The New Jersey Department of Human Services DDD of ...QUARTERLY DDD UPDATE . FOR INDIVIDUALS,...
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QUARTERLY DDD UPDATE FOR INDIVIDUALS, FAMILIES AND PROVIDERS The New Jersey Department of Human Services DDD of Developmental Disabilities Jonathan S. Seifried, MA Assistant Commissioner October 2, 2018
Transcript of The New Jersey Department of Human Services DDD of ...QUARTERLY DDD UPDATE . FOR INDIVIDUALS,...
QUA RTERLY DDD UPDA TE FOR INDIVIDUALS, FA MILIES A ND PROVIDERS
The New Jersey Department of Human ServicesDDD of Developmental Disabilities
Jonathan S. Seifried, MAAssistant Commissioner
October 2, 2018
Overview
Executive Management Team and Unit Contacts Fee-for-Service (FFS) Implementation Register Ready Advocacy of Individuals Served Komninos' Law’ Law Update DSP Wage Increase Provider Recruitment
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Executive Management as of October 20183
[email protected] Assistant Commissioner
[email protected] Chief of Staff
[email protected] Assistant CFO, DHS
[email protected] Chief Information Officer
[email protected] Director, Supports Program & Employment Services
[email protected] Director, Waiver Unit
[email protected] Director, Support Coordination & Case Management
[email protected] Special Assistant
[email protected] DDD Communications
[email protected] Family Outreach
DDD Unit Contacts
Unit Contact Name Contact Email
Intake James Schiralli [email protected]
Support Coordination Cheryl Betz [email protected]
Supports Program Kelli Rice [email protected]
Provider Performance & Monitoring Wendy Yosco [email protected]
Housing Eric Kaufmann [email protected]
Housing Subsidies Courtney Davey [email protected]
Case Management Mariana Pietrunti [email protected]
Contracting Jose Gonzalez [email protected]
CCP Fee-For-Service Michelle Whitmore [email protected]
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FFS Implementation: Community Care Program
10,995 Community Care Program (CCP) Transition Letters and Support Coordination Agency Selection Forms sent to individuals identified for transition from CCP to CCP-FFS
10,150 CCP individuals assigned to Support Coordination Agency
8520 CCP individuals with approved Individualized Service Plan (ISP)approved plans
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FFS Implementation: Supports Program
Current Supports Program (SP) enrollment: 8,704 Review of SP-enrolled individuals who are not
accessing services other than Support Coordination To ensure needs are being appropriately addressed To ensure individuals are aware of available services Identify individuals who may need to be dis-enrolled from SP
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FFS Implementation: Support Coordination
Support Coordination (SC) capacity Medicaid/DDD approved SC Agencies: 156
SC Maximum Capacity: 26,022 Individuals currently assigned to an SC Agency: 18,443 Remaining Capacity: 7,579
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Register Ready
NJ Register Ready is a voluntary special needs registry in case of disaster or emergency; allows the opportunity for people with disabilities and their families to provide their name and information so it can be shared with emergency response agencies
Registering on NJ Register Ready ensures that emergency responders are prepared to serve people with disabilities in the event of a disaster or other emergency
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Advocacy
In an effort to increase collaboration, the Division is meeting with advocacy organizations to develop statewide opportunities to hear directly from the individuals we serve
Engaging with the following Advocate organizations New Jersey Self-Advocacy Project The Boggs Center People First New American Movement
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Advocacy
Identified need: Assess what is currently happening in the state in advocacy Plan steps that can be taken to strengthen and enhance current
efforts Develop recommendations for action Provide valuable input as DDD continues its systems change and
allow self-advocates to have a voice in those changes
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Advocacy
First step is a steering meeting with the four advocacy groups to: Define mission Ensure meetings are put together in a way that works for
advocates Identify topic areas Choose locations/dates
The meetings that are ultimately held will be open to all advocates, whether they belong to an organization or not
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Komninos' Law Update
Field Safety and Services Unit Two-hour guardian notification Incident verification Drug testing CARI (Child Abuse Record Information) checks
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Komninos' Law Update
Field Safety and Services Unit (FSSU) Launched August 8th, 2018 Sites visited – 770 Individuals visited – 1,972 Incident Reports generated– 22
Send after-hours contact information to:[email protected]
