florida’s medicaid infrastructure grant

Florida’s Medicaid Florida’s Medicaid Infrastructure Infrastructure

GrantGrantThe Role of MIG in The Role of MIG in

Achieving Achieving Systems ChangeSystems Change

Developed for the Florida APSE ConferenceDeveloped for the Florida APSE ConferenceAugust 19August 19thth, 2009, 2009

Florida MIG ValuesFlorida MIG Values

•Employment is a right and aEmployment is a right and aresponsibilityresponsibility

•Everyone with a disability Everyone with a disability should have the opportunity to should have the opportunity to work and should be expected to work and should be expected to work and earn incomework and earn income

Florida MIG Florida MIG Function Function

Create and support a Statewide Create and support a Statewide employment infrastructure to employment infrastructure to increase the number of people increase the number of people

gainfully employed in gainfully employed in community jobs of their choicecommunity jobs of their choice

What does MIG do for What does MIG do for Florida?Florida?

•Brings federal dollars to build state Brings federal dollars to build state infrastructure to improve employment infrastructure to improve employment outcomesoutcomes

•Plays planning and coordinating role to Plays planning and coordinating role to move the employment agenda forward move the employment agenda forward statewidestatewide

•Supports Medicaid Buy-In developmentSupports Medicaid Buy-In development•Creates cross-state partnerships to Creates cross-state partnerships to

share strategies, data and best share strategies, data and best practicespractices

4

BackgroundBackground• Funded from 2000 through 2011Funded from 2000 through 2011• Florida is in it’s fourth yearFlorida is in it’s fourth year• Primary goal—Primary goal—competitive competitive

employment employment for people with disabilitiesfor people with disabilities• Grants to state Medicaid agency, or Grants to state Medicaid agency, or

other entity in cooperation with state other entity in cooperation with state MedicaidMedicaid

• Minimum grant awardMinimum grant award– States with States with no no Medicaid Buy-In: $500,000 Medicaid Buy-In: $500,000

to $750,000 per yearto $750,000 per year

MIG StaffMIG Staff

Employment CoordinatorsEmployment Coordinators

Jacksonville = Nancy Hanisch BoutotJacksonville = Nancy Hanisch Boutot

Tampa = Valerie Reed-MartinTampa = Valerie Reed-Martin

Orlando = Judy DunningOrlando = Judy Dunning

Miami = Michael CardelloMiami = Michael Cardello

Tallahassee = LeeAnn HermanTallahassee = LeeAnn Herman

MIG Contract ProvidersMIG Contract Providers

Leslie Wilson of Wilson Resources, Leslie Wilson of Wilson Resources, Inc.Inc.

Sharon Brent of the National Sharon Brent of the National Disability InstituteDisability Institute

MIG StrategiesMIG Strategies

• Passage of Medicaid Buy-InPassage of Medicaid Buy-In– Fundamental purpose: help people with Fundamental purpose: help people with

disabilities increase earnings from work disabilities increase earnings from work without fear of losing Medicaid services.without fear of losing Medicaid services.

– Medicaid Buy-In coverage is Medicaid but with Medicaid Buy-In coverage is Medicaid but with a premium payment.a premium payment.

– Allows for higher income limitsAllows for higher income limits– Allows for higher asset limitsAllows for higher asset limits

• Expansion of PAS (Personal Assistance Expansion of PAS (Personal Assistance Services)Services)

MIG Strategies MIG Strategies ContinuedContinued

• Ensuring Quality Employment Ensuring Quality Employment Service Providers Service Providers – Supported Employment and Social Security Supported Employment and Social Security

Work Incentives and Benefits Pre-Service Work Incentives and Benefits Pre-Service TrainingTraining• 4-day sessions4-day sessions• Certification upon completion/passing testsCertification upon completion/passing tests

– Advanced SE and SSWI/Benefits TrainingAdvanced SE and SSWI/Benefits Training• Additional 2 days of SE and 1 day of SSWIAdditional 2 days of SE and 1 day of SSWI


• Adult Day Training (ADT) SE Pilot ProgramAdult Day Training (ADT) SE Pilot Program– Expand the number of persons currently attending Expand the number of persons currently attending

ADT to become competitively employedADT to become competitively employed

• Employment First InitiativeEmployment First Initiative– APD assessing a new employment initiative

