Agency for Person’s with Disabilities Attempts to Justify the Hiring of 651 New State Employees
The following inaccurate APD justifications must be considered:
Cost Plan Review
· APD states “Since cost plans are reviewed every 12 months rather than twice a year, the Agency believes that caseload can be increased without an adverse impact on services”.
Support Coordinators are currently implementing APD’s Uniform Procedures for
Continuing Annual Cost Plans (
· Cost plans have never been reviewed more than once yearly.
Impact on Services
· APD states that there will be no adverse impact on services
· Caseloads will increase from 1 to 36 (current) to 1 to 50 (proposed) (2003 Mercer study determined that a caseload of was necessary to insure health and safety of individuals served)
· The change will result in a tremendous loss of experienced support coordinators who have a wealth of institutional knowledge regarding services to people with developmental disabilities.
· There will be a loss of continuity of care as individuals are transition to State employees.
· APD is recommending 1 clerical support staff in each Area with some Areas serving thousands of individuals which will negatively impact the processing of plans for consumers
· The ratio of 1 supervisor to 10 support coordinators does not provide sufficient oversight to provide quality services.
Monitoring / Quality Assurance / Accountability
· APD contends that this change will more effectively monitor services, increase accountability, and provide for uniform practices state-wide.
· ACHA currently contracts with Delmarva for monitoring of support coordinators to insure quality and uniform practices. Each SC is currently required by APD to have a management plan which is reviewed and approved by APD and Delmarva.
· APD currently provides technical assistance to Support Coordinators in areas identified by Delmarva.
· AHCA currently defines uniform practices with regard to service provision.
· APD references a void of standardized training as a justification for this change.
· APD is currently responsible for training of support coordinators. APD has always and continues to certify and approve trainers and training curriculum for Support Coordinators.
· APD Area staff are responsible for on-going training needs regarding policy changes, community resources, Medicaid state plan services, etc.
Work Force Issues
· APD states that employment by the State will provide benefits and a more stable workforce
· There is currently no indication of an unstable workforce among Support Coordinators
· Benefits comparable to State benefits are currently available to Support Coordinators