APD Regional Directors and Strategic Planning

On May 8 and 9, the six new regional directors for the Agency for Persons with Disabilities (APD) met in Tallahassee to begin planning for the restructuring of the APD offices throughout the state.

APD Director Mike Hansen kicked off the meeting. Several program areas presented updates to the regional directors to ensure that they were aware of the latest information.

The new APD regional directors are:

  • Lynne Daw for the Northwest Region
  • Gayle Granger for the Northeast Region
  • Merari Perez for the Central Region
  • Geri Williams for the Suncoast Region
  • Gerry Driscoll for the Southeast Region
  • Evelyn Alvarez for the Southern Region

Following the regional planning meeting, the regional directors joined the rest of the agency for an APD Strategic Plan webinar. Each team leader presented an update on the activities that have occurred as part of the team’s strategic objective.

 

_____________________________________

 

Webinar for CDC+ Personal Care Services Transition

This transition will affect CDC+ consumers under the age of 21 who wish to obtain PCA service via Medicaid State Plan AND self-direct the approved PCA funds via their CDC+ monthly budget. Consultants who serve these consumers are encouraged to attend one of the scheduled Webinars.

For more information call your local APD area office or contact Alexandra Weimorts CDC+ Director

Consumer Directed Care Plus Services

Agency for Persons with Disabilities

Phone: 850/414-6609 Fax: 850/414-7761

Blackberry: 850/274-1230

Areas 9 & 10
June 14, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm

Area 11
July 10, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm
July 19, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm

Areas 1 & 2
August 7, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm
August 16, 2012
Representative Training 10am – 12pm

Consultant Training 1pm – 3pm

Areas 4, 12 & 13
September 4, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm
September 13, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm

Areas 8 & 23
October 2, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm
October 11, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm

Areas 3, 7, 14 & 15
November 8, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm
November 13, 2012
Representative Training 10am – 12pm
Consultant Training 1pm – 3pm

 

This is part of the newsletter MedWaiver sent by Aaron Nangle. Go to their website to voice your opinion.

APD Communications Wants Your Opinion

The Communications Office of the Agency for Persons with Disabilities wants to ensure that it is meeting the communication needs of all its stakeholders which include employees, customers, and providers.

The Communications Office is responsible for all agency media relations, program marketing, brochures, posters, the Champion newsletter, websites, displays, constituent correspondence, agency customer service inquiries, Disability Employment Awareness Month activities, presentations, and other related activities.

Let APD know what you think!

Please spend two minutes completing this online survey (https://wwwsurveymonkey.com/s/APDComm) to help APD improve it’s communication with you.

NOTE FROM LINDA HOWARD:  This email was sent to all Residential providers.  Essentially, it says that all third-party money received by people who live in residential facilities, must be given back to  APD.  Resident’s personal money must be turned over to the State as reimbursement for care.  Any remaining money will then be given to APD.  Shocking!  All personal money in excess of the amount needed for their care is to be sent to APD.  The State is now taking personal funds from people who are intellectually disabled!  This is an outrage!

Notice of Change/Withdrawal

DEPARTMENT OF CHILDREN AND FAMILY SERVICES
Agency for Persons with Disabilities

RULE NO.: RULE TITLE:
65G-2.016: Residential Fee Collection

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 37 No. 11, January 13, 2012 issue of the Florida Administrative Weekly.

65G-2.016 Residential Fee Collection

  • This rule applies to all clients, as defined in section 393.063, Florida Statutes, who are eighteen years of age or older, who receive residential habilitation services, and who live in a foster care facility, group home facility, residential habilitation center, or comprehensive transitional education program, licensed pursuant to section 393.067, Florida Statutes.
  • Definitions.  For the purposes of this rule, the following terms shall be defined as follows:
  • Agency. As defined in § 393.063, F.S
  • Benefit Payments. As defined in § 402.33, F.S.
  • Client.  As defined in § 393.063, F.S.,
  • Gross income.  For the purposes of this rule Gross income includes the sum of the client’s benefit payments and third party benefits less any deduction authorized in writing by the Social Security Administration or the Agency for Persons with Disabilities. Deductions may only be authorized by the Agency for Persons with Disabilities if the client is using benefit payments or third party benefits to offset a voluntary reduction in the client’s Medicaid Waiver services or if the benefit payments or third party benefits are used as a required payment, co-payment, or co-insurance for Medicaid services, including, but not limited to prescribed drugs. This term does not include the client’s earned income.

