Advisory Committee on Services for People with Developmental Disabilities
September 8, 2013
CALL TO ORDER – Teri Egner, Chairperson
ROLL CALL – Wanda Felty
Members Present: Dyann Arnett, John Corpolongo, Rene' Daman, Teri Egner, Wanda Felty, Bryan Ferguson, Theresa Flannery, Jennifer Jones, Consuela Logan, Terry Trego, Angela Donley, Tori Collier, JoAnne Goin, Debbie Pumphrey, Ray Hester
*APPROVAL OF MINUTES – April 28, 2015 – Passed
DDS UPDATE – JoAnne Goin, DDS Director
Closed Southern Oklahoma Resource Center on July 10, 2015, making us one of 14 states to close their institutions as part of a national movement to move services from institutions to community based care.
As of September 1, 2015, DDS cut provider rates by 3.5% for vocational and residential services tied to HTS. Our providers are doing a great job of advocating for a supplemental payment from the legislature for next year. We are monitoring week by week the news that comes out. Next year's budget will not be certified until February 2016.
Our waiting list continues to grow because we have no new authorization for funding for the waiting list. The total number of people on the waiting list at the end of August 2015 was 7,171. We are working applications from February 2006.
We are continuing to work to meet the new CMS requirements. We do not have feedback yet from CMS regarding our states transition but as soon as we get it back we will start working on the requirements for changes that need to be made by 2019.
Wanda Felty – Is there any impact to the Family Support Subsidy Payment with the budget cuts? That is from a different pile of money and there is no impact on that.
Terry Trego – Have we lost any provider agencies? Renaissance Management Group has given notice that they are closing their business but they will continue to serve until we can find other options. They serve about 80 clients.
Wanda Felty – Is there any way to track the fallout from provider prospective? Each agency has their own strategy around direct cuts and each provider agency is keeping track of how this affects them. Several provider agencies are going to look at benefits to their staff as a place to cut. Provider agencies always struggle with overtime and now it will be even more important that they keep overtime to a minimum. They are looking at requesting DDS to amend some of its policy on contracts and waivers.
Judy Goodwin - Provider agencies are going to rearrange their staffing patterns and try to consolidate placements if possible. They do not want to cut staff salaries. Staff shortages are at a critical level because of the current pay rate. The critical part of this is to continue to have coalition of parents, consumers, state people and providers and share information on how this is impacting them. Legislatures want to hear about how this is affecting families. It is critical for families to go to the legislature to argue their side and show them the consequences of reducing funding.
JoAnne thinks the provider agencies have been highly effective at notifying the legislature of their concerns and what their business looks like and how the rate cuts will impact their business.
Consuela Logan – Are there openings with other agencies for the clients being serviced by Renaissance Management Group? There are no openings with other agencies and since the closure of the state run institutions, there is no place for these clients to go so Renaissance is being forced to stay open until placements can be found. Most agencies are in the same boat and have no money to support their clients, let alone adding to them.
Like the OCP Facebook Page https://www.facebook.com/pages/Oklahoma-Community-based-Providers-Inc/43824984305 Judy can let you know if it is time to send letters about the situation. Or email Judy and she can put you on a distribution list to get updates.
Wanda Felty - Did Renaissance Management Group get any of the clients from NORCE and SORC? They got a few and we will work to transition them one at a time. Some other agencies have already indicated their interest in taking in some of those clients. We believe there are 12 transitions to be made meaning we need 4 houses.
Consuela Logan – how are the transitions going? The individual transitions are going well. We are continuing to establish a relationship with the family members and the guardians so that over time we can build their trust. We are hearing good comments from families.
Teri Egner – What is happening with the lawsuit from SORC? We don't know. We have not heard any news.
* APPROVAL OF RULES – Terry Trego, Policy Sub-Committee Chair
- OAC 340:100-33.
- Is amended to clarify the use of SORC lease and royalty revenues to comply with statutory changes following the passage of HB 1410.
- Three months after SORC closure, the revenue is placed in a special agency clearing account used for establishing and maintaining community households for DDS service recipients.
Wanda Felty – clarification on language on d.3 – This covers things not covered by the waiver such as household items. We have to have a mechanism on how to approve those items because we are going to be reporting that back to the legislature. We get all types of requests for items that we don't normally want to approve so we have to be good stewards of this money and that is how we will achieve that. These items have a special accounting code which is reviewed by Debbie Pumphrey.
- OAC 317:40-1-1.
- Is amended to allow active military personnel who applied for HCBS in another state to have the application date honored in Oklahoma.
Teri Egner – Is it children of the active military person? It can be either.
Wanda Felty – How will they get on our waiting list? What if they are receiving services in the other state?
JoAnne Goin – They will go on our list based on their application date in the previous state. Legislation in silent on that but since we cannot transfer services from state to state, they will have to go on the bottom of our waiting list if they are no longer on the wait list in their previous state.
- Rule impact:
- The classes of persons affected by the proposed rule changes are individuals receiving DDS, who bear no costs associated with the implementation of the rule.
NEW BUSINESS –
Consuela Logan – Do you foresee more cuts? We do not but we cannot foresee the future and do not know what the budget will look like next year.
Dyann Arnett – Has there been any discussion about professional rate decreases? No. Those rate impact many more people than are served in the DDS program because they are tied to rates at the Health Care Authority. No discussion has been heard.
*Approval of 2016 meeting dates –
- January (Tuesday 5th or 12th) – January 12, 2016
- April (Tuesday 5th or 12th) – April 12, 2016
- July (Tuesday 5th or 12th) – July 12, 2016
- September (Tuesday 6th or 13th) – September 13, 2016
Public Comment – No public comment