Health and Human Services

• Home & Community Based Waiver

• Medically Handicapped Children’s Program

• Disabled Children’s Program• Disabled Persons and Family

Support Program• Public Assistance• Subsidized Adoption• Adult Protective Services• Child Protective Services

Home and Community Based Waiver

Assistive Technology and Supports

Home Modifications

Increase abilities to perform activities of daily livingControl the environment in which s/he lives

Function with greater independence in the home and isNecessary to keep the individual in their home

The First Year Learning Curve

Communication

Consumer

Services Coordinator

ATP

Services Coordinator ATP

Consumer

VS.

Inappropriate Referrals

•Lack of Awareness of what AT was¤Revised NFL Care Assessment Form¤Training on Solutions and Outcomes

•Lack of Awareness/Understanding of Funding Resources¤Medicaid/Medicare Training¤Housing Resource Training

The First Year Learning Curve

Guidelines/Procedures

*Differing Program Criteria

*Development of New CriteriaUsed equipment vs. NewNew ConstructionMaintenance and RepairHousing Quality StandardsBack up DevicesRental vs. Home Ownership

*Relationship to Other Funding Sources

*Development of a Process / Flow Chart

The First Year Learning Curve

The Process

Guidelines/Procedures

*Differing Program Criteria

*Development of New CriteriaUsed equipment vs. NewNew ConstructionMaintenance and RepairHousing Quality StandardsBack up DevicesRental vs. Home Ownership

*Relationship to Other Funding Sources

*Development of a Process / Flow Chart

*Consumer Input/What Happens Next/ Follow-up survey

*Appeals

The First Year Learning Curve

System Issues

∆ Lack of Resources

∆ Lack of Contractors

∆ Identification of Supplemental Funding

WHY DOES IT TAKE SO LONG?

The First Year Learning Curve

HHS Referrals - Year One

Waiver Eligible 588AT Only 118Ineligible 24Total 730

COUNT BY INDIVIDUALS

First Year Request Status

• Open 402• Complete 282• Waiting 211• Inappropriate 40• Ineligible 31• Cancelled 51

Total 1,017

COUNT BY PROJECTS

Types of Requests

Home Modification Emphasis

Lack of Qualified Specialists

The First Year Learning Curve

Requests by Kind

Bathroom Modifications 225

Ramps 184

Vehicle Modifications 117

Aids to Daily Living 90

Other Home Modifications 70

Exterior Lifts 33

Other Assistive Technology 25

Interior Lifts 24

DME denied by Medicaid 21

Environmental Controls 15

Mobility Devices 8

Communication 7

Vision Aids 5

Kitchen Modifications 4

Hearing Devices 2

Quality Assurance Measures

ProcessCase Management

•ATTIE (electronic database)Consumer Involvement

•Sign offs•Follow up

Appeals•Informal •Formal

Work Standards• Plans and Specifications• Building Codes• Housing Quality Standards• Average Cost Reports• National Mobility Equipment Dealers Association (NMEDA)• American Society of Mechanical Engineers (ASME A18.1 platform lifts

and stairway chairlifts)• Defined features when no industry standards

Quality Assurance Measures