Menu
2013 Session

Budget Amendments - HB1500 (Committee Approved)

View Budget Item
View Budget Item amendments

Report on Training Center Transitions (language only)

Item 314 #3h

Item 314 #3h

Health And Human Resources
Behavioral Health and Developmental Services, Department of

Language
Page 285, after line 18, insert:
"M.1.  The Commissioner of the Department of Behavioral Health and Developmental Services (DBHDS) shall provide quarterly reports to the House Appropriations and Senate Finance Committees on progress in implementing the plan to close state training centers and transition residents to the community.  The reports shall provide the following information on each state training center:  (i) the number of authorized representatives who have made decisions regarding the long-term type of placement for the resident they represent and the type of placement they have chosen, (ii) the number of authorized representatives who have not yet made such decisions; (iii) provider capacity in the region in which each training center is located by type of service to meet the needs of individuals choosing community placement, (iv)  barriers to discharge,  and (v) the general fund and nongeneral fund cost of the services provided to individuals transitioning from training centers, including  the cost of any wrap-around services being provided, and (vi) the use of increased Medicaid reimbursement for congregate residential services to meet exceptional needs of individuals transitioning from state training centers in fiscal year 2014, provided in item 307, paragraphs BBB.1. and BBB.2.
2.  The department shall  convene quarterly meetings with authorized representatives, families, and service providers in Health Planning Regions I, II, III and IV to provide a mechanism to (i) promote routine collaboration between families and authorized representatives, the department, community services boards, and private providers, (ii) ensure the successful transition of training center residents to the community, and (iii) gather input on Medicaid waiver redesign to better serve individuals with intellectual and developmental disability.
3.  In the event that provider capacity cannot meet the needs of individuals transitioning from training centers to the community, the department shall work with community services boards and private providers to explore the feasibility of developing (i) a limited number of small community group homes or intermediate care facilities to meet the needs of residents transitioning to the community, and/or (ii) a regional support center to provide specialty services to individuals with intellectual and developmental disabilities whose medical, dental, rehabilitative or other special needs cannot be met by community providers.  The Commissioner shall report on these efforts to the
House Appropriations and Senate Finance Committees as part of his quarterly report, pursuant to paragraph 1."


Explanation
(This amendment adds language requiring the Commissioner of the Department of Behavioral Health and Developmental Services to provide quarterly reports to the House Appropriations and Senate Finance Committees to determine how many residents of state training centers are choosing community placements, the existence of provider capacity in the health planning region in which the training center is located, barriers to discharge, and costs to transition individuals into the community including additional Medicaid reimbursement for congregate residential services to meet the complex medical or behavioral needs of individuals transitioning from state training centers. Language also requires the Department to convene quarterly meetings with families, authorized representatives, community services boards and private providers to provide a mechanism for communication and collaboration to ensure successful transition to the community. Finally, language requires the agency to work with community services boards and private providers to explore the feasibility of developing a limited number of small group homes, intermediate care facilities or regional support centers if provider capacity cannot meet the needs of individuals transitioning from training centers to the community.)