(b) Personal Needs Allowance.  A portion of the benefit payments and third party benefits that must be set aside and used for the direct benefit of the client. For purposes of this rule, a client’s personal needs allowance is $93.58 per month.

(c)  Residential Habilitation.  Supervision and specific training activities that assist the client to acquire, maintain or improve skills related to activities of daily living.  The service focuses on personal hygiene skills such as bathing and oral hygiene; homemaking skills such as food preparation, vacuuming and laundry; and on social and adaptive skills that enable the client to reside in the community.  This training is provided in accordance with a formal implementation plan, developed with direction from the client and reflects the client’s goal(s) from their current support plan.

(d) Room and Board Payment. Reimbursement to the operators of facilities or programs licensed pursuant to section 393.067, Florida Statutes, to cover the cost of providing food and shelter to Agency clients who also receive residential habilitation services in accordance with Chapter 65G-2 of the Florida Administrative Code. For purposes of this rule, a client’s room and board payment is $543.42 per month.

(e) Third party benefits. As defined in §402.33, F.S.

  • Room and Board Payment Rates. Providers serving clients who receive residential habilitation services within a facility licensed pursuant to section 393.067, Florida Statutes, will receive a room and board payment which is dependent upon the amount of benefit payments and third party benefits the client receives.
  • Payments to Providers:

The room and board payment is calculated by subtracting a personal needs allowance ($93.58 per month) from the client’s monthly benefit payments and third party benefits. The room and board ($543.42) payment is then subtracted from the remaining total. If any benefit payments or third party benefits remain after subtracting the personal needs allowance and room and board payment, the remaining balance shall be subject to the provisions in Section (5) below. 

  • Fees assessed for Residential Habilitation services:
  • If a client receives residential habilitation services in a facility licensed pursuant to section 393.067, Florida Statutes, and the client’s monthly gross income exceeds the client’s personal needs allowance and the client’s room and board payment, the client must send the excess gross income to the Agency for Persons with Disabilities.
  • Payments made pursuant to subsection (5)(a) must be sent to the local APD area office by the 15th day of the month after receipt of the third party benefit payments.  If the 15th of the month falls on a weekend, state holiday, or national holiday, then the payment due date will be the next business day immediately thereafter. Checks or money orders should be made payable to Agency for Persons with Disabilities (or APD).   Individuals or organizations serving as the representative payee for multiple clients may submit a single check or money order to the Agency each month.
  • Clients or representative payees for clients shall submit an accounting for any deductions in the calculation of the fees assessed pursuant to this subsection.
  • Mandatory Monthly Reports to the Agency.
  • Every client or representative payee for a client, including a facility or program licensed pursuant to section 393.067, Florida Statutes, must report to the appropriate APD area office by the 15th day of the month. The report must include a calculation for each client that includes:If the monthly report described in this subsection indicates that a fee should be assessed to the client’s third party benefits pursuant to subsection (5) of this rule, the client or representative payee for the client must also include a payment of the assessed fee with the monthly report.
    • The total gross income that the client receives;
    • The amount to be subtracted for payment of the client’s room and board and for the client’s personal needs allowances;
    • The total amount owed to the provider pursuant to subsection (4) of this rule or the total amount of the fee assessed pursuant to subsection (5) of this rule.
  • If the 15th day of the month falls on a weekend, state holiday, or national holiday, then the payment due date will be the next business day immediately thereafter.
  • Review of Assessed Fees
  • Substantially affected individuals may request a review the fees assessed upon their gross income by submitting a request for review to the applicable area office. The client or responsible party must notify the agency, in writing, of the request for review of the fee assessed, and must submit any receipts, tax records, bills, certified statements or other documentation needed to substantiate the request for a review of the fee.
  • If the substantially affected individuals still disagree with the fees assessed upon their third party benefit payments after their request for review, they may request an administrative hearing pursuant to section 393.125, Florida Statutes.

Rulemaking Authority 393.501(1) and 402.33, FS. Law Implemented 402.33, FS. History-New , Amended . 


For your information:  This is a memo from Cathy Beldell, Deputy General Counsel for APD regarding justification of cost reductions in res hab.  

