RI Department of Behavioral Healthcare,

Development Disabilities & Hospitals

DIVISION OF DEVELOPMENTAL DISABILITIES

July 30, 2019: Public Forum Agenda

Welcoming & IntroductionsBHDDH UpdatesPersonnelFY20 Budget

DDD Key InitiativesUpcoming Events

WELCOMING & INTRODUCTIONS

EOHHS Secretary, Womazetta JonesBHDDH Director Rebecca BossBHDDH Deputy Director, Dr. Louis CerboInterim CFO, Jennifer White

DD Director Kerri Zanchi

Division Personnel Updates

Case Management Unit Structure & New Hires

Four State-wide Regional Supervisors Meredith MacDonald – South County Marguerite Belisle – East Bay Joanne Prior – Providence/West Bay Janice Bijesse (Start 8/18/19)- NRI

New Social Case Workers Teresa Pereira Jackie Camilloni

FY20 Budget Summary

Services FY 2018 Actuals

FY 2019 Final Enacted

FY 2020 Enacted

Private Providers/FI $224.8 M $232.9 M $256.5 MRICLAS $30.7 M $28.5 M $28.2 M

FY2020 highlights include $9.5M for direct care professional wage increases (private providers) $14.9M in federal funds for enhanced match on health home project

FY2019/2020 Enacted Budgets

DDD Key Initiatives

Quality Management DDD Rate Review Youth in Transition START Interim Settlement Agreement and Consent Decree DD Health Home Electronic Visit Verification

Public Forum - July 2019

FY20 Contracts & Resources

Advocates in Action: self-advocacy, peer monitoring & training

Sherlock Center: UCEDD; education, training, data collection

RIPIN: information, training, peer assistance

START: system level clinical assessment of need

PCSEPP 3.0: customized employment program development

NESCSO: rate review

Quality Management

Quality Assurance (Investigations) Abuse, Neglect, Mistreatment, Financial Exploitation

Licensing (Regulations) Auditing, Plans of Correction, Regulatory Action

Quality Improvement (Programs) Technical Assistance, Certification Standard Approval, Data

and Trends

DDD Rate Review

DDD is conducting a Rate Review to look at: WHAT services are being provided, HOW support services are provided, and HOW MUCH is paid for support services.

NESCSO (New England States Consortium Systems Organization) has been hired to do this important work. NESCSO will initially focus on the RATES for

DD Day and Employment Services, and the WAY we pay for services

Stakeholder meetings to get feedback will be held in the coming months.

Please share your input with us at any time by

emailing us at:BHDDH.AskDD@bhddh.ri.gov

or by calling the Division directly at

401.462.3421

Youth in Transition

Priorities & Objectives Transition processes and

materials Website updates Social casework assignment

by age 20 Transition training for social

service Data collection and review

Resources & Events Partnerships with Rhode

Island Department of Education and Office of Rehabilitative Services

Transition Advisory Councils Collaborative State Plan Transition Events

Consent Decree: RI Key Objectives and Deliverables

1. Increase Supported Employment Outcomes2. Launch DD Quality Improvement System 3. Strengthen Transition Services 4. Systemic Adoption of Person-Centered Planning 5. Strengthen Outreach and Communication 6. Increase Training & Technical Support for Providers & State Staff 7. Strengthen Integrated Day Services

Interim Settlement Agreement(ISA) End Date: 2020

Main Provider (TTP/CWS/EasterSeals) has significantly changed. Met June 2017 ISA Court Order requirements. Benefits Planning and quality of Career Development Plan

improved. State submitted report on specific ISA compliance areas to

focus efforts to finalize agreement. Next steps: define substantial compliance with the DOJ and

the Court Monitor

Consent Decree Status End Date: 2024

All Sheltered Workshops in Rhode Island closed. Launched pilot employment program that employed over 370

consumers in 2 years. Implemented training and guides on Person-Centered Planning. BHDDH, with community engagement, updated all regulations to

support Person-Centered approach. Added transition staff to have more presence in schools. Launched Quality Improvement Program. Launching Therap Case Management System.

