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July 2002 Newsletter
For a PDF version click Here


$75 MILLION in MI/DD SERVICES RESTORED!!

Home-Based Support Services Programs Saved!!

Picture of "Lobby Day" participants

Advocates gathered for "Lobby Day" at the Capitol in Springfield.  Gathering around our information table in the Stratton Building Cafeteria are (left to right):  Nicky Dargis, Deb Fornoff, Nancy Brown, Barbara Cercanowitz and Bridget Brown.

 

We did it!  All your hard work, all that letter writing, all those trips to Springfield, all those conversations with legislators, all those sleepless nights have paid off! 

The economy of the state of Illinois came crashing down this year.  Starting as early as August of last year, Illinois started reeling from the effects of a serious economic downturn.  For the first time in Illinois history, all three state government funding streams - income tax, sales tax, and corporate taxes - took a dive at the same time.  Then the tragedy of September 11th happened and the economy took an even harder hit.  Every time we thought the numbers couldn’t get any worse, they did.  The Governor and the Illinois State Legislature had the onerous task of figuring out how to balance a horrible budget.  In February, the Governor proposed a plan that would effectively eliminate the Home-Based Support Services Program.  Children and adults with Mental Illness were to be simply dropped from both the Family Assistance and Home-Based Support Services Programs.  People with developmental disabilities enrolled in the Home-Based Support Services Program were to be moved into a fairly new program called Supported Living Services.  This program is “Medicaid Waiver” funded and the state is reimbursed for half of the expense of the program.  However, the two years SLS had been in existence was just long enough for participants and families to discover that the program had serious problems and did not work well.

The Family Support Network and all of its members moved into action.  Our members (that’s you!) were FABULOUS!  We were forced to address our problems with two separate strategies. 

We knew we could not ask the state to turn away from millions of federal dollars available for people with developmental disabilities in this horrible economic year.  However, that funding stream was not available for people with mental illness.  We had two messages:

·         Restore funding for people with Mental Illness in the Family Assistance and Home-Based Support Services Programs.

·         Let advocates help “re-design” the waiver for Supported Living Services or create a new family friendly waiver.

We shared the information about the changes by e-mail and in print with everyone we could think of who might feel the impact of these changes.  We gathered members to testify at both House and Senate Appropriation hearings in Springfield and Chicago and twice mailed letters to all 177 legislators and the Governor.

We were active participants in the “Do The Right Thing” Coalition.  On April 17th, “Lobby Day”, Charlotte Cronin and Beth Lacey of Community Support Services met with House Minority Leader Lee Daniels, Secretary Linda Renee Baker, and Assoc. Director Melissa Wright.  Sec. Baker and Melissa agreed to use the Family Support Network Task Force to either re-design SLS or design a completely new waiver.  Three meetings were held with Task Force representatives and DHS staff.  The meetings were hugely productive, constructive, collaborative efforts with lots of give and take on both sides.  Changes were made to the Home-Based Support Services Program, allowing the state to capture Federal Financial Participation dollars and saving many of the benefits provided by the old HBSSP.  Equally important, the roughly 450 people in SLS will benefit from improved services.

The process is not over.  DHS has agreed to create a new committee of the Statewide Advisory Council that will meet monthly for at least the next two years.  The mission of this standing committee will be overseeing the transition to this new waiver, addressing many unresolved problems, helping to design a training manual, helping with communication between the Department, facilitators and participants.  All these things are important because the process of the design of the waiver happened very quickly and in effect, will be ongoing for some time.  In many ways, what we have is a good skeleton.  It will be the implementation that puts the muscle on it and makes the program work.

Feeling that the HBSSP had been addressed to the best of our abilities for people with developmental disabilities, we pressed on with our letter writing and advocacy for people with mental illness.  We developed a “MI” Fact Sheet. We wrote more letters.  We called and visited with our legislators.

Now we know that funding for people with mental illness in both the Family Assistance and Home-Based Support Services Programs has been restored! The restoration is part of a $75 million package of restored funding to both MI and DD Community Services and passed by the Illinois State General Assembly (our legislature) on May 31st.   We DID IT!  People with disabilities proved that our voices are important and that we have power when we use them.  

