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.”
“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.”
“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.”
“The State of Hawaii, Department of Human Services (the State), hereby notifies the public that it intends to seek a five-year renewal of its Section 1115 Demonstration from the Centers for Medicare & Medicaid Services (CMS). This renewal, which will be effective January 1, 2019, will be entitled “QUEST Integration.”
How do you want to Level Up? By securing housing? By getting your GED? By learning a new trade? With a paid internship or a new job? Maybe you just need access to a laptop and printer to work on your résumé and job search.
WorkHawaiʻi’s mission is to develop a quality workforce for Honolulu’s businesses, and to empower individuals to meet the current and future needs of employers so that our economy continues to grow. Our office offers a wide range of services, both in our office at the Dole Cannery, and out in the community across the island of Oʻahu, including Hiring Events, workshops, and resources access.”
“Services are provided through the Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver, for Individuals with Intellectual and Developmental Disabilities (Medicaid I/DD Waiver). The purpose of the Medicaid I/DD Waiver is to support people to have a full life in the community.
Life Course Tools Diagram
Services and supports are identified through a person-centered planning process with case managers to develop the Individualized Service Plan (ISP) with the individual’s desired outcomes and goals. The case manager assists the individual and family in accessing these services from qualified Medicaid I/DD Waiver providers chosen by the individual.”
“Individuals who are competitively employed live a life they truly want! The DDD believes that all people, regardless of disability, should have the opportunity to work and recognizes that individuals with I/DD achieve successful employment outcomes when:
They are empowered to drive their job search process;
They have access to services and supports; and
They are given the opportunity to engage in a Customized Employment
In 2017 Governor David Y. Ige signed a Proclamation identifying October as Disability Employment Awareness month, and endorsed Hawaiʻi’s designation as an Employment First state. In this proclamation, Governor Ige encouraged all citizens of the Aloha State to fully participate in the workforce and bring their individual strengths and talents to augment Hawai’i’s business and industry.”
Hawaii DDD Waiver Employment Services and Supports
This page has information on the following services and supports:
Discovery and Career Planning
“…Discovery is a person-centered planning process that involves getting to really know the person before supporting them in developing a plan for employment (Callahan, 2001). Discovery begins with a team coming together to discover and gather information about an individual’s:
Marketable skills
Preferred tasks
Personal attributes and
Ideal workplace conditions…”
Benefits Counseling
Don’t let the fear of loss of benefits drive future decision-making. There are many programs that can enable you to work and keep your benefits. The DDD offers Benefits Counseling through the Medicaid I/DD Waiver.
Hawaii Work Incentives Planning and Assistance (WIPA)
If you are working, looking for work, or considering an employment decision and need individualized assistance, contact Hawaii WIPA using the information below.
Individual Employment Supports
Job Development– Once a Discovery and Career Planning process is complete, an Employment Specialist will use the information gathered from the discovery process that identified the participants marketable skills, preferred tasks, personal attributes and ideal workplace conditions to match them with the identified business needs of an employer.
Job Coaching- Job coaching will help the participant on the job after they have been hired in a competitive integrated environment and decreases as the participant becomes more independent on the job.
Hawaii QUEST Integration §1115 Waiver Renewal Application
“Pursuant to Section 1115(a) of the Social Security Act, the State of Hawai‘i, Department of Human Services (the State) is seeking a five-year renewal of the QUEST Integration Section 1115 demonstration project from CMS. Absent a renewal, the demonstration will expire on December 31, 2018.
For nearly two decades, the demonstration has efficiently and effectively delivered comprehensive benefits to a large number of beneficiaries, including expansion populations, through a competitive managed care delivery system. Under the renewal, “QUEST Integration” (QI) will continue to build on this success by delivering services through managed care, while integrating the demonstration’s programs and benefits to have a more patient-centered care delivery.
All eligible beneficiaries will continue to be enrolled under QUEST Integration, and access to services will be determined by clinical criteria and medical necessity. The renewal will continue to incorporate the simplified Medicaid eligibility structure under the ACA into the demonstration.”
