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Community First Choice

Community First Choice. Spectrum of Self-Directed Care Maryland, Medicaid  Office of Health Services John S. Wilson April 5, 2012. How We Created the Spectrum.

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Community First Choice

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  1. Community First Choice Spectrum of Self-Directed Care Maryland, Medicaid  Office of Health Services John S. Wilson April 5, 2012

  2. How We Created the Spectrum • Reviewed the Person Centered Planning for Consumer Directed Care resource guide produced by the National Resource Center for Participant-Directed Services (NRCPDS). • Incorporated the key concepts of the guide into our analysis after having reviewed other states’ programs. • Analyzed information on self-direction programs referred by community disability advocates. Resource Guide: http://www.bc.edu/content/bc/schools/gssw/nrcpds/tools/handbook.html

  3. How the Spectrum Works • Analysis of self-direction programs in the following states: Kansas* (KS), Missouri (MO), Arizona† (AZ), New York (NY), Tennessee (TN), California (CA), Colorado (CO), Virginia* (VA), and Wisconsin (WI). • Matrix consists of three models with varying degrees of state oversight and participant responsibility. * State allows participants to choose among a variety of models. † Self-direction model is non-Medicaid funded and run by Community Independent Living Centers.

  4. Plan of Service

  5. Plan of Service (Supports Broker)

  6. Provider Rate Setting

  7. Provider Qualifications

  8. Monitoring

  9. Discussion • To recap, models vary in state oversight and consumer responsibility: • Which model would be best for Maryland to adopt? • What suggestions do you have regarding the models? • What concerns do you have about the models?

  10. Service Delivery Options

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