Self Direction and the MA DDS Participant Directed Program Building a Home Conference Sept. 29, 2012 Tara Himmel & Greg Carey

Self Direction Self-direction is a service model that empowers participants and their families by expanding their degree of choice and control over the long-term services and supports they need to live at home. Many self-directing program participants share authority or delegate authority to family members or others close to them. Designation of a representative enables minor children and adults with cognitive impairments to participate in self- direction programs. 2

About Public Partnerships, LLC Public Partnerships, LLC (PPL) assists Participant Directed Program participants in implementing their own choices by assuming all payment, payroll, tax filing and reporting responsibilities. Mission: To support persons with disabilities and long term care needs to direct their own services and hire their own workers. Our staff, technology and tools all focus on giving participants the information and support they need to make good decisions and for the Commonwealth to manage public funds accountably and efficiently. 3

Program Overview MA Participant Directed Program Participants are adults with developmental disabilities who require a wide range of services. Allocations are determined by DDS based on individual needs Budgets range from: Over $100,000 for 24 hour care $1,000 and less for assistance with utilities, job training and help purchasing goods to improve the participants’ quality of life Size: 450 Participants Funded by 3 Medicaid Waivers and state funding 80+services: Flexibility allows for creative, individualized budgets DDS Support Brokers and Area Office designees assist in identifying the appropriate services to meet your needs 4

Services Offered One of the most flexible programs in the nation More than 80 services to choose from. Goods and Services can be provided 5  In home care  Transportation  Therapy  Rent  Groceries  Medical Supplies  Utilities  Memberships  Classes  Vehicle Modification  Physical Therapy  Individualized Day Supports

Hourly Services 6 Service CodeService Description 5154Self Directed Residential Supports 5168Supported Employment 5180CIES- Competitive Employment 5282Support Broker - Private 5703Individualized Home Supports 5704Individualized Day Support 5707Adult Companion 5709Community/Residential Family Training 5710Behavioral Supports and Consultation 5716Community/Residential Peer Support 5722Homemaker 5725Chore 5749Individual Support and Community Habilitation 5300KGuardianship 5300LRep Payee

Day and Visit Services Visit Services 5240Physical Therapy 5243Occupational Therapy 5245Speech Therapy Day Services 5155Self Directed Residential Supports 5719Live-in Caregiver 5701Respite - In Recipient's Home 5702Respite - In Caregiver's Home 7

Transportation and Goods & Items Transportation 5196Transportation (Trip) 5198Transportation (Mileage) 5300MTranportation_Unique 5197Transportation 8 Goods & Items 5283Assistive Technology 5284Transitional Services 5728Individualized Goods and Services 5731Home Modifications and Adaptations 5734Vehicle Modification 5756Specialized Medical Equipment and Supplies 5300Non waiver financial service 5400Non waiver financial

Network of Support 9

Benefits Three different provider types: Employee, Independent Contractor, Agency Professional and Direct Support DDS Support Brokers to help participants develop their budget Ability to make changes at any time based on your needs Providers can submit timesheets online for participant approval Participants have online access to real-time budget information Participant in control of decisions and increases independence In a PPL survey over 86% of participants said their satisfaction with self direction was “Excellent”. 10

Employer Relationship As an employer of record, participants and families have the ability to interview, hire and fire employees for the participant. The employer and participant can design a job description that fits their needs Participants select who they hire, exactly what tasks the worker will perform and when the staff will work Friends, family members, and professional agencies can be hired to work with individuals Assistance provided can be tailored to the individual’s needs Personal skills training Job Training 11

Support for Participants 12 Support broker or area office designee will work you to discuss how self direction would benefit you or your family member. MA DDS Support Brokers help educate participants and families on the program and how to utilize tools that PPL provides Budget Planning Determining what type of services needed Initiating and assisting with paperwork Support Brokers and family members have access to PPL’s Web Portal. In the Web Portal the Support Broker can: Allocate and update funding to be spent on services Monitor spending and identify ways to save money Monitor status of payments and timesheet submission PPL Customer Service is available via phone and to answer questions for Support Brokers, participants and providers

Web Portal 13

Questions? Interested in getting started with PDP: Speak with your DDS Service Coordinator. Then contact