DB.42.131.Inf. "Bring a Client With You" in ABI Waiver Employment : Then they replace YOU! The Ethical Dilemma of "Bring a Client With You" in ABI Waiver Employment : A Closer Look In the realm of healthcare and support services, particularly within the Acquired Brain Injury (ABI) waiver program, professionals such as ILST Life Skills Trainers , Companions, RA Recovery Assistants, Direct Support Professionals (DSPs) , Personal Care Assistants (PCAs) , Certified Nursing Assistants (CNAs), and others play a pivotal role in the recovery and daily assistance of individuals living with brain injuries. The dedication and expertise of these professionals are indispensable in fostering an environment conducive to the well-being and progress of their clients. However, the industry faces ethical challenges, notably through employment practices that entice professionals to switch agencies or companies under the premise of higher compensation, especially if they bring their clients along. This strategy, while seemingly lucrative, often veils a concerning bait-and-switch tactic with far-reaching implications. Understanding the Bait-and-Switch Tactic The proposition of "Bring a client with you, and we will pay you more" targets the very foundation of trust and professional integrity that defines the relationship between healthcare providers and their clients. Initially, this offer appears as a golden opportunity for professionals seeking better remuneration and working conditions. Unfortunately, the reality that unfolds post-transition can starkly contrast the enticing initial promises. A systematic phase-out of higher-paid staff in favor of those willing to accept lower wages is a common trajectory, leaving both professionals and clients in a precarious position. Navigating Legal Risks in ABI Waiver Services In the ABI waiver services sector, professionals face significant legal risks, especially when considering employment transitions that involve taking clients with them. This practice, while seemingly advantageous for higher compensation, can expose individuals to serious legal consequences, including personal lawsuits. Being personally sued underscores the importance of cautious and informed decision-making in the ABI waiver services field. Legal awareness, ethical decision-making, and professional advice are crucial in protecting oneself from the far-reaching consequences of legal action. The Multifaceted Impact Ethical Concerns:  This practice exploits the trust professionals place in their employers and the bond they share with their clients, eroding ethical standards within the industry. Quality of Care:  Replacing experienced professionals with individuals who may be willing to work for less but lack equivalent experience can significantly degrade the quality of care and support services, undermining the recovery and support of individuals under the ABI waiver program . Professional Relationships:  Such strategies disrupt the continuity of care, eroding the trust and rapport built between clients and their care providers—factors critical to the clients’ progress and overall well-being. Industry Reputation:  These practices tarnish the reputation of the healthcare and support services industry, complicating efforts to attract and retain the dedicated, skilled professionals essential for providing high-quality care. The allure of "Bring a client with you, and we will pay you more" offers a cautionary tale of the ethical quandaries within the ABI waiver employment sector. While enticing on the surface, the long-term ramifications for professionals and their clients can be detrimental. Awareness, thorough investigation, and ethical considerations should guide professionals in making informed decisions, ensuring the protection and advocacy of the interests for those they serve. In navigating these complex waters, the paramountcy of ethical integrity, quality of care, and the sustenance of professional relationships stands as the guiding principles for all involved in the noble endeavor of supported living and community home care within the ABI waiver program. ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES

CT DSS Whistleblower Retaliation Concerns Illuminate CHRO Civil Rights, ADA Compliance, and Federal Funding Issues within Connecticut Managed Medicaid Programs for vulnerable populations. DB.42.131.Inf. Breaking News: Allegations of Evidence Destruction in Connecticut ADA Civil Rights Case In a stunning revelation, ABI Resources LLC, a leading provider of disability support services in Connecticut, has brought to light allegations of evidence destruction by state government officials in a significant ADA civil rights case. According to ABI Resources, more than 50 pieces of submitted evidence have been destroyed under the supervision of CHRO Commissioner Tanya A. Hughes and directly by Ms. Dedra Morris. The evidence pertained to a Comprehensive Grievance Report and Request for Clarity, focusing on critical issues within the Connecticut Medicaid Acquired Brain Injury (ABI) Waiver Program . The whistleblower report, prepared by David Medeiros and ABI Resources LLC, was dated November 21, 2023, and highlights grave concerns regarding the integrity of the process in the ADA Civil Rights Case 2410220 Service of CHRO Complaint. This act of alleged evidence destruction raises serious questions about the transparency and accountability of those involved in overseeing and managing complaints and grievances related to ADA civil rights within the state. ABI Resources LLC, located at 39 Kings Hwy STE C, Gales Ferry, CT, has been at the forefront of advocating for the rights and support of individuals with acquired brain injuries. The company's founder, David Medeiros, has expressed profound concern over these allegations, emphasizing the potential impact on the justice and rights of individuals relying on the Medicaid ABI Waiver Program. The Connecticut government, the CHRO, and involved parties have yet to respond to these allegations. This situation underscores the need for rigorous oversight and a transparent investigation to ensure that the rights of individuals under the ADA are protected and upheld. The community and stakeholders await further developments as this case unfolds, highlighting the importance of accountability in handling such sensitive and crucial matters. A Collective Call for ADA Compliance and Disability Rights in Connecticut 2024 Explore our latest blog post on promoting ADA compliance and disability rights in Connecticut. Join the crucial conversation about creating a more inclusive society, enhancing accessibility, and advocating for the needs of individuals with disabilities. Discover how government bodies, advocacy groups, and communities can work together for meaningful change. Explore our latest blog post on promoting ADA compliance and disability rights in Connecticut. Join the crucial conversation about creating a more inclusive society, enhancing accessibility, and advocating for the needs of individuals with disabilities. Discover how government bodies, advocacy groups, and communities can work together for meaningful change. In the realm of disability support and advocacy, the power of collaboration cannot be overstated. This post is an invitation to all key figures and organizations involved in Connecticut's disability support system to enhance our joint efforts in upholding the Americans with Disabilities Act (ADA) and advocating for disability rights. The Imperative of ADA Compliance: Ensuring ADA compliance is not just a legal obligation but a moral one. It's about creating an inclusive society where individuals with disabilities have equal access and opportunities to thrive. Challenges in Disability Advocacy: Navigating the complexities of disability support programs can be daunting. Many individuals face barriers that hinder their full participation in society. It's crucial that these challenges are met with effective solutions and proactive measures. Role of Government and Legislative Bodies: State departments, legislators, and policymakers hold significant power in shaping the landscape of disability support. Their decisions and actions can pave the way for more accessible and equitable systems. Advocacy Groups and Media Influence: Organizations dedicated to disability rights and media outlets play a vital role in raising awareness and advocating for change. Their efforts are instrumental in highlighting issues and driving public discourse towards positive action. A Call to Collaborative Action: This is an appeal for all stakeholders to unite in their efforts. By working together, sharing resources, and aligning goals, we can make substantial progress in addressing the needs of individuals with disabilities. The journey towards full ADA compliance and robust disability advocacy is ongoing. It requires the commitment and participation of everyone involved in the disability support system. Let's join hands in this endeavor to build a more accessible and just society in Connecticut. 