Health Care

Health Care

Published on 08/24/17

Health Care at a Glance

CALIFORNIA DISABILITY-SENIOR COMMUNITY ACTION NETWORK AND THE CALIFORNIA PERSON CENTERED ADVOCACY PARTNERSHIP DISABILITY-SENIOR RIGHTS REPORT SEPTEMBER 28, 2017 - THURSDAY MORNING Advocacy Without Borders: One Community – Aortccountability With Action - Person Centered Advocacy CDCAN Reports go out to over 65,000 people with disabilities, mental health needs, seniors, people with traumatic brain and other injuries, people with MS, Alzheimer's and other disorders, veterans with disabilities and mental health needs, families, workers, community organizations, facilities and advocacy groups including those in the Asian/Pacific Islander, Latino, American Indian, Indian, African-American communities; policymakers, and others across the State.  Sign up for these free reports by going to the CDCAN website. Website: www.cdcan.us To reply to THIS Report write: Marty Omoto (family member & advocate) at martyomoto@att.net [new email - as of June 1, 2016 it replaced OLD email address - now inoperative - at martyomoto@rcip address] Twitter: martyomoto Office Line: 916-418-4745  CDCAN Cell Phone:  916-757-9549 PLEASE HELP SUPPORT CDCAN - YOUR HELP NEEDED (SEE BELOW) DEVELOPMENTAL SERVICES UPDATES: OCTOBER 1 - DEADLINE FAST APPROACHING FOR PROVIDERS WHO RECEIVED FUNDING FOR DIRECT CARE STAFF WAGE ENHANCEMENTS TO COMPLETE & SUBMIT ONLINE SURVEY OR FORFEIT THAT FUNDING Providers Who Have Questions or Need Help in Completing Required Survey Can Call Department of Developmental Services or Regional Centers – Alta California Regional Center Hosting for Its Providers In-Person Training Yesterday and Today (10:30 AM)   SACRAMENTO, CA [BY MARTY OMOTO, CDCAN LAST UPDATED  09/28/2017  07:45 AM] – Regional center funded community-based organizations and individual providers who received last year funding to enhance the wages and/or benefits for their eligible staff who provide at least 75% of their time serving people with developmental disabilities, face a October 1st deadline to complete an online survey that is required by State law. Under State law providers who fail to submit that required online survey will face forfeiture of that increase. This week, one of the regional centers, Alta California Regional Center, is hosting two trainings on the required online survey. The training was offered on Wednesday, September 27th and again today, Thursday, September 28th from 10:30 am to 12:00 pm. Service providers will have access to a computer and can complete the survey at that time, according to Alta California Regional Center. Providers can register or find more information about that specific training, in a notice from Alta California Regional Center: https://www.altaregional.org/sites/main/files/file-attachments/abx2-1_survey_flyer__registration_9-28-17_0.pdf The Department of Developmental Services (DDS), the state agency that oversees the contracts of the 21 non-profit regional centers, who in turn, contract with community-based organizations and individuals to provide the services and supports to eligible children and adults with developmental disabilities in the community, indicated earlier in September that they were very concerned that many providers across the State have not yet returned their completed surveys. Many regional centers have also expressed concern that many providers in their areas have not yet submitted the on-line provider survey, as required by State law. Since then progress reportedly has been made in providers submitting the online survey – but many providers still need to do so.     The online survey was released by the Department of Developmental Services on July 17, 2017, that must be completed by all providers who received last year (July 1, 2016) additional funding for the purpose of increasing wages and/or benefits for eligible direct care staff.The online survey does not cover other regional center funded provider rate adjustments that were given that year, such as the specific rate increases for certain services such as supported employment, supported living, respite services. The online provider survey must be completed by all regional center providers who received this funding, by October 1, 2017. Providers who fail to complete the survey by that date will forfeit that additional funding they received. CONCERN RAISED ABOUT INDIVIDUAL PROVIDERS IN COMPLETING SURVEY As reported by CDCAN last week, at a meeting of the State Council on Developmental Disabilities (SCDD) in Sacramento on September 19, a question was asked to Nancy Bargmann, director of the Department of Developmental Services (DDS), about the provider survey and concerns that some individual family providers had difficulty in completing the survey because the questions or information