NC Innovations Waiver -Proposed Waiver Changes. NC Innovations Waiver Webinar August 20, 2015
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1 NC Innovations Waiver -Proposed Waiver Changes NC Innovations Waiver Webinar August 20, 2015
2 Topics Public Comment NC Innovations Waiver Proposed Waiver Changes Reserve Capacity for Military Appendix C Service Definitions Relative as Provider New Facility Capacity
3 Public Comment Public Comment will be reviewed by the State Stakeholder Group on Friday, August 21 st. 3
4 1915(c) waiver NC Innovations Waiver Home and Community Based Services Waiver Allows states to waive some of the standard federal Medicaid rules Specific populations and eligibility requirements Additional services Use Medicaid funding to support people in their homes and communities 4
5 NC Innovations Waiver Adults and children with I/DD Would otherwise qualify for institutional services 12,488 people are on the Waiver 5
6 Increased Military Capacity Increases Capacity for: Individuals who were receiving Innovations waiver services prior to family transferring to another state and have now returned to North Carolina will be prioritized for Innovations waiver funding. 6
7 Appendix C New Services
8 Community Living and Supports: New Blended Service Combines current Personal Care, In-home Skill Building and In-home Intensive services This more comprehensive category will allow for habilitation, supervision and support, and will be more flexible 8
9 Community Navigator: New Service (Formerly Community Guide) Annual Informational Session on Self Direction and Self Determination Promotes Self Determinations Promotes Self-Direction Develops Community Connections 9
10 Supported Living: New Service Daily service for individuals who live in a their own home without licensure 2 to 3 people The house or apartment is not be owned or rented by the provider May include a Live-in Caregiver Includes a Special Needs adjustment 10
11 Appendix C Services With Changes
12 Community Networking: Clarification that Community Networking can link an individual to a volunteer setting if the individual requires paid supports to participate once connected with the activity Added payment for memberships when the individual will be participating in an integrated class 12
13 Community Transition: Community Transition has a limit of $ per Waiver period Allows for individuals to access Community Transition when stepping down from AFLs, PRTFs, and family homes when moving to a home of their own 13
14 Crisis Services: Allows for the prevention of Crisis through Crisis Consultation Crisis Consultation includes: Facilitation of up to Monthly Team Meetings. Training and education for Natural Supports and direct supports staff. Develop and implement strategies. 14
15 Day Supports: Primarily a Group service Emphasizes inclusion and independence Individuals 16 or older or new to the service will receive education on other types of meaningful day activities. Day Supports can start or end in the community 15
16 Residential Supports: Residential Supports levels are determined by the Individual Budgeting Table Category Staff who provide Residential Supports should not provide other waiver services to the beneficiary Respite may be used to provide relief to individuals who reside in Licensed and Unlicensed AFLs. 16
17 Respite: Appendix C Service Definitions Provider Agencies - Agencies with Choice follow State Nursing Board Regulations Nursing Respite Provider - State Nursing Board Regulations must be followed 17
18 Respite continued: Respite can be used in AFL but not on same day as Residential Supports Allows for the person receiving services to have relief at his/ her choice 18
19 Specialized Consultative Services: This service may be used for evaluations for adults when the State Plan limits have been exceeded Clarification that Specialized Consultative services can be provided by other licensed professionals who have I/DD experience 19
20 Supported Employment: Improved access to Supported Employment service by removing three-year experience requirement Provides technical support to potential employers regarding Federal ADA accommodations and requirements Added Long Term Follow-up 20
21 Assistive Technology: Removed exhaustive lists Added broad categories Allows for the repair of equipment Allows for connectivity and smart home technology. Cost Limit: $ 50,000 over the life of the waiver (Home Modifications and Assistive Tech.) 21
22 Home Modifications: Removed exhaustive list Cost Limit: $ 50,000 over the life of the waiver (Home Modifications and Assistive Tech.) 22
23 Vehicle Modifications: Allows for lifting and lowering devices. 23
24 Appendix C Services Without Changes
25 Financial Support Services Individual Goods and Services Natural Supports and Education 25
26 Appendix C Removed Services
27 Personal Care: Definition removed In Home Skill Building: Definition removed In Home Intensive Support: Definition Removed 27
28 Relatives as Providers Community living and Support is the only waiver services that may be provided by a relative who resides in the home of the individual It is recommended that a relative provide no more 40 hours per week of service to the individual 28
29 New Facility Capacity New Facility capacity increased to four beds 29
30 Questions?
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