10 pertinent questions that stakeholders in Connecticut's disability support system, including state departments, legislators, and advocacy groups, should be considering to enhance ADA compliance and disability rights: Accessibility Standards: How can we ensure that all public facilities and services in Connecticut are fully compliant with the latest ADA accessibility standards? Disability Representation : Are individuals with disabilities adequately represented in the decision-making processes that affect their lives, and if not, how can we improve this representation? Public Awareness: What strategies can be implemented to increase public awareness and understanding of the challenges faced by individuals with disabilities? Policy Evaluation: How frequently are disability support policies and programs evaluated for effectiveness, and what metrics are used for this evaluation? Resource Allocation: Are resources being allocated effectively to address the most pressing needs of individuals with disabilities in Connecticut? Community Feedback: What mechanisms are in place to gather and incorporate feedback from the disability community into policy and program development? Employment Opportunities: How can we improve employment opportunities for individuals with disabilities, ensuring fair treatment and reasonable accommodations in the workplace? Educational Access: What steps are being taken to ensure that educational institutions are accessible and inclusive for students with disabilities? Healthcare Services: How can healthcare services be made more accessible and responsive to the specific needs of individuals with disabilities? Emergency Preparedness: Are emergency response plans in Connecticut inclusive of the needs of individuals with disabilities, and how can these plans be improved? Consider how this may be affecting these state-managed programs. · Acquired Brain Injury (ABI) Program · Alzheimer's Respite Care Program · Autism Spectrum Disorder - ASD · Birth to Three · Board of Education and Services for the Blind · Care4Kids · Certified Community Behavioral Health Clinics · Child Support · CHOICES - CT's State Health Insurance Assistance Program for Medicare Beneficiaries · Commodity Supplemental Food Program · Community First Choice · Community Options · Connect-Ability · Connecticut AIDS Drug Assistance Program (CADAP) · Connecticut Behavioral Health Partnership - CTBHP · Connecticut Energy Assistance Program · Connecticut Home Care Program For Elders · Connecticut Housing Engagement and Support Services (CHESS) Initiative · Connecticut Integrated Care for Kids · Connecticut Supplemental Nutrition Assistance Program Education (SNAP-Ed) · CT Medicaid Enterprise Technology System (CT METS) · Deaf and Hard of Hearing Services · Department of Rehabilitation Services · Disability Services · Durable Medical Equipment · Economic Security - Financial Assistance · Elderly Simplified Application Project (ESAP) · Electronic Visit Verification · Fatherhood Initiative of CT · Grandparents As Parents · Housing Options for Seniors · Human Services Infrastructure · HUSKY (Medicaid) Coverage for Breast and Cervical Cancer · HUSKY Health (Medicaid & Children’s Health Insurance Program) · Jobs First · Long-Term Services and Supports - LTSS · Med-Connect (Medicaid for Employees with Disabilities) · Medicaid Nursing Home Reimbursement · Medicare Savings Program · Money Follows the Person · National Family Caregiver Support Program · Non-Emergency Medical Transportation (NEMT) · Nutrition Assistance Programs · PCA CERTIFICATION TEST · PCMH+ Member Information · Refugee Assistance Program · School Based Child Health (SBCH) · Self Direction Personal Protection Equipment Request Form Submission · Social Work Services · State Supplement for the Aged, Blind and Disabled · Supplemental Nutrition Assistance Program - SNAP · Temporary Family Assistance - TFA · The Personal Care Attendant Program · Welfare to Work (Department of Labor) · Women Infants and Children – WIC A plea to our elected officials • Connecticut Department of Social Services Commissioner Andrea Barton Reeves • U.S. Senators Richard Blumenthal and Chris Murphy • U.S. House Representatives John Larson, Joe Courtney, Rosa DeLauro, Jim Himes, and Jahana Hayes • Connecticut Governor Ned Lamont • Lieutenant Governor Susan Bysiewicz • Secretary of State Denise Merrill • Attorney General William Tong • State Treasurer Shawn Wooden • State Comptroller Kevin Lembo • State Auditors John Geragosian and Rob Kane • U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra • Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure • U.S. Department of Justice (DOJ) Attorney General Merrick Garland • U.S. Equal Employment Opportunity Commission (EEOC) Chair Charlotte A. Burrows • Office of Special Counsel (OSC) Special Counsel Henry J. Kerner • Office for Civil Rights (OCR) at HHS Acting Director Melanie Fontes Rainer • The Department of Labor DOL • Government Accountability Office GAO • Connecticut General Assembly CGA Connecticut State Senate • John Fonfara - District 1, • Douglas McCrory - District 2, • Saud Anwar - District 3, • MD Rahman - District 4, • Derek Slap - District 5, • Rick Lopes - District 6, • John Kissel - District 7, • Lisa Seminara - District 8, • Matthew L. Lesser - District 9, • Gary Winfield - District 10, • Martin Looney - District 11, • Christine Cohen - District 12, • Jan Hochadel - District 13, • James Maroney - District 14, • Joan Hartley - District 15, • Robert C. Sampson - District 16, • Jorge Cabrera - District 17, • Heather Somers - District 18, • Catherine Osten - District 19, • Martha Marx - District 20, • Kevin C. Kelly - District 21, • Marilyn Moore - District 22, • Herron Gaston - District 23, • Julie Kushner - District 24, • Bob Duff - District 25, • Ceci Maher - District 26, • Patricia Miller - District 27, • Tony Hwang - District 28, • Mae Flexer - District 29, • Stephen Harding, Jr. - District 30, • Henri Martin - District 31, • Eric Berthel - District 32, • Norm Needleman - District 33, • Paul Cicarella, Jr. - District 34, • Jeff Gordon - District 35, • Ryan Fazio - District 36, • Connecticut House of Representatives • Matthew Ritter - District 1, • Raghib Allie-Brennan - District 2, • Minnie Gonzalez - District 3, • Julio Concepcion - District 4, • Maryam Khan - District 5, • James B. Sánchez - District 6, • Joshua Malik Hall - District 7, • Tim Ackert - District 8, • Jason Rojas - District 9, • Henry Genga - District 10, • Jeffrey Currey - District 11, • Geoff Luxenberg - District 12, • Jason Doucette - District 13, • Tom Delnicki - District 14, • Bobby Gibson - District 15, • Melissa E. Osborne - District 16, • Eleni Kavros DeGraw - District 17, • Jillian Gilchrest - District 18, • Tammy Exum - District 19, • Kate Farrar - District 20, • Mike Demicco - District 21, • Francis Rexford Cooley - District 22, • Devin Carney - District 23, • Manny Sanchez - District 24, • Bobby Sanchez - District 25, • Peter Tercyak - District 26, • Gary Turco - District 27, • Amy Morrin Bello - District 28, • Kerry Szeps Wood - District 29, • Donna Veach - District 30, • Jill Barry - District 31, • Christie Carpino - District 32, • Brandon Chafee - District 33, • Irene Haines - District 34, • Chris Aniskovich - District 35, • Christine Palm - District 36, • Holly Cheeseman - District 37, • Kathleen McCarty - District 38, • Anthony Nolan - District 39, • Christine Conley - District 40, • Aundré Bumgardner - District 41, • Keith Denning - District 42, • Greg Howard - District 43, • Anne Dauphinais - District 44, • Brian Lanoue - District 45, • Derell Wilson - District 46, • Doug Dubitsky - District 47, • Mark DeCaprio - District 48, • Susan Johnson - District 49, • Pat Boyd - District 50, • Ricky Hayes - District 51, • Kurt Vail - District 52, • Tammy Nuccio - District 53, • Gregory Haddad - District 54, • Steve Weir - District 55, • Kevin Brown - District 56, • Jaime Foster - District 57, • Tom Arnone - District 58, • Carol Hall - District 59, • Jane Garibay - District 60, • Tami Zawistowski - District 61, • Mark Anderson - District 62, • Jay Case - District 63, • Maria Horn - District 64, • Michelle Cook - District 65, • Karen Reddington-Hughes - District 66, • William Buckbee - District 67, • Joe Polletta - District 68, • Cindy Harrison - District 69, • Seth Bronko - District 70, • William Pizzuto - District 71, • Larry Butler - District 72, • Ronald Napoli Jr. - District 73, • Michael DiGiovancarlo - District 74, • Geraldo Reyes - District 75, • John Piscopo - District 76, • Cara Pavalock-D'Amato - District 77, • Joe Hoxha - District 78, • Mary Fortier - District 79, • Gale Mastrofrancesco - District 80, • Christopher Poulos - District 81, • Michael Quinn - District 82, • Jonathan Fazzino - District 83, • Hilda Santiago - District 84, • Mary Mushinsky - District 85, • Vincent Candelora - District 86, • Dave Yaccarino Sr. - District 87, • Joshua Elliott - District 88, • Lezlye Zupkus - District 89, • Craig Fishbein - District 90, • Michael D'Agostino - District 91, • Patricia Dillon - District 92, • Toni Walker - District 93, • Robyn Porter - District 94, • Juan Candelaria - District 95, • Roland J. Lemar - District 96, • Alphonse Paolillo - District 97, • Moira Rader - District 98, • Joseph Zullo - District 99, • Kai Juanna Belton - District 100, • John-Michael Parker - District 101, • Robin Comey - District 102, • Liz Linehan - District 103, • Kara Rochelle - District 104, • Nicole Klarides-Ditria - District 105, • Mitch Bolinsky - District 106, • Marty Foncello - District 107, • Pat Callahan - District 108, • Farley Santos - District 109, • Bob Godfrey - District 110, • Aimee Berger-Girvalo - District 111, • Tony Scott - District 112, • Jason Perillo - District 113, • Mary Welander - District 114, • Vacant - District 115 • Treneé McGee - District 116, • Charles Ferraro - District 117, • Frank Smith - District 118, • Kathy Kennedy - District 119, • Laura Dancho - District 120, • Joe Gresko - District 121, • Ben McGorty - District 122, • David Rutigliano - District 123, • Andre Baker - District 124, • Tom O'Dea - District 125, • Fred Gee Jr. - District 126, • Marcus Brown - District 127, • Christopher Rosario - District 128, • Steven Stafstrom - District 129, • Antonio Felipe - District 130, • David Labriola - District 131, • Jennifer Leeper - District 132, • Cristin Vahey - District 133, • Sarah Keitt - District 134, • Anne Hughes - District 135, • Jonathan Steinberg - District 136, • Kadeem Roberts - District 137, • Rachel Chaleski - District 138, • Kevin Ryan - District 139, • Travis