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ADHD Parent Information Night
May 28, 2015
Enjoy a light dinner while learning practical information on what ADHD is, the pros and cons,
and effective strategies for everyday use.
Click below for more information
Ohio Department of Developmental Disabilities
Family Advisory Council Meeting, April 14, 2015
Updates (Click on Updates)
iCanBike Camp . . .coming to Columbus
If you meet the requirements below, click on the link below for more information
The iCanBike staff sets these requirements:
Must be 8 years or old and there is no upper age limit
Must have an inseam of 20” (any smaller than this, you cannot fit on the adapted bikes)
Cannot weigh more than 220lbs
Must be able to tolerate wearing a helmet
Here is the link http://www.dsaco.net/lose-the-training-wheels
From Gongwer News Service, April 14, 2015.
Substitute Spending Bill Includes ICF Compromises, Removes Independent Provider Changes
Developmental disability-related portions of the executive budget that drew significant criticism were either overhauled or omitted in the House substitute bill adopted Tuesday.
The latest version of the spending measure (HB-64) includes a compromise plan to reconfigure intermediate care facilities and the creation of a commission that would examine state-run developmental center closures.
It also removes provisions that would have reconfigured the independent provider model in favor of an agency-focused approach.
"We chose to remove the independent provider piece because we felt like it needed more work," House Finance Chair Rep. Ryan Smith (R-Bidwell) told reporters. "It's something that is incredibly complicated with the Department of Labor recently becoming involved in that and we just feel like it's something we could do more work on and make sure that we ensure the independent providers continue to take care of the most vulnerable in the best way possible in their homes."
Dozens of opponents testified before a House Finance subcommittee on the executive budget's proposals to cease Medicaid payments for home health care workers who aren't employed by an agency as of July 2019 and prohibit the state from taking on new independent providers as of July 2016.
Independent providers could have continued working for individuals who were on self-directed waivers, but many witnesses said the process requires a significant amount of time and knowledge because clients would become employers.
The administration continually noted that the proposal, along with others that sought to downsize ICFs and developmental centers, were in line with federal rules. The IP changes, in particular, were connected to a U.S. DOL ruling that would leave states responsible for independently contracted workers' pay and benefits as the employer of record.
Despite the rationale, Rep. Sprague (R-Findlay), who chaired the subcommittee that vetted the proposals, said the General Assembly won't bend to federal rules unless they're in Ohioans' best interests.
"Quite frankly, we are getting ready to draw a line in the sand for these families because it's taken us four decades in order to build this developmental disabilities system to help some of the most vulnerable in the state and these families have advocated for the system that we currently have and we don't feel it's right to kick them out of their homes and the developmental centers," he said at a Statehouse news conference.
Subcommittee Ranking Member Rep. Sykes (D-Akron) said she's also looking forward to delving further into the topic of independent providers outside of the budget's time constraints because she felt the administration could have gathered more input from those who would be affected by the changes.
Democrats will be supportive of the charge to protect individuals with developmental disabilities and their families and ensure they're able to choose where and how they want to live, she added. However, it's unlikely the state will have to push back on federal rules.
"We looked at other states and Wisconsin had an interesting perspective on the way they read the requirements, especially about the segregation part, and perhaps it's looking at the order and making it work for the state in another way," she said in an interview.
"What seems to have happened is the administration seemed to have taken the task on their own, and we're not really sure who they heard from but based on some of the testimony it doesn't seem like they were receiving input from the ones directly affected and I think slowing down the process we could remain in those aggressive timelines (for meeting federal requirements) and just have more voices."
Stakeholders have been meeting with the administration to advise on options for moving away from independent providers that will meet federal standards but won't disrupt how individuals currently receive in-home care.
The substitute measure also takes into consideration calls for the state to reconsider closing the Montgomery and Youngstown developmental centers.
New language creates a commission to review the proposed closure of a development center, including the two that are already slated to be shuttered during the next biennium, Rep. Smith said.
