SAVE THE DATE!
“Piecing Together the Puzzle: A Conference on Autism” will be held Saturday, October 17, 2009, at Summit Church in Fort Myers near Florida Gulf Coast University. The conference will feature the expertise and practical advice of a variety of experienced local professionals and parents, and there is no charge to attend. Planned topics include speech and occupational therapy, behavioral therapy (ABA), sensory integration, education and IEPs, diet and nutrition, biomedical treatment, advocacy, community resources, faith, and fathers of children with autism.
“Many parents don’t have the time and money to go to the bigger state and national conferences,” said conference co-organizer Kelly Powell, local autism advocate and mother of a young son with autism. “We wanted to coordinate something here in Southwest Florida that took advantage of local expertise and featured practical advice that parents could go home and use immediately to help improve the quality of their child’s life and their family’s life.”
The conference will run from 8:30 a.m. to 3:30 p.m. and will feature a variety of hour-long break-out sessions with time for questions and answers in each session. The information will be geared to parents of affected children ages two to ten. A vendor fair at the conference will feature information and materials from advocacy organizations, support groups, related businesses, and more.
Conference registration information will be announced in September. To be added to the e-mail list to receive upcoming information about the conference, contact Kelly Powell at autismconference@comcast.net or (239) 707-3115.
Saturday, August 22, 2009
The First District Court of Appeals in Tallahassee, Florida ruled today that the Tiers for serving Persons with Disabilities are invalid.
Aug 21, 2009
Appellants, v. AGENCY FOR PERSONS WITH DISABILITIES, Appellee. IN THE DISTRICT COURT OF APPEAL FIRST DISTRICT. http://ping.fm/oQu7t
Posted by Waiver News
Appellants, v. AGENCY FOR PERSONS WITH DISABILITIES, Appellee. IN THE DISTRICT COURT OF APPEAL FIRST DISTRICT, STATE OF FLORIDA
We will now wait to see whether APD files any post-decision motion for rehearing or clarification in the next 15 days. I've attached an updated case deadline calendar, which reflects this deadline.
IN THE DISTRICT COURT OF APPEAL
FIRST DISTRICT, STATE OF FLORIDA
NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED
CASE NO. 1D08-4353
GERAUD L. MORELAND, (II), through his next friend Geraud L. Moreland, Sr., KENNETH GIBSON, through his next friend Dianna McCullough, COLLIN CONE, through his next friend Sherry Vardas, WILL BAKER, JR., by and through his next friend Richard Martin, and the ADVOCACY CENTER FOR PERSONS WITH DISABILITIES, INC.,
Appellants,
v.
AGENCY FOR PERSONS WITH DISABILITIES,
Appellee.
IN THE DISTRICT COURT OF APPEAL
FIRST DISTRICT, STATE OF FLORIDA
NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED
CASE NO. 1D08-4353
_____________________________/
Opinion filed August 21, 2009.
An appeal from the Division of Administrative Hearings.
Eleanor M. Hunter, Administrative Law Judge.
Gigi Rollini of Holland and Knight LLP, Tallahassee; Steven L. Brannock of Brannock & Humphries, Tampa; and Christine Fuqua Gay of Holland & Knight LLP, Jacksonville, for Appellants.
Cynthia A. Mikos of Allen Dell, PA, Tampa, Amicus Curiae for ARC of Florida, Hillsborough Achievement and Resources Center, Autism Society of America,
Autism Society of Greater Florida, Florida’s Voice on Developmental Disabilities and Parent to Parent of Miami.
John D. C. Newton, II, General Counsel, Brian F. McGrail, Senior Attorney, and Jonathan Grabb of Agency for Persons with Disabilities, Tallahassee, for Appellee.
WOLF, J.
Appellants challenge an administrative order which found that a series of proposed rules promulgated by the Agency for Persons with Disabilities (the Agency), creating a four-tiered system for Medicaid waiver benefits, was a valid exercise of delegated legislative authority. We find that the administrative law judge erred in finding the proposed rules are valid because (1) the Agency failed to demonstrate it adopted a valid, reliable assessment instrument; (2) the rules place an age limit on eligibility for Tier 3; and (3) the rules automatically place some former waiver recipients into Tier 4 without an assessment.