Simms - District 140, • Tracy Marra - District 141, • Lucy Dathan - District 142, • Dominique Johnson - District 143, • Hubert Delany - District 144, • Corey Paris - District 145, • David Michel - District 146, • Matt Blumenthal - District 147, • Anabel Figueroa - District 148, • Rachel Khanna - District 149, • Steve Meskers - District 150, • Hector Arzeno - District 151, As well as communication with recognized esteemed organizations. National and International Organizations: • American Association of People with Disabilities (AAPD) • The Consortium for Citizens with Disabilities (CCD) • Disability Rights Education and Defense Fund (DREDF) • Disabled in Action (DIA) • Equip for Equality • National Disability Rights Network (NDRN) • National Council on Independent Living (NCIL) • Disability Rights Advocates (DRA) National Whistleblower / Retaliation Advocates • Government Accountability Project (GAP) • The Whistleblower Project • ExposeFacts • Freedom of the Press Foundation • National Whistleblower Center • Project On Government Oversight (POGO) • Public Employees for Environmental Responsibility (PEER) • Whistleblower Aid News Media Outlets and Journalists: Reporters Committee for Freedom of the Press, The New York Times, The Washington Post The Associated Press (AP), ProPublica, The Wall Street Journal, National Public Radio (NPR) Reuters, CNN, BuzzFeed News, VICE News, Fox News, NBC, MSNBC etc. The collective expertise, dedication, and collaborative spirit of these professionals and their teams are indispensable to the successful management and execution of the state's initiatives. Their roles and contributions are recognized as essential to upholding the values of transparency, equity, and service excellence in Connecticut's public administration. Jenna Giacomi Office Of Quality Assurance Department of Social Services DSS 55 Farmington Ave. Hartford, CT  06105 P: 860-424-5782 W C: 860-215-7737 Jenna.giacomi@ct.gov   Charles E. Perry Paralegal Specialist/FOI Officer Legal Division Commission on Human Rights and Opportunities 450 Columbus Boulevard, Suite 2 Hartford, CT 06103 P: 860-541-3438 | F: 860-241-4869 Charles.Perry@CT.Gov   Giovanni Pinto Governor's Office Department of Social Services DSS DSS FOI FOIA Freedom of Information Officer giovanni.pinto@ct.gov (860) 424-5382                 David Seifel Governor's Office Department of Social Services DSS DSS FOI FOIA Freedom of Information Officer (860) 240-8600  david.seifel@ct.gov        Aubri L. Petersen Legal Secretary Legal Division Commission on Human Rights and Opportunities CHRO 450 Columbus Blvd., Suite 2 Hartford, CT 06103 | AA/EOE P: (860) 541-3424 | F: (860) 241-4869   Dedra A. Morris Administrative Assistant Capitol Region Office Commission on Human Rights and Opportunities CHRO 450 Columbus Boulevard, Suite 2 Hartford, CT 06103 | AA/EOE P: 860-541-3456 | F: 860-566-1997 dedra.morris@ct.gov   Matthew S. Antonetti Agency Legal Director Connecticut Department of Social Services DSS Office of Legal Counsel, Regulations and Administrative Hearings 55 Farmington Avenue Hartford, CT 06105 Email: matthew.s.antonetti@ct.gov   Amy Dumont, LCSW Interim Director CT Department of Social Services DSS Community Options Unit COU 55 Farmington Avenue Hartford CT 06105-3725 Tel: 860 424-5173 Fax: 860 424:4963 amy.dumont@ct.gov   Michael Slitt Staff Attorney Department of Social Services DSS Community Options Unit COU Office of Legal Counsel, Regulations and Administrative Hearings 55 Farmington Ave, 11th Floor Hartford, CT 06105 Phone: (860) 424-5068 Fax: (860) 424-5403 Email: Michael.Slitt@ct.gov   Aubri L. Petersen   Legal Secretary Legal Division Commission on Human Rights and Opportunities CHRO 450 Columbus Blvd., Suite 2 Hartford, CT 06103 | AA/EOE P: (860) 541-3424 | F: (860) 241-4869 | Aubri.Petersen@ct.gov   Kelly A Bartomioli Department of Social Services DSS DSS FOI FOIA Freedom of Information Officer  (860) 566-4514 kelly.bartomioli@ct.gov   Kasandra Navarro Legislative Assistant U.S. Senator Richard Blumenthal kasandra_navarro@blumenthal.senate.gov   Attorney Cheryl A. Sharp   Deputy Director  Executive Office  Commission on Human Rights and Opportunities  450 Columbus Blvd Ste 2  Hartford CT 06103 | AA/EOE  C: (959) 282-5740 | Cheryl.Sharp@ct.gov     Tausha Thomas  HRO Representative Trainee Capitol Region Commission on Human Rights and Opportunities 450 Columbus Blvd, Suite 2 Hartford, CT, 06103 | AA/EOE P: 860-541-3457 | F: 860-566-1997 tausha.thomas@ct.gov   Attorney General William Tong Office of the Attorney General 55 Elm Street Hartford, CT 06106 Email: attorney.general@ct.gov Phone: 860-808-5318   Senator Chris Murphy Please note that CT gov email contact for Senator Chris Murphy government public services are not currently listed on the CT gov website. Hartford Office 120 Constitution Plaza 10th Floor Hartford, CT 06103 Phone: (860) 549-8463   Senator Richard Blumenthal 90 State House Square 10th Floor Hartford, CT 06103 Phone: (860) 258-6940 Senator@blumenthal.senate.gov   Deidre Gifford Department of Social Services DSS Deidre.Gifford@ct.gov   Andrea Reeves Commissioner of The Connecticut Department of Social Services DSS commis.dss@ct.gov  Andrea.Reeves@ct.gov   Kimberly D. Morris   Secretary II Office of Public Hearings Commission on Human Rights and Opportunities 450 Columbus Blvd., Suite 2 Hartford CT 06103 | AA/EOE P: 860-418-8770 | F: 860-418-8780 | Direct: 860-541-4711 |  Kimberly.morris@ct.gov   Jennifer Zakrzewski Agency Legal Director Connecticut Department of Social Services.   jennifer.zakrzewski@ct.gov   (860) 509-7623.   George Chamberlin Connecticut Department of Social Services (DSS) Community Options Unit COU George.Chamberlin@ct.gov   Beth Carangelo Community Nurse Coordinator Connecticut Department of Social Services. Beth.Carangelo@ct.gov   Kathy Bruni Director of Community Options Connecticut Department of Social Services (DSS Kathy.a.bruni@ct.gov   (860) 424-5177   Russell Blair Director of Education & Communications Freedom of Information Commission 860-256-3968 russell.blair@ct.gov   Governor Ned Lamont Office of Governor Ned Lamont State Capitol 210 Capitol Avenue Hartford, CT 06106 Phone number 860-566-4840 governor.lamont@ct.gov   Astread Ferron-Poole Director of Administration Connecticut, Department of Social Services astread.ferron-poole@ct.gov   Valerie Giannelli  Manager - Provider Services Allied Community Resources vgiannelli@alliedgroup.org 860-627-9500 x138   Marihonor Flag Credentialing & Program Specialist Allied Community Resources mflagg@alliedgoup.org   Dr. Cherron Payne Please note that CT gov email contact for Cherron Payne government public services are not currently listed on the CT gov website. Commissioner on the Commission on Human Rights and Opportunities (CHRO) Connecticut Chief Human Rights Referee Commission on Human Rights and Opportunities Office of the Executive Director 450 Columbus Boulevard, Suite 2 Hartford, CT 06103-1835   1 (860) 541-3400 1 (860) 541-3400 1 (800) 477-5737 1 (860) 241-4875     Tanya Hughes Executive Director Commission on Human Rights And Opportunities CHRO (860) 541-3421 (860) 541-3450  tanya.hughes@ct.gov                 Cheryl Sharp Deputy Director Commission on Human Rights And Opportunities CHRO  (860) 541-3421 (860) 541-3450 cheryl.sharp@ct.gov     Easha B Canada Deputy Commissioner Department of Social Services DSS  (860) 424-5977 Easha.Canada@ct.gov   Candace Madison Executive Assistant, Department of Social Services DSS (860) 424-4940  Candace.R.Madison@ct.gov   Jalmar DeDios Communications Director Legislative and Communications Director Jalmar.dedios@ct.gov       CT NEWS: DSS / Care Management Consultant Services. ABI Waiver Consumers may request a new Care Manager consultant.   "Breaking Ground in Federal Whistleblower Law: A Civil Rights Attorney’s Guide" "Federal Whistleblower Protections: Civil Rights Implications and Legal Strategies" "Advocating for Justice: Federal Whistleblower Cases and Civil Rights Law Insights" "Navigating Civil Rights in Whistleblower Litigation: A Federal Attorney’s Primer" "Unveiling Federal Whistleblower Rights: A Civil Rights Attorney’s Analysis" "Strategic Litigation: Federal Whistleblower Cases Through a Civil Rights Lens" "The Intersection of Federal Whistleblower Law and Civil Rights: Challenges and Opportunities for Attorneys" "Federal Whistleblower Claims: A Civil Rights Perspective for Legal Advocates" "From Reporting to Retaliation: Navigating Civil Rights in Federal Whistleblower Cases" "Empowering Federal Whistleblowers: A Civil Rights Navigating the Legal Landscape: The Intersection of Federal Civil Rights, Attorney Lawsuits, and Political Dynamics In the ever-evolving arena of federal civil rights, the role of dedicated attorneys and the political underpinnings of lawsuits have become increasingly central to advocating for justice and equality. From the courthouses to the halls of Congress, the fight for civil liberties spans across various facets of American life, reflecting a nation's struggle towards an inclusive society. Civil Rights Litigation and Federal Discrimination Cases: The forefront of this battle sees civil rights litigation challenging federal discrimination cases, with attorneys bringing to light injustices in voting rights challenges and police misconduct lawsuits. The Equal Employment Opportunity Commission (EEOC) continues its pivotal actions against workplace discrimination, while the Americans with Disabilities Act (ADA) stands as a bulwark against accessibility violations. Advocacy and Legal Developments: LGBTQ+ rights advocacy and Fair Housing Act enforcement are testament to the ongoing efforts to broaden civil liberties. Meanwhile, racial justice initiatives and immigrant rights protections highlight the diverse scope of civil rights