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ReBAR 2009 Activities
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DD 50 IBA Rate Matrix
The DD 50 IBA Rate Matrix identifies the steps in the process of using an individual's assessment information to assign an individual monthly residential budget amount (IBA). The identified monthly allocation also represents the maximum amount the individual's residential provider can bill for supports and services provided.
Also See:
Assessments for individuals currently in a group home
By June 30, 2011, all 2500 individuals living in DD 50 sites (Group Homes/Apartments) are expected to have completed assessments, assigned budgets and service rates based upon their level of need. An initial 670 assessments were completed by June 30, 2009. Between July 1, 2009 and June 1, 2011 approximately 85 assessments per month for these individuals are being conducted.
Scheduling and completing the assessment
The Assessment Unit identifies the pool of consumers targeted for assessment within a designated period of time. Each individual's County Services Coordinator will work with an Assessment Specialist and other appropriate parties to schedule and complete the assessment.
Communicating the results and assigning a budget
Generally within 30 days of an assessment: scoring is completed; an individual budget (IBA) is established; and notices of the results are sent.
- The Consumer will receive notice of the results of the ReBAR Assessment, including the Tier that was determined to best represent his/her supports needs in their residential setting, and the effective date that State funds will be available to support him/her at that Tier.
- County Case Manager/Services Coordinator will receive via e-mail the 9-page summary of the consumer's ReBAR assessment and notification of their Tier assignment. The County can provide service rate and assessment results to the consumer, families, guardians and providers, upon request.
- A Residential Provider may also access service rate information for an individual via the eXPRS system (DD electronic payment system).
Identifying DD 50 service rates
As a result of the ReBAR SIS assessment process and new service rates, some service rates (and IBAs) will increase and some will decrease. All rates will be based on the assessed level of support determined for each individual during the standardized ReBAR Assessment process.
The State Contract Administration Unit will notify the County each time a ReBAR Service Element Prior Authorization (SEPA) is prepared with funding available to adjust the service rate for an individual who's ReBAR Assessment has been completed and a support Tier has been determined.
Also See:
Assessments for mandated caseload individuals entering comprehensive service
As of July 1, 2009, the Assessment Unit is conducting approximately 115 assessments per month for individuals entering adult comprehensive services from the Mandated Caseload (MCL) due to crisis or transition. The Mandated Caseload includes:
- Adults in "crisis"
- Children in "crisis" including children transferring into DD foster care from Child Welfare foster care
- Children or adults transitioning into adult Comprehensive Services from
- Children's DD funded 24-hour community residential services (Turning 18)
- Adult State Operated (DD 50) Residential Services (SOCP)
- Department of Corrections
- Oregon State Hospital or Psychiatric Security Review Board OR
- Nursing Facilities
Assessment Specialists will use the ReBAR SIS Assessment for individuals entering a DD 50 group home/apartment. They will use the ReBAR Support Needs Assessment Profile (SNAP) for individuals targeted for placement in a foster care setting.
Working with regional and county Crisis staff, the Assessment Unit has established the process for referral and completion of MCL assessments. All communication of information throughout this process is "electronically" secure. The target response time from referral to the communication of assessment results is 30 days. Highlights in this process include:
Requesting an assessment
Regional crisis staff opens an individual in "crisis", identifies a valid respondent group for the assessment, and sends a Request for Mandated Caseload Assessment, DHS Form 744, via secure e-mail to the Assessment Unit. The Form will indicate the targeted long term placement setting such as, group home (for which a ReBAR SIS will be conducted) or foster care (for which a ReBAR-SNAP will be conducted). If the target for long term placement is unable to be identified then both assessments will be requested. The ReBAR Program will assign an Assessment Specialist to conduct the assessment interview(s).
Scheduling and completing the assessment
Each individual's County Services Coordinator will work with an Assessment Specialist and all parties to share assessment orientation information, schedule the assessment, identify the location and necessary accommodations, and remind respondents the day before the assessment. If a consumer will receive 2 assessments; the ReBAR SIS will be done in the morning and the ReBAR SNAP will be done the same afternoon.
- ReBAR SNAP is a portion of the full SNAP assessment. ReBAR SNAP Sections are: Client Demographics, Activities of Daily Living, Medical Needs, Nighttime Needs and Behavior Needs.
Communicating the results and assigning a budget for consumers
ReBAR SNAP
The ReBAR portion of the assessment is "locked" and sent to the designated Regional Crisis staff within the 30 day time period. Regional Crisis and County DD Program staff completes the remaining Sections of the SNAP i.e., the 2:1 Rate Review, Day Program Adjustment, Consultants, and Budget Summary sections. The Crisis Region approves a Final SNAP monthly service rate.
ReBAR-SIS
The process used will be similar to the process identified for all others receiving a ReBAR SIS assessment with the following exceptions:
- The Service Coordinator receives the 9 page SIS Summary report and Tier assignment. No Service Rate is identified since the licensed size of the individual's final placement site has not been identified.
- The Regional Crisis Staff will also receive notification of the individual's Tier assignment.
See also Assessments for individuals currently in a group home.
ReBAR Assessment Results
ReBAR SIS and ReBAR SNAP results to date are summarized below and updated quarterly.
DD 50 Rate Conversion Assessments Completed
October 28, 2009
Assessments completed: 977 |
| Individual Consumer Level of Need |
| Tier |
Number of
Assessments |
Percentage of
Assessments |
| Tier 1 |
327 |
33.3% |
| Tier 2 |
213 |
21.7% |
| Tier 3 |
229 |
23.3% |
| Tier 4 |
109 |
11.1% |
| Tier 5 |
79 |
8.1% |
| Tier 6 |
19 |
1.9% |
| Tier 7 |
1 |
0.1% |
DD 50 Rate Conversion Assessments Processed
October 28, 2009
Assessments processed: 930 |
Impact on DD 50 Provider
Monthly Rate |
| 86.3% of individuals have an increased budget amount (IBA) |
| 13.7% of individuals will have a decreased budget allocation (IBA) 90 days after their assessment is processed. |
After each assessment interview, all participants are given an opportunity to share their reactions through an anonymous Assessment Interview Participant Questionnaire. The information is summarized and results are used to improve the assessment process. The findings from Feedback from the First 300 Interviews (PDF) (Powerpoint) were presented to the Stakeholder Advisory group on May 14, 2009.
Mandated Caseload SIS Assessments Completed
October 28, 2009
Assessments completed: 85 |
| Individual Consumer Level of Need |
| Tier |
Number of
Assessments |
Percentage of
Assessments |
| Tier 1 |
13 |
15.3% |
| Tier 2 |
8 |
9.4% |
| Tier 3 |
8 |
9.4% |
| Tier 4 |
12 |
14.1% |
| Tier 5 |
24 |
28.2% |
| Tier 6 |
8 |
9.4% |
| Tier 7 |
12 |
14.1% |
Mandated Caseload SNAP Assessments Administered
October 13, 2009
Initial SNAP assessments completed
and sent to regions: 89 |
Designing DD 54 and DD 51 rate models
As of June 2009, SPD is initiating the activity to develop rate models for DD 54 Employment and Community Inclusion and DD 51 (Supported Living Services). Individual Budget Amounts (IBAs) and new rates are targeted for implementation during the 2011-2013 biennium.
Also see:
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