What is PCS of WNY?• Person Centered Services of Western New York (PCSWNY) is a

collaborative organization established by a group of local nonprofit service providers for people with developmental disabilities.

• PCSWNY was established to respond to New York State’s People First Waiver program.

• Comprised of eleven developmental disabilities agencies throughout Buffalo, Rochester, and Finger Lakes working together to build a stronger and sustainable healthcare & service environment for the individuals and families we serve.

PCS of WNYBoard Members

Rochester/Finger Lakes• Able 2• Heritage Christian Services Inc. • Hillside Family of Agencies • Holy Childhood • Lifetime Assistance Inc. • Pathways, Inc. Buffalo/Western New York• Aspire of WNY, Inc. • Cantalician Center for Learning Inc. • Community Services for Developmentally Disabled Inc. • People Inc. • Suburban Adult Services Inc.

People First Waiver• What is the People First Waiver?• The People First Waiver will allow

OPWDD to craft a new, more efficient system design that will protect the health and safety of all individuals while increasing the effectiveness and sustainability of supports and services for future generations.

• New design will provide managed care through the establishment of managed care organizations called DISCO’s.

• Why Managed Care?

What is a DISCO?• Developmental Disabilities Individualized Support and Care

Coordination Organization (DISCO)

• The DISCO will function as a fiscal intermediary and service delivery network providing comprehensive Care Coordination to individuals with disabilities and their families.

• DISCOs will be equipped to serve individuals with all levels of need by providing supports and services directly or indirectly through sub-contracts with provider agencies.

DISCO ServicesOPWDD Auspice Services DOH Auspice Services OMH/OASAS Auspice

Services• Voluntary Operated

OPWDD Comprehensive Waiver Services

• Voluntary Operated Day Treatment

• Voluntary Operated ICF/MR• Art 16 Clinic Services: OT,

PT, SLP, Clinical Social Work, Psychology, Nutrition, Rehab, Counseling, Podiatry, and Dentistry.

• Care Coordination provided by the DISCO

• Adult Day Health Care• Assisted Living Facility• Dentistry• DME and Hearing Aids• Home Care (nursing, Home Health

Aide, PT, OT, SLP, nutrition, Medical Social Services and associated ancillary services such as home delivered meals and social day care) (offered under any auspice: hospital-based, nursing ho me-based, and free-standing programs)

• Non Emergency Transportation• Optometry, Eyeglasses• OT, PT, SLP• Personal Care• Personal Emergency Response

System• Private Duty Nursing• Psychology and Clinical Social Work• Respiratory Therapy• Skilled Nursing Facility

• OASAS Inpatient• OMH Institutional Program

(PC/RTF) and private psychiatric hospitalizations

• Psychology and Clinical Social Work.

• OMH day treatment• PROS

Coordinated Assessment System

• Universal Assessment Tool - interRAI Assessment Suiteo Consists of 16 separate “domains”o Each domain will contain specific itemso Items will identify information to be gathered

• Assessments will be conducted by trained specialists employed by the State.

• Assessments will be person-centered and involve individuals, family, staff, clinical team, records, and observations.

• Assessment Supplements

Coordinated Assessment System

Phasing Plan of Coordinated Assessment SystemPhase I Select Case Studies

Phase II DISCO Pilot Project Participants

Phase III Individuals newly entering the service system

Phase IV Over time, assessments will be conducted for individuals who currently receive services.

The purpose of the new assessment system is to help identify opportunities for greater integration and independence based on strengths, needs, and individual interests.

Functions of Care Coordination

Central Point of Contact

Linkage and Referral

Advocacy

Care Planning

Assessment

MonitoringRecord Keeping

Coordination with

Providers

Cost Management

Eligibility and Benefits

Maintenance

Geographic Breakdown

PCS of WNY Intent• A Gateway to Choice…

• The future DD service system will be driven by mission-based, experienced service providers, using a network of providers that embrace a person-centered philosophy and maximize efficiencies while protecting what is unique and important to serving people with developmental disabilities.

Mission and VisionMISSION

Person-Centered Services of Western New York is applying to be one of the first Developmental Disabilities Individual Support & Care Coordination Organizations (DISCO) in New York State and the first serving the 17 counties of Region 1.

VISIONAll individuals in Region 1 with developmental and/or intellectual disabilities will have access to the residential and direct services they require - including care coordination, mental health and physical health – and the greatest possible choice of quality providers.

Goals of PCSWNY

Appropriate access to care Assume risk

Results-based New ideas

Guiding Principles for Agency Participants

• Maintain respect for the identity and continuity of all agency participants while working together toward the best possible regional approach.

• Preserve respect for the values and principles of our various network providers.

• Uphold confidentiality while maintaining openness to sharing of information that is necessary for moving forward in a collaborative manner.

Guiding Principles for Service Delivery• Ensure that the individuals who are receiving and/or needing

services in the forefront of our planning o Better outcomeso Better supportso Person-centered

• Seek inclusion and diversity in governance and networks along with the capacity to support the entire region.

• Understand that participating agencies will be moving forward with other options within the DISCO environment

Organization of PCS of WNY

Other DISCO(s)

OPWDD

Network – DD(17 counties)

Network – Non-DD

Advisory Board

Why PCS of WNY?

No outside organizations

Maximize choice

Competitive environment

Connections to the region

Advantages of PCS of WNY• Geographic distribution – across 17 Region 1 counties• Established networks and relationships of the founding

members• Combined service portfolio of founding agencies• Two Compass agencies (Heritage Christian Services, People

Inc.)• Senior and housing services• Prepared to be an early adopter; we can move as fast as

OPWDD requires

Timeline for Transition

DISCO Pilot Phase Full Implementation (Non-Pilot DISCO Roll out

Services Included

OPWDD and DOH long-term supports and services and other behavioral supports

OPWDD and DOH long-term supports and services and other behavioral supports – to phase into comprehensive services over time

Initial Enrollment

November 2013 November 2015

Questions?

Contact InformationSara RandolphDirector of Business Development716.817.7415sara.randolph@pcswny.com

Tess FraserDirector of Marketing716.817.7496tess.fraser@pcswny.com

Website: www.pcswny.org

www.facebook.com/PCSWNY