defense, emphasizing education equality lawsuits and environmental justice lawsuits as critical elements of this comprehensive effort. Legal Framework and Societal Impact: First Amendment rights defense and prisoners' rights litigation underscore the legal framework supporting civil liberties. The digital age brings new challenges and opportunities, as seen in civil liberties' evolution and the critical role of privacy rights and surveillance. Furthermore, whistleblower protection laws and political corruption investigations reveal the intricate relationship between civil rights, legal accountability, and political transparency. The Role of the Courts and Political Advocacy: Supreme Court civil rights decisions and federal circuit court appeals often set the stage for nationwide legal standards, influencing constitutional law challenges and affirmative action debates. Political asylum and refugee rights, alongside gerrymandering and redistricting cases, illustrate the political dimensions of civil rights advocacy. The Future of Civil Rights: As we look towards the future, the importance of federal civil rights enforcement agencies and the impact of political lobbying on civil rights cannot be understated. The quest for justice and equality continues, with civil rights attorneys and activists at the helm, navigating the complex interplay of legal challenges, political advocacy, and societal change. The landscape of federal civil rights, attorney lawsuits, and political dynamics is marked by its complexity and the unwavering commitment of those who navigate it. As we witness the ongoing efforts to protect and expand civil liberties, it's clear that the path towards equality is paved with legal battles, policy debates, and an enduring spirit of advocacy.

DB.42.131.Inf. CT NEWS: DSS / Care Management Consultant Services. ABI Waiver Consumers may request a new Care Manager consultant. ABI Waiver Consumers may request a new Care Manager consultant. Any individual wishing to change their case care manager can initiate the process by directly contacting their current case manager. Alternatively, requests can be made through the access agency or by reaching out to a supervisor at the access agency. This flexible approach is designed to accommodate the preferences and needs of individuals, ensuring that they feel supported and understood throughout their journey within the Medicaid Acquired Brain Injury ABI Waiver Program. The Connecticut Department of Social Services ( CT DSS ) emphasizes that such requests will be accommodated based on the availability of case Care Managers. The Connecticut Department of Social Services ( CT DSS ) emphasizes that such requests will be accommodated based on the availability of case Care Managers. For more information on how to request a change of case manager, individuals are encouraged to reach out to their current Care Manager or access agency. ABI Resources Advocate News. Brain Injury Community of Connecticut BICC ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES

DB.42.131.Inf. CT NEWS Connecticut Residents with Brain Injuries Face Unfulfilled Employment Promises and Unfair Compensation: U.S. Department of Labor Offers Support and Guidance "Are you in Connecticut and dealing with a brain injury agency provider that promised you a job, hasn't paid you for your art, or is paying below $15.69 an hour? You deserve better. Get in touch with the U.S. Department of Labor by phone at 1-866-487-9243 to learn what to do next." In a recent advisory, individuals in Connecticut who are engaged with brain injury agency providers and have encountered broken employment promises, unpaid art compensations, or wages below the state's minimum threshold are encouraged to seek intervention from the U.S. Department of Labor (DOL). The agency emphasizes the rights of disabled workers to fair treatment, equitable pay, and the fulfillment of all employment promises. Affected parties are urged to call the DOL directly at 1-866-487-9243 for comprehensive assistance and information on how to address these concerns. This initiative is part of a broader commitment to safeguarding the employment rights of individuals with disabilities, ensuring they receive the respect, compensation, and opportunities they are rightfully owed. ABI Resources Advocate News. Brain Injury Community of Connecticut BICC ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES

DB.42.131.Inf. Did your Connecticut community care manager refer you to an Agency Provider for ABI Waiver services? Were you told that there were no other agency options? Were you not provided the complete Agency provider list of over 100 agencies? The Federal government has strict Medicaid referral laws. If you believe your care manager may have broken these laws, You may contact the US Department of Justice Civil Rights Division to file a complaint against the Connecticut Department of Social Services for allowing care management agencies to violate your civil rights. To File a Complaint with the U.S. Department of Justice (DOJ), Civil Rights Division, call 1 855 856-1247. Take action to protect your rights and the rights of others. Justice Oversight in Connecticut: Spotlight on ABI Waiver Services In a concerning development, individuals in Connecticut seeking assistance through the Acquired Brain Injury (ABI) Waiver Program have reported potential violations of federal Medicaid referral laws by their community care managers. These allegations highlight a systemic issue within the Connecticut Department of Social Services (DSS) and its contracted care management agencies, raising serious questions about the adherence to civil rights protections for individuals with disabilities. Under the ABI Waiver Program, participants are supposed to have access to a wide range of agency providers, offering various services tailored to their specific needs. However, reports have emerged of care managers not only failing to present the complete list of over 100 agency providers but also misinforming individuals that no alternatives exist, thereby limiting their options and potentially compromising the quality of care. This situation poses significant legal and ethical concerns, as federal Medicaid laws are designed to ensure fair access and equity in healthcare services. By restricting information and choices, care managers may inadvertently contravene these principles, thus impacting the rights and welfare of those they aim to serve. The U.S. Department of Justice (DOJ), Civil Rights Division, is the designated federal entity tasked with enforcing civil rights laws, including those related to healthcare and disability services. Individuals who believe their rights have been violated in the context of the ABI Waiver Program are encouraged to take action by filing a complaint with the DOJ. This step is not only vital for addressing personal grievances but also for prompting a broader investigation into the practices of the Connecticut DSS and its affiliates. To file a complaint with the DOJ, affected parties can call 1-855-856-1247. This proactive measure is crucial for safeguarding personal rights and ensuring that similar practices are corrected, thereby improving the system for current and future participants of the ABI Waiver Program. The allegations against the Connecticut Department of Social Services and its care management agencies represent a significant concern within the realm of civil rights and healthcare services. As investigations unfold, it will be essential for all stakeholders, including state officials, federal authorities, and advocacy groups, to work together in rectifying these issues and reinstating a commitment to transparency, choice, and respect for the rights of individuals with disabilities. ABI Resources Advocate News. Brain Injury Community of Connecticut BICC   ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES

DB.42.131.Inf. Know Your Rights as a Disabled Person #KnowYourRights Every person in the world has rights - rights that are like superpowers. It doesn't matter who you are, where you're from, or whether you have a disability or not. So, let's embark on a journey together to understand these superpowers better. Knowing Your Rights As a person with a disability, it's essential to know your rights under the law. In many places, laws like the Americans with Disabilities Act (ADA) in the United States protect you. They ensure that you have equal access to public places, employment, and services, just like everyone else. Equal Opportunity: This right means that whether it's school, work, or any other activity, you should have the same opportunities as everyone else. Non-Discrimination: This right protects you from being treated unfairly because of your disability. Reasonable Accommodation: This right ensures that you get necessary adjustments to help you participate fully in life's activities. Taking Action When Rights are Violated It's unfortunate, but sometimes, people might not respect these rights. If you ever feel that your rights are violated, you don't need to feel powerless. Here are simple steps you can take: Record the Incident: Note down what happened, when, and who was involved. Talk About It: Speak up about the incident to a trusted adult. This can be a teacher, parent, or counselor. Contact an Advocate or Organization: Reach out to disability advocacy groups. They can guide you and provide necessary support. File a Complaint Online Here: If needed, file a formal complaint. You can reach the ADA Information Line at 1-800-514-0301 (voice) or 1-833-610-1264 (TTY). Now, take a moment and ask yourself these self-reflective questions: Do I fully understand my rights as a person with a disability? Have I ever felt that my rights were violated? Did I take action when I felt my rights were violated? Do