Equal Opportunity / Affirmative Action Employer

Mitchell E. Daniels, Jr., Governor "People State of Indiana helping people help DIVISION OF DISABILITY AND REHABILITATIVE SERVICES themselves" 402 W. Washington Street, P.O. Box 7083 Indianapolis, IN 46207-7083 1-800-545-7763 OASIS E-NEWS Division of Disability and Rehabilitative Services (DDRS) July 2007

The Division of Disability and Rehabilitative Services Mission: Facilitating effective partnerships which enhance the quality of life for the people we serve in the communities and pursuits of their choice.

What does OASIS mean?

The Objective Assessment System for Individual Supports

What is the goal for OASIS? The goal of OASIS is to create a uniform funding model to determine fair and equitable levels of State support based on an objective assessment and driven by the principles of Person Centered Planning and measurable Individualized Support Plan outcomes.

When does OASIS begin? As you are aware, all individuals receiving Autism, Developmental Disabilities, and Support Services Waivers in BDDS District 4 are involved in the OASIS Shadowing and Pilot process. We are excited about the prospects for this important initiative and anticipate great benefits to Consumers and Providers!

www.IN.gov / fssa Equal Opportunity / Affirmative Action Employer The District 4 Shadowing and Pilot project will begin July 2007 and will have two phases.

Phase I: “shadowing” First, we want to build the OASIS individual resource allocation guidelines using the experiences of people who are receiving quality supports and are satisfied with their personal outcomes. Our intent is to use people who volunteer as our “best practices” group. We will examine the amount and cost of these “best practice” supports and compare them with other people who have similar needs. In this phase, no one’s funding levels or services will be changed; our sole purpose is to figure out “how much is enough”.

Phase II: “piloting” The second phase involves actual testing and implementation of the OASIS guidelines.  For people in the “best practices” group there will be no changes in your services, as you are considered the model for best practices.

 Providers will experience a change in the billing process, as you will utilize the newly developed rates for defined waiver services.

 For other individuals in waiver services within in District 4, we want to see how their services will change if they were to receive amounts of support similar to the “best practice” group.

Here is what will happen for the “best practice group” in the District 4 OASIS pilot. 1. Davis Deshaies will schedule time to meet or call you and discuss the current services and supports which you receive. We will ask you about services that are working particularly well. 2. They will interview your provider(s) and ask them about their staff wages, staff skills, recruiting and retention strategies, and how they organize and deliver supports. 3. Davis Deshaies will examine your current annual cost plan, and ask you if there are any changes which you wish to make either now or in the future. 4. These meetings / telephone calls will last approximately one hour, and we will be contacting you at the beginning of the project (July 2007) and toward the end of the project (October 2007). Important OASIS Dates for District 4 Providers of Waiver Services:

Remember to complete your cost reports by August 15, 2007

OASIS GLOSSARY

1. Resource Determination Tool

This is a tool being created through the OASIS project that calculates the annual resource allocation in dollars for each person for their HCBS waiver services and includes data on several cost drivers including the ICAP scores for each person.

2. Cost Driver

A cost driver is anything that influences the cost of providing a waiver service. Examples are a consumer’s age, living situation (i.e. living alone or with family or other people, etc.), transportation access, specific health needs, and others.

3. Annual Resource Allocation

Also referred to as the “OASIS” allocation, this is the amount calculated by the “resource determination tool” in # 1 above. The Annual Resource Allocation is the annual amount of financial resources assigned to each individual consumer to purchase waiver services and supports. It is based on the consumer’s level of need and other cost drivers, and is applied in an equitable way to all consumers.

4. Service Planner

This is Indiana’s annual service plan that describes the level and type of services each individual will receive. It is coordinated by the IPMG case manager with involvement from the consumer, family/guardian and planning team.

5. Interactive Budget Tool

This is a software tool that enables consumers and families to test different combination amounts of services, investigate what these combinations would cost, and compare it to their OASIS resource allocation.

6. Shadowing

This is a way to test “what if” situations without actually making any changes. During OASIS “shadowing,” (July 2007 to December 2007), we will test different standardized reimbursement rate amounts and different levels of service supports in District 4. The goal is to figure out what the rates should be and what the right levels of service are to give people quality outcomes. The “right level of service” is also referred to as the “best practice” level. 7. Best Practice Level of Service

This is the level of direct care and support needed to keep people safe and free from harm, healthy and well, provide a stable home, create personal financial resources, and to allow people to participate as an included member of their community.

8. Piloting

Using what was learned in the “shadowing” phase, the pilot (Jan. 2008 to June 2008) implements an initial set of standardized reimbursement rates and levels of service supports in District 4. The pilot tests the rates and “best practice” levels of service in the “real world” for 6 months. At the end of the pilot, adjustments are made based on what is learned from providers and consumers.

9. Provider Cost Survey

This is an EXCEL tool sent to all Indiana waiver service Providers that captures each Provider’s HCBS expenses for a specific timeframe. This is used as one of several pieces of data to set the standardized rates.

10. Focus Groups

For the OASIS project, focus groups are meetings of small groups of consumers and families in various cities across Indiana. The purpose is to discuss their current experiences with waiver services, give input on what the best practice level of service is, and to give feedback on OASIS activities. OASIS DATA: # OF Service planners completed in District 4:

Behavior Management Service Planners

Hours Entered (Y/N) no yes TOTALS Consumer - Waiver type Autism 9 16 25 DD 66 221 287 SSW 10 25 35 TOTALS (6 groups) 85 262 347

Day Services Service Planners.

