Hawaii Medicaid Phase-In Timing for New Rates

“This document is a set of tables noting what services will be available for all of the participants in the program or different “cohorts” (Cohort 1 – Participants residing in certified or licensed settings; Cohort 2 – Participants living independently, in family homes, or unlicensed settings AND receiving Adult Day Health; or Cohort 3 – Participants living independently, in family homes, or unlicensed settings and NOT receiving Adult Day Health).”

Hawaii Medicaid IDD Waiver Application (2017)

“The State of Hawaii requests approval for an amendment to the following Medicaid home and community-based services waiver…. Program Title: HCB Services for People with Intellectual and Developmental Disabilities (I/DD Waiver).  Amendment Number: HI.0013.R07.01. Approved Effective Date of Waiver being Amended: 07/01/16.

This is a technical amendment to address several items that were not included in the waiver renewal approved effective July 1, 2016. The new rate methodology and changes to services are designed to support implementation of the Home and Community Based Services Final Rule for Community Integration. This amendment also includes a multi-year phase-in using the Supports Intensity Scale for Adults to assess participants’ support needs to inform the person-centered process.”

*UPDATED* Supported Employment Services for VR Consumers

~~This is a call for bids for a program that will “Provide supported employment (SE) services to individuals with disabilities, both physical and mental. Individualized services are to be provided to enable the individual to achieve meaningful employment consistent with the consumer’s strengths, resources, priortiespriorities, concerns, abilities, capabilities, interest and informed choice.  The contract term will be from October 1, 2017 through June 30, 2019 with four (4) additional 12-month option periods.”

Hawaii Medicaid Going Home Plus Project FAQs

“The Going Home Plus (GHP) project helps residents who have been living in hospitals, nursing facilities, and ICF/ID facilities move back into the community. For those residents who choose to live in the community, the GHP project will assist in finding housing (if the resident does not have a home to return to) and services (for example, help with cooking and bathing) GHP is funded by a federal demonstration grant from the Centers on Medicare and Medicaid Services (CMS) called Money Follows the Person. Hawai‘i’s GHP began in 2008 and will continue through 2020.”

Hawaii Application… Community Mental Health Services Block Grant (2018/2019)

Hawaii Uniform Application FY 2018/2019 – State Behavioral Health Assessment and Plan Community Mental Health Services Block Grant

“The Clubhouse Model seeks to demonstrate that people with mental illness can successfully live productive lives and work in the community, regardless of the nature or severity of their mental illness. Clubhouse services include Transitional Employment (TE), Group Transitional Employment (GTE), Supported Employment (SE), Supported Education (SE), Advocacy and Case Management”

DLIR NEWS RELEASE: State awarded $2.25 million for youth disability workforce development

~~"Hawaii Youth At Work! Program Expands to Year Around
The Department of Labor and Industrial Relations (DLIR) was awarded $2.25 million in federal funds to help prepare youth with disabilities to enter the workforce or post-secondary education. The funding enables Hawaii Youth At Work! summer participants to obtain paid work experience during the year, coupled with employment preparation activities….

The program is a collaboration between the Department of Human Services (DHS) and DLIR. DHS’s Division of Vocational Rehabilitation (DVR), Benefit, Employment and Support Services Division, and Social Services Division counselors and staff work with DLIR workforce staff to place participants in temporary jobs with the State and Counties…..

In 2016, the Summer Youth Employment Program (SYEP) provided 153 youth with disabilities paid work experience in State and County offices on the islands of Oahu, Maui, Molokai, Lanai and Hawaii. Youth were paid $10.00 an hour and worked up to twenty hours per week during the summer months. SYEP 2017 expanded referrals to include youth participants from the DHS’s Benefit, Employment and Support Services Division and Social Services Division in addition to VR. 125 participants were placed in State and City offices on the islands of Oahu, Maui, Molokai, Lanai and Hawaii.”

Hawaii Medicaid IDD Waiver Application Approval

“The State of Hawaii requests approval of an amendment to the following Medicaid home and community based services waiver approved under authority of  1915© of the Social Security Act. Program Title: HCB Services for People with Intellectual and Developmental Disabilities (I/DD Waiver). Waiver Name: HI.0013. Amendment Number:
Proposed Effective Date 06/01/18. Approved Effective Date of Waiver being amended: 07/01/16.

Purpose(s) of the Amendment: This is a technical amendment to address items that were enot included in the waiver renewal approved effective July 1, 2016 and the amendment approved effective June 1, 2017. The amendment will add services mixes and supports budgets to enable participants to have choice, flexibility and control over their services. The amendment also adds a new service, phases-out one service and clarifies language in several services.”

Hawaii DOH Report… on Long Term Adult Supports and Resources (2017)

Hawaii Report to the Twenty-Ninth Legislature State of Hawaii 2018 on Long Term Adult Supports and Resources

“Long Term Adult Supports and Resources (LASR)
This program provides supports for individuals who are eligible for DDD but not eligible for Medicaid services under the I/DD Waiver, or do not choose to receive Waiver services.  The LASR Program assists individuals with I/DD and families to increase independence and interdependence in daily life activities.  The LASR program services include but are not limited to: discovery and career planning, volunteer work, senior activities (if applicable), competitive, integrated employment opportunities, activities to increase skills necessary to perform typical daily activities, activities to increase and strengthen social roles, building communications skills with members of the community, developing friendships and relationships with community members, and practicing skills in activities of daily living.

There was no waitlist for the LASR program during FY 2017. There were 83 individuals served by the LASR program with an expenditure of $720,231 from state general funds.”

Hawaii Medicaid State Plan and Demonstration

“The Hawaiʻi Medicaid State Plan is an agreement between Hawaii and the Federal government describing how that Hawaiʻi administers its Medicaid programs. Department of Human Services is the single State agency designated to administer the Medicaid program under Title XIX of the Social Security Act.”

Hawaii Behavioral Health Employment Services

“Developmental Disabilities Division (DDD) Program
Medicaid Waiver Services provide a range of services and support in the home and community for eligible participants. Services assist participants with achieving their goals and increasing their quality of life. HBH takes pride in the quality of services our dedicated staff provide. In addition to meeting the Medicaid Waiver Program requirements, HBH staff are also certified in Crisis Prevention Institute (CPI) training to increase the knowledge and skills of our staff. HBH’s DDD Program offers the following Medicaid Waiver Services to children and adults referred by the Department of Health, Developmental Disabilities Division on the islands of Oahu and Hawaii:

Discovery and Career Planning (DCP)
Services combine elements of traditional pre-vocational services with career planning to provide supports that the participant may use to develop skills and interests for advancement or a change in the participant’s career plan.

Individual Employment Services (IES)
Services are designed to maximize the participant’s skills, talents, abilities, and interest for employment in a competitive integrated work setting.”

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