I have supportive people around me who understand my rights? Am I taking steps to ensure that I am treated with respect and equality? Even if your answers indicate that you're facing challenges, don't worry. Remember that you are not alone and there are resources available to support you. Each challenge is an opportunity for growth and change. As a person with a disability, you have rights that protect you from discrimination and ensure equal opportunities. If these rights are violated, don't hesitate to take action - record the incident, talk about it, seek help from advocacy groups, and file a complaint if needed. Never forget that your voice matters and you deserve respect and equality. ________________________ Explore your rights as a disabled person and learn the steps to take if they are violated. Empower yourself and ensure equality for all. https://www.ctbraininjury.com/post/disability-rights-file-a-complaint Disabled rights, disability, empowerment, non-discrimination, equality, ADA, reasonable accommodation, equal opportunity, discrimination, advocacy, rights violation, incident record, formal complaint, self-reflection, self-advocacy, respect, support groups, person with disability, understanding rights, disability law, disability rights, personal growth, taking action, knowing your rights, stand tall, disability awareness, fairness, inclusion, accessible, disability support, human rights, equality act, legal rights, disability legislation, rights education, legal assistance, social justice, accessible services, individual rights, disabled community, disability justice, disability equality, legal protection, advocacy groups, disabled individuals, disability representation, disabled advocacy, disability resources, empowerment strategies, respect for all, human dignity, disability respect, social equality, accessible environments, disability rights movement, disability legislation, global disability rights, disability inclusion, disability pride, disability discrimination, disability rights advocate, disability empowerment, disability services, disability rights education, civil rights, inclusive society, equal rights, rights awareness, disability activism, disability community, equal access, disability rights violation, special needs rights, respect for disabilities, disability justice movement, right to participation, universal accessibility, legal rights of disabled, discrimination against disabled, support for disabled, legal recourse, self-respect, disability acceptance, disability self-advocacy, ableism, inclusion and diversity, disability rights activists, disability rights and advocacy, dignity and respect. Empower Yourself: Know Your Rights as a Disabled Person Understanding and Advocating for Your Rights as a Disabled Individual Disability Rights and Advocacy Respecting Disability: Know Your Rights and Stand Up for Them Ensuring Equality: Understanding Disability Rights Overcoming Barriers: Advocacy for Disability Rights The Power of Knowing: Your Rights as a Disabled Person Rights and Respect: A Guide for Disabled Individuals Break the Silence: Stand Up for Your Rights as a Disabled Person Your Rights, Your Power: A Guide for Disabled Individuals ABI Waiver Brain Injury Support Communty of Connecticut Disbility Rights Complaints "Connecticut ABI Waiver program disability rights" "Brain injury support services in Connecticut" "Complaint process for ABI Waiver recipients CT" "Disability rights advocacy ABI Connecticut" "Legal protections for brain injury survivors CT" "Connecticut Department of Social Services ABI Waiver" "Patient advocacy groups ABI Connecticut" "Filing disability complaints in Connecticut" "Ethical concerns in ABI support services" "Rights of ABI individuals under Medicaid Connecticut" "Accessibility and inclusion in ABI care CT" "State oversight of brain injury programs Connecticut" "Community care standards for ABI in Connecticut" "Disability Rights Connecticut (DRCT) ABI support" "Investigating care management practices ABI CT" "Best practices for ABI waiver providers Connecticut" "Connecticut brain injury policy and regulation" "Public feedback on ABI Waiver services CT" "Advocacy strategies for brain injury rights Connecticut" "Impact of care decisions on ABI individuals CT"

DB.42.131.Inf. In the panorama of digital social landscapes, ABI Resources has crafted a niche for itself that is as unique as it is inspiring. With an astounding influence on platforms like Facebook and Instagram, it has turned the tide of online traffic towards itself, becoming an astonishing beacon of education, advocacy, and employment. The company’s popularity on Facebook and Instagram is beyond the bounds of ordinary success. ABI Resources isn't just connecting with audiences; it's forging deep-rooted relationships and interactive communities where learning, support, and encouragement thrive. Every like, share, and comment symbolizes an individual impacted by the resources ABI offers - a testament to the transformative power of its digital outreach. Being the most searched company on Google and Bing is no mean feat. It requires tremendous effort, an unyielding commitment to service, and the ability to continuously provide value to users. For ABI Resources, this achievement underscores its role as a leading source of information on traumatic brain injury (TBI) and acquired brain injury (ABI). The vast trove of content disseminated by ABI Resources is a perfect blend of media, education, advocacy, and employment opportunities. From enlightening podcasts and webinars to informative articles and resources, ABI Resources continually ensures that every individual, from a concerned caregiver to a medical professional, has access to the right information at the right time. The company’s immense popularity is indicative of the massive need for dedicated resources in the field of brain injury, and the invaluable role that ABI Resources has stepped up to play. It's not just a success story—it's an inspiring lesson about the power of education, advocacy, and community-building in driving meaningful change. In the realm of brain injury care, ABI Resources is more than a company. It is a beacon of hope, a source of information, and a hub of advocacy – exemplifying the power of digital connection in making a real-world difference. ____________ "Discover ABI Resources' inspiring rise to digital advocacy as the most searched brain injury organization on Google, Bing, Facebook, and Instagram." https://www.ctbraininjury.com/post/facebook-meta-instagram-brain-injury-care-supported-living ABI Resources, brain injury, TBI, Acquired Brain Injury, Facebook, Instagram, Google, Bing, education, advocacy, employment, social media, digital outreach, online community, resources, caregiving, medical professionals, podcasts, webinars, articles, media, information, connection, most searched company, transformative power. 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"Building Community and Connection: ABI Resources’ Social Media Influence." "The Most Searched Company: ABI Resources' Journey to Digital Excellence." "ABI Resources: Navigating the Digital Landscape of Brain Injury Care." "How ABI Resources is Transforming Brain Injury Care through Digital Outreach." "How has ABI Resources impacted brain injury awareness and education?" "What makes ABI Resources a go-to resource for TBI care and recovery?" "With ABI Resources, brain injury patients find a supportive community." "Explore the wide range of TBI educational resources offered by ABI Resources." "What role does ABI Resources play in advancing brain injury advocacy?" "ABI Resources is leading the way in digital outreach for brain injury." "TBI patients can find valuable employment opportunities at ABI Resources." "ABI Resources: Pioneering change in the field of brain injury care." "Discover how ABI Resources is shaping the future of TBI care." "With ABI Resources, brain injury education is at your fingertips." "ABI Resources is effectively leveraging Facebook to spread awareness about brain injury and TBI." "With its consistent presence on Instagram, ABI Resources has reshaped how we understand and approach TBI." "Brain injury education takes a digital leap forward with ABI Resources' engaging Facebook and Instagram content." "How has ABI Resources' partnership with Meta revolutionized the online support available to TBI sufferers?" "ABI Resources is a leader in the field of brain injury, as seen in its popular Facebook posts and Instagram stories." "TBI patients and their families find comfort in the online community that ABI Resources has built on Facebook and Instagram." "What impact has ABI Resources' collaboration with Meta had on advancing brain injury research and awareness?" "Discover how ABI Resources uses Facebook and Instagram to change the narrative around brain injury and TBI." "Through Meta platforms, ABI Resources ensures accurate information about brain injury is readily available." "Facebook and Instagram posts by ABI Resources have given voice to many TBI survivors and their caregivers." "ABI Resources' activity on Meta's platforms has opened new avenues for brain injury education." "How has ABI Resources' Instagram content contributed to reducing the stigma associated with TBI?" "ABI Resources' Facebook community provides unparalleled support for individuals navigating life after a brain injury." "ABI Resources is harnessing the power of Meta to make TBI resources more accessible than ever." "With ABI Resources' dynamic presence on Facebook and Instagram, the conversation around brain injury is evolving." "Meta's platforms play a pivotal role in ABI Resources' mission to empower individuals affected by TBI." "ABI Resources has taken brain injury advocacy to new heights through its effective use of Facebook