Breaking news – Governor proposes delaying dual-eligible demonstration project to Sept 2013 in phased In approach; Will allow 3.6% IHSS cut to end as scheduled June 30 2013

CDCAN DISABILITY RIGHTS REPORT 
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK

#004-2013 – January 10, 2013 – Thursday

Advocacy Without Borders: One Community – Accountability With Action

California Budget Crisis – Breaking News:

GOVERNOR PROPOSES DELAYING IMPLEMENTATION OF “DUAL ELIGIBLES” DEMONSTRATION PROJECT TO SEPTEMBER 2013 – NO NEW CUTS PROPOSED FOR IHSS, HEALTHY FAMILIES – 3.6% EXISTING IHSS CUT WILL END AS SCHEDULED JUNE 30, 2013

  • Proposes That 8 County Demonstration Project Be Implemented Under A “Phased In” Approach Beginning In September 2013
  • LA County Would Enroll Persons Dually Eligible Over 18 Month Period Beginning September 2013
  • Alameda, Orange, Riverside, San Bernardino, San Diego and Santa Clara Counties Would Be Phased In Over 12 months Beginning September 2013
  • Budget Assumes State Will Prevail in the Federal Courts on 2009 20% Cut In IHSS Hours And Assumes Implementation of That Cut in November 2013

 

SACRAMENTO, CA (CDCAN)  [Last updated 01/10/2013 10:30 AM] – Governor Jerry Brown’s proposed 2013-2014 State Budget calls for delaying implementation until September 2013 of a controversial plan to shift hundreds of thousands of people with disabilities, the blind and seniors eligible for both Medicare and Medi-Cal into Medi-Cal managed care type plans in 8 counties.  The Governor also proposes to implement the transition in a “phased in” approach in 7 of the counties beginning in September (San Mateo County would, under the Governor’s plan enroll persons “all at once” beginning September 2013). 

The Governor’s proposed budget plan, released this morning, does not call for any new reductions to the Medi-Cal program, to In-Home Supportive Services (IHSS), Healthy Families or other major health and human service programs. 

The Governor’s budget plan assumes that the existing 3.6% across the board cut in In-Home Supportive Services hours for all recipients will end as scheduled on June 30, 2013.  But the Governor’s plan also assumes that the State will prevail this year in the federal courts which have blocked a previously enacted 20% cut in IHSS hours for most IHSS recipients.  The Governor’s budget assumes that cut will be implemented in November 2013.

As previously reported, the Governor’s proposed budget does not call for any new reductions to the developmental services budget that funds regional centers and developmental centers.  His budget proposal also assumes that the existing 1.25% payment reduction will end as scheduled on June 30, 2013.

In releasing his budget plan this morning, Governor Brown said that he is proposing a budget that “lives within our means” so that the State will avoid in the future “making a promise [to Californians] and then take it back”.

CDCAN will provide more details on the Governor’s proposed spending plan later this afternoon.

CDCAN SUMMARY OF MAJOR ISSUES

The following is a summary by CDCAN of some of the major issues in the Governor’s budget impacting people with disabilities and seniors (more details will provided by CDCAN later this afternoon):

MEDI-CAL – COORDINATED CARE INITIATIVE

  • Governor is proposing changing the implementation of those people with disabilities and seniors eligible for both Medicare and Medi-Cal in the 8 county demonstration project to September 2013 instead of March 2013.  The Governor’s plan proposes now a “phased in” approach to shifting people dually eligible for Medicare and Medi-Cal in the 8 counties targeted for the demonstration project, rather than enrolling them all at once, as originally planned. 
  • The demonstration project is pending approval from the federal government which originally was expected last month.  Approval is expected by Brown Administration officials, though the proposal will need to be adjusted to reflect the changes proposed by the Governor. 
  • Los Angeles County, under the Governor’s proposal, will phase-in people dually eligible for Medicare and Medi-Cal (and who do not opt out of the project) over 18 months beginning September 2013.
  • San Mateo County will enroll eligible persons all at once.
  • Person dually eligible for Medicare and Medi-Cal in Alameda, Orange, Riverside, San Bernardino, San Diego and Santa Clara counties will be phased in over 12 months beginning September 2013.

 

IN-HOME SUPPORTIVE SERVICES (IHSS)

No major cuts proposed – though no rescinding of the previously enacted reductions, including those currently blocked by federal court order.

  • Proposes that existing 3.6% across the board cut in In-Home Supportive Services hours for all recipients will end as scheduled on June 30, 2013. 
  • Assumes a decrease of $113 million in State general funding to the IHSS program to reflect implementation on November 1, 2013.  The Governor’s budget indicates that while a federal court injunction currently prevents the State from implementing that cut, his budget assumes that the State will eventually prevail in the courts. 
  • Assumes that the IHSS program will continue to be transitioned as a Medi-Cal managed care benefit as planned in the 2012-2013 State Budget.  The Governor’s budget continues the assumption that the “fundamental structure of the IHSS program will remain as it is today, with eligibility determination, assessment of hours, and program administration conducted by county social workers and administrative staff.” 
  • The Governor proposes an increase of $92.1 million in State general funding to reflect more restrictive federal requirements for the “Community First Choice Option” that provides a higher federal funding match.  That option was used to help fund a significant part of the IHSS program at a 57% match of federal Medicaid funds, instead of the normal 50% match.  Beginning in July 2013, only IHSS recipients who meet the standards for nursing home level of care will be eligible for this enhanced match.  The increase in general funding called for by the Governor is for those persons who do not meet the stricter eligibility requirements (and as a result would not draw down the higher federal matching funds).

