Prevent Cuts to Developmental Services – ALERT

5/21/2020

Governor Newsom has released his updated Budget proposal. Called “the May Revise” (because it comes out in May, and revises an earlier proposal), it factors in the major impact of the COVID-19 pandemic on our state’s economy.

See budget documents here

In real terms, this means well over half a billion dollars in money taken away from our service system. Some of this comes from new ideas being cancelled. And a huge part of it is cuts to service providers and regional centers.

However, these are “trigger” cuts. If new federal funding is provided to the states, these cuts will not be triggered. Regardless of whether your member of Congress is a Democrat or Republican, they need to hear from you today!

Advocate For Federal Support for California

A quick call (or email) to your member of Congress is how you can help prevent hundreds of millions of dollars being cut from our service system!

1) Go to https://www.house.gov/representatives/find-your-representative and enter your zip code.

2) When it identifies your representative, click on the “mail” icon under their picture. See Example Below:

3) You may be asked to re-enter your zip code. If you don’t know the extra four digits, that’s usually ok

4) Either fill out the email form, or scroll to the bottom of the screen for the phone number for their office. You can call their district office or the office in

Washington, D.C. (note that D.C. is three hours ahead of California, so call before 2pm)

What do you say? Here is an example:

I am a constituent of the Representative. Please support extra federal funding for California to help save disability services. And please ask your colleagues in the Senate to support it, too!”

This isn’t about Democrats or Republicans. It’s about the services that make full, integrated lives possible for over 350,000 Californians with developmental disabilities. Your advocacy can make a difference, but only if you act now!

What Services Are To Be Cut in Proposed Budget?

“Absent additional federal funds, the COVID-19 Recession makes the following REDUCTIONS necessary to balance the state budget. These reductions will be triggered off if the federal government provides sufficient funding to restore them”

IN OTHER WORDS, THESE ARE CUTS THAT WILL NOT HAPPEN IF WE GET FEDERAL FUNDING BY JULY 1:

·    Rate Reductions, Expenditure, and Utilization Reviews—Adjust provider rates and review expenditure trends resulting in anticipated cut of $300 million

General Fund in 2020-21. (This is approximately a 10% cut to community based services).

  • $31.3 million cut by implementing the uniform furlough schedule, requiring clients and families to go without community based services, and staff to be furloughed 14 days per year.

  • Cost Sharing for Higher Income Families—Establish a cost-sharing program that would result in a cut of approximately $2 million General Fund in 2020-21 and $4 million ongoing.

  • Regional Center Operations—A reduction to the operations budget for Regional Centers. This proposal results in a cut of $30 million General Fund in 2020-21 and $55 million ongoing.

THE FOLLOWING DEVELOPMENTAL SERVICES PROPOSALS ARE WITHDRAWN FROM THE GOVERNOR’S JANUARY BUDGET:

Enhanced Performance Incentive Program—Would have aligned Regional Center performance contracts and require Regional Centers to meet an advanced tier of performance measures and outcomes to be eligible for an incentive payment. This results in a savings of $60 million General Fund in 2020-21, 2021-22 and 2022-23.

  • Enhanced Caseload Ratios for Young Children—Would have reduced the regional center services coordinator caseload ratio for children who are three to five years old. This results in a savings of $11.8 million General Fund in 2020-21.

  • Systemic, Therapeutic, Assessment, Resources and Treatment Training—Would have provided training and supportive services for individuals with co-occurring developmental disabilities and mental health needs. This results in a savings of $2.6 million General Fund in 2020-21.

  • Provider Rate Adjustments—Would have provided supplemental rate increases for Early Start Specialized Therapeutic Services, Infant Development Programs and Independent Living services. This results in a savings of $10.8 million General Fund in 2020-21 and $21.6 million in 2021-22.

OTHER PROGRAMS

IHSS

CUTS THAT WILL NOT HAPPEN IF WE GET FEDERAL FUNDING BY JULY 1:

  • IHSS Service Hours—The May Revision assumes a 7-percent reduction in the number of hours provided to IHSS beneficiaries, effective January 1, 2021. This proposal would result in a cut of $205 million General Fund in 2020-21.

  • County and Public Authority Administration—The May Revision freezes IHSS county administration funding at the 2019-20 level. This proposal would result in a cut of $12.2 million General Fund in 2020-21.

Healthcare (Medi-Cal, Dental, Therapies, ICF-DDs)

CUTS THAT WILL NOT HAPPEN IF WE GET FEDERAL FUNDING BY JULY 1:

  • Adult Dental and Other Optional Benefits—The May Revision proposes to reduce adult dental benefits to the partial restoration levels of 2014. In addition, the May Revision proposes to eliminate audiology, incontinence creams and washes, speech therapy, optician/optical lab, podiatry, acupuncture, optometry, nurse anesthetists services, occupational and physical therapy, pharmacist services, screening, brief intervention and referral to treatments for opioids and other illicit drugs in Medi-Cal, and diabetes prevention program services, for a total General Fund cut of $54.7 million.

  • Proposition 56 Adjustments—Beginning in 2020-21, the May Revision proposes to shift $1.2 billion in Proposition 56 funding from providing supplemental payments for ICF-DDs, physician, dental, family health services, developmental screenings, and non-emergency medical transportation, value-based payments, and loan repayments for physicians and dentists to support growth in the Medi-Cal program compared to 2016 Budget Act.

“The state is not in a fiscal position to increase rates or expand programs given the drastic budget impacts of the COVID-19 Recession.”

