[tabi] Re: Gov Scott's Transition Team may be thinking about if one agency should serve all disabilities...
- From: "Joe Plummer" <joeplummer@xxxxxxx>
- To: <tabi@xxxxxxxxxxxxx>
- Date: Sun, 12 Dec 2010 11:15:12 -0500
Yes, this is very true.
sign,
Joe Plummer (JP)
joeplummer@xxxxxxx
-----Original Message-----
From: tabi-bounce@xxxxxxxxxxxxx [mailto:tabi-bounce@xxxxxxxxxxxxx] On Behalf
Of Easy Talk
Sent: Sunday, December 12, 2010 7:36 AM
To: tabi@xxxxxxxxxxxxx
Subject: [tabi] Re: Gov Scott's Transition Team may be thinking about if one
agency should serve all disabilities...
yes, and if you think they are going to say yes services will be worse, then
your crystal ball is certainly cloudy. They will sell this thing as the
best thing since sliced bread.
Robert
----- Original Message -----
From: "Lynn Evans" <evans-lynn@xxxxxxxxxxx>
To: <tabi@xxxxxxxxxxxxx>
Sent: Saturday, December 11, 2010 8:30 PM
Subject: [tabi] Re: Gov Scott's Transition Team may be thinking about if one
agency should serve all disabilities...
> These are good questions to be asking of our legislatures. We do not
> know the effect it will have on services and the people who are
> proposing the change do not know either. They are saying it will save
> the taxpayers money. REALY!?
> and their crystal ball is just as cloudy as my eye sight is .
>
> ----- Original Message -----
> From: "Christopher Thomas" <cthomas70@xxxxxxxxxxx>
> To: <tabi@xxxxxxxxxxxxx>
> Sent: Saturday, December 11, 2010 4:34 PM
> Subject: [tabi] Re: Gov Scott's Transition Team may be thinking about
> if one agency should serve all disabilities...
>
>
>> This is all very strange to me as someone who's only in the last
>> three years has lost his vision.
>> What will these changes in government mean for some place like the
>> Light house? Is it less funding? If or when I start school again
>> will there be fewer resources for me as a student?
>> And I understand what Daniel is saying, although I haven't
>> experienced it too much, there are are those people who will ask my
>> sighted guide if I can sign my name and sometimes won't acknowledge
>> me at all as if blindness were, indeed, a mental issue. It's weird.
>> I don't know if any of us could deal with that on a regular basis.
>> Christopher T.
>> ----- Original Message -----
>> From: "Daniel Ben Moshe" <danielbenmoshe1@xxxxxxxxx>
>> To: <tabi@xxxxxxxxxxxxx>
>> Sent: Thursday, December 09, 2010 12:34 PM
>> Subject: [tabi] Re: Gov Scott's Transition Team may be thinking about
>> if one agency should serve all disabilities...
>>
>>
>>> Remember he is from south Florida, this is how the people down here
>>> feel about Blindness, and other disabilities. They don't know any
>>> better, they think we are all the same. They don't see any
>>> difference between blind, and being mentally disabled If you don't
>>> believe me, just ask anybody who lives in south Florida now, and
>>> they will tell you that there is no difference. That's how they can
>>> put everybody under one umbrella, because they don't see a
>>> difference between Blind people and other disabilities. Get ready
>>> because he is going to introduce this south Florida mindset into
>>> north Florida. We call it down here a primitive, archaic, savage
>>> mindset about blindness, and other disabilities. This man knows nothing
about persons with disabilities.
>>> That's the whole problem is that he knows nothing along with the
>>> rest of south Florida, and now they want to tell us how to manage
>>> the Blind, and Disabled communities. North Florida this is what's
>>> coming people from south Florida who know nothing trying to manage
>>> a huge problem. So I would at least start asking questions, lets not
>>> get alarmed, but lets be aware.
>>>
>>>
>>> I'm glad to be your humble and obedient servant,
>>>
>>> Zechen Elder Daniel Ben Moshe,
>>> B'ni Yahshuah Synagogue Of Broward County, www.theblindcansee.org
>>> Choose ye this day whom you will serve. If YHWH be Elohim, then
>>> serve him, with all of your heart. However, if Baal be your god,
>>> then serve him. As for me, and my house. We choose to serve YHWH!
