Showing posts with label HSW for DD. Show all posts
Showing posts with label HSW for DD. Show all posts

Friday, November 15, 2019

Michigan: 2019 Annual Home and Community Based Waiver Conference

Ian the Handsome
Home and community based Medicaid waivers are available for people with developmental disabilities who live in community settings but need an institutional level of care. Michigan's DD waiver is call the Habilitation Supports Waiver (HSW). 

The Children's Waiver Program allows minor children who live at home to qualify for Medicaid  services, regardless of the family's income. Services include an array of "medically necessary" social services and supports for both the child and the family that allow the child to continue to live at home. The CWP is also covered at this conference.

It never surprises me when parents of children and adults with intellectual and developmental disabilities know next to nothing about these waivers and the services that they theoretically make available. This applies even to people whose children are currently covered by Medicaid Waivers. Unbeknownst to them, that paper that someone slid over the table to them at a recent person-centered planning meeting and asked them to sign, was giving permission to "waive" services ordinarily provided in an Intermediate Care Facility for people with intellectual disabilities, for home and community based services. 

Community Mental Health agencies are reluctant to provide parents with a comprehensive list of possible services (as long as they are "medically necessary") under Medicaid waivers for fear that an astute family member may find something that could fill a critical need for the disabled individual and therefore compel CMH to actually provide the service. You will notice that I did the best that I could to at least find a list of services included in Michigan's Medicaid Provider Manual, but it is hard to read and understand without knowing how these services are defined and who provides them.

I go to the Medicaid Waiver conference almost every year, partly to find out what the  Michigan Department of Health and Human Services is cooking up for my kids and whether it is something I need to applaud or stop in its tracks. [I am looking at this in terms of the effect on my sons; I do not make judgments for others.] I never know if I am going to be pleasantly surprised or appalled by the inspirational keynote speakers. In 2016, the keynote speaker appeared in a mermaid costume (I was prepared to find her talk appalling), but she was hilariously funny and if she did not make her living as a Rheumatology Nurse Practitioner in Lansing, she might have made it as a professional comedian.

Consider taking a chance on this two-day conference (it's only $20 for family members), including a buffet breakfast and lunch. I'll see you there.

********************************

The 2019 Annual Home and Community Based Waiver Conference

Tuesday, November 19, 2019 and 

Wednesday, November 20, 2019

Kellogg Hotel & Conference Center at Michigan State University
219 S Harrison Rd, East Lansing, MI 48824
View Google Map

Registration is open!

This conference will provide technical assistance and training on the implementation and maintenance of the Children’s Waiver Program (CWP) and the Habilitation Supports Waiver (HSW), clinical issues, and administrative functions relevant to these waivers. Additionally, this conference will provide training in ASD, evidence-based services, highlight programs across the state, and provide technical assistance on implementation of the Medicaid/MIChild Autism Benefit.
Overnight Accommodations:

The Kellogg Hotel & Conference Center is located in East Lansing adjacent to Michigan State University. The discounted room block of $85 per night plus tax has been filled. Other upgraded rooms choices are available for $145 group rate. For Room Reservations: Call 517-432-4000 and provide the discount code of 1911DCH&MA. The deadline for room discounts is October 10, 2019.

Rooms are available at other area hotels with special rates for the conference.

Documents
Save the Date Flyer Waiver Conference
Agenda C-Waiver Conf 2019

Who Should Attend

This conference contains content appropriate for case managers, supports coordinators, clinicians, behavior analysts, CMH administrative or clinical staff, providers, HCBS or waiver coordinators, individuals receiving services and family members and social workers at all levels of practice (beginning, intermediate and/or advanced).

Monday, September 25, 2017

Michigan Conference on Home and Community-Based Waiver Services, 11/14-15/2017

This is from the Michigan Department of Health and Human Services and the Michigan Association of CMH Boards (MACMHB):

Save the Date:



The Annual Home and Community Based Waiver Conference

November 14 and 15, 2017
Kellogg Hotel and Conference Center
55 South Harrison Road, East Lansing 48823

Registration will be open soon.

