Life Choices Project - What's This All About?

Helping Families. Supporting Communities. Empowering Individuals.
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Recommendations made by Life Choices Initiative Teams

Updates on the Teams of Life Choices Initiative (11-12-14)

What's This All About?

This initiative will increase opportunities for community options and improve quality of life for individuals with developmental disabilities. We wish to improve major steps in our system so that people with developmental disabilities and their family members have smoother and easier-to-understand processes for entering the system and getting services. We need to grow our community's capacity to provide more and better supports as people make the transition from State-Operated Developmental Centers and Intermediate Care Facilities/Developmental Disability settings. We will streamline practices and create consistency in developmental disability system processes across the state.

  1. People who need supports and services, and their families need up-to-date and accurate information about their role and decisions related to choice of services.
  2. There is a need for consistency with the federal Balancing Incentive Program and federal CMS requirements that service plans be person-centered and conflict-free.
  3. About 3,000 people need to be supported, as required by the Ligas Decree, by June, 2016.This requires improvements in eligibility determination, identification of, and access to, services needed.
  4. About 900 individuals will make the transition from ICF/DD settings by June, 2016.
  5. Ligas Decree requirements for Transition Plans, meaningful Prioritization of the Urgent Needs for Services (PUNS) system and timely eligibility determinations.

What is the desired outcome?

For all individuals with DD in Illinois to:

  1. be healthy and safe
  2. have real relationships with family and friends
  3. have a paying job if they want to work
  4. make decisions about their lives
  5. have opportunities to contribute to their community

What are the next steps?

  1. A streamlined and simplified eligibility determination process. Eligibility for developmental disability services will be determined directly after intake (screening) is complete.
  2. An updated PUNS through input received from listening sessions around the state.
  3. Medicaid HCBS Waiver eligibility will be completed within the time frame of start of HCBS services.
  4. Person-Centered Plan will be developed with the person, their ISC/PAS and family members.
  5. People will use their Person-Centered Plan to select service providers.
  6. ISSA will monitor services to assure their delivery is the same as what is in the person's Person-Centered Plan.
  7. Providers will continue to write the Individual Support Plan (ISP) demonstrating how they will deliver the services.
  8. Form teams among ISC/PAS agencies, service providers, self advocates, family representatives, DDD staff, and other stakeholders to develop the details of how each new process will occur.
  9. Identify resources and funding support.
  10. Revise policy manuals to reflect the changes.
  11. Train all ISSAs on the new process.
  12. Inform service provider agencies of the details of the new processes.

Roles Related to Support for the Teams

  1. Division of Developmental Disabilities (DDD) Senior Executives: serve as steering committee
  2. DDD Staff Support:  Logistics; Subject Matter Experts (SMEs) for each subject area; Project Lead Manager to oversee progress and liaison with Senior Executives
  3. PAS/ISSA Agency Executives:  participate in steering committee - and check in with representatives to stay knowledgeable about recommendations, requests for input, and final decision made
  4. PAS/ISSA Agency Program Managers/Supervisors:  participate on Teams as SMEs
  5. National Association of State Directors of Developmental Disabilities Services (NASDDDS) Consultants:  group facilitation, design of group exercises to accomplish the work; keep track of decisions made and recommendations made
  6. Illinois Council on Developmental Disabilities (DD Council):  oversight for the project and consultants

Helpful Team Meeting Documents