EOHHS Listening Session Home and Community Based Services (HCBS) - - PowerPoint PPT Presentation

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Oct 09, 2022 342 likes •501 views

EOHHS Listening Session Home and Community Based Services (HCBS) Waiver Renewal Application: Childrens Autism Spectrum Disorder Waiver April 8, 2020 Webex/Conference Call Logistics To avoid echo, background noise, and disruptive feedback

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EOHHS Listening Session

April 8, 2020

Home and Community Based Services (HCBS) Waiver Renewal Application: Children’s Autism Spectrum Disorder Waiver

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Webex/Conference Call Logistics

▪ To avoid echo, background noise, and disruptive feedback on

this call, please place yourself on MUTE

– In Webex, find the microphone icon and click to MUTE

Or -

– On your telephone, use the MUTE function

▪ If you would like to speak after our brief presentation

– In Webex, use the “raise hand” or chat function to alert

moderator that you wish to speak

Or -

– On your telephone, briefly unmute yourself and let us know

you wish to speak Thank you!

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Agenda

▪Introductions ▪Overview of Waiver Renewal and Updates ▪ Process & Timeline ▪ Public Comments

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Common Acronyms and Terms

CMS Centers for Medicare and Medicaid Services EOHHS Executive Office of Health and Human Services HCBS Home and Community Based Services LICSW Licensed Independent Clinical Social Worker LMHC Licensed Mental Health Counselor MassHealth The Massachusetts Medicaid Program DDS Department of Developmental Services RBT Registered Behavior Technician

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Overview: Massachusetts is renewing the Children’s Autism Spectrum Disorder Waiver

▪ CMS typically approves Home and Community Based Services

waivers for a period of five years; then the state must apply to renew the waiver.

▪ The Autism Waiver’s current 5-year period ends 9/30/2020. ▪ MassHealth and DDS jointly developed the renewal application. ▪ The draft waiver renewal application is posted for a 30-day public

comment period that ends on April 15, 2020.

▪ Today we are holding a listening session to hear public comment

about the renewal application.

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Overview: Updates to the Autism Waiver as part of renewal

▪ Increasing both overall waiver capacity and the point-in-time

limit on the number of participants

▪ Increasing the annual service budget for participants and

raising limits on certain services

▪ Making updates to certain services to improve participants’

and families’ access to and experience with waiver services

▪ Other technical changes to improve organization of the waiver

application document and align language with other HCBS waiver applications

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Autism Waiver Capacity: Modest Growth Over Next 5 Years

Waiver Year (WY) (Oct. 1 – Sept. 30) Maximum # Participants Per Year Point-in-Time Limit Current (2019 – 2020) 380 280 WY1 (2020 – 2021) 400 300 WY2 (2021 – 2022) 410 310 WY3 (2022 – 2023) 420 320 WY4 (2023 – 2024) 430 330 WY5 (2024 – 2025) 440 340

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Increasing budget limits for participants

Increasing the annual budget limit from $25,000 to $28,000 for children

in their first three years of waiver participation

The cost of fences and vehicle modifications will now be excluded

from that limit

The annual budget limit for services other than Expanded

Habilitation, Education will increase from $5,500 to $6,000

Increasing the annual budget for participants in step-down (after the first

three years of participation in waiver services) from $7,500 to $8,500

Increasing the annual limit for Individual Goods and Services from

$1,500 to $1,700

Increasing annual limit for Assistive Technology from $800 to $1,200

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Updates to waiver services

Adding LICSW/LMHC as a provider type for Family Training to

increase families’ options for providers, and updating the service definition to focus on identifying and addressing barriers, facilitate readiness, and enhance family engagement in waiver services

Adding Registered Behavior Technician (RBT) to expand access to

agency-based providers and increase options for families in three core waiver services:

Expanded Habilitation, Education
Behavioral Supports & Consultation
Community Integration
Changing self-direction for Homemaker services from employer and

budget authority to budget authority only to make it easier for families to access qualified providers

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All current Autism Waiver services will continue to be available

Expanded Habilitation,

Education

Behavioral Supports and

Consultation

Respite
Community Integration
Family Training
Home Modifications and

Adaptations

Individual Goods and

Services

Vehicle Modifications
Assistive Technology
Homemaker

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1. DDS and MassHealth collaborate to identify

updates

2. Gather public input
3. Review public comments and make additional

revisions to renewal application where appropriate

4. Request CMS approval
5. Implement updates when new waiver authorization

period begins Process: HCBS Waiver Renewals

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Timeline Request approval from CMS at least three months prior to end of current waiver authorization period

Target renewal submission date Current waiver cycle ends New waiver cycle begins

June 2020 September 30, 2020 October 1, 2020

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Public Comment: EOHHS requests public input

▪ Last day to submit comments: April 15, 2020 ▪ Comments can be emailed to EOHHS:

– HCBSWaivers@State.MA.US

▪ Renewal application and this presentation are posted online:

– https://www.mass.gov/service-details/home-and-community-based-

services-waiver-renewal-applications-public-input-process

▪ Hard copies of the renewal application available upon request.

– Email request to HCBSWaivers@state.ma.us

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