FEATURED PROGRAMS

  • Children’s Waiver Program (CWP)
  • Habilitation Supports Waiver (HSW)
  • Autism Applied Behavior Analysis (ABA) Benefit
Conference Objective: This conference will provide technical assistance and training on the implementation and maintenance of the Children’s Waiver Program (CWP) and the Habilitation Supports Waiver (HSW) [this is the Waiver program for people with developmental disabilities], clinical issues, and administrative functions relevant to these waivers. Additionally, this conference will provide training in ASD, evidence based services, highlight programs across the state, and provide technical assistance on implementation of the Medicaid/MIChild Autism Benefit.

Who Should Attend: This conference contains content appropriate for case managers, supports coordinators, clinicians, behavior analysts, administrative staff, providers, autism coordinators, people receiving services and family members and social workers at all levels of practice (beginning, intermediate and/or advanced).

Special Rate: 

A special $20 conference rate will be offered for people receiving waiver services and their family members. A limited number of scholarships are available to people who receive services and their families. Scholarships may cover registration fees, overnight rooms, travel expenses, meals and child care. Deadline to request scholarship: October 1, 2017. (Form is attached to this message).

Continuing Education Credits for Licensed Social Workers: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 10/10/2016 to 10/10/2019. Social workers should contact their regulatory board to determine course approval. Course Delivery Method: Face to Face Conference. Exact hours are pending.

Overnight Accommodations/Directions: The Kellogg Hotel & Conference Center is located in East Lansing adjacent to Michigan State University. Our special guestroom rate is $80 per night plus tax. For specific directions or to reserve a room, please call 517/432-4000 and mention that you are attending the C-Waiver Conference the discount code is 1711DCH&MA. The deadline for room discounts is October 14.


Conference Brochure and Registration Materials: Conference details and registration will be available on our website, www.macmhb.org - if you have any questions, please call (517) 374-6848.

Anne Wilson, Training and Meeting Planner
Michigan Association of Community Mental Health Boards
426 S. Walnut Street, Lansing, MI 48933
(517) 374-6848 phone
(517) 374-1053 fax
www.macmhb.org
awilson@macmhb.org

Thursday, October 27, 2016

Michigan: Annual HCBS Waiver Conference


The Michigan Department of Health and Human Services (MDHHS) & The Michigan Association of CMH Boards (MACMHB) Present:

The Annual Home and Community Based Waiver Conference

November 15-16, 2016
Kellogg Hotel & Conference Center
55 South Harrison Road, East Lansing 48823

FEATURED PROGRAMS
Children’s Waiver Program (CWP)
Habilitation Supports Waiver (HSW)
Autism Applied Behavior Analysis (ABA) Benefit

Conference Objective: This conference will provide technical assistance and training on the implementation and maintenance of the Children’s Waiver Program (CWP) and the Habilitation Supports Waiver (HSW), clinical issues, and administrative functions relevant to these waivers. Additionally, this conference will provide training in ASD, evidence-based services, highlight programs across the state, and provide technical assistance on implementation of the Medicaid Autism ABA Benefit.

Who Should Attend: This conference contains content appropriate for case managers, supports coordinators, clinicians, behavior analysts, administrative staff, providers, autism coordinators, people receiving services and family members and social workers at all levels of practice (beginning, intermediate and/or advanced).

Special Rate: A special $20 conference rate will be offered for people receiving waiver services and their family members.

Conference Brochure & Registration Materials: There is a PDF to download the tentative agenda, registration form and scholarship information.

Click Here to Register

For complete information, see the MACMHB Website

Friday, May 6, 2016

Michigan: Update on Home and Community-Based Services Transition Project

This is from Phil Kurdunowicz at the Michigan HCBS Program Transition Project. Every state has a transition plan to implement the 2014 Home and Community-Based Services rule from the Centers for Medicare and Medicaid Services (CMS). This update concerns surveys that will assess individual settings for "HCBS chacteristics". For people with DD covered by the Habilitation Supports Waiver, surveys of all HCBS-funded programs will begin this month, May 2016. People with DD living in their own or their family's home will be assumed to be compliant with the HCBS rule and will not be part of the survey unless they also attend a program funded by the HSW waiver. 

