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Please visit this page often for the latest news, announcements, and trainings for service providers.

Medication Error Prevention Training
This presentation will provide NLACRC vendors with information related to the prevention of medication administration errors, medication administration record keeping requirements, and medication error reporting requirements.

Participants are eligible for two hours of Continuing Education Credit (CEU). In order to receive CEUs, you must be present for the entire presentation.

Two trainings are being offered:

Date: August 9, 2017
Time: 10 a.m. to 12 noon
Location: NLACRC, 9200 Oakdale Avenue, Chatsworth, CA 91311
Register:  https://www.eventbrite.com/e/medication-error-prevention-training-tickets-35525348273

Date: August 31, 2017
Time: 10 a.m. to 12 noon
Location: NLACC, 43210 Gingham Avenue, Suite 6, Lancaster, CA 93535
Register: https://www.eventbrite.com/e/medication-error-prevention-training-tickets-35525467630
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Fiscal Year 2017-18 Work Activity Program Services Maximum Billing Days Notice

The schedule of maximum billing days for Work Activity Program (WAP) services in the 2017-2018 Fiscal Year pursuant to Title 17, Section 58880 has been made available by DDS. For more information, please see the link to the notice below.

>> FY 2017-18 WAP Services Maximum Billing Days Letter from NLACRC

>> FY 2017-18 WAP Services Maximum Billing Days Notice from DDS

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Overview of NLACRC's Contractual Requirements with DDS to Comply with Privacy Laws - Service Provider Training (May 2017)
NLACRC is required to follow Federal and State laws regarding HIPAA, whichever is more restrictive. NLACRC is required to ensure all Service Providers comply with the same restrictions, safeguards, and conditions that apply to NLACRC with respect to protected health information.

>> View the HIPAA PowerPoint training

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Grant Writing Workshop - July 17-18, 2017
LA County Dept. of Public Works and Grant Writing USA will present a two-day grants workshop in Alhambra, July 17-18, 2017. This training is applicable to grant seekers across all disciplines. Attend this class and you'll learn how to find grants and write winning grant proposals.

Beginning and experienced grant writers from city, county, and state agencies as well as nonprofits, K-12, colleges and universities are encouraged to attend.

They are offering a special tuition rate of $425 which includes everything: two days of instruction, workbook, and access to the Alumni Forum that's packed with tools, helpful discussions and more than 200 sample grant proposals. Please use discount code "CANPO" to receive this $30 discount off full price at registration.

Seating is limited. Online reservations are necessary. Tuition payment is not required at time of enrollment. 

More information including learning objectives, class location, graduate testimonials and online registration is available here: 

https://grantwritingusa.com/grants-training/grant-writing-workshops/
alhambra-california-july-2017.html?utm_source=janet&utm_medium=email&
utm_content=nlacrc&utm_cam

Contacts:

Janet Darling
Grant Writing USA
888.290.6237 toll free
janet@grantwritingusa.com

Leslie Schenk, Grants Management Section
LA County Department of Public Works
626-458-5946
LSCHENK@dpw.lacounty.gov
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ABX2-1 Draft Survey for Provider Rate Increases

With the enactment of Assembly Bill (AB) X2-1 (Chapter 3, Statues of 2016), many regional center service providers received rate increases effective July 1, 2016. In particular, rate increases were targeted for the purpose of increasing wages and benefits for staff who spend a minimum of 75 percent of their time providing direct services to consumers.

Included in ABX 2-1 is a requirement that the Department of Developmental Services (Department), with regional center participation, must survey all providers who received this rate increase. The survey must be returned by October 1, 2017, or providers will forfeit the rate increase.

Understanding that completing these surveys may present a significant challenge for some providers, the Department is taking the following steps to help facilitate the process:

Draft Survey – May 1-24, 2017
• A draft survey has been sent to several provider and advocacy organizations. We ask that you share this with providers in your area for their comments, suggestions and other feedback. It is important that a wide variety of providers have an opportunity to provide input. Comments and questions can be submitted via email to vendorsurvey@dds.ca.gov.

• The Department has scheduled two webinars/conference calls to review the draft survey, answer questions and take suggestions and comments. The calls are scheduled for Friday, May 5, 2017, at 2:00 p.m. and Wednesday May 10, 2017, at 9:00 a.m. Information on how to register for these calls can be found at http://www.dds.ca.gov/ratechangesJuly2016/index.cfm

>> View the DDS memo with more information about the draft survey.

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Amendment to August 25, 2016 letter related to reporting Special Incidents
The intent of this letter is to further clarify the new statutory requirements set forth in Welfare and Institutions Code (W&I) Code Section 4659.2(b) (1) related to reporting special incidents. Please click on the link below for more information.

>> View the amendment to August 25, 2016 letter related to reporting special incidents
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IRS Mileage Rate Decrease for In Home Respite Service Agency Respite Worker Travel Costs, Service Code 862

On February 10, 2017, the Department of Developmental Services (“DDS”) notified the North Los Angeles County Regional Center (“NLACRC”) that effective January 1, 2017, the Department of Human Resources (“DHS”) decreased the vehicle mileage reimbursement rate for all State employees from $0.54 per mile to $0.535 per mile.

