News

The Wisconsin Medicaid reimbursement rate for home and community-based services (HCBS) will go up by 5% effective January 1, 2022, through March 31, 2024. The increase comes from federal funding authorized by Section 9817 of the American Rescue Plan Act (ARPA). Programs benefiting from the increase include:

  • BadgerCare Plus Managed Care
  • Care4Kids
  • Children Come First
  • Children’s Long-Term Support (CLTS) Waiver
  • Family Care
  • Family Care Partnership
  • IRIS (Include, Respect, I Self-Direct)
  • Medicaid fee-for-service state plan services
  • Program of All-Inclusive Care for the Elderly (PACE)
  • SSI Managed Care
  • Wraparound Milwaukee

HCBS providers serve Wisconsin’s frail elders and people of all ages with disabilities, enabling them to live independently or in home-like settings in the community. These services are essential to meeting their daily needs and avoiding unnecessary institutionalization. Further, HCBS are shown to be a cost-effective alternative to higher levels of care, such as nursing home placements and hospital services.

This 5% rate increase will help providers get adequate reimbursement to recruit staff and maintain this important system that delivers such critical care.

Providers eligible for the rate increase will receive follow-up communications from DHS with operational details. Services will need to be coded properly to be reimbursed at the new rate.

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Federal officials are working to make sure that paid caregivers aren't being taken advantage of. The Department of Labor recently launched an initiative to protect the wages and rights of professional caregivers. The agency said it plans to educate these workers about rules related to minimum wage and overtime pay and how to file a complaint if their rights have been violated.

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2022 National Self-Direction Conference 

Monday, April 11 - Tuesday, April 12, 2022

Planning is well underway for the 2022 National Self-Direction Conference on April 11th and 12th in Baltimore, Maryland. We are thrilled to bring the self-direction community together again to share relevant policy updates, discuss innovative best practices, and highlight exemplary self-direction programs from around the country. We will share more information about our dynamic speakers and sessions in the coming weeks.


Before the holiday break, don’t forget to register for the conference and sign up for a showcase or sponsorship! 

RegistrationYou can register for the conference at our discounted early bird pricing here. 

Tools & Tech to Self-Direct ShowcaseAs an integral part of the conference, vendors have the chance to show off, explain, and demonstrate their tools or technology with an audience of state Medicaid administrators, Financial Management Services providers, managed care organizations, and other Medicaid stakeholders as a part of our Tools & Tech to Self-Direct Showcase.
We encourage anyone with a product or service that supports self-direction to be a part of the showcase. You can learn more about the showcase here

SponsorshipsDon’t miss your chance to reach self-direction program administrators, Financial Management Services providers, managed care organizations, federal government officials, and other partners during our conference. Sponsorships offer unique opportunities for your organization to network, brand, market, and advertise—boosting your visibility. 
View the Sponsorship Prospectus for a complete overview of all the latest opportunities.

Register here
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The Wisconsin Department of Health Services (DHS) has submitted the updated statewide transition plan for final approval to the Centers for Medicare & Medicaid Services (CMS).

The HCBS settings rule requires states to develop a transition plan for reaching and maintaining compliance with the rule. Wisconsin's current plan for meeting the rule's requirements was last posted for public comment in March 2017 and submitted to CMS for review and approval. CMS gave initial approval of the statewide transition plan in July 2017. CMS then requested that updates and revisions be made and that DHS repost the updated plan for public comment. The updated statewide transition plan now reflects the updates and revisions CMS requested along with public comments from July 2021.

Find more information about the statewide transition plan on the DHS website.

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Winter is upon us and so is the holiday season. For many, this is a time of year for gathering with friends and family, while others may find themselves experiencing increased isolation. This time of year can mean more time spent indoors or outside enjoying the colder weather. Whatever this season means for you, the next few months will bring challenges due to the continuing COVID-19 pandemic.



To help programs support safe holidays and a healthy winter experience, here are select resources from ACL’s Senior Nutrition Program and its Nutrition and Aging Resource Center.

Real Program Practices
Local senior nutrition programs share their creative practices for engaging participants.


Find more success stories from local programs across the country.
 

Activity Guides

Created to celebrate the Senior Nutrition Program’s anniversary earlier this year, these activity and game guides are great for virtual get-togethers.

Program Reopening Resources

For programs planning safe in-person gatherings, these resources around reopening after closures due to COVID-19 offer considerations, tips, and materials.
The Senior Nutrition Program applauds local programs and the aging network for their continuing resilience and creative efforts to support communities during this challenging time. Programs are encouraged to remain dedicated to using flexible strategies and combatting social isolation to keep seniors, staff, and volunteers as safe and healthy as possible through the holidays and beyond.


For more on staying well this season, check out CDC’s Strategies for a Healthy and Safe Holiday Season.


