June 2006 Edition - Access Press

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June 10, 2006

Inside ■ Disabled Immigrants Assoc.— p. 10 ■ Disabled Immigrants Assoc. Written in Somali— p. 10 ■ Medicaid Town Hall Meeting— p. 12

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“You can’t get anywhere in politics these days

unless you’re quadriplegic.” – Sam Sullivan, Mayor of Vancouver, BC

Page 2 Nonprofit Org. U.S. Postage PAID Mpls. MN Permit No. 4766

Volume 18, Number 6

Minnesota’s Disability

Community Newspaper

June 10, 2006

Local Leader Receives Award MN Work Incentives Connection Founder Honored by Anita Boucher

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Barb Smith is only the second non-SSA staff person to receive the Return To Work Award

n May 11th, Barb Smith of the Minnesota Work Incentives Connection received the Skip Kruse Memorial Returnto-Work Award for “tireless energy, compassion and vision, demonstrated in promoting the use of Social Security Administration (SSA) employment support programs for people with disabilities.” Barb is only the second non-SSA staff member to receive such an award. SSA Area Director Paul Demers and Joani Werner, Area Work Incentives Coordinator, was kind enough to nominate Smith for this honor on behalf of Minnesota’s local SSA offices.

Smith cites many people as inspirations for her work. “Skip Kruse possessed the qualities of a great advocate. To be put in the same category with him is a tremendous honor. A driving motivation for me is the experience I have had with people with disabilities in both my personal and professional lives. I am inspired by the many people with disabilities who have triumphed over significant barriers to employment. To accomplish what they have takes courage, persistence, optimism and likely a good sense of humor.” Praise for Smith has come in from many quarters. John

Schatzlein of the Work Incentives Advisory Group cites Smith for making a difference in the community. “Barb and her staff have significantly improved access to information about the benefits and service provisions available in returning to work for a person who has acquired a functional limitation.” Joani Werner noted the outstanding service Smith provides, “Barb is very dedicated to helping our clients understand the complexities of Social Security’s return to work programs!” Tim Benjamin of Access Press also notes her unwavering commitment to what’s best for the people. “I’ve referred many people to

Changes Ahead In Managed Care by Anne L. Henry, MN Disabiltiy Law Center

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he 2006 Minnesota Legislature adopted several significant changes for persons with disabilities who use Medical Assistance health coverage. The legislation, developed by disability advocates and authored by Representative Finstad and Senator Lourey, sets a path for further development of managed care options for persons with disabilities in Minnesota. The most significant of the changes affect persons who are eligible for both Medicare and Medical Assistance beginning in January 2007. Background In Minnesota, there are approximately 95,000 persons eligible for Medicaid (Medical Assistance) due to disability. Two of the three separate eligibility groups who qualify for Medical Assistance (MA), families with children and the

elderly, are now required to join a managed care plan, about 286,000 persons. Efforts are underway to include persons with disabilities in managed care under MA. Key issues include whether participation in a managed care plan is voluntary or mandatory and whether the managed care health plan will include continuing or long-term care services in addition to basic health care. Of the 95,000 persons eligible for MA due to disability, over 40 percent are eligible for Medicare coverage as well. Persons with both Medicaid and Medicare are called “dual eligibles.” Currently, there are at least three separate types of managed care models for persons with disabilities in Minnesota; one is now operating and two are under development. The three types of man-

aged care models in Minnesota include: Minnesota Disability Health Option (MnDHO) The Minnesota Disability Health Option includes Medicaid and Medicare benefits as well as both basic health care and continuing or longterm care services for persons with disabilities. Two separate projects operate under the MnDHO authority: AXIS/ UCARE in the metro area is serving persons with physical disabilities, 63 percent of whom also have a mental health diagnoses and Partners Choice Network for persons with developmental disabilities connected with Mount Olivet Rolling Acres in Carver, Scott and Hennepin Counties. The MnDHO program is patterned after the Minnesota Senior Health Option, which is available across Minnesota. The MnDHO pro-

gram is required to be voluntary so that a person may choose to join or leave each month. Medical Assistance Managed Care Medical Assistance managed care, known as prepaid Medical Assistance (PMAP), does not cover persons with disabilities. PMAP covers lowincome families with children and seniors over 65. Currently, there is a legislatively established DHS stakeholder group working to develop a plan for Medical Assistance managed care options for persons with disabilities for implementation by January 2007. This stakeholder group, led by Assistant Commissioner Brian Osberg, involves only the Medical Assistance program and is limited to basic health care.

Medicare Special Needs Plans Medicare is a federal program funded solely with federal funds and enrollee co-payments, deductibles and cost sharing. Several years ago, federal legislation established Medicare special needs plans that allow health plans to focus on one of several populations of special needs individuals and offer managed care plans for Medicare covered services. Minnesota currently has nine Medicare special needs plans, called SNPS (pronounced “snips”) for seniors and two plans specializing in services for persons with disabilities. The two Medicare SNPS for persons with disabilities are AXIS/UCARE in the metro area and AbilityCare, which is part of South Country Health Alliance in south central Minnesota. Managed Care - cont. on p. 13

the Work Incentive Connection to get a work analysis done, and every one has come back to me with only praise for Barb, the staff and the whole organization. They truly have the best interests of the individual in mind, rather than the interests of some other institution.” The Kruse award is a welldeserved recognition of Smith’s local, regional and national leadership on work incentives issues. In 1993, Smith initiated the Minnesota Work Incentives Coalition, which sponsored training on a variety of Social Security, Medical Assistance and other work incentive topics. Smith was also the Coalition’s liaison to the Minnesota Consortium for Citizens with Disabilities. She served on the Consortium’s Work Incentives Committee, which promoted legislative changes leading to the creation of Minnesota’s Medical Assistance for Employed Persons with Disabilities (MA-EPD) program. In January of 1999, Smith led the creation of the Minnesota Work Incentives Connection, which helps people with disabilities navigate complex rules regarding the impact of work on their government benefits. Services are statewide and include: a toll-free telephone hotline; comprehensive Benefits Analysis reports; outreach and training on topics related to work and benefits; a State Work Incentives Support Center; and an Employment Support Network. The Connection conducts extensive evaluation, which demonstrates that receiving such assistance helps people with disabilities work more and reduces their dependence on government benefits over time. Award - cont. on p. 7


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