What Is Self-Determination (SD)?
Self-determination is a method by which people with developmental disabilities will be given the opportunity to achieve additional control and direction over the services that support them in community living. A person who elects to participate in the Self-Determination program should have a clear concept of his or her life goals, and have a freely chosen circle of support consisting of family, friends and others who will help him or her determine a support plan and budget based on needs and choices that are available and meet the criterion set forth in the person’s Individualized Service Plan (ISP). While Self-determination can be achieved in many ways, one important way is through a new option offered by OPWDD called Consolidated Supports and Services.
Consolidated Supports and Services
Consolidated Supports and Services (CSS) is a Waiver service that enables an individual to design and direct their own services in accordance with a Person Centered Plan and the principles of Self-Determination. Using the OPWDD's Individual and Community Supports (ICS) model, CSS provides the mechanism for an individual to “purchase” the needed services and supports, beyond the scope of "traditional" services, in order to live a safe and fulfilling life in the community. Additionally, some CSS plans may be able to seek a housing subsidy to promote independent community living. The individual, along with their support system (called a Circle of Support) have the responsibility and authority to manage a personalized budget with the assistance of a broker and Fiscal Management Service provider.
How can Trinity Assistance Help
Trinity as your Fiscal Management Service Provider
Each person participating in Self-Determination must choose a Fiscal Management Service (FMS) Provider in the form of a voluntary agency to help administer his or her annual budget. The primary role of the FMS is to pay for the supports and services identified in a person’s approved CSS plan and budget. After the CSS participant interviews and identifies the individuals he or she wishes to hire, it is the responsibility of the FMS to facilitate background checks and fingerprinting; implement health insurance if appropriate; and provide training based on identified needs of the CSS Participant. The FMS may also assist the individual with hiring and, if necessary, terminating staff.
Since 2010 Trinity Assistance Fiscal Management Services has worked to ensure the successful implementation CSS plans by:
- Assisting with staffing options and ensuring that the self-hire is a good match for the CSS participant
- Providing back-up staff to prevent scheduling disruptions
- Offering a personalized approach by attending ISP and COS meetings; taking time to explain fiscal procedures and helping the CSS participant to understand his or her spending report.
Our experienced FMS team is both knowledgeable and available to answer your questions and assist in anyway possible. Our goal is to ensure that your self-directed services are a success!
Trinity as your Start-Up Broker
A Start-up Broker is a person specifically trained to help individuals and/or families interested in CSS through the application and approval process. The Start-up Broker helps the individual develop:
- A clear concept of his/her life goals
- A functional Circle of Support
- An approvable CSS plan based on a Person Centered planning process
- An individualized budget that corresponds with the supports and services identified in the CSS plan.
Trinity as your Support Broker
In addition to monitoring the spending of your CSS budget, the primary function of the Support Broker is to ensure that the CSS plan is reviewed every 6 months and updated at least annually so that it remains current and eligible for Medicaid funding. A Support Broker can have as much or as little involvement as you feel necessary, from assisting with the completion of CSS monthly summaries and attending Circle meetings, to simply being available when you call.
Checklist for Responsible Parties in your CSS Plan:
CSS10- ANNUAL AND SEMIANNUAL REVIEW RECORD.pdf
DDSO LIAISON CHECKLIST.pdf
SUPPORT BROKER CHECKLIST.pdf
Contact Trinity today for more information at 585-861-6817 ext. 10
or via email: email@example.com