2. 2009 Legislative Session Housing & Services Impacts

3. Provider Rate Changes Effective 7/1/09 2.58% provider cut effective 7/1/09 for fee-for- service and 10/1/09 for managed care (previous COLA plans no longer applicable) 95% cap in each Elderly Waiver 24-hour Customized Living case mix, based on 3/09 rate Component rates for 24-hour CL to be established 7/1/09 Lower Case Mix A rate limits in AC and EW for clients with limited ADL needs

4. Eligibility Changes Effective 1/1/11 Thresholds for Nursing Home Level of Care determination increased $400 Essential Community Support grant for those no longer eligible for waivered programs

5. Eligibility Changes Effective 1/1/11 Authorization for EW 24-hour CL based on one or more of the following: –need for intermittent assistance with toileting, positioning, or transferring; –need for assistance with cognitive or behavioral issues; –medical condition that requires clinical monitoring; –or dependency in at least two ADLS (bathing, dressing, grooming, walking, or eating); and needs medication management and at least 50 hours of service per month. New

6. Policy Successes Housing-with-Services “Diversion” proposal kept out of final bill Additional reporting requirements to the Department of Human Services, including rents and other services kept out of final bill

7. More Information Coming Soon… Legislative Program set for June 29 2009 Legislative Report and value-added online resources being finalized now Monday Mailing and Action Alerts Technical assistance team standing by