*********************************************

Dear stakeholders,

The Michigan Department of Health and Human Services provides Home and Community-Based Services to individuals in the Medicaid program. These services help Michigan citizens with disabilities or other health issues to live at home or in the community. The Department offers many of these services through “waivers,” which were approved by the Centers for Medicare and Medicaid Services.

The Centers for Medicare and Medicaid Services released a new rule in 2014 for home and community-based services waivers. The Department has since developed a statewide transition plan to bring its waiver programs into compliance with the new rule.

As part of the transition process, the Department must determine whether settings under these waivers have “home and community-based” characteristics. For this purpose, the Department has developing a set of “survey tools” to assess individual settings for home and community-based characteristics.

The Department has published the final versions of the survey tools for the Habilitation Supports Waiver to the project website. Survey tools that have been finalized by the Department can be found on the Department’s website at www.michigan.gov/mdhhs >> Health Care Coverage >> Home and Community-Based Services Program Transition.

The Department will start the statewide assessment process for the Habilitation Supports Waiver [for people with DD] in May 2016. The Department will work with the Developmental Disabilities Institute of Wayne State University to conduct these surveys.

If you would like to learn more about the survey process, please visit the following website: http://ddi.wayne.edu/hcbs.php

If you have questions about the survey process, please send an email to hcbs@wayne.edu.

If you have questions about the Home and Community-Based Services rule or the Statewide Transition Plan, please send an email to HCBSTransition@michigan.gov.

Thank you for your continued support for Michigan’s home and community-based waiver programs.

Best regards,

The HCBS Program Transition Team

 
***************************************************** 
Frequently Asked Questions regarding the survey process

Sunday, October 25, 2015

Michigan : 2015 HCBS Waiver Conference, 11/17 - 11/18/2015

The Annual Home and Community Based Waiver Conference for 2015 will be held on November 17 & 18, 2015, at the Kellogg Hotel and Conference Center in East Lansing, Michigan.

Conference Objective:  This conference will provide technical assistance and training on the implementation and maintenance of the Children’s Waiver Program (CWP) and the Habilitation Supports Waiver [for people with developmental disabilities] (HSW), clinical issues, and administrative functions relevant to these waivers. Additionally, this conference will provide training in ASD, evidence-based services, highlight programs across the state, and provide technical assistance on implementation of the Medicaid/MIChild Autism Benefit.


Who Should Attend:  This conference contains content appropriate for case managers, supports coordinators, clinicians, behavior analysts, administrative staff, providers, autism coordinators, people receiving services and family members and social workers at all levels of practice (beginning, intermediate and/or advanced).

Rate: Full Conference $145; One Day Rate: $90 


Special RateA special $20 conference rate will be offered for people receiving waiver services and their family members.
 
Certificate Awarded:  At the conclusion of this conference, bring your CEU verification form to the MACMHB Staff to be initialed.  You will turn in the top sheet and retain the bottom sheet which serves as your certificate of participation.
 

CONFERENCE AGENDA will be added soon! Check the Michigan Association of Community Mental Health Boards website here.

Sunday, November 30, 2014

MI HCBS Transition Plan - comments due 12/24/14

The Michigan Department of Community Health has released its transition plan for implementation of the federal Home and Community Based settings rule that was issued in January 2014. The announcement begins with a summary of the purposes of the rule. This characterization does not include any of its negative features such as limiting choice for individuals with DD who choose to live or receive services in congregate settings (more than 3 or 4 people with disabilities living  or receiving services together), including planned or intentional communities. Neither does it include exceptions to the rule for health and safety reasons.

To decipher the acronyms used in the transition plan document, refer to page 1, row 1, and the last two columns to the right under "Sources" and "Key Stakeholders". 

 *********************************

The Centers for Medicare and Medicaid Services recently made a new set of rules for the delivery of Home and Community Based Services through Medicaid waiver programs. Through these rules, the Centers for Medicare and Medicaid Services aim to improve the experience of individuals in these programs by enhancing access to the community, promoting the delivery of services in more integrated settings, and expanding the use of person-centered planning. The home and community-based setting provisions in this final rule establish a more outcome-oriented definition of home and community-based settings, rather than one based solely on a setting's location, geography, or physical characteristics.

