2017 ANNUAL HOME AND COMMUNITY BASED WAIVER CONFERENCE DRAFT BROCHURE

Transcription

1 The Michigan Department of Health and Human & The Michigan Association of CMH Boards Present: 2017 ANNUAL HOME AND COMMUNITY BASED WAIVER CONFERENCE DRAFT BROCHURE November 14 & 15, 2017 Kellogg Hotel & Conference Center East Lansing, Michigan

2 Layout of the Kellogg Center Rooms we are using: BIG TEN A/B (On the North End of Kellogg) BIG TEN C (On the North End of Kellogg) Centennial Rooms (On the North End of Kellogg) Lincoln Room (On the South End of Kellogg) Room 103 (On the South End of Kellogg) Room 105 (On the South End of Kellogg) Room 106 (On the South End of Kellogg)

3 Tuesday, November 14, 2017 CONFERENCE AGENDA - DRAFT 8:00am 4:15pm 8:00am 8:45am 9:00am 9:15am 9:15am 10:15am Conference Registration (South Lobby) Group Networking Breakfast (full breakfast buffet will be served until 8:45am) (Big Ten A/B) Conference Welcome and Introduction (Big Ten A/B) Plenary Session: Demystifying Sensory Processing: The Voodoo We All Do (Big Ten A/B) Qualifies for 1 CEU hour - Christi Yee, Occupational Therapist at the Ann Arbor Public Schools This interactive presentation will focus on demystifying sensory processing. Emphasis will be on identifying how meeting your personal sensory processing needs have molded your daily life. Additionally, recognition of the many different, yet functional ways individuals meet their varied sensory needs will be explored. With this understanding, techniques and tools for creating sensory-friendly spaces that lend themselves to positive therapeutic interactions will be discussed. Participants will be able to: 1. Develop a preliminary understanding of sensory processing and current terminology; 2. Identify similarities and differences in how sensory input is processed by yourself and others; and 3. Understand tools and techniques to become a sensory safe space for all. 10:15am 10:30am Coffee Break (Big Ten A/B and South Lobby)

4 Concurrent Workshops: 10:30am 12:00pm 1. HSW Waiver Overview (Big Ten C) - Charlyss Ray, OTR/L, BSOT, Specialist for and Supports for Persons with Developmental Disabilities, Michigan Department of Health and Human - Lori Caputo, Departmental Technician, Michigan Department of Health and Human This session will provide the attendee with basic information about the Habilitation Supports Waiver: eligibility, enrollment, documentation, RLA codes and BH-TEDS will be clarified and discussed. Supports and services under the HSW program will be described with policy highlights and examples of what may or may not be covered. There will be plenty of time for questions from the audience at the end of the power point presentation. Participants will be able to: 1. State four key components for the Initial HSW Application; 2. List three supporting documents that may accompany an initial HSW application; 3. Describe the difference between the parameters of a goal and objectives; and 4. Give three reasons an application or a recertification may pend. 10:30am 12:00pm 10:30am 12:00pm 2. Use of the Choice Voucher System in the CWP (Location Pending) - Audrey Craft, MS, LLP Specialist, Federal Compliance, Michigan Department of Health and Human - Terri Nekoogar, MA/LPC, Program Supervisor, Specialized Children and Family, Macomb County CMH - Rebecca Craft, BSW, Child Waiver Case Manager, Macomb County CMH The Choice Voucher System allows families in the Children s Waiver Program to choose and directly hire providers to implement the supports and services for their children. Families have control over resources allocated to the child s individual plan of service and supports, and greater flexibility in tailoring supports to meet individual needs. This presentation will describe the differences between self-determination for adults and the Choice Voucher System for Children. It will also identify and describe the steps to implementing the Choice Voucher System, and advantages and responsibilities of families. Participants will be able to: 1. Identify two differences between self-determination for adults and the Choice Voucher System for children; 2. List five steps to implementing the Choice Voucher System; and 3. List three advantages of using the Choice Voucher System. 3. CLS Roundtable Overview (Location Pending) - Laura Vredeveld, MA, President, TBD Solutions, LLC - Travis Atkinson, MS, LPC, Consultant, TBD Solutions, LLC Screening, assessment, and outcome tools can streamline and standardize the process for accessing services and provide valuable insight into the effectiveness of behavioral health services, yet they are inconsistently used to assure services are matching the needs of persons served. In this presentation, participants will be provided with an overview of the local and national landscape of screening and assessment tool utilization, learn the research evidence on measurement-based care, understand how assessment data can be used to support effective person-centered planning, and receive tangible tips for integration of measurement-based care in a value-based behavioral health payment system. Participants will be able to: 1. Describe the current state of measurement-based care in behavioral health care. 2. Identify three benefits of measurement-based care in behavioral health. 3. Develop a plan for integrating measurement-based care into the behavioral health system or community. 4. Identify three practical applications for how assessment data can inform and support effective person-centered planning and service delivery.