Appellants receive benefits under the Medicaid waiver system, which provides home and community-based services for persons with disabilities. Previously, there were two Medicaid waiver programs available in Florida – the Family and Supported Living Waiver (FSL Waiver), which provided a limited number of services with an annual dollar cap, and the Developmental Disabilities Waiver (DD Waiver), which provided a greater number of services without a monetary cap.
In 2007, the Florida Legislature amended section 393.0661, Florida Statutes, and instructed the Agency to develop and implement a comprehensive redesign of the waiver system in order to create a four-tiered system in lieu of the existing waivers. Tiers 2, 3, and 4 each have a different annual monetary cap; thus, the level of services available for each individual is contingent upon the tier into which the individual is placed.
In response, the Agency promulgated Proposed Rules 65G-4.0021, 65G-4.0022, 65G-4.0023, 65G-4.0024, and 65G-4.0025 (the Proposed Rules). Appellants subsequently challenged the Proposed Rules on a number of grounds, including that the rules were invalid pursuant to section 120.52(8)(c), Florida Statutes, which states that a rule is an invalid delegation of legislative authority if it “enlarges, modifies, or contravenes the specific provisions of law implemented.” Following a hearing, the administrative law judge (ALJ) determined the rules were valid.
We review the ALJ’s findings of fact for competent, substantial evidence, and we review the ALJ’s conclusions of law de novo. See § 120.68(7), Fla. Stat.; State Bd. of Trustees v. Day Cruise Ass’n, Inc., 794 So. 2d 696, 701 (Fla. 1st DCA 2001).
First, we find the ALJ erred in determining that Proposed Rule 65G-4.0021 is valid because the Agency failed to demonstrate that it adopted a valid, reliable assessment instrument as required by statute. Section 393.0661 states that in
4
implementing the redesigned waiver system, the Agency “shall use an assessment instrument that is reliable and valid.” (Emphasis added). Similarly, section 393.0661(3) states that “[t]he agency shall assign all clients . . . to a tier based on a valid assessment instrument, client characteristics, and other appropriate assessment methods.” (Emphasis added).
However, the Agency failed to demonstrate it adopted a valid, reliable assessment instrument as required by section 393.0661. Instead, Proposed Rule 65G-4.0021(1) provides that the Agency will assign clients to tiers based on a list of criteria, including “waiver criteria and limitations provided in Chapters 393 and 409, F.S., Rule Chapter 59G-13, F.A.C., and this rule chapter.” Therefore, we reverse the ALJ’s finding that Proposed Rule 65G-4.0021 is valid.
Second, we find the ALJ erred in determining that Proposed Rule 65G-4.0024 is valid because it places an age limit on eligibility for Tier 3 in contravention of the statute which it implements. Section 393.0661(3)(c) provides that “[t]ier three shall include, but is not limited to, clients requiring residential placements, clients in independent or supported living situations, and clients who live in their family home.” (Emphasis added). However, Proposed Rule 65G-4.0024(1) requires that in order to be eligible for Tier 3, a client must meet one of the following criteria:
(a) The client resides in a licensed residential facility and is not
eligible for the Tier One Waiver or the Tier Two Waiver; or
(b) The client is 21 or older, resides in their own home and receives Live-in In-Home Support Services and is not eligible for the Tier One Waiver or the Tier Two Waiver; or
(c) The client is 21 or older and is authorized to receive Personal Care Assistance services at the moderate level of support as defined in the DD Handbook; or
(d) The client is 21 or older and is authorized to receive Skilled or Private Duty Nursing Services and is not eligible for the Tier One Waiver or the Tier Two Waiver; or
(e) The client is 22 or older and is authorized to receive services of a behavior analyst and/or a behavior assistant.
(f) The client is under the age of 22 and authorized to receive the combined services of a behavior analyst and/or a behavior assistant for more than 60 hours per month and is not eligible for the Tier One Waiver or the Tier Two Waiver.
(g) The client is 21 or older and is authorized to receive at least one of the following services:
(i) Occupational Therapy; or
(ii) Physical Therapy; or
(iii) Speech Therapy; or
(iv) Respiratory Therapy.
