The Arc continues to work with other advocacy groups to remove boilerplate budget language that would shift Medicaid behavioral health dollars to private health plans by 2017. They are also working to identify and remove barriers to effective school transition services and pass legislation to end seclusion and restraint practices except in emergencies. Additionally, The Arc monitors Michigan's home and community-based services plan and convenes a coalition regarding the proposed 1115 waiver to ensure self-determination and equitable services statewide.
States recognize that supportive housing directed at the right population can improve health outcomes and reduce
Medicaid spending. They also recognize that supportive housing services need to be financed in a way that is more
sustainable than short term government and philanthropic grants that have been the historical funding sources. Therefore,
states, localities and health services payers such as managed care organizations are experimenting with ways to more
comprehensively finance outreach and engagement, tenancy supports and other tenancy sustaining services.
States recognize that supportive housing directed at the right population can improve health outcomes and reduce
Medicaid spending. They also recognize that supportive housing services need to be financed in a way that is more
sustainable than short term government and philanthropic grants that have been the historical funding sources. Therefore,
states, localities and health services payers such as managed care organizations are experimenting with ways to more
comprehensively finance outreach and engagement, tenancy supports and other tenancy sustaining services.
What Is the Medicaid Maintenance Needs Allowance in ConnecticutBarry D Horowitz
Medicaid will pay for help with your activities of daily living. In fact, it pays for most of the long-term care that seniors are receiving. Learn more medicaid monthly maintenance needs allowance in Connecticut in this presentation.
What Is the Medicaid Maintenance Needs Allowance in ConnecticutBarry D Horowitz
Medicaid will pay for help with your activities of daily living. In fact, it pays for most of the long-term care that seniors are receiving. Learn more medicaid monthly maintenance needs allowance in Connecticut in this presentation.
Libros auxiliares, Relaciones Industriales 2016 "A"NaicarlisM17
Contiene: Introducción, 1- Concepto y tipos de los libros auxiliares. 2- concepto y características de los libros auxiliares de entrada y salida de efectivo. 3- concepto de libro auxiliar de banco y métodos para conciliaciones. 4- Descripción y tipos de los libros auxiliares de inventario y mercancía y métodos que se utilizan para controlar la existencia de mercancías. 5- concepto y forma de presentación de los libros auxiliares de compra y venta. 6- concepto de los libros auxiliares de cuentas p/pagar y cuentas p/cobrar. 7- importancia,ventaja, y desventaja de los libros auxiliares. Conclusión.
Population genomics reveals multiple drivers of population differentiationSarah Flanagan
My presentation at the Evolution 2016 meeting in Austin, TX about using ddRAD-seq to identify the effects of genetic drift, sexual selection, and local adaptation on the genome of 12 populations of Syngnathus scovelli, the Gulf pipefish. #Evol2016
Increasing income through employment is a key component in ending homelessness. This workshop will focus on new initiatives to expand employment opportunities for low income individuals and families, including models such as subsidized and transitional jobs. TANF Emergency Contingency Fund and other funding strategies to support these initiatives will be discussed.
Increasing employment income is a key strategy to transition out of homelessness and maintain housing. This workshop will present strategies to increase employment income for families and individuals who are served in HPRP and other rapid re-housing programs. HPRP coordinators and providers should attend if they are looking for ways to rapidly connect program participants with jobs and help them increase their incomes
CHILD PROTECTION AGENCIES INFOGRAPHIC 2
Child Protection Agency
(
Summary of how
the agency’s philosophies support or align with
t
he philosophical tenets promoted by Adoption and Safe Families Act.
One of the principles and philosophy is dedication. This is an important philosophy for the agency especially for the reason that it promotes the hope and opportunity for the people in need. Performance excellence is also supportive philosophy since it exemplifies the innovativeness and solutions that are based on available evidence, transcend borders and built knowhow. On the other hand, professionalism supports the philosophical tenets promoted by ASAF especially for the reason that it affects the quality of service provided by the child protection agency, the attitude they bring, the associations they create and the commitment towards achieving the goals of the agency.
