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Consumer Choices Option

Consumer Choices Option. What is Consumer Choices Option?. An option that gives people who are eligible for Medicaid Home and Community Based Services (HCBS) Waivers more choice and control in managing their daily lives. Who is eligible? All HCBS waiver consumers statewide.

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Consumer Choices Option

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  1. Consumer Choices Option

  2. What is Consumer Choices Option? An option that gives people who are eligible for Medicaid Home and Community Based Services (HCBS) Waivers more choice and control in managing their daily lives.

  3. Who is eligible?All HCBS waiver consumers statewide • Aids/HIV (40 consumers) • Brain Injury ( 557 consumers) • Elderly (7465 consumers) • Ill and Handicapped (1965 consumers) • Mental Retardation (8945 consumers) • Physical Disabilities (445 consumers)

  4. Traditional service plan Homemaker from provider A Home delivered meals Para-transit transportation More choice Homemaker provided by your daughter Purchase of a microwave Transportation provided by your neighbor What is new?

  5. What remains the same? • All consumers will have a service plan based on their needs • All consumers will continue to work with their service worker/case manager • Skilled services and other group services will continue to be provided by Medicaid providers

  6. What remains the same? • There will be no effect on non-waiver Medicaid services • Consumers will still be offered the full array of Medicaid services they are eligible for • Medicaid financial eligibility standards will remain the same

  7. Why is Iowa offering this option? • More choice is worth the effort • This policy change supports the 1999 Supreme Court Olmstead Decision • Evaluations conducted in states with self-direction options show: • Consumers feel safer and are more satisfied when they hire their own workers • Self direction expands consumers access to care • Workers hired directly by consumers report higher job satisfaction

  8. Challenges • Iowa wants to protect the integrity of the HCBS waiver programs • We want to provide more choice and control without impacting the number of HCBS consumers served • While offering more choice and control we want to continue to meet consumers’ needs

  9. How do we address those challenges? • This option will not cost more, nor less than traditional services • This option will offer a financial management service provider to help the consumer manage their budget & • Additional counseling/advice through an independent support broker

  10. Assumptions • We anticipate 10-15% of eligible consumers will choose this option • If we convert to dollars authorized, it will cost more to offer this option So • Consumers’ individual budget amount will be based on dollars utilized, therefore we expect it to cost the same

  11. What remains to be done? • CMS approval of the HCBS waiver amendments-expected March 1st 2006 • Administrative rules promulgated- May 1st 2006 • Enroll Financial Management services as providers-May 1st 2006 • Train and educate Independent Support Brokers, consumers and families – May 15th 2006

  12. Consumer Choices Option will be available June 2006 starting in one DHS service area at a time.  It will be available statewide by March 2007

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