The ALJ determined that Proposed Rule 65G-4.0024 was valid because the Agency sufficiently justified the age restrictions imposed for Tier 3. However, pursuant to section 120.52(8), a rule is invalid if it contravenes the statute which it implements, regardless of whether the Agency was justified in contravening the statute. By imposing age restrictions on Tier 3, Proposed Rule 65G-4.0024 clearly contravenes the plain language of section 393.0661(3), which requires Tier 3 shall
6
include clients who require residential placement, clients in individual or supported living situations, and clients who reside in their family home, regardless of age. Therefore, we reverse the ALJ’s finding that Proposed Rule 65G-4.0024 is valid.
Third, we find the ALJ erred in determining Proposed Rule 65G-4.0025 is valid because it contravenes the statute which it implements by requiring all former FSL Waiver recipients be placed into Tier 4. Section 393.0661(3) requires the Agency to “assign all clients” to a tier “based on a valid assessment instrument, client characteristics, and other appropriate assessment methods.” (Emphasis added). Proposed Rule 65G-4.0025 states Tier 4 shall include “[c]lients who are currently assigned to receive services through the Family and Supported Living Waiver unless there is a significant change in condition or circumstance.” By requiring all former FSL Waiver recipients be placed into Tier 4 based solely on the fact that they formerly received services through the FSL Waiver, Proposed Rule 65G-4.0025 contravenes section 393.0661(3), which requires the Agency to assign each client to a tier based on an individual assessment. Therefore, we reverse the ALJ’s finding that Proposed Rule 65G-4.0025 is valid.
In summary, we reverse the ALJ’s findings that Proposed Rules 65G-4.0021, 65G-4.0024, and 65G-4.0025 are valid and strike these rules as invalid for contravening the statute which they implement. We also find it necessary to strike Proposed Rules 65G-4.0022 and 65G-4.0023; although these rules are not invalid individually, the Proposed Rules are so interrelated that these rules cannot stand alone. We affirm the ALJ’s findings on all other issues.
For the foregoing reasons, we reverse in part, affirm in part, and remand for further proceedings consistent with this opinion.
WEBSTER and CLARK, JJ., CONCUR.
APD to Postpone Wait List Workshops.
http://ping.fm/TuJCC
Posted by Waiver News
APD to Postpone Wait List Workshops
· The Agency for Persons with Disabilities is postponing its wait
list rule workshops scheduled in August and September.
· APD has been gathering information about the new law that was
approved by the Legislature to take effect July 1, 2010. The law
reprioritizes the ranking of people waiting for services from APD.
· The agency wants to further develop its policy options before
having workshops. This will help the agency have better discussions
with and provide answers to questions from customers, families, and
advocates at the rule workshops.
· If you would like to send in written comments, please direct
them to: Denise Arnold, APD Community Relations, 4030 Esplanade
Way, Suite 380, Tallahassee,
Posted by Waiver News
Appellants, v. AGENCY FOR PERSONS WITH DISABILITIES, Appellee. IN THE DISTRICT COURT OF APPEAL FIRST DISTRICT. http://ping.fm/oQu7t
Posted by Waiver News
Appellants, v. AGENCY FOR PERSONS WITH DISABILITIES, Appellee. IN THE DISTRICT COURT OF APPEAL FIRST DISTRICT, STATE OF FLORIDA
We will now wait to see whether APD files any post-decision motion for rehearing or clarification in the next 15 days. I've attached an updated case deadline calendar, which reflects this deadline.
IN THE DISTRICT COURT OF APPEAL
FIRST DISTRICT, STATE OF FLORIDA
NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED
CASE NO. 1D08-4353
GERAUD L. MORELAND, (II), through his next friend Geraud L. Moreland, Sr., KENNETH GIBSON, through his next friend Dianna McCullough, COLLIN CONE, through his next friend Sherry Vardas, WILL BAKER, JR., by and through his next friend Richard Martin, and the ADVOCACY CENTER FOR PERSONS WITH DISABILITIES, INC.,
Appellants,
v.
AGENCY FOR PERSONS WITH DISABILITIES,
Appellee.
IN THE DISTRICT COURT OF APPEAL
FIRST DISTRICT, STATE OF FLORIDA
NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED
CASE NO. 1D08-4353
_____________________________/
Opinion filed August 21, 2009.