Integrity enhances the ethical mannerisms of each of the employees within the firm as they
extend their services. Stewardship of the resources is an important philosophy especially for the reason that it increases the transparency and accountability of the employees within the Administration for Children and Families
especially while they handle the organizational resources. Respect is also an important in that it enhances team work amongst their colleagues and the partners
("ACF Vision, Mission, & Values", 2020)
.
)
References
ACF Vision, Mission, & Values. (2020). Retrieved 8 April 2020, from https://www.acf.hhs.gov/about/acf-vision-mission-values
ADMINISTRATION FOR CHILDREN AND FAMILIES
Vision
"Children, youth, families, individuals and communities who are resilient, safe, healthy, and economically secure"
Mission
"To foster health and well-being by providing federal leadership, partnership and resources for the compassionate and effective delivery of human services."
Principles
Dedication
Excellence
Professionalism
Integrity
Stewardship
Respect
PRIORITIZING CHILD PROTECTION3
Dr. Davis,
Every child should be treasured, protected, and nurtured. When this does not happen, the division of Family and Children Services (DFCS), in partnership with the police and the court system, must step in to ensure the safety of children in compromised situations.
Georgia child abuse and neglect reporting when someone suspect that a child is being abused or neglected, the Office of the Child Advocate (OCA) encourages you to make a report to the Division of Family and Children Services (DFCS). In order to make a report to DFCS, you may: Report by phone, by email and FAX.
Reference
Retrieved from https://dfcs.georgia.gov/services/child-abuse-neglect
Prioritizing Child Protection
Karla,
I am enriched. Although, as child protection becomes a primary global agenda, various agencies have taken the lead role of sensitizing the public on the essence of looking after children's welfare and influencing the relevant government authorities to do the same. The Children's B.
SOCW 6351 Wk 9 Discussion 1. Need Responses.Respond in one of t.docxrosemariebrayshaw
SOCW 6351 Wk 9 Discussion 1. Need Responses.
Respond in one of the following ways:
· Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
· Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Support your response with specific references to the resources. Be sure to provide full APA citations for your references.
NA:
Top of Form
Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014).
In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015).
In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019).
References:
HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx
IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/
Wachino, V., A.
The Community Foundation for Palm Beach and Martin Counties, in partnership with Allegany Franciscan Ministries, conducted the 2nd Annual Nonprofit Survey to gather data regarding the needs in the community, the state of nonprofits and how best funders could be of assistance. Respondents were asked about their current challenges, the impact the economic downturn has had on the services they offer and their most pressing funding needs. Here are results related to Central and Western Palm Beach County.
1. ISSUES – PRIORITIES, May 2016
Section 298 Boilerplate Budget Language
The Arc continues to work with other statewide advocacy groups to assure the removal and
replacement of the 298 boilerplate language that was in the governor’s budget proposal in
February 2016. The language essentially gave public Medicaid behavioral health dollars to
private health plans in Michigan by September 2017. Through the efforts of grassroots advocacy,
the House and Senate have removed this language and a stakeholder group appointed by Lt.
Governor Calley is working on the replacement for it.
TRANSITION
We initiated, through the Education Committee, a coalition which now includes the Michigan
Department of Education, to identify, address and remove or change barriers to schools
providing effective transition services relating to employment.
SECLUSION AND RESTRAINT
We continue working with others, including Michigan Protection and Advocacy Service, Inc.
(MPAS) and the Lieutenant Governor, to get these bills passed in the House (HB 5409-5418) and
Senate (SB 835-838) and to end these practices except in a real emergency. The Arc submitted
testimony supporting the bills to the House Education Committee and attended the hearings held
in April.
HOME AND COMMUNITY-BASED SERVICES RULE (Transition Plan)
We continue to monitor the plan and implementation here in Michigan to assure that services
occur in integrated, inclusive settings which maximize choice and community participation. The
Arc Michigan is also a part of the MDHHS Implementation Advisory Team which is monitoring the
transition plan.
