Other services available for people
on the NOW waiver
Author: Mark A.
Thomas, Assistant Secretary, Office for Citizens with Developmental Disabilities
When
I began my career, as a direct support professional in the field of disability services
more than 20 years ago, one of the biggest challenges facing families and individuals
with disabilities who were seeking services was the Request for Services
Registry. Most people called this the waiting
list for the NOW waiver (New Opportunities Waiver). Today, in my role as the Assistant
Secretary for the Office for Citizens with Developmental Disabilities, the waiting list, which is approaching 15,000 people, is still
an issue. I recognize that change is needed and I'm pleased to share news about the progress we've made.
Over the last several years, the Office for Citizens with Developmental Disabilities has been working in collaboration
with recipients, families, advocates and stakeholders to improve our service
delivery system through a system transformation initiative. Our staff has been
aggressively pursuing a variety of best practices that will allow us to serve
more people in home and community-based settings. Critical to this is
addressing the waiting list through our Request for Services Registry Screening
Project. Through this project, we'll be able to better understand the needs of those waiting and ensure they are directed to other helpful resources and services.
A process to get assistance sooner
The Screening Project is
where we conduct individualized screenings for those who have applied
for home and community-based waiver services and are on the waiting list. These
screenings help us to determine the type and urgency of the
supports needed by each individual currently on the waiting list in order for
that person to live in the community.
These screenings will
identify people who would benefit from non-waiver services now, and make
referrals to the appropriate service providers. Accepting these services
will not change a person’s status on the waiting list.
The screening process is a partnership between
the Office for Citizens with Developmental Disabilities, regional Human Services Districts and Authorities, support coordination
agencies and other entities. Individuals on the waiting list are contacted by a
screening project representative, and an appointment is made for the formal
screening. This is called the Screening for Urgency of Need. The
screening visit
takes about two hours and will be updated annually to ensure
the most up-to-date information. The screening is not an offer of services, however
it is important that individuals complete the screening to remain on any future
registry.
How it works
During the screening
process, individuals on the waiting list can expect to talk with a screening
project representative about their needs and supports, types of existing formal
and informal supports and services they may currently receive, types of
supports and services they need but do not currently receive, and the urgency
of the supports that have been identified. After the screening process,
appropriate referrals will be made to the regional Human Services
District/Authority or other governmental agency.
Since the project started in October 2016, more
than 4,000 individuals on the waiting list have been screened. The project will
end this May.
A firm foundation
to help more people, more quickly
Words simply cannot begin to express how excited I am
about this screening project, and what it will mean to the thousands of
citizens with developmental and intellectual disabilities currently on the
waiting list. For the first time in the history of the department, this project
will help us set a firm foundation for a comprehensive plan to address the
needs of individuals and family members who have been waiting for services for
a long time.
The screening project was made possible because
of funding that was appropriated to the Office for Citizens with Developmental Disabilities during the 2016 legislative session
with approval by legislators and Governor John Bel Edwards.
We know that conducting these screenings for those individuals
on the waiver waiting list will provide us with valuable information to help us
further improve our system. The data will allow the Office for Citizens with Developmental Disabilities and the state to project
the dollar amount necessary to meet the needs of these individuals and direct
resources to where they are most needed.
While the political, fiscal, programmatic, and service
delivery landscape has changed dramatically in Louisiana over the past 20
years, the Office for Citizens with Developmental Disabilities continues to embrace optimism. As we continue to broaden our
horizon, the initial data from the screening results gives me hope and allows
me to believe that as we transformation our system, we will transform lives.
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