fw: Delmarva Interview Live, Tiers Updates

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Wilbur Hawke wrote: Sent: Tuesday, September 02, 2008 7:53 PMTo: wilbur@...Subject: Delmarva Interview Live, Tiers Updates Delmarva Nangle Does Live Interview Questions, Concerns, Information? Go to Our Message Boards Delmarva- Part One Delmarva Began in Florida in 2001 Delmarva is ACHA Funded Delmarva is Federally matched- For every 1 dollar Florida pays, the federal government pays 3 dollars. Delmarva is a Quality Assurance Program. All About Bob Delmarva- Part Two Delmarva will soon rate providers on a "Stars" system. The Delmarva Interview Systems Delmarva- Part Three Who Reviews Delmarva? Why Does Delmarva Shy Away From the Term Audit? Is A Delmarva Review an Audit? Ongoing

Communication With Delmarva Delmarva- Part Four Barriers Fair Scoring Ideal Verses Reality Delmarva- Part Five Will Delmarva score Full and Limited Support Coordination Differently? Will the Tiers and Less Funding Affect Delmarva Funding? Delmarva's Role in Finding Natural Resources Delmarva- Part Six Delmarva Reports and Studies How Providers Can Score Well Can You Prep For the Test? Overall Service Delivery ADVERTISE With WaiverProvider.Com Still Not Getting Our Newsletter? Sign Up, It's Free Update- Tiers Postponed Until October 15th. The Agency for Persons with Disabilities (APD) has revised its implementation date for the legislatively-mandated Medicaid waiver tiers from October 1 to October 15. The agency projects that about 7,500 people will need to reduce their services due to being placed into a tier with a cap. (Source) The Tiers will place people on the Medicaid waiver into one of 4 tiers. The Agency For Persons With Disabilities has put together "Talking Points on Tier Waivers". Tier 1- No Cap Tier 2- $55,000 Tier 3- $35,000 Tier 4- $14,792 Tier 4 is really the same thing as the current FSL Waiver. So, not only will you be limited in spending- but also in what services you can have. Dental Services is NOT on Tier 4. If your current provider does not take the FSL waiver, they will not get paid for providing service to you until they get approval. Some providers have refused to sign up for the FSL waiver, for various reasons. Many other provider did not sign up because they didn't know about it. Need a provider? Try WaiverProvider.Com If you have any additional information about the tiers or any other updates that will affect people with disabilities, please write to Waiverinfo@... . The last updated we got said that Tiers Letters are scheduled to go out to families on September 2nd. For individuals who are moving to Tier 4, please note that only the following services are available: Adult Day Training Behavior Analysis Behavior Assistant Consumable Medical Supplies Durable Medical Equipment Environmental Accessibility Adaptations In Home Support Services Personal Emergency Response System Respite Care Supported Employment Supported Living Coaching Transportation Waiver Support Coordination A major concern with the tier placements is that tiers are not determined by need- but instead by arbitrary factors such as age and pervious services. The QSI assessments are not being used at this time to determine tiers. It is unclear how much influence they will have in the future. Be Patient With Your Support Coordinator! You need to get in touch with your support coordinator before September 24th. Your support coordinator should be able to tell you if your services will be affected by the tiers. Support Coordinators must submit information on adjusted cost plans to the Area APD office no later than September 24, 2008. Not Getting The Answers You Need? Try Our Message Boards Don't Forget, Every Thursday Night at 7PM we have a live discussion room. See The Delmarva Interview WaiverProvider.Com SupportCoordinators.Com WaiverInfo.Com This message was sent from Nangle to wilbur@.... It was sent from: Clear Choice Web Solutions Inc, P.O. Box 6842 , Spring Hill, FL 34611. You can modify/update your

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