DDS Posts 2020-21 Budget Revision

DEPARTMENT OF DEVELOPMENTAL SERVICES 2020 MAY REVISION HIGHLIGHTS

 

The Department of Developmental Services (Department) is responsible for administering the Lanterman Developmental Disabilities Services Act (Lanterman Act). The Lanterman Act provides for the coordination and provision of services and supports to enable people with developmental disabilities to lead more independent, productive, and integrated lives. The Early Start Program provides for the delivery of services to infants and toddlers at risk of having a developmental disability. The Department carries out its responsibilities through contracts with 21 community-based, non-profit corporations known as regional centers, two state-operated developmental centers, one state-operated community facility, and Stabilization, Training, Assistance and Reintegration (STAR) homes.

 

The number of individuals served by regional centers (consumers) is expected to increase from 348,187 in the current year to 366,353 in 2020-21.  The ending population of individuals in state-operated residential facilities is estimated to be 302 on July 1, 2020.

 

2020 MAY REVISION SUMMARY

The 2020-21 May Revision includes $9.2 billion total funds ($5.5 billion General Fund [GF]) for the Department in 2020-21; a net increase of $774.6 million ($434.8 million GF) over the updated 2019-20 budget.

 

For updated May Revise Budget Documents, please view here:  DDS May Revision Budget 2020-21

CLICK HERE for COVID- 19 FAQs

COVID – 19 FAQs

Have a question? Email NBRC here: COVID19questions@nbrc.net

or call us at 1-707-266-5367

 Our dedicated Webpage: COVID 19 FAQs

Informational Flyers: English SpanishTagalog

Dear NBRC Community,
North Bay Regional Center (NBRC) remains available to support you during this extremely challenging time.  Here is the current status of our offices:
  • Due to the current shelter in place order in Sonoma, Solano and Napa Counties, our offices are no longer open to the public.  However, our staff are working remotely and can be contacted by phone or email.
Our priority is to ensure the health and safety of those we serve and make sure that essential services continue.  If you have questions or need assistance, please don’t hesitate to contact us at (707) 256-1100 in Napa and Solano Counties or (707) 569-2000 in Sonoma County. If you have an urgent need outside of office hours, please call (800) 884-1594.
Thank you and take care,
Gabriel Rogin, Executive Director

Updates on Food Resources during COVID-19

Food and work are important everyday but especially right now when a lot of things are changing quickly. Here is some information about financial and food benefits that might apply to you.

Increases in CalFresh Benefits: There are food services available for people who are already receiving CalFresh benefits and also for those who are not in the program yet. Check your eligibility and learn about the application process.

 

English: https://bit.ly/2R8P04Q

Spanish: https://bit.ly/2X7OmbK

“No” to COVID-19 Discrimination against People with Disabilities – Joint Bulletin

3/30/2020

The Governor sent a joint bulletin with the Department of Health Care Services, the Department of Public Health, and the Department of Managed Health Care.

In the joint bulletin, the State assures,

“The State of California understands that people with disabilities are concerned that medical providers might consider an individual’s disability status when determining which patients to treat if hospitals or other health care facilities experience a surge of patients needing life-saving care. This joint bulletin reminds health care providers and payers that rationing care based on a person’s disability status is impermissible and unlawful under both federal and state law.”

We thank Governor Newsom and State health leaders for their quick action in protecting Californians with disabilities. You can read the full joint statement at http://www.dmhc.ca.gov/Portals/0/Docs/DO/JointBullletinMedicalTreatmentForCOVID19Accessible.pdf.

 

 

A Message from Gabriel Rogin, Executive Director

March 26, 2020

Dear NBRC Clients,

I am writing to you because we are all going through big changes in our lives right now. The governments where we live have ordered us to “shelter in place.” They gave this order to keep us safe and healthy, along with our families, friends and neighbors.

As you may know, there is a bad virus around that has been making people very sick, and it is easy to catch. We can’t always tell who has the germs. We all have to keep a distance from people other than the people we live with.

This means that we won’t be able to follow our usual schedules for a while. We can’t do the things we like to do in the community, like going out to eat or to the movies, doing volunteer jobs, or hanging out with friends. Most places in the community are closed to keep people safe.

Because of these big changes, we might miss our friends, or feel bored or frustrated sometimes. We all need to find ways to keep ourselves busy and calm during this tough time. For example, you can meet with your housemates or staff and figure out different things to do, like call friends and family, watch movies, read, play games or work on art projects.

When it gets hard for you, remember that we are all in this together, all across America. Everyone at North Bay is sending a big “Thank You” for doing your part, by taking care of yourself and each other.

Remember that North Bay Regional Center is here to make sure you have all the support you need. Although our offices are closed right now, you can still call or email your Service Coordinator whenever you need to. Our main phone numbers are (707) 256-1100 in Napa and Solano Counties and (707) 569-2000 in Sonoma County.

Hang in there. We’ll get through this together.

Sincerely,

Gabriel Rogin, Executive Director

North Bay Regional Center

HCBS Self-Assessment Change – DUE 6/30/20

3/20/2020

Hello NBRC vendors,

Providers of the below identified service codes are required to complete an HCBS self-assessment. The original deadline for completion was 3/31/20.

Given the current circumstances, DDS has extended the due date for HCBS self-assessments to June 30, 2020.

DDS Directive on Requirements Waived due to COVID-19 and Additional Guidance 3-18-20

Residential: 096, 113, 904, 905, 910, 915, 920

Day Programs: 028, 055, 063, 475, 505, 510, 515, 855

Employment Programs: 950, 954

 

If a representative from your agency has not already received an email with login information, please go to the self-assessment website using the link below, and click on “Need an account”. This will allow your agency to register and access the required self-assessment.

https://www.evoconscreening.com/dds/vendors/login.php

Please reach out to me directly with any questions.

Thank you!

Ashley

Ashley McConnell

Federal Revenue Programs Supervisor

North Bay Regional Center

610 Airpark Rd. Napa, Ca. 94558

Direct: (707) 256-1294

http://nbrc.net/