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On December 15, 2021, the Smithsonian Museum of Natural History held a ribbon-cutting ceremony to celebrate the installation of new sloped walkways for accessible entry on the National Mall side of the 111-year-old building. On behalf of the U.S. Access Board, Training Coordinator Bill Botten attended the ceremony and recognized the importance of providing compliant and accessible routes and entrances, stating “the Access Board commends the museum for this accessible design and ongoing commitment to removing barriers. It allows easier and more dignified access to the museum for people with disabilities, older adults, strollers users, and others. These sloped walkways are a great example for other museums and historic buildings on the National Mall to follow in providing more accessibility for the American public.”  

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Stacy's Journal: Is Outer Space Accessible?


By Stacy Ellingen, 2021-12-14

Richard Branson. Jeff Bezos. Elan Musk. Michael Strahan. Those are just a couple of the famous people who took a trip into space recently. Yes, there have been other people who went who had significant connections to space, but these trips have been funded by well-known billionaires. I had a chance to watch news coverage of the most recent one where the famous football player and news broadcaster, Michael Strahan, went up to space.

Ever since I was young, I have had an interest in outer space. My junior year of high school, I did my multi genera research project on John Glenn, who was a famous astronaut. Watching the coverage of the space launch made me think about what if I wanted to go? Albeit a little scary at first, but I can’t imagine how cool it’d be to be totally weightless. What would happen to my muscles? Now, realistically, that’d probably never be possible because obviously I’m nowhere close to being a millionaire, but I was thinking about the principle of it—what the if a person with a disability could afford it and had the desire to go? I did a quick Google search and found out that it cost over $55 million to go to the space. That’s just for one person and I’m assuming it’s for only a few minutes like the recent trips have been. Right now, very few people in general could afford that, but, as more and more of these trips become reality, the cost will likely eventually decrease. There is already talk going around about a “space tourism industry.” Will people eventually vacation in space? It’s bizarre to think about, but it seems like it’s quickly becoming reality. This brings up a frequent question in the disability community--will it be accessible?

When Bezos went to space this past summer, a meme went around on social media saying something to the effect, “Another billionaire went to space today. If this is possible, why can’t people who use wheelchairs fly without having their wheelchairs wrecked? Why can’t air travel be inclusive? “That wasn’t the exact quote, but the point was that if regular civilians can go to space, we should be able to make air travel inclusive. As a person who has experienced having their wheelchair ruined by the airlines, I completely agree with the statement. A few years ago, I wrote a journal entry about how my chair was ruined on a trip to Vegas. Unfortunately, it happened on the way there, so it kind of wrecked the vacation for my parents and I. Since then, when I fly, I take my manual wheelchair which makes me dependent on others for almost everything.

In my opinion, there’s a bigger issue around this conundrum. Considering we’re in the 21st century, why shouldn’t everything be inclusive? People with disabilities are one of the largest minorities in the world. When inventing new things and opportunities, regardless of what they are, inclusivity should be a factor in development. Yes, I understand this would make things more expensive and complex, but it’s time. I think back to my entry about the Eagle Tower in Door County--that’s a perfect example. It was knocked down due to safety concerns, and, when it was rebuilt, it was made accessible. Did it take longer and cost a lot more? Absolutely, but now a lot more people can enjoy it.  

While the Americans with Disabilities Act and other laws have made a lot of things accessible, there is often a sense of frustration when people find out that things will take longer or cost more because they need to be made inclusive for everyone. As a person with a disability, knowing that people are frustrated because they have to wait longer or more money has to be spent to make something accessible, it saddens me. Am I not worth the wait or extra money? Now, of course, there are things that just can’t be made accessible. For those things, alternative options often can be made available. An example of this would be adaptive sports. They obviously aren’t the same as regular sports, but people with various limitations can experience what’s it’s like to play and compete.

Engineers are designing new airplanes and automobiles every day, why can’t we figure out how to get wheelchairs on planes? Yes, I understand it would take many years and billions of dollars to replace all the time airplanes, but, if we can send civilians to space, why can’t we figure out how to make wheelchair accessible cabins? Something doesn’t add up. While I understand the need and desire for extravagant recreational experiences, where does the need for accessibility fit in the priorities of the country? It’s definitely an interesting question to ponder. If we can send civilian tourists to space, we should be able to take flights in airplanes without our vital equipment being damaged. Unfortunately, I don’t foresee anything changing anytime soon. We, as a disability community, have to continue to make sure that we are seen and heard. That’s the only way changes are going to happen.

***The views expressed here are strictly those of the author and do not necessarily reflect those of InControl Wisconsin, the Network or any of our sponsors.


Mitchell International Airport in Milwaukee recently launched a program to assist adult travelers who have disabilities. Through the Hidden Disabilities Sunflower Program, adult travelers who have hidden disabilities can get a bright green lanyard with sunflowers on it to identify to airport employees that they may need a little extra assistance. The Airport staff will make sure people wearing those lanyards will get the extra assistance they need. 

