Woozle: moved 2009-12-31 Josh emails to 2009/12/31/Josh emails: using new date fmt & subpages

2010-03-21T17:56:06Z

moved 2009-12-31 Josh emails to 2009/12/31/Josh emails: using new date fmt & subpages

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Woozle: /* About */ word fix :-P

2009-12-31T19:33:24Z

About: word fix :-P

← Older revision		Revision as of 19:33, 31 December 2009
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	==About==		==About==
	{{datecat\|2009-12-31}}[[category:dated]][[category:letters/business]][[category:Josh]]This is an email from the supervisor (whom of will refer to as "CB") of Josh's case manager, and my reply to it. (The case manager herself is off work for the holidays, so CB has been handling her work.)		{{datecat\|2009-12-31}}[[category:dated]][[category:letters/business]][[category:Josh]]This is an email from the supervisor (whom I will refer to as "CB") of Josh's case manager, and my reply to it. (The case manager herself is off work for the holidays, so CB has been handling her work.)

	==Emails==		==Emails==
	===from CB to us===		===from CB to us===

Woozle: Created page with '==About== {{datecat|2009-12-31}}category:datedcategory:letters/businesscategory:JoshThis is an email from the supervisor (whom of will refer to as "CB") of Josh's cas…'

2009-12-31T19:25:16Z

Created page with '==About== {{datecat|2009-12-31}}category:dated category:letters/business category:JoshThis is an email from the supervisor (whom of will refer to as "CB") of Josh's cas…'

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==About==
{{datecat|2009-12-31}}[[category:dated]][[category:letters/business]][[category:Josh]]This is an email from the supervisor (whom of will refer to as "CB") of Josh's case manager, and my reply to it. (The case manager herself is off work for the holidays, so CB has been handling her work.)
==Emails==
===from CB to us===
Hello Nick and Sandy,

I wanted to make sure that you have all the information you need in
order to make a sound decision regarding the services available for your
son. I have emailed you a [http://www.dhhs.state.nc.us/MHDDSAS/servicedefinitions/servdefupdates/dmadmh8-4-09update59.pdf recent service definition] from the state of NC
regarding what services he would be eligible for under the CAP waiver.
After we spoke earlier this week, Nick mentioned that he may be moving
into another home, so I wanted to find out for sure exactly what
service(s) he would be eligible for if he moves into another home and
has CAP services. As it turns out, he cannot receive funding from state
Medicaid for both out-of-home residential services and CAP waiver
services to pay for the care/supports in that home. This is what is
explained in the state memo I sent in the separate email.

There are two options available for you:

In order for your son to receive the CAP supports waiver slot, he will
have to continue to live at home, but he will be eligible for the CAP
waiver services explained in the forms I gave to Nick. (CAP services up
to $17,500/yr.)

If the state of NC pays for him to live in another home through
Therapeutic foster care, or any another home or group home in which
funding is paid by the state, he will not be able to use the CAP
supports waiver slot.

I know this is a lot to ponder, but please feel free to email or call me
for clarification.

I absolutely want you to have all the information you need to make the
decision which will work best for your family.

Please let me know what you decide and we can work together, along with
Yolanda to continue the next steps in the CAP supports waiver option, or
the residential option.

''[CB]'', QDDP
: Manager of Durham Support Brokerage
: Community Partnerships, Inc.
===from me to CB===
Hi ''[first name]'',

I had wondered about that, since my understanding was that one of the main
differences between Supports and Comprehensive was the residential services.

Josh absolutely needs out-of-home care; we have not been able to think of any
way that our home could possibly be retrofitted to make caring for him
manageable.

Just last night, for instance, he tried to cook himself some bacon -- in the
toaster oven. We were upstairs reading to the younger kids, I smelled smoke,
and came down to find the toaster oven with a nice little fire inside it and the
kitchen totally filled with smoke. This is the first time he has ever tried to
use the toaster oven, but it is not the first time he has managed to fill the
kitchen with smoke; on at least two or three prior occasions when he has tried
to reheat food for himself in the microwave (at which he is usually
successful), he has punched in one too many digits, and ended up with a melted
plastic plate and a lump of blackened charcoaled goo that used to be chicken.

Josh does not pose a direct danger to himself or others, but he needs to be
in an environment where he can't unintentionally do something dangerous -- in
our house, he does pose a danger to himself and others. He needs a home with
a lockable kitchen, lockable areas/rooms for securing any breakables when he
is not being closely supervised, and all outside doors lockable with keyed
deadbolts. He needs to be in a situation where his needs and habits don't
conflict with the needs of other children and adults sharing the same space. He
needs caregivers who are capable of dealing with his intensive needs on a day-
in, day-out basis.

So it looks like we will have to pass up the Supports waiver, as useful as it
might be during times when Josh is staying with us.

On the positive side, I presume this means that he will retain the same
priority rating for a Comprehensive waiver. He was #17 in line last I knew,
and since three Comprehensive slots have now been awarded he should be
somewhere around #14 or possibly better if others have dropped off the list.

Can you confirm what his current place is on the waiting list?

Can you also confirm that his waiting list ranking takes into account the fact
that he does need constant supervision and a properly secured environment in
order not to be a danger?

Thanks for checking into the Supports details.

Regards,

Nick (and Sandy)

2009/12/31/Josh emails - Revision history

Woozle: moved 2009-12-31 Josh emails to 2009/12/31/Josh emails: using new date fmt & subpages

Woozle: /* About */ word fix :-P

Woozle: Created page with '==About== {{datecat|2009-12-31}}category:datedcategory:letters/businesscategory:JoshThis is an email from the supervisor (whom of will refer to as "CB") of Josh's cas…'