Service Provider Advisory Committee

MeetingHarbor Regional Center

August 3, 202110 am

Agenda Welcome ………………………………………………………………………………………Nancy Spiegel

Director of Community Services..……………………………………..........Heather Diaz

Budget Update……………………..…………………………………………………………..Judy Wada

Alternative Services Delivery Model > Reengagement……………Mercedes Lowery

COVID-19 Report……………………………………………………………………….Steve Goclowski

HRC UpdatesNancy Spiegel Welcome Heather Diaz!

Director of Community Services

New HRC Staff

Manager of Diversity and InclusionErika Segovia

6 Parent Mentors (currently recruiting for two bilingual Spanish speaking)

Bilingual Community Outreach Specialist

New Staff in Health Services – Steve Goclowski

Staff return to the office

Intake Assessments on site

Resource Center open by appointment

FY 2020-21 Purchase of Service Expenditure Projection (PEP)

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State-wide HRC

B-3 Contract Amendment $7,815,438,027 $254,607,845

Total Projected Expenditures $7,361,836,639 $245,382,944

Projected Surplus/(Deficit) $453,601,388 $9,224,901

Surplus/-Deficit % 5.8% 3.6%

HRC’s Budget

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FY 2020-21 FY 2021-22 ∆B Preliminary

AllocationB-3

AmendmentC-Preliminary

Allocation IncreaseOperations $28,533,404 $36,058,914 $31,455,192 10.2%POS $181,408,469 $252,862,010 $220,058,448 21.3%

TOTAL $209,941,873 $288,920,924 $251,513,640 19.8%

HRC Historical Data

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Fiscal Year Total Expenditures Caseload2011-12 $133,785,022 11,105 2012-13 $142,611,536 11,463 2013-14 $152,268,460 11,642 2014-15 $162,311,918 12,053 2015-16 $173,650,559 12,382 2016-17 $204,163,574 13,110 2017-18 $221,628,548 14,015 2018-19 $240,413,292 14,828 2019-20 $260,114,842 15,064 2020-21 $283,666,903 16,035

State Budget FY 2021-22 Highlights

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For Regional Center Operations:• Enhanced Caseload Ratio for Underserved Clients• Provisional Eligibility ages 3 & 4• Self-Determination Supports• Deaf Community Specialist• Community Navigators (@ Resource Centers)• Emergency Coordinators• Performance Incentives

• Continued next slide……

State Budget FY 2021-22 Highlights

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For Service Providers:• Elimination of the Uniform Holiday Schedule

• Elimination of Temporary Rate Sunsets

• DSP Training & Development

• Bilingual Differential for DSP

HCBS Spending Plan (American Rescue Plan Act)

Social/Recreational Programs

Modernize DDS/RC’s Information Technology Systems Provider Rate Increases (Rate Study Implementation)

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Provider Rate Increases: Rate Study Background ABX2-1 2016

$244.9 million appropriated from the General Fund for DDS vendor rate increases; including federal funds, more than $400 million

required a rate study to consider sustainability, quality, and transparency of services and to assess the effectiveness of rate-setting methods, adequacy of provider network/ choice of providers for consumers.

Burns & Associates, Inc. awarded contract for Rate Study Rate Model Report submitted to legislature March 2019

2,180 pages! http://www.burnshealthpolicy.com /DDSVendorRates/

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Provider Rate Increases: Rate Study Recalculation

2021Updating Assumptions:

Minimum wageConsidering labor costs, real estate, travel

costs

High-cost area factors

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Provider Rate Increases: Rate Study Implementation

Increments:

Rate increase effective April 1, 2022 – June 30, 2022 is 25% of “difference”

Rate maintains thru June 30, 2023

Rate increase effective July 1, 2023 – June 30, 2025 is 50% of difference

Rate increase effective July 1, 2025 – June 30, 2026 is 15% of difference

10% Rate Incentive / Quality timing TBD

Hold Harmless on Rates thru 2025

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Alternative Services Model ContinuesReopening

ASDM vs Traditional Services

Submit Plans to Elizabeth Garcia Moya

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COVID-19 UpdateSteve Goclowski

COVID-19 Update 135% increase in case rate in LA : 288% increase in Long Beach

83% are Delta variant nationwide; 60% more transmittable Vaccine prevents severe disease, hospitalization and death Continue to follow all preventative measures as recommended

Get vaccinated or get tested regularly Continue to report new cases and isolate if positive

PPE still available in limited quantities. Residential is priority.

Covid 19 UpdateVaccinationsThank you to Oxford HealthCare!!! HRC helped facilitate through Anchor/Oxford almost 5000 vaccinations.

4100 Pfizer and Moderna vaccine doses administered at HRC clinic

30 homebound individuals and their family members

Last clinic at HRC was held July 9th

600 received vaccine in partnership with Ability First and ICC

20 homebound individuals referred for vaccine through Torrance Memorial mobile clinic

Announcements

Disability Thrive Initiative: Next Free WebinarThe Changing Role of the Workforce Supporting People with DisabilitiesWeds Aug 11 3:00 pm • Shifting from “providing care” to “supporting independence and community

engagement” • Developing the workforce through Competency-Based Education rather than just

“training”• Creating a culture that supports staff recruitment and retention

REGISTER at https://scdd.ca.gov/iddthrive/

Announcements