ISAC Conference Call Feb. 7, 2018 ODP Updates ISAC Conference Call Feb. 7, 2018

Budget 2018-19 The proposed budget is $600 million greater than the governor’s proposed budget for FY 2017-2018 and $900 million more than the $32 billion spending plan that was ultimately enacted.

Office of Developmental Programs The FY 2018-19 budget provides a $74 million increase for services for individuals with intellectual disabilities and autism. Within this total, the budget targets $16 million to provide supports and services to 965 individuals with an intellectual disability or autism living in communities across the Commonwealth and to assure services to an additional 700 adults who will be graduating from public school in June of 2019 . This includes the following:   100 individuals from the emergency waiting list in the Consolidated Waiver; 800 students graduating in 2018 in the Person/Family Directed Support Waiver and the Community Living Waiver; 700 students graduating in 2019 who will enroll in the Person/Family Directed Support Waiver and the Community Living Waiver prior to graduation to assure continuity of support; 40 individuals from the interest list to the Adult Community Autism Program (ACAP); and 25 individuals transitioning from State Centers to the community.

Early Childhood Governor Wolf’s proposed $25M state fund investment , matched with $5M in federal funds, will allow an expansion of access to high-quality early child care and education services, allowing parents to work while their children are in safe, reliable child care. The investment consists of: $10M to provide approximately 1,600 additional low-income children and families access to child care; $10M in state funds, and an additional $5M in federal funds, to increase STAR 2, 3, and 4 tiered payment rates; $3M to establish a pilot program focused on early child care and education programs for children under 3; and $2M to provide a rate increase for services provided through Nurse Family Partnership and Community-Based Family Centers to enhance capacity.

Opioids A $4.5M initiative focused on communities impacted the most by the opioid epidemic will expand evidenced-based home visiting. Early childhood and prenatal home visiting programs ensure families have the support and services they need to provide a holistic and healthy home environment In addition, by providing education, resources and referral strategies to agencies that support either parents struggling with an opioid use disorder (OUD) or other substance use disorder (SUD) or to home visiting programs, families will have a stronger network of supports for the entire family. The investments within this initiative include: $4M to expand evidenced-based home visiting to 800 families in communities most impacted by OUD $500,000 for cross-systems training for country children and youth staff, early intervention providers, home visiting professionals, and private provider staff focusing on working with families experiencing SUD or OUD and infants with substance exposure.

Other Updates KEY COMPONENTS OF HEALTH AND SAFETY COMPLIANCE OVERSIGHT Blossom Update Enrollment numbers for 2017-18 waiver expansion Federal Joint Report: Ensuring Beneficiary Health and Safety in Group Homes Through State Implementation of Comprehensive Compliance Oversight https://oig.hhs.gov/reports-and-publications/featured-topics/group-homes/group-homes-joint-report.pdf KEY COMPONENTS OF HEALTH AND SAFETY COMPLIANCE OVERSIGHT 1. reliable incident management and investigation processes; 2. audit protocols that ensure compliance with reporting, review, and response requirements; 3. effective mortality reviews of unexpected deaths; and 4. quality assurance mechanisms that ensure the delivery and fiscal integrity of EDL Conference feedback