Hello to all of our readers.  HAPPY 2008!!!!!!  We hope that everyone had a nice holiday.  But, it is back to work.   The 2008 Legislative Session begins January 9th.  In this edition, we will be discussing Rosewood, CMS, MFP and much more.

 

 

 

Rosewood

In last months newsletter we informed you Rosewood residents continue to be in immediate jeopardy of harm according to a new report released by the Office of Health Care Quality. (OHCQ)  Some of  the state Legislators have made comments in newspapers stating they feel like the state is moving towards closure.  Here are a couple of their quotes from the newspaper.  "My sense it that they're moving toward the closure of that facility," said Del. Peter A. Hammen, a Baltimore Democrat and chairman of the House Health and Government Operations Committee, which considered legislation this year to force Rosewood's closure.

Del. James W. Hubbard, a Prince George 's County Democrat who sponsored the legislation to force Rosewood's closure, said he has had two conversations about the facility with O'Malley since the end of the last legislative session, and that "it's much more close to closure than anything else I've heard with the previous governor or this governor." A spokesman for O'Malley referred questions to the state Department of Health and Mental Hygiene, which operates Rosewood.
Health Secretary John M. Colmers declined to detail long-term plans for the facility and said the decision would be made by O'Malley. "At this point we are looking at a variety of long-term alternatives for Rosewood," Colmers said, and working to fix the problems.   He said the department is finishing a case-by-case review of all Rosewood residents, which will be presented to Hammen's committee in January.

The national trend is to phase out such institutions, said Michael S. Chapman, the newly hired director of the state's Developmental Disabilities Administration, which oversees Rosewood. "There is a national movement of de-institutionalization in favor of community-based services," he said, adding that about a dozen states are now institution-free.

So what does this beating around the thorny rose-bush mean? Keep your ears to the ground and we’ll keep you up to date.


Rosewood Activity Day

 

CDRC, People On the Go and ADAPT had an event at Rosewood the middle of December for the residents.  We had Card making, cookie decorating and music activities.  We had a great turnout.  We had at least 25 Rosewood residents attend.  That is a record! They all enjoyed it.  The staff members from Rosewood were very helpful in assisting people with the activities.  We learned from Dr. Day that 5 residents moved out of Rosewood in December- Home for the Holidays!  Another resident told us he was moving out in January.  We would like to thank Dr. Day for his support in making the activity day happen and for his consistent work to transition people to the community.   We are thinking that our next event might be sometime in February surrounding Valentine’s Day. Maybe, “Home is where the Heart is!”

 

 

Money Follows the Person

 

CDRC and SunShineFolk have played an active role in the planning process for the MFP demonstration grant. We have reviewed the operational protocol drafts and made policy and practical suggestions for the demonstration. According to the state’s report to the federal policy makers, it was consumers, like the 6 CDRC members, who proposed and supported the idea of using peer mentors to provide outreach to institutional residents. The peer-to peer contracts will reflect CDRC and SSF principles of paying stipends for peers, being in the person centered planning process with the professionals, as invited by the individual transitioning. These peer contract will be granted in two phases, a pilot by March and then a “lessons learned” long term contract sometime late in the summer.

CDRC advocated for broadening the role of peers to include ongoing support as is reflected in the operational protocol. Another significant contribution from CDRC is the aggressive projection of numbers of transitions. “It is with the encouragement of the consumer advocates that the State has maintained such aggressive growth and transition projections for the demonstration.”

 

The state said, “ The peer mentoring contractors are likely to employ current consumers and their families in the role of peer mentors so that consumers and advocates will have a direct role in the outreach and marketing of Maryland’s community-based care options and in the direct support of individuals who are seeking to transition. This will provide an avenue for consumers to directly influence the process and better inform the Advisory group of transition challenges and successes.” The revised protocol has been submitted as we go to press and we are all working to be sure the first MFP participant is ready to roll out when we get the “go ahead” from CMS.

 

 

Centers for Medicare and Medicaid Services and paying for service/resource coordination for people coming out of institutional settings.

 

We informed in December’s newsletter about some changes that the federal government is thinking about for service coordination types of services for people who are trying to move out of institutions. The new rules are restricting the number of days the state can get paid to 60 days (reduced from the current 180 days) for people who have been in there for more than 6 months. If someone has been in an institution for less than 6 months, then the service coordination will only get paid for two measly weeks. This idea is a bad one.  We were afraid that this new rule would ruin the MFP strategies but we have learned that CMS said that the new rules wouldn’t apply to the MFP protocol YET because it is a demonstration. But lots of other important programs will be ruined so we have to make CMS change it’s mind about this approach to cost containment. During January CDRC will be talking to its allies and will be writing its comments on this issue.  CDRC knows that having a case manager for only 60 days prior to moving out of an institution is simply IMPOSSIBLE.    If you have any comments or a story that you might have on this issue please e-mail Kenny Kenny@thecdrc.org 

 

 

CommunityPathways Waiver

 

CDRC would like to remind our readers that the CommunityPathways waiver is up for renewal.   If you have any suggestions on making the waiver better, please contact Kenny.  CDRC will be making suggestions for improvements. But we have very little time because DDA has to send it in soon.   Catrinoa Johnson will be meeting with the Board of Leadership to get our thoughts on any changes or suggestions we would have on the waiver. 

Are you on the waiver? Do you get what you need? Do you get choices?

 

Community Pathways continues to cover services such as residential, CSLA, day and supported employment services. Additionally, it covers Family and Individuals Support Services for eligible individuals. Community Pathways currently serves nearly 9,000 people with developmental disabilities.


Here is a list of what could be available but isn’t:

Assistive Technology, Attendant Care, Behavior Consultant, Case Management, Day Habilitation, Dietitian, Addaption Modifications and much more.

   

 

Board Of Leadership

 

We would like to congratulate CDRC’s newly voted Board Of Leadership members:  Dominic Ridgeway, Sylvia Matthews, James Devore, Charles Grey and Linda Cooper.  We would also like to say thanks for all of the folks that applied but did not get voted to the BOL. 

 

 

CDRC Meeting

Just a REMINDER that the CDRC membership meeting is moving in January

Next CDRC Membership Meeting: January 27

Time: 1:00 – 4:00

Location: Anne Arundel County   North Branch Library.  1010 Eastway Glen Burnie , MD 21060