School-Based Medicaid Developmental Disabilities Services Let the - - PowerPoint PPT Presentation
School-Based Medicaid Developmental Disabilities Services Let the fun begin Kelly Hall Shannon Dunstan Southwest Regional Coordinator Idaho State Department of Education Division of Special Education Division of Special Education Early
School-Based Medicaid Developmental Disabilities Services Let the fun begin…
Kelly Hall Shannon Dunstan
Southwest Regional Coordinator Idaho State Department of Education Division of Special Education Division of Special Education Early Childhood and Interagency Coordinator
Current Medicaid School Services
– Developmental Therapy – Intensive Behavioral Intervention
Clarification on Changes
There are 2 Medicaid billable DD services for children that will be impacted by upcoming changes to Medicaid services:
Therapy
What to Expect 2012-2013 School Year
School Year 2013-2014
Replacement Services Available
Related Services such as: SLP, OT, PT, and Psychosocial Rehabilitation will stay the same.
Behavioral Intervention/Consultation
Definition
Behavioral Intervention is used to assist the student to access the educational environment through a consistent, assertive, and continuous intervention process. It includes the development of replacement behaviors with the purpose to prevent or treat behavioral conditions of individuals who exhibit maladaptive behaviors.
Who qualifies?
for children with developmental disabilities, that have been diagnosed with a medically necessary need and exhibit maladaptive behaviors, including but not limited to, frequent disruptive behaviors, aggression, self-injury, criminal, or dangerous
behaviors impede the learning of themselves or the learning of
This service would require Teams to develop a FBA and BIP and/or an IEP goal to define delivery of intervention.
Behavioral Intervention/Consultation
Behavioral Intervention
Two levels of service delivery
– Paraprofessional – Professional
Behavioral Consultation
The behavioral consultant assists other service providers by consulting with the IEP team during the assessment process, performing advanced assessment, coordinating the implementation of the Behavior Implementation Plan and provides ongoing training to interventionist and other team members.
Personal Care Services
Definition
medically necessary personal needs.
developmental disabilities, may be eligible.
http://www.healthandwelfare.idaho.gov
Who Qualifies?
statement that PCS is needed due to medical conditions.
the community safely.
Services under PCS
http://www.healthandwelfare.idaho.gov
PCS Assessment and Plan of Care
nurse (RN) or licensed practical nurse (LPN), licensed by the State of Idaho
– District Personnel – Contracted Community PCS Nurse
Idaho Administrative Code IDAPA 16.03.09
Contracted Nurse
PCS Service Delivery
Psychosocial Rehabilitation Services - PSR
No identified changes to this program at this time.
What does this all mean?
There is going to be a reduction in Medicaid reimbursable in School Based Services. But hold on…
Developmental Therapy
IBI
PCS
PSR
Developmental Therapy
Behavior Intervention
PCS
PSR
Legislative Timeline
How to Plan for Change?
Training and Technology for Today’s Tomorrow
professionals and parents with special education training
resources across the state
– Idaho State Department of Education (ISDE), Special Education
– Cari Murphy – Shawn Wright
Statewide Special Education Technical Assistance (SESTA)
Center for School Improvement & Policy Studies, BSU
Gina Hopper, Katie Bubak,
Director Statewide Consultant
ginahopper@boisestate.edu katiebubak@boisestate.edu
Contact Information:
Shannon Dunstan Early Childhood & Interagency Coordinator Idaho State Department of Education Division of Student Achievement and School Improvement Division of Special Education (208) 332-6908 sdunstan@sde.idaho.gov