ATCMHMR

Local Mental Retardation Authority Overview of Services and Supports Janet Brunette, Director of MR/DD Authority Services Bluebonnet Trails MHMR Center Maya Vega, Vega Director of IDD Services Austin Travis County Integral Care

A Agenda d † Local and Statewide Service Areas † LMRA’s Contract Responsibilities (DADS) † Overview of GR Supports and Services † Eligibility Determination and Requirements † What Wh t to t expectt from f a Service S i Coordinator C di t † Overview of HCS, TxHmL, and ICF/MR

programs p g † Questions & Comments

Local Mental Retardation A th iti (MRA Authorities (MRAs)) serve as the point of entry for publicly funded mental retardation programs, whether the program is provided by a public or private entity

LMRA’ St LMRA’s Statewide t id † There are 39 LMRA’s statewide. † http://www.dads.state.tx.us/contact/mra. p

cfm for a full listing of LMRA’s and their service areas.

ATC and d BBT S Service i A Areas † ATC serves Travis County † BBT serves: Bastrop, p Burnet, Caldwell,

Fayette, Lee, Williamson, Gonzales and Guadalupe Counties.

LMRA’ C LMRA’s Contracted t t dR Responsiblities ibliti † provide or contract to provide an array of

services and supports for persons with mental retardation † are responsible for enrolling eligible individuals into the following Medicaid Programs: „

„ „

Intermediate Care Facility for Persons with Mental Retardation (ICF/MR), which includes state supported d liliving i centers Home and Community-based Services (HCS) Texas Home Living (TxHmL)

† are responsible ibl ffor P Permanency Pl Planning i ffor

consumers under 22 years of age who live in an ICF/MR, nursing facility, or a residential setting of the HCS Program Program.

Services and Supports offered by the LMRA through GR funding: † Eligibility Determination

† In-Home & Out of home

† Case Coordination and † † † † †

Service Coordination Supported Home Living services Supported Employment Day Habilitation services Nursing services Behavior Support S

†

†

† †

Respite Residential Services „ foster homes „ group homes „ ICF-MR Continuity of Care services for persons in the State Facilities Permanency Planning www.dads.state.tx.us/ser vices/index cfm vices/index.cfm

Eligibility Requirements for GR Services † Must have a diagnosis of mental retardation, as defined

by Texas Health and Safety Code §591.003* † and/or a diagnosis Pervasive Developmental Disorder (PDD) including Autism as defined in the current edition of the Diagnostic and Statistical Manual „

*Mental *M t lR Retardation t d ti is i ad developmental l t l di disability bilit characterized by sub-average intellectual functioning (IQ of 70 or below) with deficits in adaptive functioning AND with onset occurring before the age of 18 (also known as the Developmental years).

D Determining i i Eligibility Eli ibili † Schedule an Intake Appointment † Individual seeking services and LAR are

required i d tto attend tt d the th appointment i t t † Must bring required documents „

Previous assessments, assessments Proof of address, address Proof of insurance, Proof of Income

† Expect the appointment to take 2-4 hours long † If eligible, person will be assigned to Service

Coordinator.

What to expect from a Service Coordinator † Develop and monitor the Person

Centered Plan--Respect for individual choices † Notification of any changes in SC assessments † Referring and linking to community services † ARD participation † Authorizing Resources

Home and Community Based (HCS ) Waiver Program † The HCS Program provides services to people with mental

retardation who live with their family, in their own home, in a foster/companion care setting, or in a residence with no more than four people who also receive services. The HCS Program provides id services i tto meett th the person’s ’ needs d so th the person can maintain himself or herself in the community and have opportunities to participate as a citizen to the maximum extent possible. Services consist of case management, adaptive aids, minor home modifications modifications, counseling and therapies therapies, dental treatment, nursing, residential assistance, respite, day habilitation, and supported employment. Persons living in a foster/companion care setting or an HCS residence pay for their own room and board with either their monthly Supplemental S Security it Income I (SSI) check h k or other th personall resources. Th There is a limit to the yearly cost of services provided through the HCS Program. † LMRA’s manage the local interest list for this waiver program.

Texas Home Living (TxHmL) Medicaid Waiver Program † The TxHmL Program provides essential services and supports

so that people with mental retardation can continue to live with their families or in their own homes. TxHmL services are intended to supplement, not replace, the services and supports th may receive they i ffrom other th programs, such h as th the T Texas Health Steps Program, or from natural supports such as family, neighbors, or community organizations. Services consist of community support, nursing, adaptive aids, minor home modifications specialized therapies modifications, therapies, behavioral support support, dental treatment, respite, day habilitation, employment assistance, and supported employment. Service coordination is provided by the MRA. TxHmL Program services are limited to a yearly cost of $13,000 per participant. Additional information about the TxHmL † TxHmL services are offered to individuals on the HCS Interst List there is not a separate interest list for TxHmL.

Intermediate Care Facilities for persons with MR (ICF/MR) † An ICF/MR, which may be operated by a private or public

entity, provides residential and habilitative services, medical services, skills training, and adjunctive therapies with 24 24-hour hour supervision and coordination of the individual program plan. These residential facilities range from six beds to several hundred beds for people who have mental retardation or a condition related to mental retardation (related condition). „ Two categories: State Supported Living Centers and Community-Based ICF/MR Facilities. „ LMRA’s LMRA’ assist i t with ith the th ICF/MR search h and d placement l t

I t k Contact Intake C t t Information I f ti † Austin Travis County Integral Care „

(512) 472-HELP

† Bluebonnet Trails MHMR Center „

Refer to website: www.BluebonnetMHMR.org

Q Questions ti & Comments C t † Janet Brunette (512) 244-8296,

Bluebonnet Trails MHMR Center † Maya Vega (512) 445-7772,

Austin Travis County Integral Care