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IRIS: Include, Respect, I Self-Direct

IRIS: Include, Respect, I Self-Direct . Self-Determination Conference Wisconsin Dells November 9 , 2010. Principles of Self-Determination. Freedom to decide how to live life Authority over a budget allocation

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IRIS: Include, Respect, I Self-Direct

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  1. IRIS: Include, Respect, I Self-Direct Self-Determination Conference Wisconsin Dells November 9 , 2010

  2. Principles of Self-Determination • Freedom to decide how to live life • Authority over a budget allocation • Support to organize resources in ways that are enhancing and meaningful • Responsibility for the wise use of dollars • Confirmation of the importance of self-advocacy

  3. Self-Directing Services • Considering a whole life – not just services • Expanding choices and increasing control over supports • Weaving public funding into existing supports

  4. IRIS Basics • Federal requirement for choice • Availability matches managed care • Transfer between programs • Current plan continues until IRIS starts • Assistance is available

  5. IRIS Participants by Target Group Three target groups: • Adults with developmental disabilities • Adults with physical disabilities • Elders in frail health

  6. IRIS – New & Improved! • Choosing your IRIS Consultant • Program & Planning Specialists – Coming Soon • Self-Directed Personal Care • Focus on community connections

  7. Getting Started in IRIS Local Aging or Disability Resource Center: • Completes Long-Term Care Functional Screen • Verifies functional and financial eligibility • Informs about monthly IRIS allocation • Non-biased enrollment counseling • Makes referral to IRIS

  8. Monthly IRIS Allocation • Based on information in the Functional Screen • Individualized • Predicted ongoing services cost • Geographic adjustment (urban/rural) • Excludes MA card services and infrequent expenses • Process to adjust allocations or request one-time expenses

  9. Customized Goods and Services • Help meet needs and achieve goals related to: • living arrangement • relationships • community inclusion • work • medical or functional status • Listed on plan, allowable per Fed/State rule, • no other fund obligation, not experimental • Maintains or increases: • Safety in home or community • Skill • Community access or involvement • Maintains or decreases Medicaid service dependence

  10. Assistance in IRIS • In IRIS, assistance is available from: • The Service Center • IRIS Consultants • Program and Planning Specialists • Fiscal Agent Services • Whoever you bring to the table!

  11. IRIS Service Center • Service available 24hrs/day 7days/week • Solve problems, answer questions and provide information • Review and process: • New referrals • Initial plans • Plan updates • Assist with IRIS Consultant matching

  12. IRIS Consultant Roles • Navigates, links, supports • May provide IRIS orientation, explain responsibilities and benefits of self-direction • Helps identify strengths, challenges and goals • Helps build support and service plan • Helps identify providers • Partners on developing community networks • Helps develop a back up plan

  13. IRIS SDPC Funding IRIS Self-Directed Personal Care IRIS Allocation • People hire their own personal care workers • Hours match Medicaid Personal Care agency hours • Worker wages - $13.50/hour • IRIS Nurse visits included • Personal care can be provided outside of the home

  14. IRIS Financial Services Twice-monthly payments to vendors and employees Taxes and withholdings Criminal and caregiver background checks Monthly spending reports 14

  15. Imagine, Create, Act

  16. Questions?

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