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Published byAubrey Glenn Modified over 9 years ago
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Self Determination in Long Term Care Self-determination is a set of concepts and values that people with disabilities should have the freedom and support to decide how they live and participate in the community.
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Self Determination Principles Freedom The opportunity for the individual to plan a life with necessary supports Authority The ability of individuals to control budgeted funds for purchasing supports Support The arranging of resources and personnel – both formal and informal- that will assist and individual to achieve meaningful community participation Responsibility Acceptance of valued community role and accountability for public dollars
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Individual Plan of Services & Supports Participants, with their allies, develop an individual plan of services and supports through the person-centered planning process A participant’s allies are chosen by the participants and may include: family members, friends,paid staff,other professionals, and community members, etc
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Individual Budget An individual budget is the cost of implementing a person’s individual plan of services & supports The individual budget is authorized by the Waiver Agent to provide a defined amount of money to implement the plan
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Fiscal Intermediary A Fiscal Intermediary is an independent legal entity that acts as a fiscal agent of the Waiver Agent for the purpose of assuring financial accountability for the funds in a participant’s individual budget The Fiscal Intermediary performs essential tasks that support self-determined arrangements for participants
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Fiscal Intermediary Functions Functions as the employer agent for participants directly employing workers Ensures public funds are properly managed and provider requirements for workers are met
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Fiscal Intermediary Functions Offers supportive services to enable participants to self-determine and direct the services and supports they need Provide monthly budget status reports to participant and Waiver Agent and monitor the use of the budget
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Cash & Counseling Robert Wood Johnson Foundation sponsors three states to implement consumer-directed personal care services –Arkansas –Florida –New Jersey
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Cash & Counseling Outcomes Cost neutrality Increase in services Improved quality of life Reduced stress on caregivers
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Cash & Counseling in Michigan Part of 11 states to receive funding from RJWF to implement project In the second year of a three-year grant Supported by the Boston College Graduate School of Social Work as the National Program Office
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Self Determination in Long Term Care Michigan’s Cash and Counseling 4 Pioneer Sites are initiating project –Detroit Area of Aging –Burnham Brook –Tri-County Office on Aging –UPCAP Services
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Systems Changes to implement Amend the current MI Choice Waiver Reduce the assessment Provide training and support to Pioneer Sites
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Project Goals MI Choice Waiver participants will be able to choose self-determination as a method for receiving supports and services on a state-wide basis
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For More Information Tari Muñiz, Project Coordinator 517.335.5671 munizt@michigan.gov www.cashandcounseling.org
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