About ReBAR

• Overview
• Program goals
• Strategic planning and key dates
• Guiding principles

Overview

ReBAR stands for Restructuring Budgets, Assessments, and Rates. ReBAR started as a Federal System Transformation Grant and is now a standing program unit within ODDS. The ReBAR program will help Oregon develop and test a new system for funding some of Oregon's 24-hour Comprehensive Services to individuals with developmental disabilities (see box at right).
 

The goal is to replace the current 25-year old “slot-based” system with a new system that will establish individual budgets for some 3,500 consumers, standardize rates for services delivered and support a statewide network of community providers.
 

In early 2004, SPD leadership defined desired improvements in Oregon’s system of comprehensive services for children and adults including:

• Meet critical needs of individuals through
  • Tying funding to the needs of individuals
  • Responding to changing needs & circumstances
  • Enhancing Person Centered Planning (PCP) and choice between services and providers
     
    
• Distribute resources equitably and fairly
  • Using the same standards and process for all
     
    
• Enhance the capacity and flexibility of Oregon’s provider base 
  • Supporting a strong and diverse provider community
  • Giving providers the opportunity to retool & refocus
     
    
• Enhance credibility and understanding
  • Making the decisions about each individual’s supports and funding consistent and explainable
     
    
• Control costs within total funds available
  • Improving the system’s capacity for planning and budget projection
  • Spending resources more logically, wisely, and predictably

The ReBAR program goals, listed below, outline how Oregon will make these improvements.

ReBAR program goals

In 2004, the Centers for Medicare and Medicaid (CMS) announced a federal System Transformation grant competition.  Each State had to identify its “System Transformation” goals from the CMS Menu of goal options. Oregon was awarded a grant to make improvements in the comprehensive service system. Identified goals are:

1. Increase Choice and Control: Development or Enhancement of Self-Directed Service System (Goal 2 from CMS Menu)
   1. Enhance Person Centered Planning (PCP)
   2. Select an assessment tool to support individual budgeting
   3. Develop Individual Budgeting

2. Create a System that More Effectively Manages Funding for Long Term Supports that Promote Community Living Options (Goal 5 from CMS Menu)
   1. Develop and implement more effective provider payment methods

3. Comprehensive Quality Management System (Goal 3 from CMS Menu)
   1. Develop and implement a quality management strategy for goals 1 and 2, above.
   2. Develop and distribute quality management reports to key entities and stakeholders
   3. Periodically evaluate the quality management strategy

Strategic planning and key dates

The ReBAR Program was started with the assistance of a Centers for Medicare and Medicaid (CMS) System Transformation grant. Between October 2005 and July 2006, ReBAR Program staff and the Stakeholder Advisory Committee, including provider associations, state and county managers, consumers and family representatives, created a step-by-step plan for the project. The ReBAR strategic plan identifies necessary activities for the period from July 2006 through September 2010. The following documents were developed or reviewed:

•  ReBAR Strategic Plan Presentation made to the Centers for Medicare and Medicaid on May 15, 2006.
•  ReBAR Strategic Plan Timeline outlines activities from July 2006 through September 2010.

Also see ReBAR program progress to learn how we have moved from planning to implementation.

Guiding principles

ReBAR Guiding Principles lists the key principles established to serve as a framework to guide the ReBAR program efforts and evaluation.