0:00:01.520,0:00:03.920 I'm gonna say something really quick  and then I'll let you guys introduce 0:00:03.920,0:00:15.680 yourselves and you have I know that.  So that's my only stop and start it. 0:00:15.680,0:00:20.400 You just want to share it whenever whenever the  time seems right whenever it's oh gosh full body 0:00:20.400,0:00:32.800 like it may just come up and I can talk about  it then or I can talk about it at the beginning 0:00:32.800,0:00:34.800 she wants to talk about this is  what she wants to talk about. So, 0:00:34.800,0:00:39.360 this is a step-by-step thing that's given to  her about how to sign for Medicaid. Yeah. In 0:00:39.360,0:00:46.080 the enrollment. Yeah. This is what they gave us.  So, where Okay. So, anyway, she just wanted to 0:00:46.080,0:00:49.680 make sure that that was shared with parents.  Oh, she can cover this. Yeah, she's going to 0:00:49.680,0:00:54.480 Yes. But you all let her know when she needs to.  Okay. So, this is what they sent me from seven 0:00:54.480,0:01:07.520 counties. This is exactly thing and just all the  steps. But the only thing I don't see on this one 0:01:07.520,0:01:11.040 Oh yeah, that doesn't contain the list  of what you need before you call. So 0:01:11.040,0:01:15.520 that's what she might still have it. She  just sent me. That's all I That is like 0:01:15.520,0:01:20.240 creeping me out. But it's so I really  think somebody smaller should be in the 0:01:20.240,0:01:27.280 front center of that. This is I'm not  even going to look in that direction. 0:01:32.640,0:01:42.880 I mean, seriously, it's just  like the side of a barn. 0:01:42.880,0:01:48.880 We will go ahead and get started. We are  recording. Um, so we will put this on the 0:01:48.880,0:01:54.320 website download. Um, but we are here to welcome  our presenter. So, I'll let you guys introduce 0:01:54.320,0:02:02.240 yourselves. Hi, I'm Gail Day. I'm a social worker  with Cedar Lake Lodge. Mary Allen, executive 0:02:02.240,0:02:08.640 director of Cedar Lake Residences. Jessica Adams,  social worker at Parkways in Sycamore Run. So, 0:02:08.640,0:02:13.760 basically, we're all with Cedar Lake Lodge. Couple  of things I want to start with. Um, a lot of the 0:02:13.760,0:02:17.920 information you're getting tonight is from Cedar  Lake Lodge, but when we come to the schools, 0:02:17.920,0:02:23.360 those of you who came before remember me saying  that I'm really not here to sell Cedar Lake Lodge. 0:02:23.360,0:02:28.560 I mean, basically, there's all kinds of providers  that do what happens in the waiver. Everybody 0:02:28.560,0:02:33.600 serves a burger, fries, whatever. You choose  where you want to go to get it. Um, but what 0:02:33.600,0:02:41.600 we do want to do because I am in the ICF, which  is the um Medicaid facility, not waver. Okay, 0:02:41.600,0:02:48.160 this is more of a high need Medicaid facility. I  get calls a lot from people who are in desperate 0:02:48.160,0:02:54.720 situations, families who um neighbors who this  woman across the street has passed away and her 0:02:54.720,0:02:58.640 son lived with her her whole life. She never  even got guardianship. She never did anything. 0:02:58.640,0:03:04.400 I don't know what to do. I get those calls and  I So, in order to try to avoid that happening, 0:03:04.400,0:03:09.520 that's kind of why we wanted to get out to the  schools. The other one I get a lot is um a call 0:03:09.520,0:03:14.880 in January saying, "I know it's early, but my  kids's graduating in May, which is, by the way, 0:03:14.880,0:03:20.640 not early." And um so what do I do? How do I pick  this and that and the other? And it's like, do you 0:03:20.640,0:03:25.360 have a waiver? No. What's that? Okay. Well, you're  not going to be picking much without a waiver. So, 0:03:25.360,0:03:33.760 we talk about some of that. Um Mary's our expert  on the waiver. I want to start with that. Um I 0:03:33.760,0:03:37.760 have not worked waiver in a long time. I can tell  you a little bit about the broad differences but 0:03:37.760,0:03:43.760 in terms of all the specifics. What I wanted to do  though, what I wanted to start with is since you 0:03:43.760,0:03:49.680 guys asked for this, which by the way, who is the  parent? When we were here last time, thank you. 0:03:49.680,0:03:55.680 One of the things that I said is if you want to  make a difference in services for your children, 0:03:55.680,0:04:01.360 get together. Do not depend on us. Do not depend  on DDI. Do not depend on anybody. Get together, 0:04:01.360,0:04:06.400 educate each other, and learn the system. if  this one understands social security and this 0:04:06.400,0:04:10.880 one doesn't, you can help each other. And my  understanding is somebody did that. You were 0:04:10.880,0:04:16.400 inspirational. Oh, that's so great. I'm just so  excited to hear that. So, we'll we'll we'll take 0:04:16.400,0:04:23.440 this moment, if it's okay, to let everybody know  that on um January the 27th will be our ne the 0:04:23.440,0:04:31.120 next OC cares meeting. And that is the the parent  networking and the and the family um support that 0:04:31.120,0:04:36.240 we've set up until February 27th. Oh, no. But  January 27th, sorry. Two weeks from today. Yes. 0:04:36.240,0:04:41.200 Basically, two weeks from today. Is that going to  be here as well? Yes. Yes. Yes. It's here. Why? 0:04:41.200,0:04:45.840 We send it out um an email as well. We'll send the  flyer out and so watch for that. And then I don't 0:04:45.840,0:04:49.760 know if you saw the handy dandy digital board  that's right out here. We have it up there too 0:04:49.760,0:04:54.960 as a reminder that the date's coming up. So, and  yeah, I I can't tell you how excited I was to hear 0:04:54.960,0:05:02.160 that. That really is. you will get more help,  more assistance, more support from each other 0:05:02.160,0:05:06.880 than you will ever get from one of us because  it's we're not in the trenches of it. We are, 0:05:06.880,0:05:13.520 but in a different way. Um, so what we think we're  explaining in a very easy way, you may be like, 0:05:13.520,0:05:18.800 I have no idea what they're talking about. They  said hoopa he and I have no idea. So that works 0:05:18.800,0:05:24.240 out really good for us. But evidently, you guys  decided to invite us back because you had more 0:05:24.240,0:05:29.840 questions. So, I thought we would start with kind  of getting an idea of what those questions were. 0:05:29.840,0:05:33.920 So, if you could, if we leave here tonight,  there's one thing that you absolutely want to 0:05:33.920,0:05:39.120 make sure we cover. Let's go ahead and talk about  what that is and get it on the list because a if 0:05:39.120,0:05:43.200 it's not something we're know the answer to, we  can tell you, okay, you're not going to know that 0:05:43.200,0:05:51.760 when you leave today, but we'll find out or b,  we can make sure that we do cover it. Okay. Uh, 0:05:51.760,0:05:58.560 so I've been trying to apply for Medicaid for my  seven-year-old. We have triedare and they've made 0:05:58.560,0:06:06.320 it impossible. Is Triricare and Medicaid something  that we can't do together? Okay. So, when you get 0:06:06.320,0:06:10.720 into specific Medicaid questions, remember we  talked about when y'all do your family thing, 0:06:10.720,0:06:16.400 inviting spec specialists within that specialty,  you really need to talk about Medicaid. I can tell 0:06:16.400,0:06:20.400 you that I heard somebody else talking about  not being able to get their child on Medicaid. 0:06:20.400,0:06:29.360 Medicaid is is a um monetary limit. Okay? So,  everybody says, "Well, if they have a disability, 0:06:29.360,0:06:34.480 they can get on Medicaid." That is true. Once  they're 18, they're an adult. They have no 0:06:34.480,0:06:40.480 income. If they're still a child and you're making  more money than would be eligible for Medicaid, 0:06:40.480,0:06:44.560 then that child's not going to be eligible for  Medicaid until they become their own guardian. 0:06:44.560,0:06:51.040 And it's their just their income. that they  they can be under 18 and have medication. Well, 0:06:51.040,0:06:58.160 I'm wrong. Yeah, cuz she's got it. She's Did you?  Yeah, that's how you do it. Came out. Okay. See, 0:06:58.160,0:07:04.880 this is But then they only look at their the  the individual kids like your kids income or 0:07:04.880,0:07:10.320 what they own and then that but their income they  can count no income for like a 10-year-old. Yes, 0:07:10.320,0:07:18.560 that's how they So, do you happen to know the  answer to the question? She does not. Okay. So, 0:07:18.560,0:07:23.920 what was you have? What she has try care. So,  I can just very very minimally speak to that. 0:07:23.920,0:07:32.480 And yes, they don't like each other. It's been  helpful. So, they don't like each other. And and 0:07:32.480,0:07:37.840 I'm just speaking from personal experience as a  former case manager. It is extremely difficult 0:07:37.840,0:07:45.120 um near impossible to carry Triare and  Medicaid. Okay. Uh I I'm glad I'm not an idiot. 0:07:45.120,0:07:49.840 I don't want to say don't exhaust your efforts  because absolutely exhaust your efforts and and go 0:07:49.840,0:07:57.200 through the system. Um, and if you're struggling  at the local Medicaid office, my recommendation is 0:07:57.200,0:08:03.440 to contact Frankfurt cuz they have a a liaison. I  don't have that person's contact information, but 0:08:03.440,0:08:09.680 if you give me your information um this evening  before you leave, then um I have that at my desk 0:08:09.680,0:08:14.480 and I can pass it over to you. I forgot the cards.  last time I had cards so you could write your name 0:08:14.480,0:08:18.880 and your question and we would make sure we got  back to you. So, we'll try to figure that out. 0:08:18.880,0:08:23.600 And I apologize that's obviously changed. I told  you it's been a while since I did that. Um, yeah, 0:08:23.600,0:08:28.560 because we have we have littles on we have lots of  people on Michelle that are under 18 and they have 0:08:28.560,0:08:34.000 to have Medicaid. Now, is that regular Medicaid  or just waiver? Waiver Medicaid. Okay. So, that 0:08:34.000,0:08:39.760 that's okay. So, I I have to say waiver Medicaid  is different than straight Medicaid though in 0:08:39.760,0:08:44.640 terms of like going to your doctor and stuff like  that. That one is still income based, correct? 0:08:44.640,0:08:52.240 Okay. So, about four to five years ago, I have a  daughter and she's on the autism spectrum. I tried 0:08:52.240,0:08:57.200 to get her on Medicaid at the Social Security  office. They denied me because they said I made 0:08:57.200,0:09:03.600 too much money. Um, she's had the diagnosis from  Wise Cross since she was like 2 and a half years 0:09:03.600,0:09:11.840 old. Um, she's getting ready to turn 18 in August.  Um, I've just learned now after a nine-year wait 0:09:11.840,0:09:17.680 that we're eligible now for Michelle P. Waiver.  It's extremely confusing because I've been 0:09:17.680,0:09:26.480 trying to go to the office in Lraange and I've  been told through this crazy computer system 0:09:26.480,0:09:34.000 uh to like what they need. I'll take it to them.  They will put it in the system. Then I get another 0:09:34.000,0:09:41.280 uh notification saying we don't have this. you  need to submit this. I've done that four times 0:09:41.280,0:09:47.680 now with four different pieces of information. Um,  what do I need to do? Do I need to just schedule 0:09:47.680,0:09:54.240 an appointment with somebody and sit in front of  somebody? So, is this documentation uh through for 0:09:54.240,0:10:00.640 Medicaid or for your waiver? It's I I think it's  for the Medicaid. It's very confusing. Yeah. So, 0:10:00.640,0:10:07.200 the system you're talking about is connect. Oh,  that's awesome. Yeah. My suggestion is to make an 0:10:07.200,0:10:11.840 appointment. Okay. Can I So, do I just go up  to the Lrange office and make an appointment 0:10:11.840,0:10:18.880 with them? Yeah. Social security. Can I Can I just  say I've had the same issue and I've just walked 0:10:18.880,0:10:23.440 in there one day. There was literally no one there  and the lady submitted my stuff and it was so much 0:10:23.440,0:10:27.440 easier and I wish that I had known that. That's  what I've done four times now. Yeah. I had the 0:10:27.440,0:10:31.840 same problem. It just kept saying it wasn't there  because apparently they couldn't read it. Yeah. 0:10:31.840,0:10:35.920 Connect was like, "Oh, well, you haven't submitted  this." and I submitted it like two weeks ago. I 0:10:35.920,0:10:40.960 would get letters like every single day and I just  kept picking it up and finally and part of the 0:10:40.960,0:10:46.640 issue is what we were just talking about as far  as Medicaid. People think of Medicaid as kind of 0:10:46.640,0:10:53.360 in in some ways it's all one umbrella in terms of  but it it breaks down into separate. So just like 0:10:53.360,0:10:59.120 um there's straight Medicaid which is what pays  for ICF. Okay. Title 19 Medicaid, same thing. Pays 0:10:59.120,0:11:04.400 for nursing homes, pays for ICFs, pays for Okay,  that that's just your straight Medicaid. It's very 0:11:04.400,0:11:10.800 income based. Um, and it is um for adults blah  blah blah typically, although children have it 0:11:10.800,0:11:16.240 too, depending on income. And then, but remember,  we talked for those of you here last time about 0:11:16.240,0:11:22.320 those who are on the waiver are going to end up  getting Medicaid regardless of income because of 0:11:22.320,0:11:28.800 the waiver being paid through Medicaid. Okay. And  I it's Optimum Choices. Ours is Optimum Choices 0:11:28.800,0:11:33.120 Medicaid to the W, but it's still Medicaid. So  people were like, "Well, how'd you get Medicaid 0:11:33.120,0:11:37.440 and I didn't?" Well, you have a waiver and your  waivers's paid through Medicaid. If you tried 0:11:37.440,0:11:42.080 to use that Medicaid to pay for something that's  not covered under the waiver, it probably I don't 0:11:42.080,0:11:46.960 know that it would work for you. I don't think it  would. They use it for their healthare that she 0:11:46.960,0:11:52.960 eligible for Michelle P now. So now she would be  eligible for Medicaid. And then they were telling 0:11:52.960,0:11:59.120 me I was applying for the wrong type of Medicaid.  Yeah, that's so you want waiver Medicaid. Tell me 0:11:59.120,0:12:04.640 you want waiver Medicaid. You've gotten your still  going on. It's been like six months and they still 0:12:04.640,0:12:09.920 keep telling me the same things. But they keep  saying eventually it will get approved because 0:12:09.920,0:12:13.760 you do qualify for Michelle P. But you still have  to jump through all the hoops to get all the stuff 0:12:13.760,0:12:18.800 there. That's the thing. I know which hoops I  need to jump. I know. It's just not knowing what 0:12:18.800,0:12:22.640 terminology to use. Like you don't know to say,  "Well, I need the waiver Medicaid." You know, 0:12:22.640,0:12:27.120 you're like, "I can talk to you like you've been  in the system for 50 years." You know, like, 0:12:27.120,0:12:32.080 so I don't know. So, am I applying for Medicaid or  I'm playing for waiverbased Medicaid? Waiver-based 0:12:32.080,0:12:38.720 Medicaid. You want to tell him you want waiver  Medicaid? Optimum choices is usually the the okay 0:12:38.720,0:12:46.960 a put you in. So, apparently we missed in the mail  that he had finally gotten the Oh, no. Yeah. So 0:12:46.960,0:12:52.800 is the only benefit of that is that he could get  Medicaid before he's 18 or is there no not at all? 0:12:52.800,0:12:59.440 Of course not. Yeah. Um he got the the Michelle P  or the SCL. Yeah. Well, we didn't get it because 0:12:59.440,0:13:07.280 it was just lost. Which which way? Michelle  Michelle. Yeah. We were unable to Yeah. Yeah. 0:13:07.280,0:13:17.520 Well, I mean we we do. So, when you have a waiver,  you have a case manager and uh case managers help 0:13:17.520,0:13:28.240 facilitate any uh person centered services uh  that they might need. Uh I'm there's a an array 0:13:28.240,0:13:35.280 of services that are available. examples, behavior  supports for consultative clinical interventions, 0:13:35.280,0:13:44.720 uh personal assistance, homemakers, uh attendant  care, CLS, um community living supports, 0:13:44.720,0:13:52.800 um day program will be a big one, day program, all  dependent on what that individual need is of that 0:13:52.800,0:14:02.560 person. And so you have access to that through  your waiver services. Um and then then you does 0:14:02.560,0:14:11.280 make you eligible for the healthcare insurance  side of things as well. Um pair of last resort. So 0:14:11.280,0:14:15.840 like still in the school system, they're not going  to cover something that you're receiving through 0:14:15.840,0:14:25.280 the school system. Uh but in the summertime  uh weekends after school type things working 0:14:25.280,0:14:35.920 collaboratively with the team kind of plan so that  once school's overly just wear this thing so that 0:14:35.920,0:14:41.840 once school's complete hopefully uh he's you know  reached maximum potential and then as you continue 0:14:41.840,0:14:47.600 to enhance services they'll be as independent  um as they possibly can be. Uh if you missed 0:14:47.600,0:14:54.240 your time slot, I would just encourage you to um  there is a usually in your letter there should be 0:14:54.240,0:15:02.160 an appeal and and how to appeal that contacting  them, reaching out or getting back on um on the 0:15:02.160,0:15:10.080 wait list. So let's rather than going into let's  make sure we I catch all the questions that we 0:15:10.080,0:15:16.800 want to try to get to um without necessarily  answering them right. Oh, you're so mean. Um, what 0:15:16.800,0:15:22.080 other questions do we have? You know, I'm going to  give it right back to you. Um, I was just wanting 0:15:22.080,0:15:28.480 to know if like if you know my daughter, she has  autism. How do I apply for the healthy waiver? Her 0:15:28.480,0:15:34.240 therapist is telling me that I need to do that.  