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Delaware Department of Health and Social Services Division of Developmental Disabilities Services

Delaware Department of Health and Social Services Division of Developmental Disabilities Services. Joint Finance Committee Hearing Fiscal Year 2013 Jane J. Gallivan Division Director Wednesday, February 22, 2012. Vision Statement. The people we serve live fulfilling lives.

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Delaware Department of Health and Social Services Division of Developmental Disabilities Services

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  1. Delaware Department of Health and Social ServicesDivision of Developmental Disabilities Services Joint Finance Committee Hearing Fiscal Year 2013 Jane J. Gallivan Division Director Wednesday, February 22, 2012

  2. Vision Statement The people we serve live fulfilling lives. Mission Statement To provide leadership for a service system that is responsive to the needs of the people we support by creating opportunities and promoting possibilities for meeting those needs.

  3. Overview Populations Served: • Intellectual Disabilities • Autism • Prader Willi Syndrome • Asperger’s Disorder

  4. Overview • Serve over 3,375 individuals and their families • 981 individuals in Residential Services • 66 Residents of Stockley Center • 2,329 live at home with their families • 39 Authorized/Contracted Day and Residential Providers

  5. DDDS Population Approximately 70% of the DDDS population live at home with their families

  6. Eligible Applicants The population served includes both an increase in the number of applicants for services and the number determined eligible for services.

  7. Eligible Applicants DDDS Eligible Applicants Age Distribution

  8. Eligible Applicant Diagnoses Data

  9. A System’s Change Environmental Scan of the State of Delaware’s Division of Developmental Disabilities Services Project Report By Michael S. Chapman Chesapeake Management Consulting August 2011

  10. Medicaid 1915(c) HCBS Waiver State HCBS Waiver programs must: • Ensure that services follow an individualized and person-centered plan of care • Ensure the protection of people’s health and welfare • Provide adequate and reasonable provider standards to meet the needs of the target population • Demonstrate that providing waiver services won’t cost more than providing these services in an institution

  11. Medicaid Supported Employment • June 2010 - Inconsistencies in provider Supported Employment (SE) service delivery and billing practices were discovered • September 2010 - DDDS meets with all SE providers and agrees to an interim rate proposed by the providers • October 2010 - DDDS initiates biweekly meetings with national consultants and SE providers to address SE issues and rate for service

  12. Medicaid Supported Employment (Cont.) • January 2011 - Weekly internal conference calls initiated with DDDS, DMS and DMMA to address rate and billing practices • January 2011 - DDDS postpones implementation of revised rate • July 2011 – DDDS again postpones implementation • November 2011 - $49.02 final hourly rate announced at provider meeting; the rate was effective January 1, 2012

  13. Medicaid Supported Employment (Cont.) Supported Employment Rate Comparison Chart

  14. Supported Employment Funding Sources Supported Employment is funded by Medicaid Waiver Funds, Medicaid State Plan Funds and General Funds

  15. Accomplishments • Placed 32 people out of 75 budgeted residential placements since July 1, 2011 • Placed 109 out of 140 budgeted special school graduates in day program placements to date in FY 12

  16. Accomplishments Educated over 100 families about Early Start to Supported Employment Referred 56 students to the Early Start to Employment program; a total of 361 students have been referred to the program since in inception in FY 2006 Provided scholarships for new Direct Support Professional Certificate Implemented improved certification process for residential services

  17. Accomplishments • Enhanced awareness of Gold Alerts for people with intellectual disabilities • Supported community placements of DPC residents

  18. Trends • Census Growth • Pre-18 request for out-of-home placement • Aging impact on residential and day services • Complexity/intensity of support needs

  19. Trends Families providing more/extended support

  20. Employment First Initiative Employment as a primary goal of day services

  21. FY 2013 Governor’s Recommended Budget $335.9 for 1% Day and Residential Provider Increase Purchase of Service: Special School Graduates

  22. FY 2013 Governor’s Recommended Budget Purchase of Care: Residential Placements

  23. Thank You

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