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•Summary Slide

Consumer Directed Option

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•Consumer Directed Option

Kentucky Independence Plus Program

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•What is Consumer Direction

Principles of CDOFreedomAuthoritySupportResponsibilityConfirmation

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•Consumer Directed Option (cont’d)

Projected start date is Fall 2005. Consumer Directed Option is NOT an

increase or expansion of current services.

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•These Services May Be Consumer Directed

HCB services:

Respite, Personal Care, Homemaking, Attendant Care

SCL services:

Respite, Community Living Supports, Community Habilitation

ABI services:

Respite, Companion Care, Personal Care

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•What are Blended (Traditional & CDO) Services

CDO and traditional waiver services may be

provided at the same time depending on the individual’s needs and approved plan.

Services may not be duplicated. Medicaid and Waiver eligibility will not change.

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•Who can Participate ?

Individuals meeting the eligibility and

financial requirements for the following Medicaid Waivers: Home and Community Based Supports for Community Living Acquired Brain Injury

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•Who can Participate? (cont’d)

Individuals who can: Understand the rights and

responsibilities of managing their own care. Manage or have someone assist them

with their budget and self-direction.

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•What is a Representative?

A person to assist you with aspects of consumer direction.

Chosen by the individual. Must be at least 21 years of age. Cannot be paid to act as a

representative or provide CDO services.

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•Tools for Implementation

Support Brokerage EntityIndividualized BudgetsFinancial Management Agency

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•What is Support Brokerage? Required for all individuals participating

in CDO. Available 24 hours/ 7 days a week. A single entity will provide support brokerage

statewide under contract with the Commonwealth /Department of Medicaid.

Individuals choosing CDO may select a support broker of their choice from this entity.

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•Role of Support Broker

Represent the INDIVIDUAL. Assist with the development, revision, and

monitoring of the Plan of Care/Support Spending Plan (POC/SSP).

Assist with the development, revision and monitoring of an emergency back-up plan.

Provide education/information on self-determination and community resources.

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•Role of Support Broker (cont’d)

Assist with recruiting, hiring, and managing employees of the individual and negotiating rates.

Assist with all paperwork and the CDO process. Coordinate all services for individual receiving a

blended package of services.

Be accountable to the individual and the state.

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•What is an Individualized Budget?

Based on individual’s needs identified on approved POC/SSP.

Allow flexibility on who will provide the identified services.

The amount of money in the budget will be determined by Medicaid based on past service usage.

May be amended if individual needs change.

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•What is Financial Management?

Required for individuals participating in CDO. Primary role is paying for services provided. A single entity will provide financial management

services statewide under contract with the Commonwealth/Department of Medicaid.

Provides budget reports to the individual, support broker, and Medicaid.

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•Role of Financial Management Agency

Assist individual with administering

their individualized budget. Assist with payroll requirements. Ensure all labor laws and state

requirements are met. Ensure payments are made for

services approved in the POC/SSP.

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•Who can provide CDO services?

The individual and/or their representative may recruit, hire, and supervise their own employees to provide services as approved in their plan of care.

Employees may include: Family Friends Relatives Neighbors Employees recruited by consumer Provider agencies

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•Assistance with Consumer Directed Option

When an individual chooses the Consumer

Directed Option, he/she can get assistance

with finding and managing employees from

his/her representative, support broker, and

circle of support.

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•CDO Requirements

CDO individuals and/or representatives employees, and Support Broker must complete training on self-determination.

Employees shall complete other training as needed and directed by the individual, including CPR and First Aid.

Employees must submit to background check. Adhere to tax and labor laws.

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•Person Centered Planning

POC/SSP developed based on person centered planning.

Guiding Principles of Person Centered Planning used.

The plan ensures services will meet the overall health and safety needs of the individual.

Ensures budgeted amount to meet individual need.

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•What will be the individual’s responsibilities? Work with support broker to develop

POC/SSP and emergency back-up plan. Work with financial management agency

to work within their budget. As employer – hire, train, schedule, fire

staff. Follow the POC/SSP. Select representative, if desired/needed.

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•What happens if the individual no longer wants or is able to consumer direct?

Return to traditional services. No break in service delivery.

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•Questions

For further information, please contact one of the following people at (502) 564-7702. Debbie Bolton-Plucknett Benita Jackie Cece Vest Mary Walker(Medicaid) at (502)564-7540