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Self-Directed Services In Montana’s Developmental Disabilities Waivers. Is Self-DIRECTION for You?. Self-Directed Services. MORE CHOICES. MORE CONTROL. MY DECISIONS. Two Options to Self-Direction. Services can be Self-Directed with an Agency as Employer (aka - Agency with Choice). - PowerPoint PPT Presentation
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Is Self-DIRECTION for You?
Self-Directed ServicesIn Montana’s Developmental Disabilities
Waivers
Self-Directed ServicesMORE CHOICES
MORE CONTROL
MY DECISIONS
Two Options to Self-Direction
THE AGENCY IS THE
EMPLOYER YOU ARE THE EMPLOYER
Services can be Self-Directed with an Agency
as Employer (aka - Agency with Choice)
Working Together Using Agency with
Choice
Individuals and families can work with their provider agency to hire
staff they want to work with them.
Staff you prefer meet all agency requirements and become employees of the
agency
The Agency is the employer of the staff and is responsible for all the duties of the employer.
The Agency will recruit, hire, complete background checks, manage payroll, provide staff training, let people go when necessary , and schedule employees.
Services can be Self-Directed with
Employer Authority
0208 Comprehensive Waiver
0371 Community Supports Waiver
0667 Children’s Autism Waiver
Supports Broker Supports BrokerPersonal Supports Personal SupportsRespite Respite RespiteEnvironmental Modifications/Adaptive Equipment
Environmental Modifications/Adaptive Equipment/Specialized Medical Equipment
Individual Goods and Services Individual Goods and Services
Personal Emergency Response System (PERS)
Personal Emergency Response System (PERS)
Meals Educational ServicesCommunity Transition Services Health/Health Maintenance/
Safety Supports Social, Leisure, Recreational Supports
Transportation provided during the provision of direct services
Transportation provided during the provision of direct services
Transportation provided during the provision of respite
Self-Directed Services in Employer Authority
Personal Supports Services
Assistance in carrying out daily living and other activities needed to be successful living in the community.
Includes Services -Personal careHomemakerAdult Companion
Respite ServicesProvides relief to the unpaid caregiver providing 24/7 care
throughRespite workersRecreation or
leisure activities
Support BrokerTrained and certified to help meet the
challenges of self-directing servicesAssists the person or family in
arranging for, directing and managing self-directed services
Provides information and training when needed
Environmental Modifications/ Adaptive
EquipmentChanges to the home and vehicle or
specialized equipment needed to enable the person to function more
independently or provide accessibility or safely.
Personal Emergency Response System
Electronic devices that assist the person who may be alone for periods
of time in obtaining help in emergencies
TransportationAllows payment of some costs of
self-directed employees who provide transport not available from other
sources for person to access needed services, activities and supports.
Other services MAY be self-directed under specific
waivers
Choices
Who Works For You
What Services Will be
Provided
When Services Will Be
Provided
Where You
Receive Your
Services
How Long The Services Will Be
Needed
Your CHOICE!
What Knowledge and Skills Are Important?
• Be proactive• Use good people skills• Be flexible when you schedule• Be willing to put time into the process• Have a good back-up plan• Have one point of contact as employer• Be an advocate• Be responsible for paperwork and
follow through
More Knowledge, Skills and Abilities
• Accommodate to needs, within the system
• Understand that needs change• Don’t be afraid of challenges• Be clear about expectations• Communicate with employees and
team• Know who to go to for help• Be sensitive to people
Challenges• Being responsible for your
decisions • Understanding and working within
the Montana State system• Fulfilling your employer obligations• Identifying recruiting and
retaining good employees• Balancing your time and
obligations
Responsibilities
Hire, Supervise, Discharge
Paperwork
Making Changes Happen
Who Can help?
Support Broker
Family/Friends/Commun
ity
Case Manager/ QIS/State
Staff
Fiscal Agent
Talk to your Case Manager
Your Case Manager can help you figure it out.
Am I Eligible???If you have a cost plan andIf you live in your personal
home Then…
You are eligible for Self- Direction of your
services
Lets Review1. Who is your Case Manager ? Do you know how
to contact your Case Manager?
2. Who is the employer in Self-Direction with Employer Authority?
2. Who are some of the people who can help you with your Self-Directed services if you have a question or problem?
3. What are some of the choices that you can make with Self-Directed services?
4. Who is in charge of hiring, training, supervising, and letting go of your employee?
Share your thoughtswith us…
What other information about Self-Directed services would you like?
Contact UsKathy Zeeck, Self-Directed Services CoordinatorDevelopmental Disabilities ProgramMontana Department of Public Health and Human [email protected] Sanders, Rm 305Helena, MT 59604
Thank You
