The Department of Developmental Services is in the process of finalizing the roll out of the program. The CMS application was submitted on 12/31/14. DDS will be instructing the regional centers on how to implement this program over the next few months. If you are interested in putting your name on the San Andreas Regional Center interest list for Self Determination, then please contact your service coordinator. Please visit the Self Determination Page for more information and an informative Q and A.
FREQUENTLY ASKED QUESTIONS AND ANSWERS
The following are questions and answers from the Department of Developmental Services webpage regarding the self determination program (CDCAN made certain minor edits to define abbreviations used):
Q: What is the Self Determination Program?
A: As authorized in Welfare and Institutions Code, Section 4685.8, “the Self Determination Program (SDP) is a voluntary delivery system consisting of a mix of services and supports, selected and directed by a participant through person-centered planning, in order to meet the objectives in his or her Individual Program Plan (IPP). Self-determination services and supports are designed to assist the participant to achieve personally defined outcomes in community settings that promote inclusion.”
Q: When does the Self Determination Program (SDP) start?
A: The program will start once it is approved for federal funding. The Department of Developmental Services is working with stakeholders to draft a Medicaid Home and Community-Based Services Waiver application that will be submitted for approval to the Centers for Medicare and Medicaid Services no later than December 31, 2014. Upon approval of the Waiver application, the Self Determination Program (SDP) will be implemented for up to 2,500 participants during the first three years. After this three year phase-in period, the program will be available to all consumers.
Q: How can I keep updated on the progress of the Self Determination Program (SDP)?
A: Updates will be posted as they become available on the Self Determination website. If you want to be notified when updates are made, email email@example.com and ask to be included on the update notification list.
Q: Who is eligible for the Self Determination Program (SDP)?
A. An individual must meet the following eligibility requirements:
– Has a developmental disability and currently receives services from a regional center or is a new consumer of a regional center;
– Agrees to specific terms and conditions, which include but are not limited to, participation in an orientation to Self Determination Program (SDP), working with a “Financial Management Services” (FMS) entity, and managing Self Determination Program (SDP) services within an individual budget amount.
– An individual who lives in a licensed long-term health care facility (i.e., a Skilled Nursing Facility, Intermediate Care Facility) is not eligible to participate in the Self Determination Program (SDP). If someone lives in one of these facilities and is interested in the Self Determination Program (SDP), he or she can request that the regional center provide person-centered planning services in order to make arrangements for transition to the Self Determination Program (SDP), provided that he or she is reasonably expected to transition to the community within 90 days.
Q: What if participants are happy with their current service delivery program and do not wish to enroll in the Self Determination Program (SDP)?
A: Enrollment in the Self Determination Program (SDP) is completely voluntary. Just like any other program offered under the Lanterman Developmental Disabilities Services Act in California, an individual chooses what is best for him or her. An individual may choose to participate in, and may choose to leave, the Self Determination Program (SDP) at any time.
Q: How much responsibility will participants or their family have if they choose to participate in the Self Determination Program (SDP)?
A: The participant will need to develop a person-centered plan and select individuals or members from their planning team to help implement the plan. The participant will also need to choose a Financial Management Services (FMS) entity that will work with him or her to monitor their individual budget.
Q: What are Financial Management Services (FMS)?
A: Financial Management Services (FMS) assist the participant to manage and direct the funds contained in the individual budget, and ensure that the participant can implement his or her Individual Program Plan (IPP) throughout the year. Financial Management Services (FMS) may include bill paying services and activities that facilitate the hiring of support workers for the participant.
Q: What is an individual budget?
A: It is the amount of money a Self Determination Program (SDP) participant has available to purchase needed services and supports.
Q: How does the individual budget amount get determined?
A: The individual budget is determined by the Individual Program Plan (IPP) team, and is based upon the amount of purchase of service (POS) funds used by the individual in the most recent 12-months. This amount can be adjusted, up or down, if the Individual Program Plan (IPP) team determines that the individual’s needs, circumstances, or resources has changed. Additionally, the IPP team may adjust the budget to support any prior needs or resources that were not addressed in the Individual Program Plan (IPP).
Q: How does the individual budget amount get determined for an individual, who is either new to the regional center, or does not have a 12-month history of Purchase of Service (POS) costs?
A: For these individuals, the individual budget amount is determined by the Individual Program Plan (IPP) team, and is based upon the average Purchase of Service (POS) cost of services and supports, paid by the regional center, that are identified in the individual’s Individual Program Plan (IPP). The average cost may be adjusted, up or down, by the regional center, if needed to meet the individual’s unique needs.
Q: Are there restrictions on what the individual budget can be used for?
A: Yes, a participant can only purchase services and supports as described in the Self Determination Program (SDP) [Medicaid Home and Community Based Services] Waiver and in the Individual Program Plan (IPP). Services funded through other sources (e.g., Medi-Cal, schools) cannot be purchased with Self Determination Program (SDP) funds.
Q: If I choose to participate in the Self Determination Program (SDP), will I still have the same rights?
A: Yes, participants enrolled in the Self Determination Program (SDP) will have the same rights established under the traditional service model (e.g. appeals, eligibility determinations, all rights associated with the Individual Program Plan (IPP) process).
Q: How can someone learn more about the Self Determination Program (SDP)?
A: Interested participants, families, or others are encouraged to visit the Self Determination website (at www.dds.ca.gov/sdp ) to find out more information about the Self Determination Program (SDP). The site will be updated as more information is available.
Q: Can I enroll in Self Determination now?
A: The process for selecting and enrolling the 2,500 participants in the first three years has not been finalized. However, you can email (the Department of Developmental Services) firstname.lastname@example.org to express your interest in the program and you’ll receive notice of website updates on the progress of the Self Determination Program (SDP), including the enrollment process. Please include your name and/or the name of the person interested in enrollment and the regional center you are with in the email.
FACILITATOR TRAINING– Imagine SLS, in cooperation with Premiere Health Care Services and the State Council on Developmental Disabilities, will host Facilitator Training on the first Wednesday of every month. Click on the flyer for details: SD Program Learning and Professional Development