11/8/2006 benefits and work incentives planning: system development nchsd fall conference november...
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11/8/2006
Benefits and Work Incentives Planning: System Development
NCHSD Fall Conference
November 8, 2006
Damon Terzaghi: Oregon Competitive Employment Project
Molly Sullivan: Oregon Advocacy Center
Office of Vocational Rehabilitation Services
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Mission Statement
The mission of the Oregon Competitive Employment Project, Oregon’s Medicaid Infrastructure Grant, is to enhance the quality of life in Oregon by achieving, maintaining and advancing the competitive and inclusive employment of persons with disabilities.
The project is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA #11-P-92415/-01).
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Current State of Benefits and Work Incentives Planning in Oregon
The state BPAO/WIPA program has 3 benefits planners, all housed within Oregon’s largest city
Few private planners and direct service providers provide limited services Two centers for independent living are providing planning and
referrals One county mental health agency provides services One Goodwill office has a certified planner
Two initiatives that supported BP recently ended due to funding
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Challenges Developing a system:
Obtaining adequate and sustainable funding Fragmented systems
Services limited to specific populations Need for connection and collaboration with provider agencies Need for consistent availability throughout the state
Need for increased numbers of trained and qualified BP staff Maintaining established systems:
Utilization of highly trained BP staff for administrative duties Providing on an ongoing basis:
Outreach Intake and referral Training & TA
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Benefits Planning Design Process
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Elements Used to Assess Oregon’s BP System
Population being provided with benefits planning How consumers are informed of information about benefits Parties responsible for providing basic information, screening
and referral How provision of basic information and referrals are being
coordinated How benefits planning professionals and others responsible for
providing benefits planning services are trained How training and technical assistance activities are subsidized Existing indicators and methods to ensure planners are qualified Available benefits planning tools
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Assessing Oregon’s BP System: Provider Survey
Survey developed in conjunction with BPAO/WIPA Survey administered via e-mails and phone calls to 120
Oregon provider agencies serving people with DD, SPMI, and physical disabilities 45% return rate Providers indicated a strong desire to be active participants in BP
system, but needed proper training to provide accurate information 4 of the responding agencies reported providing some level of BP
services, but only 1 had received SSA certification Survey results will guide involvement of community
providers in proposed system
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System Design Process
BPAO and Project jointly created 5 different models for delivering service
BPAO assessed pros and cons of each model based on experience delivering services
Project assessed pros and cons of each model based on national best practices & qualitative research
Project and BPAO jointly recommended desired model for Oregon to the workgroup
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System Design Process
Presented desired model to Project leadership council & DHS leadership
Acquired funding for initial system development Plan to sustain WIPA collaboration through
system design that includes: Sharing in-state trainings with WIPA Sharing referrals for BP Collaborating on data collection and outcome
monitoring
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Collaboration with WIPA WIPA changes are still pending Detailed collaboration will be based on WIPA
requirements Project and WIPA working together to design
data collection, benefits analysis format, and reporting system as required by WIPA regulations
Project and WIPA will collaborate with CESSI on outreach
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System Implementation
Project, State Independent Living Council, OVRS have earmarked funding that will more than double Oregon’s current BP capacity
Project, WIPA, SILC and OVRS will jointly monitor outcomes, data collection and needed system refinements Information and data will be reported to CMS, Project
Leadership Council, and SSA Information will be available to interested parties
Project, WIPA and partners will collaborate on strategy to expand and sustain BP services in OR
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Primary Components of the System
An Interactive Web-based Information, Referral and Planning tool
A Training and Technical Assistance (T/A) Center Regional Benefits Planning Programs The WIPA Program Private Benefits Planners Service Providers and Community Programs An Integrated Outcomes Research Program
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Proposed Service Areas