M E M O R A N D U M

TO: Persons with Developmental Disabilities; His or Her Family and
Providers of Services

FROM: Stephen Hall, Ph.D., Director, Office of Developmental
Disabilities

RE: Exciting News! Our New Waivers Are Here November 1, 2008

DHR Regional Offices: Please Immediately Distribute Widely to all
Persons with Developmental Disabilities, Their Families and Providers of
Services. If you receive this after November 27, 2008, please notify the
Georgia Office of Developmental Disabilities.

Well finally! After three years of trying, the Federal Medicaid Office
(CMS) and the Georgia Department of Community Health and those of us
working in the Office of Developmental Disabilities within MHDDAD have
our new waivers and services ready to go live on November 1 and we have
a CMS approved waiver implementation plan to transition everyone into
the new services over twelve months beginning this November.

And yes, everybody will have an individual budget based on his or her
needs. Providers want to know what their big budget will be for the
coming year and here it is: providers can safely predict it will be
almost identical to last year's budget. We have been spared cuts in
services for persons in waiver services. Remember the big deal for
Georgia's new Medicaid waivers is our shift from a provider-centered
system to person-centered system where individual families get their son
or daughter's budgets in the month that is two months before their son
or daughter's birthday month. This will give persons with disabilities
plenty of time to choose their providers over the next twelve months.

Of course some providers are worried about how much money there will be
and whether the person and their family will still choose them. Not to
worry - there has been a legislative approved increase in funds to serve
persons with developmental disabilities again this year and information
from the seventeen other states that now offer self-directed supports
and individual budgets says that 95% of families will stay with their
current provider the first year, and only 10% of families every year
will choose a different provider. Good providers already understand that
a system that gives the family -the customer the choice-will bring more
and more families.

and the necessary funding their way. In fact, good providers can expect
to grow two to three times larger from families choosing to have their
allocated funds given to these good providers.

So information about each person's individual budget will flow first to
the Support Coordinator who will inform the family so they can begin
deciding what services will be provided in agreement with the needs
identified in the person's individual service plan, and they, the family
will decide how much of the money goes to which providers that they
choose. This turns the Developmental Disability system into a much more
free American system where families are in charge of service and funding
rather than the money going from the government to a provider and then
the family having to go there to find out how much they got. I know this
new way of doing business empowering families will make some providers
nervous, but if you are a good provider you have nothing at all to worry
about. They will still choose you.

Despite telling good providers that they can stop worrying about the
money, worrying if families will choose them, some providers will still
be worried. Again, good providers have nothing in the world to worry
about. Mediocre providers probably do. Families will look out after
their own son and daughter's best interests and they will make sure that
the taxpayer's dollars they are using go to those providers that can do
their son or daughter the most good.

We have conducted over 54 community forums and have spoken in person to
more than 9000 families directly about these changes. And while an
overwhelming number of persons with disabilities and their families love
and will love these changes, as do most providers of services, there are
some, some even good providers who are afraid they are going to lose
funds to provide services. They must not be! In fact most providers will
experience no change but receive the potential for increased funding,
that is if the family chooses them to do all of their son or daughter's
services.

This is an exciting time for Georgians receiving these new individually
funded waivers based on each person's exact need, but not everybody
wins.

Taxpayers win because their money is used to meet the exact needs of the
individual person through individual allocation to meet that particular
person's exact needs. Families win because so many things that were not
possible for their loved ones to be supported in the community during
the day, in the evenings, and weekends are now possible in the new
waivers. Providers win because good providers know what they are and
will use the new funding to serve even more people. The only losers when
the customer is in charge are mediocre providers that had the false
security of a government contract for the money. Now it will be the
families' choice.

Safeguards are already in place to ensure that only DHR regional offices
approved funds go to pre-authorized vendors of services. A lot of people
have to say "yes" before the public funds are used but this time the
first yes comes from the person and their family.

We will be fighting rumors and deliver on our promises to families who
have fought so hard for these changes in Georgia. If you have something
good to say or have a success story to tell, please share it with
everyone. Nobody knows everything and we will make some mistakes in this
month by month transition. We will stay in touch through our new website
and as always by direct communication in your local communities.
November 2008 through October 2009, the new Developmental Disability
waiver transition months are truly great days for Georgians with
developmental disabilities.
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