did not seem to apply to them. Many families with children with developmental disabilities, especially those with autism spectrum and other related disorders, are individual family providers. In addition, other concerns were raised in other forums, including the Department of Developmental Services Director’s Advisory group to reduce disparities (CDCAN is a member) on September 20th, including lack of email address for many individual family providers, that is required in order to login and complete the provider survey. Bargmann indicated the department is taking steps to respond to those concerns, and in addition. Several of the regional centers have reportedly have worked with individual family providers in some of their problems in submitting the online survey, including providing them with individual email addresses (the online survey requires an email address). HOW SURVEY IS COMPLETED – LINKS TO SURVEY AND INFORMATION According to the Department of Developmental Services, completion of the final version of the regional center provider survey is done through a secure, online portal developed by OIG Compliance Now. Information on registering for the portal and completing the survey is available on the final provider survey webpage on the department website (see below for links). In addition to the User's Guide and ongoing technical assistance, OIG Compliance Now will be hosting three webinars to review specifics on registration, login, and completion of the regional center provider survey (a recorded version of the webinar will also be available.) While completion of the provider survey is required by all regional center providers who received the additional funding for enhancing wages and/or benefits of their eligible staff, the participation in one of the three scheduled webinars is not required in order to complete the survey. The following, compiled by CDCAN, are links to register for the provider survey, login and link to Provider Survey User Guide: LINK TO REGISTER FOR SURVEY (A page will appear saying “Registration – Authentication” and asking to “Select Language”, followed by “Welcome! Please enter the following information to authenticate” The information required is provider tax ID number, Vendor/Service Provider Number and Service Code Number: https://www.evoconportal.com/CADDS/authenticate.php    

LOGIN TO COMPLETE SURVEY - AFTER REGISTERING ABOVE. (A page will appear asking to “Select Language”, followed by login and password: https://www.evoconportal.com/CADDS/login.php SURVEY USER GUIDE – Officially titled the “OIG Compliance Now, LLC ABX2-1 Service Provider Portal User Manual”, is a user guide on how to complete the provider survey located on the Department of Developmental Services final provider survey webpage - PDF Document Copy (13 Pages): http://www.dds.ca.gov/ratechangesJuly2016/docs/RateChange-ProviderSurvey-UserGuide.pdf FOR MORE INFORMATION OR HELP REGARDING SURVEY The Department of Developmental Services indicated on the regional center provider final survey webpage that there were three ways providers can ask for additional information or ask questions - either by phone or email (for technical questions and assistance) to OIG Compliance Now, and by email to the Department of Developmental Services for non-technical questions: PROVIDER SURVEY TECHNICAL ASSISTANCE CONTACT OIG COMPLIANCE NOW Email: ABXsurveyhelpdesk@oigcompliancenow.com  (technical assistance/questions) Phone – OIG Compliance Now: (607) 218-4167 NON-TECHNICAL QUESTIONS (TO DEPARTMENT OF DEVELOPMENTAL SERVICES) Email: vendorsurvey@dds.ca.gov (non-technical questions only) Note: in addition, providers should also contact their regional center directly with questions or help. LINKS FROM REGIONAL CENTERS REGARDING ONLINE SURVEY CDCAN Note: where there is specific information about the provider online survey on the homepage of a regional center, CDCAN listed the link to that information (CDCAN did a scan of every regional center homepage before this report was written this morning, September 28, 2017):   ALTA CALIFORNIA REGIONAL CENTER Website: https://www.altaregional.org/ Webpage announcing hands on training for providers September 27 and 28 (10:30 AM to 12 Noon): https://www.altaregional.org/alta-sponsored-event/hands-abx2-1-survey-training CENTRAL VALLEY REGIONAL CENTER: Website: https://www.cvrc.org/   Letter, dated July 18, 2017, to select providers regarding required completion of online provider survey - PDF Document Copy (2 pages): https://www.cvrc.org/wp-content/uploads/2017/07/RC-Notification-Letter-to-Service-Providers-final-2017.07.17.pdf EASTERN LOS ANGELES REGIONAL CENTER Website: http://www.elarc.org/ FAR NORTHERN REGIONAL CENTER Website: http://www.farnorthernrc.org/   FRANK D LANTERMAN REGIONAL CENTER: Website: https://lanterman.org/ GOLDEN GATE REGIONAL CENTER Website: http://www.ggrc.org/ Webpage regarding provider survey: http://www.ggrc.org/resources/news-and-announcements/11-announcements/520-important-vendors-must-complete-survey HARBOR REGIONAL CENTER Website: http://www.harborrc.org/ INLAND REGIONAL CENTER Website: https://www.inlandrc.org/ Webpage regarding provider survey: https://www.inlandrc.org/2017/09/13/vendorsurvey/  KERN REGIONAL CENTER Website: http://www.kernrc.org/ Link to YouTube video on provider survey webinar held July 29, 2017) by he Association of Regional Center Agencies (ARCA) and the Department of Developmental Services – this is same link under CDCAN’s “For More Information Links”: https://www.youtube.com/watch?v=aP7ypxI4UYM NORTH BAY REGIONAL CENTER     Website: http://nbrc.net/ NORTH LOS ANGELES REGIONAL CENTER Website: http://www.nlacrc.org/   REDWOOD COAST REGIONAL CENTER Website: http://www.redwoodcoastrc.org/ REGIONAL CENTER OF THE EAST BAY Website: https://www.rceb.org/ Home webpage includes alert regarding provider online survey and link to the actual survey registration. REGIONAL CENTER OF ORANGE COUNT Website: http://www.rcocdd.com/ SAN ANDREAS REGIONAL CENTER Website: http://www.sarc.org/ Webpage regarding provider survey with links to actual survey: http://www.sanandreasregional.org/sarc-news/abx2-1-reporting-requirements-for-vendors/ SAN DIEGO REGIONAL CENTER Website: http://sdrc.org/ Home webpage includes an alert regarding provider online survey and link to the actual survey. SAN GABRIEL/POMONA REGIONAL CENTER Website: http://www.sgprc.org/ SOUTH CENTRAL LOS ANGELES REGIONAL CENTER Website: https://sclarc.org/ TRI-COUNTIES REGIONAL CENTER  Website: http://www.tri-counties.org/ Webpage regarding provider survey with links to actual survey: http://www.tri-counties.org/index.php/component/content/article/112-service-providers/1048-abx2-1-portal-registration-for-service-providers VALLEY MOUNTAIN REGIONAL CENTER Website: https://www.vmrc.net/ Notice to providers regarding online survey: https://www.vmrc.net/wp-content/uploads/2017/09/Urgent-Message-to-all-Regional-Center-Vendors.pdf WESTSIDE REGIONAL CENTER Website: http://www.westsiderc.org/   OTHER LINKS REGARDING PROVIDER SURVEY The following, compiled by CDCAN, are other links providing more information about OIG Compliance Now, and also copy of the special session legislation that requires the provider survey (ABx2 1):       DEPARTMENT OF DEVELOPMENTAL SERVICES PROVIDER SURVEY WEBPAGE: http://www.dds.ca.gov//ratechangesJuly2016/index.cfm      VIDEO RECORDING OF JULY 29, 2017 DEPARTMENT OF DEVELOPMENTAL SERVICES & ASSOCIATION AND REGIONAL CENTER AGENCIES (ARCA) WEBINAR ON PROVIDER SURVEY - YOUTUBE (41 minutes) https://www.youtube.com/watch?time_continue=15&v=aP7ypxI4UYM FREQUENTLY ASKED QUESTIONS – DEPARTMENT OF DEVELOPMENTAL SERVICES (full text of the questions and answers were reproduced above in this CDCAN report): http://www.dds.ca.gov//ratechangesJuly2016/FAQ-Survey.cfm LETTER FROM DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS) TO REGIONAL CENTERS ON DRAFT PROVIDER SURVEY – Dated May 1, 2017 – PDF Document Copy (2 Pages): http://www.dds.ca.gov/ratechangesJuly2016/docs/LettertoRC-DraftSurvey-May1-2017.pdf LETTER FROM DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS) TO ALL 21 REGIONAL CENTERS ON FINAL PROVIDER SURVEY – Dated July 17, 2017 – PDF Document Copy (2 Pages): http://www.dds.ca.gov/ratechangesJuly2016/docs/RateChange-LetterRC-20170717.pdf OIG COMPIANCE NOW website: https://oigcnllc.com/ FREQUENTLY ASKED QUESTIONS The following are frequently asked questions compiled by the Department of Developmental Services currently on their website regarding the provider survey. CDCAN added explanations in brackets [  ] for abbreviations used.  Also added, for clarity the words “Question” and the full department name for the response. The link to the webpage of these Frequently Asked Questions is below. QUESTION: What is the period of time surveyed for ABX2-1 funding?. DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: The Department suggests using the month of March 2017. However, providers can select the month they choose to report which best reflects their use of the increased funding. QUESTION: Can service providers report on different months for their different vendor numbers to best demonstrate use of direct services funding? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Yes. QUESTION: Are there options on the survey to indicate classification of staff and what types of increases different classifications received? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Service providers can select from two broad classifications of staff: direct care staff and supervisory/managerial/director staff. QUESTION: For a service provider with multiple vendor numbers (vendorizations) and many employees who work under multiple vendor numbers, how should employees be reported for each vendor number? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Service providers are to report all employees who provided direct services for each vendor number and service code combination. For an employee who spends time providing direct services under multiple vendor numbers, the employee is to be reported under each vendor number. QUESTION: How do service providers account for all employees who received a direct services increase, and how should vacant positions be accounted for? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: The Survey asks service providers to report on the employees working during the reported month. Providers do not need to report on vacant positions. QUESTION: What is the difference between the point in time service providers will report on the survey versus an audit for a full year? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: The survey meets the requirement of the statute for service providers to report how the rate increase was used. Pursuant to the statute, providers granted this rate increase are to maintain documentation, which is subject to audit by the department or regional centers. QUESTION: Will we be required to submit backup documentation such as payroll documents along with this survey? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: No. QUESTION: If I am vendored under one service code and vendor number do I have to fill out a survey for each regional center used? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Only one survey is needed for each vendor number and service code combination.   QUESTION: Are service providers required to complete a survey for each vendor number and service code combination? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Yes.   QUESTION: How do vendors know whether they are required to submit a survey? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: The survey reporting requirement applies to all service providers who received a rate increase per ABX2-1 and were vendored prior to July 1, 2016. QUESTION: Was pre-populated service provider information pulled from regional center electronic records? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Yes.   QUESTION: If a service provider was vendored after the ABX2-1 rate increases took effect, will they have to complete a survey? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: No.   QUESTION: Do service providers who did not receive an increase have to complete the survey? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: No. QUESTION: Do service providers need to report use of the additional 5% increases that applied to respite, independent living, supported living, and transportation services on the survey? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: No. QUESTION: Will the randomly selected service providers who provided cost information used to determine the amounts of the rate increases be required to report on their distribution of increases direct services and administrative costs funding? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Yes.   QUESTION: What information is the Department requiring that providers report on the rate increases? DEPARTMENT OF DEVELOPMENTAL SERVICES RESPONSE: Consistent with ABX2-1, the survey requests information on how the rate increase was used by providers and includes the number of employees and their salary, wage, and benefit costs, increases provided to those employees, the percentage of time each employee spends providing direct services, and administrative expenses. A copy of the survey is available here. CDCAN - MARTY OMOTO YOUTUBE CHANNEL A CDCAN (Marty Omoto, family member and advocate) youtube channel was set up and has several videos dealing with current – and previous state budget issues, disability and senior rights, and advocacy. To see the current videos, including March 2014 San Andreas Regional Center Aptos Legislative Breakfast, January 2014 panel discussion on services for adults with autism spectrum and related disorders in Palo Alto, and older videos including video of April 2003 march of over 3,000 people with developmental disabilities, families, providers, regional centers and others from the Sacramento Convention Center to the State Capitol (to attend and testify at budget hearing on proposed massive permanent cuts to regional center funded services, go to the CDCAN (Marty Omoto) Channel at: https://www.youtube.com/channel/UCEySEyhnr9LQRiCe-F7ELhg More videos – including new current videos (an interview with longtime advocate Maggie Dee Dowling is planned, among others) – plus archive videos of past events – will be posted soon.