Try Medicaid and said no. So, I'm just don't know 0:15:34.240,0:15:39.680 what to do next. All right. We'll get to that.  That's actually in your folder. All right. What 0:15:39.680,0:15:50.080 else? Um, I'm late to digging in on all of this.  Uh but is there like a broad like if this is the 0:15:50.080,0:15:57.040 order of applying for things like should I do a  waiver first or should I do medication? Like I I 0:15:57.040,0:16:06.000 don't know what it is the order of events of what  to apply for and it sounds like they are a domino 0:16:06.000,0:16:13.200 of what to do. So is there a proper order to do  things or a most advantageous way to do things? 0:16:13.200,0:16:18.960 Um, I think it depends on the person's needs,  but um, I personally, if I had someone with 0:16:18.960,0:16:25.680 an intellectual disability, I would definitely  get on the waiverss waiting list regardless. Um, 0:16:25.680,0:16:31.760 in terms of community supports and stuff, that's  kind of a must. When we get into what we do as 0:16:31.760,0:16:35.440 far as facility, that's really going to depend on  whether or not you need to be on our waiting list 0:16:35.440,0:16:39.520 because our waiting list is more for people with  really high medical needs, really high behavioral 0:16:39.520,0:16:45.280 needs, things like that. So, you may not need  us initially, but you're going to need her. Um, 0:16:45.280,0:16:50.640 in terms of the waiver when they graduate school,  the day program has to have a funding source. You 0:16:50.640,0:16:54.880 have to be able to pay for the day program and  that's going to be job and are all have Yeah, 0:16:54.880,0:17:01.280 that's true. Or job coaching. That's true. Um,  if they're going on that track, cuz that's a 0:17:01.280,0:17:04.960 different track here. The ones that are going to  college and getting jobs and things like that. You 0:17:04.960,0:17:10.080 have to go to college to have a job. Well, I know.  But anyway, the ones that are going careerbased is 0:17:10.080,0:17:16.320 a different track in the special ed system. But  um for the most part, my understanding was these 0:17:16.320,0:17:21.360 guys probably wouldn't. It depends. It depends  upon if they're alternate diploma or if they are 0:17:21.360,0:17:26.640 regular diploma. So students in special ed can be  regular diplomas. And ODM County has some great 0:17:26.640,0:17:32.560 resources for job placement. Um so that would  be good and that doesn't require a waiver once 0:17:32.560,0:17:39.920 they graduate. No, there actually we still have  um there's a there's jobs opportunity in bothcl 0:17:39.920,0:17:45.120 and Michelle P waiver. Well, and even without  the waiver, there's some state Kentucky staterun 0:17:45.120,0:17:50.800 um job opportunity centers and things that can be  helpful for you on that. Um but as far as how to 0:17:50.800,0:17:55.840 apply, it depends on what they want because she's  right. What if your daughter doesn't I mean she 0:17:55.840,0:18:00.240 can live in an apartment and she can have a job  and she just needs somebody to come in maybe once 0:18:00.240,0:18:05.200 a week and help with something then you know  that's totally different than somebody who's 0:18:05.200,0:18:11.360 going to need a whole lot of medical care. Um I  would say to educate yourself on all of them to 0:18:11.360,0:18:18.800 decide what you need to apply for. Um Medicaid,  guardianship, all that's going to happen at 18 0:18:18.800,0:18:22.720 though, which you guys know that when I first  started families didn't know that. They used 0:18:22.720,0:18:27.440 to look at me like I was crazy when I'd say, you  know, do you have guardianship? They were like, 0:18:27.440,0:18:33.920 their mother was like, I'm sorry. If you need  information on guardianship, um, I've got that. 0:18:33.920,0:18:39.600 And so you can go to our website, too, which  is the ECS website. It's county schools. Um, 0:18:39.600,0:18:45.760 and we have all of those forms and things listed  on there as links. But I'm Angela Lang is my name, 0:18:45.760,0:18:51.600 LG, and I'm the college and career readiness coach  for the district. So you you can email me and ask 0:18:51.600,0:18:55.440 me if you can't find it and that's fine or you  can email me. I'm more than happy to just get 0:18:55.440,0:19:00.320 it to you and you can link to that. But I that's  my job. That's what I do with all of our kids, 0:19:00.320,0:19:05.280 not just our students in special education, but  all of our students in Olden County. And so um 0:19:05.280,0:19:11.840 I I can help you. I'm not this is not my This is  why I bring in the experts and and I call Sherry 0:19:11.840,0:19:15.520 for lots of things, too, because I don't know the  whole Medicaid thing either as much as I've been 0:19:15.520,0:19:19.840 doing it. But um when we look at guardianship and  that kind of stuff, I'm definitely can can help 0:19:19.840,0:19:25.760 out with that for sure. So yeah, so just reach out  to me. What other questions? I've got two things 0:19:25.760,0:19:30.480 I think maybe they want to know. What do they need  when they apply? What are the form documents forms 0:19:30.480,0:19:39.760 all the things? And how does uh does OVR and do  you all intertwine that OVR and Medicaid? Mine 0:19:39.760,0:19:46.160 does. Yes. They they will learn about Office for  Vocational Rehabilitation when their kids get into 0:19:46.160,0:19:51.520 high school. We we are our our troops are supposed  to be telling you all about that. Um but um just 0:19:51.520,0:19:57.680 how do those connect with each other and how do  they work together coordinating with Oh yeah. and 0:19:57.680,0:20:09.920 waver. Okay. Any other question I'm familiar like  zero knowledge in this but you mention about that 0:20:09.920,0:20:16.240 you prepare the kids to go for job and you know  with assistance but what if the student want to go 0:20:16.240,0:20:25.280 to college is it covered with this guardianship or  not the cost of college no not the cost like there 0:20:25.280,0:20:31.920 will be available if the student want to go to  college like he doesn't want to work he want this 0:20:31.920,0:20:37.440 invitation. He's accepted. Yeah. You want to put  that on the list and we'll cover it or you want 0:20:37.440,0:20:50.000 me to go ahead and answer? You can go ahead. Um,  wait. Walking away from me on the camera. Yeah. Um 0:20:50.000,0:20:58.400 so if someone is interested in going to college  that's absolutely a choice and and what type of 0:20:58.400,0:21:06.880 program and and assistance that they receive from  the college is going to vary from university and 0:21:06.880,0:21:14.720 uh techn tech school or whatnot. And so how  the waiver will walk parallel beside that 0:21:14.720,0:21:22.560 really varies depending on what the colleges  and universities supply. Often times they'll 0:21:22.560,0:21:28.400 the universities are required to have aids to  sit with them during class, not takers, things 0:21:28.400,0:21:37.680 of that nature. uh the waiver cannot be used to  uh help with homework uh or attend class, but if 0:21:37.680,0:21:46.720 they need additional assistance like um making  getting there getting on getting there on time, 0:21:46.720,0:21:53.600 uh transitioning from one activity to another  activity. So yeah, the short answer is yes. 0:21:53.600,0:22:00.160 The waiverss can run parallel to admission to  university and work alongside university supports 0:22:00.160,0:22:07.040 uh at the same time uh that they have a waiver  allocation. We have a lots of individuals who 0:22:07.040,0:22:13.520 work on different types of certifications and  various levels of degrees throughout the course 0:22:13.520,0:22:19.120 of their their time on the waiver. And that's not  a problem. And you could kind of if you're trying 0:22:19.120,0:22:24.560 to figure out what does that look like, you can  kind of think about what does it look like for 0:22:24.560,0:22:30.160 one of your children to be in school right now  and also simultaneously be receiving the waiver. 0:22:30.160,0:22:35.040 The waiver cannot duplicate services that are  available through that educational source, 0:22:35.040,0:22:42.240 but they can run side by side with each other. So,  if the school offers tutoring, the waiver wouldn't 0:22:42.240,0:22:47.440 cover that. But if the school doesn't offer Don't  you dare a way for them to get there, the waiver 0:22:47.440,0:22:58.160 might be able to help with that, right? Anything?  So, okay. My friends go to and I've been told this 0:22:58.160,0:23:02.960 since he was four. You need to get in there and  sign up for this. And I'll get the paperwork and 0:23:02.960,0:23:09.120 then I get so intimidated and then I don't do  it. And so I just need a sort of kick in the 0:23:09.120,0:23:19.840 pants because it needs done, right? But are there  pants kickers? I think that's what you already 0:23:19.840,0:23:25.280 give a small pep talk. This is the perfect time  for me to give a pep talk. Okay. Yes. I'm not 0:23:25.280,0:23:32.560 stepping on any toes. I'm giving I'm giving  motivational get up there and put the put the 0:23:32.560,0:23:41.120 thingy on. though I've not practiced this. I've  not practiced it. I feel like we're passing the 0:23:41.120,0:23:50.480 tool. I know. I've not practiced this, but um  I do want to just say okay. So, no, no, no. So, 0:23:50.480,0:23:58.800 first wait, can if you're willing to share who  already is has a child on a waiver in this group 0:23:58.800,0:24:07.680 wait list or uh Okay. Well, that's first. Anybody  with a child on the on a waiver on a wait list? 0:24:07.680,0:24:17.360 Good. Good. Oh, okay. Okay. Okay. Awesome. So,  everyone else is hoping to be signing up for 0:24:17.360,0:24:24.480 that. Okay. So, if you've not already, you already  sound like you're kind of far down a path. So, 0:24:24.480,0:24:29.680 down the road. I'm not Well, you can use whatever.  If you're getting a show, then you must have been 0:24:29.680,0:24:33.760 on the waiting list. Oh, we've been on the waiting  list for nine years. Okay. Well, that you're 0:24:33.760,0:24:38.960 you're you're making I mean, you're farther ahead  than you might think that you are. So, way to go. 0:24:38.960,0:24:44.800 I'm so scared I'm going to lose it because I don't  know what to do next because they keep getting my 0:24:44.800,0:24:50.800 paperwork messed up. That is definitely going to  happen. So, part of my speech is that is going to 0:24:50.800,0:24:56.080 happen constantly, okay? And it's not your fault.  It's just going to happen all the time. It happens 0:24:56.080,0:25:03.840 to every single person. So, yes, you have to be  on your toes and watch it, but it's not because 0:25:03.840,0:25:08.960 you're screwing up or anything like that. So,  if you've not already started the process, 0:25:08.960,0:25:15.920 this is what I would tell you to do to start the  process. Use this piece of paper that I put on the 0:25:15.920,0:25:26.080 table. Um, I am not good at making fancy posters,  but I put this together. So, um, what I would tell 0:25:26.080,0:25:35.920 you to do is your child has a disability. Okay?  That is why you are able to sign your child up 0:25:35.920,0:25:41.360 for Medicaid. Okay? If someone tells you you make  you don't make enough or you make too much money, 0:25:41.360,0:25:49.360 your family makes too much money, stop. Like,  stop because it is your let's pretend your kid 0:25:49.360,0:25:56.560 is nine years old. that person unless they have  um inherited a whole bunch of money, they don't 0:25:56.560,0:26:02.480 have any assets. Okay, maybe they have, you know,  birthday money that their grandma gave them, but 0:26:02.480,0:26:16.160 like they don't have money. So, the other thing I  wanted to tell you just um is that it is not easy. 0:26:16.160,0:26:23.680 It is difficult. It will not go smoothly. it will  take you longer than you thought it would. Um, 0:26:23.680,0:26:31.280 you will get mixed up answers or the person that's  helping you is submitting the wrong form. Okay, 0:26:31.280,0:26:38.000 these are things that I know that have actually  happened. Okay, so it takes a long time. Um, 0:26:38.000,0:26:42.160 you're going to make a mistake or somebody else  is going to miss make a mistake. It will be 0:26:42.160,0:26:48.880 frustrating and it will make you want to scream,  swear, cry, all of these things. Absolutely valid. 0:26:48.880,0:26:55.360 Do not let that be your excuse not to do  it. Do not let that be your motivation for 0:26:55.360,0:27:00.000 doing it because it is difficult and it but  everybody in this room has done difficult 0:27:00.000,0:27:05.040 stuff already. That's why we're here. We do  tough stuff all the time. So let me tell you, 0:27:05.040,0:27:10.320 you can do it and there are people in this room  that will help you and there are experts that 0:27:10.320,0:27:17.840 you can ask questions and so like seriously we  will figure it out. Now that's the pep talk. 0:27:19.920,0:27:26.160 Yes. Thank you. So now if you use this piece of  paper, what I did was I called seven counties 0:27:26.160,0:27:30.800 and I said, "Look, people are intimidated  because they don't even know what to ask 0:27:30.800,0:27:38.400 for. They don't know what word to use or what  what they don't even know where to start. Follow 0:27:38.400,0:27:45.520 this sheet. It's not perfect. It worked. But  Melissa, I got it. We got We got there. Yes. 0:27:45.520,0:27:49.920 Was it two days ago? I got my letter. I'm on  the wait list. So, did we get did you get this 0:27:49.920,0:27:56.240 from seven counties? This the information  she made this girl. And to be fair though, 0:27:56.240,0:28:01.440 Seven Counties makes mistakes. They do. They do.  