From:  Cathy Bedell/APD/DCF
To:  10/18/2011 04:56 Gerald Siebens/APD/DCF@DCF, Zaynab  PM Salman/APD/DCF@DCF, Llamilys Bello/APD/DCF@DCF, Tomea Sippio-Smith/APD/DCF@DCF, Melinda Powers/APD/DCF@DCF, Angela Green/APD/DCF@DCF, Melissa  Dinwoodie/APD/DCF@DCF
> cc Jamie Morrow/APD/DCF@DCF, Denise  Arnold/APD/DCF@DCF
Subject  Re cost plan reviews of res hab services

In response to the question posed at our Monday meeting about the reduction of res hab services as part of the cost plan review, the following is my understanding of what is required.
If a reduction to res hab IB or BF is recommended, that decision should be supported and reviewed by the area behavior analyst. It should also be supported by the support plan or progress notes.

If the reduction is related to other res hab levels,i.e., extensive 1 or minimal, the area staff can make that decision based on facility reports or the support plan. This is especially true where res hab may have been adjusted upward for a temporary condition–recent surgery or increase in behavior incidents– and never reduced, as well as where the behavior or condition that supported the original placement has diminished or no longer exists.
> Catherine Bedell
> Deputy General Counsel
> Agency for Persons with Disabilities
> 4030 Esplanade Way; Suite 380
> Tallahassee, FL 32399-0950
> Phone: 850.414.0139
> Fax: 850.410.0665
> Toll Free: 1.866.273.2273
> E-mail: cathy_bedell@apd.state.fl.us

This is information from waiverprovider.com.  Thanks to Florida Unites and Aaron Nangle  for providing this important information.

APD Announces A Schedule of Cuts

            Agency for Persons with Disabilities (APD)

      Director Mike Hansen presented an update on the agency’s cost-containment efforts today to the House of Representatives Health Care Appropriations Subcommittee.

The Legislature approved $810 million for APD’s Medicaid waiver for the 2011-12 state fiscal year that began on July 1. APD customers received $930 million worth of services last year.

The agency has been working to bring its waiver expenditures within the Legislative appropriation this fiscal year. The agency is also looking for opportunities to increase waiver flexibility and equity for customers, while continuing to protect their health and safety.

Earlier this month, APD shared five cost containment initiatives with various legislative committees that would reduce APD’s waiver obligations. The director was asked to bring back a proposed timeline for implementing the changes.

The timeframes may be contingent on developing new rules or federal approval from the Centers for Medicare and Medicaid Services (CMS).

At today’s meeting, Hansen announced plans to standardize payment rates for intensive behavior residential habilitation beginning January 1, 2012. Also on that same date, the agency will begin collecting fees from APD customers who have income to offset some of their costs of living in a group home.

APD plans to reduce the rates it pays for therapy assessments and all nursing services to the standard rate paid by the Medicaid State Plan beginning April 1, 2012.  Currently, the APD Medicaid waiver pays higher rates for most of these services.

Also on the same date, APD will reduce the difference it pays between solo providers and agencies for waiver services to no more than 20 percent. Currently, those rates may differ up to 43 percent.

There was no timeline announced today for implementing cost sharing for parents who have children on the Medicaid waiver. APD is working with the Agency for Health Care Administration on this issue.

The change to the waiver requires federal approval.

After pursuing these cost-containment initiatives to APD’s Medicaid waiver, the agency expects to realize more than $14 million in reduced expenditures on an annual basis. 

For the APD document, click on the link below

Cost-Containment Plan Fiscal Year 2011-2012


This is the current newsletter sent by WaiverProvider.com. I am unable to format this correctly. To see the entire newsletter, go to the websight.

WaiverProvider.Com September 30, 2011

Is Your Support Plan Current And Correct?

All cost plans are being reviewed between now and November 15, 2011. If your need for services are not well documented, they could be eliminated or reduced. It’s very important that all documentation be sent up at the time of review. If your services are reduced or eliminated, you will have a chance for due process, but the judge will only be looking at what was actually submitted. You will not be allowed to give the judge more documentation during your hearing. Contact your support coordinator to learn more.

Minor Differences, That Are Not So Minor

Is Justification For Your Residential Habitation Rate Documented?

