Feb. 24, 2016 - Feb 25, 2016
“These times challenge us to design services in ways that make the most sense for each person served, no matter their level of need.”
Federal and state forces driving a future that looks different than our past continue to challenge us to plan for services in community settings that best fit each person’s needs. We are moving toward community integration in everything we do and away from traditional ways of serving people. We are still figuring out what this looks like and do expect to have a more concrete plan this year.
One area of intense focus is the future of adult centers across the state. In several other counties, community providers of services have assumed operation of adult centers, which is called privitization. I have been asked many times if this will be Hamilton County’s direction.
Every possible option is being explored, including privatization. You might have heard that some community agencies have been talking with us about this, and have been visiting our centers. This is all part of our planning process – no decisions have been made – and we will let you know as soon as possible if/when decisions are made.
Last fall, we made a difficult decision to close Jackson Adult Center by March 1. We have been working since to support people served in making transitions to other community providers or one of our remaining three adult centers (Beckman, Franks, Kidd.) The transitions have gone remarkably well with a few bumps and remain on schedule.
Our longstanding tradition of caring about people with disabilities and their families will continue. Some changes will go smoothly, and some may not. We will be at every step to help those we serve and their families through whatever transitions are necessary. I am counting on everyone to keep the best interests of people with disabilities and their families at the forefront as we walk through this together.
Alice C. Pavey
Issues driving system change in Ohio
Employment First Initiative
- This does not mean everyone has to work. It does require conversations about where a person served is on the path to employment. The steps on this path include: not interested in working, exploring work options, seeking help to find a job, and successfully working in competitive employment.
Supreme Court's Olmstead Decision of 1999 and ADA of 1990
- Applies to HCDDS-operated adult centers and providers
- Does not apply to HCDDS-operated schools
The Centers for Medicare and Medicaid Services (CMS) 2014 rule eliminates funding for segregated services by 2019, in response to Olmstead
- Anyone who attends an adult center operated by a County Board of DD is considered in a segregated setting and federal Medicaid funding will no longer pay for those services after 2019
The CMS requirement that a provider of services should not also be a provider of case management
- This rule means we cannot operate direct services like adult centers and perform case management services like Service and Support Administration (SSA) at the same time.
- SSA is a function of DD Boards provided for in Ohio law.
- CMS has given Ohio until 2024 to come into compliance.