The full Blue Ribbon Commission met on Wednesday, December 19th to approve its full committee report and recommendations. The subcommittees met last week to hear some last presentations and to approve the subcommittee reports to the full commission. The full report (online here) incorporates all of these recommendations, which are briefly listed below:
Housing Subcommittee Recommendations:
Adult Care Home Subcommittee Recommendations:
Housing Subcommittee Recommendations:
- Explore Alternatives for Large Adult Care Homes.
- Mitigate the Loss of Medicaid Eligibility by those Exiting an Adult Care Home.
- Establish a Long-Term Care Continuum Workgroup.
- Explore establishing a process to allow payment to be paid on behalf of a resident who has last their eligibility for PCS.
- Study Tiered PCS.
- Study the State-County Special Assistance Rate Structure.
- Establish Habilitation Services for IDD Adults using a 1915(i) option.
- Explore service delivery options for individuals with mental illness.
- Expand the number of CAP-IDD (Innovations) slots.
Adult Care Home Subcommittee Recommendations:
- Direct expanded funding to the Housing Trust Fund, Key Program and other housing assistance programs to increase the number of permanent housing units.
- Any funds unspent from the money allocated (e.g. the $10.3 million this year) should revert to the Housing Trust Fund, to be placed in a special reserve account, and be used to provide supportive housing to persons with mental disabilities.
- Evaluate the capacity of the databases used by state agencies to monitor the inventory of available rental housing.
- Explore the possibility of increasing the percentage of Targeted Units in new developments from 10% to a greater percentage.
- Develop a plan to establish a tenant-based rental assistance program specifically designated for the 3,000 persons who must be transitioned to community-based housing as required by the US DOJ settlement agreement.
- Encourage LMEs to form partnerships with existing non-profit and other agencies that currently provide supportive housing assistance and other services to persons with disabilities in home and community-based settings.
- Directs DHHS and the LMEs to determine additional services and resources needed to support the tranistion of the 3,000 people with mental illness from adult care homes to community based settings by 2020.
- Direct DHHS and LMEs to identify assistive technology that can be used to divert or transition people with mental disabilities from institutional settings; and a plan to maximize the use of assistive technology in the implementation of the US DOJ settlement agreement.
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