Create and offer innovative
supports for people with cognitive,
developmental, physical, and
health related needs.
Community
Centered
Community
Centered
Board
Board
Case Management
Case Management
SCA for CES & SLS
SCA for CES & SLS
Quality Assurance
Quality Assurance
Intake & Eligibility
Intake & Eligibility
EI Broker
EI Broker
FSSP - CWA
FSSP - CWA
Waitlist Management
Waitlist Management
Imagine!
Services
Imagine!
Services
Dayspring
Dayspring
Innovations
Innovations
CORE/Labor Source
CORE/Labor Source
Out & About
Out & About
IBHS
IBHS
ASD, TBI, Foster Care
ASD, TBI, Foster Care
Employer of Record
Employer of Record
Service
Providers
Service
Providers
PASA’s
PASA’s
Independent
Independent
Contractors
Contractors
Imagine!
Imagine!
Corporate Infrastructure
Corporate Infrastructure
Finance, HR, IT, Public
Finance, HR, IT, Public
Relations,
Relations,
Corporate Integrity
Corporate Integrity
Social
Enterprise
Social
Enterprise
Imagine!
Foundation
Imagine!
Foundation
CaraSolva
CaraSolva
SmartView
SmartView
CuroTek
CuroTek
GrandCare
GrandCare
Etc.
Etc.
State Government
• 2010 Legislative Session
– Bills
• SB 208 - Repeal RPC
• HB 1213 - Waiting List IP Requirements
• SB 194 - Health Care Agency Licensing
• SB 114 - Open Records Act - killed
– Budget
• November Elections
– Governor
– Local legislative seats
• HD 12 (Weissmann)
• HD 11 (Pommer)
Colorado State of Affairs
• Bottom line is from 2008 – 2010, $1.4 Billion cut from
State budget.
• Vacancies held back since October (HCBS-DD).
• Rate cuts, 2.5% October, 2% July. (FSSP 4.5% July)
– FSSP is at potential risk since it is GF dollars; will be issued quarterly.
– No new resources, no transition resources for CES and Foster Care.
• 2010 - 2011 Revenue Forecast.
• FMAP dollars used to stabilize Medicaid 10/08 –
12/10 scheduled to end 12/10 (Congress looking at 6
month extension)
• 2011 - 2012 Expecting $500 million shortfall
Colorado
Division for Developmental Disabilities
• Part C ARRA $2.7 million ends 10/10
• Imagine! 2.1% projected growth in EI next year
• Management Challenges
– Financial (unrelated to economy)
• Comp Services ($18 million)
• SL Services $8 million
• TCM ($3 million)
– PASA oversight and approval
• Infrastructure
– Systems improvement
• Get connected
– Social media (inside and out)
• Limited growth
• Focus on quality and collaboration
– Core services, SmartHomes
• Planning and preparation for economic
recovery
Early Intervention Trend From July 2003 Through July 2010
500
450
400
350
Eligible for EI
250
Implementation of
law requiring US
Citizenship. (1023)
8/06
200
150
100
50
N
ov
M
ar
Ju
l
N
ov
M
ar
Ju
l
N
ov
M
ar
Ju
l
N
ov
M
ar
Ju
l
N
ov
M
ar
Ju
l
N
ov
M
ar
Ju
l
N
ov
M
ar
0
Ju
l
Families
300
Linear (Eligible for EI)
Early Intervention By City November 2009
Lyons, 2, 0%
Golden, 1, 0%
Nederland, 5, 1%
Niwot, 1, 0%
Hygiene, 1, 0%
Erie, 23, 6%
Longmont
Boulder
Lafayette
Longmont, 148, 36%
Louisville, 17, 4%
Broomfield
Superior
Louisville
Superior, 10, 2%
Erie
Niwot
Lyons
Golden
Nederland
Broomfield, 61, 15%
Allens Park
Denver
Mead
Meeker Park
Lafayette, 40, 10%
Rollinsville
Boulder, 97, 24%
Hygiene
Ward
Jul
July 03 - Apr 10
Mar
Jan
Nov
Sep
Jul
May
Mar
Jan
Nov
Sep
Jul
May
Mar
Jan
Nov
Sep
Jul
May
Mar
Jan
Nov
Sep
Jul
May
Mar
Jan
Nov
Sep
Jul
May
Mar
Jan
Nov
Sep
Jul
May
Mar
Jan
Nov
Sep
Eligible Families
FSSP Eligibility July 03 Through April 10
without birth to three
900
Projected Growth
800
700
600
500
400
300
200
100
0
2008
2010
Supported Living Services
Living with parents & are
over the age of 50
10
13
FSSP over the age of 18
122
170
FSSP over the age of 50
6
6
Teenagers entering adult life in
next 3 years
80
85
Imagine! Projected Adult Services Shortfall
1000
141 people eligible for
services w/out support.
This translates into a
$4.2 million shortfall.
900
373 people eligible for
services w/out support.
This translates into an
$11.2 million shortfall.
800
700
600
500
Known Unfunded Adult
Services
400
Projected State Funded
Adult Services
300
200
100
0
2009
2010
2011
2012
2013
2014 2015
Year
2016
2017
2018
2019
2020
Imagine! Employees
720
700
680
660
640
Reduced # employees is a
function of system changes,
not a function of the economy.
620
600
580
May-09
Jun-09
Jul-09
Aug-09
Sep-09
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Mar-10
Apr-10
May-10
COI Task Force of stakeholders to
recommendation resolutions to the conflict
of interest issues inherent in system.
–
–
–
–
–
Information and Referral,
Eligibility Determination,
Administration of the Waiting List,
Service Planning,
Provider Selection,
– Rate Negotiation and Monitoring Services.
Related to COI Task Force
• If Separation of Case management
– 21,210 people will change cm
– 524 experienced cm will lose or change
employment
• … statewide survey says
– 97.2% people happy with current cm
– 5 complaints received by state program
quality in 21 months of cm service.
Related to COI Task Force
• Survey of 35 other states revealed
–
–
–
–
17 have cm separated from service
12 allow cm by company providing service
5 use state employees
1 uses a single private contractor
• Public Forum scheduled June 1, 1pm – 5pm
– Written comment will be accepted through May 31st
– http://www.cdhs.state.co.us/ddd/COI_Documents.htm
What would you like to talk
about??