Welcome To A guide to individual budgets for all APD customers served through APD’s Medicaid waivers. Welcome to a new program called iBudget Florida! As an APD customer, you will begin receiving services through the new iBudget Florida program soon. The Agency for Persons with Disabilities (APD) wants your transition to iBudget Florida to be simple and easy. This brief guide will describe iBudget Florida and explain how you will start getting services under the new program. Please read the following information very carefully. If you have questions, please visit iBudgetFlorida.org or call your waiver support coordinator (WSC). What is iBudget Florida? iBudget Florida is a way for APD to better manage the waiver system, while giving you more choice and control over your services. In iBudget Florida, you will get a budget, or a set amount of funds, for waiver services. You will move from your current tier waiver to the iBudget Florida waiver. You will get to make more decisions about how to spend your budget for services as long as your health and safety needs are covered. However, you will need to make your budget last until the end of the service plan year. You don’t have to do it all yourself! Your waiver support coordinator will still be helping you. Why did APD create iBudget Florida? APD created iBudget Florida to provide more self-direction and flexibility to our waiver customers. Choice is a major tenet of iBudget. APD worked with people with developmental disabilities, family members, waiver support coordinators, large and small providers, advocates, and many others to create the iBudget Florida plan. This helped APD gain a better understanding of what different people wanted to see in the waiver system. While iBudget Florida will benefit you, it will also help APD spend just the amount of funds that the Legislature provides for waiver services. The goal of iBudget Florida is to help APD serve individuals with developmental disabilities far into the future! Can I receive the same services that I receive now? You will be able to choose services that are similar to the ones you receive now. The list of services and service families is on the back of this guide. Similar services are grouped together in service families to help you choose among them. Customers who have been in Tier 4 will have a wider array of services to select from, including Adult Dental Services. What will my iBudget be? APD will determine your new individual budget, or iBudget, after considering several factors, including a review process that looks at your age, your living situation (whether you live with family, in your own home, or in a group home) and the kind of support that you need according to the agency-approved assessment, called the Questionnaire for Situational Information (QSI). All of this information will be used to help APD determine the amount of money that can be approved to assist you in meeting your needs. Your waiver support coordinator will review the iBudget amount with you, discussing how your needs will be addressed and the changes you would like to make, if any. What do I need to do to get ready for iBudget Florida? Review your needs and the services you are currently receiving. Look into how some of your needs could be met by family members or services available through your community, if possible. Your WSC will meet with you if you have concerns, and provide any training or assistance you may need. You will still have the same WSC, and your relationship with him or her will not change. Work with your WSC to create your iBudget Florida cost plan. Choose the services you will pay for with your iBudget amount. -2- How does this affect CDC+ participants? If you are a participant in Consumer-Directed Care Plus (CDC+), your cost plan authorizations will move to the iBudget Florida application, but you will manage your budget in the same way you do now. Discounts will still apply. The consultant’s role will not change. All CDC+ customers will enroll in iBudget effective July 1, 2013. Your consultant will provide you with more information from APD on the transition to iBudget Florida. iBudget Florida Services On the next page is a complete list of services offered in iBudget Florida. The services that you actually receive on your cost plan will depend on how you meet the criteria in the iBudget Florida Coverage and Limitations Handbook, the amount of your budget allocation, natural and community resources available to you, and other factors. APD is excited to welcome you to iBudget Florida! There are several ways to get more information about this new program: Visit our new iBudgetFlorida.org website. Ask your waiver support coordinator. Call your APD regional office: Northwest Region (850) 487-1992 Escambia, Santa Rosa, Okaloosa, Walton, Holmes, Washington, Bay, Jackson, Calhoun, Gulf, Liberty, Franklin, Gadsden, Wakulla, Leon, and Jefferson counties Northeast Region (904) 992-2440 Madison, Taylor, Hamilton, Suwannee, Lafayette, Dixie, Columbia, Gilchrist, Levy, Baker, Union, Bradford, Alachua, Putnam, Clay, Nassau, Duval, St. Johns, Flagler, and Volusia counties Central Region (407) 245-0440 Marion, Citrus, Hernando, Sumter, Lake, Seminole, Orange, Osceola, Brevard, Indian River, St. Lucie, Martin, Polk, Hardee, Highlands, and Okeechobee counties Suncoast Region (813) 233-4300 Pasco, Pinellas, Hillsborough, Manatee, Sarasota, DeSoto, Charlotte, Glades, Lee, Hendry, and Collier counties Southeast Region (561) 837-5564 Palm Beach and Broward counties Southern Region (305) 349-1478 Dade and Monroe counties -3- Service Family Service Life Skills Development Life Skills Development Level 1 (formerly known as companion) Life Skills Development Level 2 (formerly known as supported employment) Life Skills Development Level 3 (formerly known as adult day training) Family and Legal Representative Training (not available yet) Supplies and Equipment Consumable Medical Supplies Durable Medical Equipment and Supplies Environmental Accessibility Adaptations Personal Emergency Response Systems (unit and services) Personal Supports Personal Supports (includes services formerly known as in-home supports, respite, personal care and companion; for individuals age 21 or older, living in their own home or family home; also for those at least 18 but under 21 living in their own home) Respite Care (for individuals under 21 living in their family home) Residential Services Standard Residential Habilitation Behavior-Focused Residential Habilitation Intensive-Behavior Residential Habilitation Live-In Residential Habilitation Specialized Medical Home Care Supported Living Coaching Support Coordination Limited Support Coordination Full Support Coordination Enhanced Support Coordination Therapeutic Supports and Wellness Private Duty Nursing Residential Nursing Skilled Nursing Dietician Services Respiratory Therapy Speech Therapy Occupational Therapy Physical Therapy Specialized Mental Health Counseling Behavior Analysis Services Behavior Assistant Services Transportation Transportation Dental Services Adult Dental Services MAY 1, 2012