5 10:30am 12:00pm 10:30am 12:00pm 4. Children s Special Health Care Program Overview CE Pending - Michelle Miles, Outreach/Training Analyst, Children s Special Heath Care, Michigan Department of Health and Human - Lisa Huckleberry, Michigan Department of Health and Human More content will be added soon on this presentation. Michelle Miles will present on Children s Special Heath Care Overview and Lisa Huckleberry will present the Program Overview on behalf of the Family Center. 5. Communicating in Conflict (Location Pending) - Cheryl Levine, BA-Ed, Program Coordinator, Dispute Resolution Education Resources, Inc. This interactive presentation engages participants in the process of communicating effectively when emotions run high. By increasing self-awareness, regarding conflict management responses effective communication can be improved and by increasing understanding of others sources of conflict, empathy in increased. Improving communication and empathy while communicating in conflict situations helps all participants to the dispute. Participants will be able to: 1. Identify personal triggers to conflict; 2. Identify sources of conflict and how to deal with them appropriately; and 3. Learn about mediation and meeting facilitation services. 12:00pm 12:45pm Group Lunch (Big Ten A/B) 1:00pm 2:30pm Concurrent Workshops: 6. Children s Waiver Program Overview (Location Pending) - Audrey Craft, MS, LLP Specialist, Federal Compliance, Michigan Department of Health and Human - Kelli Dodson, BS, Analyst, Federal Compliance, Michigan Department of Health and Human This session is intended for case managers, administrators and parents who are new to the Children s Waiver Program or desire an elementary overview of the program. The session will be a brief look at the prescreen, application and approval process, budget and funding allocations, and waiver and state plan Medicaid coverage. There will be a focus on required documentation and timelines, implementation instructions and a question and answer period. Participants will be able to: 1. List five eligibility requirements for the Children s Waiver Program; 2. Identify four Children s Waiver ; and 3. Describe four steps in the waiver prescreen through approval process.

