Florida Agency for Persons with Disabilities

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“KEEP FLORIDA WORKING” Budget Eliminates Critical Needs Waiting List for Second Year in a Row

Third Year to Fund Waiting List Enrollment

TALLAHASSEE, FL—Florida Governor Rick Scott is again recommending funding to serve individuals with critical needs on the Agency for Persons with Disabilities (APD) waiver waiting list. Governor Scott’s proposed 2015-2016 “KEEP FLORIDA WORKING” budget includes $1.16 billion for APD with $8 million to serve the waiting list. The money will be used to enroll about 400 individuals into the APD Home and Community-Based Services Medicaid waiver so they can use this funding for community services. This is the third year the Governor has recommended money to serve the waiting list and the second year in a row that the Governor has taken the action to eliminate the waiting list.

Governor Scott said, “We are excited that we are recommending the funding to again eliminate the critical needs waiting list this year. These life changing investments will create more opportunities for all Floridians to get the care and treatment they deserve.”

APD Director Barbara Palmer said, “I cannot thank Governor Scott enough for his continued support of individuals with disabilities. For the third year, Governor Scott is recommending funding to serve people on the waiting list with critical needs. This money will allow everyone with critical needs to enroll into the Medicaid waiver in the coming year. For the past two years, APD has carefully managed its budget while also enrolling new individuals into the Medicaid waiver, which many people thought would be impossible. I appreciate Governor Scott’s ongoing confidence in APD and the people we serve.”

Also for the third year, Governor Scott’s budget proposal includes $2 million to assist people on the waiver and the waiting list who have indicated that they want to go to work. This funding will pay for Supported Employment and supported internship services for people with developmental disabilities.

Additionally, Governor Scott is recommending $2.9 million for a new APD data system that will provide service-specific information from providers regarding service delivery dates and progress, as well as better verification that services were delivered at the times and locations that were authorized by the agency.  Additionally, this data system will include an electronic client central record that will provide the agency with information that can be used to more effectively serve individuals with developmental disabilities by providing electronic information that will track provider services and the progress of the client.

Family Care Council Florida Chairperson Pauline Lipps said, “We applaud Governor Scott for his continued efforts to reduce the waiting list of individuals with developmental disabilities across the state of Florida. Through these efforts and the Employment First Initiative, individuals will be afforded the opportunity to pursue employment services in the community that could reduce the barriers of finding competitive employment for individuals with disabilities.”

Betty Kay Clements, parent and past chairperson of the Family Care Council Florida, said, “I am so pleased that Governor Scott’s 2015 “KEEP FLORIDA WORKING” budget includes $2 million for APD to continue to support the employment contribution that individuals with developmental disabilities can make as they highlight their many abilities.  Given the opportunity, their contribution is not just that of personal growth, self-esteem, and a paycheck, but a job well done that also benefits their communities and Florida’s employers. Everyone benefits!”

The Association of Support Coordination Agencies of Florida chairperson Janice Phillips said, “We appreciate Governor Scott who continues to embrace the issues facing individuals with developmental disabilities. Providing money to move people with critical needs off the waiting list is an important priority, and I am so happy it is a priority of the governor too. Helping individuals move forward toward their goals is what we all want.  I am pleased that funding has been earmarked to assist people with disabilities with their employment goals.  Having a job is extremely important to everyone, including those with disabilities who are trying to enter the workforce and become productive citizens of our state.”

Area 2 Family Care Council Chairperson Lou Ogburn said, “We applaud the Governor for his efforts to reduce the size of the waiting list.  We are also pleased he is providing help to the developmental disabilities community in employment.  It is critical for those who are able and want to work to be able to earn a paycheck.  His understanding and push to help overcome some of the hurdles with finding willing employers is so important.  We are also pleased with the money for a new Client Data Management System in order to more closely track the services to individuals with developmental disabilities so can be offered more timely when possible.”

Florida Association of Rehabilitation Facilities President and CEO Suzanne Sewell said, “We are thrilled to see that waiver enrollment will continue in the coming year and that the Governor is investing in a strong provider network to meet the needs of individuals with developmental disabilities. Providing community services to people with developmental disabilities is essential. We are pleased to see that Governor Scott is recommending about $8 million to continue to move new individuals into the Medicaid waiver and to ensure that a strong viable network is available to provide the services they need.”

