2008 New CAP-MR/DD Waivers Development Information

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Children and adults who qualify receive developmental disability services through a variety of Medicaid waivers and also through some limited state-funded services. For those of you who are not familiar with the waiver, we have created a Service System Information Page  on our website.  

Presentation and Handout from May Public Forums

Presentation

Fact Sheet on new Waivers

New Waiver Development Documents

Draft Service Definitions        

External Stakeholders Mtg. Handouts 1.31.0

External Stakeholders Mtg. Handouts 2.01.08   

Public Forums on the New Waivers 

The Arc of NC Talking Points on New Waivers                       

Public Forums on the New Waivers

The current Community Alternatives Program for MR/DD (CAP-MR/DD Waiver) will expire 10/31/08. The NC Divisions of MH/DD/SAS and Medical Assistance are drafting new Waivers to begin 11/1/08. Representatives of these Divisions will provide information and respond to feedback at six 2-hour Public Forums.

                                5/6/08   11:00 am-1:00pm OR 6:00 pm to 8:00 pm

                                Cherry Hospital, Therapeutic Center Auditorium,

                                201 Stevens Mill Road

                                Goldsboro, NC.

                               5/16/08  11:00 am-1:00pm OR 6:00 pm to 8:00 pm

                               Broughton Hospital, 1000 South Sterling St.,

                               Morganton, NC

                                5/20/08 11:00 am-1:00pm OR 6:00 pm to 8:00 pm

                               CenterPoint LME Auditorium, Behavioral Health Plaza,

                               725 N. Highland Ave.

                               Winston Salem, NC

January 25, 2008

The Division of MH/DD/SAS has been working on the new waivers. As you may recall from our last E-Alert, the current CAP-MR/DD waiver expires in August 2008 and the Legislature has mandated the development of tiered waivers. The state has requested and is expected to receive authority to extend the current waiver until the end of December 2008 in order to have adequate time to develop a waiver plan that best meets the needs of North Carolinians. 

The development of tiered waivers will mean that the waiver that a person receives will be based on their support needs; i.e. Tier 1 will support people with greater independence and less support needs while Tier 4 will serve people with medical fragility and significant behavioral support needs. 

The Arc continues to advocate for more flexibility in the waivers, the ability for families and individuals to self direct their supports and services, and for more ability for the Local Management Entities (LMEs) to manage the waivers. To date, the Division has been receptive to input and is attempting to make the waivers user-friendly.

We want to continue to provide positive and rational feedback on how to make the waivers work best for individuals and families. To that end, we really want to know your thoughts. For now the feedback that would be most helpful are your thoughts on what is currently working, what is hopelessly broken, and what needs to be repaired with the current waiver. Please let us know what you want to see in the new waivers so that we can formulate our advocacy position.

 Send an e-mail to lguzman@arcnc.org with what you would like to see with new waivers. Your ideas and suggestions will be used to shape our positions and advocacy as the new waivers are developed.

 As drafts of the new waiver plan begin to emerge we will make sure you have the information and we'll make sure you know how to provide your input and feedback. For those of you who are not familiar with the waiver, we have created a Service System Information Page  on our website.  

New Waivers to Support People with Developmental Disabilities in NC

December 20, 2007

 On December 19, 2007 staff from The Arc of NC attended a waiver meeting in Raleigh. Staff from the division of DD/MH/SAS gave an overview of the process for developing new CAP-MR/DD waivers.

The current CAP-MR/DD waiver expires in August 2008 and last session, the Legislature mandated the development of tiered waivers. The Division intends to develop 3 separate tiered waivers to replace the current waiver (The Arc of NC is recommending 4 tiers, not 3). The waiver that a person receives will be based on their support needs; i.e. Tier 1 will support people with greater independence and less support needs while Tier 3 will serve people with medical fragility and significant behavioral support needs.

 We are notifying you today of these developments because over the next few months there are going to be public comment periods, opportunities for people to participate in the development of the new waivers and a need for feedback on the proposed new waivers.

 The timeline for the development of these new waivers will be very quick. The Division plans to have the waivers submitted to The Division of Medical Assistance (DMA) by March 2008.  

The Arc of NC will be actively involved throughout the entire waiver development process. The Arc is drafting recommendations that we will send to the Division (we will share these through the E-alert network)  and that we will use to guide our advocacy around this critical issue.