6 1:00pm 2:30pm 1:00pm 2:30pm 1:00pm 2:30pm 7. Changes in Case Management Encounter Reporting from the Two at One Time Group (Location Pending) - Mary Allix, DBH, MA, LLPC, CADS, CAADC, Director of Quality Improvement, Detroit Wayne Mental Health Authority - Maggie Beckmann, Director of Quality Improvement and Compliance, network180 - Lola Callihan, Policy Specialist, Michigan Department of Health and Human - Pam Pully, CPC, CPMA, AAPC Fellow, Director of Revenue Management, Hope Network The Michigan CMHSP system encounter reporting has evolved over the past few decades, with a major shift in 2004 with the advent of federally defined codes, and again in 2013 with the federal requirement to include financial data on cost in the encounter. Over the years, descriptions and requirements have been somewhat scattered and inconsistent across the behavioral health and CMHSP system. In general with health care you are only allowed to report one service for a given time period. While there may be other staff present, the service reported is the one that is primary as experienced by the consumer. While CMHSPs and/or providers may, for internal financial or quality purposes, track the time/cost of additional staff or services during the primary service, not all information is reported to the Behavioral Health and Developmental Disabilities Administration within MDHHS. There are some exceptions to the general rule that were determined in 2016 by the EDIT two services workgroup. Presenters will share detailed guidance on reporting supports coordination or case management with other covered services and discuss the process of EDIT s continued efforts to increase consistency and data integrity across the state. Audience members will also be able to ask the expert panel members questions about reporting requirements, billing systems, and best practices for documentation of service within the public mental health system. Participants will be able to: 1. Identify two resources available to Community Mental Health Service Programs for updates to provider qualifications and reporting requirements; 2. List efforts completed by the Encounter Data Integrity Team (EDIT) and the Financial Work group in 2016; and 3. Discuss key issues resolved by the EDIT workgroup for reporting case management and supports coordination services. 8. Quality Individual Plans of Service (Location Pending) - Suzanne M. Gipperich, BS, Psychology, Supervisor Supports Coordination, MORC, Inc. This session provides an overview of goals and person-centered planning as they relate to the dictates of the mental health code. Topics of discussion are goals as they relate to inclusion, productivity and independence. Presentation will discuss goals for persons on the Habilitation Waiver and the (b)3. The presenters will describe the difference between goals and objectives. The presentation will describe components necessary for good measurable goals, including amount, scope and duration. Presentation will discuss methodologies/intervention strategies and supports and services. Participants will be able to: 1. Identify how goals address a person s life and how they fit into person-centered planning with emphasis on inclusion, independence, productivity and medical necessity; 2. Identify potential areas for measurable goals; 3. Identify the components of measurable goals; and 4. Identify the difference between a goal and an objective. 9. Introduction to the START Project, Resources, and how to Collaborate with Regional Coaches, and Coordinate Effective Practices Across Education and Community Settings (Location Pending) - Maureen Ziegler, EdS, Autism Intervention and Education Specialist, Grand Valley State University This module allows participants to learn to respect the characteristics of Autism Spectrum Disorder and use their behaviors, including intense interests, to the student s advantage. It is not uncommon in practice for teams to develop plans to extinguish such behaviors; however, this approach, rather than reducing the challenging behavior, often exacerbates it. This presentation will focus on a new way of thinking about behaviors associated with ASD while introducing participants to the interventions and universal supports that increase social and academic engagement and independence for students with ASD. Participants will be able to: 1. Gain an understanding of the characteristics of ASD and how these behaviors impact an individual s daily routine; 2. Learn strategies for utilizing the characteristics and behaviors associated with ASD to promote social and academic engagement and independence; 3. Gain an understanding of the most effective interventions and universal supports and how to incorporate the characteristics of ASD within these interventions; and 4. Create a plan to address a challenging behavior that incorporates the interests and talents of the target student with ASD.

7 1:00pm 2:30pm 2:30pm 2:45pm 10. Equipment/Home Modifications, Start to Finish (Location Pending) - Mary Jo Kurily, BS, Occupational Therapy, OTR/L, Macomb County CMH - Charlyss Ray, OTR/L, BSOT, Specialist for and Supports for Persons with Developmental Disabilities, Michigan Department of Health and Human Presentation to include education in the process of assessment, research and request for equipment and home modifications through the Children s Waiver program, beginning to end. This session will provide the attendee with basic information about the Habilitation Supports Waiver: eligibility, enrollment, and more. Participants will be able to: 1. Become familiar with the process to request equipment or home modifications through the Children s Waiver program. Refreshment Break (South and North Lobby Area) Concurrent Workshops: 11. Training Support Coordinators Serving Individuals with Autism Spectrum Disorders (Location Pending) - Amy DeKorse, TLLP, Administrative Coordinator, Region 10 PIHP - Nicole Dwyer, MA LPC, Autism Benefit Specialist, Detroit Wayne Mental Health Authority - Jason Newberry, LMSW, Regional Waiver Coordinator, CMH Partnership of Southeast MI - Andrea Calkins, LMSW, QIDP, Autism Program Coordinator-Intellectual/Developmental Disabilities Department, Livingston County CMH Authority The Autism Spectrum Disorder (ASD) benefit has proven to be an effective treatment for clients living with ASD. The complexity and intensity of the Applied Behavioral Analysis service has provided some challenges to Support Coordination. Support Coordinators play a pivotal role in the success or failure of the programming. A successful program of ASD services requires Support Coordinators who respond at the correct times with the appropriate intervention. This presentation will focus on some Support Coordinator trainings, specific to Behavioral Health Treatment (BHT) that have been rolled out across the state. Each community will talk about their experience in developing a Support Coordinator training, followed by a panel discussion regarding Support Coordinator training in the ABA benefit. Participants will be able to: 1. Compare/contrast different models of Support Coordination training in Michigan; 2. Describe important interventions for Support Coordinators Behavioral Health Treatment (BHT) with Applied Behavioral Analysis; and 3. Identify common elements of Support Coordinator training for BHT. 12. Understanding the Medicaid Administrative Fair Hearings Process and New Managed Care Regulations (Location Pending) - Lisa Gigliotti, JD, Administrative Law Judge, Michigan Administrative Hearing System An overview of Medicaid Fair Hearings will be given, including the current federal regulation and impending 2017 federal regulations impact on Home & Community-Based waiver recipients (including ICDE enrollees) and Community Mental Health enrollees. The types of notice of action that must be provided to a Medicaid beneficiary, when and which notice must be used will be explained. Practical tips and online resources will be offered regarding how to prepare for and present during a Medicaid Fair Hearing. A handout and an opportunity for questions and answers will be provided. Participants will be able to: 1. Identify a Medicaid provider s Medicaid Fair Hearings obligation and the federal regulations that set forth the obligation; 2. Identify which provider actions trigger a right to a Medicaid Fair Hearing; 3. List the types of notice that must be provided to a Medicaid beneficiary and recognize when and which notice to use; 4. Describe how to request a Medicaid Fair Hearing; 5. Describe the steps to prepare for a Medicaid Fair Hearing; 6. Describe the general steps during an administrative hearing; 7. List the basics of how to present a Medicaid beneficiary position and to present a Medicaid provider position during the hearing; and 8. Identify online resources for a pamphlet or forms related to a Medicaid Fair Hearing

