Support Planner, Consultant, Broker A Rose by Any Other Name - - PDF document

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Support Planner, Consultant, Broker A Rose by Any Other Name - - PDF document

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Support Planner, Consultant, Broker A Rose by Any Other Name Applied Self-Direction Workshop: Choice in Action Westin Lombard Yorktown Center Lombard, Illinois Monday, May 7, 2018 Who is TMG? We work with people to remain independent,

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Support Planner, Consultant, Broker…

A Rose by Any Other Name

Applied Self-Direction Workshop: Choice in Action Westin Lombard Yorktown Center – Lombard, Illinois Monday, May 7, 2018

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We work with people to remain independent, in their

  • wn homes and communities, with choice and control.
  • IRIS Consultant Agency (ICA) since 2008 partnering with over 14,000 people.
  • Self Directed Personal Care (SDPC) Oversight Agency supporting over

7,000 individuals in IRIS who have chosen SDPC.

  • Quality Oversight for community based services since 1986.
  • Part of the Magellan Health family of companies.

Locally-based operations with 600 staff in communities throughout Wisconsin.

Who is TMG?

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Magellan Health:

One company, two unique platforms

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What does effective support in self-direction look like? What are different approaches to supporting people in self-direction? What are the challenges in supporting people in self-direction? How can lessons learned and best practices help your efforts?

Learning Objectives

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TMG ICA Video

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Self-Determination and Self-Direction

Self-Determination: A way of life

An individual’s basic right to decide how to live her/his own life and be a full citizen.

Self-Direction: A tool to support a self-determined life

Maximizes choice and control for people who use long-term care services and supports. Values the role individuals and families play in knowing what works best for them. Promotes community connections, including employment, as a way for individuals to create valued roles and use unpaid and natural supports.

Self-Determination and Self-Direction

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Participants Participants receive receive support to suppo self ppo el el - rt to

  • ppo

f-direct self rect di d their lives. Partic Supports Supports three three important important population population groups. cipants cipa Up to 32 Up to 32 home and home and community d ty ty- communit ty based services based services (HCBS) to self ces elf elf- CBS) to se direct. ct. direct direc Full Full entitlement entitlement and no and no waiting list. Full employer Full employer and budget and budget authority and uthority and budget budget flexibility.

What Makes IRIS Unique?

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TMG partners with people to:

  • Develop valued roles and

community connections.

  • Identify their short term and

long term goals.

  • Access local resources.
  • Create individual support and

services plans.

  • Support responsible use of their

plan budgets.

  • Support people to find

meaningful days through employment and community engagement.

Clearing the Path Ahead

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Create A Home Belong Work With Purpose

What Does Self-Direction Look Like?

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Areas of Focus in Self-Direction

Self-direction supports people by focusing on six areas.

Building important long- term relationships Being a part

  • f your

community Working & Volunteering Health & safety Control over transportation Having a place

  • f your own
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  • What can I do for myself?
  • What can I do with a bit of help?
  • What do I need supports to do for me?

Three Questions for Planning Conversations

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Unpaid Unpaid Supports Natural Natural Supports

  • Scheduled and

Scheduled and S needed for basic needed for basic daily activities

  • daily activities

d Appears on a Appears on a A “service plan”

  • service plan

Replaces a paid Replaces R service

  • service

s If it were not If it were not I provided “free,” provided free, someone else someone else would need to be would need to be paid to provide it

  • Relationship

ip- Relationshi R ip based (not an based (not an

  • bligation or
  • bliga

task liga sk sk- tion or t iga k-based)

  • task

t Role sk k le le e- ased) a k b e-based d) d – Rol R le e ased ba b d evolves from evolves from

  • rganic, valued
  • rgan

role

  • role

r Reciprocal

Paid Paid Supports

  • Scheduled and

Scheduled an needed for needed for basic daily basic daily activities

  • activities

Appears on a Appears on a “service plan”

  • service plan

Often paid with Often paid w Medicaid Medicaid waiver funds

  • waiver fund

Typically Typically provided by a provided by vendor or vendor o agency

Creating Support to Achieve Goals

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Working with People and Their Supports

Identifying Self- Directed Supports

  • The person partners with their Consultant to

identify trusted people or agencies to provide support.

  • These may be people or agencies the person

knows already or that they discover with their Consultant. Arranging Services and Payment

  • The person determines where, when, and how

services will be provided, as well as the rate to be paid for supports.

  • The person partners with their Consultant to

create a plan, and hire and pay their supports with the help of their Fiscal Employer Agent (FEA).

  • The person uses their budget authority to direct

their service plan.

Working with People and Their Supports

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TMG in Your Community

Community-Based TMG IRIS Consultant Community-Based TMG IRIS Consultant Supervisor Community-Based TMG Area Associate Director Madison-Based IRIS Consultant Agency

TMG in Your Community

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Supporting Consultants to be good patterns to people in IRIS

  • Set Expectations
  • Provide Training,

Tools, and Coaching

  • Assess/Measure

Progress

Supporting Consultant to be Good Partners to People in IRIS

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Issues, Challenges and Best Practices