Minimal

$2195.48 Month

Moderate

$3294.48 Month

Self care/daily living tasks:

including physical assistance and mealtime intervention to eat safely, may require mealtime interventions and/or devices.

May require consistent verbal and physical help to complete self care/daily living tasks,

Requires substantial prompting and/or physical assistance to perform self-care/daily living activities.

May be totally dependent on staff for dressing/bathing. May require mealtime interventions and/or devices OR receives all nutrition through a gastrostomy or jejunostomy tube.

Toileting

May require scheduled toileting or use of incontinent briefs.

Incontinent of bowel or bladder. May require scheduled toileting or use of incontinent briefs.

Walking

Walks independently or independently uses a manual or power wheelchair.

Independently uses a powered wheelchair, may need assistance with a manual chair.

Transfer / Change Positions

· May require assistance to change positions.

· Needs physical assistance of one person to transfer or to change positions.

· May require assistance to change positions.

· Needs physical assistance of one person to transfer or to change position.

· Disability prevents sitting in an upright position, has limited positioning options.

Behavioral

· May exhibit behaviors that require formal and informal intervention;

· requires frequent prompts, instruction or redirection, some environmental modifications or restrictions on movement may be necessary.

· May exhibit behaviors that require frequent planned, informal and formal interventions.

· Assistance from others may be necessary to redirect the recipient. May require psychotropic medication for control of behavior. Self-injury or aggression towards others or property results in broken skin, major bruising/swelling or significant tissue damage requiring physician/nurse attention. May have threatened suicide in past 12 months. May have required use of reactive strategies 5 or more times per month in last 12 months. May routinely wear protective equipment to prevent injury from self-abusive behavior.

Physical

· Seizures: If has seizures, no interference with functional activities;

· May require medication for bowel elimination.

· May require a special diet. May require staff supervision to self-administer medications.

· Seizures: May have seizures that interfere with functional activities; receives 2 or more medications to control seizures.

· May require medication and daily management, including enemas, for bowel elimination.

· May be nutritionally at risk and require a physician/dietitian prescribed special diet.

· May have experienced a pressure sore requiring medical attention in the past 6 months.

See All Provider Rates

(888) 444-3331

WaiverProvider.Com

727-841-8943

*Information in our newsletters is provided by Clear Choice Web Solutions, Inc. which is not controlled or monitored by The Agency For Persons With Disabilities. The information provided in our newsletters has been submitted by support coordinators, waiver providers, and family members. Research has been done by Clear Choice Web Solutions. Inc. staff. We do our best to provide you with up to date and accurate information, however, always check with The Agency For Persons With Disabilities. You can call their Toll Free Number 1-866-APD-CARES or 1-866-273-2273 .

2011 All Rights Reservered | WaiverProvider.Com | 1.727.5841.8943

 

APD Conference for employers

Schedule of Events

Friday, September 23, 2011

8 a.m.— 6:15 p.m.

Saturday, September 24, 2011

9 a.m.—12 noon

Online conference registration at

 

http://apdcares.org/training-registration/ecr.htm

Conference registrations accepted through
September 16

ACCESS to a pool of people interested in working, who have a history of low absenteeism

NETWORK with other employers who believe in hiring people with disabilities

MEET staff from state agencies and local organizations that can help you hire and train people with disabilities

DISCOVER new resources to help you diversify your workforce

CONNECT with factual information about employing people with disability and bust old myths

Hotel Reservations

 Contact Buena Vista Palace Hotel Reservations by phone at:  1-866-246-6563

-or- use the link below to directly make reservations online:

https://reservations.ihotelier.com/crs/g_reservation.cfm?groupID=647089&hotelID=6579 

Request the “APD Conference” group rate:  $90.00

 

Deadline for Group Rate Reservation:  September 1, 2011

Date of conference: September 23-24, 2011

Hotel: Buena Vista Palace Hotel & Spa

1900 East Buena Vista Drive

Lake Buena Vista, Florida

Increased workforce diversity

Dependable employees

Partnering agencies:

Consider coming to the session at 5:15p.m. on Friday if you live in the area. DirectEmployers Association will speak on their human resources consortium of global employers formed to improve labor market efficiency through the sharing of best practices, research and the development of technology.

APD Employment Conference

Are you a business person looking for good employees?