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NCARF Electronic News
August 13, 2009 
In This Issue
Membership Incentive
Update from Arc of NC
DD Consortium and Coalition Meetings
Disability Community Meeting
Emerging Trends
Prevailing Wage Survey Reminder
2009 Annual Training Conference
Governance Policies
Member Emeritus
 
Calendar of Events
   
September 17, 2009
Wake Enterprises
Golf Tournament
Lonnie Poole
Golf Course 
 
September 30-October 2, 2009
NCARF Annual  Training Conference
Winston-Salem, NC
  
Quick Links
  
NCARF Headquarters
 
1500 Sunday Drive,
Suite 102
Raleigh, NC 27607
 
Phone
919-863-9486
 
Email
Nicole Shore
Association Executive
 
Michelle Eggleston
Membership Coordinator
 
2009/2010 NCARF Membership Incentive  
 
dollar sign NCARF Leadership would like to give back to membership      during this economic downturn by initiating an incentive to     all members who renew their membership with NCARF this year. Once all membership dues have been collected, your organization will receive a "stimulus rebate check" reflecting approximately 25% of your dues paid from the previous year.

2009/2010 NCARF Membership Renewal Invoices have been emailed and mailed.  Please complete and return the application by August 31, 2009 to maintain your membership! 
 
During this economic situation it is vital we ban together and partner with NCARF. 
 
Contact Nicole Shore at nshore@firstpointresources.com with any questions.    
Governor Signs State Budget
 
Excerpts from Governor Perdue's Prepared Remarks Regarding the State Budget:
 
With North Carolina facing the toughest economic crisis since the Depression, there are no easy solutions to the budget crisis.  I've made my priorities clear to the people and the General Assembly: 1) raise the revenue necessary to shield North Carolina's public school system and core services from massive cuts and 2) avoid raising across-the-board income taxes on working families in North Carolina.

The budget passed this week is far from perfect.  In fact, it falls short in several areas that are critical to the future of our state:

-  Although it no longer mandates class size increases, it regrettably still includes cuts to Local Education Agencies.  
- Local agencies that provide mental health services face cuts, jeopardizing crucial services mental health services for patients across North Carolina.
- Our public safety system is not funded at an adequate level.
- And this budget does not include additional help for working families, such as an increase in the Earned Income Tax Credit.
But there are also some areas where we've made improvements to the budget.
- Children in grades K-3 won't see their class sizes increased, and K-3 teachers and teachers' assistants are protected.
- There are protections for at-risk students, especially those in low-performing schools.
- 87% of all North Carolina families are protected from an income tax surcharge.
- The budget adds contract acute care beds for mental health services in communities across North Carolina.
- There are investments for JobsNOW job training, more kids have access to health insurance, and there's some help for small businesses.

It's now several weeks beyond the budget deadline, and teachers go back to school in two weeks. And so, after this long difficult budget process, North Carolina must move forward.  I signed this budget with reservation.
This year's budget battle is over, but the fight to protect and improve our schools does not end with a budget document.  I will continue to do everything in my power to work with education leaders, the business community, and most importantly moms and dads to protect and strengthen our schools and give our children a brighter future. 
  
Bev Perdue

Budget and Legislative Update from The Arc of NC
 
Budget and Legislative Update from The Arc of NC
8/12/09
Visit  www.arcnc.org for more information 
 

The legislature has finalized its business for the summer and now the
legislators are heading back to their districts. There is no doubt this year
has been the most difficult legislative session in decades. There is no way
to sugar-coat the budget reductions and the potential impact they will have
on our service delivery system.

For some individuals with developmental disabilities and their families
there will be little change in the service array they have today, for others
they can count on a significant reduction in service and there is no doubt
that people waiting for services will have to wait longer. The full impact
of the cuts will not be seen for months and the lasting impact will not be
known for years.

