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Overview of Disability Services with Co-Director, Amy Goodman Tuesday, April 24, 2012

Overview of Disability Services

with Co-Director, Amy Goodman Tuesday, April 24, 2012

Amy’s Profile
Amy’s Profile

Amy Goodman, MA

Co-Director Autism NOW

The Arc

1825 K St, NW

Washington DC 20006

1-202-600-3489 Ex. 3734

Website: www.autismnow.org

Other social media: Facebook and Twitter

Disability Services

Medicare Program

Medicaid Program

Medicaid’s Children’s Health Insurance Plan (CHIP)

Medicaid Dental

Medicaid Prescription Drug Plans

The Developmental Disability Wavier Program (DD Wavier)

Social Security Income (SSI)

Social Security Disability Income (SSDI)

Plan to Achieve Self-Support (PASS)

Respite Care

Benefits Counselors

Vocational Rehabilitation (Voc Rehab)

VetSuccess

Personal Care Attendant (PCA)

Food Stamps

Special Supplemental Nutrition Program for Women Infant’s and Children (WIC)

Medicare Program

Medicare is our country’s health insurance program for

individuals 65 and older. It has four parts

Part A: Hospital Insurance for inpatient care in a hospital.

Part B: Medical Insurance: helps pay for doctors’ services and many other medical services and supplies not covered by hospital insurance.

Part C: Medicare Advantage: one can choose to receive

all health care services under one provider organization

Part D: Prescription Drug Coverage: helps pay for medications

Medicaid Program

Medicaid is a state-run program that provides

hospital and medical coverage for individuals

with low income, disabilities, or little to no resources.

The Medicaid application process is easy and

varies by state. One can apply on-line or in person at the local Department of Social Services Office.

If qualified, one can also get Supplemental

Security Income (SSI), as well as Medicaid.

Medicaid’s Children’s Health

Insurance Plan (CHIP)

This is a low cost health insurance coverage as part of Medicaid. Individuals who qualify pay no more than $50 a year for health care coverage for

their child or children.

It is state run, just like Medicaid, and it has different rules for each state.

The program covers doctors office visits,

prescription drugs, dental care, eye exams, glasses, and much more.

Medicaid Dental

Dental services for children (up to age 21) are a

mandatory service provided by Medicaid as part

of Medicaid’s comprehensive child health program.

A direct referral is required for all children to see a dentist, if using Medicaid coverage.

Dental services are very limited for adults who have Medicaid coverage. It depends on the state,

if they provide the service or not, but most states

usually have at least emergency dental services for adults.

Medicaid Prescription Plans

Medicaid pays for medical assistance which covers most prescription drugs at a low or reduced cost.

Some drugs such as birth control pills are covered at no charge to the patient.

The Developmental Disability

Wavier Program (DD Wavier)

The Developmental Disability Wavier Program

(DD Wavier) is a Medicaid funded program.

Eligibility criteria are based on medical diagnosis, mental or physical disorder, level of care normally

provided by an intermediate Care Facility, and financial

criteria.

Services: In Home, Family Living services, In the

community, therapies, vocational services, private duty

nursing for adults and environmental modifications.

Many individuals wait many years before they actually receive DD Services. There is a waiting list of several years.

Supplemental Security Income (SSI)

Supplemental Security Income (SSI) is a

Federal assistance program designed to

provide income to aged, blind, or individuals

with disabilities who have limited assets with

which to support themselves.

It is based on income and resources

One does not have to have a job to be eligible for this service.

Assets may not total $2000 if single $3000 if

married.

Social Security Disability

Income (SSDI)

Social Security Disability Income is a federal assistance

program, it has the same requirements as SSI , but to

qualify for this an individual must have worked and have work credits.

An application can be submitted on-line, over the

phone, or in person at a local Social Security office.

If denied benefits, there are four levels of appeal:

Reconsideration Stage

Hearing Stage

Social security Appeals Court

Federal District Court

These are the same for Social Security Income as well.

Plan to Achieve Self-Support (PASS)

Plan to Achieve Self-Support (PASS) is a benefit under

Supplemental Security income.

It is a written plan that allows an individual to purchase items or set aside money in order to pay for items one may need in order to work (i.e. car, wheelchair ,computer etc.).

Individuals seeking help may contact the following:

Vocational rehabilitation counselor

An organization that helps individuals with disabilities

Benefits Specialists or Protection and Advocacy Organizations who have contracts with Social Security Administration (SSA)

Employment Networks involved in the Ticket to Work Program

The local Social Security Office

Respite Care

Respite Care provides a temporary break in care

giving responsibilities.