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What Are Our Big Questions For The Future?

  • Have we effectively "split" the Home-Based Support Services Program (HBSSP) in two?  Will the Family Support Advisory Council continue?  How will the creation of the standing committee of the DD Statewide Advisory Council impact it?  How will they interact? 

  • Will the Office of Mental Health propose changes to the program?  What do we need to do to prevent that or be part of that?

  • How can we strengthen our advocacy efforts for people with Mental Illness?  In the past, the challenge has "just" been increasing funding and reaching folks with MI to make sure they were aware of the programs and had their names on the "potential applicants" list.  The challenges have increased now.  We need to not only make sure the programs survive but, that the spirit and philosophy of the programs prospers and grows.  The FSN has always been committed to the programs because they are "best practices".  We're mobilized now.  What are our next steps? We’re planning a "Summit" September 21st in Peoria.  Can you attend?  For more information, check out our invitation on page 6. 

  • How have the HBSSP changes for people with DD affected their services?  There are many issues out there to be resolved.  Some of them can be fixed now.  Some will take lots of advocacy work.  The ones we’re hearing about the most right now are:

    •  Prompt payment to personal support workers,

    •  Loss of reimbursement for essential items and services that won’t be reimbursed under either the State Plan Card or HBSSP,

    •  Developmental Training reimbursement rates and transportation,

    • Medical and dental services which must be reimbursed with Medicaid funding, which many doctors and therapists won’t accept.

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FSN Searching For New Board Members!

Want to get on the inside, be at our table while decisions are being made, have a chance to boss Charlotte around?  Join the FSN Board of Directors!  We need energetic, motivated members who are excited to join our mission, who will be active members of our Board, attend meetings and make a real contribution!  We know the people we’re looking for are out there somewhere and when you look at our “wish list” describing them, you’ll be able to identify them for us!  Is it you?  We must have a dedicated Board to succeed.

The mission of the Family Support Network is to unify individuals with disabilities and their families to advocate for funding, services, and community resources that strengthen and support the individual and the family directly by responding to their individual needs and empowering them to live in their own homes.  The Family Support Network further seeks to ensure the continuation of all individual supports throughout the life span of the individual.

The Board of Directors for the Family Support plays a crucial role in this mission. The following are characteristics that we have determined to be essential to complete our wonderful Board.  Remember, no one has all these skills and EVERYONE is important!

  • Energy

  • Reliability

  • Leadership skills

  • Fund-raising skills, contacts

  • Dedication

  • Caring

  • Experience with disability

So, if you know people that fit this description, please complete the following nomination form and return to us.  All nominations need to be received by August 15, 2002.  You may share the same information with us by e-mail at fsn@familysupportnetwork.org or fax at 309-693-8962. Thank you!!

 

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The FSN Board of Directors Nomination Form

Please accept my nomination of the following individual for the position of Board Member for the FSN.

Nominee Name: ________________________ 
Home Phone:__________________________

Address: _______________________________________ 
Work Phone: ___________________________________

City: ___________________________ 
E-mail:  ________________________________

State: __________ Zip: _______________
Fax:  ________________________________

Please tell us about the remarkable qualities this person has that will make him or her a great FSN Board Member.









Thank you!  If you are nominating someone other than yourself, please tell us who you are!

Your Name: ________________________________ 
Home Phone: ______________________________

Address: ___________________________________ 
Work Phone:  ______________________________

City: __________________________ 
E-mail:  _________________________________

State: _____________  Zip: _______________
Fax: ______________________________

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Home-Based Services for People with DD: 

What Do They Look Like Now?

Following are highlights of the changes in the Home-Based Support Services Program for people with developmental disabilities.  Call us if you are confused or need more information or help.

As you read the following information it is important to remember that we know this is not a perfect program.  It is a work in progress.  MANY issues remain to be addressed and solved.  The exciting news is that those issues will be addressed by a consumer driven committee and a firm commitment from a very excited Office of Developmental Disabilities to make them work.

