Vermont Developmental Disabilities Services Department of Disabilities, Aging and Independent Living Division of Disability and Aging Services 103 South Main Street, Weeks Building Waterbury, Vt. 05671
History 1993 1993 Closi sing ng of Br f Brandon don Trainin ining g Sc School http://www.mnddc.org/parallels2/pdf/90s/93/93-CDI-VAS.pdf
Statute (18 VSA Chapter 204A) Developmental Disabilities Act 1996 • Written as a document that could be stable for 10-20 years; as needs and resources evolved • Wanted system with creativity, that could flex and develop as our abilities and knowledge evolved about how to serve people with DD • People with DD were just then finding their own voices, and we wanted ways for their evolving voices to be heard (GMSA, Voices and Choices) http://www.leg.state.vt.us/statutes/sections.cfm?Title=18&Chapter=204A
Regulations (18 VSA 8726) Implement the Developmental Disabilities Act of 1996 Part 1. Definitions Part 2. Definition of Developmental Disability and Criteria for Determining Developmental Disability Part 3. Recipient Criteria Part 4. Application, Assessment, Notification, Support Planning and Periodic Review Part 5. Self/family-Managed Services Part 6. Recipient Financial Requirements Part 7. Special Care Procedures Part 8. Grievance and Appeal Procedures Part 9. Training Part 10. Certification of Providers http://www.dail.vermont.gov/dail-statutes/statutes-ddas-dds-documents/dd-regs-3-11
State System of Care Plan (18 VSA 8725) • DD Act requires a System of Care plan. • Purpose of SOCP = resource allocation • Separates clinical eligibility from funding • Proven mechanism to hear and incorporate the voices and needs of individuals and families. http://www.ddas.vermont.gov/what-s-new/whats-new-documents/fy-2013-system- of-care-plan-update-for-developmental-disabilities-services-final
State Program Standing Committee (18 VSA 8733) Anderson, Emily (Professional) Martin, Julie (Professional) Bakeman, Anne (Advocate) Moriarty, Kyle (Advocate) Barrows, Max (Advocate) Drum, Bethany (Recipient) Prine, Barbara (Professional) Sanville, Jessica (Recipient) Greenwald, Joe (Recipient) Mairs, Gregory (Professional) Woodberry, Connie (Recipient) Yuan, Susan (Advocate) Place, Edwin, Co-Chair (Recipient) Wood, Theresa, Co-Chair (Professional) http://www.ddas.vermont.gov/ddas-boards/boards-dds/boards-dds-spcs/boards- dds-spsc-default-page
Services, Funding and People (18 VSA 8725) • Home and Community Based Services ($160M)(~2600 people) ($28K, average cost) • Flexible Family Funding ($1M) (~1000 people) • Public Guardianship ($2M)(~650 people with DD) http://www.ddas.vermont.gov/ddas-publications/publications-dds/publications- dds-documents/dds-publications-annual-report/dds-annual-report-2012
Services Support people with developmental disabilities to: • Increase independence • Live dignified lives • Find opportunities for community participation
HCBS Services • Service coordination • Employment services • Community supports • Respite • Clinical interventions • Crisis services • Home supports • Family supports
DAIL DS Waiver Expenditures: FY 2009-FY 2011 SFY 2011 SFY 2010 SFY 2009 Service Planning & Coordination $15,913,757 12% $15,607,393 12% $15,083,565 12% Employment Services $10,986,241 8% $11,373,902 9% $11,282,179 9% Community Supports $29,990,500 22% $28,549,884 21% $28,463,827 22% Respite $16,238,433 12% $15,331,778 12% $14,275,740 11% Clinical $4,811,348 3% $4,509,889 3% $4,321,558 3% Crisis $2,948,278 2% $2,884,982 2% $3,088,160 2% Supported/Assisted Living $4,589,300 3% $3,590,767 3% $3,090,696 2% Staffed Living $3,973,450 3% $3,765,751 3% $3,858,814 3% Group Living $8,269,665 6% $8,430,393 6% $8,420,552 7% Home Providers $40,186,952 29% $38,892,796 29% $36,562,217 28% TOTAL $137,907,924 100% $132,937,535 100% $128,447,308 100%
Funding Priorities • Prevent imminent risk to the individual’s personal health or safety • Prevent an adult who poses a risk to public safety from endangering others • Prevent or end institutionalization • Maintain employment upon graduation from high school • Provide training in parenting skills for a parent with developmental disabilities to help keep a child under the age of 18 at home
Service Delivery System (18 VSA 8730) Designated Agencies Specialized Service Agencies Certified providers http://www.ddas.vermont.gov/ddas-programs/programs-dds/programs-dds-default- page#providers
Office of Public Guardian (18 VSA 9313) Provides guardianship and other court-ordered supervision to people with developmental disabilities age 18 and older. When the person is unable to make basic life decisions to protect his or her rights or welfare, courts assign a public guardian when there is no friend or family member to serve as guardian. Seek to diminish need for public guardianship by: • Identifying, training, and assisting private guardians; • Encouraging and preparing individuals to make their own decisions; and • Developing supportive community resources. http://www.leg.state.vt.us/statutes/sections.cfm?Title=18&Chapter=215
Questions? Contact: Marybeth McCaffrey, JD, Division Director (802) 371 – 7824 mary.mccaffrey@state.vt.us 103 South Main Street Weeks Bldg. Waterbury, Vermont 05671
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