California Code of Regulations (“CCR”), Title 17, Section 58130(b), Supplemental Rate for Respite Worker Travel Costs states that “Respite worker travel costs be authorized pursuant to minimum state of California travel reimbursement rates for State employees pursuant to WIC, Section 4690.2 (b)(6)”.

Therefore, in accordance with DDS’s notice to NLACRC and pursuant to CCR, Title 17, Section 58130(b), effective January 1, 2017, the respite worker travel reimbursement rate will decrease from $0.54 per mile to $0.535 per mile for all mileage reimbursement services under service code 862, In-Home Respite Agency.

Should you have any questions about your invoices or billing, please contact NLACRC’s Accounting Department at 818-778-1900. If you have questions about your rate, please contact NLACRC’s Community Services department at 818-756-6127.

>> View the NLACRC memorandum re. the IRS Mileage Rate Decrease
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Statutory Process to Seek a Minimum Wage Rate Increase for DDS Established Rates (Community-Based Day Programs & In-Home Respite Agencies)

Effective January 1, 2017, due to the implementation of Senate Bill (SB) 3, the minimum wage in California will increase from $10.00 to $10.50 per hour for employers with 26 or more employees. As authorized by the 2016 State budget and the 2016 changes to the Welfare and Institutions Code (WIC) sections 4681.6(b), 4691.6(f) and (g), and 4691.9(b), many vendors will either receive, or be eligible to request, a rate increase if necessary to adjust employees’ pay to comply with the new minimum wage.

Rate increase requests for DDS established rates for minimum wage increase effective January 1, 2017 must be submitted to DDS no later than March 1, 2017.

Please click on the links below for more information.

>> View the Rate Increase Workbook for Community-Based Day & Work Activity Programs

>> View the Rate Increase Workbook for In-Home Respite Agencies

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Statutory Process to Seek a Minimum Wage Rate Increase for Negotiated Rates 

Effective January 1, 2017, due to the implementation of Senate Bill (SB) 3, the minimum wage in California will increase from $10.00 to $10.50 per hour for employers with 26 or more employees. As authorized by the 2016 State budget and the 2016 changes to the Welfare and Institutions Code (WIC) sections 4681.6(b), 4691.6(f) and (g), and 4691.9(b), many vendors will either receive, or be eligible to request, a rate increase if necessary to adjust employees’ pay to comply with the new minimum wage.

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Minimum wage rate increase requests must be submitted to NLACRC no later than March 1, 2017.

>> View the Minimum Wage Rate Adjustment Worksheet

>> PowerPoint presentation for Minimum Wage Webinar 

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IRS Mileage Rate Decrease for Transportation Service Providers and Fiscal Management Service Providers 

Effective January 1, 2017, the Internal Revenue Service (IRS) decreased the standard mileage rate for the use of a car (also vans, pickups or panel trucks) from $0.54 per mile to $0.535 per mile. For those service providers that receive reimbursement for transportation services based on the IRS rate, the rate decrease will be reflected on your January 2017 invoices.

If you have any questions about your invoices or billing, please contact NLACRC’s Accounting Department at 818-778-1900. If you have questions about your rate, please contact NLACRC’s Community Services department at 818-756-6127.

>> View the announcement

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2017 Check Run Schedules


>> View the POS check run schedule


>> View the P & I check run schedule

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Final opportunity to bill for services provided in FY 2014-2015
The month of February 2017 will be the final opportunity you will have to bill North Los Angeles County Regional Center (NLACRC) for any unpaid services or claims provided during fiscal year 2014-2015 (July 1, 2014 through June 30, 2015). Therefore, all outstanding billing claims incurred during fiscal year 2014-2015 must be received by NLACRC on or before February 6, 2017 for review. Please click on the link below for additional information.

>> View the announcement re. final opportunity to bill for services provided in FY 2014-2015

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Provider Funding for Compliance with Home and Community Based Services (HCBS) Regulations
In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) announced some changes to their rules. CMS is the federal agency that must approve of the Medicaid waiver program that provides home and community based services (HCBS) to people with developmental disabilities in California. CMS pays for approximately half of the cost of services provided in these waiver programs. To keep receiving these federal funds, California has to follow their rules.

The new rule is referred to as the HCBS settings rule or the CMS Final Rule. The changes in the new rule impact some of the services funded by the regional center. The new rule requires programs to provide people with disabilities choice, full access to the benefits of community living and offer services and supports in settings that are integrated in the community. The rules apply to all residential and non-residential settings. All HCBS services must meet the requirements in the settings rule. Changes must begin to be made now to be in full compliance by March 2019.

In recognition that some service providers may need to make changes to their services, the 2016 Budget Act includes an allocation of $15 million to fund changes that will be necessary for providers to come into full compliance with the HCBS rules by March 2019. All eligible service providers may submit an application for compliance funding directly to NLACRC. The due date for the receipt of funding applications has been changed from October 1, 2016 to October 30, 2016 in order to provide service providers with more time to complete funding compliance applications and submit the funding compliance applications to the regional center.

Click on the links below for more information regarding the steps to access the HCBS Compliance Funding including the required documentation. 