Hours Entered (Y/N) no yes TOTALS Consumer - Waiver type

Autism 4 12 16 DD 87 296 383 Hours Entered (Y/N) no yes TOTALS SSW 68 215 283 TOTALS (7 groups) 165 523 688 Hours Entered (Y/N) no yes TOTALS Waiver types Autism 2 32 34 DD 95 451 546 SSW 1 5 6

TOTALS (7 groups) 110 488 598

RHSS Service Planners

Completed ICAP assessments

Pilot area 738 Entire of the State 1209

Completed financial information received as of 7/20/07

107 completed cost report surveys!

Congrats! To the following providers for submitting these cost reports! Abilities Services Achieva Resources Corporation, Inc. ADEC, Inc. Alternative Lifestyles, Inc. Alternative Lifestyles, Inc. Anthony Wayne Rehabilitation Services Arc BRIDGES, Inc. Arc Opportunities, Inc. Arc Rehab Services, Inc. Arc Vigo County Archer Consultation Services, Inc Arrow Consultation Services, Inc. Arthur "Fritz" Kruggel Association for Retarded Citizens of Wabash County, Inc Autism Consulting Services of Indiana, Inc. Behavior Consultation Services, Inc Behavior Specialists of Indiana, LLC Behavioral Interventions Inc Bethesda Lutheran Homes and Services, Inc. Bi-County Services, Inc. Blue River Services, Inc. Bona Vista Programs, Inc. Bridge Pointe Services and Goodwill Industries of Southern Indiana, Inc. Bridges of Indiana Cardinal Center, Inc Cardinal Service Management, Inc. Carey Services, Inc. Caring Services, Inc. CDC Resources, Inc. Child-Adult Resource Services, Inc. Christole, Inc. Clinical Psychology Center Community Living, Inc. Community Ventures in Living Cornerstone Associates, LLC CRF First Choice, Inc. Crossroads Rehabilitation Center, Inc. Damar Services, Inc. Developmental Service Alternatives, Inc. Developmental Services, Inc. Easter Seals Arc Edgewater System for Balance Living Enhance, Inc. Evansville ARC, Inc. Family Care Center, Inc. Forte Residential Inc. Four Rivers Resource services, Inc. Gibson County Area Rehabilitation Centers, Inc. Globe Star, LLC Goodwill Industries of Michiana, Inc. Hamilton Center, Inc. Heartland Residential Services Inc. Hillcroft Services, INC. Hoosier Uplands Home Health Care Hopewell Center, Inc. Independent Residential Living of Central Indiana Indiana Mentor In-Pact Inc. Jami Martin Jay Randolph developmental Services, Inc. Johnson County Association for Retarded Citizens, Inc. Knox County ARC Learning Independence for Enhancement, Inc. LEL Logan Community Resources, Inc. Marshall Starke Development Center, Inc. MCsheer Inc. MDC Goldenrod Meaningful Day Services, Inc. Michelle M. Webster Michiana Midwest Residential Services, Inc. Need-A-Nurse Inc. New Hope Services Inc. Noble county Association for Retarded Citizens, Inc. Noble of Indiana Opportunities For Positive Growth, Inc Opportunity Enterprises, Inc. Passages, Inc. Pathfinders Peak Community Services, Inc. Phoenix Community Services Pike County Area Rehabilitation Centers, Inc. Posey County Rehabilitation Services Putnam County Comprehensive Services, Inc. Quality Living Solutions, LLC ResCare, Inc. Residential Services Incorporated Richard P. Lookatch, Ph.D. Rise, Inc. Satti Home Health Care Inc. Second Family Adult Day Center, Inc Shares, Inc. Soper Consulting, P.C. Southern Indiana Resource Solutions (SIRS) Southern Indiana Respite Services Inc. St Vincent New Hope, Inc. Stone Belt Arc, Inc. Susanne J. Bauer Sycamore Services, Inc. Terry's Companion Care Company The Rehabilitation Center Trade Winds Rehabilitation Center, Inc. Transitional Services, Inc Volunteers of America Wabash Center, Inc. Working For Independence, LLC Your Friends & Neighbors Inc. Remember if you haven’t completed this cost reports, please submit as soon as possible!

OASIS-ICAP Help Lines:

(317) 234-5222 1-888-527-0008 [email protected]

Important Links:

BDDS District 4 Provider Service Planner (service planner training link) www.davisdeshaies.com www.gotoipmg.com

Upcoming OASIS Events! No events are scheduled at this time

How does the OASIS process work?

State Employees OASIS Individual in (BDDS Central Office) Services/Guardian/ ICAP IST/IPMG DD Eligibility Individual-specific LOC Criteria PCP Goals & Expectations

Funding Range Review/approval of (Resource Individual budgets Determination Tool) If within range, confirm Supports and services Annual Budget Provider Selection If outside of range or change (Interactive Budget ISP Request and verify Tool) Service Planning Team determination Of resource allocation

Billing

QA: random sample- On going review of Plan of Care, LOC, ISP

QA: ongoing verification Of services and supports