8 13. Give Your Child a Voice: The Process of Getting a Speech Generating Device in Michigan (Location Pending) CE Pending - Melissa Hoffmann, MA, CCC_SLP, ATP, Speech-Language Pathologist, Assistive Technology, Mary Free Bed Rehabilitation Hospital This presentation will provide a basic understanding of communication devices/speech generating devices (SGDs) as well as demonstrating the latest SGD technology. The attendee will learn what is needed to prepare for an AAC (Alternative and Augmentative Communication) evaluation and what will occur during the evaluation. You will also learn about prerequisites required to obtain funding for an SGD. This session will provide the attendee with basic information about the Habilitation Supports Waiver: eligibility, enrollment. Participants will be able to: 1. Identify different types of communication devices; 2. Identify different ways to access communication devices; and 3. Describe what needs to be done before an AAC evaluation 4) Describe what happens during an AAC evaluation. 14. Best Scores: Effective Prescreen Documentation Strategies (Location Pending) - Kathy Neville, BA, JD, MDiv, Insurance Advocate Consultant, Michigan Department of Health and Human, Contractor, Penultimate Ltd. This advanced session is for experienced prescreen workers and supervisors who are already operationally familiar with the basic content of the Prescreen 101 session. The focus of the session will be to share information on technical assistance provided to CMHs during FY17 that represented trends, recurring issues and emerging questions that may be encountered by other CMHs. Topics will include: assessment of applicant eligibility prior to prescreen submission; DD documentation for special populations: preschool age applicants; regular high school applicants with an ASD diagnosis; ASD diagnosis and SFL documentation issues, applicants enrolled in hospice or palliative care. New information will be provided on Hold procedures now used when insufficient documentation of substantial functional limitations is identified during scoring. Participants will be able to: 1. Identify three primary eligibility criteria for the Children s Waiver Program and the specific documentation that supports eligibility for Children s Waiver Program; 2. Identify two modifications to the Prescreen Hold Policy to resolve a Hold placed due to insufficient substantial functional limitation documentation; and 3. Describe the three most frequently asked questions (and answers to these questions) about application of the Priority Scoring Criteria to prescreen behavioral descriptions. 15. Implicit Bias in Educational Decision Making (Location Pending) - Cheryl Levine, BA-Ed, Program Coordinator, Dispute Resolution Education Resources, Inc. Everyone has bias. It is a brain function for making sense of the world based on knowledge and experiences. Identifying personal bias and knowing when they impact decisions is crucial in educating a diverse population. This session will define implicit and explicit bias and provide exercises to help define personal bias. It will also provide examples of bias impact in schools policy and practices and suggest steps to reduce negative impact. Participants will be able to: 1. Define implicit and explicit bias with examples; 2. Identify personal bias; 3. Identify negative impact of bias in school policy and practice; and 4. Identify remedies to negative impact of bias in school policy and practice. Wednesday, November 15, :00am 2:30pm 8:15am 9:00am Conference Registration (South Lobby) Group Networking Breakfast (full breakfast buffet will be served until 9:00am) (Big Ten A/B)

