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Consolidated and P/FDS
Waiver Renewals
Kick-Off with
Deputy Secretary Thaler
July 31, 2017
8/11/2017 1
StrategyP/FDS & Consolidated
Waivers
Goals
Procedures/Practices
Financing
Training & TA
Quality Oversight
Leadership
Values
Listening toself- advocates
and families
Catalysts
Interagency and Stakeholder
Collaboration
The Waiver is the Strategy
Everyday Lives Recommendations
8/11/2017 3
Stakeholder Involvement
• 2013 - ODP Futures Planning begins - 265 stakeholders
• 2015 - Ten in-person public forums solicit public input
• 2016 - Everyday Lives 2016 – published
ISAC 13 recommendations for system change
• 2016 – Webinars – 3 “Preview” webinars,
5 Webinars for public comment
4
What the Waivers Make Possible
P/FDS and Consolidated Waivers
1. We can help families with infants and toddlers and
people with Autism
2. We can make it possible for people to be part of their
community
3. We can make it possible for people to live with people
they like and who like them
4. We can help people maintain their physical & mental
health
8/11/2017 5
We Can Serve Infants and Toddlers
We an help children as young as age birth.
Because there are infants and toddlers with very
complex needs whose families need help to take
care of them through …..
Supports in the home
Life Sharing
And because we need an
alternative to pediatric nursing homes for them.
8/11/2017 6
We Can Serve People with Autism
We can now serve people with Autism
who don’t have ID but who need
support just as much because….
8/11/2017 7
We Can Help People Join Their Community
We can help people learn new things, meet new
people, make friends and feel like they belong in
the community…because it’s the path to a good
life.
Work is one way to do that. People who have job meet new people,
learn new skills and they feel like they belong, like they are
contributing…..and we want to make sure everyone has that opportunity.
• Expand employment supports
– $15,000 beyond P/FDS cap
– Advanced Supported Employment
– Benefits Counseling
– Transportation benefit for people living in group
homes who have a job
8/11/2017 8
We Can Help People Join Their Community
• Community Participation is another way to help
people learn new things, meet new people,
make friends and feel like they belong in the
community
Community Participation
Support Service
8/11/2017 9
We Can Help People Join Their Community
• Volunteering is a way to meet people & make a
contribution to the community. It can lead to paid work.
– Meals on Wheels, working in an animal shelter, a food
pantry or helping out in nursing home or day care center, are
opportunities to make a difference in the community, to
develop work skills and habits…and to meet people.
• Learning to navigate the community more independently
whether it’s crossing a street at the light or taking public
transportation develops independence skills.
• Going to adult education classes in schools or libraries
creates opportunities.
8/11/2017 10
11
Developing interests and skills in the arts –
painting, singing, dancing, drama or pursuing
hobbies that other people are interested it– things like
racing model cars, cooking clubs, adult softball or
bowling leagues all expand opportunities.
Lots of the people in our service system, like many of us,
have weight problems and other health risks….so things like
walking clubs, cycling, water aerobics, diet groups and yoga
can be fun, and they can provide a peer support group to
improve health.
We Can Help People Join Their Community
We Can Help People Live with People They Like
• Help people live with people they like and who
care about them because it is the most
important thing in life.
– Enhance Support to Families
• Family/Unpaid Caregiver Training and Consultation
• Participant-Directed Goods and Services (P/FDS only)
• Expand Life Sharing to immediate and extended family
members
12
We Can Help People Live with People They Like
• Help people live with people they like and who
care about them because it is the most
important thing in life.