 

Importantly, the program will continue to be called the Home-Based Support Services Program and operate under the original statute created in 1990. 

  • All program participants must apply for Medicaid.

  • The monthly allocation will continue to be 3 times SSI as in the HBSSP for people who have exited their school system.  This means that 20 years from now we will not be stuck with the same number of dollars with less spending power. 

  • Service facilitators must continue to be Qualified Mental Retardation Professionals and will not be able to be employed by an ISSA agency.  That means that many people will have to develop relationships with new Service Facilitators.  However, their old facilitator can now be their ISSA caseworker and will still be active in the plan of the program participant.  Medicaid rules required this separation for quality oversight.

  • Cost of service facilitation will be subtracted from the monthly allocation.  It used to be paid outside the monthly allotment.

  • Providers of services will have to be enrolled as Medicaid Waiver providers.  However, this involves the completion of a simple form. 

  • Adaptive equipment and minor site modifications will not be subtracted from the monthly allocation and can be as much as $15,000 over a five-year period.  This means that some participants will have more funding available in their monthly allotment to use for other needs such as personal supports.

  • The Office of DD will honor their commitments for existing loans on vans and site modifications. They will be contacting participants with outstanding loans in the near future to arrange to take over those loans.  The outstanding balance will count against the $15,000 participants have available over 5 years for adaptive equipment and minor site modifications.

  •  Participants will be able to negotiate rates for their personal support worker with approval from their service facilitator. 

  •  Personal support will be added as a covered service. Respite will not be broken out as a separate category and therefore will not have a cap.

  • Personal support providers may include individuals who are not employed by or under contract with an accredited DD agency. Families will be able to “deem” their support workers as qualified.

  •  DHS is working hard to speed up payment to personal support workers.  They know this is critical to the success of the program.  In the last two weeks, a system has been developed that will allow personal support worker reimbursement to be processed weekly. This should help significantly.

  • Participants will have to use their Medicaid State Plan card for services such as dental services, physical therapy, occupational therapy, and speech therapy.  Dental services will include those covered by the State Plan; additional dental services will not be added under the consolidated program. 

  • Occupational, physical and speech therapies not covered by the state plan card will be covered by the Home-Based Support Services Program with prior approval. 

  • The HBSSP was originally created to “supplement” not “replace” services participants were receiving from other sources.  Many people have been concerned because they are using funding through Office of Rehabilitative Home Services Program (a waiver funded program) or the Traumatic Brain Injury Waiver along with their Home-Based Support funding.  Because HBSSP will now be a waiver-funded program, they would be forced to pick one or the other and not have the resources they needed to keep their family member at home.  Federal law says you can only use one waiver at a time. 

The Office of DD is creating an “exceptional level of funding” for participants facing this problem.  Individuals currently enrolled in more than one program, will be grand fathered into this level if their current spending exceeds the $19,620 maximum.  Individuals will not be removed from a program until this level is in place. 

Other people are concerned because they are using other Office of Developmental Disabilities services funded through other programs such as day training and respite services.  The FSN will work to insure that those participants’ services also are maintained at their previous levels even if they exceed the maximum monthly allotment.

  • The Office of DD is working to obtain Waiver coverage for fees for classes and activities such as sign language classes, community college programs, camp and park district programs.  They are also working to obtain coverage for additional therapies, such as horseback riding, music therapy, etc. 

  • A satisfaction survey of consumers will be conducted after six months and at the end of the year. It will ask, among other things, if there were services or items needed that were unable to be covered by the program.  ISSAs will also be asked to provide to the Office of DD a quarterly summary report of systemic issues or pockets of confusion they have observed.

The goal of these surveys is to provide information to continually improve the program.

We know that families have a VERY difficult time finding doctors and therapists who accept Medicaid reimbursement. We also know that there are many items and services that cannot be currently purchased under the “new” HBSSP.  The FSN will be working on a number of strategies to address these issues.

