Centers for Independent Living

and Money Follows the Person

TX SILC Conference 2014

Judy Telge Coastal Bend Center for Independent Living - Corpus Christi

Relocation services contracts

Department of Aging and Disability Services Assistance for individuals w/ disabilities

eligible for Medicaid to relocate from nursing facilities to the community

Current contracts: September 2011- August 2014, majority with Texas CILs CBCIL Contract covers Nueces & Hidalgo

STAR+PLUS Service Areas Goal: 145 relocations in DADS Region 11

CBCIL relocation history

1999: Project Choice pilot – Nueces, Kleberg 2002: CARS (pre-STAR+PLUS) 2003: Site III (Regions 11, 8, 3 - STAR+PLUS) 2007-2010: DSHS Community Integration

VAIL had Region 11 DADS Relocation contract 2011: current Relocation Contractor

Partnerships are essential *

Community partners provide supports and services to assure success

Seamless transition for consumer from facility to community services

Players, perspectives and processes must be coordinated & roles understood

CILs are natural allies in MFP process

NF SocialWorker

Relocation Special ist Housing

HHSC SPSU

Managed CareOrganization

Consumer

STAR+PLUS key partners

Factors in successful relocation

The level of community supports available to the individual, not the type or severity of disability

Not a matter of readiness but an assumption that individuals can achieve success with supports and services

Availability of affordable, accessible, integrated housing

Relocation specialists tasks

ReferralAssessmentPlanning & Coordination RelocationFollow up

Referral & assessment

Originates with the consumerHHSC Star+Plus Support Unit Assessment with consumer at NFGoals for community living, housing

preferences, options and needs ID barriers to housing & other activities Initiate applications: TLC, TBRA, Asset

Planning & coordination

Initiate housing search, assuring accessibility, affordability and choice

D/C planning with MCO Service Coordinator, NF Social Worker, Relocation Specialist and consumer

Set D/C date, pending housing Provide consumer with info re: SSA for

award letter, SS card, apply for ID

Relocation

Day prior to relocation Go shopping! TAS, TLC items delivered Confirm discharge plan, services, housing Arrange transportation as needed

Day of relocation Groceries purchased & delivered Meet consumer for 1st face-to-face follow-up

Follow up

Consumer is contacted after relocation over a 90 day period

At least one face-to-face visitConsumer can refuse follow upsContacts identify & address issues,

refer to additional services

Community supports

CBCIL programs provided in the Coastal Bend:

Tenant Based Rental Assistance vouchers;

Transition Assistance Services; Consumer

Directed Services; Transportation vouchers;

CLASS Case Management; home mods/ramps

Valley Association Independent Living (VAIL)

IL services/community supports in RGV Aging & Disability Resource Centers

Centers for Independent Living

Consumer- controlled Cross-disability Non-residential Independent, local 501 c-3 organization Supported by enabling Federal legislation:Rehab Act of 1978 as Amended, U.S. Dept. of

Education, Rehabilitation Services Administration, Title VII-C grant funding

CILs provide four core services

Information and referral Independent living skills assistancePeer counseling/supportAdvocacy – personal and systemic… and programs to address

barriers/gaps to living independently faced by individuals with disabilities.

Independent Living philosophy

Outgrowth of Civil Rights movementPrinciples of self-help, peer support, self-

determination, equal accessChanging perceptions to “disability is a

natural part of life”Services model of consumer-control

often conflicts with medical model and provider-controlled services

Guiding principles

Consumer Choice

Dignity of RiskSelf Determination

The debate has changed from ‘should?’ to ‘how’ people with disabilities can live in communities.

Advocacy is essential

Barriers to leaving institutional settingsConsumer vs. family wishes and/or provider control Access to policy level when MFP

protocol or contract requirements are misinterpreted

Regional Community Transition Teams

* Partnership Opportunities

Consumer-directed option for PAS and Habilitation, with FMS contracts

Senate Bill 7 potential to provide diversified revenue streams for CILs

Enhanced relationships with consumer-direction produce better outcomes:

increased customer satisfaction, decreased cost, no increases in abuse