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Presentation (PDF) Open in new window Environmental Scan Audits & Other Regulatory Issues • ISDH • BQIS – Agency/Individual/Case Management • Client Finance – Social Security or Other • High Cost Review • FSSA Audits • Recent billing issues • Other? Waiver Reimbursement Increase • Effective January 1, 2014, there will be a 2% increase on FSW and CIHW for RH10, RH20, Community Habilitation-Individual, Respite, and Facility Habilitation-Individual. My Life, My Choice Update/Discussion • Based on The Ask Me! Survey initiated in Maryland in 1997. • The Arc was asked by DDRS to interview individuals in Nursing Facilities. So Ask Me was modified and the My Life My Choice interview process was implemented in 2012. • Over 1000 interviews were conducted. • 115 individuals indicated they would like more information about community based services. • Process to begin in SGL settings – More information to come….. • 10 Teams statewide • Lead Interviewers - Self-Advocates from local communities • Support Interviewer - community member, advocate, family member, professional in the field • Trying to determine if individuals are interested in more information regarding community based services (Waiver). • Those interested will then have a follow up interview with BDDS. • Those individuals who are interested will not receive a Waiver immediately. It will be a lengthy process. Accreditation • Continuing to move forward – July 2014 deadline for providers seeking initial accreditation • Current providers with Accreditation of other services can wait until their next annual survey no later than July 1, 2015 Companionship Exemption Ruling • The United States Department of Labor has announced new regulations that require minimum wage and overtime protections for “Companionship Services.” • This means that direct care workers who provide home care services (home health aides, personal care aides, caregivers, etc.) are now covered employees under the Fair Labor Standards Act. • The regulations will take effect on January 1, 2015. Ongoing INARF/DDRS Collaboration • Rate Reform- Panel discussion in the afternoon session with the INARF Rate Reform Work Group • Managed Care Study • BQIS Survey Process Other Topics • Provider Re-approvals • Appeals • BQIS Surveys for Case Managers • In State Secure Email • Recent Provider Issues in NW Indiana – Assessment of the situation – How do we react? – State focusing on quality