Medicaid Buy-In for Working Adults with Disabilities

Submitted by Julie Reiskin, Executive Director
Colorado Cross-Disability Coalition, 
January 16, 2018

Did you know that you can keep your Medicaid benefits and work a full-time job?  A lot of people don’t.  Colorado has a program that will let you do just that – The Colorado Medicaid Buy-In for Working Adults with Disabilities. Are you ready to learn more? Keep on reading!

The expectation for most adults is to be a member of the American workforce. However, a significant barrier to people with disabilities integrating into the workforce is the impact increased income has on benefit eligibility. Knowing that traditional employer-provided health insurance will not work, the choice for an individual was to work and lose benefits or not work and keep benefits. The Medicaid Buy-in program removes the need to make such a decision.

Medicaid Buy-in is the realization of a program sought by the disability community for decades and has become one of the most successful work programs we have ever seen.

Program Overview

Continue reading “Medicaid Buy-In for Working Adults with Disabilities”

Applying for Denver’s RTD Access-a-Ride

Continue reading “Applying for Denver’s RTD Access-a-Ride”

Consumer Directed Attendant Support Services (Part 3)

CDASS lets you decide who you want to support you and you hire them. You become the employer and you do not have an agency for the services (personal care, homemaker, enhanced homemaker & health maintenance) available using CDASS.

If you want to use the CDASS service delivery option, you have to use it for all the CDASS services that are in your plan.  For example, if you only have personal care and homemaker services you can use the CDASS option for those.  You cannot use CDASS for one of these services and get another from an agency.  All of your  SLS services that are not available through the CDASS option will continue to come through an agency.

To get started you will need to:

Meet with Your Case Manager or Resource Coordinator

Continue reading “Consumer Directed Attendant Support Services (Part 3)”

Consumer Directed Attendant Support Services (Part 2)

CDASS: A Three-Part Series – Part 2

Read Part 1 here

Submitted by The Arc of Adams County, February 7, 2018

Part 2 of 3 in a mini-series about Consumer or Self Directed Care in Colorado’s Supported Living Services Waiver. It is meant to give you enough information to decide if you want to explore it further.

The Colorado Department of Health Care Policy Finance is responsible for assuring the implementation of this Consumer Directed Option. They will be training Case Managers/Resource Coordinators to help individuals and families use the CDASS option. All training for CDASS is done through a contract with Consumer Direct of Colorado.  Continue reading “Consumer Directed Attendant Support Services (Part 2)”

Consumer Directed Attendant Support Services (Part 1)

Submitted by The Arc of Adams County, January 29, 2018

Coloradans using the Supported Living Services (SLS) Waiver will have the option to consumer or self-direct some of their services.  People using some other Colorado waivers have had this opportunity since 2002. Until now those options have not been available in services specifically designed for persons with Intellectual and Developmental Disabilities.

This article is Part 1 of an introduction to Consumer Direction in Colorado. It is a three (3) part information mini-series written primarily to help families of people with I/DD to understand consumer direction in Colorado and decide if you want to use this option for your son or daughter. This 3 part mini-series will be sent over the next 2 weeks. It is not intended to give detailed information.
Continue reading “Consumer Directed Attendant Support Services (Part 1)”

EMPLOYMENT FOR PEOPLE WITH DISABILITIES OPEN HOUSE OCTOBER 26TH

Health care officials warn lawmakers about Medicaid cuts

John Hickenlooper

Kristen Castor

Given that 41 percent of Pueblo County residents get Medicaid health insurance, local hospital officials and health care advocates wanted Gov. John Hickenlooper, Sen. Michael Bennet and local lawmakers to know Friday there is much at stake as Republican senators write a new federal health care policy behind closed doors.

Senate Majority Leader Mitch McConnell is presiding over the group of Republicans writing the bill and said he hopes to get it passed by the GOP-controlled Senate by July 4 — without amendments.

Bennet, a Democrat, said the closed-door secrecy was frustrating some Republican senators too.

“They’re so ashamed of what they’re doing they won’t even let all their Republican colleagues see that they are doing,” he claimed.