An appeal from the Division of Administrative Hearings.
Eleanor M. Hunter, Administrative Law Judge.
Gigi Rollini of Holland and Knight LLP, Tallahassee; Steven L. Brannock of Brannock & Humphries, Tampa; and Christine Fuqua Gay of Holland & Knight LLP, Jacksonville, for Appellants.
Cynthia A. Mikos of Allen Dell, PA, Tampa, Amicus Curiae for ARC of Florida, Hillsborough Achievement and Resources Center, Autism Society of America,
Autism Society of Greater Florida, Florida’s Voice on Developmental Disabilities and Parent to Parent of Miami.
John D. C. Newton, II, General Counsel, Brian F. McGrail, Senior Attorney, and Jonathan Grabb of Agency for Persons with Disabilities, Tallahassee, for Appellee.
WOLF, J.
Appellants challenge an administrative order which found that a series of proposed rules promulgated by the Agency for Persons with Disabilities (the Agency), creating a four-tiered system for Medicaid waiver benefits, was a valid exercise of delegated legislative authority. We find that the administrative law judge erred in finding the proposed rules are valid because (1) the Agency failed to demonstrate it adopted a valid, reliable assessment instrument; (2) the rules place an age limit on eligibility for Tier 3; and (3) the rules automatically place some former waiver recipients into Tier 4 without an assessment.
Appellants receive benefits under the Medicaid waiver system, which provides home and community-based services for persons with disabilities. Previously, there were two Medicaid waiver programs available in Florida – the Family and Supported Living Waiver (FSL Waiver), which provided a limited number of services with an annual dollar cap, and the Developmental Disabilities Waiver (DD Waiver), which provided a greater number of services without a monetary cap.
In 2007, the Florida Legislature amended section 393.0661, Florida Statutes, and instructed the Agency to develop and implement a comprehensive redesign of the waiver system in order to create a four-tiered system in lieu of the existing waivers. Tiers 2, 3, and 4 each have a different annual monetary cap; thus, the level of services available for each individual is contingent upon the tier into which the individual is placed.
In response, the Agency promulgated Proposed Rules 65G-4.0021, 65G-4.0022, 65G-4.0023, 65G-4.0024, and 65G-4.0025 (the Proposed Rules). Appellants subsequently challenged the Proposed Rules on a number of grounds, including that the rules were invalid pursuant to section 120.52(8)(c), Florida Statutes, which states that a rule is an invalid delegation of legislative authority if it “enlarges, modifies, or contravenes the specific provisions of law implemented.” Following a hearing, the administrative law judge (ALJ) determined the rules were valid.
We review the ALJ’s findings of fact for competent, substantial evidence, and we review the ALJ’s conclusions of law de novo. See § 120.68(7), Fla. Stat.; State Bd. of Trustees v. Day Cruise Ass’n, Inc., 794 So. 2d 696, 701 (Fla. 1st DCA 2001).
First, we find the ALJ erred in determining that Proposed Rule 65G-4.0021 is valid because the Agency failed to demonstrate that it adopted a valid, reliable assessment instrument as required by statute. Section 393.0661 states that in
4
implementing the redesigned waiver system, the Agency “shall use an assessment instrument that is reliable and valid.” (Emphasis added). Similarly, section 393.0661(3) states that “[t]he agency shall assign all clients . . . to a tier based on a valid assessment instrument, client characteristics, and other appropriate assessment methods.” (Emphasis added).
However, the Agency failed to demonstrate it adopted a valid, reliable assessment instrument as required by section 393.0661. Instead, Proposed Rule 65G-4.0021(1) provides that the Agency will assign clients to tiers based on a list of criteria, including “waiver criteria and limitations provided in Chapters 393 and 409, F.S., Rule Chapter 59G-13, F.A.C., and this rule chapter.” Therefore, we reverse the ALJ’s finding that Proposed Rule 65G-4.0021 is valid.
