1. Planning for the Future: Understand DMH-DD Systems and Service Options Presented By: Kadesh Burnett; St. Louis County Regional Office Family Support Coordinator

2. Department of Mental Health The Missouri Department of Mental Health serves residents of the state by working to prevent mental disorders, developmental disabilities, and substance abuse and by treating, habilitating and rehabilitation of individuals with those conditions. The treatment and habilitation of persons with medical diagnosis of mental retardation and other developmental disabilities is the responsibility of the department’s Division of Developmental Disabilities.

3. Circle of Supports

4. Community Resources and Supports Assessment Support Coordinator Individual and Family Supports Autism Navigator Employment/Youth Transition Coordinator Advocacy Specialist Behavior Resource Team Provider Relations Utilization Review The Regional Offices throughout the state has Community Resource Leads to include five core functions, as recommended by state Stakeholders, relating to consumer relations, business administration, resource administration, assuring the quality and availability of clinical services.

5. Assessment/Eligibility

6. The assessment process involves the individual and family member completing assessment tools: Vineland-assessment tool completed for persons under the age of 18. MOCABI-assessment tool completed for persons over the age of 18. How should I prepare for this meeting? Bring any and all source documentation of disability diagnosis, IEP, behavior assessments, and legal documentation. Having come prepared for the assessment process with these resources will reduce the likeliness of RO assessment delay your determination of eligibility for RO services.

7. SLRO Support Coordinator Each eligible individual is assigned a Support Coordinator who helps put together an Individual Service Plan (ISP) and then monitors the persons treatment and habilitation to assure that the plan is followed and that the individual’s needs are met. How can my Support Coordinator assist me and my family? Support Coordinator are available to assist and provide guidance related to IEP advocacy and supports, Community Resources (Funded/Non Funded), Government Resources (Funded/Non Funded). However, all needs must be documented in the eligible individuals PCP.

8. Family Support Coordinator-FSC

9. Provides information specific to the region in regards to local community resources. Assist with developing educational materials for families and individuals through approved trainings, brochures, etc. which can be used universally throughout all regions. Support with Peer Support matching, family focused educational opportunities; Alternatives to Guardianship, Charting the Life Courses, webinar trainings, and family leadership workshops and trainings. St. Louis County and St. Louis Tri-County expertise.

10. Autism Navigator

11. Provides training and technical support to service coordinators and other stakeholders regarding autism and autism services Connects individuals and families to autism related supports and/or activities Attends monthly regional Parent Advisory Committee (PAC) meetings and shares updates and information locally Acts as an advocate for individuals and families affected by Autism

12. Employment and Youth Transition Coordinator

13. Employment and Youth Transition Provides training and technical support to service coordinators and other stakeholders regarding employment and employment resources Moves the system towards creating a culture which focuses on employment – Emphasizes the importance of employment as a priority at the individual and systems level Multi-system Collaboration –Building relationships with school administrators and educators, community members and service delivery partners providing expertise regarding developmental disabilities and our services system Training and Technical Assistance –Track complex and changing employment policies and provide tools and resources to service coordinators, individuals and other advocates who might not have this knowledge or time to do necessary research. Provides resources to service coordinators regarding employment Promotes expansion of effective employment alternatives such as entrepreneurships & competitive employment in community settings

14. Advocacy Specialist

15. Responsible for developing, implementing, evaluating and enhancing speakers bureau Provides training and mentoring to individuals within the region Assists with development of self-advocacy groups and training projects Participates in regional and statewide committees and workgroups, as well as Project Stir.

16. Behavior Resource Team

17. Provides information, training and consultation and technical support to service coordinators and other stakeholders on Positive Behavioral Supports (PBS), Tools of Choice, and other topics to assist in developing proactive, positive supports and preventative strategies for challenging behaviors Provides environmental evaluation to assist with prevention of challenging behaviors and consultation on positive, teaching based support strategies for individuals in their natural home and in residential placement Provides crisis support in the region via phone and/or direct services Assists the support team (staff, providers, families, etc) in developing positive support strategies and safety crisis plans for individuals identified as having high intensity needs

18. Provider Relations

19. Responsible for provider development that enhances existing supports and services Explores new services and works to increase provider capacity to address unmet needs Develops, executes and reviews approved provider contracts Provides technical assistance and training to contracted service providers Works with providers in regard to Improvement and Critical Status Plans Completes budgets with contracted service providers and allocates resources Supervises Vendor Services Coordinator and Community Living Coordinators

20. DD Waiver Services DD administers 5 Home and Community Based Medicaid Waiver programs  Missouri Children With Developmental Disabilities Waiver (MOCDD or Sara Jian Lopez Waiver)  Community Support Waiver  Comprehensive Waiver  Autism Waiver  Partnership for Hope Waiver

21. Community Based Waivers PROGRAM DIFFERENCE

22. Community Based Waivers Comprehensive For all ages - must meet eligibility guidelines for Medicaid as determined by DSS(DFS) Community Support Waiver For all ages - must meet eligibility guidelines for Medicaid as determined by DSS(DFS) Services cannot exceed $28,000 annually and the participant must not require residential services

23. Community Based Waivers Lopez Waiver  Under the age of 18 Ineligible for Medicaid due to the deeming of parental income and resources Live with family Have a permanent and total disability Require habilitative (waiver) services Autism Waiver Participants must be between the ages of 3-18, have a diagnosis of Autism Spectrum. Have a functional limitation in 3 or more areas, and service needs cannot exceed $28,000.00 annually.

24. Community Based Waivers Partnership for Hope Waiver Implementation: October 1, 2010 95 counties across the state Includes 20 services; available in the 95 counties participating, plus City of St. Louis Annual Cost Cap of $12,000

25. Participation Limitations Individuals receiving services under the waiver have been determined to have the most critical needs. The criteria used to determine needs includes PCP, and source documentation, that is reviewed by the Utilization Review Committee (UR). Number is pre-approved by the Centers for Medicare and Medicaid Services (CMS), based on the state’s request No additional individuals may be enrolled Number the state requests is limited by funding available for the state portion of the match

26. FAQ’s Regarding Waver Services Missouri’s Medicaid Waivers for Persons who have Development (Fact Sheet) http://www.dmh.mo.gov/mrdd/new/manual/wvrfacts heet9-09.pdf http://www.dmh.mo.gov/mrdd/new/manual/wvrfacts heet9-09.pdf Missouri Family to Family Resource Center mofamilytofamily.org

27. Questions My contact Information: Kadesh Burnett 314-475-7685 Kadesh.burnett@dmh.mo.gov Thank you, Thank you, Thank you!