This year (2019) will be a pivotal year toward achieving the goal of ICF rate rebasing and restoration of HCBS and Support Coordination rates. The Louisiana Department of Health has included $43 million in its budget for rate rebasing and restoring. This is a major accomplishment! However, the Louisiana Legislature will need to approve the budget.
The 2019 legislative session begins April 8. It is important that ALL CPA members are prepared to engage in the necessary legislative advocacy to ensure that funding for rate restoration and rebasing is approved by the legislature.
During the recent legislative forum, nine Regional Teams were formed. The regional teams will work at a local level to ensure legislators and the public are aware of and understand the vital need for rates to be restored and rebased.
If you would like to join a team contact a team leader listed below.
Region 1 & 10 Jennifer Hebert firstname.lastname@example.org
Region 2 Allison Traxler email@example.com
Region 3 Wendy Eschette firstname.lastname@example.org
Region 4 Monique Hicks email@example.com
Region 5 Sharon Gomez firstname.lastname@example.org
Region 6 Doug Ryland email@example.com
Region 7 Laurie Boswell firstname.lastname@example.org
Region 8 Roma Kidd email@example.com
Region 9 Carrie Mercke firstname.lastname@example.org
Your Dues At Work
CPA's Program Policy Advocacy Work: On September 19, 2018 the CPA held separate membership meetings with ICF providers, HCBS Providers, and Support Coordination Agencies. The purpose of these meetings was to identify and prioritize the CPA’s legislative,public policy and program advocacy efforts for the next year. All three groups identified rate increases and establishing effective rate methodology as priorities for legislative advocacy efforts. The program policy efforts identified by each group are: read more
CPA's Legislative Advocacy Work: Major progress was made during the 2017-2018 legislative session toward ensuring disability service providers are appropriately paid for services provided. This included:
HCBS waiver providers receiving an increase in the IFS night rate (effective August 1, 2018), and
While these outcomes are a positive step toward improving rates for disability services, the need for rates to be restored and rebased continues to be the number one priority. Since the close of the 2018 legislative session the CPA has been working to (a) ensure funding for the restoration and rebasing of rates is included in the 2019 state budget, and (b) ensure rates are rebased and restored for 2018. These efforts include: read more
Become A Member!
Changes are happening to the developmental disability service system. These changes include the conversion of all current HCBS waivers to one consolidated waiver and the establishment of a value-based payment system beginning January 1, 2019.
CPA members will have the opportunity to provide input regarding these changes and access to up-to-date information on these changes.
You Can't Afford to NOT Be a Member!
Reason Why #1: Legislative Presence
As a CPA member you will have the opportunity to Influence and shape public policy and drive systems change.
Reason Why #2: Professional Development Opportunities
As a CPA member you and your staff will have the opportunity to grow professionally through training events and access to a resource clearing house.
Reason Why #3: Up-To-Date Information
As a CPA member you will have access to timely and in-depth information on state and national issues affecting the people you serve and the service delivery system.
Reason Why #4 - Engagement
As a CPA member you will have opportunities to share your thoughts and ideas with peers by participating in standing committees, membership forums, ad hoc industry-specific workgroups, or board committees.
Reason Why #5 - Networking
As a CPA member you will have the opportunity to engage in information sharing among members through regular meetings, web forums, and the newsletter.
OCDD is participating in the National Core Indicators(NCI) Staff Stability Survey.
OCDD is asking waiver and ICF providers to complete the survey which seeks to gather information about the direct support professional (DSP) workforce for participants 18 and older in reference to:
Wages (hourly salary paid to employees),
Recruitment and Retention (do employees sign a code of ethics?, is there a DSP ladder?, are employees/staff credentialed?)
Turnover (specific date/point in time; How many employees worked less than 6 months,6-12 months, 12 + months?)
Benefits offered: (do you pay for paid time off, vacation,sick,personal,health insurance, dental /vision, post-secondary education support, job related training, retirement, disability, flex spending account, health incentive?), and
Vacancy rate(determined by a specific point in time).
The survey will help providers compare themselves to other provider agencies around the country and help OCDD in developing/modifying programmatic and policy changes.
The best person to complete the survey is the Provider Human Resource Staff/payroll staff.
The survey is voluntary but The CPA encourages all providers to complete the survey.