Issues, Challenges and Best Practices

  • Supporting a Community-Based Workforce
  • Translating the Complexity
  • f Medicaid
  • Dealing with Change
  • Understanding Self-Direction
  • Connecting to the Community
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MICHELLE OLSON N has been with TMG since January of 2011. Currently, she is Associate MICHELLE OLSON N as been with TMG since January of 2011. Currently, she is Associate

ha Director of Area IRIS Consultant Agency (ICA) Operations in West and Central Wisconsin. Director of Area IRIS Consultant Agency (ICA) Operations in West and Central Wisconsin. Director of Area IRIS Con Michelle is responsible for providing leadership, relationship building, area operation, and Michelle is responsible for providing leadership, relationship building, area operation, promoting program quality and service excellence. She previously worked as an IRIS promoting program quality and se Orientation Consultant at TMG. Michelle has spent her career supporting people with disabilities in community supported Michelle has spent her career supporting people with disabilities in community support living programs. She has a strong background in advocacy and the independent living living programs. She has a strong background in advocacy and the independent living movement through previous employment as assistant director of one of Wisconsin’s movement through previous employment as assistant director of one of Wisconsin s Independent Living Centers. You can reach Michelle at MOlson@tmgwisconsin.com.

TINA MILLER R has been with TMG since January of 2011. Currently, she is Associate Director of TINA MILLER as been with TMG since January of 2011. Currently, she is Associate Director o

ha Area ICA Operations in Southeastern Wisconsin. Tina is responsible for providing leadership, Area ICA Operations in Southeastern Wisconsin. Tina is responsible for providing leadership, relationship building, area operation, and promoting program quality and service excellence. relationship building, area operation, and promoting program quality and service excellence. She has previously held positions at TMG as an IRIS Orientation Consultant and IRIS Consultant She has previ Supervisor. Tina has spent her career in human services supporting diverse populations, including people Tina has spent her career in human services supporting diverse populations, including people with disabilities. Her roles have included social services coordination, community relations, with disabilities. Her roles have included social services coordination, community relations, parent education and housing counseling. You can reach Tina at TMiller@tmgwisconsin.com.

About Your Presenters

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Questions?

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Consumer directed community supports (CDCS)

Cindy Grebin Cara Benson Disability Services Division May 2018

Minnesota Department of Human Services | mn.gov/dhs 19

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Today’s topics

  • Description of Minnesota’s waiver programs
  • Consumer directed community supports

(CDCS)-a self-directed service option

  • CDCS support planners
  • Support planner service standards

Minnesota Department of Human Services | mn.gov/dhs 20

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Waiver programs in Minnesota

Minnesota Department of Human Services | mn.gov/dhs 21

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Eligibility

Minnesota Department of Human Services | mn.gov/dhs 22

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Waiver programs

Minnesota Department of Human Services | mn.gov/dhs 23

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Waiver programs: Who is involved?

Minnesota Department of Human Services | mn.gov/dhs

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Selecting self-direction

Minnesota Department of Human Services | mn.gov/dhs 25

Once the person is determined to be eligible for a waiver

  • r the AC program, they have two options:
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Consumer Directed Community Supports (CDCS)

Minnesota Department of Human Services | mn.gov/dhs 26

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CDCS process: Step 1

Minnesota Department of Human Services | mn.gov/dhs

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CDCS process: Step 2

Minnesota Department of Human Services | mn.gov/dhs

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CDCS process: Step 3

Minnesota Department of Human Services | mn.gov/dhs

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CDCS process: Step 4

Minnesota Department of Human Services | mn.gov/dhs

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CDCS process: Step 5

Minnesota Department of Human Services | mn.gov/dhs

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CDCS process: Step 6

Minnesota Department of Human Services | mn.gov/dhs

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CDCS support planners

Minnesota Department of Human Services | mn.gov/dhs 33

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What is a CDCS support planner?

Minnesota Department of Human Services | mn.gov/dhs 34

Someone who assists with the development and implementation of the participant’s person- centered CDCS community support plan.

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Service Description

Minnesota Department of Human Services | mn.gov/dhs 35

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Support planner qualifications: initial certification

Minnesota Department of Human Services | mn.gov/dhs 36

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Certification preparation

Minnesota Department of Human Services | mn.gov/dhs 37

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Recertification

Minnesota Department of Human Services | mn.gov/dhs 38

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Who are typical CDCS support planners?

Minnesota Department of Human Services | mn.gov/dhs 39

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Who cannot be a CDCS support planner?

Minnesota Department of Human Services | mn.gov/dhs 40

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Finding a CDCS support planner

Minnesota Department of Human Services | mn.gov/dhs 41

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Payment

Minnesota Department of Human Services | mn.gov/dhs 42

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Support planner service standards

Minnesota Department of Human Services | mn.gov/dhs 43

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Support planner functions

Minnesota Department of Human Services | mn.gov/dhs 44

The person determines how much help they need and what the support planner will do. Activities could include:

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Roles and Responsibilities

Minnesota Department of Human Services | mn.gov/dhs 45

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Core competencies: 1-3

Minnesota Department of Human Services | mn.gov/dhs 46

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Core competencies: 4-6

Minnesota Department of Human Services | mn.gov/dhs 47

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Core competencies: 7-8

Minnesota Department of Human Services | mn.gov/dhs 48

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Lessons learned: expanding and clarifying

Minnesota Department of Human Services | mn.gov/dhs 49

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Lessons learned: enrollment and billing

Minnesota Department of Human Services | mn.gov/dhs 50

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Lessons learned: Monitoring performance

Minnesota Department of Human Services | mn.gov/dhs 51

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Thank you!

Thank you!

Cindy Grebin cindy.grebin@state.mn.us Cara Benson cara.benson@state.mn.us

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