IRIS: Include, Respect, I Self-Direct

Self-Determination ConferenceWisconsin DellsNovember 9 , 2010

Freedom to decide how to live life Authority over a budget allocation Support to organize resources in ways that are

enhancing and meaningful Responsibility for the wise use of dollars Confirmation of the importance of self-advocacy

Principles of Self-Determination

Self-Directing Services

• Considering a whole life – not just services• Expanding choices and increasing control over

supports• Weaving public funding into existing supports

IRIS Basics

Federal requirement for choice Availability matches managed care Transfer between programs Current plan continues until IRIS starts Assistance is available

IRIS Participants by Target Group

Three target groups: Adults with developmental disabilities Adults with physical disabilities Elders in frail health

Frail Elders20%

Developmentally Disabled

48%

Physically Disabled

32%

Choosing your IRIS Consultant Program & Planning Specialists – Coming Soon Self-Directed Personal Care Focus on community connections

IRIS – New & Improved!

Getting Started in IRIS

Local Aging or Disability Resource Center: Completes Long-Term Care Functional Screen Verifies functional and financial eligibility Informs about monthly IRIS allocation Non-biased enrollment counseling Makes referral to IRIS

Monthly IRIS Allocation

Based on information in the Functional Screen Individualized Predicted ongoing services cost Geographic adjustment (urban/rural) Excludes MA card services and infrequent

expenses Process to adjust allocations or request one-time

expenses

Customized Goods and Services

Help meet needs and achieve goals related to: living arrangement relationships community inclusion work medical or functional status

Listed on plan, allowable per Fed/State rule, no other fund obligation, not experimentalMaintains or increases:

Safety in home or community Skill Community access or involvement Maintains or decreases Medicaid service dependence

Assistance in IRIS

In IRIS, assistance is available from: The Service Center IRIS Consultants Program and Planning Specialists Fiscal Agent Services Whoever you bring to the table!

IRIS Service Center

Service available 24hrs/day 7days/week Solve problems, answer questions and provide

information Review and process:

– New referrals– Initial plans– Plan updates

Assist with IRIS Consultant matching

IRIS Consultant Roles

Navigates, links, supports May provide IRIS orientation, explain

responsibilities and benefits of self-direction Helps identify strengths, challenges and goals Helps build support and service plan Helps identify providers Partners on developing community networks Helps develop a back up plan

IRIS Self-Directed Personal Care

People hire their own personal care workers Hours match Medicaid Personal Care agency

hours Worker wages - $13.50/hour IRIS Nurse visits included Personal care can be provided outside of the

home

IRIS Allocation

IRIS SDPC Funding

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IRIS Financial Services

Twice-monthly payments to vendors and employees

Taxes and withholdings Criminal and caregiver background checks Monthly spending reports

Imagine, Create, Act

Questions?

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