– Life Sharing to people in their own homes
– Supported Living Model
– Housing Tenancy and Tenancy Sustaining
Services
13
Waiver Services
– Consultative Nutritional
Services
– Art, Music and Equine-
Assisted Therapy
– Community Participation
– In-home and Community
Support
8/11/2017 14
OK34%
Overweight33%
Obese33%
66 % of 53,000 are Overweight or Obese
They are all at risk of diabetes, heart disease and cancer
We Can Help People Stay Healthy Physically
35%
50%
35% of People with ID have Mental Illness
Mental Health Diagnosis NO MI
8/11/2017 15
Waiver Services
– Art, Music and Equine-
Assisted Therapy
– Communication Specialist
– Behavior Supports
– Community Participation
– In-home and Community
Support
We Can Help People Stay Healthy Mentally
Most People We Support Live with Family
8/11/2017 16
With Family, 40,000, 75%
Residential, 13,000, 25%
Where People We Serve Live
With Family Residential
How Are We Going to
Maximize all of these New
Opportunities?
Where and How to Begin
8/11/2017 17
THREE BUCKETS of SUPPORT
Goods &Services(Day-to-day
supports at
home, work,
and in the
community)
Connecting & Networking
(Talking to
someone who has
“been there”)
Discovery &
Navigation(Information
and Training)
There is More than One Way to Help
Have a Discussion
• Help people/families create a vision
• Help people/families see all the possibilities
• Show the alternatives
19
You are There for all Life Experiences & Life Transitions
Getting
New
Diagnosis
Parents
Turn 65
Medicare
& SSDI
Leaving
Early
Childhood
/ enter
school
Transitio
n
planning
Living
Adult
Life
When my parents
pass away, what will I
do?
Turning
18.
Leaving
school at
18 or 21
Chores and allowance
Scouts, 4H, faith groups
Playing sports or an instrument
Making MistakesLearning to say “no”
Birthday parties with friends
“Anticipatory Guidance for Life Experiences”
Enjoying friends and family
Finding a job
Volunteering Getting a home
Early
Interventio
n
INTEGRATED SUPPORTS
TechnologyRelationship based
Personal strengths & assets
Community based Eligibility Specific
A USEFUL TOOL FOR:
•Problem-solving
•Identifying strengths
•Exploring options
•Seeing opportunities
The Star – a Conversation Tool
FY 2017-18…Serving More People
• Waiting list initiative - additional 820 special education
graduates during SFY 2017-18 and a higher cap for
individuals in employment services in the P/FDS Waiver; 50
adults with autism in the Autism Waiver
• New Community Living Waiver ($70,000 cap) to ensure
1,000 individuals currently on the waiting list can continue to
live at home (begins 1/01/2018)
• Targeted Services Management to 1,545 individuals on the
autism waiting list and 455 individuals on the intellectual
disability waiting list
8/11/2017 22
Timeline for Implementation
Waiver renewals
July 1, 2017
January 1, 2018
July 1, 2019
• Changes in residential services
• Children transitioned to EPSDT
for behavioral support
• 14 hour/day limitation on
Community Participation
Supports, In-home and
Community and Companion
begins
Standard for time
in community
25%+
January 1, 2019
Certification
requirements
Supported
Employment
July 1, 2018
Staff training
requirements for
Community
Participation Supports
Communication
#078-17 Fiscal Year
(FY) 2017‐2018 FAQs
APPENDIX E:
IMPLEMENTATION
DATES
Web Series
#2 Overview of Consolidated and P/FDS Waiver Renewals
Wed 8/2 10-12p and 5:30-7:30pm
https://attendee.gotowebinar.com/rt/2016153965296781059
#3 Community Participation Supports
Thur. 8/17 10-12p
https://attendee.gotowebinar.com/register/4647804260052742659
#4 Changes in Residential Services
Thur. 9/21 10-12p
https://attendee.gotowebinar.com/register/2355085021628237827
8/11/2017 24
Final Approved Waiver Documents
Consolidated
http://dhs.pa.gov/cs/groups/webcontent/documents/do
cument/c_262841.pdf
P/FDS
http://dhs.pa.gov/cs/groups/webcontent/documents/do
cument/c_262843.pdf
8/11/2017 25