The cost of doing the right thing, Cost Plan Rebasing. (UNITED WE STAND)

[Guest guest]

Are you one of the many families who believe in using only what

services you need from med waiver so that funds are not wasted and

more people can get much needed services. Well now your fiscal

responsibility is coming back to bite you in the arse. I believed

that every little bit we all do to help each other cost us in some way.

I read the article below and tried to see it from all points of view

and I am still of the opinion that, whether intentional or not, this

is just another wedge driving us apart. People on the wait list

resent those who have med waiver. Some people on med waiver feel the

way about people on CDC+.

For those of you who missed my response to a post from Mr. Sequenzia

earlier this week, I will post it again as a new thread. We cannot

stand by and watch helplessly as cuts are implemented and a single

voice is not heard, unless you are rich and famous, but then you don't

need med waiver.

********

The 2007 Florida Legislature required APD to implement cost plan

rebasing effective January 1, 2009. The text of Section 292.0661(6),

F.S.(2008) is as follows:

(6) Effective January 1, 2009, and except as otherwise provided in

this section, an individual served by the home and community-based

services waiver or the family and supported living waiver funded

through the Agency for Persons with Disabilities shall have his or her

cost plan adjusted to reflect the amount of expenditures for the

previous state fiscal year plus 5 percent if such amount is less than

the individual's existing cost plan. The Agency for Persons with

Disabilities shall use actual paid claims for services provided during

the previous fiscal year that are submitted by October 31 to calculate

the revised cost plan amount. If an individual was not served for the

entire previous state fiscal year or there was any single change in

the cost plan amount of more than 5 percent during the previous state

fiscal year, the agency shall set the cost plan amount at an estimated

annualized expenditure amount plus 5 percent. The agency shall

estimate the annualized expenditure amount by calculating the average

of monthly expenditures, beginning in the fourth month after the

individual enrolled or the cost plan was changed by more than 5

percent and ending with August 31, 2008, and multiplying the average

by 12. In the event that at least 3 months of actual expenditure data

are not available to estimate annualized expenditures, the agency may

not rebase a cost plan pursuant to this subsection. This subsection

expires June 30, 2009, unless reenacted by the Legislature before that

date.

[Guest guest]

In my case, my son used a good part of his allotment this year.

BUT - next year my son ages out of his current school/vocational

program, and I was going to send him to a community integration

program for a few more months in 2009. NOW, I can't do that because

they've taken the money away from us. The full year allotment was

only $14,000 and change for a year, but it made a big difference to

my son.

Janet

Miami

> Are you one of the many families who believe in using

only what

> services you need from med waiver so that funds are not wasted and

> more people can get much needed services. Well now your fiscal

> responsibility is coming back to bite you in the arse. I believed

> that every little bit we all do to help each other cost us in some

way.

>

> I read the article below and tried to see it from all points of

view

> and I am still of the opinion that, whether intentional or not,

this

> is just another wedge driving us apart. People on the wait list

> resent those who have med waiver. Some people on med waiver feel

the

> way about people on CDC+.

>

> For those of you who missed my response to a post from Mr.

Sequenzia

> earlier this week, I will post it again as a new thread. We cannot

> stand by and watch helplessly as cuts are implemented and a single

> voice is not heard, unless you are rich and famous, but then you

don't

> need med waiver.

>

> ********

> The 2007 Florida Legislature required APD to implement cost plan

> rebasing effective January 1, 2009. The text of Section 292.0661

(6),

> F.S.(2008) is as follows:

