Attachment E - Olmstead Plan.pdf

PDF 71 KB Posted

Attached to
Outwood ICF Management & Operations (C5859)
Solicitation number
RFP 729 2500000349 1
Issued by
Harrison County, Kentucky

About this file

This document is an Olmstead Plan attachment from the Kentucky Cabinet, outlining the state's compliance strategy with the Olmstead decision regarding community-based services for individuals with disabilities. The plan was developed beginning in November 2000, with public forums conducted statewide to identify key issues in housing, service access, and transportation. The Cabinet issued its formal Compliance Plan in December 2002, which establishes ongoing goals, strategies, and performance measures for Olmstead compliance. The plan addresses thirteen primary objectives, including establishing consumer involvement mechanisms through an Olmstead Advisory Council, developing objective eligibility criteria based on functional ability, creating transition plans for moving individuals from institutions to community settings, preventing unnecessary institutionalization, and establishing quality assurance measures for community-based supports.

The plan incorporates strategies for improving direct service workforce training through uniform curricula, expanding appropriate housing options via federal programs and universal design principles, and enhancing transportation systems for medical, non-medical, employment, and recreational services. Additional focus areas include increasing employment rates for individuals with disabilities through comprehensive employment support systems and developing systematic performance measures to regularly reassess program effectiveness. The plan is designed to be modified and updated as necessary to maintain ongoing compliance with the Olmstead decision and to ensure that individuals with disabilities receive meaningful information about service choices, have formal appeal mechanisms for administrative decisions, and benefit from properly trained community-based service providers.

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The Plan

The Kentucky Olmstead Plan Committee began working on a plan in November 2000. A series of public forums was conducted throughout the state where housing, access to services and transportation were identified as key issues. Recommendations developed by the committee were sent to the cabinet in fall 2001.

Issued in December 2002, the Cabinet's Compliance Plan outlines state programs that currently support community-based efforts, makes recommendations, sets goals and strategies for each initiative and lists challenges with Olmstead compliance. The plan is modified and updated as necessary.

Some of the plan's goals and strategies include:

1. The Cabinet will continue to provide an ongoing mechanism for consumer involvement and input for compliance with the Olmstead decision. A strategy for ensuring this goal is to continue the Cabinet's Olmstead Advisory Council.

2. System capacity to support initial and ongoing self-determination initiatives should be assessed.

3. Consumers and families should have meaningful information about choices that they can understand.

4. Consumers and families should have a formal means to appeal administrative decisions.

5. The process for determining an individual's eligibility and need for services will be based on objective criteria focusing on functional ability and recommendations by the treatment team. As a result, current assessment tools will be evaluated and new tools will be developed.

6. Plans will be developed to transition appropriate individuals from institutions into the community.

7. Systematic ways to prevent unnecessary institutionalization should be developed. A strategy for ensuring this goal is to review the current process for referral to long-term care institutions.

8. Quality community supports will be available for individuals with disabilities. Performance measures will be developed and modified.

9. Individuals who provide direct services in the community will be properly trained. A strategy for ensuring this goal is to create uniform training curricula for staff.

10. Appropriate housing options should be available. Strategies included maximizing the use of federal housing programs and promoting the use of universal designs in new construction.

11. The current transportation delivery system for medical and non-medical service, employment and recreational activities should be enhanced by developing grant opportunities.

12. The employment rate for people with disabilities should be increased through the creation of a seamless system of employment supports.

13. Performance measures will be systematically and regularly reassessed for program effectiveness and Olmstead compliance. A strategy is to develop outcomes measures for assessing Olmstead compliance.

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