Self Determination Program Implementation Updates

June 18, 2018

The Department, in collaboration with the self-determination advisory workgroup and other stakeholders, has been working on the major components necessary to implement the Self-Determination Program (SDP). Outlined below are some of the major components requiring completion prior to the SDP becoming operational. The list below is not exhaustive but includes the key components and steps under active development.

The Department will post updates on the progress of each component.

  • Federal Funding Approval
    As noted in the June 7, 2018 update, the application for federal funding, or Waiver, was approved by the Centers for Medicare and Medicaid Services. Status: Completed
  • Individual Budgets – Target for completion: August 15, 2018
    Task: Finalizing guidance information on how the individual budget amount is calculated, and the process for adjusting the budget when needed.
  • Financial Management Services (FMS) – Target for completion: August 31, 2018.
    Task: Finalizing FMS vendorization requirements and rates.
  • Independent Facilitators – Target for completion: August 31, 2018.
    Task: Defining the role(s) an independent facilitator may play and how this may be different if a participant chooses to select their service coordinator to fulfill the functions of an independent facilitator.
  • Participant Selection – Target for completion: October 1, 2018
    Task: Selection of the initial SDP participants. It’s important to note that only those individuals who have participated in an informational meeting and whose names have been received by the Department will be considered for selection as participants in the SDP. The Department will provide a final date for submission of names to be added to the selection group for random selection (by the Department) in a future update. Information for those who are interested on how they can be considered for participation in the SDP can be found at www.dds.ca.gov/SDP/sdpEnrollment.cfm.
  • Home and Community-Based “Settings” Requirements – Target for completion: October 31, 2018.
    Task: Finalizing training materials on the federal requirements, how they apply to services in the SDP and the assessment process for ensuring all services, or “settings”, meet the requirements. Due to federal regulations effective in March 2014, everywhere someone receives services (e.g. the “setting” where the service is provided,) must promote, and not prevent, community participation and inclusion. The target date projects time needed to provide training to those who will be involved in the assessment process.
  • Orientation Materials – Target for completion: October 31, 2018.
    Task: Finalize all orientation materials. The orientation materials will form the basis of the information participants need to support them in the SDP. In addition to the components above, the orientation will include information on what services are available in the SDP and tools to help participants choose qualified service providers. Training for those providing these orientations will also be necessary prior to participant orientations.

GOVERNOR BROWN SIGNS 2018-2019 STATE BUDGET AND TRAILER BILLS

June 27, 2018 – Governor Edmund G.”Jerry” Brown Jr. today signed this afternoon the 2018-2019 State Budget and budget trailer bills – the 16th and last state budget before he leaves office in January.
“When I took office back in 2011 with the state facing a $27 billion deficit, I pledged to work with the Legislature to fix California’s financial mess,” said Governor Brown. “Today, the final budget I sign delivers on that pledge and prepares us for the future.”
The Governor was joined today by Senate President Pro Tem Toni Atkins (Democrat – San Diego), Assembly Speaker Anthony Rendon (Democrat – Lakewood) and  legislative budget chairs Senator Holly Mitchell (Democrat – Los Angeles) and Assemblymember Phil Ting (Democrat – San Francisco).
“This budget is the product of all of us working together to craft a fiscally responsible plan that serves the people of California while at the same time saves for the future,” said Senate President Pro Tem Atkins. “I especially want to thank Governor Brown’s leadership – in this, his last budget – for helping to bring back California from a historic recession and onto a solid economic footing.”
“Devastating budget cuts first compelled me to run for the Assembly. I thought we needed to do better, and this budget does better,” said Assembly Speaker Rendon. “There is more to do, but by investing in our people and saving for the future, this budget gives us the tools we need to keep doing better.”
“Governor Brown has done an admirable job in leading our state out of budget deficits to financial stability. This is a spending plan we can be proud of because it makes the right investments and reflects many of California’s values,” said Assemblymember and Assembly Budget Committee Chair Ting. “I’m especially glad we were able to partner with cities and counties to help them address the homeless crisis with unprecedented funding for more shelters and services.”
“This budget strikes an appropriate balance that strengthens our state’s fiscal stability with an unprecedented level of reserves, while prioritizing investments that will address the pressing needs of this state,” said Senator and Senate Budget and Fiscal Review Committee Chair Mitchell. “We continue to work toward restoring programs that still have yet to be made whole from devastating cuts during the great recession and prioritize funding to confront the challenges associated with homelessness and disaster response.”

For full text of the Budget Act and associated legislation, visit: www.leginfo.legislature.ca.gov. Additional details on the 2018-19 State Budget can be found at www.ebudget.ca.gov.

 

Self Determination Waiver Approved

The Department is very pleased to announce that the application for federal funding, or Waiver, for the Self-Determination Program was approved by the Centers for Medicare and Medicaid Services (CMS).  This news represents an essential step toward providing people who receive regional center services and their families an alternative way to coordinate their services, with more freedom and control over how the services are provided and the individuals who support them. We would like to express sincere appreciation for the assistance and guidance from the Department’s self-determination advisory workgroup and other stakeholders, which has been instrumental in gaining CMS’ approval of the Waiver. We also thank and recognize the work and technical assistance received from many representatives of CMS and California’s Department of Health Care Services.

