3/8/07

 

DD Coordinator Report 

• Sandra Butts not present- no report.

 

General Issues

• Representatives from the following agencies attended the meeting: Curative, Creative Options, CCLS, MCFI, HIL, Midwest, Milwaukee County, Easter seals Kindcare, Central City, Center for the Deaf and Hard of Hearing, UCP, and People Can't Wait. 
• RSA Spring Regional Meeting Registration form handed out

 

Treasure's Report - Tom Nowak

• $3084.79 in account.

 

Milwaukee Training Initiative -

• Upcoming Trainings

- Caring for People with Diabetes was a success despite the weather.

- HFS83 Fire Safety 3/20 at MCFI (flyer passed out)

- 4/17 Behaviors of Individuals with Medical Conditions of DD Persons

- Executive Breakfast 4/18/07 at 7:30-10:30am at MCFI

 

SE WI Training Group -

• Upcoming Trainings

-          4/3/07 Ozaukee/Washington County - Promoting Healthy Lifestyle (flyer's passed out)

-          4/07 Unknown location - Autism/Aspergers Syndrome

 

Transition Committee- Hope Lloyd

• Encourage people from Supported Living Situations to come to meetings.  
• MCTAB meets on the 2^nd Tuesday of the month at 1pm at UCP.  If interested contact Hope Lloyd at 329-4500.
• Brouchure passed out

 

Transit Committee - Cheri Bruch (not present)

• No report

 

Health Disparities -Martha DeGraw (not present)

 

• New website can be accessed through the Southern Wisconsin Center website, http://dhfs.wisconsin.gov/dd_swc/
• Health Log - Looking for ways to get it out so people can give feedback. Scheduled to meet after next MADDSA meeting to discuss.  
• Still looking for stories of positive or negative interactions with health care providers to post on the website to assist other providers    

 

 

PCW Report - Lois Degner

 

• Next meeting 3/13 at 9a.m. @ ARC.
• Encouraged members of MADDSA to participate in PCW.

 

 

Speakers - Geri Lyday and Mark Stein - Milwaukee County DSD

 

Geri Lyday discussed the following topics:

 

Community Relocation Activities are continuing to go on looking to relocate individual from Nursing Homes and State Centers. Last years efforts moved at least 12 people.  They are continuing to look at ways to relocate people.  There has been some opposition from guardians and families.  The county has a Relocation Specialist by the name of Kristy Smith.  Her role is to identify individuals that are potential people to move.  The individuals are also reviewed twice a year by an outside source to identify if more can be moved.  The state is able to site the county $48.00 per day for people that are identified on list to move and are not.  The county needs to be more aggressive.  The state also has it in its budget that once an individual is moved from the State Center, a staff person can be laid off.  The county is looking to see how they can use the expertise of some of the staff at the State Centers in other areas.  The county plans to write a position paper to the state to identify the needs in order to move people. 

 

Contract Administration This administration is aggressively reviewing waiver standards and making sure that agencies are complying with them.  They plan to manage better Fee for Service Network Service Agreements and Contracts.  Fiscal area believes that it is not monitored enough. The county is also looking at standardization of rates, services, the consistency of paying after the fact, and accountability of services provided. Agencies may have to make accommodations of getting paid after the service is given.    Geri believes it is good timing as we are moving into managed care. 

 

Contract Based Outcomes   County enforcing looking at the progress of the people that are being served.  They want to know what agencies are accomplishing with the money they are paid. 

 

Residential System   With the closing of the ICFMR's there has been an increase in need for CBRF's.  However, this may not always mean that the people working there are experienced enough to handle the folks coming out into the community.  Geri Lyday mentioned the difficulty of supporting people with very difficult situations.  Often they end up at MCMH and the CBRF will not agree to bring them back to the home.  The county plans to make the RFP's more specific so that they will have a huge network of residential providers that are skilled in dealing with significant behavior issues. 

 

Crisis Respite Home House opened on 57^th and Silver Spring with intention to serve those on wait list that have crisis so they do not have to be at the MCMHC.

 

Transportation Geri stated that this was an ongoing concern.  All medical rides must get billed to Medicaid.  The co pay would be less for county and individuals if they used Medicaid providers. 

 

Handling/Tracking Consumer personal Money in Group   According to Mark Stein, there has been an increase in potential incidents of inappropriately tracking of funds in group homes.  The group home needs to be able to show what the client and program's money is being used for such as clothes, personal hygiene, etc.  The county is going to be doing some quality assurance checks to make sure that funds are being accounted for.  They will also begin to look at the potential problems with having group homes be the payee for their own clients.  In the future, the RFP's will have stronger language setting the guidelines for this matter.

 

Long Term Care Reform - Geri Lyday  There were two handouts given titled Milwaukee County Long Term care Planning Process and the Proposed Organizational Structure for Ongoing Planning.  Milwaukee County is involved with the planning process for the Long Term Care Reform. 

 

Their drafted proposed plan is that of the following;

A referral will come into the "Aging and Disabilities Resources Center" where eligibility of services either through Family Care of Long Term Care will be determined.  Person's over 60 that are eligible will be directly referred to the Family Care Program.  People under 60 will move to the Independent Enrollment Counseling Phase.  Here they will be found eligible or ineligible based up   on financial and functional status.  If eligible the client will then move forward to a Care Management Organization - DHHS, iCare, or Community Care for Long Term Care Services. 

 

One concern was what the capitative rate would be and would it be sufficient.  However, there were no indications given of what that would be.  It was mentioned that family care rates and success would be looked at.  It was also mentioned that people that were on the contract that do not qualify for T19 will be addressed. 

 

Currently the county is serving 2,500 individuals, and there are 1,500 individuals on the waitlist.  There are also more that have not yet been identified.  It is expected that when this time comes there will be at least 5,000 people that will be in need of services. 

 

People serving clients were encouraged to connect clients with listening sessions where the consumers have opportunity to express needs and concerns. 

 

 

 

Prepared by Connie Miller