Self-Directed Services: A Solid Strategy for Community Living Age & Disabilities Odyssey 2001 Minnesota Department of Human Services1.

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Presentation transcript:

Self-Directed Services: A Solid Strategy for Community Living Age & Disabilities Odyssey 2001 Minnesota Department of Human Services1

Today’s Session & Presenters Jane Vujovich, Project Manager, Community Living Program Grant Project, DHS/MBA, Aging & Adult Services Division Christine Loose, Trainer/Certified Support Planner Elaine Spain, Program Coordinator, MN River AAA Minnesota Department of Human Services2

My next steps: 3 Minnesota Department of Human Services

What are…. self-directed, participant- directed, consumer-directed or person-directed services? Minnesota Department of Human Services4

You decide Who provides your helpWho provides your help What help you need within your budgetWhat help you need within your budget When your care will be providedWhen your care will be provided How much responsibility you wantHow much responsibility you want

Self-Directed Services – Value Added Hire people you know including family, friends, and neighbors Buy the right kind and amount of help when you need it Consumer stays in charge of the service Minnesota Department of Human Services7

Basic Components of Self-Directed Services Minnesota Department of Human Services8

Self-Directed Services: Consumer Tasks Minnesota Department of Human Services9

Self-Directed Services: Who Pays? Publicly Funded Programs Medical Assistance HCBS waivers [CDCS] Alternative Care Progrtam [CDCS] Title III [Self-directed services] AoA discretionary grants [Self-directed services] Community Services/Service Development Grant projects Veteran Directed Home and Community Based Services Program Private Pay Private dollars Private insurance VA Aid and Attendance Minnesota Department of Human Services10

Fiscal Support Entity (FSE) Providers Serving the Private Pay Market Knowledge of labor laws, payroll taxes, unemployment, workers compensation Assistance with budgeting and employment of workers Connections to community-based service system including public programs Minnesota Department of Human Services11

Veteran Directed Home and Community Based Services Program Availability 11 counties in southwestern MN served by Sioux Falls VA Medical Center Eligibility Veteran of any age Enrolled in VA Medical Center Need nursing facility level of care Application Process Contact Community Health Nurse at VA Medical Center Local AAA Minnesota Department of Human Services12

Success Stories Minnesota Department of Human Services13

Common Barriers In Using Self- Directed Services Haven’t heard about it Unsure how it works Fear of doing something new Client or professional lacks confidence Perception budget is insufficient Fear of fraud Can’t identify workers Minnesota Department of Human Services14

15May Does the Client Resist? I don’t need to change anything. You want me to pay? I’ve paid the gov’t my whole life. What is the catch? My family can take care of anything I need.

Addressing Barriers & Resistance Conversations tips, key messages, good words Role play Nelson Video Identifying “triggers” in a conversation Minnesota Department of Human Services16

DISCUSSION – Getting started and moving clients into action Minnesota Department of Human Services17

Websites Live Well at Home Aging CDCS Disability Services Division CDCS National Resource Center Participant Directed Services Minnesota Department of Human Services18