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Meeting Materials (PDF) Open in New Window INARF Member Forum Friday, January 22, 2016 10 AM - 11 AM (EDT) Easter Seals Crossroads Training Rooms 1 & 2 4740 Kingsway Drive, Indianapolis AGENDA I. Call to Order, Welcome and Introductions II. 2016 General Assembly: Overview and Update a. Katy Stafford-Cunningham, INARF VP – Public Policy b. Glenna Shelby, LegisGroup Public Affairs c. Kelli Waggoner, K.A. Waggoner, LLC III. Board Chair Report a. Association Activities & Updates IV. President/CEO Report a. Industry Issues & Updates V. Adjournment -- 2016 General Assembly: Overview & Update • Katy Stafford-Cunningham, INARF VP – Public Policy • Glenna Shelby, LegisGroup Public Affairs • Kelli Waggoner, K.A. Waggoner, LLC Board Chair Report • Welcome New Member! – Community REACH, Inc. • Annual Conference Registration Underway – Early Bird Deadline: February 9th • Costa Miller Scholarship Update – 34 Submissions! • Upcoming Events & Activities – Thursday, February 18: Quarterly Professional Interest Section Meeting – March 15 – 17: Annual Conference Federal Issues • DOL Proposed Overtime Exemption – ANCOR launching “National Save Our Services (S.O.S) Campaign: Funding the Future of Disability Services” – Call to the Federal Administration to • implement more manageable threshold with more gradual increases • ensure policies to provide funding to allow providers to meet the rule’s requirements ACICIEID Committee Webinar – Jan. 27 & 28 – Sub-Committee Report Out – Public Comment on January 27 – 3:30 – 4:30 – Committee Next Steps State Issues • Vocational Rehabilitation Services – State Plan and Needs Assessment • Staff Qualifications • Coordination with WIOA Partners • Increasing Community Employment – Employment Services Model • Gradual Improvements • Making the Ask; Using Flexibility • On-Going Support Structure • First Steps Services – Initial SPOE Funding Results Did Not Meet Expectations – Engaging New Consultant – Study rates and SPOE funding in parallel State Issues • HCBS Transition Plan – Updated Statewide Plan for public comment in February – Individual Experience Survey Wrapping Up • Nursing Facility Transition Study – Facility Visits and Interviews with BDDS, AAA, Facility Staff, Community Providers, Families, and Individuals – Data Review: BDDS, My Life My Choice, and MDS – Reasons for Admission: provider unwilling/unable to serve individual, failed experience in community, decline in physical health, caregiver decline, and facility closure – Impact of Person-Centeredness – Using Data to Identify Individuals Most Likely to Transition State Issues • Division of Aging: Rebalancing Project – Forum Held in December – Indiana is Second to Last in HCBS Expenditures as a Percentage of LTSS Expenditures at just over 31.8% – Goal: increase to 39% by October 2019 Waiver Amendment • Enhanced Residential Living Replaces RHS-D Waiver Amendment • Adds Intensive Residential Support and Intensive Support Coordination Waiver Amendment • Appendix J included Hold Harmless: – DDRS clarified not applicable to ERL and clarification will be given to CMS – Available for individuals who receive IRS who experience a budget reduction as a result of greater clinical oversight • Role of Algo Levels in Waiver Amendment – Individuals will continue to receive ICAP and Algo – ERL Rates based on Algo and Living Situation – RHS and Day Service reserve will follow rule until amended • Role of Algo in Future – Piloting SIS: Considering assessment, person centered planning and resource allocation Next Steps / Timeline • INARF Sub-Committee Members, to date: