Medicaid Waiver Enrollment and Service Delivery
Objective: During FY 2005-2006, enroll and begin service delivery under the Medicaid waiver program to 6,600 people waiting for services
Enrollment:
- To date APD has mailed letters to approximately 7,100 people who are currently on the waitlist offering them enrollment on the FSL or HCBS waiver. The number of letters mailed exceeds the number of slots available since a percentage of people contacted have declined the offer or are not eligible for Medicaid when contacted. This mail out is in the consecutive order of the wait list which means it goes first to the people who have waited the longest.
- After receiving the letter, the individual/family has 15 days to contact APD and indicate if they are interested in waiver services. This deadline is necessary to keep the process flowing and achieve the enrollment objective.
- Within five days of sending the letter, APD staff make phone contact to make sure the letter was received and to begin a triage process to determine the appropriate Medicaid waiver for the person.
- The triage process screens people for new requirements in proviso language placed on the Home and Community Based Services (HCBS) waiver. The process determines if an individual is requesting residential services in a licensed home, or, nursing services not available on the state plan or supported living services not available through the Family and Supported Living waiver. If an individual desiring the HCBS waiver meets one of these criteria then they are enrolled in this waiver.
- If an individual does not desire the HCBS waiver or they do not meet the triage criteria then they may enroll in the Family and Supported Living waiver which now serves both children and adults.
- If the individual already has Medicaid, then APS staff will enroll them in the appropriate waiver and transfer the case to a Waiver Support Coordinator.
- If the individual does not have Medicaid then the person must complete the Medicaid eligibility process before enrollment can be completed.
Medicaid Eligibility:
The Department of Children & Families - Economic Self Sufficiency office determines Medicaid Eligibility.
- Medicaid Eligibility Determination can take up to 90 days depending on the complexity of the situation. However, we are optimistic the new DCF web based eligibility process will expedite this process in the future. Some of the eligibility determinations must be made by the Social Security Office which requires additional time.
- Upon receipt of Medicaid Eligibility determination, the Agency for Persons with Disabilities enrolls the individual in the appropriate waiver and transfers the file to a Waiver Support Coordinator selected by the individual/family.
Support Plan Development, Prior Services Authorization and Service Delivery Arrangements:
Medicaid Waiver Support Coordinators (WSC) are independent contractors under Medicaid agreements to develop supports and services for individuals on the Medicaid waiver program. When the Waiver Support Coordinator receives the file from APD the following key activities are performed.
- Meet with the individual/family and develop a Support Plan. Individuals and their families need time to explore the options available to them and choose the service and provider that can best meet their needs. Even though they have been on the waitlist for years they need time to make service decisions and it is difficult to rush this process.
- Based on the supports and services identified in the support plan, the support coordinator will develop a Cost Plan to identify services, cost, frequency and duration of services and service providers.
- A Prior Service Authorization (PSA) package with justification of medical necessity is developed for the services requested. This package is sent to the Prior Services Authorization contractor for the Home and Community Based waiver and to the APD area offices for the Family and Supported Living waiver.
- The support coordinator completes the Individual Cost Guidelines assessment.
- The support coordinator develops locates and arranges the providers to provide the supports and services once they are approved.
The Prior Service Authorization contractors review and approve the support plan/cost plan documentation prepared by the waiver support coordinator to determine medical necessity. This process takes 10 days if all information in the request is complete.
Upon receipt of PSA approval the Waiver Support Coordinator issues a Service Authorization to the provider to begin services and services are initiated.
Service providers will usually begin billing within one month after services are initiated.
APD is taking the following steps to streamline the enrollment process:
- APD Area staff will review and approve the initial cost plan for individuals being enrolled on the Family and Supported Living waiver. The annual cost plan will be reviewed by the PSA contractor.
- APD has authorized additional use of temporary staff, and contracting to accommodate the increased workload associated with enrolling 6,600 people.
- APD has encouraged support coordinators to shorten the time required for getting services to consumers by approximately 30 days through an expanded support coordination service and rate.
- APD has explored the possibility of contracting with a statewide case management entity for additional assistance with the initial enrollment process.
- DCF/ESS provided training and technical assistance to APD field staff to help navigate and expedite the Medicaid eligibility process. APD is enlisting the assistance of the Family Care Councils in educating individuals and families about the waivers and the enrollment process.