And so do we. And and everything else. And so does 0:28:01.440,0:28:08.400 the person at the DCBS office in Lraange. Talk  to Holly at seven counties. So So on this sheet, 0:28:08.400,0:28:12.080 you will see it has the phone number that you  should call. Hold on. Now I got to actually 0:28:12.080,0:28:18.560 put my glasses on. Um, you may or may not get  a person that answers this phone number, but do 0:28:18.560,0:28:23.760 not be discouraged. Leave a message. If you don't  get a call back from them in two days, call them 0:28:23.760,0:28:30.080 again. On your answering machine or on the message  or the person, you say, "I need to speak to the 0:28:30.080,0:28:36.400 family support on call staff." That's what you  ask for. The family support on call staff is one 0:28:36.400,0:28:43.360 of three people. You got one. I got a different  one. Holly, Gail, and someone else. uh she it's 0:28:43.360,0:28:50.560 a twocllable I don't know it's a two-cllable name  but it's rotating and it's literally their job 0:28:50.560,0:28:55.360 that's why it rotates so every third day you could  have a different person but that's literally their 0:28:55.360,0:29:02.720 job to answer those calls and to help people  okay so don't get discouraged tell them you're 0:29:02.720,0:29:06.640 trying to apply for Medicaid for your child with  a disability don't worry if your family has more 0:29:06.640,0:29:13.840 income than the limits of Medicaid this is your  small human. They don't have an income. Can I 0:29:13.840,0:29:20.480 add? Yes. You just have to apply for Medicaid.  You do not have to be accepted for Medicaid to 0:29:20.480,0:29:25.120 go through the waiver process. That's a really  good point. You do not say that again. You don't 0:29:25.120,0:29:32.800 you don't have to be accepted on Medicaid. You  just have to apply. So, she saw that I applied 0:29:32.800,0:29:37.040 and then she's like, "That's all we need."  And then you can go through with the waiver. 0:29:37.680,0:29:42.800 So, they may they may send you through some steps.  I wrote this down on here. I don't need to read 0:29:42.800,0:29:50.320 the whole thing to you because you can go home and  read it later, but um they can offer help. If they 0:29:50.320,0:29:55.840 give you information that's too confusing,  you can say, "I'm overwhelmed by this. I 0:29:55.840,0:30:02.240 um I don't understand. I'm getting 15 different  messages. Could you please just do this for me?" 0:30:02.240,0:30:08.480 They can do this. They can do this for you. you  will have to sign a confidential, you know, like 0:30:08.480,0:30:13.680 there will be an exchange of a confidentiality  agreement. You'll feel like you're giving them a 0:30:13.680,0:30:19.200 lot of stuff, but they can do it. They can go on  the computer and do it for you. Um, I would tell 0:30:19.200,0:30:24.240 you to be very nice to this person because they  are about to help you and you want them to help 0:30:24.240,0:30:28.240 you. What was your question? I'm sorry. You know,  if they have anybody that speaks Spanish? Yes, 0:30:28.240,0:30:33.200 they do. They have a translation service.  You just have to make sure you ask for it. 0:30:34.000,0:30:40.240 That is a very good question. I should update  that on my form. The the third person on that 0:30:40.240,0:30:45.200 team is Julie Daringer. She's very fluent in  Spanish in Spanish. Um and then they have an 0:30:45.200,0:30:50.080 interpreter line that they can call  as well if it's another language. And 0:30:50.080,0:30:55.600 um I think they have like over 105 languages  that the translation service will utilize. 0:30:56.560,0:31:06.320 Um, so I would just encourage you to be diligent,  but leave a message and just be honest like about 0:31:06.320,0:31:11.760 I am I'm very I'm I'm running into all these  questions. I'm frustrated. I don't know where 0:31:11.760,0:31:17.040 to start. And just explain exactly your position,  how you're feeling about it. And my thought is 0:31:17.040,0:31:23.680 at least it worked for us. Um, and I felt like  quicker communication was through email with them. 0:31:23.680,0:31:28.080 If you have any questions, just shoot her an  email. She literally would write me right back. 0:31:28.080,0:31:34.640 So, yeah. I mean, we're not here to tell you all  what to do, but piggybacking off of her speech and 0:31:34.640,0:31:43.760 also I'm a former Seven Counties employee. Um, the  assistance that they can provide you is exactly as 0:31:43.760,0:31:49.280 she's describing. They can do it for you. And  so, Kale here, she's like, "Well, what are you 0:31:49.280,0:31:53.600 going to do if they tell you to um help? I think  you need assistance applying. And I said, I'm 0:31:53.600,0:31:57.120 going to tell them to call Sevens counties. Well,  isn't don't you need to do better customer service 0:31:57.120,0:32:06.400 than that? Sorry, I'm picking on you. And uh the  reality is they do applications every single day. 0:32:06.400,0:32:12.240 It it is their job. Every single day they're doing  applications. They are the CHC for this area, the 0:32:12.240,0:32:21.360 center um our entire for all these seven counties.  and they are getting state dollars to do this. And 0:32:21.360,0:32:26.720 so don't feel like you're inconveniencing them.  I mean, certainly be nice. Certainly be nice, 0:32:26.720,0:32:32.000 but don't feel like you're asking them for a big  ask because it's their job and they are paid for 0:32:32.000,0:32:39.120 it. You're not asking for a favor. And you can  make the choice to go to the connect website 0:32:39.120,0:32:47.760 and do your own application. That's absolutely  possible. But save yourself the headache. Oh, 0:32:47.760,0:32:52.080 save yourself the headache of trying to figure  out how to navigate that, which I'm recommending. 0:32:52.080,0:33:00.080 And and and call and and have these ladies help  you. Gail has been there for over 30 years. Not 0:33:00.080,0:33:05.200 me. Not this Gale. Seven times different. There  there's a couple little tidbits I put on the back 0:33:05.200,0:33:10.720 that literally these were exact verbiage that the  ladies gave me and said if you've already started 0:33:10.720,0:33:15.760 working with a connector or somebody else, this  is just tidbits that they gave me. But if you 0:33:15.760,0:33:20.960 just straight up call them in the first place,  then you don't have to worry about that. Um, 0:33:20.960,0:33:28.480 also you might want to tell them I'm I'm in Olden  County. And um, also at the end of all of this, 0:33:28.480,0:33:32.560 if you know when you get on to the weight list  and you get the services and everything like that, 0:33:32.560,0:33:38.240 you do not have to feel obligated to use seven  counties at the end of this. Um, there are other 0:33:38.240,0:33:46.960 places that do the job also, but I'll tell you  I it worked for me, but you do not they're not 0:33:46.960,0:33:52.480 you're not obligated to stay with them if you use  if you use them to help you sign up for this. So, 0:33:52.480,0:33:57.520 do not feel obligated. And um they're actually  obligated to tell you that you have freedom of 0:33:57.520,0:34:06.640 choice to choose a new provider. That's right.  That's right. Um so I would encourage anyone to 0:34:06.640,0:34:12.640 like if you can come in two weeks we could talk  about this more at our meeting um and rehash it. 0:34:12.640,0:34:19.280 I mean we sat in your kitchen and you know called  on the phone like or like if you get to the point 0:34:19.280,0:34:24.960 where you actually have somebody calling you  back like we can meet at the library and we can 0:34:24.960,0:34:30.960 sit there together and I I'll ask the questions.  I mean, you have to be there with me, obviously. 0:34:30.960,0:34:38.640 I mean, I'll ask the questions, but you know, I I  would I would just say get started. Don't let that 0:34:38.640,0:34:45.680 be the reason. And um the other thing I wanted to  tell you and then I am done. Um is that hold on a 0:34:45.680,0:34:54.880 second. Once you get Let's see. Hold on. Make sure  I said everything I wanted to say. Um, oh, you 0:34:54.880,0:35:00.240 might say to yourself, "The wait list is long."  Which it is. It is long. Uh, this is really hard. 0:35:00.240,0:35:06.560 It absolutely is. But I don't actually think it's  ever going to get easier. So, like, just sucking 0:35:06.560,0:35:11.280 it up and doing it now is what I would tell you  to do because I don't think it's going to get 0:35:11.280,0:35:15.680 easier. I don't I don't have any reason to believe  it will ever get easier than it is right now. When 0:35:15.680,0:35:21.360 I did this process, I felt like it I could do it  easily now. Like, I wish I would have easily. just 0:35:21.360,0:35:26.320 say the word easily. I wish I would have had this  when I started trying to do this like four years 0:35:26.320,0:35:34.640 ago. So, well, it worked. The other thing that I  will say is that our current governor is a huge 0:35:34.640,0:35:44.720 supporter of our waiver services and and um if any  of you are connected to your uh legislators for 0:35:44.720,0:35:53.120 the area making sure this is a budget year and  and he's actually added allocations which will 0:35:53.120,0:36:00.000 help get people off of the weight list for both  Michelle Pon and CL programs. programs as well as 0:36:00.000,0:36:07.760 the other 1915C programs, but Cong our our state  Congress has to approve the funding of those. So, 0:36:07.760,0:36:14.800 making sure that your legislators are and  constituents are um recognizing the importance 0:36:14.800,0:36:22.880 and making a call and and and lobbying and  advocating in that way is just as as critical uh 0:36:22.880,0:36:28.240 in order for our program and and our individuals  to continue to get the assistance that they need. 0:36:28.800,0:36:34.480 That was the other thing about getting  families to band together is for those reasons, 0:36:34.480,0:36:39.200 political reasons. You know, if they're looking  for waste, we all certainly don't want waste in 0:36:39.200,0:36:43.040 government spending, but we want to make sure  that the people looking for it understand that 0:36:43.040,0:36:48.640 we're not the waste, that it's not in services  for people with intellectual disabilities, that, 0:36:48.640,0:36:53.440 you know, we're we're kind of hanging on by a  thread as it is. Um, and those parents speak 0:36:53.440,0:37:01.600 much louder to politicians and those guys than we  do. Yeah. Yeah. We have a day in March that we're 0:37:01.600,0:37:06.720 going to be going to Frankfurt, but I'm not going  solo. I'm taking some of the individuals that we 0:37:06.720,0:37:14.080 support that have disabilities and their parents  with us. Does anybody have any questions about 0:37:14.080,0:37:24.720 um my my motivational speech? I'm happy to help  you. I really am. And um do not get do not get 0:37:24.720,0:37:32.960 discouraged. Get motivated. Okay, that's fine.  Oh, now I have to give you this. Thank you. Yes, 0:37:32.960,0:37:38.000 please. And come to our meeting in two weeks and  just talk about stuff like this. Okay. Okay. All 0:37:38.000,0:37:42.720 the time. So, I think one of the things I I know  I keep saying this, but I can't tell y'all how 0:37:42.720,0:37:48.480 excited I am that she got up and did that because  the thing is is I I don't know how many times 0:37:48.480,0:37:54.240 y'all have said experts. I am not an expert on  anything. Okay. And she may be an expert, but I'm 0:37:54.240,0:38:01.680 not. Okay. I'm just want to settle that right now.  I am doing the best I can with 42 Is it that long? 0:38:01.680,0:38:06.960 Yeah. 42 years of knowledge of working with people  with intellectual disabilities. The problem with 0:38:06.960,0:38:12.880 somebody who's been doing it as long as me is it's  changed so much that I can get easily confused 0:38:12.880,0:38:17.200 like I did on the Medicaid thing or the Michelle P  changed all that. Oh, well, I didn't know because 0:38:17.200,0:38:22.000 I was working ICF by the time that happened,  which is what she was tell. Oh, no Michelle. Oh, 0:38:22.000,0:38:28.080 okay. Now, if you asked an ICF question, I  could answer those a lot better for you. Um, 0:38:28.080,0:38:32.400 and and then the reason, you know, why is she  even here? Initially, we didn't have Mary. Now, 0:38:32.400,0:38:37.680 we have Mary to ask to answer these questions.  But it really does work better when you guys 0:38:37.680,0:38:43.440 do it. I cannot describe to you how much easier  it is because you're t and I know that you get a 0:38:43.440,0:38:48.320 different story from everybody you talk to. We  don't mean to. We're based on what we know and 0:38:48.320,0:38:55.120 what we somebody's told us and maybe they told us  wrong or whatever. But the good thing about having 0:38:55.120,0:39:02.560 been in this business as long as I have is I saw  it when it was so bad, you know, just the services 0:39:02.560,0:39:08.080 were not something that I would even expose you  to as family members. Um it it was I make our 0:39:08.080,0:39:13.040 employees look at it. I say this is what it looked  like when I started. This is why I cried on my way 0:39:13.040,0:39:20.000 to the car, you know. And what changed all that  was a news story that got picked up by the network 0:39:20.000,0:39:26.000 and all the families in all of the United States  saw it and said, "Oh yeah, not my kid." And it 0:39:26.000,0:39:32.240 changed everything. Everything. Every good change  that's ever happened in this industry has been 0:39:32.240,0:39:36.960 because of families. We aren't the special ones  of people. Oh, you're so special for work. No, no, 0:39:36.960,0:39:43.200 no, no, no. You guys, I hate it when they do that.  It's like, no. Um, so yeah, don't even do that. 0:39:43.200,0:39:48.800 But also, it does make you feel stupid, but you  need to understand that that's just because it's 0:39:48.800,0:39:57.200 new. My brother has um autism. He lives in his own  apartment, but he does require because of income 0:39:57.200,0:40:02.720 some um housing assistance. And every time they  send me the annual thing and like this year it was 0:40:02.720,0:40:10.400 all digital. It wasn't paper. I'm old, remember? I  like paper. And I'm like, I'm a social worker. and 0:40:10.400,0:40:15.280 do this whole day, he's going to lose his housing  because of me. I mean, it's that intimidating. And 0:40:15.280,0:40:19.920 then I finally have to just stop and look at it  and pick up the phone and call them and they don't 0:40:19.920,0:40:27.280 answer their phone, you know? So, I get it, but  it just it's because you haven't done it before 0:40:27.280,0:40:33.760 and that's why it helps to have done it. Um, so  as far as I think the question was, should you 0:40:33.760,0:40:40.800 apply? And the answer is yes. Was there anything  else that needed to go on this list? Do you um do 0:40:40.800,0:40:46.000 you do anything with social security? So like when  you start earning so when your child earns social 0:40:46.000,0:40:50.720 security and you have to fill out that paperwork  every year, annual report. That one I do know. 0:40:50.720,0:40:55.600 Okay. So is there is there any way to help through  that? I haven't started yet, but a friend of mine 0:40:55.600,0:41:02.160 keeps giving me these horror stories every time  she goes to fill it out that um because you're 0:41:02.160,0:41:06.880 trying to spend all that money. Spend the money.  I can't say all that cuz it's not a lot, but yeah, 0:41:06.880,0:41:15.040 I was going to say but calculate the housing and  the food, but it's all incorporated into yours and 0:41:15.040,0:41:22.080 how to separate that and put a dollar amount  on it and follow that process every year. Uh, 0:41:22.080,0:41:26.720 and I can just from my experience when my parents  first passed and my brother was living with me, 0:41:26.720,0:41:31.920 what I did with that is I just said our rent was  split in half, our food was split in half, our 0:41:31.920,0:41:37.680 cable was split in half, and so he covered half  the cost. Now that he's on his own, um, of course, 0:41:37.680,0:41:42.880 all the costs are his. Um, I have I do have to  there's a few things you have to be careful about. 0:41:42.880,0:41:49.760 Like I'm not I don't necessarily tell them if  I give him a little extra cash for Xbox bucks 0:41:49.760,0:41:54.160 or whatever, you know, because they'll ask you  if you give him money, if he's getting any extra 0:41:54.160,0:42:00.640 money. No, no, no. I'm not going to do that. But  it really isn't very hard, particularly for our 0:42:00.640,0:42:07.280 um guys, people with back injuries, um those kinds  of illnesses, it gets into that whole proof of 0:42:07.280,0:42:12.320 continued disability and it becomes really hard.  