CMSU Developmental Supports & Services

1. CMSU Developmental Supports & Services Columbia, Montour, Snyder, Union counties Supports Coordination, Early Intervention, Family Support Services 307 Mill Street; Danville 1-800-451-9720 / 570-275-6080 Fax 570-275-6089 TTY 570-275-2327

2. MR Eligibility requirements: • Significantly sub-average general intellectual functioning with the overall IQ score at least two standard deviations below the mean and • Significant limitations in adaptive functioning areas of: communication, self-care, home living, social/interpersonal skills, self-direction, use of community resources, functional academic skills, work, leisure, and health & safety. • Onset must occur before the individual’s 22nd birthday.

3. In PA we believe thatSelf – Determination is necessary: • People have the right to choose how they will live their lives, where, & with whom. • People should have the opportunity to develop relationships with others of their own choosing. • Everyone has the ability to contribute to their community in a meaningful way. • Individuals with disabilities can make decisions & truly control their lives. • Individuals will assume greater responsibility for their decisions & actions as they take greater control over their lives & their resources. • All people have the right to be treated with dignity & respect. • Individuals & their families will use public funds conservatively.

4. Services & Supports for Individuals with Developmental Disabilities: • Early Intervention • Family Driven Family Support Service • Supports Coordination • Residential Services • Individual Supports • Vocational Services • Day Services • Behavior Health Services • Psychiatric Services • EPSDT/Wrap-Around Services • Parent Support / Advocacy services • Generic Community Resources

5. What is Early Intervention? EI is a collection of supports & services designed to help families identify routines & activities that help their child’s development including making these routines & activities successful for the child & family. EI works with parents and other caregivers in learning how they can help the child grow & develop. EI Services are provided at NO COST to the family. EI is funded through federal, EPSDT (MA), state & county dollars. Children who have Medical Assistance have their ACCESS card billed for services.

6. EI Eligibility requirements: • Birth to age 3 years • Significant delay (25% of chronological age) in one or more of the following areas: • Cognitive development • Physical development (including vision & hearing) • Communication • Adaptive Development • Social/Emotional Development Or have a high probability for developmental delays based on known physical or mental conditions.

7. How do I find out if my child qualifies for EI Services? Contact is made with CMSU EI Service Coordinator who schedules an intake, gathers information, and answers questions about your child’s development. A Multidisciplinary Evaluation (MDE) team completes an evaluation which determines the child’s eligibility for EI Services. An Individualized Family Service Plan (IFSP) is written, which contains information from the MDE & outlines types & frequency of services to be provided, where the services will occur and the supports needed to achieve the outcomes. The services occur within the natural environments of the child.

8. Services for Individuals enrolled in Early Intervention: • Service Coordination • Connection to other agencies & community resources as desired • Developmental Specialist • Assistive Technology • Speech & Language • Occupational & Physical therapy • Vision services • Tracking for at risk children

9. Family Driven Family Support Services (FDFSS) • Allocations to families using the voucher model for such things as: • Specialized Therapy • Respite • Sitter/Companion • Homemaker Services • Equipment for home accessibility • Adaptive Equipment • Etc.

10. Supports Coordination • Plan • Locate • Coordinate • Monitor

11. Residential Services • ICF/MR • CLA/Group Home • Family Living / Life Sharing • Boarding Home/Assisted Living • Domiciliary Care • Apartment living

12. Individual Supports: • Various types of assistance: * Respite • Recreational activities • Specialized Therapy • Behavioral Intervention • Locating housing • Assistance with budgeting, shopping, independent living skills

13. Vocational Services • Transitional services: work experiences in a ‘real world’ environment that is also highly supervised • Job seeking / job development services • Supported Employment – including job coaching

14. Day Services • Adult Training Programs • Day habilitation • Volunteerism • Etc.

15. Behavior Therapy Team • Psychologist (eligibility) • Psychologist (counseling) • Psychiatrist • Behavioral Specialist

16. Behavior Health Services For dually diagnosed (Mental Health/Mental Retardation), including partial hospitalization and outpatient services.

