Waiver Implementation Council Rates Subcommittee Improving Home and - - PowerPoint PPT Presentation
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
Improving Home and Community-Based Services for Adults with Intellectual & Developmental Disabilities
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June 28, 2017
➢Name, Affiliation, multiple perspectives
➢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
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➢ Examine redesign concepts ➢ Improve through new ideas and perspectives ➢ Provide solution-oriented feedback
➢ Identify other stakeholder groups/experts ➢ Create partnerships ➢ Disseminate and collect information ➢ Communicate with a broader audience
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another as whole individuals
➢ Robust examination and discourse improves our work
➢ Direct communication ➢ Solution-oriented collaboration
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1:00 Welcome, Introductions 1:05 WIC Member Role and Charge 1:10 Review Agenda 1:15 Review the last Rates Subcommittee Meeting Summary, and the 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
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Meeting Summary
Summary
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➢ Inflexible and outdated ➢ Individuals and families want greater control and
authority
➢ Encourage a caretaker role ➢ No alternative service delivery options ➢ History of waiting lists
➢ Waiver Simplification
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Waiver Redesign Progress: How did we get here?
Unbundling Residential Habilitation
2012
The Department began collaboration with The Community Living Advisory Group (CLAG)
2013
The Waiver Redesign Workgroup was formed Person-Centered System Analysis began
2014
The Workgroup collaboration with the CLAG began The CLAG Developed their Recommendations HCBS Settings Rule
2015
The Workgroup developed the Summary & Recommendation Report The Department held various Statewide Stakeholder Meetings HB15-1318 was signed into law
2016- 2017
Program Development & Evaluation Unit was formed Waiver Implementation Council (WIC) was formed Currently, the Consolidated Waiver Development is in process 12
➢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
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(Originally reviewed by WIC: November 28, 2016)
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Current Work: Forecasting utilization of proposed unbundled Residential Habilitation waiver services. Contractor: Pacific Health Policy Group
providers to ascertain the utilization of micro services.
and policy decisions specific to Residential Habilitation (Personal Support Services and Health Maintenance) in the Redesigned Waiver.
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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?
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Discussion Period
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all of the WIC feedback.
will be pushed back.
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.
addressed each item and highlighting how we applied them to the service and coverage standards.
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