One thing that is happening though and I know it's 0:42:12.320,0:42:17.760 happening with housing and possibly with social  security is the proof of citizenship is becoming 0:42:17.760,0:42:24.480 an issue and that was an issue with me um when you  inherit a sibling mom and dad you know they didn't 0:42:24.480,0:42:28.000 leave the birth certificate and all that stuff  like they should have. So that became an issue of 0:42:28.000,0:42:34.320 me going no he's a citizen I was there when he's  born. Um but for the most part it's a one-page 0:42:34.320,0:42:39.920 thing. It's the annual report. There's two annual  reports. one for guardianship and there's one for 0:42:39.920,0:42:47.040 social security. And always, always save the  previous years because the biggest thing that's 0:42:47.040,0:42:54.160 going to flag it is if last year you spent 3,000  on housing and this year you say you spent 5,000 0:42:54.160,0:42:59.920 on housing. Does that make sense? So, whatever  you come up with your formula, keep it consistent. 0:43:00.640,0:43:08.240 Um well I think that her her concern was that  um her daughter first only qualified for like 0:43:08.240,0:43:15.920 a minimum amount and then they increased that. So  she has to show how the expenditure has increased 0:43:15.920,0:43:23.040 when it really hasn't but like it could I don't  know well and you can put that in trust funds. 0:43:23.040,0:43:28.800 There's some numbers in these packets um or down  syndrome of Louisville has a great website. We're 0:43:28.800,0:43:34.880 working on ours, but they've got some attorneys  and stuff, an ABLE account. Yeah, there's several 0:43:34.880,0:43:39.760 accounts that that money can go into where it  won't count against their social security. Um, 0:43:39.760,0:43:45.200 and we're also going to have a person in March  come to our workshop that's going to talk about 0:43:45.200,0:43:53.440 uh No, it's March. February is the  resource fair. March. Yes. Don't don't 0:43:53.440,0:43:56.640 at the resource fair, too. Yes. So we are going  to simply come and talk about all the financials 0:43:56.640,0:44:02.640 and those kind of things at our March meeting. So  no that is Yes. So that is they are also having um 0:44:02.640,0:44:10.480 do you follow feet? No. Okay. So um I would tell  everybody if you're not already that's you know 0:44:10.480,0:44:18.960 feat. Thank you. Um to get on get their um sign  up for their like monthly newsletter right now. 0:44:18.960,0:44:28.880 Um, if you got this, I think maybe after this  after I could take um email addresses and send 0:44:28.880,0:44:34.880 out the stuff about feet, but um they are in the  midst of a threepart workshop on literally all of 0:44:34.880,0:44:40.720 that. It's a virtual workshop right now. I watched  part one yesterday. Two and three are still coming 0:44:40.720,0:44:49.120 up and you can sign up for that online and it's  like a Zoom um a Zoom meeting or whatever. And 0:44:49.120,0:44:54.240 it has some stuff like that. It didn't have all of  that, but it had some of the things about what you 0:44:54.240,0:44:58.000 can put your money into, what people who are on  social security can put their money in together. 0:44:58.000,0:45:03.920 Yeah. You can do pre-barial, you can do um but  when you're spending the social security money, 0:45:03.920,0:45:09.200 you have to account for every penny of the  social security money. Y yes, that is true. 0:45:09.200,0:45:12.880 Which is the same for the annual guardianship  report as well. You'll have to account for all 0:45:12.880,0:45:17.040 that. Once you become a guardian, you're going to  get something. Now, I can tell you the difference 0:45:17.040,0:45:23.600 between ODM County guardianship and and Jefferson  County guardianship is night and day. You don't 0:45:23.600,0:45:29.200 turn in your report on time in Jefferson County,  your kid gets a state guardian. In ODM County, 0:45:29.200,0:45:35.440 the clerk will call me and hey, this lady hadn't  turned in anything in seven years. Is she kind 0:45:35.440,0:45:43.200 of old or And I'm like, oh my gosh. And yeah, so  I've I'm a guardian. I've been in the individual 0:45:43.200,0:45:48.480 I'm a guardian for had lived in Olden County and  moved to Jefferson County. So, I've experienced 0:45:48.480,0:45:58.160 both systems and she's not wrong. Uh Olden County  guardianship court is very lovely. Very, very, 0:45:58.160,0:46:04.080 very lovely. Uh Jefferson County uh is not bad.  They don't necessarily just kick you off. you 0:46:04.080,0:46:10.080 do get a warning, but but it's a warning that  you need to reply to very quickly because they 0:46:10.080,0:46:15.200 will tell you in that warning if that you don't  get your stuff done by the date and this letter 0:46:15.200,0:46:21.520 then yes it it does defer to state guardianship  and keep in mind every single parent I got a call 0:46:21.520,0:46:26.720 today oh my gosh I got this letter it's going  before the judge on this date which means they 0:46:26.720,0:46:33.200 didn't turn in their annual report and there's a  court date in in ODM county it's like okay I'll 0:46:33.200,0:46:36.960 call and tell them it's coming. In Jefferson  County, I'd be like, "Okay, we need I need you 0:46:36.960,0:46:41.120 to take this to the courthouse. I need So, it  is very different depending on where you are, 0:46:41.120,0:46:48.320 but it's the same thing in terms of showing where  all the money went basically." And some of this 0:46:48.320,0:46:53.120 stuff is a pain, but you have to remember the  flip side. There unfortunately are people out 0:46:53.120,0:47:01.280 there who will get guardianship of someone to  get their money. That little $800, $900 a month, 0:47:01.280,0:47:07.360 they'll do that. So this is a way of ensuring  that no one is doing that that their needs are 0:47:07.360,0:47:15.200 taken care of and that that money is being  spent or put away for them for the future. 0:47:15.200,0:47:22.400 Is that all? Um I think so. So guardianship I  don't really understand the difference between 0:47:22.400,0:47:27.200 guardianship and whatever. Is there something  else out there? I mean I'm her mother until 0:47:27.200,0:47:32.960 she turns 18 to turn 18 and then you're still her  mother but not her legal appointed. So then she's 0:47:32.960,0:47:41.120 a legal adult. She can sign. Oh god. Yeah,  that's scary. Yeah. And so talk a little bit 0:47:41.120,0:47:45.600 about guardianship. Um and this and and Mary  and I haven't talked about this, so she may 0:47:45.600,0:47:52.400 have a totally different feeling than I do. Um but  there are attorneys who will try to get you to get 0:47:52.400,0:47:59.920 um power of attorney. If this my brother has power  of attorney if something happens medically is the 0:47:59.920,0:48:04.240 only thing where he says my sister can because he  can tell you where he wants to live. He can tell 0:48:04.240,0:48:09.120 you what he wants to eat and believe me he does.  He can tell you all of that. But medical he and I 0:48:09.120,0:48:12.640 talked about it. He's like yeah I never understand  what they're saying. So I have power of attorney. 0:48:12.640,0:48:19.520 I wouldn't get guardianship of him. Okay. But  the people we support have no understanding 0:48:19.520,0:48:25.840 of medical care meals. Now, she's supporting a  different population. The folks she's supporting, 0:48:25.840,0:48:31.920 you can't understand. I got the nine. I got people  who are their own guardians. I got people who have 0:48:31.920,0:48:39.280 limited guardians. I've got people who have just  uh authorized representatives for the fidiciary. 0:48:39.280,0:48:47.600 I've got conservators. I've got I've got uh  legal attorneys who are paid to stand in and make 0:48:47.600,0:48:56.080 decisions. Yeah, that's fine. But it needs to be  individualized. But if your child does seriously 0:48:56.080,0:49:02.880 is um significantly enough in in um disabled in  terms of being able to understand things and a 0:49:02.880,0:49:08.320 lawyer says, "Well, just do power of attorney."  What you're saying is that you right now as as you 0:49:08.320,0:49:14.160 sign this, Susie, you understand this document.  If Susie doesn't understand the document now, she 0:49:14.160,0:49:19.040 shouldn't be signing the document. Does that make  sense? And attorneys will do that because they're 0:49:19.040,0:49:25.440 protecting you. That way, basically, you're not  liable if something happened. But unfortunately, 0:49:25.440,0:49:33.120 nobody is. If somebody needs a legal guardian, I  highly recommend that you look at that in terms 0:49:33.120,0:49:37.440 of the need. It does go both ways. There's  also people who will say, "Oh, absolutely. 0:49:37.440,0:49:40.720 You should always get guardianship because they  have a disability." But just because they have a 0:49:40.720,0:49:45.520 disability doesn't mean they can't be like her  brother and make their own decisions. You've 0:49:45.520,0:49:55.600 got it. they want to vote, right? It is an option.  They will ask you if you want to um you can retain 0:49:55.600,0:50:01.120 some of your rights. So just you have to make sure  that it's in the petition. Um inalienable rights 0:50:01.120,0:50:07.440 kind of thing. And um so basically what the judge  does is look we have people that we support even 0:50:07.440,0:50:12.640 at our level of care and they're there because  of physical their physical needs have gotten so 0:50:12.640,0:50:17.680 bad that unfortunately they can't be supported  in the community so they're over with us but 0:50:17.680,0:50:24.080 intellectually they do understand voting and they  have kept their right to vote. Those who the judge 0:50:24.080,0:50:28.400 felt that they didn't at the time of adjudication  said no we're not going to allow the right to vote 0:50:28.400,0:50:35.200 and that's to keep from being taken advantage  of. So, but yeah, it just depends. I do have a 0:50:35.200,0:50:41.200 question along the lines with guardianship. If you  go with the full guardianship and then find later 0:50:41.200,0:50:46.080 on that as the years have passed, they have become  a little more independent because it is it's not 0:50:46.080,0:50:51.680 all or nothing forever. No, you can go back in.  Yeah, you can go. And I think that's exciting. 0:50:51.680,0:50:56.000 The best story I can imagine as a kid walking  up to mom and going, you know, I really kind 0:50:56.000,0:51:01.680 of think I'd like to take control over this part.  I I want to choose where I live on my own and mom 0:51:01.680,0:51:10.080 going to court and saying letter. How long does  the guardianship process usually take? Depends 0:51:10.080,0:51:13.840 on what county you're in. What was the question?  What was how long does guardianship process? Well, 0:51:13.840,0:51:20.000 it'll depend on where they live. So, if they  continue to live here after they turn 18, 0:51:20.000,0:51:25.280 then yes. But if they were to get an apartment and  choose to get an apartment in Jefferson County, 0:51:25.280,0:51:29.520 then even though like you're living in Oldm  County and they're living in Jefferson County, 0:51:29.520,0:51:35.280 then the guardianship hearing is in Jefferson  County. It's where that person resides. So if they 0:51:35.280,0:51:42.240 choose at that age or you know or any any point,  so maybe at 18 they're still living at home with 0:51:42.240,0:51:51.440 you, but at 25 they relocate to Jefferson County.  Then at 25 that guardianship case moves from Oldm 0:51:51.440,0:52:01.280 County to Jefferson County and it should move  anytime you or or vice versa. My daughter's 17 0:52:01.280,0:52:06.960 getting ready at 18 she'll become our own legal  guardian. I always say plan for 6 months for 0:52:06.960,0:52:14.880 guardianship. Start the process at six months.  I I just did um guardianship in Olden County and 0:52:14.880,0:52:22.560 it took um from the day I signed the paperwork  and submitted it was in September and it was 0:52:22.560,0:52:28.560 um our court case was at the end of November. So  it moved very quickly and you can do it before 0:52:28.560,0:52:36.480 the child is 18. Um it happened to be she was  17 and a half. So I started it then and I found 0:52:36.480,0:52:42.720 that to be very smooth and relaxing because you  don't want to be scrambling after the fact. So 0:52:42.720,0:52:49.920 go ahead and start early and be and it is a very  lovely experience in Old County. I found it to be 0:52:49.920,0:52:55.360 um just go ahead and do that. It just took a  couple months. Who did you use? Did did you use 0:52:55.360,0:53:01.840 tape guns? You can go file it yourself. You don't  have to have it. I did it I did it myself. Um, 0:53:01.840,0:53:05.680 I feel like we have another session that  we're doing on the guardianship or I need 0:53:05.680,0:53:11.680 to publish I have I um I made like a checklist  and I haven't finished it yet because actually 0:53:11.680,0:53:15.920 this just went into effect. But um you  can do it yourself. You don't need to 0:53:15.920,0:53:22.400 have an attorney unless you feel like you  would like to have one or you have a case 0:53:22.400,0:53:30.400 um that was that is questionable like it's in in  our case it was very clear what the answer was 0:53:30.400,0:53:36.000 going to be. But if there is a debate about maybe  your child can do this and this but not this, 0:53:36.000,0:53:42.000 then you may want to have an attorney, but you  don't have to. Um, what's the the comment the 0:53:42.000,0:53:48.320 council? Who's the Kelsey? Kelsey for the council  for um council for developmental. It's on our 0:53:48.320,0:53:54.560 list. The council for developmental disabilities.  The council that number is in your folder. The 0:53:54.560,0:54:00.880 council for developmental disabilities. the um  they've got some great Kelsey literally helped 0:54:00.880,0:54:08.160 me fill out the paperwork and then I turned  it in and my goal would be maybe in like a 0:54:08.160,0:54:13.680 few weeks I'll have it updated so that I could  like share how it went. I'm not going to be able 0:54:13.680,0:54:20.160 to do what Kelsey did. She was great. I will tell  you to go talk to her and have her help you. But 0:54:20.160,0:54:31.440 um it was yeah the application is available  online. This is a state document. Um I'm not an 0:54:31.440,0:54:37.280 expert and I filled it out myself. I didn't have  legal assistance when I filed for guardianship. 0:54:37.280,0:54:42.800 Um, and another thing that I would encourage you  while we're on the topic to be thinking about is 0:54:42.800,0:54:48.720 if you are considering filing for a guardianship  that in the same process, you begin to think about 0:54:48.720,0:54:54.720 who the standby guardian will be. So, in the  event that like maybe you're both in the car 0:54:54.720,0:55:01.200 accident together and you can now no longer make  the decision um for your loved one or whoever 0:55:01.200,0:55:07.520 your guardian for. Who then is next in line if  something happens to you? You can do that same 0:55:07.520,0:55:12.480 paperwork at the same time or you can just file  for guardianship and go and file for a standby at 0:55:12.480,0:55:25.360 a later date. It's just different forms. Sorry.  Um I know you were talking about you know when 0:55:25.360,0:55:36.160 children are um like how do you know if they would  qualify for for a lot of these services? like I've 0:55:36.160,0:55:43.920 um known a little bit about the Michelle P waiver,  but I've always thought well I don't know if you 0:55:43.920,0:55:53.760 know my child's disabilities are severe enough. Um  so who's who's going to tell me what his abilities 0:55:53.760,0:56:01.680 are going to be? So both the Michelle P and the  SCO. So actually all 1915 C waivers regardless. 0:56:01.680,0:56:10.320 So there's seven 1915C waivers in the state of  Kentucky, right? So uh so there's two brain injury 0:56:10.320,0:56:17.840 waivers. There's a brain acquired brain injury and  acquired brain injury long-term. Uh and then we 0:56:17.840,0:56:28.240 have our um Michelle P waiver and our SCL waiver.  