Housing and Service Options for People With Disabilities

1. Housing and Service Options for People With Disabilities Sherburne County Intake: 763.765.4000 Wright County Intake: 763.682.7400 November, 2013

2. Agenda • *Brief Overview of Housing Options. • *Financial Information

3. Things to consider….. • Health & Safety • Assess habilitation needs • At what level is support and care needed • ADLS : dressing, grooming, toileting, eating, mobility • IADLS: cooking, cleaning, finances, shopping, healthcare, medication management, transportation • Behavior: vulnerabilities

4. What is active treatment? • Habilitative Services • Services designed to assist persons in acquiring, retaining and improving the self-help, socialization and adaptive skills necessary to reside successfully at home and in community-based settings. DHS-Combined Service Manual

5. Intermediate Care Facility for Persons with Developmental Disabilities (ICF/DD) • Residential facility licensed as a health care institution and certified by the Minnesota Department of Health to provide health or rehabilitative services for persons with developmental disability or a related condition who require active treatment. DHS-Combined Service Manual • Eligibility: • Have developmental disability or a related condition • Need a 24-hour plan of care -- Need continuous active treatment • Cannot apply skills learned in one environment to a new environment without aggressive and consistent training • Funding: Medical Assistance

6. Supported Living Services “Group Home” Services provided to a person who cannot live in his or her home without such services or who need outside support to remain in his or her home. Habilitation services are provided in the person’s residence and in the community, and should be directed toward increasing and maintaining the person’s physical, intellectual, emotional and social functioning. DHS-Combined Service Manual • Settings: Corporate or Family Foster Care • Need active treatment programming Examples: cooking, household management, money skill/budgeting, grooming • Funding: Group Residential Housing Developmental Disability Waiver

7. Foster Care “Eats & Sheets” • Services provided to persons living in a home licensed as foster care. Foster care services are individualized and based on the individual needs of the person and service rates must be determined accordingly. DHS-Combined Service Manual Setting most appropriate for individuals that may have higher independent living skills, do not require a 24 plan of care, but general supervision and support. • Funding: Group Residential Housing

8. Apartment Areas to consider: alone time, problem solving, level of independence, and level of support needed • Assess services needed: • Supported Living Services (hourly) • 24 hour Emergency Assistance • Assistive Technology (monitoring, reminders, seizures, security, safety) • Personal supports • Semi Independent Living Skills • Personal Care Assistance (PCA) • Home Health Aide (HHA) • Adult Rehabilitative Mental Health Services (ARMHS) • natural supports available

9. Funding Options • Private pay such as earned income, unearned income (Social Security Disability Income (SSDI), Social Security Income (SSI)), • Group Residential Housing (GRH)- a state-funded income supplemented program. GRH pays for room and board costs for low-income adults who have been placed in a licensed or registered setting with which a county human service agency has negotiated a monthly rate. • Cost of care 2013: $867, allowable personal needs $94 --DHS combined service manual • Subsidized Apartments- Housing that receives some form of financial assistance from the government in order to make the rent affordable to low-to-moderate income renters. These programs were established to provide decent, safe rental housing for eligible low-to-moderate income families, the elderly, and persons with disabilities. Renters in Public Housing units pay 30% of their income for rent* while some units may have a low fixed rent amount. This subsidy generally stays with the building; when you move out you no longer have the rental assistance. --www.housinglink.org • Section 8 Vouchers- a government-funded program that helps low-income households pay the rent on private, market-rate rental units. After you receive a voucher, you search and find a unit (within certain requirements). The rent you will pay will be 30% to 40% of your household’s adjusted gross income. A Housing Authority will pay a portion of the rent directly to the property. If you move, the voucher moves with you. To qualify for a Section 8 voucher, you must fall within Minnesota’s income limits. --www.housinglink.org

10. What is MSA Shelter Needy? The Minnesota Supplemental Aid (MSA) Shelter Needy program helps people with disabilities under age 65. The program provides $200 a month to people who qualify so they can afford housing and have their own place, or they may share housing expenses with another person. Who is eligible for MSA Shelter Needy? To be eligible for MSA Shelter Needy, applicants must: • Be eligible for Minnesota Supplemental Aid (MSA) • Be under age 65 • Have total shelter costs that are more than 40 percent of total income • Apply for subsidized housing. Applicants must also: • Be relocating to the community from an institution or an intensive residential mental health treatment program, OR • Be eligible for the Medical Assistance (MA) Consumer Directed Community Supports (CDCS) option, OR • Be getting services through an MA home and community based waiver and living independently. --DHS combined service manual

11. Thank you! • Presentation prepared by Martha Franzwa and Marie Hudalla