B&A staff assisted DES/DDD in the conversion to a consumer-directed individualized budget system. Stages in the movement to consumer direction that have been implemented include (a) establishing a rate structure for HCBS providers, (b) streamlining the procurement process, (c) enhancing management information systems, (d) developing consumer assessment tools and (e) retaining a fiscal intermediary.
Peter Burns supervised the development of reporting systems to score clinical/environmental assessments and transform scores into unique consumer rates reflecting each individual’s need. B&A staff maintain the rate assessment tool that is used to tie service needs to rates to set the individual budgets.