• NLACRC Memo to Service Providers re. $15 Million of Provider Funding for Compliance Activities (October 4, 2016)

• DDS Memo to Regional Center – HCBS Regulations Provider Funding for Compliance Activities

• Enclosure A – Settings/Services Identified in the Statewide Transition Plan 

• Enclosure B – Provider Compliance Evaluation 

• Enclosure C – Concept Proposal

Please either email or mail all completed Compliance Funding requests to NLACRC's Community Services Department as follows:

compliance funding@nlacrc.org
NLACRC Community Services Department
9200 Oakdale Avenue, Suite 100
Chatsworth, CA 91311-6500
Attention: Bethany Gobble, Administrative Assistant

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Process for Residential Change in Capacity
The enactment of Assembly Bill ABX2-1 ("ABX2-1") and the FY2016-2017 State Budget authorized by California's Legislators established new provider rates effective July 1, 2016. The enactment of the bill also established rates for the Alternative Residential Model (ARM) community care facilities vendored to serve four or fewer consumers.

>> View the cover letter to service providers re: new provider rates

>> View Enclosure D - updated ARM rates

The establishment of these rates is intended to support our system readiness for changes in Home and Community Based Settings (HCBS) where individuals will need access to choosing single rooms when preferred over shared room settings. However, changing your vendored capacity is not necessarily required to be found in HCBS compliance. The process for requesting a residential change in capacity is meant to be a permanent change to your vendorization, as opposed to a variable, sliding scale rate depending on a home’s current occupancy. If you currently have more residents than your desired capacity level, you will need to work with your consumer planning teams and conduct appropriate IPP planning before any changes to your vendorization can be made. Should you wish to make this change to your vendorization, please submit a formal letter on your agency’s letter head requesting this change and attach your updated license which reflects your new licensed capacity. Additionally, a program design addendum reflecting the new residential capacity of four (4) with adjusted staffing hours also needs to be submitted. Considering residential services have a monthly rate, the effective date for the change in capacity rate will be the first of the month. Please note, the first of the month effective date may vary depending on when the request was made. See example below:

• Any request from October 1-15, the effective date is November 1st
• Any request from October 16-30, the effective date is December 1st

Your residential capacity change request, license change, and program design addendum and will then be added to your vendor file. You may submit your request electronically at resourcedevelopment@nlacrc.org or by post mail to the Community Services Department.


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Letter to Service Providers re. Amendments to Welfare and Institutions Code 4659.2
On June 27, 2016, Welfare and Institutions (W&I) Code Section 4659.2 (b) (1) was amended by the State Legislature to require the following:
“(b) (1) All regional center vendors that provide crisis or residential services or supported living services, long-term health care facilities, and acute psychiatric hospitals shall report to the agency designated pursuant to subdivision (i) of Section 4900 all of the following:
(A) Each death or serious injury of a person occurring during, or related to, the use of seclusion, physical restraint, or chemical restraint, or any combination thereof.
(B) Any unexpected or suspicious death, regardless of whether the cause is immediately known.
(C) Any allegation of sexual assault, as defined in Section 15610.63, in which the alleged perpetrator is a staff member, service provider, or facility employee or contractor.
(D) Any report made to the local law enforcement agency in the jurisdiction in which the facility is located that involves physical abuse, as defined in Section 15610.63, in which a staff member, service provider, or facility employee or contractor is implicated.
(2) The reports described in paragraph (1) shall be made no later than the close of the business day following the death or serious injury. The report shall include the encrypted identifier of the person involved, and the name, street address, and telephone number of the facility.
(Amended by Stats. 2016, Ch. 26, Sec. 9. Effective June 27, 2016.)”

Effective immediately, all residential providers, crisis services providers, Long-Term Health Care Facilities, Supported Living service providers, and acute psychiatric hospitals vendored with the North Los Angeles County Regional Center (NLACRC) must report all incidents noted in W&I Code section 4659.2 (b) (1)(A)(B) (C) & (D) above to NLACRC. These reporting requirements are in addition to the special incident reporting requirements noted in Title 17, California Code of Regulations, Section 54327.

To help you better understand the new statutory requirements noted in section 4659.2(b) (1) a copy of W&I Code Section 4659.2 in its entirety and Title 17, California Code of Regulations, Section 54327 are provided as links below for your reference. Also enclosed is a reference list of other relevant Code sections that are discussed in W&I Code Section 4659.2.

Please be advised that NLACRC intends to provide training in the near future on the new statutory requirements noted above, and will post notification of the dates of training on the Agency’s website. In the meantime, should you have any questions, please feel free to contact me at (818) 756-6471 or sdorian@nlacrc.org.

>> View the letter to service providers re. amendment to WIC Sec. 4659.2

>> View WIC Code Section 4659.2

>> View Title 17 California Code of Regulations Sec. 54327

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Letter to Service Providers re. Title 17, Section 54327 that provides regulatory requirements for reporting Special Incidents to regional center by vendors and Long Term Health Care Facilities
The regulation sets timelines for reporting incidents to Regional Center and requires providers to verbally report an incident to Regional Center within 24 hours after learning of the occurrence of the incident, and to submit a written report within 48 hours after the occurrence of the incident. NLACRC will be providing annual trainings on regulatory requirements for special incident reporting by vendors and Long Term Care facilities. More information will be posted on the web site in the future.

>> View the letter to service providers re. regulatory requirements for special incidents

>> View Title 17, Section 54327

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Regulatory Process to Seek an Unanticipated Rate Increase Due to Either L.A. City or L.A. County Minimum Wage Increase Ordinances
Effective July 1, 2016, both the City of Los Angeles and the County of Los Angeles passed local ordinances that will increase worker minimum wages.