 

In October 2013, Governor Edmund G. Brown signed Senate Bill 468, authored by Senators Bill Emmerson and Jim Beall and co-authored by Assembly Members Holly Mitchell and Wesley Chesbro, into law. This law, championed by remarkable and determined self-advocates, family members and advocacy organizations, established a statewide Self-Determination Program that adheres to the following principles to ensure those who participate have:

 

  • Freedom – to exercise the same rights as all citizens; to establish, with freely chosen supporters, family and friends, where they want to live, with whom they want to live, how their time will be occupied, and who supports them;
  • Authority –  to control a budget in order to purchase services and supports of their choosing;
  • Support – including the ability to arrange resources and personnel, which will allow flexibility to live in the community of their choice;
  • Responsibility – which includes the ability to take responsibility for making decisions in their own lives and accept a valued role in their community, and
  • Confirmation – in making decisions in their own lives by designing and operating the system that they rely on.

 

Self-determination in California began almost twenty years ago as a small pilot project in limited areas of the state, with the intention of eventually expanding the program statewide.  The time from the start of the pilot project, to Governor Brown’s signing of the law in October 2013, to now has only heightened the desire to implement self-determination broadly in California.

 

While approval of the Waiver represents the key step towards implementation of the Self-Determination Program, the Department and the self-determination advisory workgroup must continue to focus on finalizing program components for implementation.  Providing information and support, in particular training and orientation materials, needed to assist those who are selected and choose to participate is central to implementation and is in the final stages of completion.  We remain committed to implementing this important program and look forward to the continued collaboration, not only with the Department’s advisory workgroup, but also the local volunteer advisory committees and the Statewide Self-Determination Advisory Committee.  The Department will publish a timeline with key dates for implementation by June 18, 2018.  Updates will be posted on the Department’s dedicated website page for Self-Determination at: https://www.dds.ca.gov/SDP/.  If you would like to be notified of future updates about Self-Determination, please send an email to sdp@dds.ca.gov.  Information for those who are interested on how they can be considered for participation in the Self-Determination Program can be found at https://www.dds.ca.gov/SDP/sdpEnrollment.cfm

 

Please join me in celebrating the approval of the Self-Determination Program Waiver and thanking the Department’s self-determination advisory workgroup for their dedication and countless hours of work to make it happen.

 

 

NANCY BARGMANN, Director

Department of Developmental Services

 

Developmental Services Update – Respite Cap Lifted as of 1/1/2018 

IMPORTANT INFORMATION ABOUT SERVICES  
Due to recent changes in the law, you may be eligible for more respite hours as of January 1, 2018.  Your Regional Center encourages you to speak with your Service Coordinator to find out more and begin planning now.

INFORMACION IMPORTANTE ACERCA DE SERVICIOS
Debido a recientes cambios en la ley, usted puede ser elegible para más horas de relevo (respite) a partir del 01 de Enero de 2018.  Your Regional Center le anima a hablar con su Coordinador de servicios para obtener más información y comenzar a planificar ahora.

State of Emergency Billing Instructions for NBRC Vendors posted

Dear Vendor Community,

It is our sincere hope that this memo finds you on the road to recovery after such a horrific sequence of events these past few weeks. In a time of such disaster, it was amazing to see our communities pull together to take care of each other.

North Bay Regional Center will honor State of Emergency (SOE) billing for the month of October 2017. This memo: SOE Billing information 10-2017 will provide guidance for October SOE billing for Napa, Sonoma and Solano counties.

Department of Developmental Services Releases Information & Guidelines on 2nd Round of HCBS Transition Funding

Home and Community-Based Services (HCBS)

Compliance Activities Funding

In recognition that service providers will need to continue taking steps towards modifying their services, the 2017 Budget Act (AB 97, Chapter 14, Statutes of 2017) contains $15 million to fund changes that are necessary for providers to come into compliance with the HCBS rules by March 2022.

Service providers need to submit their completed application to the Regional Center by January 5, 2018.

DDS will hold two, one0hour webinars to review this process and answer questions. These optional webinars will be held on Tuesday, November 14 from 2:00- 3:00, and Friday, November 17 from 11:00-12. To register, follow the instructions found at http://www.dds.ca.gov/HCBS/

All information and documents here: CMS Home and Community-Based Services (HCBS) Regulations

Department of Developmental Services: FY 2017-18 Budget Highlights

DEPARTMENT OF DEVELOPMENTAL SERVICES
GOVERNOR’S BUDGET HIGHLIGHTS
PROGRAM HIGHLIGHTS
The Department of Developmental Services (Department or DDS) is responsible under the Lanterman Developmental Disabilities Services Act (Lanterman Act) for ensuring that approximately 300,000 persons with developmental disabilities receive the services and support they require to lead more independent and productive lives and to make choices and decisions about their lives.
California provides services and supports to individuals with developmental disabilities two ways. The vast majority of people live in their families’ homes or other community settings and receive state-funded services that are coordinated by one of 21 non-profit corporations known as regional centers. In contrast, a small number of individuals live in three state-operated developmental centers (DCs) and one state-operated community facility. The number of individuals with developmental disabilities in the community served by regional centers (consumers) is expected to increase from 303,447 in the current year to 317,283 in 2017-18. The number of individuals living in state-operated residential facilities is estimated to be 490 on July 1, 2018.

see full document here: DDS FY 2017-18 Budget Highlights

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