State Plan for Independent Living (Fiscal Years 2011-2013)
Section 2: Scope, Extent and Arrangements of Services
2.1: Scope and Extent2.1A: Check the appropriate boxes in the SPIL Instrument table indicating the types of IL services to be provided to meet the objectives identified in section 1.2 of this SPIL, and whether the services will be provided by the CILs or by the DSU (directly and/or through contract or grant).
| Table 2.1A: Independent living services | Provided by the DSU (directly) | Provided by the DSU (through contract and/or grant) | Provided by the CILs (Not through DSU contracts/ grants) |
| Core Independent Living Services - Information and referral | NO | YES | YES |
| Core Independent Living Services - IL skills training | NO | YES | YES |
| Core Independent Living Services - Peer counseling | NO | YES | YES |
| Core Independent Living Services - Individual and systems advocacy | NO | YES | YES |
| Counseling services, including psychological, psychotherapeutic, and related services | NO | NO | NO |
| Services related to securing housing or shelter, including services related to community group living, and supportive of the purposes of this Act and of the titles of this Act, and adaptive housing services (including appropriate accommodations to and modifications of any space used to serve, or occupied by, individuals with significant disabilities) | NO | YES | YES |
| Rehabilitation technology | NO | NO | NO |
| Mobility training | NO | YES | YES |
| Services and training for individuals with cognitive and sensory disabilities, including life skills training, and interpreter and reader services | NO | YES | YES |
| Personal assistance services, including attendant care and the training of personnel providing such services | NO | YES | YES |
| Surveys, directories and other activities to identify appropriate housing, recreation, accessible transportation and other support services | NO | YES | YES |
| Consumer information programs on rehabilitation and IL services available under this Act, especially for minorities and other individuals with disabilities who have traditionally been unserved or underserved by programs under this Act | NO | YES | YES |
| Education and training necessary for living in the community and participating in community activities | NO | YES | YES |
| Supported living | NO | NO | NO |
| Transportation, including referral and assistance for such transportation | NO | YES | YES |
| Physical rehabilitation | NO | NO | NO |
| Therapeutic treatment | NO | NO | NO |
| Provision of needed prostheses and other appliances and devices | NO | NO | NO |
| Individual and group social and recreational services | NO | NO | YES |
| Training to develop skills specifically designed for youths who are individuals with significant disabilities to promote self-awareness and esteem, develop advocacy and self-empowerment skills, and explore career options | NO | YES | YES |
| Services for children with significant disabilities | NO | YES | YES |
| Services under other Federal, State, or local programs designed to provide resources, training, counseling, or other assistance of substantial benefit in enhancing the independence, productivity, and quality of life of individuals with significant disabilities | NO | YES | YES |
| Appropriate preventive services to decrease the need of individuals with significant disabilities for similar services in the future | NO | NO | NO |
| Community awareness programs to enhance the understanding and integration into society of individuals with disabilities | NO | YES | YES |
| Other necessary services not inconsistent with the Act | NO | NO | NO |
2.B: Describe any service provision priorities, including types of services or populations, established for meeting the SPIL objectives identified in section 1.2.
The SILC and the DSU do not presently set service priorities, except that each center funded must provide all federally and state mandated core services. Service priorities beyond this minimum are determined by the community-based ILCs. For population priorities, please refer to Section 1.2B.
2.C: If the State allows service providers to charge consumers for the cost of services or to consider the ability of individual consumers to pay for the cost of IL services, specify the types of IL services for which costs may be charged and for which a financial need test may be applied, and describe how the State will ensure that:
- Any consideration of financial need is applied uniformly so that all individuals who are eligible for IL services are treated equally; and
- Written policies and consumer documentation required by 34 CFR 364.59(d) will be kept by the service provider.
Indicate N/A if not applicable.
California allows ILCs and other service providers to charge an individual eligible for IL services or consider the individual's ability to pay when the service provider does so pursuant to a written policy approved by the DSU. An approved policy may permit an IL service provider to consider an eligible individual's ability to pay for an IL service other than ‘information and referral’ when another program may be available to pay for the service for the consumer depending upon ability to pay. An approved policy may allow a service provider to impose a charge for an IL service only when:
The service is not a core IL service and the provider offers it only on a fee for-service basis, or
The service is not ‘information and referral’ and another program may pay for the service.
The State will approve an ILC’s policy to charge individuals who are eligible for IL services consistent with above, when the ILC meets all other contract requirements.
The State will approve an ILC’s policy to consider an eligible individual’s ability to pay or to charge individuals consistently with above, only when the charge is pursuant to a ‘payer of last resort’ policy. That is, when another source may be available to pay for the service for the consumer, the other source will be expected to pay. The State will not permit an ILC to use such a policy to deny a service it offers to a consumer who is eligible for that service, unless the ILC uses a waiting list (first come, first served) or similar procedure to assure that all individuals who are eligible for IL services are treated equally.
Policies will be standardized and reviewed, and submitted to the DSU for final approval, by a joint committee comprised of members representing the SILC, the DSU and ILCs.
An ILC that charges an individual eligible for IL services or considers the individual’s ability to pay must document all facts relevant to application of that policy in the Consumer Service Record.
2.2: Arrangements for State-Provided Services
2.2A: If the DSU will provide any of the IL services identified in section 2.1A through grants or contractual arrangements with third parties, describe such arrangements.
IL services in section 2.1A are provided by the DOR through AB204 Social Security Reimbursement grants to ILCs. Title VII, Part B funding does not provide individualized IL services, but is granted to ILCs and other community partners for SPIL objective projects that complement IL services.
2.2B: If the State contracts with or awards a grant to a center for the general operation of the center, describe how the State will ensure that the determination of an individual's eligibility for services from that center shall be delegated to the center.
The State makes no determination of eligibility for any program operated by ILCs, whether under state or federal funding. All eligibility determinations are made by ILCs. Both RSA and the DSU monitor centers during compliance reviews to assure the requirements of the Act are met.
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