“Special Olympics Florida applauds Governor Scott and the Legislature for dedicating critical funds that will help to ensure the safety, health, and well-being of people with intellectual and developmental disabilities in Florida. With this funding we are proud to work with APD to create communities statewide that value the contributions of all citizens,” President and CEO of Special Olympics Florida Sherry Wheelock.

To view the complete list of Governor Scott’s budget recommendations, visit www.KeepFloridaWorking.com.

APD supports people with developmental disabilities to live, learn, and work in their communities.  The agency annually serves more than 50,000 Floridians with autism, cerebral palsy, spina bifida, intellectual disabilities, Down syndrome, and Prader-Willi syndrome. For more information about the Agency for Persons with Disabilities, visit APDcares.org or call toll-free 1‑866‑APD‑CARES (1‑866‑273‑2273).


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Notice of Meeting/Workshop Hearing

DEPARTMENT OF CHILDREN AND FAMILY SERVICES
Agency for Persons with Disabilities
The Agency for Persons with Disabilities announces a public meeting regarding the iBudget algorithm to which all persons are invited.
DATE AND TIME: February 16, 2015, 2:00 – 4:00 p.m., EST
This meeting will involve Microsoft Lync for sharing presentations over the internet. If you already have access to Microsoft Lync, please use the following link to join the meeting and then choose “Don’t join audio”:

https://meet.lync.com/apdfl/tracey.tolbert/D6JZLZ6J

In addition to the Microsoft Lync meeting it is necessary to also call in to the following number in order to access the audio. The call-in number and code are: 1.888.670.3525 Code: 510 653 9718.
If you do not already have Microsoft Lync installed, please follow the hotlink below and choose “Meeting Readiness”:
http://office.microsoft.com/client/helppreview.aspx?AssetId=HA102621125&lcid=1033&NS=OCO14&Version=14
You will be presented with two options: 1) install Active X or 2) download and install Microsoft Attendee. We recommend you install Microsoft Attendee.

PLACE: Agency for Persons with Disabilities, 4030 Esplanade Way, Room 301, Tallahassee, Florida 32399-0950

GENERAL SUBJECT MATTER TO BE CONSIDERED: To invite input and feedback from Agency stakeholder groups, including self-advocates, family members, service providers, waiver coordinators, and advocacy organizations in updating and improving the algorithm formula used to predict resource needs for clients enrolled on the iBudget waiver and waiting list and used in the establishment of individual budgets for individuals on the waiver. The algorithm will provide an equitable distribution of available resources among individuals on the waiver based on an assessment process that includes client characteristics and a valid formal assessment instrument, and client choice of services and providers once the individual budget is determined. http://apdcares.org/publications/legal

Written comments may be submitted to iBudgetAlgorithm@apdcares.org.
A copy of the agenda may be obtained by contacting: Eva Fambro-Price, 4030 Esplanade Way, Suite 360, Tallahassee, Florida 32399, (850)922-2550, eva.fambro-price@apdcares.org.
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 72 hours before the workshop/meeting by contacting: Eva Fambro-Price, 4030 Esplanade Way, Suite 360, Tallahassee, Florida 32399, (850)922-2550, eva.fambro-price@apdcares.org. If you
are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
For more information, you may contact: Eva Fambro-Price, 4030 Esplanade Way, Suite 360, Tallahassee, Florida 32399, (850)922-2550, eva.fambro-price@apdcares.org.

The meeting agenda can be found online at: http://apdcares.org/publications/legal/ 


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Notice of Meeting/Workshop Hearing

DEPARTMENT OF CHILDREN AND FAMILY SERVICES
Agency for Persons with Disabilities

The Agency for Persons with Disabilities announces a public meeting regarding the iBudget
algorithm to which all persons are invited.

DATE AND TIME: January 16, 2015, 2:00 – 4:00 p.m., EST
This meeting will involve Microsoft Lync for sharing presentations over the internet. If you
already have access to Microsoft Lync, please use the following link to join the meeting and then
choose “Don’t join audio”:
https://meet.lync.com/apdfl/tracey.tolbert/G1KH0255

In addition to the Microsoft Lync meeting it is necessary to also call in to the following number
in order to access the audio. The call-in number and code are: 1.888.670.3525 Code: 510
653 9718.