There's also it's called model two. Model two is 0:56:28.240,0:56:35.840 um medically fragile. often they need nursing  level care assistance, tra things like that. 0:56:35.840,0:56:45.600 Uh and then the sixth waiver is called so the the  federal government calls our programs 1915C home 0:56:45.600,0:56:54.560 and community based waivers. That's our overall  umbrella. And then they say to at each of the 50 0:56:54.560,0:57:01.200 states, they say, "Okay, state of Kentucky, state  of Indiana, so on and so forth. We will give you 0:57:01.200,0:57:08.240 some federal dollars for these programs if you  adhere to our criteria. What you do in your state 0:57:08.240,0:57:15.200 with these federal dollars is up to you. Here in  Kentucky, they've they've split that seven ways. 0:57:15.200,0:57:20.720 Um, now the federal government does not give us  100% of that funding, which is why I say lobby, 0:57:20.720,0:57:26.880 lobby, lobby, advocate with your legislators. So,  the last statistic that I heard is the federal 0:57:26.880,0:57:34.720 government is is covering 46%. Now, that's  all really up in the air because of this big 0:57:34.720,0:57:41.040 beautiful bill and all of that kind of thing. The  rest of that funding is coming from state taxpayer 0:57:41.040,0:57:47.920 dollars. So you got your two brain injury waivers,  your um SCL waiver, your Michelle P waiver, 0:57:47.920,0:57:55.520 your model 2 waiver. Number six, not to be  confused with this overall umbrella of HCB is 0:57:55.520,0:58:02.080 also a small waiver called HCB. So we've got the  overall umbrella, the title of these programs is 0:58:02.080,0:58:06.880 home and community based waiverss. And then there  is a waiver in Kentucky that somebody decided to 0:58:06.880,0:58:14.000 call HCB. Oh no. And then the seventh waiver  is a waiver that's just deploying this year 0:58:14.000,0:58:18.880 and it's it's called the child waiver. Um that's  what they're calling it. They're calling it the 0:58:18.880,0:58:23.680 child waiver and it stands for something that I  can't remember because those regulations are still 0:58:23.680,0:58:28.480 pending. But each one of those seven waivers here  in the state of Kentucky have their own set of 0:58:28.480,0:58:36.720 rules and regulations and the criteria to qualify  varies from waiver to waiver. And obviously, 0:58:36.720,0:58:41.040 you know, two of those are brain injury waiverss  that computes, right? You have to have a brain 0:58:41.040,0:58:47.280 injury. There's some other criteria, rancho scores  and things like that. Um, but specifically for 0:58:47.280,0:58:54.320 Michelle P and SCL, one of the overarching  requirements for for most of that waiver 0:58:54.320,0:59:03.120 is it has to be a developmental or intellectual  disability IQ below 70. If you're a 71 or a 72, 0:59:03.120,0:59:08.080 often sometimes it depends on the adaptive scores.  So you're going to know whether you qualify for 0:59:08.080,0:59:15.200 Michelle P orCL with a psychological evaluation.  Psychological evaluation is a requirement for the 0:59:15.200,0:59:19.760 application for the waiver. It's when you call  seven counties, it's one of the documents they're 0:59:19.760,0:59:26.800 going to ask you for. So let's say somebody  graduate, your child graduates from school, 0:59:26.800,0:59:31.680 you still don't have the waiver. Maybe you needed  the kick in the pants and you haven't gotten it. 0:59:31.680,0:59:38.400 So, you still haven't applied. You're still not on  the wait list and now they're 25, 30 and needing a 0:59:38.400,0:59:45.120 higher level of assistance. Uh, really important.  Some of this sometime a lot of times the schools 0:59:45.120,0:59:50.080 do testing and evaluations here internally and you  can use some of that documentation. But if you're 0:59:50.080,0:59:55.200 already out of school and the people who used  to teach here or you knew here had connections 0:59:55.200,1:00:02.320 with are now no longer here, it can be a little  difficult getting that old documentation. So, 1:00:02.320,1:00:10.960 um, recordkeeping is your best friend. Oh my  god. And and holding on to that because it h 1:00:10.960,1:00:18.080 you have to be able to prove that the age of  onset was prior to the age of 21. That's just 1:00:18.080,1:00:25.280 went through this and you can actually request an  evaluation through Ozam County Schools and that's 1:00:25.280,1:00:32.080 what I did so that I could bypass psychologists  and weight lists and all that craziness and 1:00:32.080,1:00:40.880 so they took my daughter's IQ score and that's  what made her eligible for the Michelle P. So, 1:00:40.880,1:00:46.320 um, and that is one thing and I'm I'm not sure  we talked about this last time that sometimes the 1:00:46.320,1:00:52.480 schools are hesitant and I there's a reason I know  to put IQ scores and and they'll use a different 1:00:52.480,1:01:00.800 terminology. You need an IQ score and you need  that IQ score before 21 because they may have had 1:01:00.800,1:01:08.080 I mean we've had people with you know I know they  could have had special education their entire time 1:01:08.080,1:01:13.680 in school but it doesn't have an IQ score on their  test then you have no proof that they had the 1:01:13.680,1:01:20.240 disability before the age of 21 with Down syndrome  severely um disabled. It was very obvious, 1:01:20.240,1:01:25.040 you know, talking to mom from birth, blah, blah,  blah. But they didn't go get the test until they 1:01:25.040,1:01:30.400 were over 21. And I'm like, you know, in this  case, I fought it basically because there was no 1:01:30.400,1:01:35.120 brain injury. Nothing happened cognitively. They  were born with Down syndrome, which is, you know, 1:01:35.120,1:01:40.880 this is, so I had to fight it. Um, I will tell you  the IQ score does matter. Terry, my brother's IQ 1:01:40.880,1:01:46.880 is 74. He's not eligible for any services in  Kentucky. Yeah. Um, so that's what they told 1:01:46.880,1:01:56.640 me. That's just the reality of it. they they won't  they don't budge on that IQ of 70. So what I what 1:01:56.640,1:02:03.440 I would encourage is if you do get that IQ score  um that you you make sure and it's 70 that you or 1:02:03.440,1:02:09.280 71 that you ensure that has adaptive scores as  well cuz they will take those adaptive scores 1:02:09.280,1:02:16.640 into consideration if you're right on the line.  Um but they're pretty strict about that 70. So, 1:02:16.640,1:02:21.520 there are a few other resources in the state of  Kentucky. If you're not eligible for a waiver, 1:02:21.520,1:02:26.880 they are harder to get because the pool of money  is smaller, but that the heartup supported living 1:02:26.880,1:02:34.800 grant is an option for one-time occurrence or  ongoing. Um, and then if it is a brain injury, 1:02:34.800,1:02:41.200 there is a state brain injury trust fund that  has dollars available as well. Yeah. And it's 1:02:41.200,1:02:48.320 it's interesting um how they do that. The acquired  brain injury is if the brain injury happens at 21, 1:02:48.320,1:02:54.560 you know, after. But I've had families call and  their child was in a car wreck at 8. That is 1:02:54.560,1:03:01.920 considered an intellectual disability because  it happened prior to 21. Um, so, you know, 1:03:01.920,1:03:06.720 bottom line is it's all chasing the mighty dollar.  I mean, that's what you're doing is you're trying 1:03:06.720,1:03:15.200 to figure out what cards to play in what order  to get the pool of money. you don't really care, 1:03:15.200,1:03:19.440 you know, because I mean a lot of times families  are, I don't want them to be labeled. I don't You 1:03:19.440,1:03:26.640 want money. Okay. So, whatever card you need to  play to get that money, let's let's play it. Um, 1:03:26.640,1:03:33.760 don't feel bad about it. Yeah. The the reality is  is unfortunately we don't live forever, right? And 1:03:33.760,1:03:41.920 we we need to be planning for succession long  after we're gone because we want that. We want 1:03:41.920,1:03:47.040 them to be well taken care of now. We want them  to be well taken care of down the road. Uh the 1:03:47.040,1:03:52.240 biggest difference between your Michelle P waiver  and your SCCL waiver is that Michelle P does not 1:03:52.240,1:03:57.840 contain residential. So if you're thinking at  some that they're never going to be able to live 1:03:57.840,1:04:03.680 independently, then you absolutely want to make  sure you get on your Michelle P andCL weight list. 1:04:03.680,1:04:08.160 Now, years ago, when Gail and I first started  in the field, we had to do paper applications, 1:04:08.160,1:04:13.440 and you had to do separate paper applications for  every single one of these waivers. Now, one of the 1:04:13.440,1:04:19.040 beautiful parts of Connect, that's this terrible  system that's really hard to navigate, is that 1:04:19.040,1:04:26.640 when you apply once, you're applying for anything  you're eligible for. So, if you are eligible for 1:04:26.640,1:04:31.040 the wait list for Michelle P, this very likely  that they're also putting you on the wait list for 1:04:31.040,1:04:37.040 the SCCl waiver at the same time. So, you know,  I mentioned that there are seven 1915 C waivers. 1:04:37.040,1:04:41.040 Every single one of them has a wait list except  for the child waiver. And the child waiver doesn't 1:04:41.040,1:04:48.560 have a wait list yet because it literally is just  now getting started. How do we get on the number 1:04:48.560,1:04:57.600 one? The the child the child waiver is I don't  the name is not very descriptive of the of the 1:04:57.600,1:05:09.840 waiver itself. Um the child waiver, the child has  to be impatient hospitalized in order to qualify. 1:05:09.840,1:05:17.040 So let's go through your folder real quick just to  So on the left side there is this wonderful thing 1:05:17.040,1:05:23.280 from the state of Kentucky and it's probably  been changed since then because at the time 1:05:23.280,1:05:29.760 there was ABI long-term care. Michelle. Yeah.  See, I think there's been some changes already, 1:05:29.760,1:05:35.120 but this just you can see how many waivers there  are. It's it's a little pamphlet that looks like 1:05:35.120,1:05:40.400 this on your left side. Yeah. They're still  trying to update all of their media to contain 1:05:40.400,1:05:48.640 that child waiver. After that is this and it's  got a little card with a crisis line on it. Um, 1:05:48.640,1:05:55.520 this is seven counties. Just so you understand,  this little card is not really for you. This is 1:05:55.520,1:05:59.600 for you to keep in case you ever have somebody  with a mental health emergency. I just think 1:05:59.600,1:06:04.320 it's good. It's a social work thing for you to  have this number um in case you run into somebody 1:06:04.320,1:06:11.840 who's needing immediate mental health. Um somebody  who's um seven counties because they are the CHC 1:06:11.840,1:06:19.200 um for our area. They also receive dollars for the  state for our region's crisis team. So they run 1:06:19.200,1:06:24.720 a crisis stabilization unit. And I've had people  call this though and say, you know, we have this 1:06:24.720,1:06:30.000 individual with an intellectual disability. That's  really not. But these guys do a great job. People 1:06:30.000,1:06:34.880 say they want about seven counties. I've had to  contact the crisis line number to help people and 1:06:34.880,1:06:39.680 they are on it. I mean, they are really, really  good with people in crisis. So, just keep that 1:06:39.680,1:06:44.800 card in case you need it. Then this talks about  what she was saying, which is basically you have 1:06:44.800,1:06:51.440 two choices. You have the paper behind that which  says how to apply for services and it looks a lot 1:06:51.440,1:06:59.840 like Greek to me. But you can do this. Like Mary  said, you can choose to do this. I would not, 1:06:59.840,1:07:05.440 but you know, that's me. Or you can go to seven  counties and have some nice social worker help 1:07:05.440,1:07:11.440 you do this. Technically, any case management  agency in the state of Kentucky can complete an 1:07:11.440,1:07:19.200 application. the case managers are not reimbursed  for their time and doing an application. So, 1:07:19.200,1:07:24.240 if you know or aware of a case manager that out  of the kindness of their heart is willing to help 1:07:24.240,1:07:31.360 you apply, that's also a third possibility. Um,  but Seven Counties is reimbursed for their time 1:07:31.360,1:07:39.440 to do that. I started my career, they used to call  that the seven counties type organizations, MHMR. 1:07:39.440,1:07:44.400 I mean, it had all kinds of names, but anyway, I  started my professional career, I guess, as a case 1:07:44.400,1:07:51.120 manager um in Texas for an authority. They called  it the mental health authority and you know, they 1:07:51.120,1:07:56.960 they do stay on top of all the requirements of the  paperwork and all that. Um the next page is the 1:07:56.960,1:08:03.520 establishing guardianship. We talked about that.  Again, you're going to um ask for guardianship 1:08:03.520,1:08:08.720 in the county that the person lives in, not you.  Parents get that confused a lot. We have people 1:08:08.720,1:08:12.080 who live at the lodge and their parents don't  want to change their guardianship to Odin County 1:08:12.080,1:08:18.000 because mom and dad still live wherever, but  technically it should go where the person lives. 1:08:18.000,1:08:24.480 Uh, one quick thing about standby guardians, just  to make sure you understand, I get this a lot. 1:08:24.480,1:08:29.520 uh mom was the guardian, sister's the standby  guardian, mom passes away, sister doesn't 1:08:29.520,1:08:34.240 notify the court because she thinks, well,  I'm the guardian now. That is not the case. 1:08:34.240,1:08:39.040 The standby guardian does not automatically become  the guardian. They have to go to court. The only 1:08:39.040,1:08:42.320 way that happens is if there's co-guardians, and  that's a whole another thing you really don't want 1:08:42.320,1:08:50.640 to get into um unless you're husband and wife. But  anyway, that's guardianship. Financial help is in 1:08:50.640,1:08:58.640 that stack. And then there's this thing which has  probably been updated, but this has every kind of 1:08:58.640,1:09:04.160 waiver, every kind of everything in the state  of Kentucky. If you're looking for services, it 1:09:04.160,1:09:10.160 should be in here in terms of a number. Now, you  know, the reality is when you start trying to call 1:09:10.160,1:09:16.480 government agencies, the numbers change. And I get  all that. Um, but just keep trying. In the end, 1:09:16.480,1:09:22.560 you're going to find somebody. And the internet  is a wonderful thing. Yes. If you're everybody 1:09:22.560,1:09:29.760 in here, yeah, is younger than me and able to  do that. Um, so I get a lot of calls. You know, 1:09:29.760,1:09:34.880 the difference between what we get is is she's  getting people who are coming in with a waiver. 1:09:34.880,1:09:41.280 I'm getting a lot of crisis. I get a lot of  80-year-old mom just passed. 60-year-old daughter 1:09:41.280,1:09:48.880 doesn't know what to do with 68-year-old brother.  And immediately I'm like, was mom the guardian? 1:09:48.880,1:09:54.320 What does that mean? Okay. So, and you know, do  you have an email? No, I don't have an email. So, 1:09:54.320,1:10:01.040 it's it's a whole different ballgame. Um, so,  and then the frequently asked questions is on 1:10:01.040,1:10:09.920 the right side and it talks a little bit about  what is SCCL, who's eligible. Um, the ICF, okay, 1:10:09.920,1:10:18.400 that's different. That's what I do. The two of us  are ICF. That is facility-based. When I started 1:10:18.400,1:10:24.160 in this business, everyone lived in a facility.  I don't I mean, you could have an IQ of 130 and 1:10:24.160,1:10:28.560 you had a little bit of pause and you lived in a  facility. I mean, that's just how that happened. 1:10:28.560,1:10:34.240 But remember the big expose I told y'all about?  It used to be on Netflix. I don't know. It's still 1:10:34.240,1:10:40.240 It's I just really hesitate to have parents watch  it, but anyway, it's called Willowbrook. It's the 1:10:40.240,1:10:50.480 um Haraldo Rivera um walked in to a facility that  served over 5,000 people, right? And he walked in 1:10:50.480,1:10:57.200 right after they had done a lot of budget cuts.  