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

“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.

 

 

Directives from DDS Regarding COVID 19

Coronavirus Information and Resources

The state is working with the Centers for Disease Control and Prevention (CDC), local governments, and health care providers across California to respond to the outbreak of COVID-19, a respiratory disease caused by a novel coronavirus. State and county public health officials are continuously assessing the situation and will alert the community as the situation changes.

Please check the DDS website for current information

Directives to Regional Centers:

DDS Directive Requirement Waived Due COVID

DDS Directive Day Services COVID-19

 

Stakeholder Survey on Person-Centered Practices – due February 21st

Good Afternoon,

 

The Department of Developmental Services is partnering with Support Development Associates (SDA) to develop training on person-centered thinking and practices. Knowledge of the principles of person-centered practices and the ability to apply such principles is important for the successful implementation of the Self-Determination Program and meeting the HCBS settings requirements outlined in the January 2014 federal regulations. SDA is compiling information from California stakeholders to inform our understanding of the current state of person-centered practices in California. This information will be used to develop and facilitate trainings throughout the state in the coming months.

 

All service providers, individuals receiving services, and those who support them are encouraged to complete the Stakeholder Survey below by Friday, February 21st, 2020. The survey will take approximately 3 – 5 minutes and your input is greatly appreciated.

 

Stakeholder survey links:

 

Information regarding this survey and the links has been posted to the Department’s website at: https://www.dds.ca.gov/initiatives/cms-hcbs-regulations/stakeholder-survey-on-person-centered-practices/

 

Federal Programs Division

CA Department of Developmental Services

Assembly Select Committee on Intellectual and Developmental Disabilities Hearings video

Families and clients of several Regional Centers have shared wonderful stories of how the Regional Center has supported them and provcided recommendations for continued support.

Please take a peek at clips from the recent Assembly Select Committee on Intellectual and Developmental Disabilities Hearings

Learn about the California Department of Developmental Services (DDS) Vendor Rate Study

Do you or a family member receive Regional Center services? Your opinion is important.  

The Department of Developmental Services (DDS) is working with a contractor to complete a rate study about service provider rates. More information about the rate study can be found here.

The attached flyer provides information about upcoming meetings. Space is limited so please register as soon as possible.

During these meetings you will:

  • Hear about what is included in the rate study and how it was done .
  • Have a chance to give feedback and ask questions

Meetings will be held at the locations listed here: Rate Study OR  Rate Study SPANISH The address for the meeting is included in the link.  Space is limited, so reserve your spot using the link for your preferred location.

If you have questions, please contact Jami at CASurvey@hsri.org

Call (503) 924-3783 X10 for help signing up.