We may have to develop new advocacy skills and take on Medicaid.  We have also suggested giving families a set amount of General Revenue Funding (GRF) - state tax dollars or non-federal - that they could use any way they wanted... maybe $200/month.  However, our chances of getting General Revenue money this year were non-existent.  The FSN will use information from you and from the DHS surveys mentioned above to go to the legislature next year and ask for that funding. 

We know that for many, many participants this a frustrating time.  Please help us help you.  Please keep us informed about what is working and not working for you.  Please share ideas and suggestions.  Many issues can be resolved soon.  Others will take our on-going advocacy efforts.  Together we can use this moment to make a big difference for people with disabilities in Illinois.

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The Special Needs Network – 

A Resource For Illinois Families

The Special Needs Network, NFP is a not-for-profit organization, which has as its mission providing critical education and information for families of individuals with disabilities and the elderly. The directors of the organization are Mary Anne Ehlert, a Certified Financial Planner and sister of an individual with disabilities, Brian Rubin, a special needs attorney and the father of a son with autism and other disabilities, and Sherri Schneider, a government benefits specialist and the mother of a child with disabilities.

All three have devoted much of their careers to working with families of individuals with disabilities.  They speak around the state of Illinois on behalf of Special Olympics Illinois and around the country at national and international special needs conferences.  They provide critical information about government benefits such as SSI and Medicaid, explain the elements of trusteeship and guardianship, describe the various means of protecting assets and providing for an individual with disabilities through a special needs trust, and discuss the important family communication which is necessary for members of a family to carry out the wishes of the parents.

The Special Needs Network website, www.TSNN.org, maintains a calendar of speaking engagements for the year and provides important articles about the steps needed on planning for the future.  Individuals can request specific special needs information through email at info@TSNN.org.  To speak to the Executive Director of the organization for information or to schedule a workshop for your special needs groups please call 847-522-7546 or 800-344-7725 (in IL) and ask for Jan Bednarz.

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FSN & DuPage Family Disability Network Host Legislative Breakfast -

You Can Do It Too!

FSN and DuPage Family Disability Network Legislative Breakfast photo

Left to right:  Rep. Bob Biggins, Sen. Patrick O'Malley, Sen. Dan Cronin, Rep. Patti Bellock speaking, Rep. Tom Johnson, Rep. Randy Hultgren, (Master of Ceremonies Cathy Ficker Terrill standing) and Sen. Tom Walsh.  Sen. Bill O'Connor arrived after this picture was taken.  Roland Burris and Leader Lee Daniels had representatives in attendance.

 

Nancy Brown is the FSN Education Coordinator for the Chicago area.  She was an important member of the “team” that organized the January Legislative Breakfast in Burr Ridge.  Here are some insights she gained during that successful experience.

The most effective way to impact people with disabilities in Illinois is through policymakers. They hold the key to change! The best way to do this is to talk with them directly and develop an ongoing relationship. One exciting way to get the relationship started is by hosting a legislative breakfast.

A legislative breakfast is a quick way to share information with legislators about the issues regarding people with disabilities and to exchange thoughts and ideas with them. It is a comfortable arena for most people and opens the door for many who might be uncomfortable calling their legislator directly.  A legislative breakfast is a simple, effective event that requires:

  • a place

  • an invitation

  • coffee and donuts

In January, the DuPage Family Disability Network and the Family Support Network hosted a legislative breakfast in DuPage County. Over 150 people participated and visited with 8 legislators. For two hours, legislators had a chance to hear parents talk about issues that they face raising children with disabilities. Individuals with disabilities shared their own stories while everyone ate breakfast.  

People heard their legislators talk about their perspective on the issues regarding people with disabilities. Most of the participants left the breakfast feeling more confident about contacting their legislators with future concerns. The legislators saw that many people were concerned about these issues and they understood that people with disabilities have a voice in Illinois.

Some helpful hints about getting started:

  • Begin planning the breakfast at least 6 months before the event.

  • Find a time when legislators will be in their home office and available to attend a breakfast. Call the legislators home offices to determine when they will be available.

  • Decide if you are going to invite one legislator or several. Get their address, fax, phone etc.

