Rebalancing Workgroup of the IL Human Services Commission Meeting Agenda and Overview March 6, 2012 HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Agenda – March 6, 2012 I.Call to Order/Introductions II.Review Rebalancing Workgroup Assignment III.Understand Illinois’ Rebalancing Initiatives IV.Issues to Address V.Aligning Resources for Rebalancing VI.Development of Workgroup Timelines for report to full Human Services Commission I.Call to Order/Introductions II.Review Rebalancing Workgroup Assignment III.Understand Illinois’ Rebalancing Initiatives IV.Issues to Address V.Aligning Resources for Rebalancing VI.Development of Workgroup Timelines for report to full Human Services Commission HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Assignment and Goals  Recommendations to HSC to enhance Rebalancing efforts  Opportunities to coordinate among Rebalancing efforts  Focus Areas:  Transition Processes and Support Systems  Community Capacity and Training  Information and Database  Aligning Resources  Develop Timelines for Report to HSC  Recommendations to HSC to enhance Rebalancing efforts  Opportunities to coordinate among Rebalancing efforts  Focus Areas:  Transition Processes and Support Systems  Community Capacity and Training  Information and Database  Aligning Resources  Develop Timelines for Report to HSC HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Understanding Illinois’ Rebalancing Initiatives  Facility Closures: State Operated Developmental Centers and State Operated Psychiatric Hospitals  Money Follows the Person: Federal enhanced Medicaid reimbursement for community based service delivery  Consent Decrees: Court settlements to serve persons with disabilities in “least restrictive settings”  Facility Closures: State Operated Developmental Centers and State Operated Psychiatric Hospitals  Money Follows the Person: Federal enhanced Medicaid reimbursement for community based service delivery  Consent Decrees: Court settlements to serve persons with disabilities in “least restrictive settings” HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Understanding Rebalancing Initiatives Impacted Facilities State Facility Closures SODC SOPH Money Follows the Person Skilled Nursing Facilities Consent Decrees Ligas: ICFDDs/Family Home Williams: IMDs Colbert: Skilled Nursing Facilities Impacted Populations State Facility Closures DD, Acute Care MI Consent Decrees Ligas – DD Williams - MI Colbert – MI, DD, PhysD., Elderly Money Follows the Person (Medicaid eligible) MI, DD, PhysD., Elderly HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Understanding Rebalancing Initiatives  Updates State Facility Closures:  Facility Closure Legislative Workgroup - established evaluation criteria to plan and measure facility closure impact  Active Community Care Transition Plan (ACCT) assisted by Community Resource Associations (CRA)  Provider RFI/RFA capacity assessment  To date – 4 planned facility closures  Updates State Facility Closures:  Facility Closure Legislative Workgroup - established evaluation criteria to plan and measure facility closure impact  Active Community Care Transition Plan (ACCT) assisted by Community Resource Associations (CRA)  Provider RFI/RFA capacity assessment  To date – 4 planned facility closures HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Understanding Rebalancing Initiatives  Updates Money Follows the Person:  Operational Protocol Implementation 2010 and forward  UIC and community provider teams aid in transitions Consent Decrees:  Implementation Plans Completed for Williams (6/28/11) and Ligas (12/15/11)  Colbert Consent Decree approved late 2011  Updates Money Follows the Person:  Operational Protocol Implementation 2010 and forward  UIC and community provider teams aid in transitions Consent Decrees:  Implementation Plans Completed for Williams (6/28/11) and Ligas (12/15/11)  Colbert Consent Decree approved late 2011 HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Issues to Address  Transition Processes  Assessment and individualized plans of action  Shared learning and providers across disabilities and initiatives  Community Capacity and Training  Service delivery – geographic coverage, diagnoses across disabilities  Housing – range needed: scattered site, < 25% of multi- unit property, <4 person homes, supportive housing  Natural supports – family, guardian, neighbors, community  Crisis intervention and safety net, monitoring  Transition Processes  Assessment and individualized plans of action  Shared learning and providers across disabilities and initiatives  Community Capacity and Training  Service delivery – geographic coverage, diagnoses across disabilities  Housing – range needed: scattered site, < 25% of multi- unit property, <4 person homes, supportive housing  Natural supports – family, guardian, neighbors, community  Crisis intervention and safety net, monitoring HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Issues to Address  Information sharing and Database  Documenting information collection results: RFI/RFA, SHPA/NAMI survey, other  Existing and newly identified housing resources  Aligning Resources  Addressing funding and budget realities: Medicaid and Medicaid waiver programs, state budget, housing assistance  Payment rates and billing processes  Human Capital resources and redeployment  Healthcare reform  Information sharing and Database  Documenting information collection results: RFI/RFA, SHPA/NAMI survey, other  Existing and newly identified housing resources  Aligning Resources  Addressing funding and budget realities: Medicaid and Medicaid waiver programs, state budget, housing assistance  Payment rates and billing processes  Human Capital resources and redeployment  Healthcare reform HSC Rebalancing Workgroup

HSC: Rebalancing Workgroup Understanding Rebalancing Initiatives Advisory Boards and Workgroups HSC Rebalancing Workgroup Disabilities Services Advisory Committee (DSAC) Older Adults Services Advisory Committee (OASAC) MFP Stakeholders Advisory Committee Others? Advisory Boards and Workgroups HSC Rebalancing Workgroup Disabilities Services Advisory Committee (DSAC) Older Adults Services Advisory Committee (OASAC) MFP Stakeholders Advisory Committee Others? HSC Rebalancing Workgroup

 Workgroup assignments  Timelines for Report to full HSC  Workgroup assignments  Timelines for Report to full HSC HSC Rebalancing Workgroup HSC: Rebalancing Workgroup Next Steps