/
LANTERMAN ACT Your Services and Supports: LANTERMAN ACT Your Services and Supports:

LANTERMAN ACT Your Services and Supports: - PowerPoint Presentation

kittie-lecroy
kittie-lecroy . @kittie-lecroy
Follow
353 views
Uploaded On 2018-11-07

LANTERMAN ACT Your Services and Supports: - PPT Presentation

Changes in the Law Changes were made in the law by the California legislature Changes became effective on July 28 2009 when trailor bill language TBL was enacted unless otherwise specified ID: 720705

regional services family supports services regional supports family days hearing request respite center fees service waiver federal qualify system

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "LANTERMAN ACT Your Services and Supports..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

LANTERMAN ACT

Your Services and Supports:

Changes in the LawSlide2

Changes were made in the law by the California legislature.

Changes became effective on July 28, 2009, when

trailor bill language (TBL) was enacted (unless otherwise specified).Changes to IPP’s and IFSP’s require notice by the regional center. 2

What Happened?Slide3

WHAT IS THE GOOD NEWS??

3

Slide4

Eligibility

(except early start)

IPP ProcessAppeal Rights

PLUS

California will apply for new state plan amendment so that regional centers can put more people on a federal waiver and receive more federal money

4

No Changes to:Slide5

Changes to Specific Services and Supports

5Slide6

Respite: 90 hours every 3 months unless there is an exception

6

Slide7

extra time needed to keep you in your home

family needs extra time to help you

7EXCEPTIONS:Slide8

In-Home Respite Workers-NEW SERVICES!!Colostomy and ileostomy: changing bags and cleaning stomaUrinary catheter: changing and emptying bags and care of catheter siteGastrostomy: feeding/hydration and cleaning stoma and adding medication if ordered

8

Expanded Scope of Duties for In-Home Respite WorkersSlide9

Whenever

services and supports have been changed or terminated you can request a hearing!!!

9YOU STILL HAVE RIGHTS!!!!!Slide10

***file a hearing request

***10 days for aid paid pending

***otherwise, file within 30 days***file a 4731 complaint

***as an individual person

***as a group of people

10

What to do????Slide11

Individual Choice Budget Model

--self-directed services

--finite budget--look for this in 2010Custom Endeavors Option --day program alternative --20-80 hours per month

--develop/maintain employment or volunteer activities

--to be offered by service providers

Senior Program

--over 50 years of age

--service providers must offer this option --staff ratio 1:8 11

New Program OptionsSlide12

WHAT’S NEW?must use available natural/generic supportsvendors costs must be necessary/reasonablecost effective rates limited circumstances rent, mortgage, lease payments, household expenses paid by regional center

roommates must share the same SLS vendor as long as IPP goals are met

need to apply for IHSS within 5 days of moving into SLS 12Supported Living ServicesSlide13

Do you qualify for In-Home Support Services?

Have you applied for IHSS?

What happens if you don’t apply?Do you qualify for gap funding by the regional center?Are there extraordinary circumstances that may qualify you for an exemption? 13IHSS—Questions To AskSlide14

What’s New?

Adults: must use available public transportation if it can be safely accessed and utilized

Regional centers must fund least expensive transportation that meets the individual’s needs as set forth in the IPPFor minor children living with parents, transportation funded only if family unable to provideParent(s) must provide reasons in writing 14TransportationSlide15

New Standards for purchasing behavioral services:Service provider needs to use evidence-based practices. Services promote positive social behaviors and address issues with learning and social interaction.

Once goals achieved, regional center may discontinue services.

Question whether all of your child’s behaviors have been addressed. 15BEHAVIORAL SERVICESSlide16

Qualify if: eligible for M/Cal (including institutional deeming) and severity criteria met.

Services provided pursuant to the waiver

:case management homemakerhome health aide respite care

respite care facility

adult family homes

certified family homes

community recreation settings,

camping services

licensed family day care 16

HCBS Waiver for ConsumersSlide17

licensed preschoolvoucher respite carehabilitation, environmental accessibility adaptationsskilled nursingtransportation

specialized medical supplies

chore servicespersonal emergency response systemsfamily trainingadult residential carespecialized therapeutic services 17Waiver Services Continued….Slide18

Regional center cannot take away waiver services that you need to stay in the community!!

Request a hearing within 10 days to get aid paid pending—otherwise, request a hearing within 30 days. Put on the hearing request: “I want my right to this service under the DD waiver to be determined!!”

18Slide19

What services are suspended?

Camping and associated travel

Social recreation activitiesEducational services ages 3-17Non-medical therapies (art, dance, music, recreation)

Exceptions

?

--Primary or critical means of ameliorating the physical, cognitive,

or psychosocial effects of developmental disability

--Necessary to enable consumer to remain at home; no alternative service available

Individual Choice Model expected 2010!!!

19

Suspension of ServicesSlide20

Experimental treatment, therapeutic services, or non-clinically proven treatments can no longer be provided

All treatment and services must be:

--effective and safe --known risks and complications --general physician practice

If you do not agree

:

talk with your doctor

get a letter

ask for an IPP request a hearing 20Experimental TreatmentSlide21

GENERAL STANDARDSSlide22

Annual Statement of Services and Supports

Who must be notified

:consumerparentsguardian

conservator

authorized representative

What information must be provided

:

type

unitmonth

cost

Why

: to make sure you are receiving the agreed upon services and supports

22Slide23

New Providers:Must meet your needs and the needs of your family per your IPPMust have comparable services and supportsMust have integrated services and not be more restrictive

(regional center needs to consider federal funding and cost of transportation)

23Least Costly ProvidersSlide24

Regional centers can collect fees for children under the age of 18 living in an out-of-home placement

Fees based on share of cost based on income

No fees if below federal poverty levelParents can: question fees, appeal in writing to DDS, stop paying until decision

FOLLOW PROCEDURES TO AVOID COLLECTION!!!

24

Parental Fees/Out-of-Home PlacementSlide25

Why change the QA System?To better evaluate your services and supportsTo improve your services and supports!

What did the old system look like

?Evaluations of transfersLife quality assessmentTriennials for people in CCF’sWhat does the new QA system look like?Consumer and family satisfaction/assessmentsProvision of services and supports/assessmentsPersonal outcomes/assessments 25

Quality Assurance SystemSlide26

Programs involved?

Day programs

Work activity programsWhat has changed?

This change standardizes the holiday schedule for these programs and increases the total number from 10 to 14 days, which are yet to be determined.

26

Presentation approved September 22, 2009, by Jeanne

Molineaux, Director, OCRAUniform Holiday Schedule