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System Change in the DD System

System Change in the DD System. Kevin Casey – DHS/DDD Sheila Romano – IL Council on DD. Agenda. Values Re Balancing – What Does it Mean? Status of SODC Closures Ligas Case Management Final CMS Rules on HCBS Waivers Employment Council Initiatives Questions. Values.

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System Change in the DD System

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  1. System Change in the DD System Kevin Casey – DHS/DDD Sheila Romano – IL Council on DD

  2. Agenda • Values • Re Balancing – What Does it Mean? • Status of SODC Closures • Ligas • Case Management • Final CMS Rules on HCBS • Waivers • Employment • Council Initiatives • Questions

  3. Values All individual with DD/ID in Illinois will…. Be healthy and safe Have real relationships with family and friends Have a paying job if they want to work Make decisions about their lives Have opportunities to contribute to their community

  4. What Does Re Balancing Mean? Integration of Initiatives

  5. Status of SODC Closures • Murray Developmental Center • Jacksonville Developmental Center

  6. Ligas Implementation • Coordination of projects / activities • NASDDDS (#1) • The Arc Family Project • NASDDDS (#2) • CQL – Outreach • Mark Friedman • UCED – Evaluation • Family Council • Equip for Equality • MFP • Other

  7. Strengthening Case Management / ISC’s • Working with ISC’s • Streamline Processes • Re-examining PUNS • Training • Conflict-Free Case management • Work with Individuals and their Families to develop their Profile and Desired Outcomes Plan

  8. Federal CMS Rule on HCBS Services Settings(Final Rule released January 10, 2014) Describes home and community-based settings as having the following qualities: • The setting is integrated in the greater community, including opportunities to seek employment in competitive integrated settings and engage in the community • The setting is selected by the individual • The setting ensures individual rights of privacy, dignity, and respect and freedom from coercion and restraint • The setting optimizes individual initiative, autonomy, and independence in life choices For provider-owned or controlled residential settings, the rule states: • Units or rooms must be a specific physical place, the kind that could be owned or rented in a typical landlord-tenant agreement • Individuals have privacy in their living or sleeping units, meaning that: • Units have lockable doors and entrances, with only appropriate staff having keys to doors • Individuals who share rooms have a choice of roommate in that setting • Individuals can furnish and decorate their own units within the limits of the lease or agreement • Individuals control their own schedules, including access to food at any time • Individuals can have visitors at any time • The setting is physically accessible to the individual

  9. Illinois Waiver Updates • 1115 Waiver • Adult Waiver

  10. Employment • Employment First Legislation • DOJ • Flexible Day Services

  11. IL Council on DD Initiatives • Going Home Campaign • Need your involvement • Need Stories • The Alliance • Waiver Amendment for Self Direction • Support a Chapter • Corporation for Supportive Housing • Customized Employment • Community Colleges • Speak Up and Speak Out

  12. Chicago Community Trust and Coleman Foundation • Employment • Housing

  13. Questions?

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