Florida users are welcome to a User Group Meeting being held at 1890 West State Road 436, Suite 295, Winter Park, FL 04210 on October 16, 2018. This is an opportunity for users in the state of Florida to meet and troubleshoot, network, discuss state and regional issues, clarify and learn about the latest Therap releases. We welcome you to join our user group meeting to discuss how Therap will work for individuals receiving services through the Florida Agency for Persons with Disabilities (APD), Agency for Healthcare Administration (AHCA), Florida Developmental Disabilities Council, to name a few. Learn how Florida Intellectual and developmental disabilities providers are using Therap to generate professional claims for Florida Medicaid while complying with Florida’s ADT Billing rules. Therap team members Maureen O’Connell and Tricia Woods will be at hand to answer technical questions and transmit the group’s consensus state needs and requirements to the Therap development team for review. Lunch will be provided for our registered attendees. We look forward to seeing you there!
|Washington, DC (June 26, 2015)
The Centers for Medicaid and Medicare Services (CMS) issued guidance on how they intend to address “heightened scrutiny” for settings that are subject to the home and community based services (HCBS) rule that went into effect on March 17, 2014. The guidance restates the standard for settings that are presumed institutional (located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment, or in a building located on the grounds of, or immediately adjacent to, a public institution). Additionally, any setting which has the effect of isolating individuals will be presumed to be institutional. For any of these instances, a state may submit evidence to overcome the presumption and demonstrate how the setting does meet the HCBS standards set forth. The new rules also offer states the option to develop “tiered standards for residential settings” which will allow states to “close the front door” to some providers while allowing existing providers of the same services to continue. This means that a state could set one compliant standard for existing providers and set a different, higher standard for new providers.
New Rates for July 1, 2015
APD announced that effective July 1, 2015, Personal Supports QH, Personal Supports Day, Support Coordination and CDC+ Consultant will all have an increased rate. Please see the link below for all the new rates. The changes to the cost plans and budgets will be made electronically and will not require the WSCs to redo any service authorizations and will not require the Regions to re-approve any service authorizations. That is the good news!
1) iBudget will be brought down on July 1st so the changes can be made. All FY 15-16 cost plans must be in approved status. Any cost plans that are in draft, or pending review status will have to be deleted by IT and any changes that have been made to those plans will be lost.
2) Please review all cost plans that are Pending Area Office Review for FY 15-16 and get them to approved status as soon as possible. If the reason for the pending review is due to a rejected service authorization that you are unable to resolve, complete a help desk ticket.
3) State Office staff will be reviewing any cost plans in Pending State Office Review to get them in approved status.
4) If support coordinators have consumers who currently have a FY 15-16 budget, however; they will not have a cost plan built prior to 7/1/15; the support coordinator will need to work with Region staff to get the budgets adjusted manually. Since those cost plans may or may not come for Region review, they will need to notify you who those consumers are.
5) Please encourage support coordinators to stop making any changes to cost plans after June 28, 2015 unless there is an emergency. This will give both the Region and State Office staff time to assist with getting all plans into approved status.
Suzanne Sewell, President & CEO , Troy Strawder, Board Chair
On July 22, 2014, President Obama signed the Workforce Innovation and Opportunity Act. The bill addresses unemployment across the spectrum – from vocational training, resume writing and English as a second language, to laid-off workers, disabled veterans and Americans with disabilities – the legislation casts a wide net through a host of federal government programs. In terms of Americans with disabilities, the bill is aimed at helping to prepare a new generation of young people with disabilities to succeed in competitive employment and predominantly impacts individuals with disabilities who are 24 years old and younger. This “new generation” will be required to first try vocational rehabilitation services before they are permitted to work in jobs paying less than the federal minimum wage. The bill is compatible with Florida’s Employment First Initiative which Florida ARF supports.
Meanwhile, Congressman Gregg Harper of Mississippi is sponsoring the Fair Wages for Workers with Disabilities Act of 2013 (HR 831), that if passed, would phase out 14(c) special wage certificates under the Fair Labor Standards Act of 1938 over a three year period. The bill has 94 sponsors and additional members of congress are poised to sign on. In Florida, six members of the congressional delegation have already signed onto the bill – Corrine Brown, Kathy Castor, Ander Crenshaw, Alcee Hastings, Daniel Webster, and Dennis Ross.
Now more than ever, the insights and viewpoints of Floridians with disabilities and their representatives are essential to the policy discussions going on at the national level. As we know, one size does not fit all. Many Community Rehabilitation Provider Agencies serve diverse constituencies and it is imperative that we make sure our congressional leaders are provided with a balanced perspective on the concerns and merits of center-based work experiences and 14(c) certificates and the need for more oversight of the programs at the federal levels. A number of variables play into the current equation including funding mechanisms, appropriate budget allocations and limits to disability compensations making it imperative that our congressional leaders recognize the true complexity of these issues.
We believe employees with disabilities and their representatives are the ones who should explain their experiences and tell their personal stories and that their representatives will hear and understand the complexities of the pending policy issues best when it comes from their own constituents.
Congressional Education Campaign
Florida ARF will be assisting its member agencies and interested parties with a campaign to educate members of the Florida Congressional delegation about the long-term implications of the policy decisions they are currently addressing. We encourage recipients and community rehabilitation providers to demonstrate real-life examples of how the proposed legislation to phase out 14 (c) would impact Floridians with disabilities in each congressman and woman’s district.
Collecting Authentic, Florida Stories
First and foremost, the campaign will involve telling the stories of employees throughout the state about their experiences in center-based employment environments and 14(c) employment opportunities and what they and their caregivers would be doing if the programs were eliminated.
