Self Direction and the MA DDS
Participant Directed Program
Building a Home Conference
Sept. 29, 2012
Tara Himmel & Greg Carey
Self Direction
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Self-direction is a service model that empowers participants and their families by
expanding their degree of choice and control over the long-term services and
supports they need to live at home.
Many self-directing program participants share authority or delegate authority to
family members or others close to them. Designation of a representative enables
minor children and adults with cognitive impairments to participate in selfdirection programs.
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About Public Partnerships, LLC
Public Partnerships, LLC (PPL) assists Participant Directed Program participants in
implementing their own choices by assuming all payment, payroll, tax filing and
reporting responsibilities.
Mission: To support persons with disabilities and long term care needs to direct their
own services and hire their own workers. Our staff, technology and tools all focus on
giving participants the information and support they need to make good decisions and
for the Commonwealth to manage public funds accountably and efficiently.
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Program Overview
MA Participant Directed Program
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Participants are adults with developmental disabilities who require a wide range of
services.
Allocations are determined by DDS based on individual needs
Budgets range from:
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Over $100,000 for 24 hour care
$1,000 and less for assistance with utilities, job training and help purchasing goods to
improve the participants’ quality of life
Size:
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450 Participants
Funded by 3 Medicaid Waivers and state funding
80+services: Flexibility allows for creative, individualized budgets
DDS Support Brokers and Area Office designees assist in identifying the
appropriate services to meet your needs
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Services Offered
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One of the most flexible programs in the nation
More than 80 services to choose from.
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Goods and Services can be provided
In home care
Transportation
Therapy
Rent
Groceries
Medical Supplies
Utilities
Memberships
Classes
Vehicle Modification
Physical Therapy
Individualized Day Supports
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Hourly Services
Service Code
5154
5168
5180
5282
5703
5704
5707
5709
5710
5716
5722
5725
5749
5300K
5300L
Service Description
Self Directed Residential Supports
Supported Employment
CIES- Competitive Employment
Support Broker - Private
Individualized Home Supports
Individualized Day Support
Adult Companion
Community/Residential Family Training
Behavioral Supports and Consultation
Community/Residential Peer Support
Homemaker
Chore
Individual Support and Community Habilitation
Guardianship
Rep Payee
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Day and Visit Services
Visit Services
5240
5243
5245
Physical Therapy
Occupational Therapy
Speech Therapy
Day Services
5155
5719
5701
5702
Self Directed Residential Supports
Live-in Caregiver
Respite - In Recipient's Home
Respite - In Caregiver's Home
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Transportation and Goods & Items
Goods & Items
Transportation
5283
5284
5728
5731
5734
5756
5300
5400
5196
Transportation (Trip)
5198
Transportation (Mileage)
Assistive Technology
Transitional Services
Individualized Goods and Services
Home Modifications and Adaptations
Vehicle Modification
Specialized Medical Equipment and Supplies
Non waiver financial service
Non waiver financial
5300M Tranportation_Unique
5197
Transportation
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Network of Support
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Benefits
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Three different provider types: Employee, Independent Contractor, Agency
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Professional and Direct Support
DDS Support Brokers to help participants develop their budget
Ability to make changes at any time based on your needs
Providers can submit timesheets online for participant approval
Participants have online access to real-time budget information
Participant in control of decisions and increases independence
In a PPL survey over 86% of participants said their satisfaction with self direction
was “Excellent”.
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Employer Relationship
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As an employer of record, participants and families have the ability to interview,
hire and fire employees for the participant.
The employer and participant can design a job description that fits their needs
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Participants select who they hire, exactly what tasks the worker will perform and when
the staff will work
Friends, family members, and professional agencies can be hired to work with
individuals
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Assistance provided can be tailored to the individual’s needs
Personal skills training
Job Training
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Support for Participants
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Support broker or area office designee will work you to discuss how self direction
would benefit you or your family member.
MA DDS Support Brokers help educate participants and families on the program
and how to utilize tools that PPL provides
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Support Brokers and family members have access to PPL’s Web Portal. In the Web
Portal the Support Broker can:
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Budget Planning
Determining what type of services needed
Initiating and assisting with paperwork
Allocate and update funding to be spent on services
Monitor spending and identify ways to save money
Monitor status of payments and timesheet submission
PPL Customer Service is available via phone and email to answer questions for
Support Brokers, participants and providers
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Web Portal
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Questions?
Interested in getting started with PDP:
Speak with your DDS Service Coordinator.
Then contact PPL @ 888-866-0869
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