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Health and Human Services

Health and Human Services. Home & Community Based Waiver Medically Handicapped Children’s Program Disabled Children’s Program Disabled Persons and Family Support Program Public Assistance Subsidized Adoption Adult Protective Services Child Protective Services.

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Health and Human Services

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  1. Health and Human Services • Home & Community Based Waiver • Medically Handicapped Children’s Program • Disabled Children’s Program • Disabled Persons and Family Support Program • Public Assistance • Subsidized Adoption • Adult Protective Services • Child Protective Services

  2. Home and Community Based Waiver Assistive Technology and Supports Increase abilities to perform activities of daily living Control the environment in which s/he lives Home Modifications Function with greater independence in the home and is Necessary to keep the individual in their home

  3. The First Year Learning Curve Communication Consumer Consumer VS. ATP Services Coordinator Services Coordinator ATP

  4. The First Year Learning Curve Inappropriate Referrals • Lack of Awareness of what AT was • Revised NFL Care Assessment Form • Training on Solutions and Outcomes • Lack of Awareness/Understanding of Funding Resources • Medicaid/Medicare Training • Housing Resource Training

  5. The First Year Learning Curve Guidelines/Procedures • Differing Program Criteria • Development of New Criteria • Used equipment vs. New • New Construction • Maintenance and Repair • Housing Quality Standards • Back up Devices • Rental vs. Home Ownership • Relationship to Other Funding Sources • Development of a Process / Flow Chart

  6. The Process

  7. The First Year Learning Curve Guidelines/Procedures • Differing Program Criteria • Development of New Criteria • Used equipment vs. New • New Construction • Maintenance and Repair • Housing Quality Standards • Back up Devices • Rental vs. Home Ownership • Relationship to Other Funding Sources • Development of a Process / Flow Chart • Consumer Input/What Happens Next/ • Follow-up survey • Appeals

  8. The First Year Learning Curve System Issues WHY DOES IT TAKE SO LONG? • Lack of Resources • Lack of Contractors • Identification of Supplemental Funding

  9. HHS Referrals - Year One Waiver Eligible 588 AT Only 118 Ineligible 24 Total 730 COUNT BY INDIVIDUALS

  10. First Year Request Status • Open 402 • Complete 282 • Waiting 211 • Inappropriate 40 • Ineligible 31 • Cancelled 51 Total 1,017 COUNT BY PROJECTS

  11. The First Year Learning Curve Types of Requests • Home Modification Emphasis • Lack of Qualified Specialists

  12. Requests by Kind Bathroom Modifications 225 Ramps 184 Vehicle Modifications 117 Aids to Daily Living 90 Other Home Modifications 70 Exterior Lifts 33 Other Assistive Technology 25 Interior Lifts 24 DME denied by Medicaid 21 Environmental Controls 15 Mobility Devices 8 Communication 7 Vision Aids 5 Kitchen Modifications 4 Hearing Devices 2

  13. Quality Assurance Measures • Process • Case Management • ATTIE (electronic database) • Consumer Involvement • Sign offs • Follow up • Appeals • Informal • Formal

  14. Quality Assurance Measures • Work Standards • Plans and Specifications • Building Codes • Housing Quality Standards • Average Cost Reports • National Mobility Equipment Dealers Association (NMEDA) • American Society of Mechanical Engineers (ASME A18.1 platform lifts and stairway chairlifts) • Defined features when no industry standards

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