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Michael P. Hansen Director
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  1. Public Meeting December 9, 2011 Michael P. Hansen Director Rick Scott Governor

  2. Customer self-direction and choice Equitable distribution of appropriated Medicaid waiver funds Business process efficiencies using technology Overall iBudget Goals

  3. 2009 General Appropriations Act (GAA) required plan by February 2010 APD researched other states’ systems and best practices APD worked with iBudget Florida Stakeholders’ Group to design plan iBudget implementation authorized in s. 393.0662, Florida Statutes, in 2010 iBudget Background

  4. iBudget Allocation Formula AGE QSI ASSESSMENT 1) Functional Score 2) Behavioral Score 3) Ability to: Transfer, Self-Protect, and Maintain Hygiene LIVING SETTING Determines Individual Budgets

  5. Consumer Flexibility in Spending • LEAST FLEXIBLE: • Residential Services • Therapeutic Supports and Wellness MOST FLEXIBLE: • Life Skills Development • Supplies and Equipment • Personal Supports • Support Coordination • Transportation • Dental Services Across Time Within Service CONSUMER CHOICE (12,196 Combinations of Services) Between Services

  6. 1 Create Overall Plan iBudget Phase-In Plan 2 Technical/Process 3 In Progress Transition Areas 1 & 2 InProgress 4 Finalize Deployment Strategy 5 Implement in Phases Statewide

  7. The results of the initial proposed model would likely lead to about 2/3 of people getting reductions with many of these having large reductions (over 40% reduction in cost plan compared to current cost plan). The initial proposed model could result in about 45%of people not having enoughin their budgets to fund their current core services. iBudget ImplementationChallenges and Impacts

  8. Non-Core and Core Services 8 8 8

  9. Models’ Impact on Individuals Note: The initial proposed model would set aside about $100 million for extraordinary needs as well as other required costs not in the algorithm such as waiver support coordination.

  10. Uses current cost plan and initial proposed iBudget amount as starting point. Does not increase any cost plan. Does not decrease any cost plan more than 50%. Uses core services to approximate “extraordinary needs.” Additional savings from other cost-containment strategies and individual cost plan reviews would continue. Model AKey Features

  11. Example 1

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  13. Example 3

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  16. Example 6

  17. Example 7

  18. Example 8

  19. Example 9

  20. Percentage of Individuals by Funding Approach

  21. Thank You! Please email comments by 12/16/11 to Arthur_Barndt@apd.state.fl.us