The Arc of Livingston-Wyoming June 19, 2013 Family Forum

1. The Arc of Livingston-WyomingJune 19, 2013 Family Forum

2. 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

3. 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

5. Why The Change?

6. Why The Change? • New Governor Andrew Cuomo inherits a massive deficit • Our agency gets cut $800,000 while the state closes its deficit

7. 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

9. OPWDD Transformational Agenda Goals: More person-centered services Comprehensive care coordination to meet all of an individual’s needs Establishing transparent and sustainable funding More meaningful ways to measure quality of care Serving people in the most integrated setting possible

10. Transformation Targets • 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

12. RegionalEmployment Targets

13. 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

15. 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

16. Transformation Targets 4. Rate Reform • Fairness and equity • Portability • Efficiency and economy • Simplicity and practicality • Network stability • Structural reform

17. Hilltop Work Center Data

18. New System Elements

19. How Will It Work?

20. What Services Will Hilltop Offer? Arc Life Skills Training Centers ( Day Habilitation) Hilltop Career Training Center (Vocational Rehabilitation) Hilltop Business Services

21. What Is Important To You And Your Family?

22. 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

23. 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

24. Resources & Contacts

25. . State Representatives • 2371 North Main StreetWarsaw, NY 14569 • Westgate Plaza 700 W. State Street • Olean, NY 14760 • 2721 Transit Road Suite 116 • Elma, NY 14059

26. The Arc of Livingston Arc Contacts Arc Contacts

27. Thank You For Coming!