Medicaid Waiver Enrollment and Service Directory Timeline
For information on the Florida Waiver (formerly known as
Developmental Services/Home and Community Based Services
DS/HCNBS Waiver)
click here Medwaiver Handbook
For more information on waiver programs and what they cover.
Medicaid state Plan Services
For information where you are on the waiting list;
Terri McGarrity, Program Administration
Agency for Persons with Disabilities
Tallahassee, Florida
(850)414-7452 or Suncom 994-7452
Terri_McGarrity@dcf.state.fl.us
More Florida Agencies, Providers and Support
Support and Advocacy Links (check out the rest under the links and info)
A tremendous resource is also
Wrights Law
www.wrightslaw.com
Family Network on Disabilities of Florida, Inc. is a statewide alliance of individuals with disabilities, special needs, or at-risk and their families. Their mission is to provide family-driven support, education, information, and advocacy. http://fndfl.org Statewide Advocacy Network on Disabilities, Inc. (STAND) offers advocacy training and education of legal rights as provided by the Individuals with DisAbilities Education Act (IDEA), Section 504 of the Rehabilitation Act of 1973 and the Americans with DisAbilities Act (ADA). http://www.standadvocates.org Attorney Reed Martin's web site on special education legal rights and legislation issues. http://www.reedmartin.com Autism Awareness Action is a web site by a parent dedicated to helping other parents advocate for their children and to offer autism information for families. http://www.geocities.com/aaa_list/ Patient Centered Guides Autism Center, Support and Advocacy. Links to worldwide organizations. http://www.patientcenters.com/autism/
Disability-Specific Organizations Attention Deficit Disorder To identify an ADD group in your state or locality, contact either:
Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) 8181 Professional Place, Suite 150 Landover, MD 20785 (301) 306-7070 (800) 233-4050 (Voice mail to request information packet) Web: www.chadd.org
Attention Deficit Disorder Association (ADDA) P.O. Box 543 Pottstown, PA 19464 (484) 945-2101 Web: www.add.org
Autism Autism Society of Florida, Inc. P.O. Box 970646 Coconut Creek, FL 33097 (954) 349-2820 Web: www.autismfl.com
Center for Autism and Related Disabilities (CARD) (One of six regional centers for autism and related disabilities) University of Florida P.O. Box 100234 Gainesville, FL 32610 (352) 846-2761; (800) 754-5891 E-mail: card@mbi.ufl.edu Web: www.card.ufl.edu To identify the CARD serving your region, either call the 800 number above, or visit: www.card.ufl.edu/state.html Governor Honorable Jeb Bush Executive Office of the Governor 400 S. Monroe Street The Capitol Tallahassee, FL 32399-0001 (850) 488-4441 (850) 487-0801 (fax) E-mail: jeb.bush@myflorida.com Web: www.myflorida.com
Official State Web Site Web: www.myflorida.com/
State Department of Education: Special Education Bambi Lockman, Chief Bureau of Exceptional Education and Student Services Florida Department of Education 325 W. Gaines Street, Suite 614 Tallahassee, FL 32399-0400 (850) 245-0475 E-mail: bambi.lockman@fldoe.org Web: www.fldoe.org
State Coordinator for NCLB (No Child Left Behind) Pam Kaperak, Senior Policy Director Office of No Child Left Behind Florida Department of Education 325 W. Gaines Street, Suite 316 Tallahassee, FL 32399-0400 (850) 245-0501 E-mail: pam.kaperak@fldoe.org Web: www.fldoe.org
Programs for Infants and Toddlers with Disabilities: Ages Birth through 2 Dr. Phyllis Sloyer, Division Director Early Steps Children's Medical Services, Department of Health 4052 Bald Cypress Way, Bin A-06 Tallahassee, FL 32399-1707 (850) 245-4218; (800) 654-4440 E-mail: phyllis_sloyer@doh.state.fl.us Web: www.cms-kids.com/InfantHome.htm
