Rappahannock Rapidan Community Services Program Committee Meeting - PDF document

Rappahannock Rapidan Community Services Program Committee Meeting September 24, 2019 at 1:00 PM MINUTES Members Present: Ann Baumgardner, Donalda Lovelace, Dawn Klemann, Jack Ledden, Valerie Ward Staff Present: Jim LaGraffe, Anna McFalls, Ryan Banks, Ray Parks, Paula Stone, Daisy Mills, Valerie Sparks, Jeanette Nord, Sheri Sobkowiak Others present: Robert Weigel, Demaris Miller 1. Call to order Ann Baumgardner called the meeting to order at 1:01 pm. 2. Agenda Review The committee consented to adopt the agenda. 3. Follow up on recent activities Jim LaGraffe, Executive Director noted that, following up to the Board Planning day in August, Katie Snyder, executive coach and consultant, will be attending the October 8 th Board Meeting to begin discussions on developing a long-term strategic plan for the organization. Additionally, he reported that the Oxford House in Warrenton is now off the table as there are current code compliance issues. He added, however, that PATH is still interested in it and asked members to keep an eye out if anything becomes available in Fauquier County or northern Culpeper. 4. Quality Assurance Report Anna McFalls, Director, Finance & Administrative Services Division, introduced Daisy Mills, Quality Analyst, after which Ms. Mills briefly described her experience. Valerie Sparks, Quality Analyst, discussed RRCS’ reporting requirements. She also briefly detailed recent program reviews and resulting action plans . Committee members talked about reports regarding client services. • Closed Session – Discussion Relating to Medical Records ACTION : Jack Ledden moved that the Board enter closed session for the purpose of discussing issues relating to medical and mental health records. This motion is made pursuant to Virginia Code Section 2.2-3711, Paragraph A, Subsection 16. After reconvening the open session, committee members were polled, "To the best of your knowledge, do each of you certify that only public business matters lawfully exempted from the open meeting requirements under existing Virginia law, and only such public business matters as were identified in

Program Committee – September 24, 2019 Page 2 the motion by which the closed session was convened were heard, discussed, or considered by the Committee in the closed session just held?" Each Board member present responded as follows: Ann Baumgardner Yes Donalda Lovelace Yes Dawn Klemann Yes Valerie Ward Yes Jack Ledden Yes Bob Weigel Yes Demaris Miller Yes Marcia Brose Yes 5. Presentation on Organizational Compliance with HCBS community Rule Sheri Sobkowiak provided a presentation on Home and Community Based Services (HCBS), a copy of which is attached. 6. Discussion on Key Performance Indicators for FY20 Committee members consented to context-based presentations at the program committee meeting, while receiving the key performance indicator reports quarterly rather than monthly. There being no further business, the meeting adjourned at 2:27 pm.

RRCS De ve lo pme nta l Disa b ility Se rvic e s 9/ 24/ 19 Po ints T o Co ve r 1) Re g ula to ry Ag e nc ie s 2) HCBS 3) F uture Bridg e s

DD Wa ive r Pro g ra ms Re g ula to ry Ag e nc ie s  DBHDS, Offic e o f L ic e nsing & Offic e o f Huma n Rig hts  Ce nte r fo r Me dic a id a nd Me dic a re Se rvic e s (CMS)  Ho me a nd Co mmunity Ba se d Se rvic e s (HCBS) De pa rtme nt o f Me dic a l Assista nc e Se rvic e s (DMAS) Virg inia 's Me dic a id  pro g ra m  De pa rtme nt o f Justic e (DOJ)  De pa rtme nt o f Nursing  HUD (fo r 5 g ro up ho me s) E xte rna l I nflue nc e s Re g ula to ry Sta nda rds Ove ra ll, the re g ula to ry a g e nc ie s tha t pro vide c o mplia nc e sta nda rds a re a lig ne d, whic h e na b le s pro vide rs to pa ve a pa th to wa rds c o mmo n g o a ls. DOJ ~ CMS ~ DMAS ~ HCBS ~ L ic e nsing ~ Huma n Rig hts

HCBS Re g ula tio ns  T he re q uire me nts a re de sig ne d to e nsure tha t pe o ple with disa b ilitie s living in the c o mmunity ha ve a c c e ss to the sa me kind o f c ho ic e a nd c o ntro l o ve r the ir o wn live s a s tho se no t re c e iving Me dic a id HCBS funding . De ve lo pme nt o f HCBS Re g ula tio ns Alig n with fe de ra l po lic y a nd le g isla tio n, suppo rting inc lusio n a nd inte g ra tio n o f pe o ple with disa b ilitie s in the c o mmunity.  Ame ric a ns with Disa b ilitie s Ac t Re ha b ilita tio n Ac t   De ve lo pme nta l Disa b ilitie s Ac t  I ndividua ls with Disa b ilitie s E duc a tio n Ac t  Ne w F re e do m I nitia tive a nd Ye a r o f Co mmunity L iving . T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY-NC-ND