>>>
>>> The late Bishop Joe O Patterson told a story long ago, when I was a
>>> small child. about the show down, between Elijah, and the 450 false
>>> prophets of Baal. He shared with us how Elijah, stood, and told the
>>> false prophets to go on ahead, and call their god first. Because they
>>> had a much larger program. He talked about how they had 450
>>> participants to introduce. Elijah was so sure of YHWH, he with
>>> confidence said, that he only had one. Elijah also reminded them,
>>> that they had to drag their fake god up the mountain side on an ox cart.
>>> Elijah also announced to the world, that his Elohim would be there
>>> when he arrived. He said mockingly, you go on ahead. Heck, I will
>>> even let you have prime time. I'M going to take a nap, and when you
>>> guys finish your foolishness, wake me up. Go ahead now, take your best
shot.
>>> Bishop Joe O Patterson
>>> A blessed memory
>>> 1963-1989
>>> -----Original Message-----
>>> From: tabi-bounce@xxxxxxxxxxxxx [mailto:tabi-bounce@xxxxxxxxxxxxx]
>>> On Behalf Of blindwilly
>>> Sent: Thursday, December 09, 2010 10:21 AM
>>> To: tabi@xxxxxxxxxxxxx
>>> Subject: [tabi] Re: Gov Scott's Transition Team may be thinking
>>> about if one agency should serve all disabilities...
>>>
>>> Barbara,
>>>
>>> What is the e-mail address where I might send a post speaking
>>> against this proposal. I do not want to be put in the category of
>>> people with autism and mentally disable. Please God, don't put me
>>> in the category of people who can't tie there shoes.
>>>
>>> William
>>>
>>>
>>>
>>> ----- Original Message -----
>>> From: "Lighthouse of the Big Bend" <lighthousebigbend@xxxxxxxxx>
>>> To: <tabi@xxxxxxxxxxxxx>
>>> Sent: Wednesday, December 08, 2010 3:56 PM
>>> Subject: [tabi] Gov Scott's Transition Team may be thinking about if
>>> one agency should serve all disabilities...
>>>
>>>
>>>> Consumer groups of the Blind/VI may want to get involved, as it
>>>> looks like Gov Scott's Transition Team may be thinking about
>>>> whether one agency should serve everyone with disabilities...
>>>>
>>>> 12-8-10
>>>> Single Department Concept
>>>> A New Service Delivery System for the 21St Century
>>>>
>>>> The purpose of this proposal is to illustrate a method by which
>>>> Florida can create a single, efficient, consumer driven and
>>>> community
>>>> -- based service delivery system to provide services to the over 6
>>>> million persons with disabilities in Florida. The ultimate goal is
>>>> to reduce administrative costs and increase access to services and
>>>> service dollars; create a more efficient, fraud resistant billing
>>>> system and create an economic stimulus creating new private sector
>>>> jobs.
>>>> . Combining all of the programs and services for persons With
>>>> disabilities, including the Florida Medicaid Waiver programs, under
>>>> one department`-. will enable the State to move precious resources
>>>> to actual service delivery for persons with:.disabilities and
>>>> seniors across the disability spectrum and Recycle.
>>>> . This department can have one point of entry with a standardized
>>>> application, eligibility criteria, provider qualifications, and
>>>> provider rates for all services and programs.
>>>> . Creation of new jobs in the areas of core munity - based service
>>>> delivery and fraud prevention methods. This would mean the
>>>> recruitment of new entrepreneurial minded providers into the system
statewide.
>>>> To accomplish this goal, certain units can be removed from current
>>>> departments and placed in the new departmental structure. Personnel
>>>> requirements will then be determined, based on the overall
>>>> organization. Departments effected:
>>>> . Agency for Healthcare Administration (AHCA), the . Department of
>>>> Health (DOH), the . Department of Children and Families (DCF), the
>>>> . Department of Eider Affairs(CARES), the . Department of Education
>>>> (Vocational Rehabilitation and Division of Blind Services), and .
>>>> The Agency for"Persons with Disabilities As this new department is
>>>> being physically formed, a new philosophy will also be nurtured. A
>>>> philosophy of ingenuity, creativity, and an entrepreneurial spirit,
>>>> where employees are encouraged to think "outside of the box" to
>>>> solve the problems we will face in the coming years. We must
>>>> encourage unique, public - private partnerships at every level, in
>>>> order to maximize our precious resources. This includes private
>>>> entity investment into not only service provision but employment
>>>> opportunities for persons with disabilities. It is only through
>>>> this "rebirth" of the physical and philosophical can we have a
>>>> department that is truly responsive to our citizens.