If you do not already have Microsoft Lync installed, please follow the hotlink below and choose
“Meeting Readiness”:
http://office.microsoft.com/client/helppreview.aspx?AssetId=HA102621125&lcid=1033&NS=O
CO14&Version=14

You will be presented with two options: 1) install Active X or 2) download and install Microsoft
Attendee. We recommend you install Microsoft Attendee.

PLACE: Agency for Persons with Disabilities, 4030 Esplanade Way, Room 301, Tallahassee,
Florida 32399-0950

GENERAL SUBJECT MATTER TO BE CONSIDERED: To invite input and feedback from
Agency stakeholder groups, including self-advocates, family members, service providers, waiver
coordinators, and advocacy organizations in updating and improving the algorithm formula used
to predict resource needs for clients enrolled on the iBudget waiver and waiting list and used in
the establishment of individual budgets for individuals on the waiver. The algorithm will provide
an equitable distribution of available resources among individuals on the waiver based on an
assessment process that includes client characteristics and a valid formal assessment instrument,
and client choice of services and providers once the individual budget is determined.

Written comments may be submitted to iBudgetAlgorithm@apdcares.org.
A copy of the agenda may be obtained by contacting: Eva Fambro-Price, 4030 Esplanade Way,
Suite 360, Tallahassee, Florida 32399, (850)922-2550, eva.fambro-price@apdcares.org.
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special
accommodations to participate in this workshop/meeting is asked to advise the agency at least 72
hours before the workshop/meeting by contacting: Eva Fambro-Price, 4030 Esplanade Way,
Suite 360, Tallahassee, Florida 32399, (850)922-2550, eva.fambro-price@apdcares.org. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service,
1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

For more information, you may contact: Eva Fambro-Price, 4030 Esplanade Way, Suite 360,
Tallahassee, Florida 32399, (850)922-2550, eva.fambro-price@apdcares.org.

The meeting agenda can be found online at http://apdcares.org/publications/legal.


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APD Reviewing iBudget Decision

TALLAHASSEE —The Agency for Persons with Disabilities (APD) is reviewing the decision this week by the First District Court of Appeal (DCA) which found that the rules used in implementing the iBudget Florida waiver are invalid, thus overturning an earlier decision by the Division of Administrative Hearings.

APD Director Barbara Palmer said, “Our goal is always to protect the health and safety of the individuals we serve. We are evaluating the effects, if any, on APD customers and the financial impact of this decision. We hope to minimize any changes this ruling will require for people served by APD.”

The DCA decision states that all APD customers should receive their iBudget algorithm amount as their cost plan amount. Therefore, APD will need to go through the rulemaking process again to comply with the court’s decision.

About 30,000 APD customers use the iBudget Florida Medicaid waiver to direct and receive Home and Community-Based Services (HCBS). The HCBS waiver is funded by state and federal tax dollars to help people with developmental disabilities live and participate in their local communities.

iBudget Florida is a new way to deliver Medicaid waiver services. It has been approved by both the Florida Legislature and the federal government. The iBudget waiver provides greater flexibility to choose services that best meet the customers’ needs given their unique situations.

iBudget Florida is designed to make the funding process fair and equitable for all Medicaid waiver customers. It has increased opportunities for customers to direct their own care.

Some other customer benefits of iBudget Florida are:

  • Ability to reallocate funds not spent on services in one month for future service needs within a fiscal year
  • Access to dental services that were not available in the former tier waiver
  • Support coordinators able to use iBudget technology to reduce paperwork requirements and communicate efficiently with providers and APD, and
  • Greater opportunity for APD to use new funds to serve people on the Medicaid waiver waiting list.

APD annually serves more than 50,000 Floridians with the developmental disabilities of autism, cerebral palsy, Down syndrome, intellectual disabilities, spina bifida, and Prader-Willi syndrome. For more information on iBudget Florida, visit iBudgetFlorida.org. To learn more about the agency, call 1-866-APD-CARES  (1-866-273-2273) or visit APDcares.org.


