1. The Arc of Livingston-Wyoming June 19, 2013 Family Forum

2. Why Are We Here Tonight? To provide families and individuals with information from OPWDD about the rapid changes that are occurring with services for people with Intellectual and Developmental Disabilities To hear from you! We would like to hear what you would like for services in the future

3. How Did We Get Here? Late 1990s NYS began to “Medicaid” services The HCBS Waiver includes Residential, Prevoc, Day Hab, Supported Employment, Transportation and some other services Very predictable forms of service This led to a period of growth with new homes and expanded day services

5. Why The Change?

6. New Governor Andrew Cuomo inherits a massive deficit Our agency gets cut $800,000 while the state closes its deficit Why The Change?

7. What Is Managed Care? NYS has submitted an application to CMS for a 1915 b. c. waiver and that is Managed Care Under managed care, the state gets out of dealing with hundreds of providers and shifts that to a Managed Care Organization or as they call it a DISCO

9. OPWDD Transformational Agenda Goals: 1. More person-centered services 2. Comprehensive care coordination to meet all of an individual’s needs 3. Establishing transparent and sustainable funding 4. More meaningful ways to measure quality of care 5. Serving people in the most integrated setting possible

10. Transformation Targets 1.Employment: Target individuals leaving high school, workshops and day habilitation to identify and obtain appropriate individualized employment goals Educate school districts about services including supported employment and Pathways to Employment Redesign Pathways to Employment to shorten timeframes for transition into supported employment

11. OPWDD Transformation Agreement Employment Goals and Milestones Goal: Increase the number of competitively employed individuals Milestones:Target Dates: End new admissions to workshopsJuly 1, 2013 Retool Pathway to Employment waiver servicesOctober 1, 2013 Develop a plan for closing sheltered workshops October 1, 2013 (draft plan) January 1, 2014 (final plan) Increase the number of people in supported employment and competitively employed by a total of 700 individuals April 1, 2014

12. Regional Employment Targets Finger Lakes Transformation Agreement Targets EmploymentRegional TargetStatewide TargetTarget Dates: Increase in number of people employed 5002500April 1, 2018

13. 2. Self-Direction This service has been around for a few years and is called Consolidated Supports and Services (CSS) Individualized plan of service Individualized budget Individual purchases services that they need and hires staff that they want Transformation Targets

14. OPWDD Transformation Agreement Self-Direction Goals and Milestones Goal: Increase the number of individuals who choose to self-direct to 1245 Milestones:Target Dates: Begin statewide education to inform individuals of their options for self-directing their supports and services, reaching at least 1500 individuals each quarter April 1, 2013 Increase the number of people self-directing their services by 1245 March 31, 2014

15. Transformation Targets 3. Deinstitutionalization and Community Housing Just under 1000 people are still served in institutional settings Monroe Developmental Center closing by January 1, 2014 Increase availability of supportive housing options including non-traditional housing models

16. Transformation Targets 4. Rate Reform Fairness and equity Portability Efficiency and economy Simplicity and practicality Network stability Structural reform

17. Hilltop Work Center Data Total Employment in Work Center 2012212 Total Earnings in Work Center 2012 $ 853,856 Total Sales in Work Center 2012 $ 1,825,000 Supported Employment Enrollment 201283

18. New System Elements

19. How Will It Work? Eligibility Determination Assessment of Strengths, Needs & Preferences Support Needs Identified Informed Decision Making and Individualized Plan Development Service Authorization and Implementation

20. What Services Will Hilltop Offer? Uptown Life Skills Center Open Roads Seniors Center Pathways to Employment Supported Employment Community Connections: LIVES, Seniors, Job Readiness Hilltop Assembly and Packaging Hilltop Cleaning Service Hilltop Print Shop Finders Keepers Hilltop Bottle & Can Return Arc Life Skills Training Centers ( Day Habilitation) Hilltop Career Training Center (Vocational Rehabilitation) Hilltop Business Services

21. What Is Important To You And Your Family?

22. What Will The Arc And Hilltop Do? Work with each individual and their loved ones to determine what they need for services. We are committed to meeting the needs of each person we serve with the resources we have available Provide regular communication as information is available Website Information sent home Via email

23. What Can You Do? Provide us with your email address or current mailing address Attend State Forums on Workshop Closure Let State officials know what you want for yourself and your loved ones Let State officials know that we need more time to transition into new services Let State officials know that you want options for services including earning a paycheck

24. Resources & Contacts OPWDD Website: www.opwdd.ny.gov Council on Quality Leadership: www.thecouncil.org The Arc: www.lwarc.org

25. State Representatives. Assemblyman Bill Nojay: NojayW@assembly.state.ny.us 3011 Rochester Road Suite #3 Lakeville, NY 14480 Assemblyman David DiPietro: DiPietroD@assembly.state.ny.us Senator Patrick Gallivan: gallivan@nysenate.gov Senator Catharine Young: cyoung@senate.state.ny.us 2371 North Main Street Warsaw, NY 14569 Westgate Plaza 700 W. State Street Olean, NY 14760 2721 Transit Road Suite 116 Elma, NY 14059

26. Arc Contacts The Arc of Livingston Chris Peterson, Executive Director 658-2828 x 106 cpeterson@lwarc.org Martin Miskell, Associate Executive Director/CFO 658-2828 x 110 mmiskell@lwarc.org Kellie Kennedy, Director of Day Services 658-3311 x 203 kkennedy@lwarc.org Arc Contacts

27. Thank You For Coming!