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Dec 11
Memo: Informed Choice Opportunities for ICF Living
The purpose of this communication is to share information about opportunities available to support people living in intermediate care facilities for people with intellectual disabilities (ICFs) to make informed choices about whether to remain in an ICF or receive community-based supports. 
 
Additional information about community living
 
Everyone living in a large ICF with nine or more beds has the opportunity to participate in options counseling to learn about community-based options. Upon completion of options counseling, people and their guardians may have additional questions about what is it is like to receive community-based supports or where those supports may be provided. There is a variety of ways for people to get more information.
 
People with developmental disabilities, family members, and/or guardians may speak directly with other people about their community experiences. DODD has entered into a contract with Nisonger to provide peer-to-peer counseling opportunities. Through this process, people living in ICFs can talk with people who are receiving supports in community-based settings. Similarly, family members and guardians may speak with other family members about their experiences related to community living. Requests for peer-to-peer counseling should be submitted to ashley.mckinney@dodd.ohio.gov.
 
People and their families may also be interested in seeing different places where waiver services are provided. This may include a visit to a person’s home or to settings where day or employment services are provided. These exploratory visits are arranged through the local county board of developmental disabilities in conjunction with the person’s team.
 
Additionally, videos of people describing their experience with transitioning to community settings will be available early next year. 
 
In addition to helping people make informed choices about where to receive services, opportunities are also available to support people who have decided to leave an ICF with having a successful transition to community living.
 
Training for staff prior to service delivery
 
Beginning Dec. 15, 2017, waiver providers may be reimbursed to participate in individual-specific training prior to the initiation of service delivery to a person leaving an ICF. Up to $500 is available for each individual who is transitioning from an ICF.
The services would include but are not limited to:
 
-        Direct interaction with the individual to receive services to understand the person-centered-plan, wants, desires, expectations
-        Participation of provider direct service staff (direct care, nursing) in IP reviews, discharge/planning meetings
-        Identification and understanding of individual needs
-        Promoting the foundation of relationship building with the provider of future services.
 
NOTE:  If a provider completes training and determines they cannot serve the person with developmental disabilities when they move, they will not be eligible for the training reimbursement.
 
In order to receive reimbursement, the waiver provider must complete the attached invoice and the corresponding training verification form (Attachment B) and submit both documents to CR-ICF@dodd.ohio.gov.
 
Trail visit funding for people transitioning from ICFs
 
Beginning Dec. 15, 2017, waiver providers may receive reimbursement for providing care and support to a person transitioning from an ICF who is participating in a trial visit. The goal of trial visits is to make sure there is a good match between the person and the provider, as well as any prospective housemates. Many people require a series of visits, which may include a single day for meals/activities and longer overnight visits. Waiver providers would receive $100 for providing at least five hours of care in a day or $150 for caring for a person during an overnight visit. 
 
During the trial visit(s) the waiver provider is responsible for the person’s support needs, as identified in his/her person-centered plan. As a result, it is essential for the waiver provider to be actively engaged in the individual’s transitioning planning process.
 
In order to receive reimbursement for trial visits, the waiver provider must complete the attached invoice and the corresponding visit verification form (Attachment D) and submit both documents to CR-ICF@dodd.ohio.gov.

Trial Visits - ICF FY18 Template
Provider Training - ICF FY18 Template

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