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Komninos' Law Update
Two-hour guardian notification Any major injury Any moderate injury Minor injury as a result of
Abuse Neglect Restraint Suicide attempt
Send explanation letters within 14 days to CIMU [email protected]
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Komninos' Law Update
Incident Verification 2,539 incidents verified since implementation 2,286 completed within the first 24 hours (90%)
Timely reporting is important Current contact information is key
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Komninos' Law Update
Drug Testing 191 agencies actively drug testing 6,673 completed drug tests since implementation 95% of all tests are negative Random testing to begin in January 2019 Webinar Training opportunities in November 2018
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Komninos' Law Update
CARI Checks Began July 16, 2018 Approximately 2,700 applications uploaded 1,571 applications have been forwarded to DCF for processing 940 applications have been returned 5 records were found, resulted in removal Less than 150 agencies have uploaded applications
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DSP Wage Increase
On June 30, 2018 legislation was passed to provide funding for a wage increase for Direct Support Professionals (DSPs)
The legislation requires funding to be provided by increasing Fee-For-Service (FFS) reimbursement rates for specific services provided through the Supports Program and Community Care Program
See page B-212 of below link for detail: www.nj.gov/treasury/omb/publications/19approp/94.pdf
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DSP Wage Increase
The legislation includes $20M to be portioned out to the Department of Children and Families, Department of Labor, and DDD
The DDD allocation of this amount, plus the federal matching funds available, will provide an estimated $32M in additional funding to providers
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DSP Wage Increase
FFS rate increase is in effect as of October 1, 2018 FFS Individual Budgets will be increased accordingly Service providers are required to pass along the
increase to DSPs
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DSP Wage Increase
FFS and Self-Directed Employees (SDEs) If in FFS, the individual/family can engage Support Coordinator
in negotiating an increased wage for SDEs Automatic rate increases did not occur as the amount paid is
negotiated Increase in salary is not mandatory for SDEs as the wage is
negotiated
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DSP Wage Increase
For the period of July 1, 2018 to September 30, 2018, funding will be disbursed to service providers via a one-time payment that they must pass on to staff, much like last fiscal year
Amount of increase will be based on each provider’s proportion of FFS payments for that period
October 1, 2018 forward the increase will be provided through the rates
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DSP Wage Increase
Once changes are made, Support Coordinators will have to move any un-approved plans through the process of approval again
Approved plans will be adjusted to reflect new rates with no action needed by the Support Coordinator
Questions or issues related to the DSP Wage Increase should be directed to: [email protected]
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DSP Wage Increase
Impacted services Career Planningwww.nj.gov/humanservices/ddd/documents/rate-increase-grid.pdf Community Based Supports Community Inclusion Services Day Habilitation Individual Supports Pre-Vocational Training Respite Supported Employment
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DSP Wage Increase25
Service Service Description / Tier Procedure Code Old Rate New RateCareer Planning Career Planning H2014HI 13.25 13.63Community Inclusion Services Tier A H2015HIU1 2.36 2.43
Tier B H2015HIU2 2.99 3.07Tier C H2015HIU3 3.73 3.84Tier D H2015HIU4 5.6 5.76Tier E H2015HIU5 7.46 7.68
Community-Based Supports CBS H2021HI 7.01 7.21CBS (Acuity) H2021HI22 11.89 12.23
Day Habilitation Tier A T2021HIUS 2.36 2.43Tier A/Acuity Differentiated T2021HIU1 3.43 3.53Tier B T2021HIUR 2.99 3.07Tier B /Acuity Differentiated T2021HIU2 4.35 4.47Tier C T2021HIUQ 3.73 3.84Tier C/Acuity Differentiated T2021HIU3 5.43 5.59Tier D T2021HIUP 5.6 5.76Tier D/Acuity Differentiated T2021HIU4 8.15 8.38Tier E T2021HIUN 7.46 7.68Tier E/Acuity Differentiated T2021HIU5 10.87 11.18
DSP Wage Increase26
Service Service Description / Tier Procedure Code Old Rate New RateIndividual Supports Individual Supports H2016HI 7.01 7.21
Individual Supports Acuity H2016HI22 11.89 12.23Tier A H2016HI52 70.52 72.54Tier A/Acuity Differentiated H2016HIU1 149.84 154.14Tier B H2016HIUS 141.04 145.09Tier B /Acuity Differentiated H2016HIU2 299.68 308.28Tier C H2016HIUR 235.07 241.82Tier C/Acuity Differentiated H2016HIU3 499.46 513.8Tier D H2016HIUQ 329.1 338.55Tier D/Acuity Differentiated H2016HIU4 699.25 719.32Tier E H2016HIUP 423.13 435.27Tier E/Acuity Differentiated H2016HIU5 899.04 924.84
