Service and Support Administration rule OAC 5123 2

Service and Support Administration rule OAC 5123: 2 -2 -11 Kelly Miller, DODD OACB - SSA Forum August 28, 2013

History lesson ¬ Background of current rule - HCFA visit, need for increased service coordination, CAFS went away, HB 94… ¬ Rule was effective in 2005, reviewed in 2010 with no changes. ¬ We have learned a lot since 2005 as a system! ¬ QA work group met over the last year and made recommendations to DODD to rescind SL QA rule and replace it with other functions.

WHY change? ¬ We want to focus less on paper and more on the person. ¬ We want to embrace and promote increased self-advocacy efforts. ¬ We need to create efficiencies within the system and focus our resources where they are most needed. ¬ We believe the culture needs to shift more toward “listening to and learning from” the people we serve.

SSA rule revisions ¬Workgroup met for several months ¬Stakeholders all agreed on changes needed to improve the rule ¬Likely will be filed by fall with training after and implemented late 2013 ¬You are getting the advanced version of the training today

SSA rule continued ¬Deletes the term “single point of accountability” and replace it with “primary point of coordination”…. discuss! ¬Shift focus from one of control to a more person centered approach…language changes throughout rule. ¬Increase self advocacy at all levels, including requirements in ISPs.

SSA rule continued ¬Redefines the term “team” so it is clear… ¬Adds new language about “decision making responsibility” and deletes the term “daily representative” in accordance with statute. ¬Allows an individual to request a different SSA from the county board.

Assessment ¬Assessment language has changed to focus on what is “important TO and FOR” the individual and to promote their desired outcomes. ¬Annual assessment need not be repeated, a process should include reviews and updates as needed…ask “what is working/not working in the individual’s life’?

Assessment ¬Rights ¬Self-determination ¬Physical well- being ¬Emotional well-being ¬Material well-being ¬Personal development ¬Interpersonal relationships ¬Social Inclusion

ISP ¬Must use a person centered planning process to develop a plan. ¬Ensure the achievement of outcomes that are important TO and FOR the individual and balance the two if there are conflicts. ¬Address identified risks and prevent or minimize risks.

ISP ¬Secure commitments from providers to support the individual in achievement of his/her goals. ¬Establish and maintain contact with providers, natural supports and the team to ensure all understand expectations and are working toward meeting desired outcomes. ¬Revise plans as needed…

Monitoring ¬Deletes the word “monitoring” and replace it with “continuous review process” to change the culture from an event/form to an ongoing process. ¬Requires an individualized approach whereby the ISP identifies the scope and frequency of reviews…no more “cookie cutter” procedures.

Continuous review process ¬Shift focus from reviewing HPC documentation to helping individuals get a life and outcomes they want. ¬“Don’t go where you are not invited” but of course still be extremely mindful of health and welfare… ¬Feedback from reviews must be given to the individual, family and provider to close the loop.

Continuous review process ¬Scope, type and frequency must be stated in ISP and include face to face visits. ¬Frequency may be increased when individual has intense behavioral or medical needs or under other specified circumstances in the rule. ¬Areas of non-compliance should be referred for a PC review.

Update on Behavior Support Rule

Questions?