Support Planner, Consultant, Broker… A Rose by Any Other Name Applied Self-Direction Workshop: Choice in Action Westin Lombard Yorktown Center – Lombard, Illinois Monday, May 7, 2018
Who is TMG? We work with people to remain independent, in their own homes and communities, with choice and control. • IRIS Consultant Agency (ICA) since 2008 partnering with over 14,000 people. • Self Directed Personal Care (SDPC) Oversight Agency supporting over 7,000 individuals in IRIS who have chosen SDPC. • Quality Oversight for community based services since 1986. • Part of the Magellan Health family of companies. Locally-based operations with 600 staff in communities throughout Wisconsin. 2
Magellan Health : One company, two unique platforms 3
Learning Objectives � What does effective support in self-direction look like? � What are different approaches to supporting people in self-direction? � What are the challenges in supporting people in self-direction? � How can lessons learned and best practices help your efforts? 4
TMG ICA Video 5
Self-Determination and Self-Direction Self-Determination and Self-Direction Self-Determination: A way of life � An individual’s basic right to decide how to live her/his own life and be a full citizen. Self-Direction: A tool to support a self-determined life � Maximizes choice and control for people who use long-term care services and supports. � Values the role individuals and families play in knowing what works best for them. � Promotes community connections, including employment, as a way for individuals to create valued roles and use unpaid and natural supports. 6
What Makes IRIS Unique? Up to 32 Up to 32 Supports Supports Full employer Full employer home and home and d three three and budget and budget community communit ty- ty ty important important authority and uthority and based services based services ces population population budget budget (HCBS) to self CBS) to se elf elf- groups. flexibility. direc direct direct. ct. Participants Participants Partic cipants cipa Full Full receive receive entitlement entitlement support to suppo ppo ppo o rt to and no and no self self el - el f-direct di d rect waiting list. their lives. 7
Clearing the Path Ahead TMG partners with people to: • Develop valued roles and community connections. • Identify their short term and long term goals. • Access local resources. • Create individual support and services plans. • Support responsible use of their plan budgets. • Support people to find meaningful days through employment and community engagement. 8
What Does Self-Direction Look Like? Work With Purpose Create A Home Belong 9
Areas of Focus in Self-Direction Building Being a part important long- of your term relationships community Self-direction supports people by focusing on Control over Working & transportation Volunteering six areas. Having a place Health & of your own safety 10
Three Questions for Planning Conversations • What can I do for myself? • What can I do with a bit of help? • What do I need supports to do for me? 11
Creating Support to Achieve Goals Natural Natural Paid Paid Unpaid Unpaid Supports Supports Supports Scheduled and Scheduled an • • Scheduled and S Scheduled and needed for needed for needed for basic needed for basic • Relationship R Relationshi ip ip- basic daily basic daily d daily activities daily activities based (not an based (not an activities activities Appears on a A Appears on a • obligation or obliga liga iga tion or t Appears on a Appears on a • “service plan” service plan task task t sk sk- sk k b k k-based) ased) a d) “service plan” service plan Replaces Replaces a paid R • R le Rol Role le le e- e e-based ba b ased d – d Often paid with Often paid w • • s service service evolves from evolves from Medicaid Medicaid If it were not If it were not I • organic, valued organ waiver fund waiver funds provided “free,” provided free, role r role Typically Typically • someone else someone else Reciprocal provided by a provided by • would need to be would need to be vendor or vendor o paid to provide it agency 12
Working with People Working with People and and Their Supports Their Supports • The person partners with their Consultant to identify trusted people or agencies to provide Identifying Self- support. Directed • These may be people or agencies the person Supports knows already or that they discover with their Consultant. • The person determines where, when, and how services will be provided, as well as the rate to be paid for supports. Arranging • The person partners with their Consultant to Services and create a plan, and hire and pay their supports with Payment the help of their Fiscal Employer Agent (FEA). • The person uses their budget authority to direct their service plan. 13
TMG in Your Community TMG in Your Community Community-Based TMG IRIS Consultant Community-Based TMG IRIS Consultant Supervisor Community-Based TMG Area Associate Director Madison-Based IRIS Consultant Agency 14
Supporting Consultant to be Good Supporting Consultants to be Partners to People in IRIS good patterns to people in IRIS • Set Expectations • Provide Training, Tools, and Coaching • Assess/Measure Progress 15
Issues, Challenges and Best Practices Issues, Challenges and Best Practices Supporting a Community-Based Workforce • Translating the Complexity • of Medicaid Dealing with Change • Understanding Self-Direction • Connecting to the Community • 16
About Your Presenters TINA MILLER TINA MILLER as been with TMG since January of 2011. Currently, she is Associate Director o R has been with TMG since January of 2011. Currently, she is Associate Director of ha Area ICA Operations in Southeastern Wisconsin. Tina is responsible for providing leadership, Area ICA Operations in Southeastern Wisconsin. Tina is responsible for providing leadership, relationship building, area operation, and promoting program quality and service excellence. relationship building, area operation, and promoting program quality and service excellence. She has previously held positions at TMG as an IRIS Orientation Consultant and IRIS Consultant She has previ Supervisor. Tina has spent her career in human services supporting diverse populations, including people Tina has spent her career in human services supporting diverse populations, including people with disabilities. Her roles have included social services coordination, community relations, with disabilities. Her roles have included social services coordination, community relations, parent education and housing counseling. You can reach Tina at TMiller@tmgwisconsin.com. MICHELLE OLSON MICHELLE OLSON N has been with TMG since January of 2011. Currently, she is Associate N as been with TMG since January of 2011. Currently, she is Associate ha Director of Area IRIS Con Director of Area IRIS Consultant Agency (ICA) Operations in West and Central Wisconsin. Director of Area IRIS Consultant Agency (ICA) Operations in West and Central Wisconsin. Michelle is responsible for providing leadership, relationship building, area operation, Michelle is responsible for providing leadership, relationship building, area operation, and promoting program quality and se promoting program quality and service excellence. She previously worked as an IRIS Orientation Consultant at TMG. Michelle has spent her career supporting people with disabilities in community support Michelle has spent her career supporting people with disabilities in community supported living programs. She has a strong background in advocacy and the independent living living programs. She has a strong background in advocacy and the independent living movement through previous employment as assistant director of one of Wisconsin’s movement through previous employment as assistant director of one of Wisconsin s Independent Living Centers. You can reach Michelle at MOlson@tmgwisconsin.com. 17
Questions? 18
Consumer directed community supports (CDCS) Cindy Grebin Cara Benson Disability Services Division May 2018 Minnesota Department of Human Services | mn.gov/dhs 19
Today’s topics • Description of Minnesota’s waiver programs • Consumer directed community supports (CDCS)-a self-directed service option • CDCS support planners • Support planner service standards Minnesota Department of Human Services | mn.gov/dhs 20
Waiver programs in Minnesota Minnesota Department of Human Services | mn.gov/dhs 21
Eligibility Minnesota Department of Human Services | mn.gov/dhs 22
Waiver programs Minnesota Department of Human Services | mn.gov/dhs 23
Waiver programs: Who is involved? Minnesota Department of Human Services | mn.gov/dhs
Selecting self-direction Once the person is determined to be eligible for a waiver or the AC program, they have two options: Minnesota Department of Human Services | mn.gov/dhs 25
Consumer Directed Community Supports (CDCS) Minnesota Department of Human Services | mn.gov/dhs 26
CDCS process: Step 1 Minnesota Department of Human Services | mn.gov/dhs
CDCS process: Step 2 Minnesota Department of Human Services | mn.gov/dhs
Recommend
More recommend