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The Self Advocacy Resource and Technical Assistance Center (SARTAC) is now accepting applications for fellows for a one-year self advocacy project. Learn more and apply here.
The project should help the fellow grow their own skills as a leader and may include work on finding new ideas to help solve problems many people have. It must end with a report or products others can use after the project is over. Fellows will work with a host organization (such as a nonprofit) over the year. SARTAC will select six fellows.
A fellow will work on their project about six hours each week. SARTAC pays fellows $5,000 to complete their projects. The fellowship begins on March 1, 2022, and goes to February 28, 2023.
The deadline for applications in Wednesday, December 22, at 9:00 pm ET. 
SARTAC will choose fellows and contact all applicants by February 14, 2022.
Apply for a SARTAC Fellowship
SARTAC was created to share self advocacy ideas and help others across the country. It operates with support from ACL. To learn more about the fellowship and the previous classes of fellows, visit: selfadvocacyinfo.org/fellows.
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Member Spotlight: Stefanie Primm


By SD Network, 2021-12-06

64201062667__F35B603D7EBC4129AF07D783087302E6.jpegMeet Stefanie. Growing up with a sibling with a disability shaped her outlook and passion in life. She runs an organization that supports families who have loved ones with disabilities. She enjoys making self-determination the center of peoples lives. She encourages people to set goals for the future. and tell your family and friends about them, so they can support you. We’re so fortune to have Stefanie as a member of the Self-Determination Network.

What's your story?  Tell us a little bit about yourself.

Stefanie grew up in Colorado and Wisconsin with a brother with autism. She shares that growing up with him really shaped her worldview about disability and belonging. She attended UW-Madison studied child development and then got a Masters Degree in Social Work. As a student intern, she heard about the Self-Determination Conference and got to attend for free. As her college career wrapped up, she learned about an incredible opportunity through the Waisman Center, where she could work with families like hers to help create a better future for their loved ones. “That work with families led to the creation of LOV-Dane, which became LOV Inc. (Living Our Visions Inclusively) in 2020. I've been the Executive Director of LOV Inc. for the last four years and feel very lucky to get to do work that I'm so passionate about. I love talking to families from different parts of the state and hearing about their hopes and dreams for their loved ones with disabilities. It is such a privilege to be able to be part of their journey while they make the best possible life for their loved one. At LOV Inc. our focus is on helping people figure out what they want in life and claim the power to make it happen,” she says.

How are you involved with self-determination? Why did you join the SD Network?

While most of her work nowadays is with parents and siblings of people with disabilities, Stefanie explains that LOV Inc. has a major focus on self-determination for individuals with disabilities. Their staff team is part of the Living Well project and they spent the last few months reviewing the Rights Toolkit, which was a great starting point for many discussions. When they work with families or individuals with disabilities, they always make space for listening deeply to what is important to them in their life, and helping to navigate through any barriers they're experiencing. “I love being part of the SD Network to connect with other people doing similar work to us, and learning about new ideas people come up with,” she excitedly exclaims!

Tell us some good news - what's the most exciting thing happening for you (or in Wisconsin) in terms self-determination?

Stefanie explains that in recent years, LOV Inc has focused on diversity and equity, in addition to inclusion. This year, they've been able to expand their work with Spanish speaking families by hiring a Family Resource Specialist who is Latina. Alejandra Espejo has been connecting with families and helping them dream big for their child's future, including their child living a self-determined life. They've done a lot of education on supported decision making and rights, though these terms have different meanings to Spanish-speaking families. “Bringing the idea of self-determination to a new culture is challenging, but definitely worthwhile,” she says.

What tip or resource would you like to share with people who want to be more self-determined?

Stefanie thinks it is easier to be self-determined when you know what you want. She encourages people to set goals for your future, talk with close friends and family about what you want your life to look like, and then ask for the support you need to get there. She says, “If the future feels too far away, think about the life you want to have six months or a year from now, and find a way to take small steps toward that life. Many people are rediscovering who they are after COVID, so you're likely to find a lot of other explorers on your journey.”

What are some of your hobbies?

When she’s not busy working, Stefanie likes to do calm and soothing activities. She attends yoga classes at a studio near her house, work on jigsaw puzzles with family and connect with my friends. She’s looking forward to life after COVID when it will be easier to travel safely. There's a lot of places in the world that she still would like to see. London is probably at the top of her travel list right now, but she would be happy to even be able to visit friends in Washington state next year.

***We love hearing the views and opinions of Network members. We need to mention that the views and opinions expressed on this site are those of the person who is sharing them. They do not necessarily reflect InControl Wisconsin or any of our supporters and funders.

 

 

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