1115 WAIVER PROPOSAL (To replace current waivers)
We formed a coalition which met with the author of the proposal during the writing process. An
expanded coalition, which we convene, wants to assure that nothing is lost which we currently
value and that additional emphasis is placed on self-determination and ending the discrepancy
which exists with what a person can get in one part of the state versus another.
2. SPEND-DOWN
The Arc Michigan is part of two coalitions, one to restore the GF (general fund) dollars to
CMHSPs (Community Mental Health Services Programs) who had assisted persons on spend-down
to become eligible for Medicaid, and therefore CMHSP supports and services. And, two, to
change the protected income levels down to which persons must spend to become Medicaid
eligible (currently $380 - $405 per month). A white paper has recently been shared by the group
on what spend down is.
LOW WAGE COALITION
The Arc is part of a coalition, Partnership for Fair Wages, to attempt to raise the wages of those
most important to persons with disabilities, those who provide direct support. A report authored
by this group was released with recommendations in May 2016.
NOTICE OF LOSS OF MEDICAID UPON RECEIVING SOCIAL SECURITY
BENEFITS
The “system” is not recognizing that Disabled Adult Children “DAC” remain eligible for Medicaid
(don’t lose Medicaid when they stop receiving an SSI check because of the Social Security
Benefit). We have petitioned Lynda Zeller, BHDDS (Behavioral Health and Developmental
Disabilities Services) of DHHS (Department of Health and Human Services), and provided
examples.
EMPLOYMENT FIRST
We are working with MPAS, the DD Council and the Lieutenant Governor to assure the highest
commitment from Michigan to Employment First, a national effort. Employment for persons
served by our system is low and dropping in Michigan. The hours worked and wages earned are
well below the national number.
INEQUITY OF SERVICES
The Arc Michigan continues, including in our 1115 comments and at the DD Practice
Improvement Team, to raise the issue of the great disparity which exists in what persons and
their families will be told, will experience in planning and will be provided, from one place to
another in Michigan.
ISSUES WITH LICENSING
With licensing for AFC homes in a new Department, the issue of whether a person with
disabilities’ own home needs to be licensed has come up again. We have taken the lead in
working with DHHS to lean on LARA about the established principle that one’s own home need
not be licensed for a person to receive services.
3. REBASING
Michigan has undertaken the rebasing of Medicaid dollars to make all regions “equitable”. It
means reducing the number of dollars paid to certain counties or PIHPs, including Oakland and
Macomb CMHs, and increasing the dollars going to other counties, for instance Wayne County.
This represents an undoing of the former recognition and higher funding for places which had
larger efforts in removing persons from the State Institutions. The Arc Michigan has called for a
gradual leveling and attention paid, including more dollars for those entities “doing the right
thing”, rather than allocating dollars despite performance.
CONFLICT-FREE CASE MANAGEMENT
The BBA, the ACA and other federal efforts have called for conflict-free case management.
Basically, indicating that the roles of determining eligibility, assessing the person, developing a
PCP and monitoring the delivery of services must be free of influence by a person or entity with
a financial stake. An entity or person which provides direct services to a person should not have
these other roles. The Arc Michigan is a part of the workgroup and is assisting MDHHS in
determining guidelines to assure Michigan has Conflict-Free Case Management (Supports
Coordination).
Partner Organizations
RWC Advocacy
Michigan Disability Rights Coalition
United Cerebral Palsy of Michigan
Epilepsy Foundation of Michigan
Mental Health Association in Michigan
National Alliance on Mental Illness
Developmental Disabilities Institute – Wayne State University
Michigan’s Developmental Disabilities Council
Children’s Mental Health of Michigan
Michigan Protection and Advocacy Service, Inc.
For Specific Issues
PHI
MALA
Provider Associations
Mental Health Board Association
Specific practitioners or agencies
Occasionally Michigan Department Staff