Speaker Cliff Rosenberger (R-Clarksville) added that the intent is to determine that the facilities should remain open.
"This is part of an overarching federal attempt to dismantle our developmental disabilities system quite frankly in the state of Ohio," Rep. Sprague said, referring to federal rules aimed at moving people out of segregated living arrangements.
"The developmental centers house people that have highly acute needs, highly involved cases and quite frankly they need institutional care," he continued. "We've gone from 1,200 (individuals) in the developmental centers now down to 800 and we think that enough is enough and we want to make sure that we're looking at this more carefully and we prevent the wholesale closure of these developmental centers."
As expected, House Republicans also included in the revised budget provisions regarding ICFs that were the result of a compromise between the Department of Developmental Disabilities and facility operators.
The original budget proposal would have required ICFs to reduce the number of residents per room to two and facilities would not have been permitted to accept any new residents during the eight-year transition phase.
It also would have implemented flat-rate funding for low-acuity individuals living in ICFs and eliminates beds of individuals who move to a waiver and chose to leave a facility for home- or community-based care.
Under the new language, ICFs would be able to accept new residents during the extended 10-year transition phase and flat-rate funding would only apply to low-acuity individuals who enter a facility that has more than eight beds after the budget is implemented, DODD Director John Martin said recently.
The original budget proposal would have provided a 2% rate increase to ICFs in both years of the biennium, but because that was paid for by lowering reimbursement rates for low-acuity individuals, those additional dollars will only become available in Fiscal Year 2017 under the new proposal.
The latest iteration would also allow ICFs to retain any beds that were left open by those who chose to move onto waivers created under the proposed budget and children and individuals already living in shared rooms to remain in them beyond when the requirement takes effect.
House GOP lawmakers also specify in their budget rewrite that it's the legislature's intent for individuals in workshops to be informed of their options and continue to receive services in a variety of settings if they offer community integration.
In budget testimony, Director Martin said the U.S. Centers for Medicare and Medicaid rule that is pushing the state to move individuals out of institutions also seeks to eliminate day workshops, which will no longer be federally funded if they're not community focused.
2015 PAR Regional Trainings
School-to-Work Transition and Social Security Benefit
Programs in 2015 - Including Young Adult Benefits
Presenter: Mike Walling, Trainer & Consultant
The workshop will focus on the benefits 1) a "child", 2) a "student child", and 3) a "young adult" may be entitled or eligible to receive from the Social Security Administration. The age range under discussion will be 15 to 25 years of age. Note: the benefits for "young adults" are applicable to all adults.
9:00 AM - 10:30 AM
1) What programs are available from Social Security and how does someone successfully apply?
The Social Security Administration is responsible for administering two programs: Title II commonly known as Social Security and Title XVI commonly known as SSI. People do not pick which benefit they receive. This workshop explains how to apply for benefits properly and how Social Security decides which benefit the person may receive and why some students cannot qualify for a benefit program.
Specific topics addressed:
The medical criteria used and functional assessments
Parent-to-child deeming of income and resources (SSI).
The age 18 re-determination process (SSI).
How to qualify some children when deemed income makes them ineligible for SSI.
10:30 AM - 12:00
2) How does SSI work?
SSI (Supplemental Security Income) is based on financial need and having a disability (if the person is under 65 years of age). The amount of the SSI payment a person receives depends on how much income a person has from other sources. This workshop addresses the common question people have is: "How much can I earn and still qualify for SSI?"
Specific topics covered:
"In-kind support and Maintenance" reductions (SSI)
The general calculation of income to determine SSI amount.
The application of the Student Earned Income Exclusion.
(A great tool in transition work experiences)
1:00 PM - 2:00 PM
3) What benefit can a young person qualify for based on a parent's work record?
Some children and disabled adult children can receive a benefit based on a parent's work record and taxes paid to Social Security. This workshop explains the benefit programs available and the qualifications. Once a student qualifies for one these benefit programs, wage can impact the cash benefit received from Social Security. Specific income exclusions will be explained to reduce how much income Social Security counts.
