1. The Road Ahead for You and APD
Welcome/introductions (:10)
Jim DeBeaugrine
Legislators/staff
FCC Chair & members in attendance—STAND AND BE RECOGNIZED
Area staff
Overview of meeting (:5)
Discussion of new initiatives
Highlights of waiver support coordinators’ and providers’ roles in these initiatives
A few details on other program changes that will benefit providers
Are seeking your comments, questions, and feedback
Write these on the blue cards and turn them in—staff will collect
We’ll speak to as many as we can here, will follow up afterwards if necessary

2. Where do we want to go?
Individuals and families are in the driver’s seat
More self-direction
We’ll be there down the road
Sustainable system
The destination
Fair and equitable processes
AGENCY GOALS (5 minutes)

3. Building our “highway”
Just ahead:
Consumer-Directed Care Plus expansion
Around the corner:
Flexible Benefit Service
Down the road a bit:
iBudget Florida – individual budgeting

4. CDC+ expansion More choice, flexibility, and responsibility
Greater choice of services
You manage your APD budget
You are allowed to hire own workers (including those who are not Medicaid providers)
You are a household employer with help from a fiscal employer agent (FEA)

5. CDC+ expansion Up to 2,500 new enrollees Cost plans discounted 8%
Individual may use a representative to help
Individual has the assistance of a consultant
(WSC with special training)
Training is provided to participants and representatives

6. CDC+ expansion Statewide enrollment anticipated Jan. 2010
Eligible consumers will get letter with details on applying

7. Flexible Benefit Service
Legislature authorized it last session
You will exchange services on cost plan for a new flexible benefit service
ADT, companion, respite, in-home support services, supported employment, supported living
8% discount

8. Flexible Benefit Service
Is optional
Is self-directed
Provides meaningful day activities and support within the home
Offers more flexibility in meeting needs day-to-day
Discuss PSA processes

9. Flexible Benefit Service
Use Medicaid providers
For consumers NOT on CDC+
Federal government must give OK first
Begins in Spring or Summer 2010

10. iBudget Florida Individual budgeting
Goals: More self-direction, greater equity, sustainable system
Everyone would have an iBudget to determine their funding
Legislature requires plan in February 2010
Algorithm options might be age, primary disability, living situation, QSI scores/questions

11. iBudget Florida
Personal situation and characteristics determine budget using a statistically generated formula
Examples: QSI results, living situation, age
People with similar needs receive similar funding
People with greater needs receive greater funding
Other states w/ truly individual budgets: Georgia, Montana, Wyoming, Minnesota; Lousiana, Colorado, Virginia, Oregon, Connecticut have budget levels determined by an algorithm
Will be having additional meetings in the fall to share fuller details on iBudget Florida

12. iBudget Florida Consumer and family determine spending
More flexibility with services
Other states w/ truly individual budgets: Georgia, Montana, Wyoming, Minnesota; Lousiana, Colorado, Virginia, Oregon, Connecticut have budget levels determined by an algorithm
Will be having additional meetings in the fall to share fuller details on iBudget Florida

13. iBudget Florida Some other states have similar systems
Georgia, Wyoming, Minnesota
Provide input through future meetings and APD website:
Other states w/ truly individual budgets: Georgia, Montana, Wyoming, Minnesota; Lousiana, Colorado, Virginia, Oregon, Connecticut have budget levels determined by an algorithm
Will be having additional meetings in the fall to share fuller details on iBudget Florida

14. Tell us what you want in a new system! Questions? Concerns? Ideas?
REITERATE BLUE CARD PROCESS