More Updated Waiver Redesign Material Released

April 09, 2016

DBHDS has released additional material critical to providers to prepare for the implementation of the redesigned Waivers on 1 July, 2016..  In addition to the revised listing of qualifications for providers which we posted several days ago, the most recently developed list of Services and Supports Options has now also been posted on the Waiver Redesign Page. In addition, the 190+ “training” slides to be used for the upcoming sessions for providers are available here.  Some of the issues are still very problematic and, to date, have not been reviewed with any representative stakeholder group:
  • These slides provide useful guidance on the requirements of the Landlord Tennant Act (See the link to the entire act on the Waiver Redesign page under Member Resources), but providers should be cautioned to read the requirements for themselves and/or seek counsel from their attorney.  Note particularly Sections 55-248.13 and 16 for the responsibilities of both tenants and landlords.  Sponsored Residential providers should also review Section 55-248.5.
  • The “Planning Tool” or “Activity Calendar” which is being developed and, apparently, implemented as part of the pre-authorization process adds a level of complexity that seems to have no value for either the individual or the provider when all parties are fully engaged in the person-centered process.  This tool is designed to give the Department data for the next phase of the Waiver Redesign which will utilize a “Supports Budget” methodology to tailor service packages based upon the assessed level.  [See slide 189]
  • While VNPP certainly supports a variety of efforts to ensure that providers offer the highest quality of services and supports, any revision to the expected training for direct support professionals and/or supervisory staff should engage a group of stakeholders representing the public and private provider, should be developed in conjunction with and under the authority of the revised Medicaid Regulations for implementation of the Waivers, and should be available to providers so they might be incorporated into the provider staff development curricula at least three months in advance of their anticipated implementation.  As training requirements become significant audit issues, they are not to be casually approached!