If you want to be notified when updates are made to the DDS Self-Determination implementation page, please send an e-mail to email@example.com and ask to be included on the notification list. To visit the DDS Self Determination Implementation page go to http://www.dds.ca.gov/sdp/SDPUpdates.cfm.
Self Determination Program Implementation Update Issued by DDS, December 21, 2015 As noted in previous updates, the Department submitted the Home and Community-Based Services Waiver application for the Self-Determination Program to the Centers for Medicare and Medicaid Services (CMS) in September of this year. As part of its standard waiver review and approval process, CMS sent a letter to the State asking questions about, and requesting more information on, specific sections in the Self-Determination Program Waiver Application. Following the normal process, the Department will work through the Department of Health Care Services to provide written responses to answer CMS' questions and secure approval of the waiver. Questions about this process can be submitted to the Department via email at firstname.lastname@example.org. ___________________________________________________________________
Self Determination Program Implementation Update Issued by DDS, October 9, 2015
The Self-Determination Program Waiver Application was formally resubmitted to the Centers for Medicare and Medicaid Services on September 29, 2015. A summary of the comments received during the public comment period, which ended September 7, 2015, can be found on page 7 of the application.
Self Determination Program Implementation Update Issued by DDS, August 7, 2015
At the request of the federal government, new language was added to the Self-Determination Program (SDP) Waiver application describing how homes and settings where SDP participants will reside and receive services meet the requirements of the federal home and community-based settings rules that became effective in March 2014. As a result of this change, the Department is required to repost the Waiver application for at least 30 days. The Waiver application will be formally resubmitted to the Centers for Medicare and Medicaid Services shortly after the public comment period, which ends on September 7, 2015. Comments or requests to review a hardcopy of the application can be submitted via email at email@example.com, by phone at (916) 653-7710, or in writing to the Department, Attention Community Services Division, 1600 Ninth Street, Room 320, MS 3-8, Sacramento, CA 95814.
Self Determination Program Implementation Update Issued by DDS, June 5, 2015 The Department of Developmental Services has distributed an implementation update for the Self-Determination Program.
The Lanterman Act now includes a program called Self-Determination. This is a statewide program that will be implemented by the Department of Developmental Services and the regional centers. The program will provide consumers and their families with an individual budget to purchase services and supports needed to implement the consumer’s IPP. The program is intended to give consumers and families more flexibility, choices and control over decisions regarding their regional center funded services. DDS and NLACRC will implement the program over a three year period. The program will serve 2,500 consumers statewide; NLACRC will serve approximately 175 consumers during the first three years. In 2018, the Self Determination Program will be available to all consumers.
There are procedural steps in statute that must be undertaken to implement this program. Please note that these steps are not in order.
• The law requires DDS to apply for federal Medicaid funding either through an application of a state plan amendment, an amendment to a current home- and community-based waiver, a new waiver, or other means.
• The law required the application to be submitted by 12/31/2014.
• If federal funding is approved, the Self-Determination Program will be implemented.
• DDS has met the timeline and submitted an application to the Center for Medicare and Medicaid Services (CMS) for federal funding.
• CMS has 90 days to approve or seek further clarification of the application, which could impact the timeline for implementation of the Self-Determination Program.
• In order to participate, a consumer cannot live in a long term health care facility and must agree to specific requirements; participation is voluntary.
• Regional centers must ensure the program is available to a diverse group of consumers.
• Regional centers must conduct special outreach to underserved communities.
• Participants must be selected in an equitable manner and should reflect NLACRC’s disability, ethnic and geographic diversity.
• The number of participants for each regional center is calculated by DDS. It is based on the percentage of consumers served by NLACRC compared to the total number of consumers served statewide.
• The selection process for consumers that will participate has not yet been determined.
• Calculated relative percentage and allotted 174 slots to NLACRC
• Referred the issue of selection to an advisory committee
• Engaged California State University Northridge to conduct geomapping of consumers by residence.
• Eligible, voluntary consumers will be identified.
• Method of an equitable selection process is lottery; multiple lotteries may be required to establish initial group of participants that reflect the disability, ethnic and geographic diversity of NLACRC.
• If interested in participating in this program, click here (link forthcoming) to submit your contact information or send an email to firstname.lastname@example.org.
Local Advisory Committee
• The law has established local and statewide advisory committees to ensure the effective implementation of the program and to promote the sharing of best practices and training materials
• Each regional center must establish a local volunteer advisory committee
• Each committee must consist of the clients’ rights advocate, consumers, family members, other advocates and community leaders.
• Regional centers and State Council on Developmental Disabilities each appoint one-half membership of the committee.
• NLACRC and SCDD have agreed on the committee size; 11. Each will select 5 committee members, in addition to NLACRC’s CRA
• SCDD has conducted interviews and selected five committee members
• NLACRC is collecting names of interested consumers, family and community members
• NLACRC will solicit interest in participation through joint presentations with the Family Focus Resource Center at local meetings, family support groups and through the Center’s website
• If you are interested in participating in NLACRC’s local advisory committee, please click here (link forthcoming) to submit your contact information or send an email to email@example.com.
Informational Materials and Training
• DDS must develop informational materials about self-determination and must ensure that regional centers are trained in the mechanics and principles of the program. DDS must also train regional centers regarding consumer rights as candidates for and participants in the program
• DDS is currently developing informational materials; training has not yet been provided to regional centers.
• Upon receipt of informational materials and training, NLACRC will train service coordinators, service providers, and financial management service providers.
• NLACRC will develop and promote information sessions in conjunction with the Family Focus Resource Center.
• If you are interested in receiving informational materials or attending a community meeting regarding NLACRC’s Self-Determination Program, please click here (link forthcoming) to submit your contact information or send an email to firstname.lastname@example.org.
For more information regarding the Self Determination Program, please visit the following web sites:
Self-Determination Program Waiver Submitted
The California Department of Developmental Services recently announced that the Home and Community-Based Services Waiver application seeking federal funding for the Self-Determination Program was submitted to the federal Centers for Medicare and Medicaid Services (CMS). A copy of the Waiver application is now posted on the DDS web site.
As required by law, securing federal funding is necessary in order to implement the Self-Determination Program. CMS has 90 days to take one of three actions on the Waiver application (approve; deny; or request additional information). It is very likely that CMS will request additional information for clarification in the Waiver application which will lead to an extended review period beyond the initial 90 days.
What is the Self-Determination Program? The Self-Determination Program was signed into law [Welfare & Institutions Code, Section 4685.8] by Governor Brown in October, 2013. The state-wide program is a voluntary alternative to the traditional way of providing regional center services. Consumers and families will work with an individual budget that they can use to purchase the services and supports they need to implement their Individual Program Plan (IPP).
The program will be available to up to 2,500 individuals state-wide in the first three years and will be on a voluntary basis. DDS must obtain approval for federal funding before the program can be put into place. You can sign up on the DDS Self-Determination Program web site page to receive updates about the program.