Florida Benefits Information Resource Florida Benefits Information Resource Network Network (F-BIRN)(F-BIRN)– Build infrastructure within APD to staff each area

office with a certified trainer qualified to train new providers


• Business Leadership NetworksBusiness Leadership Networks– 15 BLNs in Florida15 BLNs in Florida

– 10 BLNs supported with MIG funds: 10 BLNs supported with MIG funds:

Miami, Lakeland, Tallahassee, Miami, Lakeland, Tallahassee, Jacksonville, Orlando, Tampa, West Jacksonville, Orlando, Tampa, West Palm Beach, Gainesville, Ft. Myers, and Palm Beach, Gainesville, Ft. Myers, and Panama CityPanama City

2009 MIG Projects2009 MIG Projects

• Waiver Support Coordinator SE trainingsWaiver Support Coordinator SE trainings

– October 8: Tampa, Hillsborough CountyOctober 8: Tampa, Hillsborough County– October 13: Jacksonville, Duval CountyOctober 13: Jacksonville, Duval County– October 21: Miami, Dade CountyOctober 21: Miami, Dade County– October 27: Melbourne, Brevard CountyOctober 27: Melbourne, Brevard County– October 28: Daytona Beach, Volusia CountyOctober 28: Daytona Beach, Volusia County

2009 MIG Projects 2009 MIG Projects continuedcontinued

• Adult Day Training SE Project Adult Day Training SE Project *Minimum of 5 people per site transitioning into *Minimum of 5 people per site transitioning into

community employmentcommunity employment

– St. Andrew Bay Center, Panama CitySt. Andrew Bay Center, Panama City– SunCoast Goodwill, St. PetersburgSunCoast Goodwill, St. Petersburg– United Cerebral Palsy of East Central Florida, United Cerebral Palsy of East Central Florida,

Daytona BeachDaytona Beach

(Expansion proposed for 2010)(Expansion proposed for 2010)


• 4-day Intensive SE Training for SE 4-day Intensive SE Training for SE Management StaffManagement Staff

Tampa Tampa • November 3 and 4, 2009November 3 and 4, 2009• November 9 and 10, 2009November 9 and 10, 2009

JacksonvilleJacksonville• November 12 and 13, 2009November 12 and 13, 2009• November 18 and 19, 2009November 18 and 19, 2009

Ft. PierceFt. Pierce• November 16 and 17, 2009November 16 and 17, 2009• November 30 and December 1, 2009November 30 and December 1, 2009


• Four 2-day Advanced Supported Four 2-day Advanced Supported Employment Training Sessions: Employment Training Sessions: “Working with Employers”“Working with Employers”

• September 10 and 11, TampaSeptember 10 and 11, Tampa

• October 14 and 15, JacksonvilleOctober 14 and 15, Jacksonville

• October 22 and 23, Ft. LauderdaleOctober 22 and 23, Ft. Lauderdale

• October 29 and 30, 2009 TallahasseeOctober 29 and 30, 2009 Tallahassee


• Two 2-day Train-the-Trainer Two 2-day Train-the-Trainer SessionsSessions

– December 9 and 10, TampaDecember 9 and 10, Tampa

– December 14 and 15, Ft. LauderdaleDecember 14 and 15, Ft. Lauderdale

(Continuation proposed for 2010)(Continuation proposed for 2010)


• 7-day intensive Social Security 7-day intensive Social Security Benefits and Work Incentives Benefits and Work Incentives TrainingTraining

– Florida Benefits Information Resource Florida Benefits Information Resource Network Network

(F-BIRN)(F-BIRN)

• August 11 - 13 August 11 - 13 • September 14 - 17 September 14 - 17


• 3-day Train-the-Trainer on Social 3-day Train-the-Trainer on Social Security Work Incentives and Security Work Incentives and Benefits Benefits

– Staff each APD office with a certified Staff each APD office with a certified trainer qualified to train new providers trainer qualified to train new providers in SSWI Pre-Servicein SSWI Pre-Service

– October 13-15 October 13-15

APD MIG Staff Email AddressesAPD MIG Staff Email Addresses

Tallahassee - [email protected] - [email protected]

Tallahassee - [email protected] - [email protected]

Employment CoordinatorsEmployment Coordinators

[email protected][email protected]





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