Tag Archive for exercise

More APD Cuts and Reductions in Florida


Our friend Aaron Nangle of waiverprovider.com has provided information on the Draft Plan for APD’s HCBS Waiver – Home and Community Based Services Waiver Expenditure Reductions.

These will impact all persons with disabilities in Florida.

Collapse Behavior Analyst rate from level 1-2, estimate of $2,580,874 Rate for level 2 is $50 per hour for solo and agency is 20% above on an average, this would need a Handbook and Rate Rule change. Currently behavior analyst rates are based solely on years of experience not client need or outcomes.

Rate reductions to Medicaid State Plan nursing and therapies assessments. savings with an estimate of $ 1,530,476 Would need a Rate rule change that is currently being sought.

  Res Hab reduction of rate levels from 9-4 with savings expected of  $21,113,087 This would need redefinition of level of supports and associated rates as well as revision of staffing levels in the handbook, Would need Handbook and Rate Rule change- APD is seeking provider input for alternative savings.

Collapse IHSS quarter hour above live in rate, expected savings $2,714,937 Would delete use of quarter hour above the day rate and use QSI 1,2,3 and eliminate IHSS 1/4 hr. above day rate. Rationale is that Individuals with level of need 1,2,3, do not require additional supports beyond a daily rate for IHSS.

Utilization management of behavioral services possible ? $3,000,000  6 month increment with reapplication and approval required after each increment: declining hours based on matrix scores and the Implementing of on site reviews for continued stay in intensive behavioral programs. Additional utilization reviews ongoing to match services to level of need of client.

More reductions on our next blog.  Remember to keep squeaking those wheelchairs.

Keeping Healthy

Starting this week I will be talking about health issues, exercise and other related issues as they apply to the disabled and myself.

A majority of Americans have lost focus and been going downhill with their health. This needs to change if people want to live a better life! Some thing’s people with disabilities and people without, can do is work out at the gym, take protein shakes, eat healthier, no more fast food. You can also try something called NatraBurst/One24 which will help with so many health issues and even financial problems (www.tjmoon.124online.com).

I was at the gym today where I worked my muscles to the extreme! I worked on my cardio, legs, abs, biceps and more. I went around in my wheelchair just minding my own business and to my surprise; people came up to me and told me how motivated they were seeing me come to the gym. They were so nice and it felt like I was treated like any other person at the gym working out.

A funny thing is that I had one of those people talk to me about how and what I ate. They wanted to bring me food once a week to help me out. I found that hilarious because people for some reason always want to give me things.

You can do work out and take care of yourself even if you have a disability. Do not let your lack of ability stop you. You can be healthier and exercise may help you to do more.

You can’t let anything stop you, improve your health, get buffer – it is an extraordinary feeling!

Squeak those wheels and prove people wrong.