Much of the uncertainty of the impact of the cuts is due to Special
Provisions that direct how departments will implement the cuts (read the
Special Provisions). For example,  the 40 million dollar cut to Local
Management Entities (LME's  oversee service provision in local areas) is a
non-recurring cut in both years of the budget and the special provision
language requires the LME's to use fund balances to make up the cut. It is
unclear how this will be monitored and how single county LME's will be
treated. There are several other items like this in the budget that will
require monitoring and strong advocacy at t he state level.

As bad as the budget is it could have been much worse. The Arc was in a
better position this year to fight the worst of the budget reductions which
did result in less cuts to people with developmental disabilities.  You will
also see two slight increases (really a redirection of funding cuts);
increasing the availability of Tier 1 CAP slots and the annualization of the
START crisis model.

The Budget Wrap Up document is comprehensive and quite detailed. It is
intended to provide you with the full story of this legislative session from
The Arc's perspective.

We were also able to pass significant policy legislation. We have prepared a
Legislative Update document that details the  legislation that we believe
will make a significant difference in the lives of people with developmental
disabilities. These bills have an impact on children and adults throughout
North Carolina. The Arc was either the lead agency on these bills or played
a significant part in their passage. You should also read Implementation
Update 59 that provides information regarding people who receive CAP
services and state-funded services.

It's hard to feel good about this year but what we all must remember is
that without our work we would have seen our system set back 25-30 years.
Your phone calls, e-mails and visits made a tremendous difference. The Arc
thanks you for your advocacy.


The Arc of NC

343 East Six Forks Rd. Ste. 320

Raleigh, NC 27609

1-800-662-8706

www.arcnc.org 

 
DD Consortium and Coalition Meetings Update
 
Update from DD Consortium and Coalition Meetings
From Chris Kiricoples
Monday, August 10, 2009
 
I just got back from Raleigh , where I attended both the DD Consortium and the MH/DD/SAS Providers Coalition meetings as NCARF's representative.  The tone at both meetings can best be described as dismal and depressed, some folks are clearly shocked by the depth of the cuts.
 
Many folks are still hard at work trying to prepare a detailed analysis of last week's budget decisions---that is somewhat complicated by the fact that the General Assembly is still working on HB 836, which is a "Technical Corrections Bill" intended to describe and explain the $40 million reduction to IPRS funded services.  Here is some info based on general consensus of the groups' understanding of what will be coming:
 
  • Much has been said and reported about the elimination of the Community Supports program, the replacement of the level 3 and 4 Residential Treatment Facilities by a Therapeutic Foster Care Model, and the complete re-structuring and re-defining of Case Management (as they pull out $41 million this year and $72 million next year), but the piece that has Consortium/Coalition attention is the $40 million cut in IPRS funds.
  • That IPRS cut is projected to be a 13% reduction from last year's funding levels and will likely result in a dramatic loss of services across all disability groups.
  • It appears that the DHHS Secretary is going to have tremendous discretion in implementation of those cuts.  It is expected that the Secretary will issue instructions to the Division, and that in a couple of weeks the Division will issue a directive to the LMEs as to how they are to proceed with implementation of the 13% reductions.
  • As has been discussed before, our member agencies should be concerned about hard limits placed on the hours of service a consumer can receive each day and/or week, rate/reimbursement reductions, or limits on how many state-funded services a consumer can receive--ey should be in discussion with their LME. 
  • The LMEs are going to see another $3.8 million reduction in their Administration funding.
  • Individuals with CAP slots will not receive any IPRS funding.
  • There is still some very fuzzy language about whether LMEs will be expected to exhaust their fund balances--that is supposed to be clarified in the Technical Corrections Bill---- this should concern our members as it will impact the LME's ability to issue prompt payment.
  • Disability Rights NC is trying to work out a procedure to document loss of services to consumers/reduction of services by providers y taking telephone affidavits from consumers and providers, more on this later.
 
That is about as specific as we can be until the Technical Corrections Bill is approved then we will have to wait for the DHHS Secretary interpretation and instructions to the Division, and ultimately the LME response and implementation strategies.  The Coalition WILL distribute an analysis when they have the complete information.  I will share more as it is available.
 