Effective July 1, 2011, worker minimum wages will increase annually on July 1st thereafter, based on the Consumer Price Index ("CPI") for Urban Wage Earners and Clerical Workers for the Los Angeles metropolitan area (Los Angeles-Riverside-Orange County, CA) which is published by the Bureau of Labor Statistics.

NLACRC has published a Frequently Asked Questions ("FAQ") document that provides information in regards to the regulatory process to seek an unanticipated rate increase directly from the Department of Developmental Services ("DDS") in order to comply with the minimum wage requirements established by both the City of Los Angeles and the County of Los Angeles effective July 1st of each calendar year.

Please see the links below for more information.

Unanticipated Rate Increase Process

>> View the cover letter re. the regulatory process to seek an unanticipated rate increase due to either L.A. City or L.A. County minimum wage increase ordinances

>> View the FAQ document re. the regulatory process to seek an unanticipated rate increase due to either L.A. City or L.A. County minimum wage ordinances

>>NLACRC's Unanticipated Rate Form

>> View NLACRC's PPT from the Unanticipated Rate Increase Webinar


Health & Safety Waiver Exemption Rate Increase Process

>> View the cover letter re. the Health and Safety Waiver process due to either L.A. City or L.A. County minimum wage increase ordinances

>> View the FAQs re. Health and Safety Waiver process due to either L.A. City or L.A. County minimum wage increase ordinances

>> NLACRC's Health and Safety Tool

>> View NLACRC's PPT from the Health & Safety Webinar

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New Provider Rate Information Effective July 1, 2016
The enactment of Assembly Bill ABX2-1 ("ABX2-1") and the FY2016-2017 State Budget authorized by California's Legislators established new provider rate effective July 1, 2016. The new statute combined with the State Budget will allow for both the Department of Developmental Services ("DDS") and North Los Angeles County Regional Center ("NLACRC") to increase rates for eligible service providers. See the links below for more information.

>> View the cover letter to service providers re. new provider rates

>> View the information sheet re. new provider rates

>> View Enclosures A - D with additional information

>> View Provider Rate Increases Frequently Asked Questions

>> View Service Provider Reimbursement Rate Increases effective July 1, 2016

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Notice of Change in Statutory Independent Audit Requirement and Independent Review Requirements Effective June 9, 2016
Effective June 9, 2016, Welfare & Institutions Code, Section 4652.50 was amended pursuant to ABX2-1, to increase the payment thresholds that require vendors/service providers to contract for an independent audit or independent review.
>> View the cover letter from NLACRC

>> View the Frequently Asked Questions for WIC Section 4652.5
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Upcoming Medicaid Waiver Audit

NLACRC will be going through the Medicaid Waiver Audit from August 8th through August 19th. 

Several of our residential, day program, and SLS vendors will have clients selected who receive services from them. Please note, if a client receiving services from you is selected, there will be a review process which will include but not not be limited to, the client's file and interviews.

Thank you in advance for your cooperation.

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Department of Labor Information on Overtime Final Rule

>> Go to the DOL page with information about The Overtime Rule

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Rate Survey - Please Participate
DDS sent letters to approximately 100 NLA service providers who were selected to complete a rate survey as required by legislative bill ABX2 1. It is important that you complete the survey in a timely manner. More information about the survey is available at www.dds.ca.gov/vendorsurvey. Thank you!

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Rate changes due to minimum wage increase effective January 1, 2016
Important information for NLACRC service providers with
negotiated rates

(Updated: December 8, 2015)

Due to the enactment of Assembly Bill 10 (AB 10), the California minimum wage will increase from $9.00 per hour to $10.00 per hour effective January 1, 2016. Proposed budget trailer bill, combined with current Title 17 regulations, will allow for North Los Angeles County Regional Center (“NLACRC”) to increase rates as a result of the minimum wage increase for eligible service providers with negotiated rates. Please see the letter to NLACRC service providers with negotiated rates for additional information.

>> AB 10 Letter to Vendors

>> Additional Instructions re. AB 10

>> Minimum Wage Increase Worksheet

>> Adjustment for Minimum Wage - All Service Providers

>> Adjustment for Minimum Wage - Residential Providers

>> Adjustment for Minimum Wage - CDBP and WAP

>> CCF rates effective January 1 ,2016

>> Cost Statement for 1 to 1 Support for Minimum Wage Effective January 1, 2016

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Out-of-Community Travel or Out-of-State Travel Guideline for Supported Living Service Providers
These purpose of this Guideline is to establish guidelines for ensuring that individual program planning is directed towards ensuring the health and safety of our consumers and ensuring appropriate care and supervision by supported living service (SLS) providers when consumers travel outside their community or outside the state of California while under the care and supervision of a SLS provider.

>> View the guideline

>> View the Out of Community Travel or Out of State Travel for Residential Service Provider Guideline

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Rate Change for Employee Sick Leave ("Healthy Families Act")
Certain programs and providers including Community-Based Day Programs ("CBDP"), Work Activity Programs ("WAP"), In-Home Respite Agencies ("IHRA"), service providers with a negotiated rate and residential service providers with an established Alternative Residential Model ("ARM") may be eligible for a rate increase as a result of the enactment of Assembly Bill 1522 ("AB 1522"), the Healthy Families Act of 2014 (the "Healthy Families Act").

