The Arc of Livingston-Wyoming
June 19, 2013
Family Forum
Why Are We Here Tonight?
• To provide families and individuals with
information from OPWDD about the rapid
changes that are occurring with services for
people with Intellectual and Developmental
Disabilities
• To hear from you! We would like to hear
what you would like for services in the
future
How Did We Get Here?
• Late 1990s NYS began to “Medicaid” services
• The HCBS Waiver includes Residential,
Prevoc, Day Hab, Supported Employment,
Transportation and some other services
• Very predictable forms of service
• This led to a period of growth with new homes
and expanded day services
Why The Change?
Pay scandal shakes nonprofit's board
News of million-dollar executive pay packages and platinumplated perks at Young Adult Institute has group's board
replacing directors and eliminating management bonuses.
9/12/2011
$5 Million Payment to End Suits Over Death
of 13-Year-Old Boy in State Care
9/21/2011
Community coping with deadly Wells fire
3/24/2009
At $4,556 a day, N.Y. disabled care No. 1 in
nation
6/20/2010
Billions of Federal Tax Dollars Wasted
Annually by New York’s Medicaid Program
COMMITTEE REPORT U.S.HOUSE OF REPRESENTATIVES 113 CONGRESS
COMMITTEE ON OVERSIGHT AND GOVERNMENT REFORM
FEBRUARY 5,2013
TH
Why The Change?
• New Governor Andrew Cuomo inherits a
massive deficit
• Our agency gets cut $800,000 while the
state closes its deficit
What Is Managed Care?
• NYS has submitted an application to
CMS for a 1915 b. c. waiver and that is
Managed Care
• Under managed care, the state gets out
of dealing with hundreds of providers
and shifts that to a Managed Care
Organization or as they call it a DISCO
OPWDD Transformational Agenda
Goals:
1. More person-centered services
2. Comprehensive care coordination to meet all of an
individual’s needs
3. Establishing transparent and sustainable funding
4. More meaningful ways to measure quality of care
5. Serving people in the most integrated setting
possible
Transformation Targets
1. Employment:
• Target individuals leaving high school, workshops
and day habilitation to identify and obtain
appropriate individualized employment goals
• Educate school districts about services including
supported employment and Pathways to
Employment
• Redesign Pathways to Employment to shorten
timeframes for transition into supported employment
OPWDD Transformation Agreement Employment Goals and Milestones
Goal: Increase the number of competitively employed individuals
Milestones:
Target Dates:
End new admissions to workshops
July 1, 2013
Retool Pathway to Employment waiver services
October 1, 2013
Develop a plan for closing sheltered workshops
October 1, 2013
(draft plan)
January 1, 2014
(final plan)
Increase the number of people in supported employment and
competitively employed by a total of 700 individuals
April 1, 2014
Regional Employment Targets
Finger Lakes Transformation Agreement Targets
Employment
Regional Target
Increase in number 500
of people employed
Statewide Target
Target Dates:
2500
April 1, 2018
Transformation Targets
2. Self-Direction
•This service has been around for a few years and is
called Consolidated Supports and Services (CSS)
•Individualized plan of service
•Individualized budget
•Individual purchases services that they need and hires
staff that they want
OPWDD Transformation Agreement Self-Direction Goals and Milestones
Goal: Increase the number of individuals who choose to self-direct to 1245
Milestones:
Target Dates:
Begin statewide education to inform individuals of their
April 1, 2013
options for self-directing their supports and services, reaching
at least 1500 individuals each quarter
Increase the number of people self-directing their services by
1245
March 31, 2014
Transformation Targets
3. Deinstitutionalization and Community Housing
•Just under 1000 people are still served in
institutional settings
•Monroe Developmental Center closing by January 1,
2014
•Increase availability of supportive housing options
including non-traditional housing models
Transformation Targets
4. Rate Reform
•Fairness and equity
•Portability
•Efficiency and economy
•Simplicity and practicality
•Network stability
•Structural reform
Hilltop Work Center Data
Total Employment in Work Center 2012
212
Total Earnings in Work Center 2012
$
Total Sales in Work Center 2012
$ 1,825,000
Supported Employment Enrollment 2012
853,856
83
New System Elements
How Will It
Work?
Support Needs
Identified
Assessment
of Strengths,
Needs &
Preferences
Eligibility
Determination
Informed
Decision
Making and
Individualized
Plan
Development
Service
Authorization
and
Implementation
What Services Will Hilltop Offer?
Arc Life Skills Training
Centers ( Day Habilitation)
Uptown
Life
Skills
Center
Open
Roads
Seniors
Center
Hilltop Career Training Center
(Vocational Rehabilitation)
Pathways to
Employment
Community
Connections:
LIVES,
Seniors, Job
Readiness
Supported
Employment
Hilltop Business Services
Hilltop
Cleaning
Service
Hilltop
Bottle &
Can Return
Hilltop
Assembly
and
Packaging
Finders
Keepers
Hilltop
Print Shop
What Is Important To
You And Your Family?
What Will The Arc And Hilltop Do?
• Work with each individual and their loved ones to
determine what they need for services. We are committed
to meeting the needs of each person we serve with the
resources we have available
• Provide regular communication as information is available
• Website
• Information sent home
• Via email
What Can You Do?
• Provide us with your email address or current
mailing address
• Attend State Forums on Workshop Closure
• Let State officials know what you want for
yourself and your loved ones
• Let State officials know that we need more time
to transition into new services
• Let State officials know that you want options for
services including earning a paycheck
Resources & Contacts
OPWDD Website: www.opwdd.ny.gov
Council on Quality Leadership:
www.thecouncil.org
The Arc: www.lwarc.org
State Representatives
Assemblyman Bill Nojay: NojayW@assembly.state.ny.us
• 3011 Rochester Road
Suite #3
Lakeville, NY 14480
Assemblyman David DiPietro: DiPietroD@assembly.state.ny.us
• 2371 North Main Street
Warsaw, NY 14569
Senator Catharine Young: cyoung@senate.state.ny.us
• Westgate Plaza 700 W. State Street
Olean, NY 14760
Senator Patrick Gallivan: gallivan@nysenate.gov
• 2721 Transit Road Suite 116
.
Elma, NY 14059
Arc Contacts
Chris Peterson, Executive Director
658-2828 x 106
cpeterson@lwarc.org
Arc Contacts
Martin Miskell, Associate Executive Director/CFO
658-2828 x 110
mmiskell@lwarc.org
Kellie Kennedy, Director of Day Services
658-3311 x 203
kkennedy@lwarc.org
The Arc of Livingston
Thank You For Coming!