and Instagram." "ABI Resources is a beacon of hope for TBI survivors, as seen in its influential presence on Meta's platforms." "The dedication of ABI Resources to TBI education and advocacy shines through its Facebook and Instagram feeds." "ABI Resources' partnership with Meta has revolutionized the digital landscape of brain injury support." ... "ABI Resources' Instagram account is an influential platform for disseminating brain injury information and TBI support resources." "By harnessing the power of Meta, ABI Resources is transforming the landscape of brain injury awareness and advocacy." "What strategies does ABI Resources implement on Facebook to educate users about TBI?" "How does ABI Resources use Instagram to promote brain injury awareness and offer support?" "ABI Resources, in collaboration with Meta, is leading a new era of digital support for those affected by TBI." "Through Facebook, ABI Resources has established a global community to foster dialogue and share resources on brain injury and TBI." "ABI Resources is using Instagram to change the conversation about brain injury, spotlighting stories of TBI survivors and their journeys." "Facebook has become a cornerstone of ABI Resources' strategy to reach and support those affected by brain injury." "ABI Resources' collaboration with Meta is driving innovation in the dissemination of TBI knowledge." "Instagram stories by ABI Resources provide an intimate look into the realities of living with a brain injury." "The impact of ABI Resources' advocacy for TBI is evident in their robust Facebook community." "How does ABI Resources use Meta’s platforms, such as Facebook and Instagram, to reach out to individuals living with TBI?" "Facebook live sessions by ABI Resources offer real-time support and information to those navigating life with a brain injury." "ABI Resources' Instagram profile is a source of inspiration for many TBI survivors, providing resources and a platform for shared experiences." "By leveraging Meta's wide-reaching platforms, ABI Resources is ensuring that TBI awareness and resources are more accessible than ever." "ABI Resources is using Facebook and Instagram to create a virtual space of understanding and acceptance for those affected by brain injury." "How does ABI Resources' usage of Facebook and Instagram contribute to their mission of empowering TBI survivors and their families?" "ABI Resources' strategic partnership with Meta has created a paradigm shift in how TBI information and support are delivered." "Facebook and Instagram are more than social media platforms for ABI Resources; they are tools for change in the world of brain injury and TBI." "ABI Resources utilizes Meta's platforms to foster a sense of community among those affected by brain injury, offering hope, support, and resources." "ABI Resources has leveraged Instagram's vast network to spread information and support for TBI survivors and their families." "Through Meta's platforms, ABI Resources provides valuable insights about TBI, significantly impacting the lives of those affected by brain injury." "Facebook posts by ABI Resources offer hope and reassurance to people grappling with the uncertainties of a brain injury." "ABI Resources' Instagram handle is a beacon of support for TBI survivors, providing information, resources, and a sense of community." "By partnering with Meta, ABI Resources has brought TBI resources and education to the fingertips of millions." "ABI Resources utilizes Facebook to create a forum where individuals impacted by brain injury can share their experiences and find support." "How does ABI Resources' Instagram presence contribute to the broader discourse about brain injury and TBI?" "ABI Resources is pioneering the use of Meta's platforms to raise awareness about TBI and provide invaluable resources to those affected." "Facebook and Instagram have become integral tools for ABI Resources in its mission to revolutionize brain injury education and advocacy." "Through its work on Meta platforms, ABI Resources is setting a new standard for how organizations can support the TBI community and promote brain injury awareness." https://www.ctbraininjury.com/post/disability-rights-file-a-complaint https://www.ctbraininjury.com/post/care-plans https://www.ctbraininjury.com/post/tbi-art-groups https://www.ctbraininjury.com/post/supported-groups https://www.ctbraininjury.com/post/mfp-abi-waiver-leaving-people-behind https://www.ctbraininjury.com/post/steps-consumers-officially-change-care-managers-mfp-abi-waiver https://www.ctbraininjury.com/post/informed-choice-implications-connecticut-abi-waiver-mfp-programs https://www.ctbraininjury.com/post/mfp-abi-importance-informed-choice-achieving-free-choice-healthcare https://www.ctbraininjury.com/post/balancing-benefits-drawbacks-brain-injury-day-groups https://www.ctbraininjury.com/post/ethical-advocating-consumer-rights-change-care-manager https://www.ctbraininjury.com/post/take-a-2-minute-journey-experience-sensory-overload-brain-injury https://www.ctbraininjury.com/post/alleged-discrimination-connecticut-community-care-investigation https://www.ctbraininjury.com/post/investigating-legality-impact-of-ccc-secret-randomization-system-federally https://www.ctbraininjury.com/post/united-by-love-embracing-the-journey-of-brain-injury-as-a-family https://www.ctbraininjury.com/post/care-managers-do-you-have-the-right-to-change-yours-understanding-protecting-your-freedoms https://www.ctbraininjury.com/post/dear-governor-ned-lamont-advocacy-request-for-brain-injury-survivors https://www.ctbraininjury.com/post/dear-brain-injury-alliance-of-connecticut-biac https://www.ctbraininjury.com/post/secret-directory-practices-concerns-rise-for-brain-injured-individuals-in-connecticut-medicaid https://www.ctbraininjury.com/post/support-without-support-is-no-support-at-all-unsupported-caregivers https://www.ctbraininjury.com/post/federal-anti-kickback-statute-busting-the-scam-medicaid-referral-fraud-abi-resources https://www.ctbraininjury.com/post/empowering-brain-injury-survivors-against-addiction-and-exploitation-abi-resources

DB.42.131.Inf. " I didn't know I had a Team Meeting or people are meeting to discuss my life. " Discrimination in Covert Medicaid ABI Waiver Program Meetings In recent years, concerns have emerged regarding the Connecticut Department of Social Services' (CT DSS) practices in affiliation with Cognitive Behaviorists (CBT) providers and Care Management providers. At the heart of the controversy is the organization of covert Medicaid Acquired Brain Injury (ABI) Waiver Program meetings, where decisions and discussions about disabled individuals occur without their knowledge, approval, or participation. This may also be impacting the Families and Conservators. Nature of the Issue: Exclusion from Decision Making: Central to the principles of self-determination and autonomy is the idea that individuals should be at the forefront of decisions affecting their lives, especially when it pertains to their health and well-being. By excluding individuals from these meetings, the CDSS and its affiliates essentially strip them of their rights to be active participants in decisions about their own care. Violation of Ethical Principles: Ethical care in both cognitive behavior therapy and care management is grounded in respect for the dignity, autonomy, and rights of individuals. Covert meetings undermine these principles, placing disabled individuals in passive roles, thus treating them as subjects rather than partners in their own care. Potential for Bias: Decisions made without the direct input of those affected can lead to assumptions and biases influencing care. Without direct feedback, there's a risk of perpetuating stereotypes, misunderstanding individual needs, or prioritizing organizational needs over the needs of the individuals. Lack of Transparency: The covert nature of these meetings raises questions about transparency. Without transparency, there's a potential for conflicts of interest, biased decision-making, and a lack of accountability in the process. Implications and Consequences: Erosion of Trust: Trust is a fundamental aspect of the patient-provider relationship. When individuals learn that decisions are made without their knowledge or input, this trust is eroded, which can impact the effectiveness of care and the willingness to engage in recommended treatments. Risk of Inadequate Care: By not involving the individuals directly, the CDSS and its affiliates may overlook critical information about their preferences, needs, and values, potentially leading to less effective or inappropriate care. Legal Repercussions: Discrimination against disabled individuals and the infringement of their rights can result in legal consequences, including lawsuits and sanctions against the offending parties. Recommendations: Inclusive Practices: The CT DSS, in conjunction with CBT providers and Care Management providers, should ensure that practices are inclusive. This means actively involving individuals in discussions and decisions that affect their care and well-being. Training and Sensitization: All stakeholders should undergo training to ensure they understand the importance of inclusivity, respect for individual rights, and the potential consequences of discriminatory practices. Transparency and Accountability: Open communication and a commitment to transparency are critical. Policies should be in place to ensure that all meetings and decisions are documented, with appropriate checks and balances. Conclusion: The organization of covert Medicaid ABI Waiver Program meetings without the awareness, approval, and participation of disabled individuals represents a clear form of discrimination. For a just, ethical, and effective system, it's imperative to center the rights and needs of those the system aims to serve. ABI Resources Connecticut