There are many types of respite such as:

a) In-home respite

b) Adult Respite care

c) Residential Respite Care

d) Home Health Agency

Benefits Counselors

The term benefits counselor can be applied to either a

paid staff person for an agency or a trained volunteer.

A benefits counselor is someone who reviews existing information about your financial situation and makes suggestions about benefits for which you may be

eligible or helps makes changes to existing benefits you

may already be receiving.

They typically work with individuals 60 years old or older.

If you have a disability you are entitled to receive

benefits counseling information.

Individuals receive free help from a benefits counselor.

Benefits Counselors (continued)

Benefit Counselors can help you with the following :

Insurance Benefits

Social Security Benefits

Social Security Disability Benefits

Medicare, including the prescription benefit section(Part D)

Prescription Assistance programs

Income Tax benefits and credits

Retirement Benefits

Veterans Benefits

Community based benefits

State program benefits, including home care alternatives

Advocacy with agencies, and

Referrals to community based organizations or government agencies

Benefits Counselors (continued)

Where to find a Benefits Counselor:

Local Human Services Offices

County Welfare Offices

Community Based Organizations

Information and Referral helpline

Vocational Rehabilitation (Voc Rehab)

Vocational Rehabilitation refers to any programs that helps individuals with disabilities to deal with physical, mental, social, vocational, and economic issues.

Each state has it own joint federally and state funded vocational rehabilitation program with

similar eligibility requirements, polices, and

offerings.

Vocational Rehabilitation &

Employment Service (VetSucess)

Assists Veterans with service-connected disabilities to prepare for, find, and keep jobs

It offers services to improve an individuals

ability to live independently

Who’s Eligible:

Veterans

Active duty Service Members

VetSucess Continued

Available Services:

Comprehensive Rehabilitation Evaluation

Vocational Counseling

Rehabilitation Planning

Employment Services

Assistance finding and keeping a job

On the job training (OJT)

Post Secondary Training

Supportive Rehabilitative Services

Independent Living Services

Personal Care Attendant

(PCA)

A Medicaid program where you as the individual with the disability get to hire, fire, and train an individual to help you.

One must be able to interview, hire, train, and pay your PCA. One must also be able to make decisions about their care or have someone

who can make decisions for them.

PCA-Continued

To be eligible one must have:

a disability that interferes with your ability to function at work, school, society, taking care of yourself, etc.

be Medicaid eligible

need at least 14 hours of personal care assistance per week

Require services that are medically necessary and

ordered by a physician

PCA- Continued

Activities a PCA can help one with:

Eating

Toileting

Grooming

Dressing

Bathing

Transferring from wheel chair to bed or toilet

Mobility and positioning

Meal planning

Managing finances

Grocery shopping

Household chores

Driving-chauffeuring

Food Stamps

This federal government program helps low- income individuals buy food

It is run by state or local agencies

Eligibility Requirements:

must have a social security number

be a U.S. citizen

$2000 in resources, $3000 in resources if

someone in the household is 60 years or older

Special Supplemental Nutrition Program for

Women, Infants, and Children (WIC)

It is a federal assistance program of the Food

and Nutrition Service(FNS) of the U.S.

Eligibility Requirements:

family must have an income below the U.S Poverty level.

If you participate in Food Stamps, Medicaid, Temporary Assistance for Needy Families (TANF), you automatically meet the eligibility requirements.

WIC Continued

To apply one must be a pregnant woman, breastfeeding for no more than six months, and have young infants (0-1years old) and children under (five years old) with specific nutritional needs

Family Income: 45K or less for a family of four

WIC Continued

WIC Services:

Supplemental Food

Nutrition Education

Access to healthcare and other social services

breastfeeding support

Comments or Questions?
Comments or Questions?

The National Resource & Information

Website:

Center

Information & Referral Call Center:

1-855-828-8476

Next Webinar:

& Referral Call Center: 1-855-828-8476 Next Webinar: Tuesday, May 1, 2012, 2:00-3:00 PM, EDT Autism and

Tuesday, May 1, 2012, 2:00-3:00 PM, EDT

Autism and Neurodiversity: A Study of Views and Influence of a Rising Movement

PowerPoint/Recording:

These materials will be provided to all attendees. Email Phuong (pnguyen@autismnow.org ) if you have additional questions.