The Road Ahead for You and APD

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The Road Ahead for You and APD
Focus on Providers
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Where do we want to go?

• Individuals and families are in the drivers seat
• More self-direction
• Well be there down the road
• Sustainable system
• The destination
• Fair and equitable processes

3
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

4
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)

5
CDC expansion

• 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

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CDC expansion

• Statewide enrollment anticipated Jan. 2010
• Eligible consumers will get letter with details
  on applying

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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

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Flexible Benefit Service

• Is optional
• Is self-directed
• Provides meaningful day activities and support
  within the home
• Offers more flexibility in meeting needs
  day-to-day

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Flexible Benefit Service

• Use Medicaid providers
• For consumers NOT on CDC
• Federal government must give OK first
• Begins in Spring or Summer 2010

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iBudget Florida

• Individual budgeting
• Goals More self-direction, greater equity,
  sustainable system
• Everyone would have an iBudget to determine their
  funding
• Legislature requires plan in February 2010

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iBudget Florida

• Personal situation and characteristics determine
  budget using a statistically generated formula
• Examples QSI results, living situation, age
• People with similar needs receive similar funding
• People with greater needs receive greater funding

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iBudget Florida

• Consumer and family determine spending
• More flexibility with services

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iBudget Florida

• Some other states have similar systems
• Georgia, Wyoming, Minnesota
• Provide input through future meetings and APD
  website
• www.apdcares.org

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Youre on our Construction Crew

• You are an important part of the effort!
• Help consumers and families learn about the new
  options
• Give us ideas and feedback
• Ensure ABC data is accurate

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Wrong Data Leads to Wrong Turns

• APD generates reports, authorizes services, and
  makes decisions based on ABC data
• For these new initiatives
• Need correct addresses for mailing CDC
  enrollment notices
• Need correct information for all communications
  and decisions

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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.

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Rules of the Road

• Waiver Support Coordinators are required to
  verify all information for accuracy twice per
  year.

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Removing Speed Bumps for Providers WSCs

• More time for people, less time for paper
• Less red tape, more flexibility
• Focus on supporting individuals

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Removing Speed Bumps for Providers WSCs

• Paperwork reduction
• New quality assurance system
• New person-centered planning system
• Training and support for your role in new
  initiatives

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Removing Speed Bumps for Providers WSCs

• Paperwork reduction
• Fewer forms
• Complete paperwork online
• Electronically send service authorizations

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Removing Speed Bumps for Providers WSCs

• New quality assurance system
• Includes electronic file and on-site reviews
• Uses National Core Indicators
• Even more person-centered!

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Removing Speed Bumps for Providers WSCs

• New person-centered planning system
• Emphasis on persons abilities
• Early piloting with WSCs has positive response

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Removing Speed Bumps for Providers WSCs

• 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

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Tell us what you want in a new system!Questions?
Concerns? Ideas?