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Governor Scott Announces Elimination of Critical Needs Waitlist for Persons with Disabilities

TALLAHASSEE, Fla. – Today, Governor Rick Scott announced all individuals with critical needs who have been on the Agency for Persons with Disabilities (APD) waiting list as of July 1 will be offered enrollment in the Home and Community-Based Services (HCBS) Medicaid waiver. Approximately 1,200 individuals will receive enrollment letters from APD in the next two weeks.

 

Governor Scott said, “We’re committed to providing every Florida family the opportunity to live the American Dream – and this year’s It’s Your Money Tax Cut Budget invested another $20 million to move all remaining individuals with critical needs off of the waiting list, which is the first time this has happened in the history of the agency. This is the second year in a row we’ve been able to improve the quality of life for individuals with disabilities and their families.”

 

These individuals join about 1,600 people who were offered waiver services last fiscal year. Additionally, the agency will continue to enroll foster children with developmental disabilities into the waiver that are adopted or reunified with family members.

 

APD Director Barbara Palmer said, “I am so happy the agency is able to keep moving people off the waiting list so they may receive waiver services in their communities. I thank Governor Scott and members of the Legislature for this important funding for the waiting list and their support of our agency. We are making a difference in people’s lives.”

 

After individuals accept the HCBS Medicaid waiver enrollment, they must select a waiver support coordinator who will work with them to develop a plan to address needed services. APD customers also select which waiver providers they want to deliver their services.


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Update on iBudget Handbook

The Agency for Persons with Disabilities (APD) and the Agency for Health Care Administration (AHCA) have reviewed and revised the iBudget handbook over the past several weeks based on public input.

The handbook is in final rule drafting with a public workshop anticipated to be noticed for mid-August.

After the rule workshop, AHCA and APD will meet to discuss all comments received, and then will proceed promptly to move to final rule promulgation which will include a public hearing.


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APD Presentation Schedule for Family Café

Family Cafe kicks off at the Orlando Hilton on June 6, and we hope that you and your family is able to attend.  The Agency for Persons with Disabilities will be conducting several presentations on June 6 and 7.  We also hope you will stop by our booth in the exhibit hall.  See APD’s presentation schedule below:

 

Friday, June 6

1:30-2:30 p.m. Aging in Place and Your Home, JR Harding (APD), Larry Baster (Elder Affairs)

1:30-2:30 p.m. Quality Services – What should you Know About Your Service Provider?, Denise Arnold, Edwin DeBardeleben

1:30-2:30 p.m. Human Trafficking, Meghan Murray

3-4 p.m.The Silent Epidemic: Abuse, Neglect, and Exploitation of Persons with Developmental Disabilities, Tom Rice

3-4 p.m. APD’s Billy Joe Rish Park – A Park for People with Disabilities, JR Harding

4:30-5:30 p.m.Increasing Successful Employment Outcomes, Nancy Butout

4:30-5:30 p.m. Achieving YOUR Goals – Perseverance, Determination, and a Little Help from iBudget Florida, Denise Arnold (APD), Robyn Stawski (Self-Advocate)

4:30-5:30 p.m. Traveling by Air as a Person with a Disability, JR Harding (APD), Delta Airlines

 

Saturday, June 7

11 a.m. – noon Meet APD Director Barbara Palmer, Director Barbara Palmer

1-2 p.m. What is Consumer Directed Care Plus Program (CDC+)?, (Spanish) Ivonne Gonzalez

2:30-3:30 p.m. What is Consumer Directed Care Plus Program (CDC+)?, (English) Ivonne Gonzalez, Susan Nipper

4-5 p.m. Airport Backstage Pass, JR Harding (APD), Delta Airlines+

 

For more information on Family Cafe, please visit their website at http://www.familycafe.net/


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Governor Scott: It’s Your Money Tax Cut Budget Invests in Priorities for Persons with Disabilities and Vulnerable Populations

TALLAHASSEE, Fla. – Governor Rick Scott today highlighted investments in the It’s Your Money Tax Cut Budget directed to support individuals with disabilities.

Governor Scott said, “We’re committed to providing every Florida family the opportunity to live the American Dream – and this Budget invests another $20 million to move more than 1,000 individuals off the APD waitlist. This is the second year in a row we’ve been able to improve the quality of life for individuals with disabilities and their families.”