The Healthy Families Act entitles employees who work on or after July 1, 2015 and who work thirty (30) or more days within a year, to accrue sick leave at a rate of one (1) hour for every thirty (30) hours worked, up to a maximum of twenty-four (24) hours of paid sick days annually. The FY 2015-2016 Budget and accompanying trailer bill language combined with current Title 17 regulations, allows for the Department of Developmental Services ("DDS") to increase rates as a result of the requirements established under the Health Families Act for eligible service providers.

Please see the links below for more information.

>> Rate Change for Employee Sick Leave ("Healthy Families Act") - Community-Based Day Programs, Work Activity Programs and In-Home Respite Agencies

>> Rate Change for Employee Sick Leave ("Healthy Families Act") - Service Providers with a Negotiated Rate

>> Rate Adjustment for Employee Sick Leave ("Healthy Families Act") - Residential Service Providers with an established Alternative Residential Model ("ARM")

Certain programs and providers including Community-Based Day Programs ("CBDP"), Work Activity Programs ("WAP"), In-Home Respite Agencies ("IHRA"), service providers with a negotiated rate and residential service providers with an established Alternative Residential Model ("ARM") may be eligible for a rate increase as a result of the enactment of Assembly Bill 1522 ("AB 1522"), the Healthy Families Act of 2014 (the "Healthy Families Act"). The Healthy Families Act entitles employees who work on or after July 1, 2015 and who work thirty (30) or more days within a year, to accrue sick leave at a rate of one (1) hour for every thirty (30) hours worked, up to a maximum of twenty-four (24) hours of paid sick days annually. The FY 2015-2016 Budget and accompanying trailer bill language combined with current Title 17 regulations, allows for the Department of Developmental Services ("DDS") to increase rates as a result of the requirements established under the Health Families Act for eligible service providers.Please see the links below for more information.

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Direct Support Professional Training (DSPT)

Since January 1, 1999, the Department of Developmental Services (DDS) has implemented mandated statewide competency-based training for direct support professionals employed in regional center vendored community care facilities (CCF). This mandate arises out of the conviction that individuals with intellectual and developmental disabilities receiving residential services are entitled to the highest standard of service and that direct support professionals deserve training and recognition as professionals.

DSPT will not be available in August, but beginning September 1, 2015, student registration will be provided through a new statewide online registration and certification system. Service providers, their staff, and regional centers can use the system to verify DSPT certification and print DSPT Certificates. The coordination of DSPT will be consolidated into 4 Service Hubs run by County Offices of Education.

As a reminder, DSPT is free to all direct support professional staff currently working in either the first or second year of their employment at one of the regional center vendored CCFs. You should not be charged a fee for DSPT. Any DSPT certification for a fee is not sanctioned by the state and this training will not meet the statutory requirement.

>> Visit the DSPT page on the DDS web site

>> New Service Hub Listing

>> Key Transition Activities and Dates

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Rate Changes Due to AB 1522, Employee Sick Leave, Effective July 1, 2015
Assembly Bill (AB) 1522, enacting the Healthy Workplaces, Healthy Families Act of 2014, entitles employees who work on or after July 1, 2015, and who work 30 or more days within a year, to accrue sick leave at a rate of one hour for every 30 hours worked. Vendors affected by the requirements of AB 1522 may be eligible for a rate adjustment. Please see the letter to NLACRC service providers with negotiated rates for additional information.

>> AB 1522 Letter to Vendors

>> Additional Instructions re. AB 1522

>> AB 1522 Employee Sick Leave 2015 Rate Adjustment Worksheet

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Uniform Holiday & Half Day Billing for Day Services Update

On February 13, 2015, a U.S. federal court ruled that the statutory requirement under Welfare and Institutions Code (“WIC”), Section 4690.6, which requires Half-Day Billing for Day Services when consumer attendance is less than 65% of the declared and approved program day and the Uniform Holiday schedule, under WIC, Section 4692, which prohibits regional centers from funding work activity program, activity center, adult developmental center, behavior management program, social recreation program, adaptive skills trainer, infant development program, program support group (day service), socialization training program, client/parent support behavior intervention training program, community integration training program, community activities support service, creative arts program or for transporting consumers to programs on fourteen (14) holidays established by the Department of Developmental Services (“DDS”) was invalid and issued an injunction against enforcement of these two statutes.

In response to the recent US Supreme Court decision (Armstrong v. Exceptional Child Center), the State Of California has requested that the federal court lift the injunction and allow the Uniform Holiday Schedule, as established under WIC, Section 4692, and the requirement for Half-Day Billing for Day Services, as established under WIC, Section 4690.6, to be implemented. The state has asked the federal court to rule on this before the next scheduled holiday on May 25th. Any decision by the court will not be retroactive.

Here's the latest update provided by CDCAN:

SACRAMENTO, CA [CDCAN LAST UPDATED 09/16/2015 11:00 PM] – The State, represented by the California Attorney General, is still pushing for the reinstatement of two regional center reductions made in 2009 and 2011 impacting many regional center funded site-based programs, filing a motion in federal court today (September 16th) asking the federal district court judge to reconsider his previous September
1st ruling that upheld the court’s February 13th ruling that struck down those two reductions.

