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IRIS: Include, Respect, I Self-Direct Self-Determination Conference Wisconsin Dells November 9, 2010

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Freedom to decide how to live life Authority over a budget allocation Support to organize resources in ways that are enhancing and meaningful Responsibility for the wise use of dollars Confirmation of the importance of self-advocacy Principles of Self-Determination

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Self-Directing Services Considering a whole life not just services Expanding choices and increasing control over supports Weaving public funding into existing supports

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IRIS Basics Federal requirement for choice Availability matches managed care Transfer between programs Current plan continues until IRIS starts Assistance is available

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IRIS Participants by Target Group Three target groups: Adults with developmental disabilities Adults with physical disabilities Elders in frail health

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Choosing your IRIS Consultant Program & Planning Specialists Coming Soon Self-Directed Personal Care Focus on community connections IRIS New & Improved!

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Getting Started in IRIS Local Aging or Disability Resource Center : Completes Long-Term Care Functional Screen Verifies functional and financial eligibility Informs about monthly IRIS allocation Non-biased enrollment counseling Makes referral to IRIS

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Monthly IRIS Allocation Based on information in the Functional Screen Individualized Predicted ongoing services cost Geographic adjustment (urban/rural) Excludes MA card services and infrequent expenses Process to adjust allocations or request one-time expenses

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Customized Goods and Services Help meet needs and achieve goals related to: living arrangement relationships community inclusion work medical or functional status Listed on plan, allowable per Fed/State rule, no other fund obligation, not experimental Maintains or increases: Safety in home or community Skill Community access or involvement Maintains or decreases Medicaid service dependence

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Assistance in IRIS In IRIS, assistance is available from: The Service Center IRIS Consultants Program and Planning Specialists Fiscal Agent Services Whoever you bring to the table!

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IRIS Service Center Service available 24hrs/day 7days/week Solve problems, answer questions and provide information Review and process: New referrals Initial plans Plan updates Assist with IRIS Consultant matching

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IRIS Consultant Roles Navigates, links, supports May provide IRIS orientation, explain responsibilities and benefits of self-direction Helps identify strengths, challenges and goals Helps build support and service plan Helps identify providers Partners on developing community networks Helps develop a back up plan

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IRIS Self-Directed Personal Care People hire their own personal care workers Hours match Medicaid Personal Care agency hours Worker wages - $13.50/hour IRIS Nurse visits included Personal care can be provided outside of the home IRIS Allocation IRIS SDPC Funding

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14 IRIS Financial Services Twice-monthly payments to vendors and employees Taxes and withholdings Criminal and caregiver background checks Monthly spending reports

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Imagine, Create, Act

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Questions? 16