Even though we support federal legislation and Employment First trends for younger employees with disabilities for youth transitioning out of school, we still need to feature current employees that would not be served outside of their current environments so that every individual with a significant disability has employment options. Therefore, we have developed a form to help your staff document the unique stories of the individuals they serve who receive 14 (c) subminimum wages.
Developing the Packet and Case Statement
With collaboration and final approval from each participating agency, staff will develop a packet of the top stories. The packet will also include white papers from appropriate sources, a Florida ARF position paper, and other relevant materials developed in collaboration with staff from a member agency.
Schedule Visits to Congressional District Offices
The Florida ARF Grassroots webpage contains information on how to set up Congressional appointments and a link to each US Senator and Representative serving Florida. Whenever possible, these visits should include employees with disabilities, their families, and other stakeholders on the scheduled visit to the congressional office. Remember, the purpose of the visit is to ensure that each congressional office hears directly from the community that will be impacted by the pending policy changes and what repercussions it will have on both the employee and the employee’s caregivers’ quality of life.
Let’s make a difference nationally and empower all Floridians with disabilities to validate the current merits of their employment!
Florida Medicaid Health Care Alert
Provider Type(s): 05, 67, and 76
Home and Community-Based Services Settings Rule Training Sessions
The Agency for Health Care Administration (Agency) will conduct regular training session for individuals, providers and interested stakeholders on the federal Home and Community-Based Settings Rule.
The Agency has scheduled a session for:
Tuesday, July 15, 2:00 pm ET
To join the training session
1. Call-in toll-free number: 1-888-670-3525 (US) then enter attendee access code: 250 928 7551 #
2. Click on this link: Home and Community Based Settings Rule and Transition Planning.
3. Enter your name and email address.
4. Enter the session password: This session does not require a password.
5. Click “Join Now”.
6. Follow the instructions that appear on your screen.
For further information, please visithttp://ahca.myflorida.com/Medicaid/hcbs_waivers/index.shtml or contact Sophia Whaley at
HCBS Settings Rule
In March 2014 the Centers for Medicare and Medicaid Services (CMS) issued a final rule for home and community based programs. The rule requires the Agency to provide an opportunity for the public to comment on substantive changes to home and community based service waiver programs and to ensure persons who receive Medicaid home and community based services do so in and environment, and from providers who:
- Involve them in the care planning process;
- Help them to be active in the community;
- Provide a home-like environment if a person lives in a group home, assisted living facility or adult family care home; and
- Enable them to make personal choices.
We have developed a preliminary transition plan detailing the steps to be taken to implement the new rule. The preliminary transition plan contains the following information:
- An overview of the federal rule;
- Planned transition activities;
- A timeline for when the comprehensive transition plan will be developed;
- Impending waiver amendments and renewals; and
- Details on the public comment process.
The final comprehensive transition plan will be available for public comment in the fall of 2014.
The preliminary transition plan is available for public comment from June 25th 2014 until July 25th 2014. Comments within this time period may be sent to:
Agency for Health Care Administration
Attention: HCBS Waivers
2727 Mahan Drive, MS#20
Tallahassee, FL, 32308
Therap Services Announces U.S. Patent Issuance for Secure Electronic Reporting of Abuse or Neglect for I/DD Provider Agencies
WATERBURY, Conn., June 18, 2014 /PRNewswire/ — Therap Services, leader in electronic documentation software for Intellectual Disability and Developmental Disability Service Providers, has received U.S. Government Patent No. 8,739,253 B2 for Managing Secure Sharing of Private Information Pertaining to Abuse or Neglect Across Security Domains on May 27, 2014.
Justin Brockie, Therap Services COO, states: “The award of this patent again confirms Therap’s status as the software leader in the intellectual disability community. States and providers using Therap have shown the benefits of our approach to secure transparency and real time sharing. These approaches can have a direct impact on the systems that support people with disabilities and prevent abuse, neglect and exploitation.”
Therap’s patented application for secure sharing of private information pertaining to abuse or neglect includes granting a staff user from one agency (such as an Oversight Agency) the ability to access private information stored within a secondary Provider Agency account when access authorization is in place through assigned caseloads and permissions. This method ensures that staff members are able to securely access private information based on ‘need to know’.
Therap Services applications and certified Electronic Health Record (EHR) provide the documentation components needed by Intellectual Disability and Developmental Disability Service Agencies to maintain their focus while adapting to a changing environment within the Human Services industry. State and federal agencies and standards, including CMS and HIPAA, mandate strict requirements on accurately tracking incidents, including those reports of abuse and neglect and prevention of Medicaid fraud. Therap’s customers can complete and monitor documentation efficiently across secure domains, enabling them to focus on providing higher quality services to individuals with intellectual and developmental disabilities.
Therap’s applications are utilized across disciplines in the I/DD field per the CMS home and community-based services (HCBS) requirements. Therap applications include over 70 modules ranging from documentation of service provision through a daily note, to person centered planning tools, incident report management, health assessments and individual care plans, an electronic MAR integrated with an industry-standard drug database, an individual referral process for state and multi-provider systems, a comprehensive report library for internal and external audits, to electronic billing direct to Medicaid through a secure, HIPAA 5010-compliant method.
About Therap Services, LLC
Therap Services’ certified EHR and documentation software solution are utilized by over 220,000 users in 1300 Intellectual Disability and Developmental Disability Provider Agencies. Use of Therap Services is mandated by 5 state governments. Therap’s software solution is used in home and community-based services (HCBS), intermediate care facilities for the developmentally disabled (ICF-DD) and other settings to document waiver service provision, employment supports, case management, incident reporting, management of staff training records and for electronic billing claim submissions directly to Medicaid. Therap Services is HIPAA OMNIBUS ACT of 2013 compliant. Learn more at www.therapservices.net.