Integrating State Systems Change into a National Policy Framework

1. Integrating State Systems Changeinto aNational Policy Framework Alaska Works Initiative November 9, 2009

2. Alaska Works Policy SummitMay 2002 • Purpose • Discuss current policy status and issues • Disability Populations • Medicaid Buy-In • 1-Stop Job Center Services • Personal Assistance Services • Make policy recommendations • Create lasting change • Look comprehensively across programs and services • Create linkages and partnerships

3. Policy Definition • Legislative action • Regulatory process • Day-to-day policy and procedures • Implementation of policy at all levels throughout the state • Includes obtaining, allocating or re-allocating resources (people, time, money)

4. Policy Summit Agenda • Overview disability policy framework • Discuss policy issues from national perspective • Discuss policy implications of Alaska data and research • Policy work group discussion • Reports and next steps discussion

5. Process Used • Discuss Alaska policy in relation to identified issues • Identify and discuss any other issues not previously raised • Determine whether current policy is supportive, inhibiting, neutral or non-existent • In relation to disability policy framework • In relation to data and research findings

6. Process Used (continued) • Determine need for change in current policy or if new policy is needed • Generate policy options • Use priority grid to rate each option • Positive impact on services • Cost savings • Resources available to implement • Doable/can be accomplished in reasonable amount of time • Advances disability policy framework • Fits with what data and research tells us

7. Process Used (continued) • Discuss next steps • Determine need for additional data or information • Identify stakeholders • Determine unintended consequences (if any) • Determine what it would take to implement proposed policy • Assign responsibilities

8. Outcomes • Disability populations • People with severe mental illness • MIG funding used for employment specialist • Partial use MH block grants for supported employment pilots • DBH/DVR memorandum of agreement and letter • Change in DBH regulations • Training and technical assistance • MIS/data collection changes

9. Outcomes • Disability populations • Youth with disabilities • MIG money used for youth coordinator • Targeted group for DD waitlist initiative • Youth Intermediary Grant • 5-Year strategic plan • Post-school outcomes survey • Increased funding • Developmental disabilities • DD Supported Employment Action Plan • MIG funding used for employment specialist • Alliance for Full Participation

10. Outcomes • Medicaid Buy-In • Change in resource limits • $2,000 to $10,000 for an individual • $3,000 to $15,000 for a couple • Personal Assistance Services • Increase access and equity • Eliminate the “time for task” approach • Provide a menu of services • Activities of Daily Living • Instrumental Activities of Daily Living

11. Outcomes • 1-Stop Job Centers • Customized Employment Grant • Change in DVR policy • Job center service integration • Training, technical assistance and consultation • Families First (adaptation for TANF population) • Start-Up Alaskagrant

12. Outcomes • 1-Stop Job Centers • Disability program navigators • Increase in use by people with disabilities from 2.3% (2003) to 4.4% (2007) • Increase in percent entering employment from 50% (2003) to 61% (2007) • Increase in percent retaining employment from 64% (2003) to 81% (2007) • FY11 Increment request