Lou Ann Long, Director Florida Directory of Early Childhood Services 2807 Remington Green Circle Tallahasse, FL 32308 (850) 487-6301; (800) 654-4440 E-mail: lalong@centraldirectory.org Web: www.centraldirectory.org
Programs for Children with Disabilities: Ages 3 through 5 Cathy Bishop, Program Specialist Bureau of Exceptional Education and Student Services Florida Department of Education 325 W. Gaines Street, Suite 601 Tallahassee, FL 32399-0400 (850) 245-0478 E-mail: cathy.bishop@fldoe.org Web: www.fldoe.org
Lou Ann Long, Director Florida Directory of Early Childhood Services 2807 Remington Green Circle Tallahasse, FL 32308 (850) 487-6301; (800) 654-4440 E-mail: lalong@centraldirectory.org Web: www.centraldirectory.org
State Mental Health Agency Roderick L. Hall, Ph.D., Director Mental Health Programs Office Department of Children and Families 1317 Winewood Boulevard, Building 6, Room 275 Tallahassee, FL 32399-0700 (850) 488-8304 E-mail: rod_hall@dcf.state.fl.us Web: www.state.fl.us/cf_web/
State Mental Health Representative for Children and Youth Sue Ross, Chief Mental Health Programs Office Department of Children and Families 1317 Winewood Boulevard, Building 6, Room 290 Tallahassee, FL 32399-0700 (850) 488-8304 E-mail: Sue_Ross@dcf.state.fl.us Web: www.state.fl.us/cf_web/
State Developmental Services Shelly Brantley, Director Agency for Persons with Disabilities 4030 Esplanade Way, Suite 380 Tallahassee, FL 32399-0950 (850) 488-4257 E-mail: Shelly_Brantley@apd.state.fl.us Web: www.myflorida.com
Councils on Developmental Disabilities Debra Dowds, Executive Director Florida Developmental Disabilities Council, Inc. 124 Marriott Drive, Suite 203 Tallahassee, FL 32301-2981 (850) 488-4180; (800) 580-7801 (in FL) Web: www.fddc.org
Protection and Advocacy Agency Gary J. Weston, Executive Director Advocacy Center for Persons with Disabilities 2671 Executive Center Circle West, Suite 100 Tallahassee, FL 32301-5092 (850) 488-9071; (800) 346-4127 (TTY) (800) 342-0823; (800) 350-4566 (Spanish and Creole Speaking Clients) E-mail: info@advocacycenter.org Web: www.AdvocacyCenter.org
Client Assistance Program Corey Hinds, CAP Program Director Contact Protection and Advocacy Agency listed above
Programs for Children with Special Health Care Needs Dr. Phyllis Sloyer, Division Director Children's Medical Services, Department of Health 4052 Bald Cypress Way, Bin A-06 Tallahassee, FL 32399-1707 (850) 245-4218; (800) 654-4440 E-mail: phyllis_sloyer@doh.state.fl.us Web: www.myflorida.com
State CHIP Program (health care for low-income uninsured children) Florida KidCare Agency for Healthcare Administration P.O. Box 980 Tallahassee, FL 32302-0980 (888) 540-5437 Web: www.floridakidcare.org
Programs for Children and Youth who are Blind or Visually Impaired David Newton, Program Consultant Division of Blind Services Department of Education 325 W. Gaines Street, Room 1114, Turlington Building Tallahassee, FL 32399-0400 (850) 245-0322; (800) 342-1828 (in FL) E-mail: david_newton@dbs.doe.state.fl.us Web: http://myflorida.com/dbs/index.shtml Technology-Related Assistance Jane E. Johnson, Director Florida Alliance for Assistive Service and Technology 325 John Knox Road, Building 400, Suite 402 Tallahassee, FL 32303 (850) 487-3278; (888) 788-9216 (850) 922-5951 (TTY) E-mail: faast@faast.org Web: http://faast.org/
State Mediation System Eileen L. Amy, Administrator ESE Program Administration and Quality Assurance Bureau of Exceptional Education and Student Services Florida Department of Education 325 W. Gaines Street, Suite 614 Tallahassee, FL 32399-0400 (850) 245-0476 E-mail: eileen.amy@fldoe.org Web: www.myfloridaeducation.com/commhome
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Police, Safety, and Autism.....
Also see Dennis' other site:
Autism Risk & Safety Management
including video clips from the new Autism & Law Enforcement Video, and additional information about Dennis' training session business.
