ABOUT

Maryland offers "The New Directions Waiver" as a means of self-directing state and federal Medicaid dollars for individuals who qualify for supports due to their disability.

This offers the disabled individual the opportunity to use those dollars to best meet their own unique needs. However, it comes with the responsibility to create a plan, a budget, and find your own resources to make the plan a reality.

No centralized source of resources exists. The purpose of this blog is to direct others to resources in our communities and to provide one example of a self-directed plan. (*Caution: The self-directed plan described at the beginning of this blog is for an individual with a 5/5 needs rating, the highest possible rating in Maryland, and therefore the highest budget possible. Most will have a lower rating and a lower budget to work with.) It is also to share firsthand knowledge of experiences that may assist others who self-direct services.

Comments are welcome. Please share your knowledge with others.

Wednesday, February 24, 2010

Paying your New Directions Support Staff

The recent back-to-back blizzards wreaked havoc with the work schedules of V's support staff, causing everyone to miss work because roads were unsafe and impassable. Fortunately, some of V's support staff had unused paid vacation days that they could request to get paid for the missed time. Some support staff thought that they should be paid for the missed time without using their paid vacation hours.
Well, here is the policy, as I have been informed regarding this matter.


There are no means through New Directions funding to pay any employee for unworked hours except vacation pay, and that is only if it is included in the ND plan.


Support staff wages are paid through Medicaid funding, and to falsify timesheets is a federal offense (Medicaid Fraud).

So, when you develop a plan of care and you want employees to be part of the plan, you can not offer sick leave. It is not allowed. You can not offer Administrative leave. There is no way to pay for snow days, other than paid vacation that has already been added to the budget and POC prior to the event.

If V's support staff miss time, I will allow them to trade shifts with another staff so that they can make up the lost income and I will offer them additional hours at a time when no other staffing is in place. I can not write on a time sheet that they were here if they were not.

Bonuses are allowed to be built into the POC/Budget, and I use these in place of health insurance, since some of my staff have insurance through their spouse. This way, there is a means to pay for private health insurance for those who need it, without paying for it for the staff who don't need it.