It was nearly all Democratic lawmakers that met with the Pueblo health care providers Friday, except for state Sen. Larry Crowder, R-Alamosa. Also in the group were Lt. Gov. Donna Lynne, and state Reps. Daneya Esgar and Dan Valdez.

Original article

Colorado Medicaid Agency Takes Money Away From Medicaid Clients & Denies Due Process Rights to Coloradans With Disabilities

On December 23, 2009, the Colorado Cross-Disability Coalition (“CCDC”) filed a class action lawsuit against the Colorado Department of Health Care Policy and Financing (“Department”) in the Denver District Court of Colorado requesting that the Court order the State to retract the cuts in the amounts Medicaid clients are entitled to receive to pay for in-home attendant until it is able to implement the cuts without violating the due process rights of Colorado residents with disabilities.  See attached complaint.

This lawsuit is the second lawsuit filed this week by the CCDC against the Department recently.  The other recent lawsuit, filed December 18, alleges the Department failed to insure payment for needed Medicaid services for an individual with multiple disabilities who needs additional in-home services after having a tracheotomy performed and being discharged from the hospital.

The present case alleges the Department is taking money away from Medicaid clients for needed services without giving them notice and an opportunity to appeal the decision in violation of longstanding Supreme Court rulings and federal law regarding due process rights under the United States Constitution.

Since the Consumer Directed Attendant Support Services (“CDASS”) program was implemented in 2003, approximately 1,000 Colorado residents with disabilities have enjoyed the ability to manage their own in-home attendant care to assist with activities of daily living.  They are responsible for such administrative tasks as interviewing, hiring, training, supervising, and sometimes firing the attendants of their choosing.

In addition to giving people with disabilities control over their own attendant care, the CDASS program was implemented to save the State money by eliminating the payments to home health care agencies for the administrative tasks that many Medicaid clients are more than capable of performing themselves. The State, in conjunction with the Medicaid client, determines the allotted amount of Medicaid funds each CDASS client can use towards their in-home attendant care.

In September, 2009, according to the Department, due to State budget cuts, CDASS clients’ allocations were reduced by 1.5%.  However, many clients did not receive any notice of this reduction until six weeks later in mid-October, and some received no notice at all.  For some CDASS clients, any reduction they have available to pay for attendant services means they must forego those needed services. Clients were terrified to learn suddenly that they may have gone over budget paying their attendants.   County case workers can impose consequences on clients who over budget that can endanger a person’s independence within the CDASS program.  Over-budgeting can mean they are kicked off the program altogether.

In the first week of December, 2009, CDASS clients received another letter informing them that their allocations were once again being cut, this time by 1%.  Again, some clients received no notice of this change at all.  Those who did receive a letter became very concerned when looking at the numbers stated in the correspondence.  Although the letters stated they would see a 1% decrease, their new allocations reflected a much different scenario.  From what CCDC has learned so far, clients received reductions anywhere from 2.14% to 4.06% (and possibly more) with no explanation of the mathematic inaccuracies, except that some unknown amount of their funding was taken away to pay a new fiscal intermediary service the Department hired, starting December 1, 2009.  This company is Public Partnerships LLC Colorado (“PPL Colorado”).

Many clients are already using every last cent of their monthly allocations, carefully scheduling attendants down to the minute, while minding their responsibility to avoid going over their allocation budget.  It is nearly impossible for CDASS clients to effectively schedule their attendant care without any idea as to the financial limitations to which they are expected to adhere.

The additional, unexplained inconsistent reductions in allocations can only be explained as the payment to PPL Colorado  The Department told clients the change to the new company would have “no affect” on allocations.

The Due Process clause of the United States Constitution, federal and Colorado law require that Medicaid clients receive advanced notice and an explanation of their right to appeal these allocation reductions. By not doing so, the State is violating the due process rights of Colorado residents with disabilities.

CCDC is Colorado’s only statewide disability rights advocacy organization.  CCDC’s mission and purpose include preventing discrimination against people with disabilities, including the forced institutionalization of individuals with disabilities.      CCDC works to ensure that state agencies like the Department provide due process of law when depriving individuals with disabilities of benefits for needed services.  For more information about CCDC go to www.ccdconline.org.