Prevocational Training Individual T2015HI22 12.73 13.09Tier A - Group T2015HIUS 2.68 2.76Tier B - Group T2015HIUR 3.4 3.49Tier C - Group T2015HIUQ 4.24 4.36Tier D - Group T2015HIUP 6.37 6.55Tier E - Group T2015HIUN 8.49 8.73
DSP Wage Increase27
Service Service Description / Tier Procedure Code Old Rate New RateRespite Day & Overnight Camp T2036HI 229.2 235.78
Day Camp Only - up to 6 hours per day T2036HI22 114.72 118.01In-Home - Per Diem CCR Only S9125HI 141.04 145.09Respite T1005HI 4.78 4.91Respite Daily - Out of Home Overnight Tier ARespite Daily - Out of Home Overnight Tier A / Acuity DifferentiatedRespite Daily - Out of Home Overnight Tier BRespite Daily - Out of Home Overnight Tier B / Acuity DifferentiatedRespite Daily - Out of Home Overnight Tier CRespite Daily - Out of Home Overnight Tier C / Acuity Differentiated
T1005HIUR 191.2 196.69
T1005HIU3 382.4 393.38
T1005HIUS 114.72 118.01
T1005HIU2 229.44 236.03
T1005HI52 57.36 59.01
T1005HIU1 114.72 118.01
DSP Wage Increase28
Service Service Description / Tier Procedure Code Old Rate New RateRespite Daily - Out of Home Overnight Tier DRespite Daily - Out of Home Overnight Tier D / Acuity DifferentiatedRespite Daily - Out of Home Overnight Tier ERespite Daily - Out of Home Overnight Tier E / Acuity Differentiated
Supported Employment (Group) Tier A - Group T2019HIUS 2.79 2.87Tier B - Group T2019HIUR 3.53 3.63Tier C - Group T2019HIUQ 4.42 4.54Tier D - Group T2019HIUP 6.62 6.81Tier E - Group T2019HIUN 8.83 9.08
Supported Employment (Individual) SE Individual T2019HI 13.25 13.63
T1005HIUP 344.16 354.04
T1005HIU5 688.32 708.08
Respite Continued T1005HIUQ 267.68 275.36
T1005HIU4 535.35 550.72
Budget Comparison29
Community Care Program
Tier Original Ceiling New Ceiling Difference
A $44,740 $46,026 $ 1,286 Aa $79,692 $81,982 $ 2,290 B $79,480 $81,764 $ 2,284 Ba $145,383 $149,562 $ 4,179 C $117,801 $121,186 $ 3,385 Ca $224,303 $230,750 $ 6,447 D $168,122 $172,954 $ 4,832 Da $317,226 $326,344 $ 9,118 E $212,442 $218,549 $ 6,107 Ea $406,150 $417,823 $ 11,673
Supports Program
Tier Original Ceiling New Ceiling Difference
A $19,000 $19,546 $546 Aa $25,000 $25,719 $719 B $28,000 $28,805 $805 Ba $36,000 $37,035 $1,035 C $32,000 $32,920 $920 Ca $42,000 $43,207 $1,207 D $48,000 $49,380 $1,380 Da $62,000 $63,782 $1,782 E $58,000 $59,667 $1,667 Ea $78,000 $80,242 $2,242
DSP Wage Increase
The difference noted on the previous slide will be placed in a 4th budget category called DSP Service that can only be used for the impacted services
This ensures the funding is only used for services that impact DSP wages, as intended by the legislation
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Provider Recruitment
Webinar to be held October 3, 2018 to solicit new and current providers to develop additional capacity for individuals with intense behaviors, medical needs requiring on-site nursing, or a combination thereof
Services requested include those received in an individual/family’s home (e.g. employment/day services, respite, behavioral supports) or in a provider managed setting (e.g. group home or supervised apartment)
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Provider Recruitment
Webinar will outline Information of DDD population in NJ Service needs Need for both in home supports, as well as out of home NJ’s Medicaid Wavier Services Budgets
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Provider Recruitment
Notice of webinar distributed to: DCF DMHAS DDD Communications Trade Organizations in NJ and PA Agencies that had approached NJ previously Agencies suggested by national experts
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Provider Recruitment – Incentives
Division is currently developing a Request for Letter of Interest (RLI) that will identify incentives for providers to develop residential settings for individuals with intense behaviors and/or medical needs requiring on-site nursing Preference will be given to providers new to DDD who have a
track record of serving the targeted populations in other states or in New Jersey for other entities
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Provider Recruitment – Incentives
Current elements of RLI Maximum of 16 new residences across entire RLI Maximum of four programs awarded to any single agency Maximum of $60,000 per four-person residence
Funding released when all residents move in and residence is fully occupied
Restricted to housing not currently open or in development Agency must accept DDD referrals – no substitutions Majority of sites will serve those with behavioral health needs
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Helpful Links
Register Ready www13.state.nj.us/SpecialNeeds/Signin?ReturnUrl=/SpecialNeeds/
DSP Wage Increase Language from FY19 Appropriations Act (Page B-212) www.nj.gov/treasury/omb/publications/19approp/94.pdf
DSP Wage Increase Original versus New Rates www.nj.gov/humanservices/ddd/documents/rate-increase-grid.pdf
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