>

> (6) Effective January 1, 2009, and except as otherwise provided in

> this section, an individual served by the home and community-based

> services waiver or the family and supported living waiver funded

> through the Agency for Persons with Disabilities shall have his or

her

> cost plan adjusted to reflect the amount of expenditures for the

> previous state fiscal year plus 5 percent if such amount is less

than

> the individual's existing cost plan. The Agency for Persons with

> Disabilities shall use actual paid claims for services provided

during

> the previous fiscal year that are submitted by October 31 to

calculate

> the revised cost plan amount. If an individual was not served for

the

> entire previous state fiscal year or there was any single change in

> the cost plan amount of more than 5 percent during the previous

state

> fiscal year, the agency shall set the cost plan amount at an

estimated

> annualized expenditure amount plus 5 percent. The agency shall

> estimate the annualized expenditure amount by calculating the

average

> of monthly expenditures, beginning in the fourth month after the

> individual enrolled or the cost plan was changed by more than 5

> percent and ending with August 31, 2008, and multiplying the

average

> by 12. In the event that at least 3 months of actual expenditure

data

> are not available to estimate annualized expenditures, the agency

may

> not rebase a cost plan pursuant to this subsection. This subsection

> expires June 30, 2009, unless reenacted by the Legislature before

that

> date.

>

[Guest guest]

Why is it necessary to cut future funding when instead, any unused

funding could be returned to med waiver regularly to be reallocated.

You bring up abuses of cdc+. Rebasing will not close any loopholes.

While I do not know anyone who pays them self to care for their own

child, the whole point of cdc+ was to hire people you know and trust

to work with your family member. If a parent must give up their job

to stay home and take care of a person with DD because they can't find

anyone suitable, then how can this be abuse of the system.

No one on CDC+ can pay more than the amount per hour that has been

approved by APD, and in fact often pay less than med waiver would pay

to an agency to provide the same service.

That being said, any one who used up funding because it was there,

won't lose anything next year, while those who cut spending where they

could and sometimes when they shouldn't, may soon regret it.

Janet,

My son also ages out of school this year. OMG what is next. I wish he

could stay in school for a few more years.

> > Are you one of the many families who believe in using

> only what

> > services you need from med waiver so that funds are not wasted and

> > more people can get much needed services. Well now your fiscal

> > responsibility is coming back to bite you in the arse. I believed

> > that every little bit we all do to help each other cost us in some

> way.

> >

> > I read the article below and tried to see it from all points of

> view

> > and I am still of the opinion that, whether intentional or not,

> this

> > is just another wedge driving us apart. People on the wait list

> > resent those who have med waiver. Some people on med waiver feel

> the

> > way about people on CDC+.

> >

> > For those of you who missed my response to a post from Mr.

> Sequenzia

> > earlier this week, I will post it again as a new thread. We cannot

> > stand by and watch helplessly as cuts are implemented and a single

> > voice is not heard, unless you are rich and famous, but then you

> don't

> > need med waiver.

> >

> > ********

> > The 2007 Florida Legislature required APD to implement cost plan

> > rebasing effective January 1, 2009. The text of Section 292.0661

> (6),

> > F.S.(2008) is as follows:

> >

> > (6) Effective January 1, 2009, and except as otherwise provided in

> > this section, an individual served by the home and community-based

> > services waiver or the family and supported living waiver funded

> > through the Agency for Persons with Disabilities shall have his or

> her

> > cost plan adjusted to reflect the amount of expenditures for the

> > previous state fiscal year plus 5 percent if such amount is less

> than

> > the individual's existing cost plan. The Agency for Persons with

> > Disabilities shall use actual paid claims for services provided

> during

> > the previous fiscal year that are submitted by October 31 to

> calculate

> > the revised cost plan amount. If an individual was not served for

> the

> > entire previous state fiscal year or there was any single change in

> > the cost plan amount of more than 5 percent during the previous

> state

> > fiscal year, the agency shall set the cost plan amount at an

> estimated

> > annualized expenditure amount plus 5 percent. The agency shall

> > estimate the annualized expenditure amount by calculating the

> average

> > of monthly expenditures, beginning in the fourth month after the

> > individual enrolled or the cost plan was changed by more than 5

> > percent and ending with August 31, 2008, and multiplying the

> average

> > by 12. In the event that at least 3 months of actual expenditure

> data

> > are not available to estimate annualized expenditures, the agency

> may

> > not rebase a cost plan pursuant to this subsection. This subsection

> > expires June 30, 2009, unless reenacted by the Legislature before

> that

> > date.

> >

>