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Equal Rights Center and Colorado Cross-Disability Coalition File Suits Against Abercrombie & Fitch Co. for Discriminating Against People with Disabilities

WASHINGTON, D.C., November 24, 2009 –Today the Equal Rights Center (ERC), a national civil rights non-profit, and the Colorado Cross-Disability Coalition (CCDC), a statewide disability rights advocacy organization, filed federal lawsuits in Colorado and Maryland against Abercrombie & Fitch Co.—including Hollister and Abercrombie & Fitch stores—alleging that the stores using these brands fail to provide adequate access to goods and facilities to people with disabilities.

The Hollister brand of Abercrombie & Fitch Co. was launched in 2000, nearly a decade after the passage of the Americans with Disabilities Act (ADA).  Hollister stores rely on a signature style of construction, which usually includes steps to a porch-like entrance. These entrances with steps are inaccessible to individuals with disabilities. Customers who use wheelchairs or
scooters for mobility are forced to use a segregated door located away from the main entrance.  Signage directing customers with disabilities to this door is often hidden or does not exist, and in some cases this door is kept locked. Abercrombie & Fitch Co. has refused to remove the steps, despite requests from organizations representing people with disabilities.

“It is shocking and frustrating that nearly 20 years after the passage of the Americans with Disabilities Act, international corporations still discriminate against people with disabilities,” said Kevin Williams, CCDC’s Legal Program Director and the attorney bringing one of the cases. “The Colorado Cross-Disability Coalition members and millions of others across the country should not be forced to encounter discrimination this holiday season—or any other time of the year—when attempting to participate in the same activities as people without disabilities.”

According to the complaints filed today in U.S. District Courts in both Colorado and Maryland, Abercrombie & Fitch Co., the international chain of clothing stores with 1,127 stores located in 49 states, the District of Columbia, Canada and the U.K., has many locations that violate the ADA, a federal law that requires places of public accommodation to be accessible to people with
disabilities.

The ERC and the CCDC also allege that, despite the average square footage of 6,746 in a Hollister store and 8,888 in an Abercrombie & Fitch store, the interiors of both are largely inaccessible. The ERC has conducted investigations of Hollister and Abercrombie & Fitch stores in nine states and the District of Columbia. Investigations conducted by the ERC and the
CCDC found:

• Steps into the stores, and side entrance doors that are locked;
• Service counters that are too high for customers who use wheelchairs to reach or use;
• Merchandise displays and other internal décor that block access throughout the stores for individuals who use wheelchairs; and
• Fixed shelving merchandise displays that are inaccessible.

“Abercrombie & Fitch Co. designed its Hollister and Abercrombie & Fitch brand stores with full knowledge of the Americans with Disabilities Act, yet still chose to construct stores with physical barriers that prohibit people with disabilities from fully enjoying their services,” said Don Kahl, Executive Director of the ERC. “In this economy and with the holiday season approaching, Abercrombie & Fitch Co. should consider not only the moral ramifications of its conduct, but also the business effect of being inaccessible to the millions of buyers in America
with disabilities.”

The ERC is represented by the Washington Lawyers’ Committee for Civil Rights & Urban Affairs and the law firm of Vinson and Elkins, LLP.

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About the Equal Rights Center (www.equalrightscenter.org)
Since 1983, the Equal Rights Center (ERC), a national non-profit civil rights organization, has worked to identify, challenge, and
eliminate discrimination. The ERC combats discrimination in housing, employment, access to public accommodations and
government services, disability rights and immigrant rights, through education and outreach, research, testing, counseling,
advocacy and enforcement.
About the Colorado Cross-Disability Coalition (www.ccdconline.org)
The Colorado Cross-Disability Coalition (CCDC) is a statewide organization run by and for people with all types of disabilities to
promote social justice and create systems change for people with all types of disabilities. The CCDC accomplishes its mission by
changing systems through organizing, advocacy, education, and systemic change.

2009 Memorial Award Winners!