Health Home Goals

Expand system capacity to support all consumers with planning, coordination, and achievement of self-identified goals and outcomes

Improve the overall health and well-being of consumers Improve the use of and coordination with managed care benefits Build on DDOs’ experience, expertise, and commitment Obtain enhanced federal funds for two years Increase investment in Health Information Technology Compliance with federal regulations for person-centered, conflict free

service planning and coordinationPublic Forum - July 2019

Timeline for Health Home

September 2019:

October 2019:

December 2019:

January 2020:

Public Forum - July 2019

Engage with stakeholders & Finalize design of Health Home

Develop certification standards for Health Home & Request authority from federal government (CMS) to implement Health Home

Contract with Health Home and Provide support and assistance needed for Health Home readiness

Begin outreach to current DD consumers to share information about Health Home & Begin enrolling individuals that choose Health Home model

Upcoming Community Stakeholder Meetings for Health Home

August 28 from 4-6pm Warwick Public Libraryhosted by RIFORCE

September 9 from 1-3pm Warwick Public Libraryhosted by the Cross Disability Coalition

Public Forum - July 2019

Electronic Visit VerificationWhat You Need to Know

Who will be affected and what services are affected? Individuals in the DD system who use Home Health Services or who

use Self-Directed Home Health & Personal Care Services. Services include Activities of Daily Living (ADL) such as movement,

bathing, dressing, toileting, transferring, and personal hygiene; or Instrumental Activities of Daily Living (IADL), such as meal preparation, money management, shopping, and telephone use.

The State of RI has asked CMS for an extension. EOHHS is leading implementation and supporting DDD in stakeholder engagement.

Upcoming Self-Directed Forum

August 27th from 10-11:30am at Warwick Public Library

Questions and More Information

Q&A

Copy of this Power Point will be posted on DDD website at www.bhddh.ri.gov

BHDDH.AskDD@bhddh.ri.govCall DDD at 401-462-3421

Public Forum - July 2019

Additional Information

Advocates in Action

Technical Assistance: Recent examples are the IP Model focus groups, consumer surveys, and rate review informational materials.

Education & Outreach: Includes a Leadership Class, conferences, educational forums on “hot topics”, videos and other materials to develop self advocates’ skills and knowledge of the DD system.

Peer mentors provide support to individuals, offer presentations through a speaker’s bureau, create resource materials, and participate in meetings and serve on committees to represent the voice of individual stakeholders.

Sherlock Center

Person-Centered Thinking: provide training and technical assistance for a person-centered focus in the provision of DD services.

Other Trainings: Manage contract for online training through College of Direct Supports and College of Supported Employment. Offer Supporting Meaningful Employment training and coaching for provider employment staff.

Benefits Planning: coordinate benefits planning for DDD participants.

Data Collection and Evaluation for Consent Decree reporting and National Core Indicators.

RI Parent Information Network (RIPIN)

Adult Service Information Information packets for

transitioning youth age 14-16 Participation in IEP for

transitioning youth age 17-18

Training & Presentations Community Workshops Feedback on Informational Materials

Peer-to-Peer Support Adult Service Information DDD & Medicaid Waiver Applications Assistance to Spanish Speaking

Families

DDD social service training

START

Systemic, Therapeutic, Assessment, Resources, and Treatment

Person-centered, solutions-focused approach that utilizes positive psychology and other evidence-based practices.

Comprehensive system analysis to identify resources, strengths and areas of opportunity with supporting individuals with I/DD and behavioral health needs and their families in the community.

National initiative that works to strengthen efficiencies and service outcomes to optimize independence, treatment, and community living for individuals with I/DD and behavioral health needs.

PCSEPP 3.0

Person-Centered Supported Employment Performance Program (PCSEPP) 3.0 focuses on customized employment for people who have never had a competitive integrated job.

Providers will be able to propose new approaches for their employment programs, which must demonstrate an ability to expand capacity.

Proposals are due in October for a start date in January.

What does a Health Home offer?

Comprehensive Care Management and Coordination: service plan facilitation and development and coordination of services

Comprehensive Transitional Support: direct and indirect support and coordination during transitions of care

Individual and Family Support: to maintain and promote quality of life (such as family training, system navigation, housing assistance)

Health Promotion: providing and promoting health education, available resources, and information to make informed decisions

Referrals to Community and Social Support Services: ensuring access to both formal and informal resources.

Public Forum - July 2019