Support Planning Professionals Learning Community (SPPLC) April 28, 2021
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Support Planning Professionals Learning Community (SPPLC)
April 28, 2021
Welcome
To ask a question during the presentation use the Q&A Panel in WebEx
Select “All Panelists”, type your question, and click Send.
2
Agenda
• Announcements
• 2021 Technology for HOME Program
services/updates
• Updates in Guardianship Statute 2020
• E1 MN: The Plan Phase
• Resources
3
Announcements - webinars
Upcoming SPP LC Webinars:
• May:
• LifeSharing
• Employment First: Find
• Registration is open for all of 2021! Please register to
receive updates and PowerPoint handouts.
• Next year’s topics to be shared as they are scheduled.
4
2021 Technology for HOME Program
Sue Redepennig| Owner, LiveLife Therapy Solutions and Program Director for
Technology for HOME
Sue
Redepenning
President
Remote Assistive Technology
Services
We provide remote and in
person options for services.
Tech for
HOME Complex team AT
(T4H) assessment/training not
updates traditionally billable
2021
Timeframe for intake,
assessment and services
• T4H has funding to see 300
T4H people a year for AT needs.
We are starting year 4 of a 5-year
contract. It started Feb 28, 2021.
• T4H completes approximately
900 training sessions per year.
• With remote technology the
numbers of people we can see
will be more. Last year we did
see 429 people.
AAC
• Needs to be done in home, needs a
team approach.
EADL’s and ECU/Sensory
Focus
• Needs are complex, team approach
DME, Simple Home Mod,
Safety and Power Mobility
• There is not a home health option,
team approach needed in home.
AAC- Communication Devices:
Switch access or app to allow on/off for things in the person’s environment:
Low Tech ECU:• Off the Shelf Technologies
New Ways Environmental
Controls can Communicate
in a Network: • ZigBee and Z-Wave
• Much more reliable than
Wi-Fi, IR, and Bluetooth
• Direct Communication
method
• Highly recommended if
available for
environmental control
applications
• ZigBee works directly
with Amazon Echo Plus
both online and offlineEnvironmental control options
There are so many new AT possibilities:
Home Modification: T4H role • The OT or PT assessment of need. • If the home mod is for simple items such as grab bars, then T4H can assist with the assessment and vendor bids. • If the home mod is for complex items/needs such as a roll in shower, then the next step is Environmental Accessibility Adaptations or EAA assessment: CBSM - Environmental accessibility adaptations (state.mn.us) • T4H stays involved for any DME needed to go with the home mod.
• Person lives in a home of their own, or with
family; they have AT needs, and they have a
county service.
Technology • Provide expertise Team assessment and
for HOME training.
Focus: • Matching the features of the technology with the
person, their environment, their technology
support needs and training abilities.
• Outcome is continued use. Abandonment
happens often when assessments and
equipment match does not happen.
• Assist with bid.
• Advise to DHS from Tech for HOME Program
Manager.There are more billing options available to the waiver
Waiver
then 8 years ago when Tech for HOME started. Goal
will be to direct billable options to billable resources.
billable Unique needs that are not fully reimbursed in AT are
services: the Team needed assessment/training for complex
needs, this will be the Tech for HOME focus.
Tech for HOME will work to provide resources for
assessments/training that can be billable to help the
referral get to these resources when appropriate.
Continue to look at trends and needs in AT to advise
DHS.• Contract case manager training and
assistance on AT. Working to submit bids
and what can be paid for under SES and
Trends: EAA.
• Review committee’s understanding of what is
in policy for bid acceptance/process. How to
submit the Service Agreement.
• Timely response to AT needs.
• Using the assessments for AT to help in the
service and equipment process.Making a Referral • There is a link to the referral form on our website and a secure upload: Submit a referral for service (technologyforhome.org) • Once the referral is made what to expect. • Intake • Authorizations signed • Remote visit planning • Remote and or in person assessment/visits (how we map that out). • What if the referral does not qualify for Technology for HOME. • Areas of AT T4H serves, and areas of MN. • Interpreters
Assistance to get to a Referral
Source:
• If the referral does not qualify for T4H
• T4H will let the referral source know, and then help to locate other
referral programs or services that can be given to meet the person’s
needs where possible.
• If LiveLife Therapy Solutions can see the person as one of those
providers, we will let the referral source know but also give other
options to meet the needs so there is choice.
