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Assisting Families with Children who haveDevelopmental Disabilities through DiversionServicesGerry Glenn, Amanda Johnson, & Vanessa Monn
Families in Need of Support2
Who is The Agency for Persons withDisabilities?The Agency for Persons with Disabilities (APD) is Florida’s state agency specifically taskedwith serving the needs of Floridians with developmental disabilities, defined in statute as: Intellectual Disabilities (Full Scale IQ of 70 or below)Severe forms of AutismSpina Bifida Cystica or MyelomeningoceleCerebral PalsyPrader-Willi SyndromeDown SyndromePhelan-McDermid SyndromeAll Floridians with Developmental Disabilities are eligible to apply for the HCBS Waiver.3
Authorized under section1915(c) of the Social SecurityAct and governed by Title 42,Code of Federal Regulations(CFR), Parts 440 and 441.The Florida Medicaid Developmental DisabilitiesIndividual Budgeting (iBudget) Home and CommunityBased services (HCBS) waiverProvides home andcommunity-based supportsand services to eligiblepersons with developmentaldisabilities (DD) living athome or in a home-likesetting.Funded by both federal andmatching state dollars.EmbraceFamiliesFl.org4
Applying for the iBudget HCBS WAIVER1.Apply 2.Crisis 3.Send initial application for services to APD with the required documentationReceive confirmation you are accepted and placed on the waitlist for servicesIt is important to be on the waitlist (become a customer of APD)Currently homelessExhibit life-threatening behaviors that place them or others in extreme dangerCaregiver who is in extreme duress and can no longer provide for the applicant’s health and safetyEnroll Medicaid ApplicationQSI assessmentBudget CalculationWaiver Support Coordinator choice8/21/2020EmbraceFamiliesFl.org5
Purpose of iBudget HCBS WaiverOffers supports andservices to assistindividuals withdevelopmentaldisabilities to live intheir communities
Services on iBudgetAll services are basedon need, living settingand age.The waiver is payee oflast resort.
Services on iBudget Personal Supports and Respite Supplies and Equipment Life Skills and Meaningful Day Therapeutic and Wellness ABASpeechPT/OTNursing Counseling Residential Services Waiver Support Coordination8/21/2020EmbraceFamiliesFl.org8
Waiver Support CoordinationThe service ofadvocating for therecipient.
Waiver Support CoordinatorUsing a person-centered approach,the Waiver Support Coordinator (WSC)facilitates the individual to: Identify their personal goalsDevelop a system of support tohelp reach those goalsCoordinate supports andservicesAccess supports and servicesREGARDLESS of funding sourceEnsures the Waiver is the payeeof last resort10
Waiver Support Coordinators Coordinate AllSupports Family, friends, and systems ofsupport Vocational Programs School Districts Community Programs Medicaid Private Insurance Faith Communities Non-profit Services Generic resources throughother state, federal, and localgovernment and communityprograms8/21/2020EmbraceFamiliesFl.org11
Waiver SupportCoordinatorWaiver Support Coordinatorsare guides and advocates.A waiver support coordinatoris not available until theindividual is eligible for waiverservices.
Embrace Families Contract with WSC A trend started appearing that children with developmental disabilities were cominginto Foster Care due to families needing assistance. The families were being served through our Diversion Program. Need for an expert in the field! Contract was developed Looking at Community Resources using Medicaid and the School System to helpsupport these families. Help families navigate through the APD process Help families navigate the school system process13
How Embrace Families Involves the WSCCPI receivescaseServices areInitiated8/21/2020Diversion Manager identifiescase as child havingdevelopmental disabilitiesand needing assistanceIf appropriate, WSC iscontacted to startservicesEmbraceFamiliesFl.orgAPD liaison withEmbrace Families iscontactedAPD liaison withEmbrace Familiesscreens case forappropriateness14
Serving Diversion Families Assisted with APD application, ensuring all documents were sent Assisted families in effectively communicating their crisis to APD Assisted families with the APD residential referral process Coordinated Medicaid and Private Insurance Services Assisted in IEP development and transition services Coordinated other natural support services8/21/2020EmbraceFamiliesFl.org15
Services on iBudget Personal Supports and Respite Supplies and Equipment Life Skills and Meaningful Day Therapeutic and Wellness ABASpeechPT/OTNursing Counseling Residential services Support Coordination8/21/2020EmbraceFamiliesFl.org16
Children’s Services and AgenciesWAIVER Respite Residential servicesSupport CoordinationMEDICAID Personal Supports Supplies andEquipment Therapeutic andWellness 8/21/2020SCHOOL Life Skills andMeaningful DayABASpeechPT/OTNursing CounselingEmbraceFamiliesFl.org17
Serving Diversion Families Explore the real needs of the entire family Complete an entire picture of family life and daily routine Explore all state, federal, and community resources to meet thefamily’s needs Anticipate emerging needs8/21/2020EmbraceFamiliesFl.org18
Serving Diversion Families Family 1 CMS and Personal Care Needs Family 2 ABA Therapy Family 3 Residential Placement8/21/2020EmbraceFamiliesFl.org19
Data from Embrace FamiliesFiscal Year 2018/2019Total Paid to WSC: 48,575.01Families Served: 49Cases Diverted from Care: 22Estimated cost of Diverting Cases: 85,680 monthThere were 7 high end cases that threatened coming into care. Thosecases alone saved Embrace Families 63,000 a month.8/21/2020EmbraceFamiliesFl.org20
A Better Future for Our Families Politics Behind Existing System Impact of Waiver Going Away APD’s Role in Supporting Families Support Families with Children Advocates to Help in Crisis Process Training for Families Ultimate Outcomes will be Better forChildren, Families and APD8/21/2020EmbraceFamiliesFl.org21
The Agency for Persons with Disabilities (APD) is Florida’s state agency specifically tasked with serving the needs of Floridians with developmental disabilities, defined in statute as: Intellectual Disabilities (Full Scale IQ of 70 or below) Severe forms of Autism
