Survival Coalition Wisconsin

The Survival Coalition of Wisconsin Disability Organizations is a cross-disability coalition of more than 40 state and local organizations and groups. For more than 20 years, Survival has been focused on changing and improving policies and practices that support people with disabilities of all ages to be full participants in community life.

Updates

Survival Coalition Press Release: Friday, March 13, 2015

Sea of Blue T-Shirts Expected in Madison As 700 Citizens Participate in Annual
Disability Advocacy Day
Unknown Future of Wisconsin’s Long-term Care System a Top Concern

(Read full Press Release)

Overview of FL, KS, CA long term care (LTC) approaches in contrast to Wisconsin model

Survival Coalition understands from DHS and DOA that three states—Florida, Kansas, and California—have been identified as models for changes to long-term care in the proposed budget. Survival has examined these states long-term care programs and compared them to Wisconsin’s current model. In general:
· All three states have been operating their managed long-term care systems for less than 2 years. Some states are still in an implementation
phase; one state’s program is an 8 county demonstration pilot.

· Other states do not include the same populations in their managed long term care models. Some populations are deliberately excluded.

· Other states anticipate cost savings from transitioning significant numbers of people from institutions to home and community based services.

o Wisconsin has largely made this transition over the past 15 years via Family Care/IRIS. Expanding the existing model to the last remaining 8 counties would complete this transition. Wisconsin has two remaining centers for the Developmentally Disabled that could be consolidated or closed; this would produce additional Medicaid cost savings for the state.

· Other states anticipate cost savings from transitioning from a “fee for service” model to a managed care model.

o Wisconsin has largely made this transition over the past 15 years via Family Care/IRIS for long-term care services. Primary and acute care could be added to the family care benefit using the existing Wisconsin regionally based MCO model; several Wisconsin counties already have integrated primary & acute care with long term care (Partnership and PACE counties).

· The industry standard for HMO administrative overhead costs is 10-15%. Wisconsin regionally based MCOs have an administrative overhead cost of 4.2%, and their profit margins are capped at 2% (actual profit is 1.3%).
(Read full report)

Survival Coalition Testimony SB 67-AB 78- Pupil Assessments

The Survival Education Issue Team provided testimony for today’s joint hearing of Assembly Education and Senate Education Reform on SB 67 AB 78 related to pupil assessments and report cards.

SB 67/AB 78 – Pupil assessments, evaluation of educator effectiveness, and school accountability reports

Survival Coalition Statement on DPI Testimony to Joint Finance Committee: Supports Special Ed Funding.

Read complete statement here.

Survival Coalition Issue Cards Now Available

The Survival Coalition issue cards are now available. The cards feature key talking points in eight main topic areas: Adult Long Term Care, Children’s Long Term Support, Mental Health, Transportation, Medicaid, Education, Employment, and Workforce.

The Wisconsin State Budget – Impact on the Family Support Program

The Family Support Program is a very popular and effective program that provides a small amount of funding to support families whose child has significant disabilities. The Governor’s budget proposes to eliminate the Family Support Program and create a new Children’s COP (Community Options Program). The existing COP program, managed by counties, was designed for individuals with disabilities and frail elders. Turning Family Support into a COP program offers administrative efficiencies for counties. The proposal for a Children’s COP could be beneficial to families and children with significant disabilities IF the following concerns are addressed. Read more about Survival’s recommendations.