Working with your St. Louis Regional Office

Planning for the Future: Understand DMH-DD Systems and Service Options

Presented By: Kadesh Burnett;St. Louis County Regional Office Family Support Coordinator

Department of Mental HealthThe Missouri Department of Mental Health serves

residents of the state by working to prevent mental disorders, developmental disabilities, and substance abuse and by treating, habilitating and rehabilitation of individuals with those conditions.

The treatment and habilitation of persons with medical diagnosis of mental retardation and other developmental disabilities is the responsibility of the department’s Division of Developmental Disabilities.

Circle of Supports

Community Resources and SupportsAssessmentSupport CoordinatorIndividual and Family SupportsAutism NavigatorEmployment/Youth Transition CoordinatorAdvocacy SpecialistBehavior Resource TeamProvider RelationsUtilization Review

The Regional Offices throughout the state has Community Resource Leads to include five core functions, as recommended by state Stakeholders, relating to consumer relations, business administration, resource administration, assuring the quality and availability of clinical services.

Assessment/Eligibility

Assessment/EligibilityThe assessment process involves the individual and

family member completing assessment tools:Vineland-assessment tool completed for persons under the age of 18.MOCABI-assessment tool completed for persons over the age of 18.How should I prepare for this meeting? Bring any and all source documentation of disability diagnosis, IEP, behavior assessments, and legal documentation. Having come prepared for the assessment process with these resources will reduce the likeliness of RO assessment delay your determination of eligibility for RO services.

SLRO Support Coordinator

Each eligible individual is assigned a Support Coordinator who helps put together an Individual Service Plan (ISP) and then monitors the persons treatment and habilitation to assure that the plan is followed and that the individual’s needs are met.

How can my Support Coordinator assist me and my family? Support Coordinator are available to assist and provide guidance related to IEP advocacy and supports, Community Resources (Funded/Non Funded), Government Resources (Funded/Non Funded). However, all needs must be documented in the eligible individuals PCP.

Family Support Coordinator-FSC

Family Support Coordinator-FSC

Provides information specific to the region in regards to local community resources.

Assist with developing educational materials for families and individuals through approved trainings, brochures, etc. which can be used universally throughout all regions.

Support with Peer Support matching, family focused educational opportunities; Alternatives to Guardianship, Charting the Life Courses, webinar trainings, and family leadership workshops and trainings.

St. Louis County and St. Louis Tri-County expertise.

Autism Navigator

Autism NavigatorProvides training and technical support to service coordinators and other stakeholders regarding autism and autism services

Connects individuals and families to autism related supports and/or activities

Attends monthly regional Parent Advisory Committee (PAC) meetings and shares updates and information locally

Acts as an advocate for individuals and families affected by Autism

Employment and Youth Transition Coordinator

Employment and Youth Transition Provides training and technical support to service coordinators and other

stakeholders regarding employment and employment resources Moves the system towards creating a culture which focuses on

employment –Emphasizes the importance of employment as a priority at the individual and systems level

Multi-system Collaboration –Building relationships with school administrators and educators, community members and service delivery partners providing expertise regarding developmental disabilities and our services system

Training and Technical Assistance –Track complex and changing employment policies and provide tools and resources to service coordinators, individuals and other advocates who might not have this knowledge or time to do necessary research. Provides resources to service coordinators regarding employment

Promotes expansion of effective employment alternatives such as entrepreneurships & competitive employment in community settings

Advocacy Specialist

Advocacy Specialist

Responsible for developing, implementing, evaluating and enhancing speakers bureau

Provides training and mentoring to individuals within the region

Assists with development of self-advocacy groups and training projects

Participates in regional and statewide committees and workgroups , as well as Project Stir.

Behavior Resource Team

Behavior Resource TeamProvides information, training and consultation and technical

support to service coordinators and other stakeholders on Positive Behavioral Supports (PBS), Tools of Choice, and other topics to assist in developing proactive, positive supports and preventative strategies for challenging behaviors

Provides environmental evaluation to assist with prevention of challenging behaviors and consultation on positive, teaching based support strategies for individuals in their natural home and in residential placement

Provides crisis support in the region via phone and/or direct services

Assists the support team (staff, providers, families, etc) in developing positive support strategies and safety crisis plans for individuals identified as having high intensity needs

Provider Relations

Provider RelationsResponsible for provider development that enhances existing supports and servicesExplores new services and works to increase provider capacity to address unmet needsDevelops, executes and reviews approved provider contractsProvides technical assistance and training to contracted service providersWorks with providers in regard to Improvement and Critical Status PlansCompletes budgets with contracted service providers and allocates resourcesSupervises Vendor Services Coordinator and Community Living Coordinators

DD Waiver ServicesDD administers 5

Home and Community Based Medicaid Waiver programs

Missouri Children With Developmental Disabilities Waiver (MOCDD or Sara Jian Lopez Waiver)

Community Support Waiver Comprehensive Waiver Autism Waiver Partnership for Hope Waiver

Community Based Waivers

PROGRAM DIFFERENCE

Community Based WaiversComprehensive

• For all ages - must meet eligibility guidelines for Medicaid as determined by DSS(DFS)

CommunitySupport Waiver

For all ages - must meet eligibility guidelines for Medicaid as determined by DSS(DFS)

Services cannot exceed $28,000 annually and the participant must not require residential services

Community Based Waivers

Lopez Waiver Under the age of 18• Ineligible for Medicaid due to the deeming of parental

income and resources• Live with family• Have a permanent and total disability• Require habilitative (waiver) services

• Autism WaiverParticipants must be between the ages of 3-18, have a

diagnosis of Autism Spectrum. Have a functional limitation in 3 or more areas, and service needs cannot exceed $28,000.00 annually.

Community Based WaiversPartnership for Hope WaiverImplementation: October 1, 2010 95 counties across the state Includes 20 services; available in the 95

counties participating, plus City of St. Louis Annual Cost Cap of $12,000

Participation Limitations Individuals receiving services under the waiver have been

determined to have the most critical needs. The criteria used to determine needs includes PCP, and

source documentation, that is reviewed by the Utilization Review Committee (UR).

Number is pre-approved by the Centers for Medicare and Medicaid Services (CMS), based on the state’s request

No additional individuals may be enrolled

Number the state requests is limited by funding available for the state portion of the match

FAQ’s Regarding Waver ServicesMissouri’s Medicaid Waivers for Persons who

have Development (Fact Sheet)

http://www.dmh.mo.gov/mrdd/new/manual/wvrfactsheet9-09.pdf

Missouri Family to Family Resource Center mofamilytofamily.org

QuestionsMy contact Information:Kadesh Burnett314-475-7685Kadesh.burnett@dmh.mo.gov

Thank you, Thank you, Thank you!