And this is back before we had streaming and 1:10:57.200,1:11:01.600 whatever. It was just he would worked for this  little bitty network what got picked up by ABC, 1:11:01.600,1:11:07.360 NBC, CBS. You also have to understand, and I know  this is really hard for y'all, but I I always ask 1:11:07.360,1:11:13.280 people, please don't judge because I I worked with  these parents. They were told by their doctors to 1:11:13.280,1:11:18.560 place their children in these facilities  and not come back. And parents are like, 1:11:18.560,1:11:23.200 "How could they do?" It was a different  time. The doctor said it. The doctor said, 1:11:23.200,1:11:27.360 "It's the best thing for the child. These people  know how to take care of them. You don't. It's 1:11:27.360,1:11:31.520 going to be horrible. Every time you come and you  leave, your other children are going to suffer." 1:11:31.520,1:11:37.920 So the parents did it, okay? So they didn't know  what was going on. Well, this Willowbrook expose, 1:11:37.920,1:11:44.240 which you will see if you look it up on YouTube  or wherever, um, hit and got picked up and every 1:11:44.240,1:11:52.960 parent across the nation. So that was in 1973 or  so. I started in the field in 1983. Texas was in 1:11:52.960,1:11:58.240 the middle of the biggest class action lawsuit  you can imagine. My first job in this business was 1:11:58.240,1:12:04.080 in one of these state facilities. No idea. just  wanted to pay for school, you know. Um, so yeah, 1:12:04.080,1:12:07.840 I went in. I was going to work at adolescence  because, you know, I was 18 and thought they 1:12:07.840,1:12:14.160 were misunderstood probably because I was one. But  anyway, um, but yeah, walked in and and I remember 1:12:14.160,1:12:21.760 thinking, "Oh my gosh, if there's anybody who  doesn't have a voice and they didn't." So anyway, 1:12:21.760,1:12:29.040 if you want to look at that. Um, but that is  what and so what happened was all the states, 1:12:29.040,1:12:32.320 federal government, everybody said, "Okay,  we're not doing this anymore. We want all of 1:12:32.320,1:12:38.240 these places closed. Every last one of them. Every  state, y'all figure out a way to do it." In Texas, 1:12:38.240,1:12:44.160 his name was Barefoot Johnson. It was a judge. And  he was on them like I can't even describe to you. 1:12:44.160,1:12:50.400 He wanted every single We had 13 state schools in  Texas. He wanted every single one of them closed. 1:12:50.400,1:12:57.840 They never closed them all. What happened was  initially it was great because I was direct care 1:12:57.840,1:13:01.680 at the time and I worked in one of these group  homes. I mean we had people that were coming 1:13:01.680,1:13:05.840 out of these schools that were teaching me how to  cook. I mean they were like no Gail here. Let me 1:13:05.840,1:13:09.520 show you how to do this. I mean these guys were  extremely capable. Went on to live in their own 1:13:09.520,1:13:14.240 apartments, went on to have jobs and they just  kept getting them out and getting them out. It 1:13:14.240,1:13:21.760 was the greatest thing in the world. And then the  people who were left in the state facilities were 1:13:21.760,1:13:28.480 people who um had hydrophalis with no this is  before shunts. So they had the really large if 1:13:28.480,1:13:34.720 you ever seen anybody like that but um extremely  fragile. They need a nurse with them all the time. 1:13:34.720,1:13:43.440 Um and the state's rate for caring for people  in the community didn't cover a nurse. Like in 1:13:43.440,1:13:48.720 Kentucky, the waiver doesn't cover. Yeah. I I  came from a different state and we closed all 1:13:48.720,1:13:53.680 of ours. So when I moved to Kentucky and they  said we still had some, I went, "What?" Yeah. 1:13:53.680,1:14:02.960 The states that closed all of them adapted to the  needs changing. Kentucky, Texas didn't. So yeah, 1:14:02.960,1:14:08.160 at first you could take somebody who was very  capable and and put them in a group home and 1:14:08.160,1:14:12.320 you could have one staff and 15 people and teach  them and they went off on their own and you had 1:14:12.320,1:14:17.360 a very low rate. But when you start trying to  serve somebody with a TRA or somebody with a 1:14:17.360,1:14:24.240 G tube or somebody with significant seizures, um  you're going to have to have more money. You can't 1:14:24.240,1:14:29.920 have one 18-year-old kid working in there with six  people who are high medical need. And that's where 1:14:29.920,1:14:39.840 the gap is between what we do. I've done both.  Um, until states provide proper funding for the 1:14:39.840,1:14:46.480 community, there will be a need for our kinds of  facilities. Did I say that right? In other words, 1:14:46.480,1:14:53.200 do I think everybody should be able to live in the  community? Yes, I do. Everybody. So the state of 1:14:53.200,1:15:00.560 Kentucky has obviously funding allotta allotted  for all the allocations, but the reimbursement 1:15:00.560,1:15:06.640 rate for service varies depending on what the  service is. Um I provide all of the community 1:15:06.640,1:15:14.880 services that Cedar Lake has. Uh and um each one  has a a like I said a varying reimbursement rate, 1:15:14.880,1:15:20.640 but my my largest expense and the one that costs  us the most to run is our residential program. 1:15:20.640,1:15:27.600 I have 13 properties across Oldm and Jefferson  County. Uh a group home which is at a 1:6 ratio 1:15:27.600,1:15:35.120 and and then a staff residence which is 1:3  ratio. Plus I I run in addition to those 13 um 1:15:35.120,1:15:41.280 a large number of apartments also in both OldM and  Jefferson County. And those are uh in individuals 1:15:41.280,1:15:45.600 who can live independently in their own apartment  with intermittent supports. We're still there. 1:15:45.600,1:15:51.360 We're still going in but we're not there 24 hours.  my group home in the staff residence. I'm there 24 1:15:51.360,1:15:57.840 hours. Well, um, up until two and a half years  ago, we hadn't had a reimbursement increase in 1:15:57.840,1:16:04.400 25 years. Well, I'm sorry. Inflation has gone up  a whole lot faster than that. Not even a cost of 1:16:04.400,1:16:11.360 nothing. Nothing, right? Um, and so we did get a  small increase a few years ago and and that has 1:16:11.360,1:16:18.160 made a difference, but um, it's it's still a cost  is astronomical. And so, you know, I have 13 24/7 1:16:18.160,1:16:24.400 properties. I can't I can't af I can't financially  sustain a nurse or a medical licensed professional 1:16:24.400,1:16:31.520 in all of those. Um so so yes are the residentials  and this is doesn't doesn't matter whether it's 1:16:31.520,1:16:40.640 Cedar Lake or another SCCL provider in the state  um most of us the staff on the front line doing 1:16:40.640,1:16:46.560 that direct care um are non-licensed medical  professionals. We have training that we send them 1:16:46.560,1:16:54.240 through uh but it's non law. So anything that's  going to require a licensed medical provider we 1:16:54.240,1:17:01.920 and that we can't sustain in the community um  ultimately it's the agency's discretion whether 1:17:01.920,1:17:07.200 they're going to continue to try to serve that  person or work towards a higher level of care. 1:17:07.200,1:17:16.160 And often times for many providers uh in the comp  in the state that means nursing home or bringing 1:17:16.160,1:17:23.520 them back home and private paying in some way um  to meet the needs of that person. Uh the reality 1:17:23.520,1:17:31.120 is as time passes uh we are aging in place much  longer which is a fantastic thing. People are 1:17:31.120,1:17:36.080 living longer. They're we're we're healthier.  But it also means we have a longer duration that 1:17:36.080,1:17:44.160 we're providing a level of support and things  like people with dementia or other different 1:17:44.160,1:17:50.080 types of needs that onset it it gets increasingly  harder to meet where meet them where they're at. 1:17:50.080,1:17:58.960 Um we do have um the nice part of having the ICF  within the Cedar Lake family and so a lot of times 1:17:58.960,1:18:04.320 uh that's very helpful for us to have as a as an  option for our community people. It doesn't always 1:18:04.320,1:18:10.960 work that way but about like um the families we've  been seeing on the news that's had to move out of 1:18:10.960,1:18:17.040 state with their children. Is there no facilities  in Kentucky that would take no autistic kids 1:18:17.040,1:18:25.120 that those those um I've met with one of those  families? Um we've been involved in that case and 1:18:25.120,1:18:33.840 um that young man I mean some of these these  guys the autism is so um severe in the behaviors 1:18:33.840,1:18:39.440 and their understanding of what they're doing to  themselves and in this case it's it's a lot of um 1:18:39.440,1:18:45.840 self-injury. Um, you get somebody who's extremely  self-injurous, who refuses to wear a helmet, 1:18:45.840,1:18:53.680 who will bust their head to bleeding immediately  within that long. That is so there's just not 1:18:53.680,1:19:01.280 um, you know, you've got a choice. And none of the  ICFs in Kentucky that I'm aware of take children. 1:19:01.280,1:19:11.040 Oh, I'm sorry. Um, the kid one does. Um, Harbor  is nice. Yeah, they're way home of the innocence 1:19:11.040,1:19:14.320 does. Sorry. Home of the Sorry, I wasn't sure  where you were going with that. Home of the 1:19:14.320,1:19:21.200 Innocence serves kids, but that's it. All the rest  of um you know, Oakwood, Hazlewood, us all adults 1:19:21.200,1:19:28.320 only. So, um and when you have that level of  behaviors, you're going to need a facility because 1:19:28.320,1:19:33.440 again, if you come to her and say, "So, this is  what my son does. So, if he gets really upset, 1:19:33.440,1:19:39.120 he's going to need two or three people to hold  him." she's going to be like, "Yeah, I can't I can 1:19:39.120,1:19:46.800 only do I I mean there within the FCL waiver and  the waiver only there's a it's called exceptional 1:19:46.800,1:19:54.320 supports and they will enha it's enhanced funding.  Uh it could also be used for enhanced units 1:19:54.320,1:20:01.200 because there's some unit limits on things they  can utilize. Uh but it depends on the manpower. 1:20:01.200,1:20:08.320 Yeah. and the availability of it. And if we just  putting things into perspective, this I'm being 1:20:08.320,1:20:13.120 so that's terrible. I'm I feel like I'm painting  a negative picture here, but like if you think 1:20:13.120,1:20:18.720 about the fact that uh we haven't had we hadn't  had a rate increase in 25 years, that's a direct 1:20:18.720,1:20:23.280 impact on what I'm able to pay my employees.  And if you know what anything about what the 1:20:23.280,1:20:28.480 market's like for jobs right now, um you know,  we want good people taking care of our folks, 1:20:28.480,1:20:34.320 right? And if we want good quality care, then we  need to be able to pay them quality dollars. And 1:20:34.320,1:20:41.680 um so there that's a that manpower is a struggle.  Yeah, for sure. Which brings us back to families 1:20:41.680,1:20:47.280 getting together and talking to the people who  are allocating those dollars. You know, do they 1:20:47.280,1:20:52.080 really understand? Because I think a lot of times,  at least I like to think that people really are 1:20:52.080,1:20:56.240 trying their best to make the best decisions  they can with the information they're given. 1:20:56.240,1:21:01.040 So I often wonder if some of the guys who are  doing that allocation just don't have the right 1:21:01.040,1:21:08.960 information. You know, they don't realize that my  son who has this level of need can't be served in 1:21:08.960,1:21:14.800 the community and so I have to send him to  Oklahoma, you know, and then what hap that 1:21:14.800,1:21:23.840 school in Oklahoma, you realize they graduate out  at 21. So at 21 that kid's back to Kentucky for 1:21:23.840,1:21:31.120 whatever's out there. Um she was talking about the  I know it's getting long. She's like I'm done. Um 1:21:31.120,1:21:37.120 the um the continuum of need is something that  is rare to Cedar Lake and it's something that I 1:21:37.120,1:21:43.360 like which is one of the reasons that it's where  I'll retire. Um because having worked both sides, 1:21:43.360,1:21:51.360 the cool thing about it is um if you say my  brother's IQ was 69 and he was able to live in an 1:21:51.360,1:21:55.920 apartment and they went over every you know day or  probably not even that often, probably once a week 1:21:55.920,1:22:00.160 and just checked things or whatever. Just depends  on the frequency the person needs. Yeah. And then 1:22:00.160,1:22:05.120 he developed, I don't know, diabetes and he had to  have somebody helping him with his meds every day. 1:22:05.120,1:22:10.800 Okay. So then he might get a little more. Well,  then let's say he, and this would be a real thing 1:22:10.800,1:22:15.760 with him, he didn't exactly eat like he needed  to to follow his diabetic plan. So, they said, 1:22:15.760,1:22:19.120 you know, you probably need to come over here in  one of the group homes or something so we could be 1:22:19.120,1:22:25.680 with you 24/7 because the rating in the cabinet is  not working for you. So, let's say that, you know, 1:22:25.680,1:22:35.120 he stays there for a good while, but then at um  60 he starts developing uh dementia or let's say 1:22:35.120,1:22:40.960 something physical happens and he's not a big guy,  but pretend he is, and he needs two or three staff 1:22:40.960,1:22:48.000 to transfer him. They're not going to be able to  continue to support him. Okay? So the cool thing 1:22:48.000,1:22:53.920 is he can come to us in one of the ICs but still  stay in the Cedar Lake family. He's still part 1:22:53.920,1:23:00.000 of it. He doesn't have to go to the nursing home  as opposed to people who don't have that cycle or 1:23:00.000,1:23:09.760 that array of services because the waiting list  for our ICF is minimum 5 to seven years and most 1:23:09.760,1:23:15.440 of the calls we get as you can imagine because of  the level of need are usually emergent. you know, 1:23:15.440,1:23:19.680 it's somebody from a hospital or it's it's  anCCL provider saying, "We can't support 1:23:19.680,1:23:26.400 this person anymore." Well, I've got nothing  today. Um, so that's very helpful for us, 1:23:26.400,1:23:31.760 but it's not something that the rest of the state  has. So, see, like, shameless plug here. We've 1:23:31.760,1:23:38.880 been in in the area for 51 years and we have folks  that um we are still with us that have have been 1:23:38.880,1:23:45.040 with us for 51 years and several of them have  lived across every scenario that we just have 1:23:45.040,1:23:52.800 described today. Um and so um it's actually Jeff  that um I I quote often when I when I talk about 1:23:52.800,1:23:59.520 he's sorry he's their director. Um but uh he uh he  says once you're part of that Cedar Lake family, 1:23:59.520,1:24:05.360 you're a part of that Cedar Lake family. Uh when  the ICF first opened, we my part of the company 1:24:05.360,1:24:10.560 didn't exist. So then once when my part opened,  they had some folks that were appropriate for our 1:24:10.560,1:24:15.840 program. Um and then we've we've served them until  we just can't serve them anymore. And so they're 1:24:15.840,1:24:22.320 transitioning back to the locks. Actually, um the  two of us are working on a on a move tomorrow. uh 1:24:22.320,1:24:28.080 and and and we've serve we've served her for close  to 20 years. She started out in an apartment. She 1:24:28.080,1:24:33.920 moved to staff residence um and then tomorrow  is moving into the ICF because of her decline 1:24:33.920,1:24:39.520 fall. She's just a lot of continued decline and  needing that extra support. And so um and we have 1:24:39.520,1:24:43.840 folks who you know they might have lived together  or not not necessarily lived together but lived 1:24:43.840,1:24:52.000 in staff residences. Um we we generally keep male  and female separate houses but they dated and now 1:24:52.000,1:24:57.120 one of them lives in the ICF location but the  other still at the residence and we still make 1:24:57.120,1:25:02.480 sure they get to go on dates and see each other  and visit and and that continuum of care um is 1:25:02.480,1:25:06.960 is something that uh I think we should be proud  of. So I just want to take a minute to brag about 1:25:06.960,1:25:13.440 it. And it goes all the way through. Um there are  other providers that at the time that somebody's 1:25:13.440,1:25:17.520 health declines to the point that they're needing  hospice, they would take them to a hospice 1:25:17.520,1:25:23.760 um or take them to a nursing home. Um they we do  hospice in house. They do hospice right in their 1:25:23.760,1:25:30.880 own room in their bed. Um so when we say it's  the circle of life, that last chapter is on we 1:25:30.880,1:25:35.760 want them home. And we would do the same uh in our  community setting too as long as it was something 1:25:35.760,1:25:41.760 that we could feasibly do with a 1:3 ratio. So,  let's go through Medicaid. Try care. Evidently, 1:25:41.760,1:25:47.280 that's a bad connect thing. Whoever asked  about that one. Um, I'm not any help on that, 1:25:47.280,1:25:53.920 but she said it was bad. So, and to keep trying,  I think. Um, how to apply for the Michelle P seven 1:25:53.920,1:25:59.680 counties or the sheet that takes you through  the the the website if you're really I mean, 1:25:59.680,1:26:07.840 because maybe you're good at that stuff. Yeah. Um,  how what to apply for all of it. Yeah. I was going 1:26:07.840,1:26:12.960 to say just apply for everything and keep them  tell you. Yeah. And if you go to seven counties, 1:26:12.960,1:26:18.160 this is going to be easier because they're  going to be able to tell you um what they need. 1:26:18.160,1:26:26.560 Remember, we need a diagnosis prior to 21. Okay.  