Introduction
Law enforcement agencies in the 21st Century are embracing community policing and better education for their increasingly diverse workforce. There is also a growing interest in the global autism community to bring public awareness of autism and the people it affects to law enforcement professionals. As a parent of a young man with autism and reporter/researcher on this topic since 1991, I hope to bring you useful information about autism and the law enforcement community. Sharing critical autism recognition and response information with our law enforcement, first response, criminal justice and educational communities is my mission. The goal? Better community experiences for everyone.
I'm telling the world about our stories in the best way I can: through my books and articles, through train-the-trainer workshops for law enforcement, first responders, and educators, and through the media. Autism awareness and education for law enforcement, emergency response and criminal justice professionals is a personal, and now, professional part of my life. Public awareness--telling others about our everyday lives as families affected by autism--is a key element of my personal and professional advocacy. Positive outcomes for our loved ones can be the result when we take the time to educate others about autism spectrum disorders. I want to tell your stories, too. Let me know what they are.
Contact information
Please e-mail dennis@policeandautism.cjb.net
Or write: Dennis Debbaudt
2338 S.E. Holland Street
Port St. Lucie, FL 34952
U.S.A.
Phone: 772-398-9756
About the Website Author
Dennis Debbaudt is the author of Autism, Advocates and Law Enforcement Professionals: Recognizing and Reducing Risk Situations for People with Autism Spectrum Disorders, Jessica Kingsley Publishers, London-Philadelphia, 2002, Avoiding Unfortunate Situations Way/SAC, Detroit, Michigan, 1994, and a veteran of law enforcement in the private sector since 1977.
Dennis has reported for the Detroit News, Detroit Free Press and worked with network television current affairs programs including Granada TV's World In Action (UK), CTV's W-5 (Canada), and ABC News 20/20 (U.S.). Debbaudt's articles, workshops and conference presentations specific to autism and law enforcement are listed below.
Debbaudt is a frequent presenter at autism conferences worldwide, and is increasingly hosting train-the-trainer workshops for school districts, law enforcement training programs, and autism advocacy groups. Since 1995, he has conducted numerous workshops for law enforcement agencies including the Detroit Police Department, Michigan Department of Corrections, New Hampshire Police Academy and Sheriff's Departments throughout the United States. He has also led workshops for law enforcers in Canada and the United Kingdom.
Debbaudt recently completed a chapter on safety and risk for an upcoming (2003) book about Asperger's syndrome and adolescence edited by Liane Holliday Willey for Jessica Kingsley Publishers. Debbaudt has worked on writing grant proposals, curriculum and script development, and consults to persons affected, families, educators, law enforcers, prosecutors & defense attorneys about specific issues related to autism and law enforcement. He continues to research and report from Port St. Lucie, Florida.
Dennis, his wife, Gay, and son, Brad, reside in Port St. Lucie, Florida.
Now Booking Workshops Conferences & Trainings
Debbaudt's workshops focus on autism recognition and response; contact, perpetrator and victim trends; restraint and arrest options, dilemmas in interrogation and interview settings; school resource officer issues; model programs & cross educational opportunities.
The information is presented via PowerPoint, video and handouts. The one-day workshops are based on his exhaustive research and 12-year experience and personal involvement.
Workshops are personally designed to meet the local needs of/and educate law enforcement trainers, school resource officers, criminal justice and forensic professionals, educators and others about autism recognition, response and risk management.
To schedule a workshop or conference presentations or to inquire about fees, publications, curriculum, script and grant development projects, and case consultations, contact Dennis Debbaudt at:
dennis@policeandautism.cjb.net
Call: 772-398-9756
Write: Dennis Debbaudt Agency, 2338 S.E. Holland Street, Port St. Lucie, FL 34952, USA.