Second, we find the ALJ erred in determining that Proposed Rule 65G-4.0024 is valid because it places an age limit on eligibility for Tier 3 in contravention of the statute which it implements. Section 393.0661(3)(c) provides that “[t]ier three shall include, but is not limited to, clients requiring residential placements, clients in independent or supported living situations, and clients who live in their family home.” (Emphasis added). However, Proposed Rule 65G-4.0024(1) requires that in order to be eligible for Tier 3, a client must meet one of the following criteria:
(a) The client resides in a licensed residential facility and is not
eligible for the Tier One Waiver or the Tier Two Waiver; or
(b) The client is 21 or older, resides in their own home and receives Live-in In-Home Support Services and is not eligible for the Tier One Waiver or the Tier Two Waiver; or
(c) The client is 21 or older and is authorized to receive Personal Care Assistance services at the moderate level of support as defined in the DD Handbook; or
(d) The client is 21 or older and is authorized to receive Skilled or Private Duty Nursing Services and is not eligible for the Tier One Waiver or the Tier Two Waiver; or
(e) The client is 22 or older and is authorized to receive services of a behavior analyst and/or a behavior assistant.
(f) The client is under the age of 22 and authorized to receive the combined services of a behavior analyst and/or a behavior assistant for more than 60 hours per month and is not eligible for the Tier One Waiver or the Tier Two Waiver.
(g) The client is 21 or older and is authorized to receive at least one of the following services:
(i) Occupational Therapy; or
(ii) Physical Therapy; or
(iii) Speech Therapy; or
(iv) Respiratory Therapy.
The ALJ determined that Proposed Rule 65G-4.0024 was valid because the Agency sufficiently justified the age restrictions imposed for Tier 3. However, pursuant to section 120.52(8), a rule is invalid if it contravenes the statute which it implements, regardless of whether the Agency was justified in contravening the statute. By imposing age restrictions on Tier 3, Proposed Rule 65G-4.0024 clearly contravenes the plain language of section 393.0661(3), which requires Tier 3 shall
6
include clients who require residential placement, clients in individual or supported living situations, and clients who reside in their family home, regardless of age. Therefore, we reverse the ALJ’s finding that Proposed Rule 65G-4.0024 is valid.
Third, we find the ALJ erred in determining Proposed Rule 65G-4.0025 is valid because it contravenes the statute which it implements by requiring all former FSL Waiver recipients be placed into Tier 4. Section 393.0661(3) requires the Agency to “assign all clients” to a tier “based on a valid assessment instrument, client characteristics, and other appropriate assessment methods.” (Emphasis added). Proposed Rule 65G-4.0025 states Tier 4 shall include “[c]lients who are currently assigned to receive services through the Family and Supported Living Waiver unless there is a significant change in condition or circumstance.” By requiring all former FSL Waiver recipients be placed into Tier 4 based solely on the fact that they formerly received services through the FSL Waiver, Proposed Rule 65G-4.0025 contravenes section 393.0661(3), which requires the Agency to assign each client to a tier based on an individual assessment. Therefore, we reverse the ALJ’s finding that Proposed Rule 65G-4.0025 is valid.
In summary, we reverse the ALJ’s findings that Proposed Rules 65G-4.0021, 65G-4.0024, and 65G-4.0025 are valid and strike these rules as invalid for contravening the statute which they implement. We also find it necessary to strike Proposed Rules 65G-4.0022 and 65G-4.0023; although these rules are not invalid individually, the Proposed Rules are so interrelated that these rules cannot stand alone. We affirm the ALJ’s findings on all other issues.
For the foregoing reasons, we reverse in part, affirm in part, and remand for further proceedings consistent with this opinion.
WEBSTER and CLARK, JJ., CONCUR.
APD to Postpone Wait List Workshops.
http://ping.fm/TuJCC
Posted by Waiver News
APD to Postpone Wait List Workshops
· The Agency for Persons with Disabilities is postponing its wait
list rule workshops scheduled in August and September.
· APD has been gathering information about the new law that was
approved by the Legislature to take effect July 1, 2010. The law
reprioritizes the ranking of people waiting for services from APD.
· The agency wants to further develop its policy options before
having workshops. This will help the agency have better discussions
with and provide answers to questions from customers, families, and
advocates at the rule workshops.
· If you would like to send in written comments, please direct
them to: Denise Arnold, APD Community Relations, 4030 Esplanade
Way, Suite 380, Tallahassee,
Posted by Waiver News
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