1. 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

2. Update
Personal
Professional

3. 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

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

5. Community First Choice
Efforts toward March 1, implementation continue

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

7. 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

8. 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

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

10. 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

11. Questions?