Specific topics covered:
The potential transition from SSI to SSDI. Preparing families.
Income limits of the parent affecting the dependent's benefit.
The application and documentation of subsidies and impairment-related work expenses.
2:00 PM - 4:00 PM
4) Reporting income and maintaining records.
Overpayments are a common event, but they have a significant impact on the family's continuing support of work experiences for a son or daughter. While some overpayments can not be avoided, simple tools can be used to manage records and identify when there is a potential problem. A simple process will be demonstrated to help families, representative payees, and beneficiaries maintain financial records.
*Wednesday, April 29, 2015 ~ Delaware County Board of DD - Lewis Center, OH (Columbus)
*Thursday, April 30, 2015 ~ ESC - Independence, OH (Cleveland)
*6 hours of DODD certification is approved with the exception of Early Intervention is not approved.
6 hours of Social Work certification is approved.
Registration 8:45 am ~ Training 9:00 am to 4:00 pm ~ Lunch Break 12:00 pm to 1:00 pm
Registration Price: PAR Member $65 ~ Non-Member $85 (lunch included)
2015 PAR (Professionals, Advocates, Resources) Regional Training
Brain-Smart Behavioral Supports:
Where Dual Diagnoses, Trauma-Informed Care and Rule Meet
*Wednesday, May 13, 2015
Delaware County Board of DD
Lewis Center, OH (Columbus)
*Thursday, May 21, 2015
ESC - Educational Service Center - Professional Development Center
Independence, OH (Cleveland)
Presenter: Lara Palay - Consultant, Aldridge*Palay
8:30-9:15 - Intro dual diagnosis: statistics, diagnostic and medication issues
9:15-10:30 - Trauma and I/DD: incidence, vulnerability and system response
10:30-10:45 - Mid-morning break
10:45-12:00 - Trauma and the brain: neurological, behavioral, cognitive, emotional and social effects of severe and chronic stress
12:00-1:00 - Lunch break
1:00-2:15 - Post-traumatic growth and facilitating brain change; relational and environmental approaches in trauma-informed care
2:15-2:30 - Mid-afternoon break
2:30-4:00 - Behavioral supports and bringing brain science to the new rule
Registration 8:45 am
Training 9:00 am to 4:00 pm
Lunch Break 12:00 pm to 1:00 pm
PAR Member $65 (lunch included)
Non-Member $85 (lunch included)
*6 hours of DODD certification has been approved for Adult Services, SSA, County Board Member, Investigative Agent & Superintendent.
4 hours of Early Intervention is approved for this training.
Social Work certification is pending approval.
For more information visit: www.par-ohio.org
The Arc of Ohio will be one of a number of stakeholders named in temporay state law to make recommendations regarding this subject:
The following was distributed to Independent Providers by DODD:
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES PROVIDERS NEWS & INFORMATION LISTSERV
In Governor Kasich's Executive Budget, the State of Ohio is proposing shifting to an agency-only model to improve oversight, fight fraud and abuse, and improve health outcomes for individuals. If approved, this change would phase out independent providers, unless they are providing services under a self-directed waiver.
As a DODD provider, these changes may affect you, and we wanted to share more information about who may be impacted by this change, options for those who are affected, and the time line.
Who is affected?
- If you are an agency provider, this change will not affect you.
- If you are an independent provider who provides services under a self-directed waiver, this does not affect you. Currently, one of DODD's waivers is a self-directed waiver - the Self-Directed Life Funding (SELF) Waiver.
- If you are an independent provider who provides services under the Independent Options (IO) and Level 1 waivers, this will affect you. However, DODD will add a self-directed option to these waivers, which will allow non-agency providers to serve individuals through Employer Authority.
Note: DODD isn't adding a self-directed option to the Transitions DD waiver because that waiver is being phased out.
What are my options?
- You can seek employment through an agency provider if that option works for you.
- You can provide services under a self-directed waiver.
What are the key dates?
