Consolidated and P/FDS

Waiver Renewals

Kick-Off with

Deputy Secretary Thaler

July 31, 2017

8/11/2017 1

StrategyP/FDS & Consolidated

Waivers

Goals

Procedures/Practices

Financing

Training & TA

Quality Oversight

Leadership

Values

Listening toself- advocates

and families

Catalysts

Interagency and Stakeholder

Collaboration

The Waiver is the Strategy

Everyday Lives Recommendations

8/11/2017 3

Stakeholder Involvement

• 2013 - ODP Futures Planning begins - 265 stakeholders

• 2015 - Ten in-person public forums solicit public input

• 2016 - Everyday Lives 2016 – published

ISAC 13 recommendations for system change

• 2016 – Webinars – 3 “Preview” webinars,

5 Webinars for public comment

4

What the Waivers Make Possible

P/FDS and Consolidated Waivers

1. We can help families with infants and toddlers and

people with Autism

2. We can make it possible for people to be part of their

community

3. We can make it possible for people to live with people

they like and who like them

4. We can help people maintain their physical & mental

health

8/11/2017 5

We Can Serve Infants and Toddlers

We an help children as young as age birth.

Because there are infants and toddlers with very

complex needs whose families need help to take

care of them through …..

Supports in the home

Life Sharing

And because we need an

alternative to pediatric nursing homes for them.

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We Can Serve People with Autism

We can now serve people with Autism

who don’t have ID but who need

support just as much because….

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We Can Help People Join Their Community

We can help people learn new things, meet new

people, make friends and feel like they belong in

the community…because it’s the path to a good

life.

Work is one way to do that. People who have job meet new people,

learn new skills and they feel like they belong, like they are

contributing…..and we want to make sure everyone has that opportunity.

• Expand employment supports

– $15,000 beyond P/FDS cap

– Advanced Supported Employment

– Benefits Counseling

– Transportation benefit for people living in group

homes who have a job

8/11/2017 8

We Can Help People Join Their Community

• Community Participation is another way to help

people learn new things, meet new people,

make friends and feel like they belong in the

community

Community Participation

Support Service

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We Can Help People Join Their Community

• Volunteering is a way to meet people & make a

contribution to the community. It can lead to paid work.

– Meals on Wheels, working in an animal shelter, a food

pantry or helping out in nursing home or day care center, are

opportunities to make a difference in the community, to

develop work skills and habits…and to meet people.

• Learning to navigate the community more independently

whether it’s crossing a street at the light or taking public

transportation develops independence skills.

• Going to adult education classes in schools or libraries

creates opportunities.

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11

Developing interests and skills in the arts –

painting, singing, dancing, drama or pursuing

hobbies that other people are interested it– things like

racing model cars, cooking clubs, adult softball or

bowling leagues all expand opportunities.

Lots of the people in our service system, like many of us,

have weight problems and other health risks….so things like

walking clubs, cycling, water aerobics, diet groups and yoga

can be fun, and they can provide a peer support group to

improve health.

We Can Help People Join Their Community

We Can Help People Live with People They Like

• Help people live with people they like and who

care about them because it is the most

important thing in life.

– Enhance Support to Families

• Family/Unpaid Caregiver Training and Consultation

• Participant-Directed Goods and Services (P/FDS only)

• Expand Life Sharing to immediate and extended family

members

12

We Can Help People Live with People They Like

• Help people live with people they like and who

care about them because it is the most

important thing in life.

– Life Sharing to people in their own homes

– Supported Living Model

– Housing Tenancy and Tenancy Sustaining

Services

13

Waiver Services

– Consultative Nutritional

Services

– Art, Music and Equine-

Assisted Therapy

– Community Participation

– In-home and Community

Support

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OK34%

Overweight33%

Obese33%

66 % of 53,000 are Overweight or Obese

They are all at risk of diabetes, heart disease and cancer

We Can Help People Stay Healthy Physically

35%

50%

35% of People with ID have Mental Illness

Mental Health Diagnosis NO MI

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Waiver Services

– Art, Music and Equine-

Assisted Therapy

– Communication Specialist

– Behavior Supports

– Community Participation

– In-home and Community

Support

We Can Help People Stay Healthy Mentally

Most People We Support Live with Family

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With Family, 40,000, 75%

Residential, 13,000, 25%

Where People We Serve Live

With Family Residential

How Are We Going to

Maximize all of these New

Opportunities?

Where and How to Begin

8/11/2017 17

THREE BUCKETS of SUPPORT

Goods &Services(Day-to-day

supports at

home, work,

and in the

community)

Connecting & Networking

(Talking to

someone who has

“been there”)

Discovery &

Navigation(Information

and Training)

There is More than One Way to Help

Have a Discussion

• Help people/families create a vision

• Help people/families see all the possibilities

• Show the alternatives

19

You are There for all Life Experiences & Life Transitions

Getting

New

Diagnosis

Parents

Turn 65

Medicare

& SSDI

Leaving

Early

Childhood

/ enter

school

Transitio

n

planning

Living

Adult

Life

When my parents

pass away, what will I

do?

Turning

18.

Leaving

school at

18 or 21

Chores and allowance

Scouts, 4H, faith groups

Playing sports or an instrument

Making MistakesLearning to say “no”

Birthday parties with friends

“Anticipatory Guidance for Life Experiences”

Enjoying friends and family

Finding a job

Volunteering Getting a home

Early

Interventio

n

INTEGRATED SUPPORTS

TechnologyRelationship based

Personal strengths & assets

Community based Eligibility Specific

A USEFUL TOOL FOR:

•Problem-solving

•Identifying strengths

•Exploring options

•Seeing opportunities

The Star – a Conversation Tool

FY 2017-18…Serving More People

• Waiting list initiative - additional 820 special education

graduates during SFY 2017-18 and a higher cap for

individuals in employment services in the P/FDS Waiver; 50

adults with autism in the Autism Waiver

• New Community Living Waiver ($70,000 cap) to ensure

1,000 individuals currently on the waiting list can continue to

live at home (begins 1/01/2018)

• Targeted Services Management to 1,545 individuals on the

autism waiting list and 455 individuals on the intellectual

disability waiting list

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Timeline for Implementation

Waiver renewals

July 1, 2017

January 1, 2018

July 1, 2019

• Changes in residential services

• Children transitioned to EPSDT

for behavioral support

• 14 hour/day limitation on

Community Participation

Supports, In-home and

Community and Companion

begins

Standard for time

in community

25%+

January 1, 2019

Certification

requirements

Supported

Employment

July 1, 2018

Staff training

requirements for

Community

Participation Supports

Communication

#078-17 Fiscal Year

(FY) 2017‐2018 FAQs

APPENDIX E:

IMPLEMENTATION

DATES

Web Series

#2 Overview of Consolidated and P/FDS Waiver Renewals

Wed 8/2 10-12p and 5:30-7:30pm

https://attendee.gotowebinar.com/rt/2016153965296781059

#3 Community Participation Supports

Thur. 8/17 10-12p

https://attendee.gotowebinar.com/register/4647804260052742659

#4 Changes in Residential Services

Thur. 9/21 10-12p

https://attendee.gotowebinar.com/register/2355085021628237827

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Final Approved Waiver Documents

Consolidated

http://dhs.pa.gov/cs/groups/webcontent/documents/do

cument/c_262841.pdf

P/FDS

http://dhs.pa.gov/cs/groups/webcontent/documents/do

cument/c_262843.pdf

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