9 9:00am 10:00am 10:00am 10:15am Plenary Session: BHDDA Update: Forces at Play in Shaping Our Operational Environment (Big Ten A/B) Qualifies for 1 CEU hour - Tom Renwick, Director of the Bureau of Community Based within Michigan s Department of Health and Human Behavioral Health and Developmental Disabilities Administration Mr. Renwick will provide updates on key issues within the Michigan Department of Health and Human and the Behavioral Health and Developmental Disabilities Administration. He will provide updates on state and federal activities including selected MDHHS strategic priorities, the federal Excellence in Mental Health Act planning grant application, Home and Community-Based rule implementation, and other recovery oriented, integrated, and transformational efforts. Participants will be able to: 1. List at least two key goals MDHHS BHDDA plans to achieve in the coming year; and 2. Restate two or more projects driven by federal opportunity, law or rule. Coffee Break (Big Ten A/B) 10:15am 11:45am Concurrent Workshops: 16. Busting Collaboration and Coordination Barriers: Strategies to Enhance Education and Provider ABA to Children and Families (Location Pending) - Diane Heinzelman, MA, Education Administration, Retired Director of Special Education - Dr. Frances Paris, BCBA, NCSP, Behavior Consultant, Charlevoix-Emmet Intermediate School District Parents may elect to access public or private-funded ABA therapy to supplement a school-based program. Collaboration among all providers promotes coordination and effectiveness of service to the students. Don't put parents in the position of choosing one over the other. A focus on collaboration between the school and insurance-funded providers of ABA enhances outcomes for students. Participants will be provided examples of successful inter-agency collaboration and learn strategies for application in their work. Participants will be able to: 1. Understand the educational structure and its charge to children and families; 2. Understand the governing bodies that regulate education and Medicaid; 3. Identify rationale for collaboration among service providers for the same child and family; 4. Identify barriers to collaboration between providers of ABA and the school community; and 5. Provide points of common interest for mutual investment and points of separate interest for separate investment and mutual benefit.

10 10:15am 11:45am 10:15am 11:45am 17. MDHHS Site Review Process (Location Pending) - Benita Koyton, LMSW, ACSW, Departmental Analyst, Michigan Department of Health and Human - John Tyminski, LMSW, ACSW, Departmental Analyst, Michigan Department of Health and Human This workshop will provide the participant with a general understanding of the Federal Assurances, the MDHHS Site Review Process and obtain guidance to ensure full compliance. The Federal Compliance Site Review process is used to ensure that the State is meeting 1915 (b) (c) waiver requirements; ensure that Substance Use Disorder programs conform to the requirements of the block grant and ensure movement towards compliance with the Home and Community Based Rules. The 1915 (c) waivers include the Children s Waiver Program (CWP); Habilitation Supports Waiver (HSW); and Waiver for Children with Serious Emotional Disturbance (SEDW). Based on the findings of the Site Review, annual submission of evidence to the Centers for Medicare and Medicaid (CMS) is required to ensure the State is meeting the federal waiver assurances. The Site Review is the data source for most of the evidence that is reported to CMS. Participants will be able to: 1. Identify the six Federal Waiver Assurances; 2. Gain an understanding of how to incorporate the Assurances into the internal quality review process; 3. Further understand how to obtain full compliance on the Federal Compliance Site Review; 4. Be able to describe the dimensions/indicators of the site review tool and supporting evidence; 5. Identify the Medicaid Requirements to ensure qualified staff within the various waiver programs; and 6. Assure that the Person-Centered Planning process was incorporated into Service Delivery. 18. Behavioral Treatment Plan Review Committee Standards, Recipient Rights, and Behavioral Health Treatments (Location Pending) - Mark Lowis, LMSW, Evidence-Based Practices Implementation Specialist, Michigan Department of Health and Human - Price Pullins, MA, LLP, Chief Psychologist Consultant, Office of Medical & Psychiatric, Michigan Department of Health and Human It is the expectation of the Michigan Department of Health and Human (MDHHS) that all public mental health agencies protect and promote the dignity and respect of all individuals receiving public mental health services. All public mental health agencies shall have policies and procedures for intervening with an individual receiving public mental health services who exhibits seriously aggressive, self-injurious or other challenging behaviors that place the individual or others at imminent risk of physical harm. These policies and procedures shall include protocols for using the least intrusive and restrictive interventions for unprecedented and unpredicted crisis or emergency occurrences of such behaviors. For all other non-emergent or continuing occurrences of these behaviors, the public mental health service agency will first conduct appropriate assessments and evaluations to rule out physical, medical, and environmental (e.g., trauma, interpersonal relationships) conditions that might be the cause of the behaviors. The presenters will review current policy for all publicly-supported mental health agencies and discuss the specially-constituted committee, often referred to as a behavior treatment plan review committee and its purpose. Participants will be able to: 1. Describe current Behavior Treatment Plan Review Committee Standards and FY18 proposed contract enhancements; 2. Define member requirements for each Behavior Treatment Plan Review Committee; 3. Explain two state initiatives to address implementation of behavior support plans in accordance with state and federal laws, as well as formal training opportunities for authors of plans to build capacity and use the least restrictive interventions; and 4. Acquire information and guidance related to ABA services for Behavior Treatment Plan Review Committees.