• If there are other projects or grants available to meet the person needs
directly those will be provided.
• AT equipment loan programs or vendors will be given if that meets the
needs of the person.T4H Any Questions
Thank Sue Redepenning
LiveLife Therapy Solutions, Inc.
You Technology for HOME
sue@livelifetherapysolutions.com
612-968-0832Updates in Guardianship Statute Jill Tilbury | Public Guardianship Administrator
Guardianship Updates • Updates occurred in legislation effective August 1, 2020 • Statute 524.5-101 beginning of the changes • Changes made throughout 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 25
Terminology
•Terminology changes
•Ward = person subject to guardianship
•Protected person = person subject to
conservatorship
4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 26Supported Decision Making • Adds a Definition-means assisted from one or more persons of an individual’s choosing in understanding the nature and consequences of potential personal and financial decisions which enables the individual to make the decisions and, when consistent with the individual’s wishes, in communicating a decision once made. • Modifies definition of incapacity • Requires petition and order to specifically state what less restrictive alternatives were tried 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 27
Time Limited Guardianship
•Designed to Reduce Unnecessary Guardianships
• If a guardianship is established for a person under
the age of 30, automatic expiration of that
guardianship after 72 months.
• This is not applicable to guardianships prior to
August 1, 2020.
4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 28Guardianship Criteria Identified needs cannot be met by less restrictive means, including but not limited to use of appropriate technological assistance, supported decision making, community or residential services, or appointment of a health care agent. 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 29
Bill of Rights • Increased consideration of preferences • Participate in Health Care Decisions • Right to employment or supports for employment • Restriction of interactions only if it poses a risk or harm • Written notice of restrictions to the person (including to the person and to the courts) 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 30
Clarification to Emergency Guardianships •Temporary •Only last 60 days •Renewal One time 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 31
Other Updates • Notifications to be given to those near to the person/interested persons • Person wanting to become a guardian now able to look back period of 5 years on bankruptcy • Definition of interested party updated to include step parents • ABLE accounts updated to match federal language in the powers and duties. 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 32
Resources
• Public Guardianship Office:
844-205-4189
dhs.publicguardianship@state.mn.us
• Center for Excellence In Supported Decision Making:
844-333-1748
cesdm@voamn.org
4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 33Resources Continued • Bill of Rights • Powers and Duties • You Tube video of modernization guardianship 4/23/2021 Minnesota Department of Human Services | mn.gov/dhs 34
Questions?
Employment: The Plan Phase Lauren Germscheid | Case Management Training Specialist
Learning Objectives
• Learners will be able to:
• Recognize the Explore, Plan, Find, Keep Framework as it applies to
employment and people you serve.
• Differentiate the Plan Phase of the EPFK Framework and describe what’s
included in the Plan phase.
• Summarize the Case Manager’s role in the Plan Phase.
• Summarize the Waiver Employment Development Service Provider’s role in
the Plan Phase.
• Discover Tools and Resources available to support people in the Plan Phase.
37Engage, Plan, Find, Keep
38ENGAGE, PLAN, FIND, KEEP FRAMEWORK Primary funding source for adults receiving waiver services:
Waiver (DHS)
Adult Services VRS/SSB (DEED)
Engage Plan Find Keep
Waiver employment Waiver employment VRS/SSB job search Waiver employment
exploration services development services and stabilization services support services
Results in: (planning phase) Results in: Results in:
An informed choice Results in: Competitive, integrated Maintaining employment
Preliminary employment goals employment
• Barriers and concerns
addressed • Portfolio to springboard job
• Lived experience search
• Risk/benefits of choice
Waiver (DHS) Waiver (DHS) VRS/SSB (DEED) Waiver (DHS)
39ENGAGE, PLAN, FIND, KEEP FRAMEWORK Primary funding source for students on waiver:
Waiver (DHS) + School Districts
Student Services VRS/SSB (DEED) + School Districts
Engage Plan Find Keep
School, VR Transition and Pre-Employment Transition School work-based learning Outside school hours:
Services programs and VRS/SSB Waiver employment support
work-based learning and/or services
Engage and Plan results in: job search and stability
Graduating with a person-centered plan for post secondary services. During school hours:
education, employment, and independent living. School transition services
Results in:
Competitive, integrated Results in:
employment Maintaining employment
Waiver (DEED)
VRS/SSB (DHS) + School Districts VRS/SSB (DEED) Waiver (DHS) + School DistrictsFocus of Today: “Plan”
•How Plan is different from the other phases
•What’s included in Plan
•Case Managers’ responsibilities in the Plan
phase
•Services and resources that can help meet a
person’s needs
41Plan Phase
42What’s Included in the Plan Phase?