  • Find a location to host the event. A local agency or service provider is usually a great place.

  • Find other groups to partner with you. (Local organizations and agencies). Suggest that they all donate toward the cost of mailing and breakfast. Assign people to specific tasks.

  • Create a timeline with dates. Decide when to send out the invitations and flyers and make follow up phone calls etc.

  • Find a collective mailing list to use to send out flyers about the breakfast.

  • Confirm the date and time with the key legislators and participants.

  • Identify key communicators to personally contact the legislators. Personal phone calls work best!

  • Send our invitations to the legislators. Include a packet of information about the issues you want to discuss and an agenda. Ask them to RSVP by fax or phone.

  • Decide if you want it to be a formal or casual agenda. A formal agenda is great if you have a lot of people and legislators attending. A casual agenda is more like a community conversation. Both require a few key people who are willing to share their personal stories.

  • Get a list of the local papers and send information about the breakfast to the local press.

  • Tidbits: Have music and name tags.  Try to get food donated. Take pictures. Write thank you notes. Advertise!

If you would like to host a legislative breakfast and need some assistance, please call the Family Support Network at 309-693-8981. We can coach you through the process. Have fun!

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You Are Invited To A 

Summit on MI Services

September 21, 2002

10:00 a.m. to 3:00 p.m.

St. Paul Lutheran Church

1427 W. Lake

Peoria, IL

 

RSVP to the FSN

Phone:  309-693-8981

Fax:  309-693-8962

fsn@familysupportnetwork.org

 

Babysitting available with prior arrangements.

Hot Dog Roast to follow at the Cronin home.

Potluck Contributions Encouraged.

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clip art of climber helping another climber over a ledgeWe Can’t Do It Without YOU!!

Someone sent us an e-mail last week saying he hadn’t realized how hard we work until he attended one of the six HBSSP trainings in June.  Of course, how could he?  Frankly, most of the time we are in denial as well.  (No, Dear, I’m not really working… I’m just messing around on the computer…) We work out of our homes between loads of laundry, meds, IEPs.  We struggle to keep “it” together. We get up at 5:00 a.m. so that we can do our work and do what we need to do to be our kids’ moms.  People with disabilities and the people who love them and care for them are so involved in the day-to-day patterns of survival that we have a hardly have time to understand the “bigger picture”!

The Family Support Network is committed to the bigger picture.  We have made the commitment to be there “at the table” as the decisions are made that affect us.  We have been hugely successful.  We have climbed tall mountains. We have more mountains to climb.  As hard as we worked this spring, we know that the Home-Based Support Services Program has new challenges and many improvements to be made.  We also know that we have an opportunity to shape it into a program that can a model for how services should be delivered to people with disabilities. 

We have incredible staff, moms of kids with disabilities working part time for almost nothing. We cannot afford to lose them.  We pinch pennies until they scream. We can only live so long on passion and friendship.  We have bills to pay, the phone, the copier, the travel, the newsletters… and on and on.  They all demand MONEY!$!.

This spring we learned that the voices of people with disabilities and their families are powerful.  We learned that we can be heard. Our successes were due to our readiness to mobilize an educated membership.  We must continue to strengthen the Family Support Network if we are to remain active and effective. 

If we are to continue, we must raise at least $7,500 before the end of the year, just to stay even.  We must raise $55,000 next year, just to stay even.

It is not fair to ask us to do all that we try to do and not provide us with the resources we need. 

Please help us! 

HOW CAN YOU HELP?

Join the Family Support Network

Contribute… Anything you can spare is helpful.  We like to say, “Add all the zeros you can stand!”

Identify and solicit donations from other sources.  Does your child have a Grandma or Grandpa, Aunt or Uncle who is frustrated finding a way to help?  A donation is a great way to honor someone you love.  We’ll be tickled to send them a card on your behalf if you let us know.

Help us identify “large contributions”.  You may know someone who wants to share his gifts in a meaningful way.  Ask them yourself or contact us.  We have materials available to share.

Help us scout out grants!  Do you have experience writing grants?  We sure could use you!

Thank YOU!!

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