Re: Clarification on Waivers

[Guest guest]

Ok well then I have a question. When someone gets funding for a job coach OTHER

than from using their Adult Hone based (Medicaid) waiver, where is THAT funding

coming from?

Because now I am starting to worry, if your child is using up most of their home

based waiver funds on the adult day care fees ie: Day program at Ray Graham for

example for week days 9a-2:30p care and then additional for after program care

(which is like additionally charged fees similar to after school care), and then

in the evenings and weekends needs to pay for a job coach and there is not

enough money left from the home based waiver to cover it all. Then does the

person have other options for funding from some other source (other waiver

source) to pay for the job coach? Or do they then have to chose between day

care OR A JOB COACH? That's what I'm worrying about nowe that folks are

mentioning that you cannot get more than 1 waiver anymore at a time.

Any one have any info or tjoughts on this?

Diane S

>

> To 's point about not being on two waivers at the same time -- correct!

>

> And just to clarify, when was approved for HCBS Waiver, she/we chose to

let go of the DRS Home Services Waiver and move her over to the DD HCBS Waiver.

I was told, on good authority, that being on the HCBS Waiver might make it

easier down the road for her to qualify for DD residential funding. Otherwise,

the money part of it was about the same for , and the paperwork/oversight

part was definitely easier on the DRS Home Services Waiver. Much easier.

>

> Tradeoffs, always tradeoffs.

>

> L.

>

>

[Guest guest]

Diane,

It's my understanding that a person with a disability can access regular Dept.

of Rehab Services, like job preparation, job finding, and job coaching, in

addition to having a Medicaid Waiver thru DD or DRS. Those job services must

not be from a Medicaid Waiver but some other source of funding.

However, understand that regular DRS job services DO NOT INCLUDE a personal job

coach who accompanies your son every minute of every day; what I've heard is

that it usually extends for the first 3 months of employment, max, and that it

might be every day they work for the first few weeks, but then fades to more of

a pop in and check kind of support. There's also something called 'extended job

coaching' which I believe is on the current chopping block along with other

services in the next fiscal year.

Others with more knowledge of this, please jump in and correct me where I've

gotten it wrong.

You're right, though, Diane, about wondering how you pay for all that you want

to do for your son. The HCBS waiver has a lot of flexibility, yes, but choices

have to be made about how to stretch it as far as possible.

Laurie

> >

> > To 's point about not being on two waivers at the same time -- correct!

> >

> > And just to clarify, when was approved for HCBS Waiver, she/we chose

to let go of the DRS Home Services Waiver and move her over to the DD HCBS

Waiver. I was told, on good authority, that being on the HCBS Waiver might make

it easier down the road for her to qualify for DD residential funding.

Otherwise, the money part of it was about the same for , and the

paperwork/oversight part was definitely easier on the DRS Home Services Waiver.

Much easier.

> >

> > Tradeoffs, always tradeoffs.

> >

> > L.

> >

> >