HCBS HCBS c o mplia nc e is re q uire d fo r pro vide rs who o ffe r Ho me a nd Co mmunity Ba se d Wa ive r se rvic e s, whic h a re lo ng te rm se rvic e s in the c o mmunity ra the r tha n in a n institutio n. Va lue s tha t a re e mb e dde d in the re g ula tio ns: F ull L ife Choic e s Community Inc lusion Autonomy HCBS - I nte rpre ta tio n o f Re g ula tio ns Va lue b a se d re g ula tio ns: Cha lle ng ing : sig nific a nt va ria tio ns in wha t full c o mmunity inc lusio n, a uto no my, & ma king life c ho ic e s lo o ks like . A c o uple o f the HCBS re g ula tio ns a re c le a r c ut : E xa mple : individua ls will ha ve the a b ility to lo c k the ir b e dro o m do o rs fo r priva c y.

HCBS Re g ula tio ns  T he se tting is inte g ra te d in the g re a te r c o mmunity;  Pro vide r suppo rts the individua l’ s full a c c e ss to the g re a te r c o mmunity, inc luding o ppo rtunitie s to suppo rt pe o ple to se e k e mplo yme nt, wo rk in c o mpe titive inte g ra te d se tting s, e ng a g e in c o mmunity life ; HCBS Re g ula tio ns  Pe o ple a re in c o ntro l o f pe rso na l re so urc e s, a nd re c e ive se rvic e s in the c o mmunity;  T he se tting s a re se le c te d b y the individua l fro m a mo ng diffe re nt se tting o ptio ns, inc luding no n- disa b ility spe c ific o ptio ns a nd a n o ptio n fo r a priva te unit in a re side ntia l se tting ;

HCBS Re g ula tio ns  Pro vide r e nsure s a n individua l’ s rig hts to priva c y, dig nity, re spe c t, a nd fre e do m fro m c o e rc io n a nd re stra int;  Pro vide r o ptimize s individua l initia tive , a uto no my, a nd inde pe nde nc e in ma king life c ho ic e s, inc luding da ily a c tivitie s, physic a l e nviro nme nt, a nd pe rso na l a sso c ia tio ns; a nd fa c ilita te s individua l c ho ic e re g a rding se rvic e s a nd suppo rts a nd who pro vide s the m. HCBS Re g ula tio ns Additio na l fo r Re side ntia l  Ha ve a le a se o r o the r le g ally e nfo rc e a b le a g re e me nt pro viding simila r pro te c tio ns;  Ha ve priva c y in the ir unit, inc luding lo c ka ble do o rs, c ho ic e o f ro o mma te s a nd fre e do m to furnish o r de c o ra te the unit; Ha ve the rig ht to c o ntro l his/ he r o wn sc he dule inc luding a c c e ss to fo o d a t a ny  time ;  Ha ve the rig ht to visito rs a t a ny time ; a nd  Ha ve a se tting tha t is physic a lly a c c e ssib le .  E xc e ptio ns c a n b e ma de to the se re q uire me nts if suppo rte d b y a spe c ific ne e d tha t is justifie d in the individua l’ s pe rso n-c e nte re d se rvic e pla n – b ut this must re la te to the individua l, no t the fa c ility.

HCBS Ac hie ving c o mplia nc e with b ro a dly sta te d re g ula tio ns 2015 sub mitte d 1 st pro vide r se lf a sse ssme nt 2017 sub mitte d a n upda te d pro vide r se lf a sse ssme nt a fte r DMAS issue d g uida nc e in HCBS T o o lkit do c ume nts. 2019 sub mitte d 3 rd ro und o f pro vide r se lf a sse ssme nt. T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY HCBS Co mplia nc e De a dline s Sta te wide c o mplia nc e must b e me t b y 3/ 2022. Pro vide r c o mplia nc e must b e me t b y 3/ 2021.

HCBS L e ve ls o f Co mplia nc e F ull c o mplia nc e o r no n c o mplia nc e No in-b e twe e n I f a pro vide r do e s no t me e t full o rg a niza tio na l a nd se tting s c o mplia nc e b y 3/ 2021, a ll o f the pe o ple re c e iving RRCS HCBS se rvic e s will ha ve 1 ye a r to tra nsitio n to a diffe re nt se rvic e pro vide r who ha s a c hie ve d full c o mplia nc e . T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY-SA HCBS Org a niza tio na l & Se tting s Co mplia nc e Or ganizational :  T he o rg a niza tio n must ha ve po lic ie s a nd syste ms in pla c e tha t sho w HCBS c o mplia nc e .  F ull o rg a niza tio n c o mplia nc e is re q uire d b e fo re re vie w o f the se tting spe c ific c o mplia nc e c a n b e g in. Se ttings:  E a c h pro g ra m lo c a tio n a nd a c c o mpa nying se rvic e s must me e t full c o mplia nc e . RRCS – 8 g ro up ho me s a nd da y suppo rt se rvic e s.  T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY-NC-ND