DBHDS Virginia Department of Behavioral Health and Developmental Services Overview
This document provides an update from July 2015 about the services offered by the DBHDS Virginia Department of Behavioral Health and Developmental Services. It covers information on waivers, waiting lists, slot allocation, accessing slots in new waivers, slot assignments, service packages, and supports budgets. The content includes images and descriptions related to the various aspects of the department's services.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
DBHDS Virginia Department of Behavioral Health and Developmental Services My Life, My Community Update July 2015 Dawn Traver, M.Ed. Waiver Operations Director Department of Behavioral Health & Developmental Services http://www.dbhds.virginia.gov/ Dawn.Traver@dbhds.virginia.gov Page 1
DBHDS Virginia Department of Behavioral Health and Developmental Services Waiting List and Slot Assignment Page 2
DBHDS Virginia Department of Behavioral Health and Developmental Services IDD Waivers Waiting List One Waiting List Community Living Building Independence Family & Individual Page 3
DBHDS Virginia Department of Behavioral Health and Developmental Services Slot Allocation [slot] + [al-uh-key-shuh n]: the distribution by DBHDS of funding opportunities (slots) to Community Services Boards When there are more than 40 When there are fewer than 40 ... Page 4
DBHDS Virginia Department of Behavioral Health and Developmental Services Accessing Slots in New Waivers DD Diagnosis Level of Care Eligibility Waiting List: urgent & non-urgent Most urgent individual receives available slot Urgency Waiver Slot Assignment Committees Slot Assignment Page 5
DBHDS Virginia Department of Behavioral Health and Developmental Services Slot Assignment [slot] + [uh-sahyn-muh nt]: the pairing of an available funding opportunity (slot) with the individual in most urgent need at the time Community Members Trained Facilitator Groupings of neighboring CSBs Page 6
DBHDS Virginia Department of Behavioral Health and Developmental Services Service Packages & Supports Budgets Page 7
DBHDS Virginia Department of Behavioral Health and Developmental Services Looking Things Over Supports Budget Service Planning Service Delivery Quality Monitoring Access Supports Assessment Set Level Assignment Service Mix and Amount Rate Schedule Service Packages by Level and Residence The Supports Budget Arranging for Service Delivery Voicing Complaints Eligibility Personal Preferences Understanding the Process Service Delivery Monitoring The Service Plan Making Changes Paying for Services Exceptions Supporting Policies, Rules & Regulations, and Communication Page 8
DBHDS Virginia Department of Behavioral Health and Developmental Services Assessment of Support Needs Menu of Services Supports Budget Policy Intentions Service Packages Tiered Rate Reimbursement Schedule Page 9
DBHDS Virginia Department of Behavioral Health and Developmental Services Page 10
DBHDS Virginia Department of Behavioral Health and Developmental Services What goes into a supports budget? Level Assignment SIS Interview Supplemental Questions Verification Policy Intentions Service Packages Supports Budget Menu of Services Assigned Level Residential By Level & Type of Residence Residence Personal Care Day Services Anticipated Service Use (Type & Amount) Tiered Rate Schedule Pay Rate per Unit of Service Different Tiers of Intensity Page 11
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Assigned Level Support Needs Low High 1 2 4 5 Modest support needs & some behavioral support needs 3 6 Significant Medical support need 7 Significant Behavioral support need Page 12
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Service Menu Base Services Page 13
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Base Budget & Add-ons Base Budget Services Potential Add-On Services Residential Supports Transportation Personal Care Crisis Services Day Services Therapeutic Consultation Skilled Nursing Environmental Modifications Page 14
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Tiered Rates How are reimbursement rates constructed? A rate study was completed to establish: Units of service for each service in the menu. The amount that is paid per unit of service. BUT, we also took into account that some services are delivered with varying intensity. This results in tiered rates for some services. The tiers account for the varying intensity. Page 15
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Tiered Rates Page 16
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Tiered Rates Page 17
DBHDS Virginia Department of Behavioral Health and Developmental Services Focus on: Where Person Lives Living Alone With Family Sponsored Residential Supported Living Group Home Page 18
A Few Examples DBHDS Virginia Department of Behavioral Health and Developmental Services Page 19
A Few Examples DBHDS Virginia Department of Behavioral Health and Developmental Services Page 20
A Few Examples DBHDS Virginia Department of Behavioral Health and Developmental Services Page 21
A Few Examples DBHDS Virginia Department of Behavioral Health and Developmental Services Page 22
A Few Examples DBHDS Virginia Department of Behavioral Health and Developmental Services Page 23
DBHDS Virginia Department of Behavioral Health and Developmental Services What about exceptions? Everyone is unique! The supports budgeting process may account for most people. Yet some people will have exceptional needs and must be considered one by one. The Exceptions Process is designed to assure that these individuals have their needs met. Page 24
DBHDS Virginia Department of Behavioral Health and Developmental Services For More Information Supports Intensity Scale and Assessment Levels Information Brief (November 2014) Validation Study Reports (May/June 2015) Full report Family friendly version http://www.dbhds.virginia.gov/individuals-and- families/developmental-disabilities Page 25