Chronological list: books and articles
- Avoiding Unfortunate Situations: A Collection of Experiences, Tips and Information from and about People with Autism and Other Developmental Disabilities and Their Encounters with Law Enforcement Agencies, by Dennis Debbaudt. Detroit, Michigan: Wayne County Society for Autistic Citizens (Way/SAC). Available through Autism Society of North Carolina (ASNC) -- click 'bookstore'
- Strategies For Safer Interaction within Communities, by Margaret Creedon Ph.D., Dennis Debbaudt and Michael Campbell. Open Minds, Open Doors: Proceedings of the 1996 Autism Society of America National Conference. Milwaukee, Wisconsin
- Law Enforcement and Autism: A National Perspective, by Dennis Debbaudt. Advocate: The Newsletter of the Autism Society of America, May-June 1998
- Avoiding Unfortunate Situations: Awareness When Shopping, by Dennis Debbaudt. The Source, A Publication of ASPEN of America (now Asperger's Syndrome Coalition of the United States, Inc.). Winter, 2000
- Law Enforcement Awareness of Autism: In Memory of Calvin Champion, Jr., by Dennis Debbaudt. TASH Newsletter, August 2000
- You Do Not Have the Right To Remain Silent! A Report on Advocacy Efforts for Law Enforcement Professionals' Awareness of Autism, by Dennis Debbaudt. Autism Aspergers Digest Magazine January-February 2001
- Autism & Police, by Dennis Debbaudt. LINK, the Newsletter of Autism-Europe, Winter 2001
- Autism & Airport Security, by Dennis Debbaudt (Fall, 2001), online at British National Autistic Society
- Contact With Individuals With Autism: Effective Resolutions, by Dennis Debbaudt and Darla Rothman, Ph.D. FBI Law Enforcement Bulletin, April 2001 [PDF format, 2.6 MB]
- Effective Resolutions of Contacts with Autistic Individuals, by Dr. Darla Rothman and Dennis Debbaudt, Sheriff, March-April 2002
- Train officers to deal with autistic students, Dennis Debbaudt was interviewed for and provided information to this report for the Maintaining Safe Schools Newsletter, LRP Publications, October 2002
- Autism, Advocates and Law Enforcement Professionals: Recognizing and Reducing Risk Situations for People with Autism Spectrum Disorders, by Dennis Debbaudt, Jessica Kingsley Publishers, London UK-Philadelphia, 142 pages, ISBN # 1-85302-980-7, Copyright 2002
Conferences, Workshops, Special Projects
- ASA National Conferences (North Carolina, 1995, Wisconsin, 1996, Atlanta, 2000 Indianapolis 2002)
- Autism Network International (New York, 1995)
- MAAP (Indiana, 1995)
- American Professional Society on the Abuse of Children (Chicago 1996)
- Autism Society of Wisconsin (Appleton, 1998)
- Autism Society of Ohio (1998, 1999 and 2001)
- ARK Autism Awareness Rally In Washington D.C. (April 2000)
- Autism-Europe Congress (Glasgow, Scotland May, 2000)
- National Symposium on Autism (St. Louis, Missouri, April, 2001 & April, 2002)
- Autism Society of Ontario (Toronto, May 2001)
- UK Workshops-Hampshire Autistic Society (Winchester), Asperger Backup Campaign (Bournemouth), SACAR (Bradford, Autism North (University of Sunderland), (September, 2001)
- Autism Society of California-San Diego Police Department (October, 2001)
- Autism Society of Los Angeles (March, 2002)
- Autism Society of Iowa (April, 2002)
- Ohio State Legislature Rally (April, 2002)
- ASPEN (Asperger's Syndrome), New Jersey (May, 2002)
- Mental Health Associates /Orange County, NY (Sept., 2002)
- Autism Society of New Hampshire (October, 2002)
- Asperger Association of New England (October, 2002)
- Calcasieu Parish Louisiana School District (November, 2002)
- Law enforcement trainings and train the trainer sessions since 1995 in Detroit at Metropolitan Detroit Police Academy, Wayne County and Oakland County, Michigan, Columbus, Ohio, New Orleans, Louisiana, Ocala, Jacksonville and Orlando, Florida, Kilgore, Texas, Long Island, New York, New Hampshire Police Academy, Goshen, New York, Wellesley Massachusetts Police Department, Shelby Township, Michigan Police Department
- Team Project Development member, on-camera host & narrator for "Autism Awareness Video for Law Enforcement/Community Service Personnel" (1999 winner ASA Excellence In Media Award)
- Curriculum Review Team member and resource for "Why Law Enforcement Needs To Recognize Autism" Maryland Police and Correctional Training Commissions (October, 1999). The first ever, by and for, law enforcement curriculum on autism awareness.
- Cited resource for "Recognizing Special Needs: A Police Officer's Field Guide To Selected Disabilities", by the Municipal Police Officers' Education & Training Commission, (Hershey, Pennsylvania)