DB.42.131.Inf. Date: 11/28/2023 Subject: Urgent Call for State-Level Action to Address Systemic Rights Violations in Connecticut's Disability Support System Dear Governor Ned Lamont, I am reaching out to you in my role as the CEO and Director of ABI Resources, an organization committed to the well-being of individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program in Connecticut. This letter serves as both a statement of grave concern and a pressing appeal for your immediate action regarding systemic rights violations occurring within our state. Date: 11/28/2023 Subject: Urgent Request for State and Federal Intervention to Address Systemic Rights Violations in Connecticut Dear Senator Richard Blumenthal, I am writing to you as the CEO and Director of ABI Resources, a Connecticut-based organization dedicated to assisting individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program. This letter is both an expression of grave concern and an urgent plea for your intervention regarding ongoing systemic rights violations in Connecticut. These violations, perpetrated by state authorities and insufficiently addressed by federal entities, are infringing upon the rights of the community we serve, including my rights as a disabled business owner. Our efforts to tackle these challenges are hampered by the complexity, costs, and timeframes required to navigate existing systems, compounded by a conspicuous lack of federal oversight in Connecticut's allocation and use of federal funds. Date: 11/28/2023 Subject: Immediate Intervention Needed for Addressing Systemic Rights Violations in Connecticut's Disability Support System Dear Senator Chris Murphy, I am reaching out to you in my capacity as the CEO and Director of ABI Resources, a Connecticut-based organization committed to supporting individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program. This letter is an urgent appeal for your intervention regarding critical and systemic rights violations occurring within our state. The crux of our concerns lies in the rights infringements perpetrated by Connecticut state authorities, which are further exacerbated by the lack of appropriate federal oversight. These actions are not only impinging upon my rights as a disabled entrepreneur but are also adversely affecting the vulnerable community we serve. The complexities, costs, and procedural delays inherent in the current systems have been barriers in our pursuit of justice, highlighting a significant oversight gap in the federal monitoring of Connecticut's use of federal funds. Date: 11/28/2023 Subject: Urgent Request for Advocacy and Action on Systemic Rights Violations in Connecticut’s Disability Support System Dear Congressman John B. Larson, I am writing to you in my capacity as the CEO and Director of ABI Resources, a Connecticut-based organization dedicated to supporting individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program. I am reaching out to you, as a respected representative of Connecticut's 1st Congressional District, to seek your support and intervention in addressing critical systemic rights violations within our state. Our organization, and more importantly, the community we serve, are facing significant challenges due to rights infringements perpetrated by state authorities. These issues are compounded by the lack of adequate federal oversight, severely impacting not only my rights as a disabled business owner but also those of the vulnerable individuals we support. The complexity, costs, and prolonged procedural delays inherent in the current systems represent significant barriers to justice and equitable treatment. Date: 11/28/2023 Subject: Request for Urgent Congressional Attention on Systemic Rights Violations in Connecticut’s Disability Support System Dear Congressman Joe Courtney, I write to you in my capacity as the CEO and Director of ABI Resources, a company committed to serving individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program in Connecticut. This correspondence is an urgent appeal for your attention and action regarding significant systemic rights violations within our state. Our organization, ABI Resources, has been at the forefront of confronting these challenges. However, the rights infringements perpetrated by state authorities, compounded by inadequate federal oversight, are gravely impacting the vulnerable community we serve, including my rights as a disabled business owner. We face numerous barriers due to the complexities, costs, and procedural delays inherent in the current systems, highlighting critical gaps in Connecticut's management of federal funds. Date: 11/28/2023 Subject: Urgent Intervention Required to Address Systemic Disabilities Rights Violations in Connecticut Dear Congresswoman Rosa DeLauro, I am writing to you in my capacity as CEO and Director of ABI Resources, a Connecticut-based organization dedicated to supporting individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program. This letter is an urgent call for your attention and action regarding significant systemic rights violations occurring within our state, particularly affecting those with disabilities. Our organization, ABI Resources, is deeply committed to the welfare of individuals with disabilities, and it is with great concern that I bring to your attention the pressing issues we are facing. These challenges stem from the rights infringements by Connecticut state authorities, negatively impacting not only my rights as a disabled entrepreneur but also the rights of the vulnerable individuals we serve. The complexities and inefficiencies within the current systems have created significant barriers, hindering our efforts to seek justice and support for our community. Date: 11/28/2023 Subject: Urgent Action Required to Address Systemic Rights Violations in Connecticut's Disability Support System Dear Congressman Jim Himes, I am writing to you in my role as the CEO and Director of ABI Resources, an organization operating in Connecticut to provide support for individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program. This letter seeks your urgent attention and intervention concerning systemic rights violations impacting the disabled community in our state, particularly in the area you represent. Connecticut is currently facing a critical issue: the infringement of rights by state authorities, which has been exacerbated by inadequate federal oversight. These violations affect not only my rights as a disabled entrepreneur but also impinge upon the rights and welfare of the individuals we serve. Our efforts to address these challenges have been consistently impeded by the complex, costly, and prolonged processes involved in navigating the current systems. This is compounded by a lack of effective oversight in Connecticut's management of federal funds, as intended for the benefit of the disabled community. Date: 11/28/2023 Subject: Urgent Action Required to Address Systemic Rights Violations in Connecticut’s Disability Support System Dear Congresswoman Jahana Hayes, I am writing to you in my role as the CEO and Director of ABI Resources, a dedicated organization assisting individuals with disabilities under the Federally Funded Medicaid ABI Waiver Program in Connecticut. This letter is an urgent call to action regarding serious systemic rights violations occurring within our state, particularly impacting those with disabilities. As a representative of Connecticut’s 5th Congressional District, your leadership and advocacy are vital in addressing these critical issues at the federal level. The rights infringements we face are not just a failure of state authorities but also reflect a gap in federal oversight. These issues severely impact not only my rights as a disabled business owner but also the rights and well-being of the vulnerable community we serve. The complexities and delays inherent in the current systems, both at the state and federal levels, have become significant barriers in our pursuit of justice and equity. In this urgent appeal, I am highlighting the lack of transparency and accountability in the state’s administration of the Medicaid ABI Waiver Program. Our report sheds light on potential civil rights violations, government overreach, and their profound impact on the disabled community we are committed to serving. We have documented concerns regarding potential corruption, ethical violations, and financial mismanagement within state-run programs. The absence of decisive action against these allegations risks setting a concerning precedent, undermining the principles of governance and oversight at the state level. The issues raised involve potential discrimination and inequality against individuals with disabilities and also raise significant public safety concerns. As a leader deeply involved in these matters, I have seen firsthand the detrimental effects these systemic issues have on our clients and their families. It is not just a policy failure; it is a failure to protect and support those who rely on us. The responsibility to address these issues lies with the state of Connecticut, where robust oversight and effective solutions are critically needed. In conclusion, the situation we are facing is a matter of national concern, warranting proactive and decisive intervention at the state level. The well-being of countless individuals reliant on the integrity of our state systems is in jeopardy. I implore you to recognize the seriousness of this situation and take appropriate action. It is vital that the state of Connecticut takes responsibility for these systemic failures and implements effective solutions. Thank you for your consideration of this pressing issue. I am ready to provide any further