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Home Accessibility Adaptations For the Supported Living Services (SLS) and Childrens Extensive Support (CES) Waivers Presented by: Diane Byrne December 2018 1 Our Mission Improving health care access and outcomes for the people we serve


  1. Home Accessibility Adaptations For the Supported Living Services (SLS) and Children’s Extensive Support (CES) Waivers Presented by: Diane Byrne December 2018 1

  2. Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2

  3. Agenda • Benefit Overview and S ervice Coverage Introduction • Proposed Division of Housing Partnership Moving • Existing Partnership with Division of Housing Forward • Improving the Benefit • Questions Wrap-Up and • Meeting format Next S teps • S cheduling 3

  4. • In the S LS and CES waivers, Home Accessibility Adaptations are:  Physical adaptations to the Home client’ s primary residence  Necessary to ensure the Accessibility health and safety of the client, or Adaptations  Enable the client to function with greater independence in the home, and  Are the most cost effective means the meet the need 4

  5. Proposed DOH Partnership • What does it do? • Where can I find it?  Moves oversight of Home  www.colorado.gov/ governor Accessibility Adaptations / budget-documents-and- to the Division of instructions Housing, Department of Local Affairs (DOH) • When does it happen? • Why?  Increased expertise  If approved by both the legislature and CMS , the  Improved consistency transition process would  Inspections for quality start in late 2019  Alignment across waivers 5

  6. Existing Partnership with DOH Home Modification Benefit oversight began October 2014, with stakeholder engagement and rule writing through 2015. Created standardized forms, trainings, construction standards, and processes, such as inspections and holding providers accountable for timeliness and work quality. Ongoing oversight and training has increased consistency, quality of work, provider timeliness, repairs, and warranty use. 6

  7. • How can we improve this benefit?  Construction standards  Rule updates  Your priorities Moving • What does this mean for me? Forward  Goal is a usable, predictable, consistent benefit  Process changes with minimal disruption 7

  8. Timelines and Meetings • Goal: six months of regular benefit and rule Meetings review • What it is Rule • How to get it Updates • Provider requirements • How to transition from improving oversight to Ongoing ongoing oversight? 8

  9. 9

  10. Thank You! 10

  11. Contact Information Diane Byrne HCBS Benefits S pecialist Diane.Byrne@ state.co.us 11

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