>>>>
>>>> In Florida, every day over 6 million persons, with identified or
>>>> self-reported disabilities study, live, play, and work. The vast
>>>> majority of persons with disabilities can secure and maintain full
>>>> or part -- time competitive employment. They exhibit more courage
>>>> and fortitude daily than some people do in a lifetime. These
>>>> Floridians do not want a hand out but a hand up, a chance to
>>>> maximize their individual independence and to be as included in
>>>> their community as they wish, This untapped resource of ready and
>>>> willing potential employees should not be ignored.
>>>>
>>>> Having all disability programs and services, including Medicaid
>>>> Waivers located within one department, will:
>>>>
>>>> Streamline the application, eligibility, and acceptance process for
>>>> consumers and providers.
>>>>
>>>> Eliminate the "silo" effect, bringing all state organizations
>>>> working with persons with disabilities under one organizational
>>>> plan and chain of command.
>>>>
>>>> Reduce redundant administrative costs to include office space and
>>>> other such equipment.
>>>>
>>>> Create new private sector opportunities for persons who become
>>>> disabled as adults. Require anyone wishing to file for federal
>>>> disability programs to register with Vocational Rehabilitation.
>>>> Begin early working with the person focusing on ways to maximize
>>>> his/her abilities. in many cases, it may be possible for the person
>>>> with the disability to emerge with a better, more lucrative career.
>>>>
>>>> The department will maximize existing resources, such as using the
>>>> Clearinghouse on Disability Information to:
>>>> Maintain one website for all information on disabilities.
>>>> Operate a single toll-free phone number with accessibility built
>>>> into the system. Have a dedicated information referral system that
>>>> not only serves consumers, but providers and other state agencies.
>>>>
>>>> ? Allow the department to standardize the processes to determine
>>>> eligibility (one assessment instrument), provider qualifications
>>>> and enrollment, service limitations, rates of pay, nursing home
>>>> transition initiatives, etc.
>>>>
>>>> ? Reduce or maintain turnaround time in billing to enable providers
>>>> to receive pay for services in a timely fashion, while cutting down
>>>> on potential fraud.
>>>>
>>>> Through a coordinated, functional needs based system, all
>>>> individuals with disabilities will have their needs assessed and
>>>> identified by a Global Assessment with a single Case Plan.
>>>>
>>>> Bryan F. Vaughan, MS Executive Director Commission on Disabilities
>>>>
>>>> 1217/2010 Page 2 of 4
>>>>
>>>> .:. Adapt the existing iBudget algorithm across the disabilities
>>>> spectrum to ensure a consistent and efficient distribution of
>>>> scarce resources.
>>>>
>>>> :. Serve consumers and providers will be served in a timelier and
>>>> more consistent manner statewide.
>>>> One standardized assessment instrument to determine risk of
>>>> institutionalization and eligibility for waiver services would
>>>> ensure services are provided to those most in need and would reduce
>>>> the number of individuals currently on wait lists for the various
waivers.
>>>> Provider qualifications and rate of pay will be consistent and
>>>> allow them to serve all populations without having to apply to work
>>>> with multiple waivers and organizations. The Legislature will only
>>>> need to deal with one budget to fund all the waivers. The processes
>>>> for being placed on a wait list will be standardized throughout all
>>>> the individual waivers.
>>>> Funding for community-based, long-term care services would be more
>>>> equitable for each of the disability groups competing for limited
>>>> resources.
>>>>
>>>>
>>>> Note: Some agencies may be reluctant' to relinquish administration
>>>> of their waiver programs. Consumers and providers currently being
>>>> served by the various waivers may be impacted if service
>>>> limitations and rates of pay are standardized. Use of the iBudget
>>>> algorithm will ensure a person's needs are met in an effective
>>>> manner. Some individual disability groups may be concerned about
>>>> any change in the current structure which can be mitigated through
>>>> an appropriate public information program.
>>>> Evidence to Support Single Department
>>>>
>>>> The states of Illinois and Vermont have already gone to the single
>>>> entity system with good results. Real Choice Systems Change Grant
>>>> Program, Third Year Report: Progress and Challenges of the FY 2002
>>>> and FY 2003 Grantees: (October 1, 2003 -- September 30, 2004) Final
>>>> Report.