The Plan phase results in:
• Preliminary employment goals
• An employment portfolio
43What makes the Plan Phase different?
The Plan phase is important
for:
• People who want to work,
but are not sure what that
can look like
• People who have barriers or
conditions for employment
• People who do not have
competitive experience
44Preliminary Employment Goals
• Preliminary goal setting is an
important first step in creating a
roadmap of where the person wants
to go on their employment journey.
Setting preliminary goals might
include activities like:
• Completing self-assessments
• Identifying interests and passions
• Describing what the person needs
to achieve employment.
45Employment Portfolio
This might include:
• Personal Profile
• Benefits lookup
• DB101 Estimator session
• Resume
• Sample application
• Integrated Supports Star
• Positive Summary
46Waiver Employment Development-Plan Service
47What is the Waiver Employment Development-Plan
Service?
• This service can help people learn more about competitive, integrated
employment, and develop preliminary employment goals.
• Waiver Employment Development currently has both “Plan” and
“Find” services. Beginning July 1st, 2021, this service will be split into
two separate phases.
• A new CBSM page is being developed and published in July for
additional information on service definition, eligibility, covered
services, limitations and other helpful information.
48Development- Plan and Development-Find
• The Employment Development service includes both plan
and find phases.
• Starting July 1, each of these phases will have a separate
modifier, and services must be authorized and provided as
one of these phases:
• T2019 U1: Employment Development Services - Plan
• T2019 U8: Employment Development Services – Find
49Who Can Benefit from the Employment Development-Plan
Service?
People who are not currently working,
but WANT to work.
This service can help people who are
interested in pursuing employment, but:
• are not sure what it looks like, or what
they want to do
• have barriers, or conditions for
employment
• have little experience in competitive
employment 50What could be included in the Development-Plan service?
• Exploring the person’s interests
• Addressing any concerns and “What Ifs”
• Ongoing educational information and counseling about employment
• Opportunities to explore work like job tours and informational
interviews
• Person-centered planning, and helping the person create their own
Portfolio
51What are the Desired Outcomes?
• The person has made informed
choices about the type of work
they want to do based on their
strengths and interests and
have set their preliminary
employment goals.
• The person has an Employment
Portfolio to set them up for a
successful job search.
52Employment Development-Plan Providers
• MnHelp.info
• Ask your local providers that currently engage
in day support or employment services
• Connect with your local Vocational
Rehabilitation Services office to see if they
work with a provider that is not familiar with
you.
E1MN’s goal is to have dual providers for VRS
services and Waiver Services to encourage
continuity of support.
53Role of the Case Manager in “Plan?”
54Facilitate Engaging Conversations About Work
• As a case manager, your role is
to help people you support
discover the benefits of a job,
and to help them identify a
path to fulfilling work in the
community.
• SELN Guidance for
Conversations
55Connect the Person
• Connect the Person to their desired
Waiver Employment Development-
Plan provider
56Authorize Services
• Update the Support Plan to
reflect the person’s choices
• Share the Support Plan
with the person
• Authorize the new
modifier for Development-
Plan (T2019 U1)
57Coordinate Services
• Ensure that other services are coordinated for the
person’s employment journey.
• Transportation
• Day Services
• Residential Services
• School Services
• Independent Living Skills Training
58Collaboration
• The Case Manager collaborates with the Waiver Employment service
provider to determine when the person is ready to move from “Engage”
to “Plan.”
• Move from the Waiver Employment Exploration service to Waiver Employment
Development-Plan service
• The Case Manager also needs to work with the Waiver Employment
service provider and Vocational Rehabilitation/State Services for the
Blind to determine when the person is ready to move from “Plan” to
“Find.”
• Move from Waiver Employment Development-Plan service to VRS/SSB
59Support Planning for Employment
• Review the person’s needs and preferences as identified in the MnChoices
Assessment
• Listen for places where employment could be a solution
“I sure wish I could visit my grandkids but I don’t have enough money.”
• Address barriers
“I don’t know what will happen to my SSI if I work.”
• Ask the right questions
“What worries you about getting a job?”
“What’s the best thing that can happen if you get a job?”