11 10:15am 11:45am 10:15am 11:45am 19. Children s Waiver Program Advanced Issues (Location Pending) - Audrey Craft, MS, LLP Specialist, Federal Specialist, Michigan Department of Health and Human - Kathy Neville, BA, JD, MDiv, Insurance Advocate Consultant, Michigan Department of Health and Human Contractor, Penultimate Ltd. This session will provide an in depth presentation and discussion of some of the changes to policy for the Children s Waiver Program (CWP) for case managers and administrators with experience in the Children s Waiver Program. There will be a focus on how to assess eligibility for the CWP. Please bring your questions regarding areas of concern to the session. Participants will be able to: 1. Identify three primary eligibility criteria for the Children s Waiver Program and documentation that supports eligibility for the Children s Waiver Program; 2. Identify two modifications to the Prescreen Hold Policy; and 3. Identify two documents that can be uploaded in the New Documents tab in the Waiver Support Application. 20. Promotes: Improving Paid Employment Outcomes for Individuals with ASD (Location Pending) (PENDING) - Jessica Friedler, PhD, Associate Professor of Psychology, Western Michigan University - Kayla Jenssen, BS, PROMOTES Program Coordinator, Western Michigan University - Melanie Giddings, MA, Transitions Coordinator, Van Buren Intermediate School District (VBISD) - Erin Sorenson, BS, PROMOTES Job Coach, Western Michigan University Despite a growing emphasis in autism-related services, a greater focus is needed on employment and transition supports. Individuals with disabilities often struggle with social and other job-related skills, which may impact their marketability when applying for employment positions (Tomblin & Haring, 2000). This presentation will provide a summary of the PROMOTES Employment Project, as well as the collaboration between Western Michigan University and the Van Buren Intermediate School District (VBISD). Several practical do s and don ts for maintaining relationships with employers when providing employment-related supports will also be identified. In addition, successful strategies and interventions identified by the PROMOTES program will be discussed, and recommendations made for behavior reduction and skill acquisition strategies. These recommendations will be made in relation to the existing literature-base for jobrelated skills training for young adults with developmental disabilities, and will encompass suggestions for effective data collection progress monitoring procedures. Participants will be able to: 1. List 3 strategies for initial job-related skill evaluations; 2. Identify 5 tactics for marketing young adults to potential employers and organizations; 3. Name, describe, and apply the four components of Behavioral Skills Training (BST) to a jobrelated skill; 4. Identify 5 considerations for maintaining relationships with employers and providing on-site supports; and 5. List 5 potential outcomes of disruptive and/or inappropriate behaviors in the workplace. 12:00pm 12:45pm Group Lunch (provided) (Big Ten A/B) Concurrent Workshops:

12 1:00pm 2:30pm 1:00pm 2:30pm 1:00pm 2:30pm 21. CWP Prescreen 101 (Location Pending) - Kathy Neville, BA, JD, MDiv, Insurance Advocate Consultant, Michigan Department of Health and Human, Contractor, Penultimate Ltd. This introductory session will cover basics of the prescreen process. The content will be geared to prescreen workers and supervisors who have completed prescreens for less than a year OR have completed fewer than 10 prescreen submissions total AND to those who have completed fewer than 10 prescreen submissions since April The following basic prescreen content will be covered: assessing eligibility for the program; assessing and documenting three or more areas of substantial functional limitations that support a developmental disability and a child s need for services at an ICF/IID level of care; reading and documenting elements described in the Priority Weighing List Scoring Criteria; significant submission dates (six month and full new annual submission requirements); how and when invitations to apply are issued; and helping families understand the likelihood of being invited to apply for the CWP. The processes for resolving a prescreen Hold and removing a child from Weighing List will be identified. The session will prepare workers and supervisors for case specific prescreen technical assistance if needed. In preparation for the session, attendees are encouraged to read the content of the MDHHS Children s Waiver Program website and to download and read the Priority Weighing List Scoring Criteria that is posted at the blue link on that website. Families and others who are interested in understanding basics of the prescreen process are also invited to attend. Participants will be able to: 1. Describe three key components to effectively assess and document that an applicant has three or more areas of substantial functional limitations that support a developmental disability and has needs at the ICF/IID level of care. (Factor 9); 2. Describe two steps to resolve a Hold placed due to insufficient substantial functional limitation documentation; 3. List three key factual details to include when describing behavioral challenges. (Factor 9); 4. Identify four required private insurance details to document for a child with an ABA benefit. (Factor 10); 5. Explain two elements to document when a parent reports (a) a health condition that limits capacity to provide care for the child, (b) current counseling, or (c) parent/family member injury resulting from behavior. (Factor 6); 6. Describe the processes for removing Holds, Removing a Prescreen from the Weighing List, and Transferring a Prescreen to another county or agency in your county; 7. Identify two required prescreen update submissions; and 8. Identify two resources to help parents understand the CWP prescreen process. 22. HSW Advanced Issues Focus on Compliance and Quality (Location Pending) - Belinda Hawks, MPA, Federal Compliance Manager, Michigan Department of Health and Human - Yingxu Zhang, MPP, Federal Compliance Analyst, Michigan Department of Health and Human Topics discussed will include Quality Improvement Strategy and performance measures, update on HSW procedural changes, Federal oversight of the HSW and potential changes as well as how to maximize the benefit including slot utilization. Participants will be able to: 1. Identify performance measures where there are opportunities for improvement based on data for FY15 and FY16; 2. Identify how the site review process is linked to compliance related evidence for annual federal report; and 3. Identify how to utilize the data system BH-TEDS and Waiver Support Application (WSA) in the HSW operations. 23. Michigan Autism Update (Location Pending) - Lisa Grost, MHSA, Autism Administrator, Michigan Department of Health and Human - Kara Hart, Family Supports and Analyst, Children and Adults with Autism Section, Michigan Department of Health and Human Michigan continues to strive to be a leader in opportunities, services, and supports for individuals with Autism Spectrum Disorder. This session is intended to help attendees in identifying current services, supports, and resources in Michigan for individuals diagnosed with Autism Spectrum Disorder including the topics of Applied Behavior Analysis (ABA) services, MI university programs and initiatives, provider capacity, and the importance of system collaboration to effectively serve the individual in their home and community. Participants will be able to: 1. Identify current services in Michigan for individuals diagnosed with Autism Spectrum Disorder; 2. Describe 3 supports and resources across service systems in Michigan for persons diagnosed with ASD and their family, as well as potential points of collaboration; and 3. List 2 initiatives in Michigan to increase access to early intervention and evidence-based supports.

