iris: include, respect, i self-direct
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IRIS: Include, Respect, I Self-Direct . Self-Determination Conference Wisconsin Dells November 9 , 2010. Principles of Self-Determination. Freedom to decide how to live life Authority over a budget allocation - PowerPoint PPT PresentationTRANSCRIPT
IRIS: Include, Respect, I Self-Direct
Self-Determination ConferenceWisconsin DellsNovember 9 , 2010
Freedom to decide how to live life Authority over a budget allocation Support to organize resources in ways that are
enhancing and meaningful Responsibility for the wise use of dollars Confirmation of the importance of self-advocacy
Principles of Self-Determination
Self-Directing Services
• Considering a whole life – not just services• Expanding choices and increasing control over
supports• Weaving public funding into existing supports
IRIS Basics
Federal requirement for choice Availability matches managed care Transfer between programs Current plan continues until IRIS starts Assistance is available
IRIS Participants by Target Group
Three target groups: Adults with developmental disabilities Adults with physical disabilities Elders in frail health
Frail Elders20%
Developmentally Disabled
48%
Physically Disabled
32%
Choosing your IRIS Consultant Program & Planning Specialists – Coming Soon Self-Directed Personal Care Focus on community connections
IRIS – New & Improved!
Getting Started in IRIS
Local Aging or Disability Resource Center: Completes Long-Term Care Functional Screen Verifies functional and financial eligibility Informs about monthly IRIS allocation Non-biased enrollment counseling Makes referral to IRIS
Monthly IRIS Allocation
Based on information in the Functional Screen Individualized Predicted ongoing services cost Geographic adjustment (urban/rural) Excludes MA card services and infrequent
expenses Process to adjust allocations or request one-time
expenses
Customized Goods and Services
Help meet needs and achieve goals related to: living arrangement relationships community inclusion work medical or functional status
Listed on plan, allowable per Fed/State rule, no other fund obligation, not experimentalMaintains or increases:
Safety in home or community Skill Community access or involvement Maintains or decreases Medicaid service dependence
Assistance in IRIS
In IRIS, assistance is available from: The Service Center IRIS Consultants Program and Planning Specialists Fiscal Agent Services Whoever you bring to the table!
IRIS Service Center
Service available 24hrs/day 7days/week Solve problems, answer questions and provide
information Review and process:
– New referrals– Initial plans– Plan updates
Assist with IRIS Consultant matching
IRIS Consultant Roles
Navigates, links, supports May provide IRIS orientation, explain
responsibilities and benefits of self-direction Helps identify strengths, challenges and goals Helps build support and service plan Helps identify providers Partners on developing community networks Helps develop a back up plan
IRIS Self-Directed Personal Care
People hire their own personal care workers Hours match Medicaid Personal Care agency
hours Worker wages - $13.50/hour IRIS Nurse visits included Personal care can be provided outside of the
home
IRIS Allocation
IRIS SDPC Funding
14
IRIS Financial Services
Twice-monthly payments to vendors and employees
Taxes and withholdings Criminal and caregiver background checks Monthly spending reports
Imagine, Create, Act
Questions?
16