Chris Kiricoples 
Disability Community Meeting Summary
 
Summary of July 24 Disability Community Meeting with President Obama Commemorating 19th Anniversary of the Americans with Disabilities Act and Signing of UN Convention on the Rights of Persons with Disabilities
Source: ELA (http://www.ela.org/about_us/about_ela.html)  
 
On July 24, President Obama invited a group of 12 representatives of the disability community to meet privately with him, Attorney General Holder, Secretary of Labor Solis, and senior White House officials in advance of an East Room ceremony marking the 19th anniversary of the Americans with Disabilities Act (ADA) and his announcement of the Administration's decision to sign and seek Senate ratification of the UN Convention on the Rights of Persons with Disabilities.
 
Attending the meeting for the disability community were Polly Arango of Family Voices; Marca Bristo of the US International Council on Disabilities and Access Living of Metropolitan Chicago; Kelly Buckland of the National Council on Independent Living; former Congressman Tony Coelho; Michael Fitzpatrick of the National Alliance on Mental Illness; Marty Ford of the Consortium for Citizens with Disabilities and The Arc and UCP Disability Policy Collaboration; Andy Imparato of AAPD; Ted Kennedy, Jr. of the AAPD Board and The Marwood Group;  Michael May of the Sendero Group, a technology company; Maria Veronica Reina of the Global Partnership for Disability and Development; Jeff Rosen of Snap!VRS, a video relay and technology company; and Bob Williams of the District of Columbia, former Deputy Assistant Secretary for Disability and Long-Term Care Policy at the U.S. Department of Health and Human Services.
 
Joining the President at the meeting were Attorney General Eric Holder; Secretary of Labor Hilda Solis; Melody Barnes, Assistant to the President for Domestic Policy; Assistant to the President and Cabinet Secretary Chris Lu; Kareem Dale, Special Assistant to the President for Disability Policy; Paul Miller, Special Assistant to the President for Personnel; Lisa Brown, Staff Secretary to the President; Michael Strautmanis, Chief of Staff to Valerie Jarrett; Jeff Crowley, Director of the White House Office of National AIDS Policy and Senior Advisor on Disability Issues to the Domestic Policy Council; Tina Tchen, Director of the Office of Public Engagement; and Kathy Martinez, Assistant Secretary of Labor for Disability Employment Policy.
 
The disability community representatives engaged in a productive dialogue with Attorney General Holder and Secretary Solis before the President arrived, discussing our priorities for civil rights enforcement at both departments, including but not limited to internet accessibility, Olmstead enforcement, reducing the waiting period for ADA complaints to be resolved, using OFCCP to enforce the affirmative action provisions in the Rehabilitation Act, protecting children from the use of aversives and restraints; and implementing a government-wide strategy to improve the representation of people with significant disabilities in the federal workforce.   Both Holder and Solis were very interested in continuing the discussion in follow-up meetings with disability community representatives in the weeks to come.
 
When the President arrived, he noted that we had a wide-ranging agenda that included employment, education, technology, health care, and civil rights policy, and indicated his interest in using this first meeting as a listening session.  We thanked him for the meeting and for his leadership in signing the UN Convention on the Rights of Persons with Disabilities, we emphasized the importance of seeing disability policy issues as fundamentally about fairness, civil rights and human rights.  We shared some personal discrimination stories and expressed our desire to work with the White House and agencies across the administration on a broad-based strategy to make progress between now and next July 26, which will be the 20th anniversary of the ADA.  A significant portion of our time with the President was devoted to health care reform and the need to end the institutional bias in Medicaid, and the President offered to have Nancy-Ann DeParle and Peter Orszag and other members of his health reform team sit down with us in the next few weeks to discuss our ideas, including making the Community Choice Act (http://www.adapt.org/cca.php) a state option as part of the final bill that emerges from Congress.
 
The disability community representatives came away believing that the President, his cabinet representatives, and his senior White House staff are committed to working with our community to achieve the goals of the Americans with Disabilities Act.  We look forward to following up on all of the issues discussed at the meeting.  All in all, we felt that this historic meeting represented a very important step forward for our community and for the country.