The It’s Your Money Tax Cut Budget supports Governor Scott’s commitment to make investments in Florida’s most vulnerable communities.

Brings Individuals with Critical Needs Off Agency for Persons with Disabilities Waitlist: The It’s Your Money Tax Cut Budget funding of the Developmental Disabilities Medicaid Waiver waiting list will bring all remaining individuals with critical needs off of the waiting list – a first in the history of the program. The Budget provides $20 million to bring more than 1,000 individuals off of the waiting list for the second year in a row and provides them with home and community-based services to help them live, learn, and work in their communities.

Supported Employment: The It’s Your Money Tax Cut Budget invests a total of $2.5 million toward job placement and training for individuals with developmental disabilities who are looking for employment and internship opportunities. With this increased funding, more young adults with developmental disabilities will have firsthand opportunities to demonstrate their skills in the workplace. Maximizing firsthand experiences in the workplace was one of three primary recommendations of the 2012 report by the Governor’s Commission on Jobs for Floridians with Disabilities.

William J. (Billy Joe) Rish Recreational Park: The It’s Your Money Tax Cut Budget provides $1 million to provide maintenance and repairs at Billy Joe Rish Park, located on the St. Joseph Peninsula near Port St. Joe and Cape San Blas in Northwest Florida. Rish Park is open year round for people with disabilities and their family members, guardians, and caregivers. Personal Needs Allowance: The Budget supports $539,000 to increase the personal needs allowance from $35 to $105 per month for individuals living in Intermediate Care Facilities run by the Agency for Persons with Disabilities.

Early Intervention Services for Autism: The Budget supports $1.4 million toward early screening and intervention services for children with autism spectrum disorder in underserved families. These services will provide relief to families by teaching critical skills, reducing problem behavior, and improving IQ and adaptive and social skills in their children. Funds will also be used to train future physicians, psychologists, and behavioral therapists who will be crucial in expanding access to these important services in the future.

MACTown Fitness and Wellness: The It’s Your Money Tax Cut Budget continues efforts to identify new and different ideas for helping individuals with developmental disabilities achieve their maximum potential in living healthy and productive lives. The Budget supports $175,000 for MACTown Fitness and Wellness Center in Miami-Dade for a personalized, safe, and closely monitored environment. Individuals can pursue their fitness goals through education, hands-on experience, and a consistent schedule of exercising on professional and specialized equipment and aerobics classes. The healthier the individual, the better they are able to maximize their independent living skills.

The Arc of Florida Dental Services: The Budget supports much-needed dental services for individuals with developmental disabilities through another $2 million provided to The Arc of Florida. Funds will be used to enroll new providers and continue statewide coordinated dental services, which will improve the health and self-confidence of the people served.

Rate Increase for Adult Day Training Providers: The Budget supports $1.3 million for a two percent across-the-board raise to all providers of adult day training services in the Medicaid Home and Community Based Services Waiver program. These services are among the most popular in the program. Providers offer individuals up to six hours per day of meaningful activities that support the individual in daily routines of the community, including training in the areas of self-help, adaptive, and social skills. These services are provided in congregate, facility-based settings, and may include off-site enclaves or mobile work crews.

APD Director Barbara Palmer said, “I am thrilled the Legislature supported Governor Scott’s recommendation to fund the waiver waiting list for a second consecutive year. With this new money, we will now be able to serve the remaining individuals with critical needs on the waiting list. This is a major milestone for APD. I appreciate Governor Scott and the Legislature’s ongoing support of APD and assistance in helping us achieve this important goal.”

Pat Young, president of The Arc of Florida, a non-profit organization that advocates on behalf of individuals with intellectual and developmental disabilities, said, “We are grateful to Governor Scott and the Legislature for moving individuals off of the Medicaid Waiver Waitlist and continuing to fund this important dental program. Many Floridians with developmental disabilities have suffered from dental pain for more than a decade. They will now be pain-free.”

Florida Association of Rehabilitation Facilities Executive Director Suzanne Sewell said, “The Florida Association of Rehabilitation Facilities (Florida ARF) thanks Governor Scott and the Florida Legislature for responding to the needs of individuals with developmental disabilities by appropriating an additional $20 million to serve individuals and families who have been waiting for years to receive essential services. Because of this budget, more than 1,000 individuals will be served during next fiscal year.

