stanley ligas, et al. v. julie hamos, et al. the ligas experience – 30 months later
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February 6, 2014 Tony Records Monitor [email protected]. STANLEY LIGAS, et al. v. JULIE HAMOS, et al. The LIGAS Experience – 30 Months Later. We Are Working Together To Make Ligas Work for Class Members. Principles of Ligas. - PowerPoint PPT PresentationTRANSCRIPT
STANLEY LIGAS, et al. v. JULIE STANLEY LIGAS, et al. v. JULIE HAMOS, et al.HAMOS, et al.
The The LIGASLIGAS Experience Experience – 30 Months Later – 30 Months Later
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February 6, 2014
Tony Records Monitor
We Are Working Together To Make We Are Working Together To Make Ligas Work for Class MembersLigas Work for Class Members
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Principles of LigasPrinciples of LigasPeople with disabilities will have a say and a
choice about how and where services and supports will be provided.
People who want services in the community will have that option
Person-centered planning will be used as the cornerstone in documenting individual needs and preferences.
Services will not be limited to those which are currently available
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Overall Activities of the Overall Activities of the Defendants and ProgressDefendants and Progress
Ligas Implementation Team EstablishedLigas Budget DevelopedLigas Website Established and UpdatedSignificant Progress on Class Member ListOver 3,000 Ligas Class Members Have Been
Funded for ServicesLigas Transition Service Plan Developed and is
Now UnderwayOutreach Activities are Underway
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Resources and CapacityResources and CapacityLigas Budget Developed
– FY 14 $34.8 Million for Ligas Implementation– $220 Million Additional to Address Payment Cycle
ProblemRecent Rates Adjustments
– Increase in Benefits for Staff– Slight Modifications to Address Rate Disincentives for
Smaller (1-4 Person) HomesNew Ligas Team Members HiredEnhancements for PAS Agency ReimbursementWaiver Amendments for Expansion Approved
Resources and Capacity (Cont.)Resources and Capacity (Cont.)Some Progress, But Much To Be Done!
– 17 of 18 Ligas Implementation Team Members Hired– Overall, DDD Seriously Understaffed– Rates Still Among Lowest in the Country– Budget for Consultants and Contractors Has Been
Utilized– Rates for Smaller Settings are Still Problematic– Resources for Employment Option Still Wanting
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04/24/237
Class Member ListClass Member ListTwo Class Lists
– ¶2 (a) ICF/DD Class Members Current Total 935 Class MembersList Established and Documentation MaintainedList Has Improved Over Time
– ¶2 (b) Waiting List Class MembersCurrent Total 13,403 (as of 10/1/13)Accuracy of PUNS List Data ImprovingInaccuracies Have Affected Funding Selection
ProcessHighlights the Need for Comprehensive Data System
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Transition Services PlansTransition Services PlansDefendants Developed Transition Plan Documents
Through Stakeholder Involvement Pilot Completed
– Suburban Access & DDSME– Implementation Started September 2012– Sample Size 141– Final Version on DDD Website
Statewide Rollout on July 1, 2013Transition Planning Consultant is reviewing Working
with PAS AgenciesPAS Agency Training Completed
04/24/239
Transition for Class Members in Transition for Class Members in ICFs/DDICFs/DD
935 Class Members in This Category– 620 Have Received Funding Approval– 578 Have Actually Started Services (8 in Home Based)– 121 Individuals Have Changed Their Mind and Chosen to
Stay– Updates on Remainder of Class Members are Obtained
Monthly– Voluntary Downsizing and Closure Agreement have and
will Continue to have Significant Impact on this List (321 class members)
– Non-Compliance for St. Mary’s Square Activities
04/24/2310
Crisis ServicesCrisis ServicesNotification of Non-Compliance, May 1, 2012Corrective Action Plan Developed, with Input from
Class Counsel. Includes:– Internal Quality Assurance Controls– Streamlined Processing Steps– Adjustments to Data-Base– Changes Review Meeting Structure– Authorization for Network Coordinators to Issue Pre-Award
Letters– Training of Network Staff and PAS Agencies– Management Review will be Included In Data Reports
DocumentSecond Compliance Review Found Substantial
Improvement
04/24/2311
Transition for Class Members Transition for Class Members on Waiting Liston Waiting List
Over 13,400 Class Members in This Category (1/1/14)– Four Selection Events (total of 3,606 class members)– Serious Flaws in List - Eliminated Nearly One third of
Individuals from first two Selection Processes– Services Initiated for 1,540 Class members!– Funding Approved for Additional 106 Class Members– 31 Packets Have Been Submitted for Approval– 465 More Being Screened– 144 More Confirmed That They Want Community
Services– Fourth Selection Letters Sent 9/23/13 (473 Letters)– Fifth Selection Event Will Be In Spring-2014
Transition for Class Members Transition for Class Members on Waiting List (Cont.)on Waiting List (Cont.)