You need that IQ score if you can get it. And I 1:26:26.560,1:26:30.560 is there the schools don't like to give that for  some reason. Is it just because they don't usually 1:26:30.560,1:26:36.000 have a psychologist doing the test? Oh, do you do  it now? They don't always do the cognitive every 1:26:36.000,1:26:42.320 single time because once you get to a certain age  it may not change. So that might be but no we'll 1:26:42.320,1:26:48.960 do it. If a parent requests the cognitive we'll  do it. All right. So request it and keep it. Yes. 1:26:48.960,1:27:00.080 Score. Is that um the bell curve is that the score  reflect um like the score increased with age or is 1:27:00.080,1:27:05.280 not typically. Now what she was saying though is  it may while they're school yet there may be some 1:27:05.280,1:27:13.120 differences while they're still in school but you  know the third grader oh that may change the other 1:27:13.120,1:27:17.840 thing that I will tell you is that once the child  turns 18 that goes to the adult well maybe it's 1:27:17.840,1:27:24.640 not even 18 is it 16 when they start using the  adult yes 16 so that's going to be a different 1:27:24.640,1:27:28.880 they're going to score it different a different  scoring process and a different thing so there's 1:27:28.880,1:27:35.360 the adult version the children's version So okay  that is so when I was the ARC chair I um always 1:27:35.360,1:27:39.840 wanted to make sure if they were 16 that when we  were doing rehab before they graduated I wanted 1:27:39.840,1:27:44.800 to make sure that we were doing we included the  cognitive and then we'll reabal with the cognitive 1:27:44.800,1:27:49.200 but the adult version of it. Yeah I apologize you  don't need to if they're third grade but don't let 1:27:49.200,1:27:55.840 them get 21 without getting it. That's correct.  Yeah. Yeah. So sometimes too uh what they'll do 1:27:55.840,1:28:03.680 is they'll accept your application with a eval  for the weight list, but then let's say they're 1:28:03.680,1:28:11.120 16 when you get them on the wait list, but now  they're 26 and they're getting their allocation. 1:28:11.120,1:28:18.240 Uh because of that 10-year gap, they will say that  is too old and you need to retest. So they they 1:28:18.240,1:28:23.520 accepted your first one, but then want a second  one. And so just kind of keeping that in mind if 1:28:23.520,1:28:28.480 it if it does become they'll call it that one's  too old is what they'll say and they'll I would 1:28:28.480,1:28:34.080 get an adult one if that makes sense. Somewhere  18 19 I would try to get a IQ score. So you need 1:28:34.080,1:28:39.600 to have that keep that. Yeah. So what I'm saying  is even though you have that and you and they may 1:28:39.600,1:28:44.880 but if you have that and you get another testing  it won't be like what I was saying earlier where 1:28:44.880,1:28:49.440 the new test shows intellectual disability but you  don't have one prior. If the new test still shows 1:28:49.440,1:28:54.960 it it's fine. Yeah. So, keep your test scores.  Um, I have families come in and they bring like 1:28:54.960,1:29:00.960 a box. I'm like, "Okay, so I don't need all the  pretty artwork. I appreciate it, but you know, 1:29:00.960,1:29:06.800 that's not something you necessarily have to  keep." But your annual reports that have your OT, 1:29:06.800,1:29:16.000 PT, speech, all that testing stuff, okay, that is  crucial. Medical, you need to keep your medical, 1:29:16.000,1:29:21.680 especially if they've had any surgeries. Okay,  just think in terms of you're trying to draw a 1:29:21.680,1:29:28.880 picture of your child's needs to somebody. What  would you want them to know? Okay, so you should 1:29:28.880,1:29:34.960 be getting when if your child is regular diploma  and graduating after four years of high school 1:29:34.960,1:29:42.000 as a senior, you should be getting from your art  chair a transition packet. What do we officially 1:29:42.000,1:29:49.200 call summary of performance that should have  the latest IEP? It should have the latest um 1:29:49.200,1:29:55.840 evaluation on there. Um we they may include some  other things, but those things should be given to 1:29:55.840,1:30:03.840 you or your child when they graduate. Now, I know  how that goes. As a former archer, like I said, 1:30:03.840,1:30:09.760 that didn't always make it home. And I know  that they also can request, we keep everything 1:30:09.760,1:30:14.960 on file. You can come back and request for any  of that information from us after graduation. 1:30:14.960,1:30:21.120 The trick is it has to be your child requesting  it if you don't have guardianship. Okay? So, 1:30:21.120,1:30:25.600 I will sometimes have parents call me and say,  "Hey, I need so and so a copy of this and this." 1:30:25.600,1:30:30.640 I'm like, "Great. Hope they're doing well.  They need to email me." And I said, "You know, 1:30:30.640,1:30:36.720 they could always email me from your email and  say, "Hey, I'm using my mom's email to email 1:30:36.720,1:30:44.000 you. Read into that as you. I don't really care.  As long as it comes from the child, that's great. 1:30:44.000,1:30:49.920 if they go into YATP is saying the same thing  when they leave YATP at the age of 21 they 1:30:49.920,1:30:54.640 should be walking out of there with a summary of  performance as well and so that is just it's just 1:30:54.640,1:31:00.560 given to them at a different time so when anytime  you leave you know or you leave county schools you 1:31:00.560,1:31:07.440 you ask for that and we have access to it so it's  not hard for us to get it now physical copies we 1:31:07.440,1:31:13.360 destroy after five years is that right three years  sorry we do destroy those after three years once 1:31:13.360,1:31:18.160 they believe. But so that's going to be all of the  files that we have with all the physical files, 1:31:18.160,1:31:22.160 the physical files, but we have everything  online. So at this point, if you have a younger 1:31:22.160,1:31:26.560 student and you don't have everything from the  beginning, you can always request those, too, 1:31:26.560,1:31:32.400 to kind of create your binder starting now. Yeah,  you guys are in great shape. I mean, you know, 1:31:32.400,1:31:36.960 the families I have, they're like, well, they  went to so and so school back in 70. And I'm like, 1:31:36.960,1:31:42.720 can you call that school? We find those,  too. Don't worry. Yeah, I can call them, but 1:31:43.680,1:31:48.080 So, keep that. When you apply for guardianship,  one of the things that's going to happen is 1:31:48.080,1:31:53.120 they're going to have three professionals um  evaluate the person. A psychologist, a social 1:31:53.120,1:31:59.600 worker, and I believe a physician. Is that right?  Um keep those reports because that's helpful. 1:31:59.600,1:32:05.120 Uh keep keep your guardianship information.  Everything that comes from the court, I would 1:32:05.120,1:32:11.200 keep that in a separate court thing. Okay? Same  thing with social security. I keep all the social 1:32:11.200,1:32:15.600 security stuff separate. Now, that's just how I  do it. I have social security, I have housing, 1:32:15.600,1:32:21.920 I have, you know, the different types of things.  Um, but medical records, um, any surgeries, 1:32:21.920,1:32:27.840 if it is an acquired brain injury, please make  sure and keep all those neurological things, ranch 1:32:27.840,1:32:34.960 scores. Yeah. For brain injuries. So that they can  see how that changed. If your child has seizures, 1:32:34.960,1:32:40.880 it's really, really, really helpful. seizures or  if they've had um a long history of mental illness 1:32:40.880,1:32:46.720 with some mental health medications, if you could  keep a running go of the medications that they've 1:32:46.720,1:32:54.400 taken and the dosage and what happened, and I know  that seems like a lot, but 20 years down the road, 1:32:54.400,1:32:58.160 if something happens and they want to start  messing with the med and you say, "Oh, no, no, no, 1:32:58.160,1:33:04.960 no. We took that one and this is what happened."  Okay? So, keep those. Not for I'm not talking 1:33:04.960,1:33:11.200 about antibiotics and but for those two I've seen  it be really important. Yeah. The gentleman I'm a 1:33:11.200,1:33:16.880 guardian for just as an example. He is prescribed  lithium which is an old drug that they don't 1:33:16.880,1:33:22.240 really like to prescribe anymore. And and so there  have been several times that they've said well 1:33:22.240,1:33:29.840 let's try to wean him off. We I was naive when I  first took over a guardianship several moons ago 1:33:29.840,1:33:35.040 and was like uh cuz I they were explaining to me  like they're going to stop manufacturing this and 1:33:35.040,1:33:40.640 we're going to have a problem when you can't get  a hold of it. And uh and we both times that we 1:33:40.640,1:33:46.000 tried uh we ended back up in in the hospital. Uh  and so we were like, "Nope, don't mess with that 1:33:46.000,1:33:52.320 cocktail mix. It's working." Um, but I, you know,  we had to have, I switched residential providers 1:33:52.320,1:33:58.400 and if that residential provider wasn't on the  team back when all of that happened 20 years ago, 1:33:58.400,1:34:03.680 then they don't know it. And and so, um, that's  where that that kind of thing can be helpful. 1:34:03.680,1:34:08.160 Yeah. A lot of dirty drugs, they'll say, "Let's  try something new." But if you've got, okay, 1:34:08.160,1:34:13.040 we've done that four times, so we're good.  Yes. Um, I was just going to suggest with the 1:34:13.040,1:34:19.040 guardianship paperworks because I'm dealing with  this now is that um, like when I asked the judge, 1:34:19.040,1:34:23.920 do I have to carry this around with me everywhere  I go to prove, you know, in case we end up in 1:34:23.920,1:34:28.000 the hospital or in case, you know, for whatever  reason I have to carry this paperwork around. And 1:34:28.000,1:34:34.480 she kind of blew it off like, oh no, as if they'll  believe me. Um, they won't. But I do. Um, but what 1:34:34.480,1:34:40.400 someone suggested to me was to scan it and have  it on your phone and then you can access it. Now, 1:34:40.400,1:34:45.040 that still makes me a little nervous because if  somebody's looking at your phone, it's harder to 1:34:45.040,1:34:51.600 read than if the paper's in front of you. Um,  my concern is, and just an FYI, that because I 1:34:51.600,1:34:58.720 know I've brought this up in other meetings, is my  daughter is capable of being with her friends and 1:34:58.720,1:35:08.240 away from me and her ID does not say that she is  not her own guardian. So I have been like reaching 1:35:08.240,1:35:16.720 out to legislation to say put something on the  ID on the state ID that says she is not her own 1:35:16.720,1:35:23.120 legal guardian so that and I've talked to police  officers like look you pull her over you know 1:35:23.120,1:35:30.080 what she's going to jail like but you can't you  know and um so I'm still trying to advocate for 1:35:30.080,1:35:34.880 something that says that. So, at this not that  I want your daughter to go to jail, but she can 1:35:34.880,1:35:39.360 still go to jail even though you have a guardian.  Yeah. Well, but I mean, if they don't understand 1:35:39.360,1:35:43.600 her, they're going to think she's drunk. This is  my point. Like, go to jail for the wrong reason. 1:35:43.600,1:35:48.880 Or she would. She's such a people pleaser that  she might just agree to whatever they're saying. 1:35:48.880,1:35:57.600 Did you do this? Yes. Understand? Because of those  breakdowns in our systems, I always re I recommend 1:35:57.600,1:36:03.440 a medical bracelet now. And medical bracelets  are like they're they're trendy now. They're not 1:36:03.440,1:36:08.400 necessarily your traditional medical bracelet.  Well, and I do have that for her, but like you 1:36:08.400,1:36:11.760 go to the tattoo person, they're not looking for  a medical bracelet. They're just looking at your 1:36:11.760,1:36:20.240 ID. Oh, yep. You're 18. Okay, here you go. Where  do you want it? On your cheek. Sure. You know, but 1:36:20.240,1:36:22.400 she carry it in her purse or wallet. Well, 1:36:22.400,1:36:28.080 she carries her ID. Would you  like fold it up? The paperwork? 1:36:33.520,1:36:37.920 So, as far as medical though, you can ask  them to scan that and put it in my chart, 1:36:37.920,1:36:43.920 right? Yes. For Norton um what is it? There's  one that does Norton Epic. Thank you. Um that 1:36:43.920,1:36:48.000 does the But that would help with medical.  As far as law enforcement, it's different, 1:36:48.000,1:36:55.200 right? But what I've decided to do is you can  order IDs like on any page and then have that 1:36:55.200,1:37:04.160 with her regular ID. So if she is showing some her  ID, it's attached so that it at least gets their 1:37:04.160,1:37:10.400 attention even though it's not a legal document.  Um but anyway, that's my little soap box. Well, 1:37:10.400,1:37:15.040 and it is different challenges when somebody  is able to go out with their friends. I mean, 1:37:15.040,1:37:20.640 I've experienced a lot of those challenges with my  brother as far as you know, I've got a girlfriend, 1:37:20.640,1:37:24.640 she's from Texas, and I'm like, "How did you meet  her on Facebook?" and I'm just and you know and I 1:37:24.640,1:37:32.160 need more of my allowance money so that I can send  it to her and it can get really you know it it's a 1:37:32.160,1:37:36.480 whole different there's problems with these folks  that these needs and then there's problems with 1:37:36.480,1:37:44.000 these folks so it's just part of it but yeah you  can get the u the guardianship in Epic um one of 1:37:44.000,1:37:50.960 the things that I've done with the hospitals uh  for the location he goes to through Norton's and 1:37:50.960,1:37:57.840 I had I've worked with Norton and Norton's allowed  to set up so that they have to get verbal consent. 1:37:57.840,1:38:03.680 And so any like he could walk in to Norton and  be there by himself and they've got to call me 1:38:03.680,1:38:08.240 and then I'm like, "What are you doing? What are  you doing there?" Oh, obviously that doesn't stop 1:38:08.240,1:38:15.520 a tattoo. But Exactly. Cuz when you said that,  I thought, "Yeah, I can see him doing that." 1:38:15.520,1:38:25.040 Pretty girl said, "Yep, he'd have a big tattoo  on his cheek." And I'd be like, So, um, but those 1:38:25.040,1:38:30.320 are the kinds of things that you need. Just don't  get rid of stuff. You know, get you a a fireproof 1:38:30.320,1:38:39.440 box that has some, um, birth certificate.  This is the 21st century. They can scan it. 1:38:39.440,1:38:47.920 I have a fireproof box. Can you tell? That's so  true. You can scan it. Save it to a hard drive. 1:38:49.200,1:38:56.960 They're going to force me into retirement.  