The more significant of the two reductions that the State wants reinstated was the mandatory statewide “Uniform Holiday Schedule” that required 14 unpaid furlough days for many regional center funded community site-based programs. The other reduction the State wants reinstated was known as the “halfday billing rule” that reduced payments to many community site-based programs. Those two reductions
that were struck down by the judge’s original February 13, 2015 ruling had impacted over 80,000 people with developmental disabilities, their families and hundreds of community-based providers employing thousands of support staff.

A hearing to consider the State’s motion in the lawsuit titled “Arc California and UCP of San Diego v. Toby Douglas, et al.” has been scheduled for October 15, 2015, Thursday at 2:00 PM in Sacramento, before Morrison C. England, Jr., chief judge of the US District Court for the Eastern District of California.

The judge’s previous February 13th ruling that struck down the two reductions however remains in effect until the federal district court in Sacramento – or an appeals court – rules otherwise.

Under federal court rules, the losing party can appeal, within 30 days, the lower court’s ruling to the US Court of Appeals for the 9th Circuit. Either party in the a lawsuit – usually the losing party – among other things, can also ask the federal district court judge to “vacate” or set aside its previous ruling or verdict in a
case for certain specific reasons or “any other reason that justifies relief”, within about a year when that ruling or verdict was made. The court is not required to grant the request or motion.

Thank you to CDCAN for providing this important update.

NLACRC will track this issue closely and will provide updates as appropriate. If you have any questions about the Uniform Holiday Schedule or the Half-Day Billing for Day Services, please contact our Community Services Department at 818-756-6127.

Until such time a decision has been made on this matter, NLACRC is implementing its previously DDS approved holiday schedule that was in effect prior to July 27, 2009, as these holiday schedules are legally valid under the Lanterman Act. Prior to July 27, 2009, the following twelve (12) day holiday schedule was in effect at NLACRC and effective February 13, 2015 these same holidays will be implemented by NLACRC for all of its contract transportation services:

>> View the Transportation Holiday Schedule

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Uniform Holiday & Half Day Billing for Day Services Update

On February 13, 2015, a U.S. federal court ruled that the statutory requirement under Welfare and Institutions Code (“WIC”), Section 4690.6, which requires Half-Day Billing for Day Services when consumer attendance is less than 65% of the declared and approved program day and the Uniform Holiday schedule, under WIC, Section 4692, which prohibits regional centers from funding work activity program, activity center, adult developmental center, behavior management program, social recreation program, adaptive skills trainer, infant development program, program support group (day service), socialization training program, client/parent support behavior intervention training program, community integration training program, community activities support service, creative arts program or for transporting consumers to programs on fourteen (14) holidays established by the Department of Developmental Services (“DDS”) was invalid and issued an injunction against enforcement of these two statutes.

In response to the recent US Supreme Court decision (Armstrong v. Exceptional Child Center), the State Of California has requested that the federal court lift the injunction and allow the Uniform Holiday Schedule, as established under WIC, Section 4692, and the requirement for Half-Day Billing for Day Services, as established under WIC, Section 4690.6, to be implemented. The state has asked the federal court to rule on this before the next scheduled holiday on May 25th. Any decision by the court will not be retroactive.

Currently, the injunction blocking the Uniform Holiday Schedule and the Half-Day Billing for Day Programs is still in place. As such payment for services provided on Cesar Chavez day is allowable and there is no requirement to bill for Half-Days when consumers attend day program for less than 65% of the declared and approved program day.

NLACRC will track this issue closely and will provide updates as appropriate. If you have any questions about the Uniform Holiday Schedule or the Half-Day Billing for Day Services, please contact our Community Services Department at 818-756-6127.

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Update on 5.82% Rate Adjustment Planned for January 1, 2015

Please see the January 8, 2015 memo with an update about the status of the rate adjustment.
>> Memo re. update on 5.82% rate adjustment planned for 1/1/2015

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E-mail Encryption
As of August 25, 2014, all NLACRC outgoing e-mails are being encrypted. This procedure is being implemented to ensure that all confidential e-mail that is sent outside NLACRC’S network is protected as required under Health Insurance Portability and Accountability Act (“HIPAA”). To learn more about how to open an encrypted e-mail, please see the link below.

>> What to do if you receive an encrypted e-mail from NLACRC

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Rate Changes Due to Minimum Wage Increase Effective July 1, 2014
Due to the enactment of Assembly Bill 10 (AB 10), the California minimum wage will increase from $8.00 per hour to $9.00 hour effective July 1, 2014. Proposed budget trailer bill, combined with current Title 17 regulations, will allow for both the Department of Developmental Services ("DDS") and North Los Angeles County Regional Center ("NLACRC") to increase rates as a result of the minimum wage increase for eligible service providers. Please see the letter to NLACRC service providers for additional information.

>> Letter to service providers re. rate changes to minimum wage

>> Minimum wage increase worksheet

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HIPAA Compliance to Prevent and Report Privacy Breaches for Service Providers

These are the two presentations from the April 7, 2014 training held at St. Michaels.