Projections are that more than 1,600 class members will be served by June 30, 2014 – 100 more than required!!
Happened Due To DDD Aggressively Working with PAS Agencies to Expedite Processing
Clear Need to Expand Options!!!!– Employment and Meaningful Day Options– Smaller Residential Settings
Many Class Members and Families are Reluctant to Ask For What They Want!
04/24/2312
Transition PlanTransition PlanParagraph 13Paragraph 13
What does this really mean?The process for developing a Transition Service Plan shall focus on the Class Member’s personal vision, preferences, strengths and needs in home, community and work environments and shall reflect the value of supporting the Class Member with relationships, productive work, participation in community life, and personal decision-making.
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Does Size Matter?Does Size Matter?Of all Class Members who Moved to CILA, 66%
moved to 7-8 person group homes.73% of class members who moved from an
ICF/DD moved to 7-8 person group homes Only 14% moved to settings of 1-4.
This is Inconsistent with Current Practice
For many class members, this was not their choice!
Significant ICF/DD Closures on the Horizon 14
What Do The Transition Plans What Do The Transition Plans Show?Show?
Over100 Transition Plans Were ReviewedSome Class Members Were Not Directly Involved in
the Plan DevelopmentMost Plans Lacked Options for Daytime ActivitiesLSTP is Not Foundation fo Service Plans
What About Employment?Only 14 Plans Reflected any Discussion of
EmploymentOnly Four Plans Included Supports for EmploymentSchool Transition Plans Were not Considered 15
So What are We Telling Self-Advocates So What are We Telling Self-Advocates and Families?and Families?
Start thinking about what you need and what is important to you– What will keep you safe and healthy?– Where do You Want to Work– What will you do during the day?– Who do you want to live with?– Where do you want to live?– What are the most important things that will give you
a happy and fulfilling life?– Who are the most important people in your life?– How will you make new friends in the community?
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04/24/2317
OUTREACHOUTREACHTraining Activities for PAS Agencies
Development and Refinement of Ligas Website
Outreach Contract– Awarded to Council on Quality and Leadership (CQL)– Protocol Has Been Developed– 3,400 Potential Class Members– Orientation for ICF/DD Providers on June 26, 2013– Staff Hired and Have Begun Activities
04/24/2318
Implementation PlanImplementation PlanRevisions Approved by Court on March 5,
2013
Establishes Ligas Class Member/Family Advisory Group
Includes Update of Implementation Activities
Available on DDD Website
04/24/2319
Data ReportsData Reports
Most Recent Submission on August 15, 2013 for Data through June 30, 2013.
Includes Data on Services and Size of Community Residential Settings
On DDD Website
04/24/2320
Dispute ResolutionDispute ResolutionCorrective Action Plan Developed to Include:
– Hiring of 3 New Hearing Officers– New Hearing Officers Trained– Application Process is Being Streamlined– Rights Statement is Being Modified– PAS Agencies to be retrained on Submitting Appeals
Request– Crisis Appeals to be Given Top Priority– Management Reports to Be Generated and Provided
with Data Reports Submission
The Bottom LineThe Bottom LineMore than 3,000 Class Members Have Received
Funding Approval for Services as a Direct Result of Ligas!!
People in Crisis are now being served in 24-72 hours
This is the Third Year of at Least a Nine-Year case!Ligas Activities Have Exposed and Will Continue
to Expose many Weaknesses in the System!Making, Documanting and Honoring Choice Has
Been Problematic!04/24/23
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Questions?
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