1. Health and Human Services Home & Community Based Waiver Medically Handicapped Children’s Program Disabled Children’s Program Disabled Persons and Family Support Program Public Assistance Subsidized Adoption Adult Protective Services Child Protective Services

2. Home and Community Based Waiver Assistive Technology and Supports Home Modifications Increase abilities to perform activities of daily living Control the environment in which s/he lives Function with greater independence in the home and is Necessary to keep the individual in their home

3. The First Year Learning Curve Communication Consumer Services Coordinator ATP Services CoordinatorATP Consumer VS.

4. Inappropriate Referrals Lack of Awareness of what AT was ¤Revised NFL Care Assessment Form ¤Training on Solutions and Outcomes Lack of Awareness/Understanding of Funding Resources ¤Medicaid/Medicare Training ¤Housing Resource Training The First Year Learning Curve

5. Guidelines/Procedures *Differing Program Criteria *Development of New Criteria  Used equipment vs. New  New Construction  Maintenance and Repair  Housing Quality Standards  Back up Devices  Rental vs. Home Ownership *Relationship to Other Funding Sources *Development of a Process / Flow Chart The First Year Learning Curve

6. The Process

7. Guidelines/Procedures *Differing Program Criteria *Development of New Criteria  Used equipment vs. New  New Construction  Maintenance and Repair  Housing Quality Standards  Back up Devices  Rental vs. Home Ownership *Relationship to Other Funding Sources *Development of a Process / Flow Chart *Consumer Input/What Happens Next/ Follow-up survey *Appeals The First Year Learning Curve

8. System Issues ∆ Lack of Resources ∆ Lack of Contractors ∆ Identification of Supplemental Funding WHY DOES IT TAKE SO LONG? The First Year Learning Curve

9. HHS Referrals - Year One Waiver Eligible588 AT Only118 Ineligible 24 Total730 COUNT BY INDIVIDUALS

10. First Year Request Status Open402 Complete282 Waiting211 Inappropriate 40 Ineligible 31 Cancelled 51 Total 1,017 COUNT BY PROJECTS

11. Types of Requests n Home Modification Emphasis n Lack of Qualified Specialists The First Year Learning Curve

12. Requests by Kind Bathroom Modifications225 Ramps184 Vehicle Modifications117 Aids to Daily Living90 Other Home Modifications70 Exterior Lifts33 Other Assistive Technology25 Interior Lifts24 DME denied by Medicaid21 Environmental Controls15 Mobility Devices8 Communication7 Vision Aids5 Kitchen Modifications4 Hearing Devices2

13. Quality Assurance Measures Process Case Management ATTIE (electronic database) Consumer Involvement Sign offs Follow up Appeals Informal Formal

14. Work Standards Plans and Specifications Building Codes Housing Quality Standards Average Cost Reports National Mobility Equipment Dealers Association (NMEDA) American Society of Mechanical Engineers (ASME A18.1 platform lifts and stairway chairlifts) Defined features when no industry standards Quality Assurance Measures