The Olmstead Ruling
The ADAPT Community
10 Years After the Olmstead Decision Components of a Comprehensive Plan
WHAT TO LOOK FOR!
- Commitment of Governor /State Agency(s) Directors
- Statement of support of the ADA "most integrated setting"
- Includes nursing facilities, ICF-MR’s and all other institutions Identifies all affected populations - physical/cognitive/mental Children, young adults, older folks
- Identifies lead agency – Olmstead Plan coordination
- Identifies funding to implement plan Federal Money follow the Person (MFP) request State MFP process and/or policy Budget request(s) to State Legislature for transitioning folks
- Provides for input from people with disabilities/older folks
Plan development
Plan implementation
Oversight
Number in nursing facilities, ICF-MR’s and other institutions
Number in waivers, Personal Care Option, Home Health, State funded programs
Number on all waiting lists
Number of people who have transitioned out
- Development of Identification Process
State request for Data Use Agreement from HHS/CMS
Use of Community Based Organizations
Identifies all populations - public/private
Interest Assessment - Service Coordination
Dispute Resolution
- Community Integration Assessment/Plan
Assess what community services are currently available
Identifies community services/infrastructure needed to relocate or divert
Identification of barriers to community integration (Nurse Practices Act, licensing, housing, funding transportation, employment, medical equipment, etc)
Support Services needed to move/stay in community
Timelines for moving to the community
Number of people to transition each year
- Review/Monitoring of Community Integration
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