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Centers for Independent Living and Money Follows the Person

Centers for Independent Living and Money Follows the Person. TX SILC Conference 2014 Judy Telge Coastal Bend Center for Independent Living - Corpus Christi. Relocation services contracts. Department of Aging and Disability Services

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Centers for Independent Living and Money Follows the Person

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  1. Centers for Independent Livingand Money Follows the Person TX SILC Conference 2014 JudyTelge Coastal Bend Center for Independent Living - Corpus Christi

  2. Relocation services contracts • Department of Aging and Disability Services • Assistance for individuals w/ disabilities eligible for Medicaid to relocate from nursing facilities to the community • Current contracts: September 2011- August 2014, majority with Texas CILs • CBCIL Contract covers Nueces & Hidalgo STAR+PLUS Service Areas • Goal: 145 relocations in DADS Region 11

  3. CBCIL relocation history • 1999: Project Choice pilot – Nueces, Kleberg • 2002: CARS (pre-STAR+PLUS) • 2003: Site III (Regions 11, 8, 3 - STAR+PLUS) • 2007-2010: DSHS Community Integration VAIL had Region 11 DADS Relocation contract • 2011: current Relocation Contractor

  4. Partnerships are essential * • Community partners provide supports and services to assure success • Seamless transition for consumer from facility to community services • Players, perspectives and processes must be coordinated & roles understood • CILs are natural allies in MFP process

  5. STAR+PLUS key partners

  6. Factors in successful relocation • The level of community supports available to the individual, not the type or severity of disability • Not a matter of readiness but an assumption that individuals can achieve success with supports and services • Availability of affordable, accessible, integrated housing

  7. Relocation specialists tasks • Referral • Assessment • Planning & Coordination • Relocation • Follow up

  8. Referral & assessment • Originates with the consumer • HHSC Star+Plus Support Unit • Assessment with consumer at NF • Goals for community living, housing preferences, options and needs • ID barriers to housing & other activities • Initiate applications: TLC, TBRA, Asset

  9. Planning & coordination • Initiate housing search, assuring accessibility, affordability and choice • D/C planning with MCO Service Coordinator, NF Social Worker, Relocation Specialist and consumer • Set D/C date, pending housing • Provide consumer with info re: SSA for award letter, SS card, apply for ID

  10. Relocation Day prior to relocation • Go shopping! TAS, TLC items delivered • Confirm discharge plan, services, housing • Arrange transportation as needed Day of relocation • Groceries purchased & delivered • Meet consumer for 1st face-to-face follow-up

  11. Follow up • Consumer is contacted after relocation over a 90 day period • At least one face-to-face visit • Consumer can refuse follow ups • Contacts identify & address issues, refer to additional services

  12. Community supports • CBCIL programs provided in the Coastal Bend: Tenant Based Rental Assistance vouchers; Transition Assistance Services; Consumer Directed Services; Transportation vouchers; CLASS Case Management; home mods/ramps • Valley Association Independent Living (VAIL) IL services/community supports in RGV • Aging & Disability Resource Centers

  13. Centers for Independent Living • Consumer- controlled • Cross-disability • Non-residential • Independent, local 501 c-3 organization • Supported by enabling Federal legislation: Rehab Act of 1978 as Amended, U.S. Dept. of Education, Rehabilitation Services Administration, Title VII-C grant funding

  14. CILs provide four core services • Information and referral • Independent living skills assistance • Peer counseling/support • Advocacy – personal and systemic … and programs to address barriers/gaps to living independently faced by individuals with disabilities.

  15. Independent Living philosophy • Outgrowth of Civil Rights movement • Principles of self-help, peer support, self-determination, equal access • Changing perceptions to “disability is a natural part of life” • Services model of consumer-control often conflicts with medical model and provider-controlled services

  16. Guiding principles • Consumer Choice • Dignity of Risk • Self Determination The debate has changed from ‘should?’ to ‘how’ people with disabilities can live in communities.

  17. Advocacy is essential • Barriers to leaving institutional settings • Consumer vs. family wishes and/or provider control • Access to policy level when MFP protocol or contract requirements are misinterpreted • Regional Community Transition Teams

  18. * Partnership Opportunities • Consumer-directed option for PAS and Habilitation, with FMS contracts • Senate Bill 7 potential to provide diversified revenue streams for CILs • Enhanced relationships with consumer-direction produce better outcomes: increased customer satisfaction, decreased cost, no increases in abuse

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