Overview of the Settings Provision


The final rule requires that all home and community-based settings meet certain qualifications. These include:


* The setting is integrated in and supports full access to the greater community;
* Is selected by the individual from among setting options;
* Ensures individual rights of privacy, dignity and respect, and freedom from coercion and restraint;
* Optimizes autonomy and independence in making life choices; and
* Facilitates choice regarding services and who provides them.

The final rule also includes additional requirements for provider-owned or controlled home and community-based residential settings. These requirements include:


* The individual has a lease or other legally enforceable agreement providing similar protections; 

* The individual has privacy in their unit including lockable doors, choice of roommates and freedom to furnish or decorate the unit;
* The individual controls his/her own schedule including access to food at any time;
* The individual can have visitors at any time; and
* The setting is physically accessible.

Below please find links to Michigan's HCBS Transition Plan as well as links to source documents about the HCBS rule change from the Centers for Medicaid and Medicare Services.



The MI Home and Community Based Settings rule Transition Plan

The Department released the draft plan for public comment on November 24, 2014 and will be accepting comments until December 24, 2014. You may submit comments regarding the transition plan by e-mail to:


HCBSTransition@michigan.gov

or by mail to:

Attention: HCBS Program Transition
Medicaid Policy
Michigan Department of Community Health
P.O. Box 30479
Lansing, Michigan 48909-7979

All comments on this topic should include a "HCBS Transition Plan Comment" reference somewhere in the written submission or in the subject line if an e-mail is used. Comments and related responses will be available on this website following the end of the comment period. Please list or summarize your comments in a document or email. Please do not submit an electronic version of the draft statewide transition plan using the "track changes" function.

The purpose of this review and comment on the draft statewide transition plan is to develop and implement the best plan and process possible for review and assessment of settings. Discussion regarding evidence that a particular setting is "home and community-based" and/or similar comments will not be considered. Please limit your comments to the content of the draft plan.

-MDCH Website

Centers for Medicare and Medicaid Services
The Centers for Medicare and Medicaid Services have provided fact sheets, webinar slides, informational bulletins, and toolkits HERE .

Friday, November 21, 2014

Michigan: Links and information on HCBS transition plans

New federal rule for HCBS settings: integration or limited choice?

In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) issued a new rule for Home and Community Based Service (HCBS) settings that restricts the use of Medicaid funds to settings that are deemed to be integrated into the community as determined by CMS and in CMS approved state plans for implementation of the new rule. The new rule applies to all Medicaid waivers and the overall State Plan that lays out how the state intends to provide services and residential supports to people with developmental (and other) disabilities.

States have a maximum of 5 years to comply with the new rule and there should be numerous opportunities for public comment on the transition plans for implementation. The transition plan for a modified Habilitation Supports Waiver (HSW) for people with developmental disabilities has been proposed and public comments to the Michigan Department of Community Health were due on September 26, 2014.(Don't let due dates bother you too much; you can always comment to state and federal officials on public policy any time you feel moved to do so, but adhering to deadlines doesn't hurt.)

Another transition plan for the state will be available for public comment soon. You can keep updated on transition plans, modifications to waivers and state plans, and dates for public comment at this Website, HCBS Advocacy, and here, at the Website page specifically for Michigan. Other background information is also available.

Reading some of the materials may make you feel like you have entered Alice's Adventures in Wonderland, and you have my sympathy. The main things to keep in mind are:

  • Are the plans and proposals you are being asked to comment on clear and understandable to you so that you know exactly what the state has in mind? If not, that may be your first comment.
  • How will the plan or proposal affect your disabled family member (or friend)? 
  • What if things change in the future for your family member? Will the proposal or plan allow enough flexibility to anticipate future events or changes in need that may affect services and living arrangements for your family member.
In other words, you shouldn't have to be a policy expert to read and interpret changes that could have a significant effect, good or bad, on the person with a disability and your family. Start with what you know and do the best you can. Ask a lot of questions where the policy is unclear or you think the state (or the CMS) has not thought through the long-term consequences of their proposals.

