nvtc servicesource family meeting
TRANSCRIPT
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7/28/2019 NVTC ServiceSource Family Meeting
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6295 Edsall RoadSuite 175Alexandria, VA 22312-2670(p) 703-461-6000(f) [email protected]
NVTC/ServiceSourceFamilyMeetingJune08,2013
ServiceSource/CentralFairfax(SSCF)hasbeenservingNorthernVirginiaTrainingCenter(NVTC)
residentssince1974andhasbeenananchorforcountlesscurrentandformerresidentsandtheir
familiesastheyhavemadetransitionsandfacedchallengesthroughtheirlives.ServiceSource/CFhas
alwayssupportedtheprovisionofservicesincommunitybasedsettingswhenpossible,andSSCFhas
beentheprimaryandlargestproviderofcommunitybaseddayservicesinNorthernVirginiasinceits
inception.ServiceSource/CFcurrentlyserves48ofthe56NVTCresidentswholeavethatresidential
settingeachdaytoparticipateinacommunitydayprogram.
ServiceSource/CFprovidesdayhabilitationservicesinanumberofdecentralizedcommunitycenters.
WhenplansforNVTCclosurebecameknown,weexpandedourservicesbyopeninganewmodelday
habilitationcenterinChantillytobuildadditionalcommunitycapacity.Wealsobeganplanninga
DisabilityResourceCentercapitalcampaignwhichwouldincludeexpandedanddecentralizedservice
options.Ourexpectationwasthatwewouldlikelycontinuetoservethe48peopleleavingNVTCfora
communityresidentialprovider,aswellasbeingachoicefordayservicesbymanyoftheother
approximately90peopleleavingNVTCbeforethescheduledclosurebyJuly,2015.
TheDayHabilitationServicesprovidedbySSCFaredesignedtoprovidenecessaryandbestpracticeday
servicesforagroupofpeoplewithsignificantmedical,physical,personalcareand/orbehavioral
supportneeds.Toaccomplishthis,SSCFreliesonbothpublicandcharitablesupporttoprovidea
rangeofqualityservices,nursingandtherapies.SSCFhasapublicdayhabilitationratethathasbeen
negotiatedandestablishedthrougharigorous,costbasedprocurementprocessledbyFairfaxCounty
andacceptedbythefiveregionalCommunityServiceBoardsandIntermediateCareFacilities,including
NVTC.Throughthisregionalratesettingsystem,NVTChaspurchaseddayservicesdirectlyfrom
SSCF.LocalCountiesalsoprovideProgramEnhancementfundingtosupplementotherpublicfunds.In
additiontothispublicsupport,ServiceSourcescharitablefoundationandoperatingbudgetprovide
additionalresourcestoSSCFprograms.
Ithasbecomeclearthattherehasnotbeenasufficientfinancialallocationtothedevelopmentand
sustenanceofcommunityresidentialordayservicesforindividualswhoarebeingaskedtoleaveNVTC
andselectcommunityserviceproviders.IndividualsleavingNVTCareexpectedtoprimarilymove
intoMedicaidWaiverresidentialanddayservicesfunding--whichdonotexistbecauseofan
inadequateWaiverproviderratesystemforindividualswithspecializedandintensivesupportneeds.
MedicaidWaiverservicesandrates,unliketheregionalratesettingprocess,arecappedatarbitrary
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7/28/2019 NVTC ServiceSource Family Meeting
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levelsandwidelyacknowledgedtobeinadequate,especiallyinNorthernVirginia.Thiscreatesan
immensebarriertocommunityproviderstomaintainordevelopneededcommunitycapacity.
Forexample,theimpactonSSCFwouldbea40%ratecutforthose48individualsfromNVTCasthey
moveintocommunityresidentialsettings.Thatamountstonearly$650Kperyearan
unmanageablereductioninfundingjustforthosepeoplewhoarecurrentlyserved.Italsocreatesa
prohibitivelyexpensivebarriertotheexpansionofservicesfortheapproximately90additionalpeople
whoneedtofindcommunitydayservices.
Forthisreason,SSCFhasputparticipationinNVTCdischargemeetingsonholduntilthisissuecanbe
addressedbyStateofficials.WeareactivelyworkingwithlocalCounties,otherprovidersandfamilies
toelevatethisissueandseeksomeimmediateresolutionsothatdischargeplanningforNVTCresidents
canmoveforwardwithadequatecommunitybasedservicesinplace.
AlthoughcommunitycaremayultimatelycostlessthanthetotalNVTCStateallocations,boththe
capacitybuildingandtransitionperiodrequireadequateresourcesinordertomovepeoplesafelyandtimelytothescheduledNVTCclosuredate.Westronglyadvocateforamoneyfollowstheperson
approachsothatindividualsleavingNVTCcontinuetoreceivethesameleveloffundingandtypesof
servicetheycurrentlyreceiveatNVTC(ICFrateswithsupplementalstatesupport).Thiscouldbe
accomplishedbysomecombinationofthefollowingoptions:
-developmentofsmallICFresidencesinthecommunity,
-reformingtheWaiverratestorecognizethespecializedserviceneedsofpeoplewithsignificant
medical,physical,personalcareand/orbehavioralsupportneeds,
-transferofgeneralfundsupporttodevelopcommunityservices.
ForMoreInformationRegardingServiceSource,pleasecontact:
BrucePatterson,ExecutiveVicePresidentandCOO,703-461-6000
PaulWexler,RegionalExecutiveDirector,703-354-0900