>> View the DDS Security Training

>> View the HIPAA Workforce Training: HIPAA & Consumer Privacy

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DS1891 Resources & Information

>> View the Letter to Service Providers re. Biennial Requirement to Update Form DS1891, Applicant/Vendor Disclosure Statement (Second Request)

>> View the Service Provider Agreement re. DS1891 Information

>> View the letter re. the Biennial Requirement to Update Form DS1891, Applicant/Vendor Disclosure Statement

>> View the Applicant/Vendor Disclosure Statement DS1891 July 2011 (paper form)

>> Go to sanctionscreeningnow.com, the DS1891 screening web site

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CMS Releases HCBS Final Rule Defining Community Settings

The Centers for Medicare and Medicaid Services (CMS) has issued the final rule on home and community-based services (HCBS) that includes the definition of community settings. This newsletter published by the National Association of State Directors of Developmental Disabilities Services, contains information about the rule.
>> View the Federal Perspectives newsletter (Vol. 21, Number 2, Feb. 2014)

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Chronic, Non-reportable events
At a recent vendor training, the question of whether chronic, non-reportable events such as daily seizures or re-occurring behavioral issues addressed in a consumer's behavioral treatment plan should be reported to Regional Center. Please see the letter for additional information.
>> View the letter from NLACRC's Risk Assessment Unit

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Health Officer Order for annual influenza vaccination programs for healthcare personnel or masking of health care workers during influenza season  - This order impacts licensed acute care hospitals, skilled nursing facilities, long-term care facilities and intermediate care facilities in L.A. County

The Director and Health Officer for Los Angeles County has issued a Health Officer Order mandating that licensed acute care hospitals, skilled nursing facilities and intermediate care facilities in L.A. County supplement their existing obligation to assist their healthcare personnel (HCP) to obtain influenza vaccinations by requiring that those HCP who decline to be vaccinated wear a mask when they are in contact with patients during the annual influenza season.

By law, acute care hospitals in California must annually offer free influenza vaccinations on-site to their employees and require all to be vaccinated; any employee who elects not to be vaccinated must provide the hospital with a written declaration that he or she has declined the vaccination. In addition, occupational safety regulations mandate that many types of health care facilities, including hospitals, skilled nursing facilities, and long-term health care facilities make seasonal influenza vaccine reasonably available to all employees with occupational exposure and ensure that each employee who refuses the vaccine signs a statement declining the vaccination. For more details and information, please read the link below.
>> View the County of Los Angeles Public Health notice, Oct. 2, 2013

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Federal minimum wage and overtime pay protections learn more about the Home Care Final Rule at U.S. Dept of Labor  web site
The United States Department of Labor has a web site with information and resources about how to comply with the federal minimum wage and overtime pay protections for direct care workers that go into effect on January 1, 2015. Direct care workers are those who provide home care services, such as certified nursing assistants, home health aides, personal care aides, caregivers and companions. The Department of Labor is also offering free public webinars with one being offered on November 5th for the Western Region at 10 a.m. (1 p.m. ET). The presentations will be closed-captioned and available to download during the webinar. 
>> Visit the U.S. Department of Labor's Home Care Final Rule web site 

>> Visit the webinar page to sign up for the Nov. 5th presentation 

>> Visit the Dept. of Labor's page with regulations, press releases in several languages, etc.
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Governor signs AB 10 which will increase the minimum wage as of July 1, 2014
On September 25, 2013, Governor Brown approved Assembly Bill 10 which will increase the minimum wage to not less than $9 per hour beginning July 1, 2014. The bill would further increase the minimum wage to not less than $10 per hour beginning January 1, 2016.
>> View the chaptered bill

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Notice to Vendored Community-Based Day Program & In-Home Service Providers regarding sunset statutory provisions that suspended Title 17 requirements regarding annual reviews

Welfare & Institutions Code (WIC), section 4791(d) contained a provision that temporarily suspended the regulatory requirements under Title 17, Section 56732 & 56800 which required that Community-Based Day Programs and In-Home Respite service providers conduct annual reviews and to submit written reports to the vendoring regional center, user regional center(s), and the Department of Developmental Services (DDS). This temporary provision was applicable to all vendored Community-Based Day Programs and In-Home Respite service providers whose payment was reduced by the statutory payment reduction. This temporary suspension of regulations sunset on June 30, 2013.

Effective July 1, 2013, all vendored community-based day programs and in-home respite agencies are required to comply with Title 17 requirements under Section 56732 and 56800, related to Annual Reviews.

Please read the entire notice below for additional information.
>> Notice re. sunset statutory provisions that suspended Title 17 requirements regarding annual reviews 

>> Welfare and Institutions Code (WIC) 4791 

>> California Code of Regulations Section 56732 

>> California Code of Regulations Section 56800

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Notice to residential vendors regarding sunset of statutory provision that temporarily suspended Title 17 requirements to provide quarterly and semi-annual progress reports to the regional center
Welfare and Institutions Code (WIC), section 4791(3) containued a provision that temporarily suspended the regulatory requirements under Title 17, Section 56026(b) and 56026(c), which required that residential service providers complete quarterly and semiannual progress reports. This temporary provision was applicable to all vendored residential service providers whose payment was reduced by the statory payment reduction. This temporary suspension of regulations for residential service providers sunset on June 30, 2013.

Effective July 1, 2013, all vendored residential providers are required to comply with the regulatory requirements, under Title 17, Section 56026 (b) and (c), which requires that residential service providers provide Quarterly and Semi-Annual Progerss Reports to NLACRC's service coordinator.