>>>> Consolidation
>>>>
>>>> The Governor's Commission on Disabilities, along with personnel
>>>> from the effected departments, advocates, and providers could work
>>>> towards the planning, development, and implementation of this
>>>> single department.
>>>>
>>>> Planning & Timeline
>>>> Planning could begin to consolidate all programs and services,
>>>> including waivers under one department in the 2010 - 2011 fiscal
>>>> year, with implementation occurring in an on-going basis. Full
>>>> consolidation could take until the 2011 -- 2012 fiscal year.
>>>> Estimated Potential Savings
>>>> ? A coordinated waiver program would require fewer administrative
>>>> staff, intake and referral staff, provider enrollment staff and
>>>> fiscal staff to moriitorexpenditures.
>>>> ? There would be a reduction in allocated office space, expenses;,
>>>> and equipment allocations for personnel due to consolidation into
>>>> one agency. Multiple websites dedicated to the various waivers
>>>> would be reduced.to>one. This would also create a more user
>>>> friendly, accessible system of delivering information. **g
>>>> Consolidating multiple call-centers for consumers and providers
>>>> would still allow calls to be channeled from one line directly to
>>>> the appropriate waiver specialist.
>>>>
>>>>
>>>> Florida currently has a great need for more community - based
>>>> service providers. Partnerships with Colleges of Business at our
>>>> State Universities, as well as the Chamber of Commerce for Persons
>>>> with Disabilities, can promote an entrepreneurial effort to create
>>>> these small provider businesses.
>>>>
>>>> To reduce fraud, a "call and verify" system can be included as part
>>>> of the billing cycle. When a provider bills the department, a
>>>> random verification system will identify a consumer to be called
>>>> and asked if helshe has received the items or services as billed.
>>>> This process will help prevent discrepancies and false claims as
>>>> are potential risks under the current system. The department can
>>>> either decide to use one or multiple verifying agencies. This can
>>>> be performed by workers from home (enabling persons with
>>>> disabilities, seniors, or others who are transportation
>>>> disadvantaged) or a central location.
>>>>
>>>>
>>>> --
>>>> Lighthouse of the Big Bend
>>>> Guiding People Through Vision Loss
>>>> 3071 Highland Oaks Terrace
>>>> Tallahassee, FL 32301
>>>> (850) 942-3658
>>>> www.lighthousebigbend.org
>>>> Check out the TABI resource web page at
>>>> http://acorange.home.comcast.net/TABI
>>>> and please make suggestions for new material.
>>>>
>>>>
>>>>
>>>> if you'd like to unsubscribe you can do so through the
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>>>
>>> Check out the TABI resource web page at
>>> http://acorange.home.comcast.net/TABI
>>> and please make suggestions for new material.
>>>
>>>
>>>
>>> if you'd like to unsubscribe you can do so through the freelists.org
>>> web interface, or by sending an email to the address
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>>>
>>> Check out the TABI resource web page at
>>> http://acorange.home.comcast.net/TABI
>>> and please make suggestions for new material.
>>>
>>>
>>>
>>> if you'd like to unsubscribe you can do so through the freelists.org
>>> web interface, or by sending an email to the address
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>>
>>
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>> Check out the TABI resource web page at
>> http://acorange.home.comcast.net/TABI
>> and please make suggestions for new material.
>>
>>
>>
>> if you'd like to unsubscribe you can do so through the freelists.org
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>
> Check out the TABI resource web page at
> http://acorange.home.comcast.net/TABI
> and please make suggestions for new material.
>
>
>
> if you'd like to unsubscribe you can do so through the freelists.org
> web interface, or by sending an email to the address
> tabi-request@xxxxxxxxxxxxx with the word "unsubscribe" in the subject.
Check out the TABI resource web page at
http://acorange.home.comcast.net/TABI
and please make suggestions for new material.
if you'd like to unsubscribe you can do so through the freelists.org web
interface, or by sending an email to the address tabi-request@xxxxxxxxxxxxx
with the word "unsubscribe" in the subject.
Check out the TABI resource web page at http://acorange.home.comcast.net/TABI
and please make suggestions for new material.
if you'd like to unsubscribe you can do so through the freelists.org web
interface, or by sending an email to the address tabi-request@xxxxxxxxxxxxx
with the word "unsubscribe" in the subject.
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