Your Life, Your Choice, Your Home

1
Your Life, Your Choice,
Your Home!

• WHAT VIRGINIAS LONG TERM SUPPORT SYSTEMS
  TRANSFORMATION MEANS FOR YOU

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What are Virginias Long-Term Support Systems?

• Public and private agencies that deliver,
  oversee, screen for, or pay for services for
  seniors, children and adults with disabilities
  who seek some type of assistance with activities
  of their daily lives.

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Long Term Support Systemsin Virginia Include.

• The Medicaid program
• Services and institutions for individuals with
  mental health issues
• Services and institutions for individuals with
  intellectual disabilities (formerly mental
  retardation)
• Services and institutions for people who are
  aging
• Social services
• Health services
• Hospitals
• Nursing facilities
• Assisted living facilities
• Continuing Care Retirement Communities
• Adult Foster Care

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Why Transformation?

• Long term support systems are fragmented
• Planning, management and administration of
  related activities are not coordinated as well as
  they could be
• Housing and long term support agencies plan and
  deliver services in different systems
• Modern methods for gathering data are limited

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Why Should I Care?

• You may know someone using long term supports
  right now who is not happy with their life, their
  choices or their living situation
• You may work in the long term support system and
  experience frustration in assisting people to get
  what they need
• You, your family members and your friends may
  need long term supports some time in the future

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OK, So What Will This Transformation Mean for Me?

• Beginning this summer
• Instant access to comprehensive information about
  supports
• More choices for community living
• New Medicaid waiver services to support you in
  your community if you qualify
• In the future
• Planning based on what you want and need rather
  than what happens to be available
• Faster access to the supports you want and need
• More housing and transportation choices
• No more agency hopping

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Information

• Virginia Easy Access One website you can visit
  to get information about any supports you might
  need including
• Customized searches for supports near you
• E-mail support by 2-1-1 Virginia

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Information

• Dont Use a Computer?
• Call 2-1-1 Virginia By summer of 2008, a call
  specialist will assist you by telephone 24 hours
  a day, 7 days a week, 365 days a year

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Faster Accessto Supports Through Development
of

• An on-line Medicaid application
• Streamlined processing of applications for
  certain Medicaid waivers
• An on-line form that you can fill out to tell you
  if you might be eligible for certain supports

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No More Agency Hopping

• Local agencies are currently joining together in
  6 No Wrong Door implementation sites to improve
  your experience in obtaining and providing long
  term supports
• Plans to expand to 10 sites by September 2008
• Goal is a network of No Wrong Door resource
  providers statewide by 2010.
• The vision
• Create a comprehensive network of aging and
  disability service providers that collaborate and
  plan together
• Electronic sharing of information with your
  permission to avoid your having to fill out
  multiple applications for supports at multiple
  agencies

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Planning Based on Individual Needs and
Preferences

• All systems will put individuals at the center of
  planning for long term supports
• Individuals will control more of the services and
  supports they use
• Family, friends and neighbors can play a more
  active role supporting the people they care about

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More Choices for Community Living

• If you live in a nursing home, ICF/MR or
  long stay hospital, you will have more options
  for moving to the community if that is your
  choice.

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New Medicaid Waiver Services To Be Added

• Transition Services a one-time, life-time
  maximum 5,000 benefit for individuals
  transitioning from institutions to the community
• Transition Coordination - responsible for
  supporting the individual with the activities
  associated with transitioning
• Supported Employment with Consumer Direction -
  consumer-directed option for individual supported
  employment services

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Medicaid Services To Be Added to Waivers

• Elderly and Disabled with Consumer Direction
• Environmental Modifications
• Assistive Technology
• Transition Coordination
• Transition Services
• Technology Assisted
• Personal Emergency Response System (PERS)
• Transition Services
• AIDS
• Environmental Modifications
• Assistive Technology
• Transition Services

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Medicaid Services To Be Added to Waivers

• Developmental Disabilities
• Consumer Directed Supported Employment
• Transition Services
• Intellectual Disabilities (MR)
• Consumer Directed Supported Employment
• Transition Services
• Day Support
• Consumer Directed Supported Employment

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Closing theHousing Gap

• Housing, transportation and long term support
  stakeholders formed a Task Force
• Goal Develop an Annual Housing and
  Transportation Action Plan to increase options
  for seniors and people with disabilities

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Closing theHousing Gap

• Annual Housing and Transportation Action Plan
  will address ways to
• Create affordable housing
• Make accessible transportation available
• Connect housing and transportation
• Develop lasting partnerships among housing
  stakeholders and human services system
  stakeholders

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Closing theHousing Gap

• 16 Centers for Independent Living will be working
  with housing agencies to
• Address the housing needs of individuals with
  disabilities and seniors
• Assure that these needs are incorporated into
  housing planning
• Track related policy changes

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Keys to Success

• Working hand in handstate and local agencies,
  private and public providers, advocates, people
  who currently use long term supports and families
• A common vision and goals
• A passionate belief that we can do better
• Three key initiatives
• Systems Transformation Grant
• Money Follows the Person Rebalancing
  Demonstration
• State Long-Term Support Profile Tool Grant

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Some Questions You Might Have

• Do I really have choices about my supports?
• Yes, you do.
• Do I have a right to choose whether I live in an
  institution or in the community?
• Yes, you do.
• Do providers need to honor my choices?
• Yes, they do.

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More QuestionsYou Might Have

• Will transformation create more community living
  options, while keeping institutional living
  options?
• Yes, it will.
• Will people have more opportunities to use their
  job skills in community service systems as a
  result of transformation?
• Yes, they will.
• Will there be safeguards for people who want to
  live in the community?
• Yes, there will.

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After all, its

• YOUR life
• YOUR choice
• YOUR home!

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Where Can I Get More ?

• Kristin Burhop
• SYSTEMS TRANSFORMATION GRANT Project Director
• [phone]
• kristin.burhop_at_governor.virginia.gov
• Jason Rachel
• MONEY FOLLOWS THE PERSON Project Director
• [phone]
• jason.rachel_at_dmas.virginia.gov
• Karen Lawson
• Policy Research Manager
• [phone]
• karen.lawson_at_dmas.virginia.gov
• http//www.olmsteadva.com
• http//www.olmsteadva.com/mfp/