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NASDDDS Mid-Year Meeting

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NASDDDS Mid-Year Meeting

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    1. NASDDDS Mid-Year Meeting Autism Policy and Service Strategies in South Carolina Stan Butkus, PhD Kathi Lacy, PhD Daniel Davis, LMSW

    2. DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS Office of Policy - Functions

    3. South Carolina Department of Disabilities and Special Needs 29,334 people supported statewide Of this, 10.7% or 3135 have a diagnosis of autism 70% of those with autism also have an intellectual disability $560 million annual budget (hoping to add $12-13 million more in state funds in July 2008) Most service delivery is contracted out to qualified providers About 82% live in own home or family’s home

    4. State Policy Initiatives FY 2007 General Appropriations Act AKA “The PDD Pilot Program” FY 2008 Senate Bill S. 20 AKA “Ryan’s Law” FY 2008 SCHIP, Title XXI of SSA AKA “Healthy Connections Kids”

    5. Pilot Pervasive Developmental Disorders Program – July 2006 Act required DDSN and DHHS to write a HCB waiver with services to begin no later than January 1 2007 DDSN appropriated $3.0 million in FY 2007 – covers those in waiver AND state-funded only Treatment as authorized by DDSN Not to exceed $50K per year/child with a 3 year maximum of treatment

    6. Covers children with autism, Asperger’s syndrome and PDD-NOS; those that do not meet ICF/MR LOC are served in the state program The HCB waiver application is on our web site www.state.sc.us/ddsn/

    7. Lessons Learned about PDD Program Find your 3 “autism angels” Work with Medicaid and CMS at onset Include supplies needed to implement interventions in benefit package Be specific about type and length of treatment; base on literature Have system in place to evaluate provider qualifications Have system in place to evaluate progress of children

    8. Ryan’s Law Amended Code of Laws of South Carolina so as to require health insurance coverage for autism spectrum disorders (Section 38-71-280) Pre-filed in Senate 11/29/06 Ratified on 5/31/07 Vetoed by Governor 6/6/07 Senate and House override veto: 0 nays

    9. Ryan’s Law Covers autism, Asperger’s syndrome and PDD-NOS Law mandates Group Policies with more than 50 employees and the state’s health plan to cover behavioral therapy Excludes self-insured plans and those plans written outside of SC* Coverage effective upon renewal after July 1, 2008

    10. Ryan’s Law Treatment based on medical doctor’s prescription Child must be diagnosed by age 8 Benefits up to age 16 years $50K annual benefit Treatment plans from MD due to insurance company every 6 months for medical necessity evaluation

    11. SCHIP Provides coverage to uninsured children up to age 19 with family income between 150 to 200% FPL Eligibility guaranteed for 12 months unless child moves out of state, reaches age 19 or becomes incarcerated Child must be uninsured for 3 months Benefit package is substantially equal to package of State Health Plan

    12. SCHIP Administered by MCOs only Capitated rate paid to the MCO Approved by CMS For further information, visit the DHHS website at www.scdhhs.gov division of care management.

    13. The Autism Division: Organization & Services

    14. Primary Services

    15. Spartanburg AD Office & Greenville CARE Locations

    16. Evaluations The Autism Division provides the evaluation for services through: ? CARE Centers

    17. Primary Goal of CARE Centers To conduct in-dept assessments of individuals with complex needs To provide training for students and professionals in evaluation techniques

    18. Autism Division Training Standard Advanced Specialized

    19. Consultation The Autism Division Consultants provide support to people with autism, their families, and the agencies serving them.

    20. Types of Consultation Individual Team

    21. In Home Intervention Program (IHIP)

    22. In Home Intervention Program (IHIP) ? Serve children birth to 7 years Provide Program Coordination & Follow-up

    23. Limited Program Strategies to help the family work more effectively with their child in their home & other environments.

    24. Intensive Program Average length is one year In-home therapy (1-on-1): 15-40 hrs/week Supervision ? Program development ? Data reviews ? Material updates Additional therapist recommended

    25. Model Classes

    26. Model Classroom Approach Local Autism Division office makes an agreement with a School District. Autism consultants work with one specific classroom and staff.

    27. Model Classroom Steps Autism Division staff: Assesses the target class Reviews findings with class staff Makes a plan with class staff Helps set up/adjust room & make materials Demonstrates teaching & running the class Trains & coaches the class room staff

    28. Model Classroom Process ? Through a combination of: ? specialized instruction ? team building activities ? modeling ? coaching ? The classroom staff build their own teaching skills & create their own areas of expertise.

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