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STANLEY LIGAS, et al. v. JULIE STANLEY LIGAS, et al. v. JULIE HAMOS, et al.HAMOS, et al.

First Annual Report of the First Annual Report of the Monitor Monitor

September 27, 2012

Tony Records, Monitor

traconsult@mindspring.com

04/10/232

Introduction Introduction Organized into Five SectionsActivities of the Monitor

– Full Cooperation from All– Parties’ Meetings– Information Sessions– Work with Defendants– Contact with providers, families and class members– Compliance Evaluation Standards

Overall Activities of the Overall Activities of the DefendantsDefendants

Ligas Implementation Team EstablishedLigas Budget DevelopedSome New Policies Established/ModifiedLigas Website Established and ModifiedSignificant Progress on Class Member List

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Resources and CapacityResources and CapacityLigas Budget Developed

– FY13 - $38.9 Million (less 4%)– Costs Projected over 6 Years

Recent Rates Adjustments– Increase in Benefits for Staff– Modifications to Remove Disincentives for Smaller (1-4

Person) HomesNew Ligas Team Members HiredEnhancements for PAS Agency ReimbursementWaiver Amendments for Expansion ApprovedRates Workgroup to Be Re-Assembled

Resources and Capacity (Cont.)Resources and Capacity (Cont.)Much More Needs to be Done!

– Only 8 of 18 Ligas Implementation Team Members Hired

– Overall, DDD Seriously Understaffed– Rates Still Among Lowest in the Country– Budget for Consultants and Contractors Has Not

Been Utilized– Payment Cycle is Still Looming as A Problem

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Class Member ListClass Member ListTwo Class Lists

– ¶2 (a) ICF/DD Class Members Current Total 697List Established and Documentation MaintainedList Has Improved Over Time

– ¶2 (b) Waiting List Class MembersCurrent Total 10,894Accuracy of PUNS List Data Deeply FlawedInaccuracies Have Affected Funding Selection

ProcessHighlights the Need for Comprehensive Data System

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Transition Services PlansTransition Services PlansDefendants Developed Transition Plan Documents

Through Stakeholder Involvement – Finalized in July 2012

2 PAS Agencies Selected for Pilot– Have Been Trained (8/23/12)– Implementation Started September 2012– Initial Sample Size 141– Monthly Updates

Crisis Transition Planning Process is in PlaceTransition Planning Training Consultant Needs to

be Hired

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Transition for Class Members in Transition for Class Members in ICFs/DDICFs/DD

697 Class Members in This Category– 153 Have Received Funding Approval– 113 Have Actually Started Services (4 in Home Based)– 19 Individuals Have Changed Their Mind and Chosen to

Stay– Updates on Remainder of Class Member are Obtained

Monthly– Voluntary Downsizing and Closure Agreement have and

will Continue to have Significant Impact on this List

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Crisis ServicesCrisis ServicesNotification of Non-Compliance, May 1, 2102Corrective Action Plan Developed, with Input from

Class Counsel. Includes:– Internal Quality Assurance Controls– Streamlined Processing Steps– Adjustments to Data-Base– Changes Review Meeting Structure– Authorization for Network Coordinators to Issue Pre-

Award Letters– Training of Network Staff and PAS Agencies– Management Review will be Included In Data Reports

Document

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Transition for Class Members Transition for Class Members on Waiting Liston Waiting List

10,894 class Members in This Category (9/12/12)– Two Selection Events (735 Class Members in February

2012 and 604 in June 2012)– Third Selection Event Imminent (1,500 Class Members)– Serious Flaws in List Eliminated Nearly Half of

Individuals from Selection Process– Services Initiated for 135 Class Members– Funding Approved for Additional 30 Class Members– 73 Packets Have Been Submitted for Approval– 343 Being Screened– 114 Confirmed That They Want Community Services

Transition for Class Members Transition for Class Members on Waiting List (Cont.)on Waiting List (Cont.)

An Optimistic Projection would Result in Services for Around 700 Class Members – Far Below the 1,000 Required

Additional Steps are Needed– Immediate Third Selection Event

– Additional Staff Supports in working with PS Agencies on PUNS List

– Develop Technical Assistance Arm to Assist PAS Agencies

– Steps to Streamline Application Process

– Poll Provider to Identify Existing Opportunities Recommend Specific Review of These Activities with

Class Counsel in January 201304/10/23

11

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OUTREACHOUTREACHTraining Activities for PAS Agencies

Development and Refinement of Ligas Website

Outreach RFP – Released September 13, 2012– Proposal Due Date of October 16, 2012

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Implementation PlanImplementation Plan

Approved by Court on February 15, 2012

Defendants Should Resubmit Revised Plan Prior to Next Parties’ Meeting

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Data ReportsData Reports

Latest Submission on August 20, 2012 for Data through FY 12.

Next Due February 15 2013 for Data Through December 15, 2012

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Services to Named Class Services to Named Class MembersMembers

Compliance Achieved

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Dispute ResolutionDispute ResolutionCorrective Action Plan Developed to Include:

– Hiring of 3 New Hearing Officers– New Hearing Officers Trained– Application Process is Being Streamlined– Rights Statement is Being Modified– PAS Agencies to be retrained on Submitting Appeals

Request– Crisis Appeals to be Given Top Priority– Management Reports to Be Generated and Provided

with Data Reports Submission

Final CommentsFinal CommentsAt Least 323 Class Members Are Have Received

Funding Approval for Services as a Direct Result of Ligas!!

This is the end of the First Year of at Least a Nine-Year case!

Ligas Activities Have Exposed and Will Continue to Expose many Weaknesses in the System!

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