Please read the entire notice below for additional information.
>> Notice re. sunset of statutory provision that temporarily suspended Title 17 requirements to provide quarterly and semi-annual progress reports to the regional center 

>> Welfare & Institutions Code (WIC) 4791 

>> California Code of Regulations Section 56026

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New procedures for reporting elder & dependent abuse to Adult Protective Services

Please be advised that Adult Protective Services has eliminated its Centralized fax number, and the procedure for reporting suspected Elder and Dependent Adult Abuse and Neglect to Adult Protective Services (APS) has changed.

You may report an incident of suspected Elder and Dependent Adult Abuse and Neglect to APS, by choosing one of the two options listed below:

1. Verbally report the incident by calling the:
a) 24-hour Elder Abuse Reporting Hotline at (877) 477-3646 or
b) APS Mandated Reporter Hotline at (888) 202-4248.

2. Complete the SOC 341 form and mail it to:
Adult Protective Services – Center Intake
Community & Senior Services
3333 Wilshire Blvd., 4th floor
Los Angeles, CA 90010

OR

1. Submit an electronic report at https://apslive.lacss.harmonyis.net/LACSSLiveIntake/.
Please note: if you submit a report electronically, you do not need to verbally report the incident. Additionally, currently there is no option to print the electronic report, and once submitted, you will not be provided with a confirmation number. APS is currently working on adding a print option and other improvements.

Follow up Instructions:
After submitting the written report, please call APS after a couple days at (213) 351-5401 to inquire about the status of the case.

Should you have any questions or concerns regarding the process or the electronic form, please contact APS at one of the numbers noted above.

Thank you.

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New Statutory Requirements for Abuse Reporting
Effective January 1, 2013, the State Legislature amended the statute, adding "serious bodily injury," to the definition section of the Elder and Dependent Adult Civil Protection Act (W&I 15600 et seq) and, requiring Long Term Care providers to initially report suspected or alleged incidents of physical abuse, resulting in serious bodily injury, to law enforcement (See Welfare and Instituion Code section 15610.67). Providers are also required to submit a written report of the incident to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within two hours of the mandated reporter observing, obtaining knowledge of, or suspecting the physical abuse. Please read the "Letter to Service Providers - May 21, 2013" to learn more. 
>> Letter to Service Providers - May 21, 2013 

>> Mandated Reporter Chart (updated Oct. 9, 2013) 

>> Elder Abuse & Dependent Adult Civil Protection Act [15600-15675]

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Applicant/Vendor Disclosure Statement (DS 1891 Form)
The Department of Developmental Services (DDS) adopted emergency regulations that went into effect December 27, 2011 that require all vendored service providers, applicants, and prospective service providers to submit a completed "Applicant/Vendor Disclosure Statement" (Form DS 1891),  regarding business ownership, control and relationship information to regional center within 120 days of the effective date of the new regulations. Please see the documents below for more information.
>> View the NLACRC disclosure statement re. DS 1891

>> View the DDS disclosure statement re. DS 1891 

>> View the fact sheet re. DS 1891

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E-mail Encryption System Goes Into Effect September 1, 2012
Effective September 1, 2012, NLACRC will be utilizing an encryption system that allows us to send confidential information in a secure manner. This easy-to-use system will help us further protect confidential, sensitive, and other personal information regarding our consumers, service providers and others.

To view the notification letter about encrypted e-mail, and to learn how to open an encrypted e-mail that is sent to you by NLACRC, please see the documents below. 
>> What to do if you receive an encrypted e-mail from NLACRC 

>> Notification letter regarding NLACRC's encrypted email system

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eBilling Revised Password Reset System
The eBilling program has been revised to allow service providers to reset expired or forgotten eBilling passwords. Please see see the document below for instructions and more information.
>> View the "eBilling Revised Password Reset System" document

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Effective July 1, 2012, Statutory Requirement to Utilize SLS Standardized Assessment Questionnaire during IPP meetings, Welfare & Institutions Code, Section 4689 (p)
A change in statute that formerly required that an independent assessment be performed for consumers receiving or initially entering supported living who have supported living costs in excess of 125% of the annual statewide average cost of supported living services has been eliminated from statute. The new statute that went into effect on July 1, 2012,  now requires that the Individual Program Plan (IPP) team complete a standardized assessment questionnaire at the time of development, review, or modification of a consumer's IPP. Please read the notice to all supported living service providers serving NLACRC consumers (Service codes 073, 894 and 896) for detailed information, and to view the questionnaire. 
>> View the information

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Regulatory Changes Regarding Electronic Records & Signatures
Changes in regulations regarding Electronic Records and Electronic Signatures went into effect on Feb. 16, 2012. Regulations were added to the California Code of Regulations (CCR) to regional centers and service provider to maintain records electronically.
>> View the information 

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Distribution of Marketing Materials, Announcements & Vacancy Information
Please view this memo issued by NLACRC regarding important information for vendors about the distribution of marketing materials, announcements, and vacancy information.
>> View the memo

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Half Day Billing for Day Programs and Look-A-Like Day Programs
Due to a change in staute that went into effect on July 1, 2011, there is a new law, Welfare & Institutions Code (WIC) section 4690.60, which states that all day programs and look-a-like programs with a daily rate are to bill regional centers for services provided to consumers served in terms of half days of service and ful days of service.
>> View the information about half day billing

Last updated: 6/23/2017 12:03:12 PM