This change would take place over a three-year period to allow individuals and providers to make any transitions. Key dates include:
- July 1, 2016: The Ohio Department of Medicaid (ODM) will not enroll any new independent providers.
- July 1, 2016-June 30, 2019: Current independent providers will not have their certification renewed when it expires - they can continue providing services until their certification expires.
- July 1, 2019: ODM will no longer accept claims with dates of service after July 1, 2019, submitted through independent providers, except in cases of self-directed waiver services.
Click on IP Changes - What It Means? for more information
Transitions DD and SELFWaiver Renewal Applications for
1915(c) Home and Community-Based Services Waivers
- Public Notice -
The purpose of this communication is to provide notification of changes made within the 1915(c) Home and Community Based (HCBS) Waiver applications and to notify the public of the opportunity to provide input prior to these changes being submitted to the federal Centers for Medicare and Medicaid Services (CMS) for consideration. A summary of the changes is listed below.
The entire Transitions Developmental Disabilities (TDD) and Self Empowered Life Funding (SELF)waiver applications are available online.
A summary of changes made in the Transitions DD Waiver application includes the following:
*As part of the TDD waiver renewal, the state plans to phase-out the waiver during the first two years of the waiver span. This renewal provides for the transition of individuals enrolled in the TDD waiver into Ohio's Individual Options (IO), SELF, and Level One (L1) waivers. The phase-out of TDD waiver aligns with the goal of reducing the number of waivers administered in Ohio. In addition, this process will allow individuals presently enrolled in the TDD waiver to have access to a broader array of services that enhance opportunities for people to enjoy the full benefits of community living.
*The renewal also reflects the use of DODD's revised eligibility assessment tool for determining whether individuals meet criteria for an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Level of Care (LOC). The new tool includes greater specificity in describing the areas in which individuals require support, and establishes a more efficient, electronic process for LOC determinations.
The state has updated quality oversight strategy and performance measures to ensure alignment with the CMS Quality Letter, dated March 12, 2014, titled "Modifications to Quality Measures and Reporting in 1915c Home and Community Based Waivers."
The state has updated Appendix G-2: Safeguards Concerning Restraints and Restrictive Interventions to reflect the Department's "Behavior Support Strategies that Include Restrictive Measures" (OAC 5123:2-2-06) that regulates the use of all restraints and restrictive measures.
A summary of changes made in the SELF waiver application include the following:
*The renewal reflects the use of DODD's revised eligibility assessment tool for determining whether individuals meet criteria for an ICF/IID Level of Care (LOC) . The new tool includes greater specificity in describing the areas in which individuals require support, and establishes a more efficient, electronic process for LOC determinations. The renewal includes reserved capacity for the Statewide HCBS Waiting List Reduction in accordance with Ohio's budget initiatives.
*The state has updated the quality oversight strategy and performance measures to ensure alignment with CMS Quality Letter, dated March 12, 2014, titled "Modifications to Quality Measures and Reporting in 1915c Home and Community Based Waivers."
*The state has updated Appendix G-2: Safeguards Concerning Restraints and Restrictive Interventions to reflect the departments "Behavior Support Strategies that Include Restrictive Measures" (OAC 5123:2-2-06) that regulates the use of all restraints and restrictive measures.
*The draft waivers will remain on DODD's website, and feedback on changes made in the applications will be accepted until March 16, 2015.
To provide feedback:
www.dodd.ohio.gov - click on "DODD Gateway" (left side of screen), click on "Rules and Laws" (top of screen), click on "Rules under Development" (left side of screen
For rules and Laws governing the Union County Board of Developmental Disabilities, click below:
VISIT OUR BRANCH SITES:
An old man was walking an ocean shoreline littered with hundreds
of starfish. He observed a young boy attempting to save them
by throwing them back into the water.
“You can’t save them all,” said the old man.
“And besides, what difference will it really make?”
The young boy picked up another, threw it in the water and said,
“I’m not sure, but I think it will make a difference to that one!”