13 2:30pm 2:45pm Refreshment Break (South Lobby Area) Concurrent Workshops: 24. Michigan's Statewide Transition for Compliance with the CMS Home and Community-Based Rule (Location Pending) - Belinda Hawks, QIDP, BS, MPA, Federal Compliance & OBRA/PASARR Section Manager, Michigan Department of Health and Human - Millie Shepherd, BA, SW, Departmental Specialist, Home and Community-Based, Federal Compliance Section, Michigan Department of Health and Human - Angela Martin, LMSW, Associate Director for Community Support and, Michigan Developmental Disabilities Institute The Michigan Department of Health and Human, Behavioral Health and Developmental Disabilities Administration (MDHHS/BHDDA) is transitioning to compliance with the Centers for Medicare and Medicaid (CMS) Home and Community Based Rule. MDHHS/BHDDA collaborated with the Michigan Developmental Disabilities Institute at Wayne State University to conduct a statewide assessment for two of its HCBS waiver programs: the Habilitation Supports Waiver (1915(c) waiver) and the statewide managed care behavioral waiver (1915(b)(3) waiver). The survey process offers HCBS beneficiaries (individuals) the opportunity to assess how their services support their lives to live, work, and participate in their community and surveys the beneficiaries' providers. This presentation will present findings from 2017 surveys and current survey process. The session will share how MDHHS/BHDDA is working with the PIHP s to support the survey and remediation process, ongoing monitoring strategy, and a quality improvement process to assist providers with the transition to compliance. Participants will be able to: 1. Understand the status of the Michigan Department of Health and Human implementation process for the Home and Community-Based rule; 2. Use the knowledge gained from this session to understand how and when their organization or agencies will be impacted by this rule; and 3. Discuss opportunities and strategies for coming into compliance with the rule and improving the delivery of home and community-based services. 25. Waiver Support Application for the CWP:101 (Location Pending) - Kelli Dodson, Bachelor s Degree in Sociology Concentration in Social Work, Departmental Analyst, Michigan Department of Health and Human Training will be provided in how to maneuver through The Waiver Support Application (WSA) for cases on the Children s Waiver Plan (CWP). A case will be added from the beginning and updated in the WSA. Training will show when these updates need to be done and how to do them. Training in how to upload documents to the WSA and what documents need to be uploaded. Training in how to transfer and disenroll a case. Training in how to access and run the Reports to show what needs to be updated and is overdue in the WSA. Participants will be able to: 1. Use the knowledge gained from this session to add, update, and disenroll a case on The Waiver Support Application for the Children s Waiver Benefit Plan. 26. Resilience Documentary (Location Pending) - Ann M. Heerde, LMSW, Program Supervisor for Family, CMH of Ottawa County The documentary film Resilience: The Biology of Stress & The Science of Hope will be shown. After the film, Ann Heerde will facilitate a discussion. Researchers have recently discovered a dangerous biological syndrome caused by abuse and neglect during childhood. As the new documentary Resilience reveals, TOXIC STRESS can trigger hormones that wreak havoc on the brains and bodies of children, putting them at a greater risk for disease, homelessness, prison time and early death. While the broader impacts of poverty worsen the risk, no segment of society is immune. Resilience, however, also chronicles the dawn of a movement that is determined to fight back. Trailblazers in pediatrics, education and social welfare are using cutting-edge science and field-tested therapies to protect children from the insidious effects of toxic stress and the dark legacy of a childhood that no child would choose. (The Facilitators Guide to Resilience by KPJR Films). Participants will be able to: 1. Define resilience ; 2. Identify stressors, including trauma and toxic stress, experienced by children and families; 3. Identify at least 3 negative consequences of childhood stressors; and 4. Identify at least 3 strategies participants can do to support children and families with

14 stressors. 4:15pm 27. Mobile Intensive Crisis Stabilization for Children in Michigan (ICSS) (Location Pending) - Kim Batsche-McKenzie, MSW, Manager of Programs for Children with SED, Michigan Department of Health and Human - Michelle Hill, BSW, Juvenile Justice Diversion Analyst, Michigan Department of Health and Human This workshop is designed to help participants better understand the Michigan Medicaid Manual s Intensive Crisis Stabilization for children, how and why this service was recently updated in the Michigan Medicaid Provider Manual, and what the next steps are for statewide service delivery. This workshop will highlight national models that helped to mold Michigan s ICSS model for children, and the positive impact that mobile crisis response services can have on children, families and communities. Participants will be able to: 1. Better understand why Mobile Intensive Crisis Stabilization (ICSS) for children was recently updated in the Michigan Medicaid Provider Manual to enhance the current behavioral health service array for children in Michigan; 2. Identify national models that exist, and how those models contributed to Michigan s mobile ICSS; 3. Review the updated language for Intensive Crisis Stabilization (ICSS) for Children in the Michigan Medicaid Manual; and 4. Understand next steps for ICSS implementation in Michigan. Conference Adjourns Social Work: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 10/10/2016 to 10/10/2019. Social workers should contact their regulatory board to determine course approval. Social Workers who attend this training will receive maximum of 11 Clinical Continuing Education Clock Hours. Course Delivery Method: Face to Face Conference Certificate Awarded: At the conclusion of this training, you will turn in your Verification of Attendance form to the MACMHB Staff to be initialed. You will turn in the top sheet and retain the bottom sheet which serves as your certificate of participation. Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at or through our webpage at for resolution. Who Should Attend: This conference contains content appropriate for case managers, supports coordinators, clinicians, behavior analysts, administrative staff, providers, autism coordinators, people receiving services and family members and social workers at all levels of practice (beginning, intermediate and/or advanced). Revised 10/31/17 Save the Date! 2018 ANNUAL HOME AND COMMUNITY BASED WAIVER CONFERENCE November 13-14, 2018 Kellogg Hotel & Conference Center East Lansing, Michigan Visit us online at