Summary Slide

1. Summary Slide • Consumer Directed Option

2. Consumer Directed Option Kentucky Independence Plus Program

3. What is Consumer Direction • Principles of CDO • Freedom • Authority • Support • Responsibility • Confirmation

4. Consumer Directed Option (cont’d) • Projected start date is Fall 2005. • Consumer Directed Option is NOT an increase or expansion of current services.

5. HCB services: Respite, Personal Care, Homemaking, Attendant Care SCL services: Respite, Community Living Supports, Community Habilitation ABI services: Respite, Companion Care, Personal Care These Services May Be Consumer Directed

6. What are Blended (Traditional & CDO) Services • CDO and traditional waiver services may be provided at the same time depending on the individual’s needs and approved plan. • Services may not be duplicated. • Medicaid and Waiver eligibility will not change.

7. Who can Participate ? • Individuals meeting the eligibility and financial requirements for the following Medicaid Waivers: • Home and Community Based • Supports for Community Living • Acquired Brain Injury

8. Who can Participate? (cont’d) • Individuals who can: • Understand the rights and responsibilities of managing their own care. • Manage or have someone assist them with their budget and self-direction.

9. What is a Representative? • A person to assist you with aspects of consumer direction. • Chosen by the individual. • Must be at least 21 years of age. • Cannot be paid to act as a representative or provide CDO services.

10. Tools for Implementation • Support Brokerage Entity • Individualized Budgets • Financial Management Agency

11. What is Support Brokerage? • Required for all individuals participating in CDO. • Available 24 hours/ 7 days a week. • A single entity will provide support brokerage statewide under contract with the Commonwealth /Department of Medicaid. • Individuals choosing CDO may select a support broker of their choice from this entity.

12. Role of Support Broker • Represent the INDIVIDUAL. • Assist with the development, revision, and monitoring of the Plan of Care/Support Spending Plan (POC/SSP). • Assist with the development, revision and monitoring of an emergency back-up plan. • Provide education/information on self-determination and community resources.

13. Role of Support Broker (cont’d) • Assist with recruiting, hiring, and managing employees of the individual and negotiating rates. • Assist with all paperwork and the CDO process. • Coordinate all services for individual receiving a blended package of services. • Be accountable to the individual and the state.

14. What is an Individualized Budget? • Based on individual’s needs identified on approved POC/SSP. • Allow flexibility on who will provide the identified services. • The amount of money in the budget will be determined by Medicaid based on past service usage. • May be amended if individual needs change.

15. What is Financial Management? • Required for individuals participating in CDO. • Primary role is paying for services provided. • A single entity will provide financial management services statewide under contract with the Commonwealth/Department of Medicaid. • Provides budget reports to the individual, support broker, and Medicaid.

16. Role of Financial Management Agency • Assist individual with administering their individualized budget. • Assist with payroll requirements. • Ensure all labor laws and state requirements are met. • Ensure payments are made for services approved in the POC/SSP.

17. Who can provide CDO services? • The individual and/or their representative may recruit, hire, and supervise their own employees to provide services as approved in their plan of care. • Employees may include: • Family • Friends • Relatives • Neighbors • Employees recruited by consumer • Provider agencies

18. Assistance with Consumer Directed Option • When an individual chooses the Consumer Directed Option, he/she can get assistance with finding and managing employees from his/her representative, support broker, and circle of support.

19. CDO Requirements • CDO individuals and/or representatives employees, and Support Broker must complete training on self-determination. • Employees shall complete other training as needed and directed by the individual, including CPR and First Aid. • Employees must submit to background check. • Adhere to tax and labor laws.

20. Person Centered Planning • POC/SSP developed based on person centered planning. • Guiding Principles of Person Centered Planning used. • The plan ensures services will meet the overall health and safety needs of the individual. • Ensures budgeted amount to meet individual need.

21. What will be the individual’s responsibilities? • Work with support broker to develop POC/SSP and emergency back-up plan. • Work with financial management agency to work within their budget. • As employer – hire, train, schedule, fire staff. • Follow the POC/SSP. • Select representative, if desired/needed.

22. What happens if the individual no longer wants or is able to consumer direct? • Return to traditional services. • No break in service delivery.

23. Questions • For further information, please contact one of the following people at (502) 564-7702. • Debbie Bolton-Plucknett • Benita Jackie • Cece Vest • Mary Walker(Medicaid) at (502)564-7540