 

DEVELOPMENTAL SERVICES

  • As previously reported, no new reductions to developmental services budget (except for decreases in general fund spending as a result of new federal or other funding)
  • Budget plan assumes that the existing 1.25% payment reduction to regional center operations and most regional center providers will end as scheduled on June 30, 2013.

 

SUPPLEMENTAL SECURITY INCOME/STATE SUPPLEMENTAL PAYMENT PROGRAM (SSI/SSP)

  • The State can no longer – since 2010 – withhold federal cost of living increases to the SSI portion of the SSI/SSP grants to the lowest income persons with disabilities, the blind and seniors, after reducing the SSP state funded portion of the grant to the lowest level allowed by the federal government.  No reductions are proposed to the SSI/SSP program in the Governor’s proposed budget plan.
  • The State’s CAPI program (Cash Assistance Program for Immigrants) provides monthly cash grants similar to the level provided by SSI/SSP for legal immigrants with disabilities, the blind or seniors who are ineligible for SSI/SSP because of their immigration status.  The Governor is proposing no reductions to that program. 
  • The Governor’s budget assumes that the SSI portion of the SSI/SSP will increase 1.7% as of January 2013, and 1.1% in January 2014. 

 

ADULT EDUCATION

Governor is proposing major changes to California’s adult education that includes programs serving adults with developmental disabilities and seniors across California. 

  • Governor’s proposed 2013-2014 budget plan calls for shifting the entire adult education program currently administered by K-12 school districts to the community colleges.  Community colleges currently also administer some of the adult education programs but the Governor’s proposal would place the entire adult education program under the college college system. 
  • Funding would be allocated to the new system from a new adult education block grant based on the number of students served.
  • It is not clear yet how this proposal will impact those adult education programs currently serving adults with developmental disabilities and seniors. 

 

3PM CONFERENCE CALL ON STATE BUDGET WITH CALIFORNIA HEALTH & HUMAN SERVICES SECRETARY DIANA DOOLEY

  • As previously reported yesterday, Governor Brown’s top health and human services official will host a statewide conference call on the Governor’s proposed 2013-2014 State Budget plan, this afternoon (January 10th) at 3:00 PM (Pacific Time). 
  • The call is open to the public. 
  • In previous such calls, there was time allocated for brief questions from the public.  Instructions on how and when to ask questions will be announced during the call. 
  • California Health and Human Services Agency Secretary Dooley oversees all the health and human services departments including those dealing with Medi-Cal, senior services, health facilities, developmental services, CalWORKS, mental health, licensing of various health and community facilities and workers. 
  • Dooley will also have on hand during the conference call department directors and other senior department officials – including those dealing with Medi-Cal, developmental services, public health, CalWORKS, In-Home Supportive Services, to provide information

 

CONFERENCE CALL INFORMATION

WHEN: January 10, 2013 – Thursday

TIME: 3:00 PM (agency officials advise, given the expected large numbers, that people call in 10 minutes – 2:50 PM – to register with the conference call operator in order to be placed into the conference call in time)

TOLL FREE CONFERENCE CALL NUMBER: (800) 857-9660

PASSCODE: CHHS Budget

STATEWIDE CALLS PIONEERED BY CDCAN IN 2003

The statewide calls open to the public were first started by CDCAN in 2003 and continued for several years that included senior Administration officials, including the Secretary of the Health and Human Services Agency. Those calls drew hundreds – sometimes over 1,000 people across the State and were also posted for later review on CDCAN’s website. 

In later years, then Health and Human Services Agency Secretary Kim Belshe began holding regular statewide calls – an event that has been continued under the Brown Administration. 

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CDCAN Reports go out to over 65,000 people with disabilities, mental health needs, seniors, people with traumatic brain and other injuries, people with MS, Alzheimer’s and other disorders, veterans with disabilities and mental health needs, families, workers, community organizations, facilities and advocacy groups including those in the Asian/Pacific Islander, Latino, American Indian, Indian, African-American communities; policymakers, and others across the State. 

Sign up for these free reports by going to the CDCAN website.  Website: www.cdcan.us 

To reply to THIS Report write:  Marty Omoto at martyomoto@rcip.com   Twitter: martyomoto  New Phone:  916-757-5949

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Paid for by United Domestic Workers of America Action Fund, sponsored by United Domestic Workers of America. Not authorized by a candidate or a committee controlled by a candidate.

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