Transcript Slide 1

Changing from HCS Case Management to
Service Coordination by the Local Authority
What It Means
for HCS Participants & Their Families
Spindletop MHMR Services
May 6, 2010
Use of Respectful Language
Texas law establishes the Mental Retardation Authority
(MRA) and describes fundamental MRA responsibilities. In
this presentation the following preferred terminology is
used:
 Local Authority replaces MRA.
 Intellectual disability replaces mental retardation.
What is Changing in HCS?
Effective June 1, 2010:
 People in HCS will have a new Service Coordinator from the
Local Authority.
 A Case Manager will no longer be provided by the HCS
Provider.
 Ongoing Person-Directed Planning, focused on the person’s
desired outcomes, is the basis for HCS services.
 The Service Planning Team is responsible for the Person-
Directed Plan (PDP).
Why Is this Change Happening?
The Texas Legislature is requiring Reshaping of the System
of Services for People with Intellectual and Developmental
Disabilities, including:
 $207 million state funds for community services for 7,800
people on waiting lists (over 20,000 people to be served in
HCS by 2011)
 Change of HCS Case Management from the HCS Provider to
Service Coordination by the Local Authority in order to–
 Increase quality oversight of community services
 Ensure people understand their HCS options
 Base necessary services on Person-Directed Planning
Current Service Coordination
by the Local Authority
Local Authorities have a wide range of Service Coordination
responsibilities for people with intellectual and developmental
disabilities, including:
 Single point of access to IDD services
 Eligibility determination (diagnostic & functional assessment)
 Explanation of service & support options
 Identification of individual service goals & preferences
 Enrollment (ICF, HCS & Texas Home Living waivers)
 Initial Person-Directed Plan for HCS
 Ongoing Service Coordination for Community Safety Net
Services & TxHmL
 Community Living Options Information Process (CLOIP) in
State Supported Living Centers (SSLCs)
Service Coordination in HCS
Partnering with the HCS participant, family/LAR* and
Provider, the Service Coordinator has continuing
responsibilities while a person is in the HCS program:
 Person-directed planning to identify the person’s personal
goals & outcomes which are the basis for HCS services (and
may change over time), and
 Coordination and monitoring to ensure the person
progresses toward desired outcomes, receives necessary nonHCS services and is healthy and safe.
*Legally Authorized Representative
Person-Directed Planning:
Why Is It Important?
The Service Coordinator must learn and develop an
understanding about the person’s preferences and goals.
This is called the Discovery Process. Person-directed
planning values these qualities in a person’s life:
 Self Determination – freedom to decide and choose what is
important, including services
 Community Inclusion – opportunities to connect with people
and participate in ordinary community activities
 Meaningful Relationships – close relationships beyond staff
that are maintained and encouraged
 Natural Supports – services that do not replace supports
provided by family, friends and important others
Services Planning Team
 Person-Directed Planning is about getting to know the person.
It is important that people who know the person best, and who
are invited by the person/LAR*, take part in the planning.
 Most often the person/LAR choose to include their HCS
Provider to participate throughout service planning.
 State rule defines “a planning team consisting of an applicant
or individual, LAR*, service coordinator, and other persons
chosen by the applicant or individual or LAR on behalf of the
applicant or individual (for example, a program provider
representative, family member, friend, or teacher).”
*Legally Authorized Representative
Planning Tools
 There are 3 parts of service planning for each
person in the HCS program:
1. Person-Directed Plan (PDP)
2. Individual Plan of Care (IPC)
3. Implementation Plan (IP)
 Every year, and as needed, these planning tools are
renewed and adjusted to the person’s individual
needs, preferences and situation.
1. Person-Directed Plan (PDP)
The Services Planning Team develops and the Service
Coordinator completes the PDP. It describes:
 Discovery of the person’s preferences and desired outcomes
 The types of HCS & non-HCS services necessary to achieve
desired outcomes and ensure health and safety
 Existing and natural supports available
The PDP is updated annually and as necessary.
2. Individual Plan of Care (IPC)
The HCS Provider, person/LAR and Service
Coordinator work together to develop, and the Provider
completes, the IPC. It describes:

HCS services to be provided

Amount and cost of HCS services

Non-HCS services to be provided
The IPC is updated annually and as necessary.
3. Implementation Plan (IP)
After DADS approves the IPC, the IP is developed by the
HCS Provider (unless Consumer Directed Services) with
input from the person/LAR. It describes:
 How services and supports are delivered, including when,
where and who will provide services and any related training.
 Outcomes identified in PDP to be addressed with HCS services.
The person/LAR must agree on how services will be
delivered and sign the completed IP. The IP is updated
annually and revised as needed.
How Are HCS Services Affected?
A person’s HCS Services will not change because of the
change to Service Coordination by the Local Authority.
The HCS Provider is responsible for:
 Developing services in a person’s IPC & hiring staff
 Responding to a person’s daily needs, including emergency
service needs
 Coordinating with the Service Coordinator
HCS services may be adjusted as the person’s needs
change and also if the person/LAR requests different
services. The person’s PDP is updated to include
changing goals and service needs.
When a Person
Changes HCS Providers
The Service Coordinator has responsibilities whenever a
person changes to a new HCS Provider, including:
 Providing unbiased assistance to person/LAR in selecting a new
provider from all qualified providers in person’s preferred
geographic area.
 Completing transfer records in coordination with current and
future providers, submitting to DADS.
 Activating reassignment to new Local Authority as necessary
depending on location of person’s new provider & residence.
How the Service Coordinator
Stays Involved
The Service Coordinator periodically contacts & visits the
person at home and locations where services are received.
Visits are at least every 90 days and generally more often.
Contacts and visits are important for:
 Building relationships and communication
 Monitoring the person’s progress toward goals & personal
outcomes in the PDP
 Awareness of the person’s wellbeing & possible risk to the
person’s health and safety
 Recognizing changing support needs
Who to Contact for What
Local Authority Contact Information:
Priscilla Yowman, HCS SC Program Administrator
409-813-8362 (Office)
 Contact the Service Coordinator at the Local Authority to
discuss needed services, options and choices, the PDP, and
other questions and concerns.
 Contact the Local Authority to seek resolution to a
complaint related to the role and duties of the Service
Coordinator or to request a change of Service Coordinator.
 Contact the HCS Provider to arrange for services, including
emergency service needs and to discuss service delivery
and staffing roles and duties.
Again, Reasons for This Change:
For Community Service System:
 Increase quality oversight of services
 Ensure understanding of options
 Base services on Person-Directed Planning
For HCS Participants:
 Self Determination
 Community Inclusion
 Meaningful Relationships
 Natural Supports