Providers will participate in the survey through a NCI web portal; it is anticipated that NCI will reach out to providers within the next 2 weeks with instructions on how to participate in the survey. The deadline for completing the survey is June 30, 2019.
If you do not receive information from NCI by March 15, 2019, please contact Dolores Sarna at Dolores.Sarna@la.gov. Pam Sund at Pam.Sund@la.gov so that OCDD can make sure that all providers receive the survey.
OCDD will receive aggregate data for the state, but not individual provider survey data.
The data received from this survey is used to develop programs and policies. It is VITAL that all providers complete the survey.
CPA Legislative Forums are scheduled for:
Region 8: February 21, 2019. For more information or to join the CPA Regional Legislative Action Team email email@example.com
Region 5: March 26, 2019. For more information or to join the CPA Regional Legislative Action Team email firstname.lastname@example.org
Region 1 & 10: March 22, 2019. For more information or to join the CPA Legislative Action Team email email@example.com
Region 7: March 21, 2019. For more information or to join the CPA Legislative Action Team email firstname.lastname@example.org
Health Standards Issues Guidance on Abuse
The Health Standards Section of LDH recently issued guidance to ICF-IDDs on reporting incidents of abuse, neglect, misappropriation of property and other reportable incidents. Read guidancehere.
OCCD Sharing Draft of Value-Based Payment Model
The Office for Citizens with Developmental Disabilities (OCDD) is hosting meetings across the state to highlight its work around Value-Based Payments (VBP) for Home and Community Based Waiver providers. All provider agencies, welcome to attend a regional meeting and are encouraged to provide feedback on the draft model.
The schedule of meetings is:
December 6 - Region 3 - Terrebonne Parish Library North Branch, 4130 W. Park Ave., Gray - 10:30 a.m. - 12:30 p.m.
December 12 - Region 6 - Kees Park Community Center, 2450 La. 28, Pineville 1:00 p.m. - 3:00 p.m.
December 13 - Region 7 & 8 - Shreveport Memorial Library Main Branch, 424 Texas St., Shreveport - 10:30 a.m. - 12:30 p.m.
December 17 - Region 1 & 10 - Jefferson Parish East Bank Regional Library,4747 W. Napoleon Ave., Metairie - 10:30 a.m. - 12:30 p.m.
December 19 - Region 4 & 5 - Clifton Chanier Auditorium, 220 W. Willow St., Lafayette -10:30 a.m. - 12:30 p.m.
The CPA is preparing written comments regarding the HCBS Complex Care Services Rates
The Office of the State Register will publish the following Emergency Rule in the October 20, 2018 issue of the Louisiana Register:
Home and Community—Based Services Waivers—New Opportunities Waiver—Complex Care Services October 20, 2018
The CPA would like to include member comments regarding the rule in its written response. Please send your comments to: email@example.com
Newly appointed OCDD Assistant Secretary shares her priorities at LA-AAIDD
During the 2018 LA-AAIDD annual meeting Julie Foster Hagan, the newly appointed Assistant Secretary for OCDD, shared her priorities for the department. The priorities include: (1) the consolidation of all HCBS waivers to one single waiver, and (2) the establishment of a value-based payment system by January 1, 2019. The CPA Executive Committee will be meeting regularly with OCDD leadership to provide input related to these initiatives. Members of the CPA will receive monthly updates on the progress made toward these initiatives.
Help Establish a DSP Standard Occupational Code.
Due to multifaceted job requirements, vast work demands, and strikingly low wages, turnover rates for the workforce average around 45%, with vacancy rates at 9%. The failure to address this long-standing issue has led to high administrative costs for recruiting and training new Direct Support Professionals (conservatively estimated at roughly $2.4 billion annually). Furthermore, a revolving door of unprepared workers has had a negative impact on the quality of support and lead to increased occurrences of abuse, neglect, mistreatment and death.
A common underlying issue for this systemic failure is the lack of a Standard Occupational Code (SOC) through the Department of Labor’s Bureau of Labor and Statistics. Currently, DSPs are misclassified in labor reports as Personal Care Assistants or Home Health Aides, job classifications that do not adequately represent the skill requirements of a Direct Support Professional. To confront this, the National Alliance for Direct Support Professionals (NADSP) is leading a nationwide effort to Establish a Direct Support Professional Standardized Occupational Code.
Please sign NADSP’s petition to show that you believe a Direct Support Professionals’ work is important.