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        DELTA

My Life My Community

As of January 2014, the second phase of the My Life, My Community has begun. This will involve a cost study to review service reimbursement rates and result, most likely, in a revised rate schedule. In addition, DBHDS and DMAS will explore options for developing fair and reliable means resource allocation. We are hopeful that a new waiver system will be implemented in January 2016.

Introduction

DBHDS is committed to being good listeners, good partners and good stewards of the public resources entrusted to the agency. As we meet the challenges that lie ahead, we are dedicated to a system re-design that truly provides opportunity for citizens to receive the supports they need to live full lives in the community.

Provider Advisory Committee

DBHDS has established a “Provider Advisory Committee,” facilitated by HSRI’s subcontractor, Burns & Associates, to provide input to the rate study survey, which will be distributed to all ID and DD Waiver providers, and then review survey results and react to rate setting models. These activities are critical to Phase Two of HSRI’s waiver study, which involves a review of service reimbursement rates and how DBHDS and DMAS allocate funds for individuals who receive ID/DD waiver services. The Provider Advisory Committee is comprised of representatives of the ID/DD provider community from across the state.

HCBS Waiver Analysis

The Human Services Research Institute is under contract to the Virginia Department of Behavioral Health and Developmental Services (DBHDS) to: (a) evaluate the State’s current service delivery system for individuals with intellectual and developmental disabilities (I/DD); (b) make recommendations to move the system to a more person-focused/needs-based system of care; and (c) in conjunction with that evaluation, review the existing rates paid to service providers and the current method of allocating resources to support individuals receiving services.

Public Forum and Interview Results

Also in Phase One of My Life, My Community we were required to conduct of interviews and public forums and then prepare a report to describe methods and findings. To this end, staff of Parent to Parent of Virginia (PTPofVA) and the Partnership for People with Disabilities at Virginia Commonwealth University (Partnership) convened multiple open forums at eight sites across the state to offer the public opportunities to comment on the performance of the present HCBS waivers and solicit input on what could be done to improve system performance.

Evaluation of the Supports Intensity Scale Administration in Virginia

One task in the first phase of the My Life, My Community project was an evaluation of the current administration of the Supports Intensity Scale® (SIS) in Virginia. The purpose was to review present assessment practices and determine what might be done to improve the assessment process for resource allocation purposes.

Waiver Design and Advisory Committee and Related Subcommittees

DBHDS leadership is establishing an Advisory group and related subcommittees to consider the recommendations made by HSRI, provide input on the new waiver design, and make suggestions regarding means of enhancing system processes. These groups will be facilitated by DBHDS and HSRI. The work of these groups is crucial to ensuring transparency and a well vetted waiver. The Waiver Design and Advisory Committee (WDAC) and subcommittee membership will be comprised of ID and DD self-advocates, family members, representatives from CSBs, provider agencies, advocacy groups, and parent groups from across the Commonwealth. A listing of WDAC and subcommittee members follows.

The groups’ charges are as follows:

WDAC:
  1. Developing a new waiver concept paper from which elements of the CMS waiver application(s) will be drawn.
  2. Providing input to the new waiver development process particularly with regard to training, implementation, and evaluation.
Eligibility:
  1. Clarifying & creating one set of criteria for eligibility for ID/DD services in Virginia.
  2. Advising on related policy and regulation development, as well as training and implementation strategies.
Case Management:
  1. Clarifying & creating one set of criteria for effective support coordination/case management for individuals with ID/DD, including individuals who do not receive waiver services.
  2. Reviewing and recommending changes to guidelines, policies and regulations for the provision of support coordination/case management.
Waiting List:
  1. Clarifying & creating one set of criteria for managing the ID/DD waiting list for services in Virginia.
  2. Proposing and evaluating the impact of combining the current ID/DD waiting lists.
  3. Advising on policy and regulation development.
  4. Advising on a means of meeting inter-rater reliability standards as well as to securing a valid assessment via the Supports Intensity Scale.
Provider Advisory Committee:
  1. Offering guidance, from a provider perspective, to Burns & Associates (HSRI’s subcontractor) in their work of gathering and synthesizing information for the rate study portion of the overall waiver study.

Updates

Public Comments

Click here if you have a Public Comment for My Life My Community.


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