Oh, because of this. Okay, so scan it. But 1:38:56.960,1:39:04.240 that kind of stuff is what you need. Um,  that's so sad. First certificates. Um, 1:39:04.240,1:39:08.960 now the whole uh proof of citizenship is a big  deal. So, let's make sure that you have whatever 1:39:08.960,1:39:14.640 you need for that. Copy your social security  card. Um, which that's a whole another thing. 1:39:14.640,1:39:20.320 um coordinating with um OVR and waiver. OVR and  waiver. OVR, that's what I was talking about when 1:39:20.320,1:39:25.840 I said there are some state resources that aren't  part of the waiver, but that work with the waiver 1:39:25.840,1:39:33.360 and can be very very very helpful um with jobs and  things like that. I haven't worked a lot with them 1:39:33.360,1:39:43.840 in in Kentucky, but I used to work with them a  ton in Texas. So um uh the OBR program has to uh 1:39:43.840,1:39:50.880 funding has to be exhausted before waiver funding  for job placement and discovery can take place. Uh 1:39:50.880,1:39:57.840 you're in great hands here in Olden County.  They have a great um vocational program. Uh 1:39:57.840,1:40:07.440 not everybody is that fortunate. Um and so um if  your person is interested in in vocation, I highly 1:40:07.440,1:40:14.320 encourage you to take advantage of the resources  here within the school system. Uh if you know they 1:40:14.320,1:40:21.360 have job placement after high school uh and they  sustain that but eventually want a second job or 1:40:21.360,1:40:28.240 a different job or more hours, then the call does  go to the office for vocational rehabilitation. 1:40:28.240,1:40:34.800 And uh if at that time you have a waiver, the case  manager can definitely assist with contacting OVR, 1:40:34.800,1:40:40.560 but also they can call themselves. If you're  the guardian, you can call on their behalf. 1:40:40.560,1:40:46.960 Um but they have to be part of the process. You  can't do it for them. By the time OVR picks up, 1:40:46.960,1:40:52.800 they are required to be a participating member  because it's their job and their job placement. 1:40:52.800,1:40:59.440 Um, and you would go to the OVR office or place  the call to the OVR office to get an appointment. 1:40:59.440,1:41:06.800 Highly encourage you have an appointment. Don't  show up. You won't get help. And then so um you 1:41:06.800,1:41:13.280 should start getting paper to work for that right  now because of um all the barriers maybe with 1:41:13.280,1:41:19.680 OVR having some issues as far as being closed to  work with with people that are looking for jobs. 1:41:19.680,1:41:24.000 they are really encouraging you to start applying  like your sophomore and junior year for it because 1:41:24.000,1:41:28.080 that gets you on the list and what they can start  doing is working with your students to remove 1:41:28.080,1:41:33.040 barriers. So let's say for example um they have  helped students get their license because that 1:41:33.040,1:41:37.600 has been a barrier for them. They want them  to drive um if there are we do pre-employment 1:41:37.600,1:41:41.600 transition services which is called preex  and so that is at all the high schools 1:41:41.600,1:41:47.600 um they can start participating in those kind of  activities and get that help prior to graduation. 1:41:47.600,1:41:52.000 um they do come if your student is in a highly  structured classroom in any of our high schools 1:41:52.000,1:41:56.240 or if they're the young adult transition program,  they do come in once a week and do pre-employment 1:41:56.240,1:42:00.480 transition with them as well. So, we've got a  representative that comes in and works with the 1:42:00.480,1:42:06.640 classes and and teaches classes. So, um they they  want to do everything they possibly can to remove 1:42:06.640,1:42:13.360 the barriers prior to them graduating and getting  on and and getting on as an official client. So, 1:42:13.360,1:42:23.840 yeah. So uh once the OVR dollars are exhausted  for your person then uh that funding is exhausted. 1:42:23.840,1:42:29.600 It's important uh that you get documentation  that the funding source is exhausted. OVR's 1:42:29.600,1:42:35.600 system of maintaining that documentation of  exhausted dollars is not fantastic. Uh so 1:42:35.600,1:42:40.560 if you can help them out, it's going to work in  your favor, cause a few less headaches. Um they 1:42:40.560,1:42:46.000 don't usually just offer that up. That's not a  letter that you're going to get in the mail. So, 1:42:46.000,1:42:51.360 if they are involved in conversations and  the conversations are, okay, well, you know, 1:42:51.360,1:42:56.080 we're done now because we've completed all of  the funding that we have available, you need 1:42:56.080,1:43:01.520 to ask them to get that in writing. Um, and then  if you have a waiver, waiver can pick up at the 1:43:01.520,1:43:08.560 time that those dollars are exhausted. Uh job  support is available in both the Michelle P and 1:43:08.560,1:43:15.360 the SCL waiver and there's a step-by-step process  depending on, you know, are we in job discovery 1:43:15.360,1:43:21.920 phase and helping figure out what type of job we  want or um they've got a job, they've sustained 1:43:21.920,1:43:27.920 their job and just need regular check-ins, which  is a a supported employment long-term support 1:43:27.920,1:43:35.840 plan. and and the the waiver does pick up uh in  those areas and job makes a big difference. Um, 1:43:35.840,1:43:42.000 my mother had my brother very isolated and and  didn't and when I got involved, one of the things 1:43:42.000,1:43:46.560 I did, I said, "You need to work." I mean, he  was 19 years old. I was like, "Let's go." And 1:43:46.560,1:43:52.240 he right now he's not able to work anymore. He had  some health issues developed. But, um, he is very 1:43:52.240,1:43:58.000 proud of the fact he'll tell people, "I'm not on  SSI. I'm on social security because I made money." 1:43:58.000,1:44:03.040 And that is a very big deal to him. He earned his  own social security. He that social security comes 1:44:03.040,1:44:08.240 from him, not from our parents. He's got Medicare  and he earned it. He's retired is what he will let 1:44:08.240,1:44:13.760 you know. Um, so well, if you think about yourself  too, you you get some meaning in your own life 1:44:13.760,1:44:21.600 from your employment, right? And it it they're  just like us. There's um a couple of places I 1:44:21.600,1:44:27.920 don't know if anybody else is at this point. Um  but if you get um frustrated with OVR but like 1:44:27.920,1:44:34.800 I mean you can do stuff at school which they that  is not the issue but if there's outside of school 1:44:34.800,1:44:40.480 things that you are frustrated with there's places  like Edge Employment and Zoom Group that also do 1:44:40.480,1:44:47.120 the same sort of services that you do not have  to pay for that they can um yeah so that both of 1:44:47.120,1:44:54.640 those places have grants from the um Commonwealth  Council on Disability and they are currently using 1:44:54.640,1:44:59.520 those that those grant dollars to assist with and  that and also with the pre-employment transition 1:44:59.520,1:45:04.800 that we can offer even if um they are coming into  the schools and working with your student as long 1:45:04.800,1:45:09.120 as they've been approved um through the system  and they are working with whoever our outside 1:45:09.120,1:45:13.920 providers are that actually come in they can also  work with them outside the school day as well. So 1:45:13.920,1:45:18.480 um we work with everybody counts we've worked  with a couple of other places but um over the 1:45:18.480,1:45:22.560 summer they can also do things with your students  as well. So that has to start. You have to be 14 1:45:22.560,1:45:27.600 though before we can apply for pre-employment  transitions services. So know that too. So I 1:45:27.600,1:45:33.760 have two daughters at South Bodm. Yes. And I want  to make sure that because I don't think they're 1:45:33.760,1:45:39.280 involved in any of this and I would let them know.  I filled out the paperwork, right? Yes. Okay. I 1:45:39.280,1:45:43.920 know. Yes. I know who your daughters are. Okay. I  think one might be and I don't know what the other 1:45:43.920,1:45:48.240 one is. I think there's only one that I've got on  my list. Okay. I just want to make sure they're 1:45:48.240,1:45:56.160 both there. Yes. So, let me check. Um, okay. I'll  look because I know who your daughters are. Yes, 1:45:56.160,1:46:02.240 I got you. And so, but I'm pretty sure I just said  one and not the other. Okay. Yeah. Um, I don't 1:46:02.240,1:46:07.840 remember who had the OVR question. Did we answer  that? Okay. And we talked about the college. 1:46:07.840,1:46:11.360 Depends on where they want to go and if they get  accepted. I mean, that's no different than really 1:46:11.360,1:46:16.480 anybody else, except for the fact that with ADA,  um there are some accommodations that the colleges 1:46:16.480,1:46:22.720 are required to provide um to help them succeed  in college. Um the annual social security report, 1:46:22.720,1:46:28.160 keep it consistent. Look at what you did last  year. I'm not saying lie, but don't, you know, 1:46:28.160,1:46:32.640 um guardianship and the guardianship report.  Again, that depends on the on the state and 1:46:32.640,1:46:41.600 where or on the um county and where you are.  Um, one thing, so on the the family group that's 1:46:41.600,1:46:49.040 happening, family cares is OC Cares. OC Cares, we  have you guys all signed in back here. Is there 1:46:49.040,1:46:54.480 we would were talking about Jessica was talking  about sharing your contact information with this 1:46:54.480,1:46:58.640 wonderful woman who has set all this up so that  she can let you know about these meetings. Is 1:46:58.640,1:47:02.880 there anybody that does not want their information  shared with her? They might not want to announce 1:47:02.880,1:47:08.480 that to the group. That's that was my concern.  You don't know how to do that. If you don't want 1:47:08.480,1:47:13.600 on the list, sir, come and let us know. If you  don't want if when you walk out, if you could put 1:47:13.600,1:47:19.040 a star by your name, meaning you do not want us to  share your information. I would highly encourage 1:47:19.040,1:47:25.120 you not to do that though because it's a wonderful  group. So, and then and you'll get emails from me. 1:47:25.120,1:47:31.280 It's not very often. Yes. And eventually maybe  we'll get, you know, Facebook, whatever. Oh, 1:47:31.280,1:47:37.360 we're not on Facebook. We're not we're not that  worry. Um, so yes, please, as you're walking out, 1:47:37.360,1:47:43.680 put a star by your name if you do not want us  to share your contact information. Does anybody 1:47:43.680,1:47:50.160 else have something questions about anything that  we didn't cover? If there are no other questions, 1:47:50.160,1:47:53.520 I just want to take two seconds of your time  because I know I want to get you guys out of here. 1:47:53.520,1:47:59.280 Um, we are going to stand over here. Wait, wait.  Yeah, let me watch this. I'm not really excited 1:47:59.280,1:48:05.120 about it, but I'll be there. Hi. Um, I said we  should have just kept it up here because it's 1:48:05.120,1:48:09.520 sitting there. So, our next parent workshop  is on February 10th, and it will be here. 1:48:09.520,1:48:14.480 We're actually going to be in the other room.  Um, fishing will be over here that day. But, 1:48:14.480,1:48:20.960 we are having a family resource fair and we have  been working really hard and inviting lots of 1:48:20.960,1:48:25.440 resources in our community. And right now we're up  to 25 different vendors that are coming. They are 1:48:25.440,1:48:29.680 covering lots of different opportunities.  Um we're looking at therapy resources, 1:48:29.680,1:48:35.360 post-secondary opportunities, recreational  advocacy, financial transition, summer camps, 1:48:35.360,1:48:41.600 and a lot more. Um so we have been Oh, look,  it's coming over here now. Okay. Uh it is here 1:48:41.600,1:48:48.240 I am. Um and so we're hoping that that's going to  grow. I will advertise who's coming officially. We 1:48:48.240,1:48:54.480 are waiting until we get more. Um we think 25 is  great. We're super pumped about 25, but um we want 1:48:54.480,1:48:59.120 to make sure that you know everybody that will  be there. So um that is this flyer with just that 1:48:59.120,1:49:03.680 date information on it and just be watching your  email for the full one to come out that has all 1:49:03.680,1:49:09.520 of the vendors that will be participating in that.  So but that's February the 10th here from 6:00 to 1:49:09.520,1:49:18.880 10:00. Okay. Or 6:00 to 10. Oh gosh. No. 6 to 8.  Goodness gracious. No. No. 6 to 8. Sorry. I know. 1:49:18.880,1:49:23.520 Lordy, you are going to be here all night long.  Yeah. No. Yeah. Sorry. I get it. I won't either. 1:49:23.520,1:49:29.360 I'll be home. Um, but there's this. And then also  again, one more time, I'm going to plug OC Cares, 1:49:29.360,1:49:34.960 which is on the 27th, which will be here from 6:00  to 8 as well. And it's very much like this. And we 1:49:34.960,1:49:39.760 just sit around and we do very structured things,  too. But I mean, I have an agenda, but we talk 1:49:39.760,1:49:47.040 about things that we're working on, problems that  we're having. Um I mean we'll rehash this whole 1:49:47.040,1:49:52.160 meeting of course and talk about anything that  you know we want to dig into more and there's been 1:49:52.160,1:49:57.120 some really great things. So one of the things we  we do at OC Cares is wouldn't it be great if and 1:49:57.120,1:50:00.160 so parents have been sharing different things  and one of the things that came out of that is 1:50:00.160,1:50:04.560 is having something like this fair for all the  resources. Um another thing that has come from 1:50:04.560,1:50:08.880 this is that we talked about sensitivity training.  So when you're in an ARC meeting and you have to 1:50:08.880,1:50:14.160 be delivered news it's not that great. What's  the best way to do that? So actually tomorrow 1:50:14.160,1:50:18.800 um all of our ARC chairs, our school psyches, our  coaches are getting trained on OVAC on sensitivity 1:50:18.800,1:50:23.600 training, but that came from the group that was a  suggestion from the family groups. Um there's been 1:50:23.600,1:50:30.240 a lot of other suggestions that have really made  a difference and so um we really for another and 1:50:30.240,1:50:37.920 we we really um appreciate that as as district  leaders on that um and hearing from the parents 1:50:37.920,1:50:42.720 because that's really important to us. And so,  um, it's just been a really great group this year. 1:50:42.720,1:50:47.040 We've really enjoyed it. And so, we've really  learned a lot and and gained a lot and a lot of 1:50:47.040,1:50:51.280 things have come from it that have been really  great for our students and our families. So, 1:50:51.280,1:50:58.160 that's my and thanks to this meeting last year  when you made the comment and that I pulled Sherry 1:50:58.160,1:51:02.240 aside and said, "What do you think?" She's like,  "Let's do it. Let's do it." I was so excited cuz 1:51:02.240,1:51:08.720 really that is the best thing you could do. Again,  watch the Willoughbrook thing to watch for five 1:51:08.720,1:51:15.200 minutes. Yeah. Um, speaking of sensitivity, the  language that's used in that video is from 1970 1:51:15.200,1:51:20.000 something. So, it's a very different language.  People were always like, you know, but that's 1:51:20.000,1:51:25.760 what we were when I had my training, that's what  the terminology was. But, um, but yeah, it does, 1:51:25.760,1:51:31.040 if anything, look at it from a standpoint of  that's where we were and the only reason we're 1:51:31.040,1:51:37.680 where we are now is because of parents. It  was not Kennedy. It wasn't any of those guys. 1:51:37.680,1:51:47.280 It was parents. It was families. Everything was  because of families. Any other questions for us? 1:51:47.280,1:51:51.040 Thank you guys so much for being here.  We appreciate it. The resources and 1:51:51.040,1:51:54.640 um you all have their information. So, if  you have any other card or any questions, 1:51:54.640,1:51:58.000 you've got their card. So, thank you guys so much.