17. EPSDT Wrap-Around Services Variety of behavior health services for children under 21 years of age

18. Parent Support / Advocacy Groups • Parent to Parent - Support network for parents - One to one match • Various Advocacy groups • Autism Support Group • Local Right To Education Task Force • Play groups • Local Interagency Coordinating Council (LICC) • Etc.

19. Generic Community Resources • Educational • Recreational • Social • Cultural • Spiritual • Other organizations, programs, services, facilities, etc.

20. Educational Resources: • Resource library • Attend IEP meetings • Assist in Transition planning • Post-high school training & referrals • Etc.

21. Recreational resources: • Special Olympics • Challenger Baseball • VIP Soccer • YMCA, Community Center membership • Best Buddies Prgm • Etc.

22. Social, Cultural, & Spiritual Resources: • U/S Adult Recreation Program • The Arc of Northumberland County • Peer Companion (Best Buddies Prgm) • Church fellowship groups (Starlight) • Etc.

23. Other organizations, programs, services, facilities, etc.: • Groups associated with specific disabilities • Camps • Travel organizations • Peer companion (Best Buddies) • Etc.

24. Assorted other topics: • Grievance Procedure • PUNS • MA funding • Medicaid Waivers • HCSIS • Incident Management • HCQU • Voter Registration

25. Grievance Procedure To ensure that each individual, family/guardian, or advocate who is involved with CMSU D.S. & S., is provided a mechanism to have grievances investigated and complaints resolved.

26. PUNS (Prioritization of Urgency of Need for Services) • A standardized method to collect waiting list information regarding persons in PA who have developmental disabilities.It is designed to categorize persons along a continuum of urgency of need for services. A person is placed in Emergency, Critical, or Planning for Need status based upon certain criteria established by OMR. • Completed with a Supports Coordinator

27. MA Funding & Medicaid Waivers • A medicaid waiver provides Federal Financial Participation for the provision of services for individuals with mental retardation in accordance with State assurances to the Federal Health Care Financing Administration: • * Consolidated Waiver • * Person/Family Directed Supports Waiver.

28. Consolidated Waiver • Eligibility: *Must choose home & community services in lieu of institutional care and be financially eligible for Medical Assistance. *Services chosen must be cost effective & within the county’s allocation of Department funding. *Individual age 3 or over who require an ICF/MR level of care. *Determined to have MR as defined in current OMR literature. • Services available: environmental accessibility adaptations, habilitation services (residential, day, prevocational, supported employment, homemaker/chore services), adaptive equipment, respite care, specialized therapy, transportation, visiting nurse.

29. Person/Family Directed Support Waiver (P/FDSW) • Eligibility: *Individual age 3 and over who require ICF/MR level of care. *Persons cannot live in licensed community settings & cost of services & supports cannot exceed the stated cap per fiscal year. *Determined to have MR as defined in current OMR literature. • Services available: environmental accessibility adaptations, habilitation (residential, day, prevocational, supported employment, homemaker/chore services), adaptive equipment, respite care, specialized therapy, transportation, visiting nurse.

30. Administration of Waiver services: • Funds are administered locally through the county MH/MR programs • County is responsible to: authorize services based on the recipients Individual Support Plan (ISP), preserve quality & access to services, maintain cost effectiveness of services

31. HCSIS (Home & Community Services Information System) • Computer based information system • PUNS recording • Incident Management processed (abuse, accident, death, emergency closure, ER visit, fire, hospitalization, law enforcement activity, etc.)

32. HCQU (Health Care Quality Unit) • An outside agency that consults with CMSU D.S. & S. staff and providers to ensure the best possible health & wellness factors are in place for those consumers that are in need of additional supports in this area.

33. Voter Registration • Any consumer who qualifies as a US citizen and is of age to vote may register to do so through CMSU D.S. &S.

34. Comments, Questions, Concerns or to enroll: • Please feel free to contact CMSU Developmental Supports & Services at 1-800-451-9720 or 570-275-6080