Health and Human Services
• Home & Community Based Waiver
• Medically Handicapped Children’s Program
• Disabled Children’s Program• Disabled Persons and Family
Support Program• Public Assistance• Subsidized Adoption• Adult Protective Services• Child Protective Services
Home and Community Based Waiver
Assistive Technology and Supports
Home Modifications
Increase abilities to perform activities of daily livingControl the environment in which s/he lives
Function with greater independence in the home and isNecessary to keep the individual in their home
The First Year Learning Curve
Communication
Consumer
Services Coordinator
ATP
Services Coordinator ATP
Consumer
VS.
Inappropriate Referrals
•Lack of Awareness of what AT was¤Revised NFL Care Assessment Form¤Training on Solutions and Outcomes
•Lack of Awareness/Understanding of Funding Resources¤Medicaid/Medicare Training¤Housing Resource Training
The First Year Learning Curve
Guidelines/Procedures
*Differing Program Criteria
*Development of New CriteriaUsed equipment vs. NewNew ConstructionMaintenance and RepairHousing Quality StandardsBack up DevicesRental vs. Home Ownership
*Relationship to Other Funding Sources
*Development of a Process / Flow Chart
The First Year Learning Curve
The Process
Guidelines/Procedures
*Differing Program Criteria
*Development of New CriteriaUsed equipment vs. NewNew ConstructionMaintenance and RepairHousing Quality StandardsBack up DevicesRental vs. Home Ownership
*Relationship to Other Funding Sources
*Development of a Process / Flow Chart
*Consumer Input/What Happens Next/ Follow-up survey
*Appeals
The First Year Learning Curve
System Issues
∆ Lack of Resources
∆ Lack of Contractors
∆ Identification of Supplemental Funding
WHY DOES IT TAKE SO LONG?
The First Year Learning Curve
HHS Referrals - Year One
Waiver Eligible 588AT Only 118Ineligible 24Total 730
COUNT BY INDIVIDUALS
First Year Request Status
• Open 402• Complete 282• Waiting 211• Inappropriate 40• Ineligible 31• Cancelled 51
Total 1,017
COUNT BY PROJECTS
Types of Requests
Home Modification Emphasis
Lack of Qualified Specialists
The First Year Learning Curve
Requests by Kind
Bathroom Modifications 225
Ramps 184
Vehicle Modifications 117
Aids to Daily Living 90
Other Home Modifications 70
Exterior Lifts 33
Other Assistive Technology 25
Interior Lifts 24
DME denied by Medicaid 21
Environmental Controls 15
Mobility Devices 8
Communication 7
Vision Aids 5
Kitchen Modifications 4
Hearing Devices 2
Quality Assurance Measures
ProcessCase Management
•ATTIE (electronic database)Consumer Involvement
•Sign offs•Follow up
Appeals•Informal •Formal
Work Standards• Plans and Specifications• Building Codes• Housing Quality Standards• Average Cost Reports• National Mobility Equipment Dealers Association (NMEDA)• American Society of Mechanical Engineers (ASME A18.1 platform lifts
and stairway chairlifts)• Defined features when no industry standards
Quality Assurance Measures