Links to the Final Regulation from CMS on the HCBS settings rule.
Webinar from the Michigan Department of Community Health on the MI Transition plan.
Frequently Asked Questions from ACCSES, a national providers organization.
Coalition for Community Choice ; The contact for CCC is Desiree Kameka at  DKameka@MadisonHouseAutism.org

Wednesday, October 1, 2014

FYI: Michigan State Plan and Medicaid Waiver Services

Services currently available under Michigan's state plan and Medicaid waivers for adults and children with disabilities and mental illness:

HAB = Habilitation Supports Waiver for people with developmental disabilities
SED = Children with Serious Emotional Disturbances Waiver
State Plan = Michigan's Medicaid State Plan Services
B3 = Michigan's Managed Speciality Supports and Services Plan
CWP = Children's Waiver Program

These waivers and state plan services may be used in combination in some cases. Although there are a limited number of  HAB Waivers (Habilitation Supports Waivers) for people with DD, State Plan Services cover almost all the services in the HAB waiver and availability is not limited.

As these Medicaid Waivers and other services come up for renewal, they may be changed. Vigilance is important to keep track of changes that are proposed.

Do not assume that just because these services are listed on a chart, that everyone gets everything they need. It is an impressive array of services, but only if you know how to ask for them. Here is more information on the Habilitation Supports Waiver.

Covered services from the Michigan Medicaid Provider Manual:

 Covered Services Medicaid – Provider Manual – 4/1/14





SED
State Plan
HAB 
CWP
B3

Access, Assessment, & Referral (SA)












Applied Behavior Analysis

X




Assertive Community Treatment

X




Assessments

X




Assistive Technology




X

Behavior Treatment Review

X




Child Therapeutic Foster Care
X





Child Therapy

X




Chore Services






Clubhouse Psychosocial Rehabilitation

X




Community Living Supports “Licensed Setting”


X

X

Community Living Supports “Unlicensed Setting”
X

X
X
X

Crisis Interventions

X




Crisis Observation Care






Crisis Residential Services

X




Drop-In Centers




X

Enhanced Medical Equipment and Supplies


X



Enhanced Pharmacy


X

X

Enhanced Transportation



X


Enhanced Accessibility Adaptations



X


Environmental Modifications


X

X

Family Home Care Training
X





Family Therapy

X




Family Training


X
X


Non-Family Training



X


Family Support and Training
X



X

Fencing



X


Fiscal Intermediary Services



X
X

Goods and Services


X



Health Services

X




Home-Based Services

X




Home Care Training, Non-Family
X





Housing Assistance




X

Individual/Group Therapy

X




Inpatient Psychiatric Hospital Admissions

X




Intensive Crisis Stabilization Services

X




Intensive Outpatient Program (IOP) (SA)






Intermediate Care Facility Individuals with Mental Retardation (ICF/MR)

X




Medication Administration

X




Medication Review

X




Methadone & LAAM Treatment (SA)






Nursing Facility Mental Health Monitoring

X




Occupational Therapy

X




Out-of-Home-Non-Vocational Habilitation


X



Outpatient Care (SA)






Outpatient Partial Hospitalization Services

X




Peer Specialist Services




X

Personal Care in a Specialized Residential

X




Personal Emergency Response System (PERS)


X



Prevocational Services


X



Private Duty Nursing


X



Physical Therapy

X




Residential Treatment (SA)




X

Respite
X

X
X
X

Skill-Building Assistance




X

Specialized Medical Equipment and Supplies



X


Speech, Hearing, and Language

X




Specialty Services



X


Sub-Acute Detoxification (SA)




X

Supports Coordination


X



Support and Service Coordination




X

Supported Employment


X



Supported Employment/Integrated Employment




X

Targeted Case Management

X




Telemedicine

X




Therapeutic Activities
X





Therapeutic Overnight Camp
X





Transitional Services
X





Transportation

X




Treatment Approved Services (DBPT/CSAT) Pharmacological Supports (SA)

X




Treatment Planning

X




Wraparound Services
paround Services for Children and Adolescents
X