Waiver Implementation Council Rates Subcommittee Improving Home and Community-Based Services for Adults with Intellectual & Developmental Disabilities June 28, 2017 1
Welcome • Introductions ➢ Name, Affiliation, multiple perspectives • Housekeeping ➢ Please feel free to step out if you need to ▪ The bathroom is in the hallway to the right ➢ Please help your self to snacks ➢ Please keep your cell phone on silent or vibrate 2
Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 3
Council Priorities & Charge 4
Implementation Council Purpose Provide ongoing guidance and advice on the development and implementation of a redesigned waiver to support adults with intellectual and developmental disabilities 5
Implementation Council Role • Consultation and advice ➢ Examine redesign concepts ➢ Improve through new ideas and perspectives ➢ Provide solution-oriented feedback • Stakeholder ambassadors ➢ Identify other stakeholder groups/experts ➢ Create partnerships ➢ Disseminate and collect information ➢ Communicate with a broader audience 6
Draft Working Agreements • Treat each other with respect and honor one another as whole individuals • Value diversity in experiences and perspectives ➢ Robust examination and discourse improves our work • Engage with each other as partners ➢ Direct communication ➢ Solution-oriented collaboration 7
Agenda 1:00 Welcome, Introductions 1:05 WIC Member Role and Charge 1:10 Review Agenda Review the last Rates Subcommittee Meeting Summary, and the 1:15 WIC May Meeting Summary 1:20 Background and Challenge 1:30 Review Drafts of the Service and Coverage Standards/Residential Habilitation Discussion: Personal Support Services and Health Maintenance 2:00 Current Residential Habilitation Work 2:10 Designing a path amidst Pros and Cons 2:20 Break 2:30 Small Group Breakout Discussion 2:50 Group Report Out on Solutions and Suggestions 3:30 Future of WIC Meetings Discussion 3:40 Public Comment 3:50 Wrap Up 4:00 Meeting Adjourns 8
Review Meeting Summaries • May 22, 2017: Waiver Implementation Council Meeting Summary • April 26, 2017: Rates Subcommittee Meeting Summary 9
Waiver Redesign: Why? • Current Waivers ➢ Inflexible and outdated ➢ Individuals and families want greater control and authority ➢ Encourage a caretaker role ➢ No alternative service delivery options ➢ History of waiting lists • Community Living Advisory Group Recommendation ➢ Waiver Simplification 10
Workgroup Recommendations • Single HCBS waiver for adults with I/DD • Array of broad, flexible services • Service definitions should not be “place - based” • Broad spectrum of service delivery options • Person-centered service planning and delivery • Explore value-based reimbursement methodologies • Waiver development and implementation council 11
Waiver Redesign Progress: How did we get here? Unbundling Residential Habilitation 2012 The Department began collaboration with The Community Living Advisory Group (CLAG) The Waiver Redesign Workgroup was formed 2013 Person-Centered System Analysis began The Workgroup collaboration with the CLAG began 2014 The CLAG Developed their Recommendations HCBS Settings Rule The Workgroup developed the Summary & Recommendation Report 2015 The Department held various Statewide Stakeholder Meetings HB15-1318 was signed into law Program Development & Evaluation Unit was formed 2016- Waiver Implementation Council (WIC) was formed 2017 Currently, the Consolidated Waiver Development is in process 12
Our Challenge ➢ Designing services that are: ➢ Flexible & Fluid ➢ Person-Centered ➢ Self-Directed ➢ Not “place - based” ➢ People get the right service, in the right amount, in the right place at the right time, per their individual preferences, goals, aspirations & needs ➢ The redesigned waiver is sustainable long into the future & people get equitable access to the waiver 13
Service & Coverage Standards Health Maintenance Personal Support Services (Originally reviewed by WIC: November 28, 2016) Discussion 14
Residential Habilitation Current Work: Forecasting utilization of proposed unbundled Residential Habilitation waiver services. Contractor: Pacific Health Policy Group Conducted a survey of Residential Habilitation service • providers to ascertain the utilization of micro services. The results of this work will inform the cost estimates • and policy decisions specific to Residential Habilitation (Personal Support Services and Health Maintenance) in the Redesigned Waiver. 15
Designing a path amidst Pros and Cons I 'd be willing to … If I knew that … 16
Group Breakouts Questions to Guide the Discussion 1.) What are the pro’s and con’s of unbundling the Residential Habilitation Service? 1a.) – What are the ‘deal makers’ and ‘deal breakers’ of an unbundled Residential Habilitation Model? 2.) What creative solutions do you have for a service model that will fulfill and enhance the current Residential Habilitation Service in a long term sustainable way? 3.) How do we ensure equitability of access to services in the Redesigned Waiver? 17
Group Report Out on Solutions and Suggestions Discussion Period 18
Future of WIC Meetings Discussion • The Civic Canopy’s last day is on June 28 th • The WIC has reviewed all of the Service Coverage Standards initial drafts. • The DIDD Waiver Redesign Team needs time to work over the summer to incorporate all of the WIC feedback. • The waiver submission date is currently January 1, 2018. It is likely that this date will be pushed back. • In the meanwhile the online forum will still be operational and we encourage WIC members to ask questions, have discussions, and review the Service Coverage Standards as we will be updating and posting updated drafts of the service coverage standards on the forum as they are completed. • The online forum contains the change log identifying items of WIC input, how we addressed each item and highlighting how we applied them to the service and coverage standards. • Thank you for your time and dedication over the last year to this very important work! • Stay tuned for next steps. 19
Public Comment Period 20
Wrap Up 21
Recommend
More recommend
