Advisory Committee on Services for People with Developmental Disabilities
April 24, 2014
The meeting was called to order by Teri Egner. Wanda Felty, Substitute Secretary, called the roll. Members present at the time of roll were: Marcellius Bell; Judi Myers; Rene’ Daman; Teri Egner; Wanda Felty; Theresa Flannery; John Gajda; Ivoria Holt; Nina Honeyman; Lisa Copeland; and Terry Trego. Joining the meeting after roll call was: Karen Maston (10:05); John Corpolongo (10:07); and Ken Talley (10:30).
Minutes from the previous meeting on January 30; 2014, were approved.
Comments from Debbie Pumphrey, DDS Deputy Director:
Debbie reported on the progress of the facility closures. She said that currently 46 consumers remained at SORC and 19 at NORCE. She said she there were 3 moves scheduled for next week – also a number of moves in May. Going well.
DDS continues to work on the waiting list. When this committee last met, the number on the list was 6,952. It is now at 6,936 so it continues to inch down.
We are also working on better coordination with Child Welfare and will be doing cross-training between CW & DDS staff; providing technical assistance to workers who call during an investigation involving someone with a suspected developmental disability.
DDS is reviewing Health Information Exchanges. These link medical providers and provide medical records across practices. We want to determine if they might be useful in assisting with health care oversight and coordination. Looking at different exchanges available in Oklahoma.
We continue to review guidance from the changes in Federal Regulations from the Department of Labor related to companionship exemptions and the HCBS rule from CMS. They will have some implications for our programs. To determine how they affect programs, we are meeting with legal and scheduling meetings with companion providers to see what changes might need to be made. We will keep you updated, you will probably see some policy changes related to these regulatory changes.
Wanda asked about if the changes would affect all the companion programs. Debbie said we will need to use the “contractor” model which exempts them from those regulations; we are still reviewing what changes we need to make.
How will providers be made aware? The ANCOR Conference is next week. They are a national provider organization and they’ve actually added to their agenda some sessions on this subject. Debbie will attend. It was requested if she brings back some information that it be dispensed to the providers.
Marcellius Bell brought up some discussion on the closure process as the facilities get down in resident numbers and wanted to confirm that individuals would stay there until homes were ready … not moving to nursing homes etc. That care would stay up to standard. Debbie responded and also mentioned staff reductions will continue in May and June commensurate to the population.
Terry Trego, Policy Sub-Committee Chair – APPROVAL OF RULES
There were a total of 8 rules/policies to be voted on. The following six rules were voted on and passed first:
OAC 340-100-3-5.1 Volunteer guardians and advocates (Terry pointed out that there was one change in paragraph C.1.a Legal required that the definition of “immediate family” be further defined. The new definition is: wife, husband, biological or adopted children, biological or adoptive parents, stepparents or children, adult biological or stepchildren.)
OAC 340:100-3-34 Incident reporting
OAC 340:100-3-27.5 Provider agency quality assurance and fiscal controls
OAC 340:100-3-39 Pre-employment screening for community services
OAC 340:100-5-22.2 Assisted living without waiver supports
OAC 340:100-5-26 Health and wellness
Last two policy provisions were approved:
Resignation of the Secretary, David Steadman, was received. Discussion ensued and Judi Myers was nominated and selected as the new secretary.
Nina Honeyman brought up a discussion regarding a geriatric group being transported to the Casino and not being able to be reimbursed for this time/transportation. Debbie said that the DDS position is that paid services should not support people going to casinos and bars. They can go, but we encourage the use of natural supports.
Wanda Felty brought up some concerns/trends that she was seeing in the last couple of month where high school students have been in work programs during high school through Goodwill and others and now that they are graduating, they are not being transitioned and being allowed to continue in their jobs due to lack of supports. As a result, parents are having to quit their jobs. There was discussion that they could be referred to some of the ‘private’ agencies to seek services i.e. Among Friends, Wings, etc. It was acknowledged that the school to work transition is a weaker area.
Public Comments & Announcements
Teri Egner announced that the next meeting is July 31, 2014.
Governor’s Conference is May 28th & May 29th at the Embassy Suites in Norman.
Meeting was adjourned.