Transcript The Road Ahead for You and APD

The
Road
Ahead
for You
and APD
Focus on Providers
Where do we want to go?
• Individuals and families are in the
driver’s seat
– More self-direction
• We’ll be there down the road
– Sustainable system
• The destination
– Fair and equitable processes
Building our “highway”
• Just ahead:
– Consumer-Directed Care Plus expansion
• Around the corner:
– Flexible Benefit Service
• Down the road a bit:
– iBudget Florida – individual budgeting
CDC+ expansion
• More choice, flexibility, and responsibility
– Greater choice of services
– You manage your APD budget
– You are allowed to hire own workers
(including those who are not Medicaid
providers)
– You are a household employer with help from
a fiscal employer agent (FEA)
CDC+ expansion
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Up to 2,500 new enrollees
Cost plans discounted 8%
Individual may use a representative to help
Individual has the assistance of a consultant
(WSC with special training)
• Training is provided to participants and
representatives
CDC+ expansion
• Statewide enrollment anticipated
Jan. 2010
• Eligible consumers will get letter
with details on applying
Flexible Benefit Service
• Legislature authorized it last session
• You will exchange services on cost plan for a
new flexible benefit service
– ADT, companion, respite, in-home support
services, supported employment, supported
living
– 8% discount
Flexible Benefit Service
• Is optional
• Is self-directed
• Provides meaningful day activities and
support within the home
• Offers more flexibility in meeting needs dayto-day
Flexible Benefit Service
• Use Medicaid providers
• For consumers NOT on CDC+
• Federal government must give OK first
• Begins in Spring or Summer 2010
iBudget Florida
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Individual budgeting
Goals: More self-direction, greater equity,
sustainable system
Everyone would have an iBudget to
determine their funding
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Legislature requires plan in February 2010
iBudget Florida
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Personal situation and characteristics
determine budget using a statistically
generated formula
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Examples: QSI results, living situation, age
People with similar needs receive similar
funding
People with greater needs receive greater
funding
iBudget Florida
• Consumer and family
determine spending
• More flexibility with services
iBudget Florida
•
Some other states have similar
systems
– Georgia, Wyoming, Minnesota
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Provide input through future
meetings and APD website:
www.apdcares.org
You’re on our
Construction Crew
•
You are an important part of the effort!
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Help consumers and families learn about the
new options
Give us ideas and feedback
Ensure ABC data is accurate
Wrong Data Leads to Wrong Turns
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APD generates reports, authorizes
services, and makes decisions based on
ABC data
For these new initiatives:
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Need correct addresses for mailing CDC+
enrollment notices
Need correct information for all
communications and decisions
Rules of the Road
The DD/HCBS Coverage and
Limitations Handbook, Page 2-93:
• It is the responsibility of the Waiver
Support Coordinator to enter,
update and assure the accuracy of
demographic information pertinent
to the individual in the ABC system.
Rules of the Road
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Waiver Support Coordinators are
required to verify all information for
accuracy twice per year.
Removing Speed Bumps
for Providers & WSC’s
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More time for people, less time for
paper
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Less red tape, more flexibility
•
Focus on supporting individuals
Removing Speed Bumps
for Providers & WSC’s
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Paperwork reduction
New quality assurance system
New person-centered planning
system
Training and support for your role in
new initiatives
Removing Speed Bumps
for Providers & WSC’s
• Paperwork reduction
– Fewer forms
– Complete paperwork online
– Electronically send service
authorizations
Removing Speed Bumps
for Providers & WSC’s
• New quality assurance system
– Includes electronic file and on-site
reviews
– Uses National Core Indicators
– Even more person-centered!
Removing Speed Bumps
for Providers & WSC’s
• New person-centered planning
system
– Emphasis on person’s abilities
– Early piloting with WSC’s has
positive response
Removing Speed Bumps
for Providers & WSC’s
•
Training and support for your role in
new initiatives
– QSI training: Fall 2009
– Person-centered planning training:
Winter & Spring 2010
– Ongoing information/training on new
initiatives as they develop
Tell us what
you want in a
new system!
Questions?
Concerns? Ideas?