Intellectual and Developmental Disabilities Quarterly Report Presented by: Erin Lawler, J.D., M.S. Associate Director of Intellectual and Developmental Disabilities Texas Council of Community Centers

Update Personal Professional

Highlights from the quarter STAR+PLUS managed care IDD roll-out Community First Choice (CFC) Respite in HCS and TxHmL Medicaid HCBS Settings Regulations Outreach Budget

STAR+PLUS managed care roll-out Acute care services (September 1, 2014) HHSC Listening sessions (September – November)

Community First Choice Efforts toward March 1, 2015 implementation continue

Respite in HCS and TxHmL We fixed respite! Available in non-routine and routine circumstances!

Medicaid Home and Community Based Services Settings Regulations Rule creates new requirements for settings in which states may provide HCBS New waivers or state plans must meet requirements to be approved (CFC) Existing programs may transition into compliance after evaluation by the state (1915(c) waivers) Requirements apply to all settings where people receive HCBS, including employment and training settings Further guidance from CMS on implications for non-residential settings pending

Medicaid Home and Community Based Services Settings Regulations (continued) General requirements Specific requirements Access to greater community Opportunity to seek employment and engage in community life Opportunity to control personal resources Choice (selected by the person from among options including non-disability specific settings) Rights of privacy, dignity, respect, and freedom from coercion and restraint Privacy in the sleeping or living unit Lockable entrance doors, with the individual and appropriate staff having keys to doors as needed Choice of roommates Freedom to furnish and decorate their sleeping or living units within the lease or other agreement Freedom and support to control their schedules and activities and have access to food any time Visitors at any time Physically accessible to the person

Outreach: “What Job Applicant and Employees Need to Know about Social Media and Disabilities” Archived Webinar 5 star rating!

DADS Budget Highlights Demand for community services outpaces funding Need for capacity to serve people with high behavioral health and/or intensive medical needs in community Two Exceptional Items related to reducing waiver program interest lists

Questions?