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!