60Tools and Resources
61Disability Hub
Professional
Portal
62Work Toolkit
• Training
• Adult and Youth
Pathways
• Resources and tools
63Different People, Different Paths
Adult Pathways
64Not Working,
Wants to Work
• Engage and discover
• Connect
• Build work experiences
• Address concerns
• Be a champion
65Roles and
Responsibilities
• Read an overview of
the various roles to
understand what you
can expect from each
member of the team as
you build an
employment plan.
66The Vault
• Create an account
• All members of a
person’s support team
can access the
documents and
information shared in
the Vault
67Move to “Find” • These tools help move the person through the Plan phase of their employment journey. • The next step in the framework is “Find,” with Vocational Rehabilitation services and State Services for the Blind. We’ll be talking about this at our next SPP LC Presentation.
What’s next?
• Keep an eye out for announcements on
E1MN webinar and training opportunities
• E1MN Core Trainings upcoming:
• Tomorrow, Thursday April 29, 2021 1-3pm
• Tuesday May 4, 2021 9-11am
• Disability Hub MN - E1MN trainings and
events
• May and June’s Support Planning
Professionals’ Learning Community
webinars
69Questions?
Thank You!
Resources 72
Resources.1
Communications from DHS
Official policy communications to inform DHS business partners, about program changes and
Bulletins required actions
Official policy communications to inform Disability Services Division business partners, about
E-List Announcements program changes and required actions
Policy and general reference
Community-Based
Online manual and reference tool for lead agencies who administer HCBS.
Services Manual
A website designed for counties administering all DHS programs that includes manuals,
CountyLink performance measurement data, training resources, and I.T. systems (including SSIS and
MnCHOICES).
73Resources Cont.
Technical Assistance
Phone or email connection to provide customer service for lead agencies, providers, consumers
DSD Response Center and other partners regarding technical assistance for HCBS programs.
DSD.ResponseCenter@state.mn.us
The Disability and Aging PolicyQuest is an automated web-based system for designated lead
Policy Quest agency staff to submit policy questions. The public can view the responses
Training
Upcoming schedule of DHS provided training opportunities for lead agencies, providers, and
Upcoming DSD Training
other stakeholders. You can also visit our training archive to access materials from past
Opportunities trainings.
Archived Trainings grouped by topic and date. Audio provided up to three months after initial
DSD Training Archive training.
The Aging and Adult Services Division and Minnesota Board on Aging offer training for lead
Aging Training & Conferences agency staff and for those looking to learn more about how to better serve and support older
adults more broadly.
74Resources Cont.1
Advocacy
Ombudsman (LTC, DD/MH, Regional ombudsmen work to enhance the quality of life and services for people receiving
MCO) services and supports by providing advocacy and other assistance.
Specialized
Statewide information, referral and assistance service to connect people to community
Disability Hub MN services.
Statewide information, referral and assistance service for seniors, caregivers, and Medicare
Senior Linkage Line beneficiaries.
Provides tools and information on employment, health coverage, and benefits to learn how
DB101.org work and benefits go together.
The purpose of the HCBS Lead Agency Review website is to share information about the lead
Lead Agency Review Website agency review process, including case file review and site visit protocols as well as our findings
with lead agencies.
75Person Centered Skills and Tools Resources
Person Centered Thinking Review learning objectives and register for Person Centered Thinking training as well as Picture
Training of a Life – Person Centered Plan Facilitation Training.
Over of the Person-Centered practices initiative, including frequently asked questions, the
Person Centered Practices
Person-Centered, Informed Choice and Transition Protocol, as well information for providers
Webpage and the public. Including and FAQ Page
Minnesota’s Olmstead plan guides state agencies to ensure that all people having the right to
Olmstead Plan Webpage make choices: where to live, to have a satisfying job, to attend classes and to be part of the
community.
Positive supports are approaches that are used to help people using a variety of proven support
Positive Supports Minnesota strategies that do not include punishment or seclusion. Website includes policy, training,
resources and examples.
76Survey Please take a moment to let us know your thoughts. • Take our Survey: • https://tkearns86.wufoo.com/forms/xbachvw0tublit/ 77
Meeting Wrap
Audio from today’s session will be available beginning tomorrow
morning by dialing:
855-859-2056
Conference ID:
3463387
If you have questions following the session, email to
DSD.ResponseCenter@state.mn.us
78Meeting Wrap
Thank you for attending!
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