Anne LeClercAssociate Director of Program PerformanceBHDDH, Division of Developmental Disabilities401-462-0192Anne.LeClerc@bhddh.ri.gov

It was me state took in wrong direction lets fix it

Good test for staff not funding

How do people who self-direct access Case Management funds under new recommendation -- people who self- direct typically do not have case management.

When we move to Conflict-Free Case Management, all participants will have access to it

When will move to CFCN happen?

All levels should have community involvement including people in group homesAdult day centers not hcbs

Fund ride and technology not just about staff

Yes

Supported apartments a few but needs more

Is there a way for SDS employees to get paid days off and other benefits?

It would have to be built into the rate for the time they can bill.

So that SDS DSPs should be getting something like the provider total billable rate? --

Special homes, no

A similar calculation. For example, if you wanted to pay a full-time staff for 2 weeks vacation, you would calculate the total pay for 52 weeks, then divide by 50 weeks, then by 40 hours to get an hourly rate that includes 2 weeks with no billable time. Similarly, you could add in other costs such as time to attend training or other benefits and divide by the billable time to get an hourly rate that includes those benefits.

344 DAY? MY CALENDAR HAS 365

Mh has that CCA

The 344 day billing pays a higher rate for fewer days to cover time when people are not in the home and the provider cannot bill for them. For example, if someone goes to visit family for a week, the group home provider can't get paid for that week.

Paid to sleep cool

Tasks read oversee cooking

Do the SLA and Companion Room & Board with supervisory issues preclude self-direct?

Yes but you need qualified staff for job training

Group employment is ok but minimum wages

Can I make a suggestion for a service that not only Rhode Island needs but every state? Individuals with IDD are 75% more likely to have mental health issues however there is no mental health programs that actually caters to those individuals or their providers (family included. I have done some research and was only able to find 1 program that had a mobile treatment team with a behavior specialist for individuals with IDD. Mental Health Group homes are not appropriate for our individuals because of the high ratio. But our group homes don't really specialize in mental health. That means about 75% of our individuals are being under served.

How do we get copies of the deck?

The presentation will be posted on the BHDDH website and on the HMA website listed on this slide.

Will the revised SIS mean that everyone will be reassessed — and if so, what sort of time frame is that

People need deliverence mental health is not the big picture

The BHDDH website is under Initiatives - Rate and Payment Project - Public Comment

https://bhddh.ri.gov/developmental-disabilities/initiatives/rate-and-payment-methodology-review-project/public-comment

This question was asked: Do the SLA and Companion Room & Board with supervisory issues preclude self-direct? No, individuals will still be able to self-direct some of their services as they can now if they live in an SLA.

AMEN, Linda!

Process should not be cumbersome to make changes

Similarly, the "exceptions" above Tier process will need to be simple and streamlined.

For clarity, if consumer used only 1-1 community services, would that reduce service hours for the week? or use up budget faster? (I thought I heard the answer as yes to this.)

Is there a financial incentive for agency to push clients to shared services rather than 1:1

Anne LeClercAssociate Director of Program PerformanceBHDDH, Division of Developmental Disabilities401-462-0192Anne.LeClerc@bhddh.ri.gov