ADA/Olmstead

ADA/OLMSTEAD

Parker Dennison is a national behavioral healthcare consulting firm, offering the combined talents of clinical, operational, and financial professionals since 1989.  Our consultants have specific experience with modeling and operational supports for preparation for or response to ADA/Olmstead litigation for mental health and developmental disabilities populations.

New Jersey Dept. of Human Services/Division of Mental Health and Substance Abuse Services

In coordination with the Court Expert, assessed readiness of key state systems to implement a significant provision of a settlement agreement focused on the separation of housing and services funding and operations.  The engagement included detailed operational analysis, facilitation of public stakeholder comment, and the development of a granular operational work plan to guide the state in its development.  The project was funded by the Department of Health and Human Services (HHS)/ Substance Abuse and Mental Health Services Administration (SAMHSA).

Disability Rights Network (Pennsylvania)

As a part of litigation between the state’s legal action center and the Department of Public Welfare, Parker Dennison developed extensive financial models analyzing the net costs or savings associated with transitioning persons with developmental disabilities from state-operated centers to community settings.  The project included extensive review of materials, preparation of five scenarios including the transition time and costs for placing individuals, and multiple variables, such as closing a portion of the centers and varying levels of individual medical needs.  A written summary report was prepared for submission to the court and the project included a deposition related to the financial models

U.S. Department of Justice (Virginia)

In preparation for negotiations between the Commonwealth and the U.S. Department of Justice, Parker Dennison prepared financial models analyzing the savings associated with placing persons with intellectual or developmental disabilities from state-operated training centers into HCBS waiver slots in the community.  The project included working with a team of attorneys and investigators to develop appropriate assumptions for the financial modeling.  The modeling included closure of four centers, the federal and state costs associated with serving persons in the community, and the number of HCBS slots that could be purchased with the net savings from closures.

Illinois Department of Human Services/Division of Mental Health

As a part of a long-term contract with the state, Parker Dennison has assisted in the conversion of community services from a grant basis to fee-for-service, developing and implementing a Medicaid state plan amendment and corresponding state administrative rule change, rate setting for all new services, and analyses of residential service costs and clinical profiles.  Consultants have also provided extensive assistance to the state with implementing an ADA/Olmstead consent decree (Williams v Quinn) to transition persons from nursing facilities deemed to be IMDs to community living arrangements.  Specific activities included preparing an HCBS waiver with the associated services, provider network and cost neutrality modeling components, as well as developing the clinical assumptions, operational requirements and financial modeling associated with implementing the consent decree.