Additionally, another $500,000 was approved to assist individuals with disabilities with achieving of their career goals. Our member agencies are thrilled that so many individuals will be receiving the supports they need to maintain their independence and enhance their quality of life,”

Florida Developmental Disabilities Council Executive Director Debra Dowds said, “We are very appreciative of Governor Rick Scott for his continued support to address the needs of Floridians with developmental disabilities. Through this additional funding many more people with developmental disabilities on the waiting list will be offered waiver enrollment and receive the services they need to be employed, independent, and to meaningfully participate in their communities.”

Sherry Wheelock, Special Olympics Florida President and CEO said, “This funding is critical to the health and emotional well-being of people with developmental disabilities in Florida allowing them to be contributing and respected members of society.”

Betty Kay Clements, parent and past chairperson of the Family Care Council Florida said, “I want to express a sincere thank you to Governor Scott and Florida legislators for continuing to address the APD waiting list by budgeting $20 million for next year. These dollars will ensure that additional individuals will enroll in the APD HCBS waiver and receive the quality services and supports they need. The $500,000 for employment services also increases the number of individuals who will realize their goal of working in their community alongside their neighbors, and reaching their potential. The money for Rish Park will allow APD to upgrade this unique park and assist people with disabilities to enjoy a full range of accessible recreational adventures among nature and a beautiful Florida coastline.”

The Association of Support Coordination Agencies of Florida chairperson Janice Phillips said, “The association is heartened by the efforts of Governor Scott and the 2014 Legislature to improve the lives of Florida’s most vulnerable citizens. For the second year in a row, additional funding is allocated to provide needed assistance to individuals on the waiver waiting list. This also provides assurance and encouragement to other families remaining on the list that help is on the way. We also applaud the governor and Legislature for providing funding for supported employment to people with developmental disabilities. This will enable individuals to become more productive citizens of Florida by enhancing their lives with meaningful employment and added inclusion and engagement in their communities. The funding for improvements to Rish Park—an extraordinary facility designed as a completely wheelchair-accessible getaway for people with disabilities—will provide many hours of enjoyment to this population for generations to come. The inclusion of these items in the 2014-15 state budget is very exciting for all of us who serve this very special group of Floridians.”

Area 2 Family Care Council Chairperson Lou Ogburn said, “We are pleased that money has been put in the budget to further reduce the folks who are on the waiting list, to provide dollars to help with employment efforts, and to improve Rish Park. It is critical that our state continue to work on eliminating the waiting list for those needing services. The dollars for employment efforts will help by allowing some people to work and thereby reducing the amount needed from the waiver while keeping them living in the least restrictive environment.”


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iBudget Handbook Draft and Public Hearing — May 14

If you are interested in reviewing the proposed iBudget Handbook, you can find it online at the following link:
http://www.ahca.myflorida.com/Medicaid/review/handbooks/DD_iBudget_Waiver_Services_Coverage_and_Limitations_Handbook_Proposed.pdf

 

Notice of Proposed Rule/59G-13.070 Developmental Disabilities Individual Budgeting Waiver Services

Wed, May 14, 2pm – 4pm

Where Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, Tallahassee, Florida 32308-5407

