Posts Tagged "Brokerage history"
5 Myths About Brokerages Services
Information can be hard to come by sometimes in the IDD service system. We’ve heard these five myths thrown around like facts over the years, and we’re here to set the record straight. 1. MYTH: Brokerage services are only for people who don’t need much help. FACT: Brokerages serve people with all levels of support needs, from those who are more independent to people who need frequent assistance. Support Services are meant to keep people out of Medicaid-funded residential placements and in their own or their family homes for as long as possible by supplementing the help they already receive with paid supports. This combination of family/community help...
Read MoreWhy Vision Matters
We have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. Today, we believe that more change is necessary if Oregon is to regain a functional, sustainable structure for IDD services. In our last post, we talked about the series of changes that reshaped the landscape for intellectual and developmental disability (IDD) services in Oregon. From the summer of 2013 until the close of 2015, we were taking on new processes, new...
Read MoreNothing Endures But Change
We have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. The entire system still struggles to find equilibrium in the wake of such wholesale change. Equity in service allocations, rates of pay, and time spent on face-to-face services vs. paperwork has been disrupted due to choices made during the implementation of these policies. Today, we believe that more change is necessary if Oregon is to regain a functional,...
Read MoreA Diversity of Services Requires A Diversity of Providers
Community-based services are different. In 2001, Oregon made a deep investment in community supports when it began to develop Support Services Brokerages. This style of service, which seeks to serve people where and how they wish to live, is very different from the institutional settings of the past. People make different choices when you let them, they express different needs than you might have anticipated–they surprise you. Oregon found that community-based services demanded a wider diversity of providers. People inviting workers into their homes expected different things from those providers: willingness to take direction directly from the individual as...
Read More