Emerging Trends Public Consultation
 
The National Council on Disability (NCD) is gathering public input for a
study of emerging issues and trends affecting the lives of people with
disabilities. Information gathered will be used in the development of NCD's
next annual progress report to the President and Congress, "National
Disability Policy: A Progress Report," which is required by Section 401(b)
of the Rehabilitation Act of 1973, as amended.

The purpose of this public consultation is to gather input to inform NCD's
assessment of the status of the nation in achieving policies that guarantee
equal opportunity for all individuals with disabilities, and empower
individuals with disabilities to achieve economic self-sufficiency,
independent living, and inclusion and integration into all aspects of
society.

If you would like to participate, the entire document and information on how to respond is available at
Click to View

Please send your responses to NCD by September 15, 2009.

Mark S. Quigley
Director of External Affairs
National Council on Disability
1331 F Street, NW Suite 850
Washington, DC 20004
202-272-2008
202-272-2022 fax
www.ncd.gov
 


Prevailing Wage Survey Reminder
 
REMINDER: If you are paying subminimal wages under a DOL 14c Certificate, you must conduct a Prevailing Wage survey as a result of the change in the Federal Minimum Wage.  You can find more information at http://www.dol.gov/compliance/topics/wages-subminimum-wage.htm.  
 
Also, NCARF will be offering a Wage & Hour Training session at the Fall Annual Training Conference in Winston Salem.  See details for reserving your room below.

2009 Annual Training Conference 
 
The 2009 NCARF Annual Training Conference will be held in Winston-Salem September 30 - October 2. The Hawthorne Inn has been selected to host this event. 
 
Please Save the Date for this valuable training and networking opportunity.  The agenda is packed with fun activities starting with an NCARF Golf Tournament!  The conference will also include the Annual Awards Luncheon, Membership Meeting and evening social.
 
Registration materials will follow shortly. 
 
 
Training Topics will include:
 
Quality Management Systems
Discussion of leadership commitment and fundamental operational process approaches necessary to establish an ISO 9001 compliant program.  Actual registration or certification process steps will also be outlined. 
Phil Mintz                  
                                              
Human Resources Workshop
A timely presentation regarding cutting costs and layoffs.
Mike Womble
 
Disability Rights - Basic Rights
Presented by DRNC
 
VR Stimulus
Information on stimulus funding regarding availability, where funding is and how to access it.
 

Please make your hotel arrangements directly with hotel.   
 
Hawthorne Inn
420 High Street
Winston-Salem, NC 27101
Phone:  800.972.3774

NCARF's reduced room rate is $83. This discounted room rate is available the nights of Sept 29 - Oct. 1.  Be sure to reference the North Carolina Association of Rehabilitation Facilities (NCARF) to receive the group rate. The discounted rate will be extended until Sept. 15, 2009. After this date reservations will be accepted on a space available basis and may not be eligible for this rate.
 
 
Governance Policies 
 
NCARF is gathering Board of Directors and Organizational Governance Policies for member reference.  We'd love to have your contributions.  Please send the policies to Michelle Eggleston, meggleston@firstpointresources.com.  We'll post them at www.ncarf.com in the members only area.  Please send exactly how you would like them posted.  If you have questions, please let us know.

Member Emeritus 
 
Have someone to suggest for Member Emeritus Status? 
Please send Michelle Eggleston, meggleston@firstpointresources.com their name and contact info, NCARF staff will contact them with information on becoming involved with NCARF.
 
 
News to Share?
Please send any news you wish to include in the weekly updates to
Michelle Eggleston at meggleston@firstpointresources.com.
 
 
Sincerely,
 
Michelle Eggleston
NCARF
Membership Coordinator 
 
 
 
***The information in the NCARF Weekly Update is presented for informational purposes.  Unless expressly stated, opinions may not be the opinion of NCARF as an organization.  Inclusion of information in the Weekly Update is not meant to imply endorsement by NCARF or its member organizations.  NCARF cannot guarantee the accuracy of all information that is passed along from various outside sources.
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