map

Calendar AHCA Calendar
Description Notice of Proposed Rule AGENCY FOR HEALTH CARE ADMINISTRATION Medicaid Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 48 hours before the workshop/meeting by contacting: Marlon Storey at the Bureau of Medicaid Services, (850)412-4261. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice). RULE NO.: RULE TITLE: 59G-13.070 Developmental Disabilities Individual Budgeting Waiver Services PURPOSE AND EFFECT: The purpose of the new Rule 59G-13.070, F.A.C., is to incorporate by reference the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook, __________. A new individual budgeting waiver has been established for this rule. SUMMARY: The handbook establishes provider qualifications and enrollment; covered, limited, and excluded services; and standards for implementing the Developmental Disabilities Individual Budgeting Waiver. SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency. The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. Based on this information at the time of the analysis and pursuant to section 120.541, Florida Statutes, the rule will not require legislative ratification. Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice. RULEMAKING AUTHORITY: 409.919 FS. LAW IMPLEMENTED: 393.0662, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW: DATE AND TIME: Wednesday, May 14, 2014, 2:00 p.m. – 4:00 p.m. PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, Tallahassee, Florida 32308-5407 THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Marlon Storey, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: (850)412-4261, e-mail: marlon.storey@ahca.myflorida.com Please note that a preliminary draft of the reference material, if available, will be posted prior to the public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m. on Wednesday, May 21, 2014 THE FULL TEXT OF THE PROPOSED RULE IS: 59G-13.070 Developmental Disabilities Individual Budgeting Waiver Services. (1) This rule applies to all providers of developmental disabilities individual budgeting waiver services who are enrolled in the Florida Medicaid program. (2) All providers of developmental disabilities individual budgeting waiver services who are enrolled in the Florida Medicaid program must be in compliance with the provisions of the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook __________. The handbook is available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. (3) The following form is included in the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook and is incorporated by reference: Medicaid Waiver Services Agreement, AHCA Form 5000-____, effective ________, 2014. Rulemaking Authority 409.919 FS. Law Implemented 393.0662, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New_________. NAME OF PERSON ORIGINATING PROPOSED RULE: Marlon Storey NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek DATE PROPOSED RULE APPROVED BY AGENCY HEAD: April 17, 2014 DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: December 7, 2012


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GOV. SCOTT: MORE THAN HALF OF INDIVIDUALS WITH CRITICAL NEEDS MOVE OFF APD WAIVER WAITING LIST

TALLAHASSEE, Fla.- Governor Rick Scott today announced approximately 1,600 people, up from an estimated 750 people, will be moved off the Home and Community-Based Services (HCBS) Medicaid waiver waiting list. This is the first time that more than half of individuals with critical needs will be moved off of the APD waiver waiting list. Earlier this year, Governor Scott announced that $36 million in funding in his Florida Families First budget would help approximately 750 individuals to be moved off of the waiting list and be offered services through the waiver. That number is now expected to reach approximately 1,600, covering more than half of the individuals on the waiting list that have critical needs.

Governor Scott said, “In March, we were thrilled to commit $36 million to move 750 people with disabilities off of the APD waiver waiting list. Today’s announcement that our investment will help approximately 1,600 individuals –up from 750 individuals- receive the services they need is great news for Florida families. This will also be the first time that more than half of the individuals with critical needs will be moved off of the APD waiver waiting list. Our goal is to create an opportunity economy in Florida that supports jobs for generations to come. Our $36 million investment in APD will ensure our most vulnerable population will receive needed services and allow many to develop skills to help them find a job and live their American Dream.”

Governor Rick Scott recommended and the Florida Legislature supported including $36 million in the Florida Families First budget to serve people currently on the APD waiver waiting list. APD hosted two stakeholder meetings to develop the criteria to enroll those with the greatest needs with the new funding.

The Florida Families First budget also included about $500,000 to assist people on the waiver waiting list who have indicated that they want to go to work. The funding will pay for supported employment services to help 200 people with developmental disabilities obtain and maintain jobs and internships.

APD Director Barbara Palmer said, “I am excited we have the ability to move additional people off the waiting list, and for these individuals to begin receiving waiver services in their communities. I appreciate Governor Scott and members of the Legislature for this needed funding for the waiting list and their support of our agency. We are truly changing lives for the better.”

Debra Dowds, Executive Director of the Florida Developmental Disabilities Council, said, “This is indeed a great year for individuals with developmental disabilities and their families. So many more people who are in desperate need of services will be offered waiver enrollment than initially anticipated. This is a very positive step to help reduce and hopefully one day, eliminate the waiting list for people with disabilities who live and work in Florida. We are very appreciative to Governor Rick Scott and the Florida Legislature for their support to address the needs of individuals with developmental disabilities.”

Janice Phillips, Association of Support Coordination Agencies of Florida said, “A great tribute to Governor Scott and the Legislature that the funding they allocated to individuals with disabilities on the waiting list has been maximized to serve additional people. We are very excited to learn that additional people with developmental disabilities on the waiting list will be receiving services.” 

 

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