NASHIA: Washington Weekly Update, 2/15/2013

Ian Mattoch, Hawaii’s personal injury lawyer, receives weekly updates on administrative news from Washington DC from the National Association of State Head Injury Administrators (NASHIA). NASHIA assists State government in promoting partnerships and building systems to meet the needs of individuals with brain injuries and their families. This week’s update was prepared by Susan Vaughn, NSHIA’s director of public policy. She reports the following:

HUD and HHS Provide Permanent Housing and Services for People with Disabilities: To prevent thousands of people with disabilities from experiencing homelessness or unnecessary institutionalization, the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Health and Human Services (HHS) announced this week that nearly $98 million in funding was awarded to 13 State housing agencies for rental assistance to extremely low-income persons with disabilities, many of whom are transitioning out of institutional settings or are at high risk of homelessness. The 13 States which will receive the FY 2012 awards for the Section 811 Supportive Housing for Persons with Disabilities Program are: California, Delaware, Georgia, Illinois, Louisiana, Massachusetts, Maryland, Minnesota, Montana, North Carolina, Pennsylvania,
Texas and Washington.

The announcement reinforces the guiding principles of the Americans with Disabilities Act and the landmark 1999 Supreme Court ruling in Olmstead v. L.C., which require State and local governments to provide services in the most integrated settings appropriate to meet the needs of individuals with disabilities. The rental assistance announced also supports the Obama Adminsitration’s long term strategy to prevent and end homelessness. The Dedicating Opportunities to End Homelessness (DOEH) Initiative is a joint effort by HUD and the U.S. Interagency Council on Homelessness (USICH) designed to help communities match their homeless supports with other mainstream resources such as housing choice vouchers, public housing, private multifamily housing units, and other federally funded services. The initiative is beginning in 10 critically important communities: Atlanta, Chicago, Fresno County, Los Angeles County, Houston, New Orleans, Philadelphia, Phoenix/ Maricopa County, Seattle, and Tampa.

CMS Issues Guidance on Conflict-free Case Management to BIP Grantees: This week, the Centers for Medicare and Medicaid Services (CMS) issued a new guidance regarding conflict-free case management to Balancing Incentive Program (BIP) grantees. The following 9 points reflect updated conflict-free case management guidance regarding design elements States should consider when designing this structural change for BIP:
1) Clinical or non-financial eligibility determination is separated from direct service provision;
2) Case managers and evaluators of the beneficiary’s need for services are not related by blood or marriage to the individual; to any of the individual’s paid caregivers; or to anyone financially responsible for the individual or empowered to make financial or
health-related decisions on the beneficiary’s behalf;
3) There is robust monitoring and oversight;
4) Clear, well-known, and accessible pathways are established for consumers to submit grievances and/or appeals to the managed care organization or State for assistance regarding concerns about choice, quality, eligibility determination, service provision and outcomes;
5) Grievances, complaints, appeals and the resulting decisions are adequately tracked and monitored;
6) State quality management staff oversees clinical or non-financial program eligibility determination and service provision business practices to ensure that consumer choice and control are not compromised, both through

direct oversight and/or the use

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of contracted organizations that provide quality oversight on the State’s behalf;
7) Track and document consumer experiences with measures that capture the quality of care coordination and case management
8) In circumstances when one entity is responsible for providing case management and service delivery, appropriate safeguards and firewalls exist to mitigate risk of potential conflict;
9) Meaningful Stakeholder Engagement Strategies are implementedwhich include beneficiaries, family members, advocates, providers, State leadership, managed care organization leadership and case management staff.

Coordinated Transportation Partnership Project Issues RFP: The Community Transportation Association of America, with support from the U.S. Administration for Community Living (ACL) and in collaboration with the Federal Transit Administration and national partners, has published an opportunity for grants of up to $20,000 for up to 20 organizations for a six month period.

Recipients will be expected to share their practices at the national level through the project’s Knowledge Sharing Network. Qualified organizations, including non-profit or county or city governmental agencies, regional planning organizations, councils of government and Tribal Nations/Tribal Organizations that are involved in the administration, delivery or coordination of transportation, aging and/or disability services are encouraged to apply by March 20, 2013. To see the full Request for Proposals click here. A teleconference for interested applicants will be held on March 5, 2013 at 2 p.m. Eastern Time. Call in number: 1-800-245-1683 – Pass code: 267438.

NIDRR Proposes Priorities for RRTCs: On Tuesday, the Assistant Secretary for Special Education and Rehabilitative Services (OSERS) announced in the Federal Register (Volume 78, Number 29, Pages 9869-9876) the proposed four priorities for the Rehabilitation Research and Training Center (RRTC) Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR).

The Assistant Secretary may use one or more of these priorities for competitions in FY 2013 and later years. Comments must be
received on or before March 14, 2013. Address all comments about this notice to Marlene Spencer, U.S. Department of Education, 400 Maryland Avenue SW., Room 5133, Potomac Center Plaza (PCP), Washington, DC 20202-2700. If you prefer to send your comments by email, use the following address: You must include the phrase “Proposed Priorities for Combined RRTC Notice” in the subject line of your electronic message.

Upcoming Webinars:
Alabama Offers Webinar on Concussions: On Wednesday, February 27th, the Alabama Head Injury Task Force, along with UAB Medicine (Pediatrics and Ophthalmology), Alabama’s Disability Advocacy Program, and Children’s of Alabama, is hosting a free webinar on “Concussions: Now What? Tackling the Concussion Commotion in Alabama” from 1:00 – 2:00 pm (CST). CME credit is offered for watching the live broadcase only. Non-MD’s may print a certificate of attendance. To participate click on this link: Log on at 12:50 pm the day of the webinar to ensure that any technical difficulties can be worked out. Video will be available after the webinar at and For more information contact either Maria Crowley at (204-290-4590) or (205-638-6916).

ACL Webinar Series on the Affordable Care Act on Feb. 26th: On Tuesday, February 26, the Administration for Community Living (ACL) will continue its series of webinars on the Affordable Care Act and its impact on older adults, people with disabilities and the aging and disability networks, focusing on integrated care and managed long-term services and supports. The webinar, “Managed Long-Term Services and Supports: Measuring Outcomes”, will be held at 3:00 pm-4:30 pm Eastern). To register for the online event:
1. Click here.
2. Click “Register.”
3. On the registration form, enter your information and then click

Once your registration is approved, you will receive a confirmation email message with instructions on how to join the event. As space is limited, persons interested should register as early as possible.This webinar will also be recorded and posted on the ACL Affordable Care Act: Opportunities for the Aging
Network webpage
soon after the webinar.

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