

  • 6. OPWDD renaming and reorganization –change references to

DDSOs and OMRDD.

  • 7. DISCO - No firm target effective date.
  • 8. Implement 2014-15 Budget language regarding performance of

nursing procedures in non-certified settings. No firm target effective date. MOU between SED & OPWDD must be completed Oct. 2014.

  • 9. HCBS settings –regulations that are needed to implement new

federal HCBS regulations. No firm target effective date.

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SLIDE 10

OASAS

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  • Repeal

eal of Par arts 1 10, 5 51, , 71 and and 103

  • Rene

newal al of sever eral R Regul egulat atio ions ns am amend ended ed to im implem ement ent J Jus ustic ice e Cent enter er La Law

  • Par

arts 3 368 and and 831; R Rep epeal ealed ed Pa Part 368 368 (“ (“Dec eclar arat atory R Rul uling ings”) and and inc incorporated ed provis isio ions ns int into the e sec ectio ion n of Par art 8 831 ent entit itled ed “Appeal eals and and Hear earing ings”. Adopted J Januar anuary 2 29, , 201 014

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SLIDE 11

SOME OME REC RECENT ENT CASE ASES

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SLIDE 12

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The e fail ailur ure e of t the t e treat eating ing physician t ian to t tes estif ify at at a a hear earing o ing on n an an ap applic icat atio ion t n to m med edic icat ate e over er o

  • bje

jectio ion n al allows t the e court t to rel ely o

  • n

n the e ab absent ent w wit itnes ness r rul ule and and d den eny t the e appl pplication “ The due process clause of the New York State Constitution

affords involuntarily committed mental patients a fundamental right to refuse antipsychotic medication.”

(In the Matter of A Ada dam K m K. (A (Anonymous) v

  • v. K

Kathleen Iver erson, Di Direc ector of Creedm eedmoor Psychiatric Center)

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SLIDE 13

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In Involunt ntar ary c commit itment ent, as , as par art of a a SIS IST plan, an, de depr prives a a de defenda dant o

  • f t

the s statutorily ly pr proscr cribed d proced edures es mand andat ated ed f for c conf nfinem inement ent und under er ar artic icle 1 e 10

  • f t

the M e Ment ental al H Hygiene La iene Law.

  • Mental Hygiene Law article 10 provides that only

“dangerous sex offender(s) requiring confinement” can legally be placed in secure facilities . . . all other patients must be released for outpatient treatment and supervision

  • The two are mutually exclusive

(In n the Mat Matter of Stat ate of New York, v Nelson D D., NY Cou

  • urt of Appe

ppeals)

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SLIDE 14

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Even en when a en a hospi pital l fa fails to tim imel ely init initiat iate a e a retent entio ion n pr proce ceedi ding u unde der MHL§ 9.33, 33, the co court s should ld s still ll exam amine t ine the f e fac acts c concer erning ning the p e per erson' n's al alleg eged ed ment ental al d dis isab abil ilit ity and and detent entio ion and n and no not sim imply o

  • rder

the pat atient ient’s ’s r rel eleas ease

  • Required by MHL § 33.15 (b)
  • "Upon the return of such a writ of habeas corpus, the

court shall examine the facts concerning the person's alleged mental disability and detention.”

(The People o e of t the e St State e of N New York, ex rel. Rober ert Seppanen en, o

  • n beh

ehalf of Stephen n S. (An Anonymous us), v Doug uglas Mun unse sey, etc tc., (Appell llat ate Division

  • n, Secon

cond Department)

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SLIDE 15

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EO O 38’s c confli lict cts-of-is issue and e and us use-of-funds/a /anti ti- exces ess r regul gulat atio ions ns, s strayed ed f from the e ad adminis inistrat ativ ive e field d into t the legislative f field d by c crossing g the l line from a adm dministrative rule m making i g into legi gislative po policy cy-making.

(Agencies es f for Childr dren en's Ther erapy Services, Inc., v. New York State e Depar artment o

  • f He

Heal alth an and Andrew M.

  • M. Cuom
  • mo)
  • )
  • To be distinguished from Concerned

ed Home me Care e Provide ders, Inc.)

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SLIDE 16

FEDERAL AL ISSU ISSUES

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SLIDE 17

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Sheltered W d Workshop p and d Facility b based d da day pr progr grams segr egregat egatio ion n vio iolat ates es O Olmstead ead Req equir irem ement ents  April 8, 2014-nation’s first statewide settlement agreement  resolves findings as part of an ADA Olmstead investigation  provides relief to approximately 3,250 individuals with ID/DD over ten years  Clients will receive sufficient services to support a normative 40 hour work week

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SLIDE 18

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 Rhode Island will provide supported employment placements to approximately 2,000 individuals including:

  • 700 people currently in sheltered workshops
  • 950 people currently in facility-based non-work

programs  State will provide transition services to approximately 1,250 youth between the ages of 14 and 21,

(U. U.S. v. Rhode Isl sland nd )