information or assistance required and look forward to your prompt response. Best regards, David Medeiros ABI Resources, CEO, Director, Team Member In an unprecedented move that's shaking the foundations of Connecticut's healthcare system, a detailed complaint demanding federal intervention has been lodged to address systemic injustices within the state’s Medicaid Acquired Brain Injury (ABI) Waiver Program. This bold step, while initiated by ABI Resources LLC, is a powerful echo of the struggles and aspirations of the broader disabled community, the unsung heroes among home care workers, diligent care managers, and the very ethos of Connecticut's commitment to equitable healthcare. The Tipping Point: This complaint is not just another document in the bureaucratic maze. It's the culmination of years of silent battles, unheeded voices, and overlooked grievances. It uncovers a network of discriminatory practices, veiled Medicaid referrals, and financial intricacies that have long cast a shadow over the quality and accessibility of care for the disabled. Voices from the Shadows : At the heart of this story are the lives of thousands of disabled individuals in Connecticut. Their daily realities are marred by barriers to essential services, a lack of adequate support, and a system that often seems indifferent to their struggles. Home care workers and care managers, who devote their lives to providing care, share in this struggle, facing constant challenges in a system fraught with inefficiencies and inequities. The Battle for Transparency and Fair Play: The complaint is a clarion call for a revolution in the way Connecticut’s ABI Waiver Program is run. It calls for a system where transparency isn't just a buzzword but a foundational principle. It's a demand for a level playing field where the rights and needs of the disabled are not just recognized but given the highest priority. Federal Oversight: The Beacon of Hope: The appeal for federal intervention is laden with expectations. It's seen as the crucial step towards dismantling the entrenched barriers of injustice and ushering in an era of reform. The hope is that federal oversight will not only bring about immediate changes but also set a precedent for long-term improvements in the state’s approach to disability care. A Ripple Effect Across the Nation: This situation transcends Connecticut’s borders, spotlighting a systemic issue in the United States’ approach to disability care. It raises critical questions about the effectiveness of federal oversight in state-run programs and the broader implications for the nation's healthcare policies. The Human Angle: At its core, this story is about people. It's about the resilience and courage of those living with disabilities, the dedication of caregivers who offer support and strength, and the community's collective effort to uphold the rights and dignity of every individual. Contacting Your Connecticut Representatives and Senators in Washington U.S. Senators (statewide) Richard Blumenthal email Connecticut Office 90 State House Square 10th Floor Hartford, CT 06103 860.258.6940 860.258.6958 (fax) Washington, DC Office 702 Hart Office Building Washington, DC 20510 202.224.2823 202.224.9673 (fax) Chris Murphy email Connecticut Offices 120 Huyshope Avenue Colt Gateway, Suite 401 Hartford, CT 06106 860.549.8463 860.524.5091 (fax) Washington, DC Office 136 Hart Senate Office Building Washington, DC 20510 202.224.4041 202.224.9750 (fax) U.S. Representatives (regional) Click here to find your U.S. Representative, as well as your Connecticut State Representative & State Senator . John Larson—1st Congressional District email Connecticut’s 1st Congressional District covers the north-central part of the state, including the towns of Barkhamsted, Berlin, Bloomfield, Bristol, Colebrook, Cromwell, East Granby, East Hartford, East Windsor, Glastonbury (part), Granby, Hartford, Hartland, Manchester, Middletown (part), New Hartford, Newington, Portland, Rocky Hill, South Windsor, Southington, Torrington (part), West Hartford, Wethersfield, Winchester, Windsor, and Windsor Locks Connecticut Office 221 Main Street 2nd Floor Hartford, CT 06106 860.278.8888 860.278.2111 (fax) Washington, DC Office 106 Cannon House Office Building Washington, DC 20515 202.225.2265 202.225.1031 (fax) Joe Courtney—2nd Congressional District email Connecticut’s 2nd Congressional District covers the eastern part of the state, including the towns of Andover, Ashford, Bolton, Bozrah, Brooklyn, Canterbury, Chaplin, Chester, Clinton, Colchester, Columbia, Coventry, Deep River, East Haddam, East Hampton, East Lyme, Eastford, Ellington, Enfield, Essex, Franklin, Glastonbury (part), Griswold, Groton, Haddam, Hampton, Hebron, Killingly, Killingworth, Lebanon, Ledyard, Lisbon, Lyme, Madison, Mansfield, Marlborough, Montville, New London, North Stonington, Norwich, Old Lyme, Old Saybrook, Plainfield, Pomfret, Preston, Putnam, Salem, Scotland, Somers, Sprague, Stafford, Sterling, Stonington, Suffield, Thompson, Tolland, Union, Vernon, Voluntown, Waterford, Westbrook, Willington, Windham, and Woodstock Connecticut Offices 55 Main Street, Suite 250 Norwich, CT 06360 860.886.0139 860.886.2974 (fax) Washington, DC Office 2348 Rayburn HOB Washington, DC 20515 202.225.2076 202.225.4977 (fax) 77 Hazard Ave., Unit J Enfield, CT 06082 860.741.6011 860.741.6036 (fax) Rosa DeLauro—3rd Congressional District email Connecticut’s 3rd Congressional District includes the south-central part of the state, including the towns of Ansonia, Beacon Falls, Bethany, Branford, Derby, Durham, East Haven, Guilford, Hamden, Middlefield, Middletown (part), Milford, Naugatuck, New Haven, North Branford, North Haven, Orange, Prospect, Seymour, Shelton (part), Stratford, Wallingford, Waterbury (part), West Haven, and Woodbridge Connecticut Office 59 Elm Street New Haven, CT 06510 203.562.3718 203.772.2260 (fax) Washington, DC Office 2413 Rayburn House Office Building Washington, DC 20515 202.225.3661 202.225.4890 (fax) Jim Himes—4th Congressional District email Connecticut’s 4th Congressional District covers the southwestern part of the state, including the towns of Bridgeport, Darien, Easton, Fairfield, Greenwich, Monroe, New Canaan, Norwalk, Oxford, Redding, Ridgefield, Shelton (part), Stamford, Trumbull, Weston, Westport, and Wilton Connecticut Offices 211 State Street, 2nd Floor Bridgeport, CT 06604 866.453.0028 203.333.6655 (fax) Washington, DC Office 1227 Longworth House Office Building Washington, DC 20515 202.225.5541 202.225-9629 (fax) 888 Washington Boulevard, 10th Floor Stamford, CT 06901 866.453.0028 203.333.6655 (fax) Jahana Hayes—5th Congressional District email Connecticut’s 5th Congressional District includes the northwestern part of the state, including the towns of Avon, Bethel, Bethlehem, Bridgewater, Brookfield, Burlington, Canaan, Canton, Cheshire, Cornwall, Danbury, Farmington, Goshen, Harwinton, Kent, Litchfield, Meriden, Middlebury, Morris, New Britain, New Fairfield, New Milford, Newtown, Norfolk, North Canaan, Plainville, Plymouth, Roxbury, Salisbury, Sharon, Sherman, Simsbury, Southbury, Thomaston, Torrington (part), Warren, Washington, Waterbury (part), Watertown, Wolcott, and Woodbury Connecticut Office 108 Bank Street 2nd Floor Waterbury, CT 06702 860.223.8412 Washington DC Office 1415 Longworth HOB Washington DC 20515 202.225.4476 Senate Blumenthal, Richard — Democrat Murphy, Chris — Democrat House Larson, John B. — Democrat: 1st Congressional District Courtney, Joe — Democrat: 2nd Congressional District DeLauro, Rosa L. — Democrat: 3rd Congressional District Himes, Jim — Democrat: 4th Congressional District Hayes, Jahana — Democrat: 5th Congressional District Connecticut News | Brain Injury Home Care Concerns CONNECTICUT NEWS. Bold Push for Reform in Housing and Home Health Services CT NEWS: Ned Lamont - Richard Blumenthal - Chris Murphy - Larson, Courtney, DeLauro, Himes, Hayes To the Esteemed Governor Ned Lamont, Senators Richard Blumenthal and Chris Murphy, and House Representatives John Larson, Joe Courtney, Rosa DeLauro, Jim Himes, and Jahana Hayes, We, a collective of concerned citizens, are writing to express our profound concern regarding the urgent need for reform and regulation within the Connecticut Department of Social Services (CT DSS). We believe there is a systemic issue of disability rights violations that cannot be overlooked. It is alarming that the CT DSS, an entity meant to protect and empower individuals with disabilities, is reportedly engaged in practices that severely hinder self-advocacy and propagate discrimination. The alleged instances of housing and service entrapment, along with the operation of sheltered workshops, and engagement in kickback incentive programs and bribery, are deeply troubling. These practices not only undermine the ethical standards expected of such a department but also flagrantly violate the rights of people with disabilities. The approach of "what they don't know won't hurt them" is especially concerning as it perpetuates discrimination and further marginalizes those with disabilities. Moreover, it is disconcerting that the CT DSS is accused of creating barriers that make it difficult for individuals to document their concerns or challenges. This lack of transparency and accountability obstructs the necessary process of identifying and rectifying these critical issues. We urge you, as our elected officials and representatives, to take decisive action in addressing these allegations. The commitment of ABI Resources in this matter is noteworthy, but the involvement and decisive actions of government officials such as yourselves are paramount in ensuring meaningful reform. Immediate action is necessary to reform agency housing and service regulations in federally funded programs, ensuring fair and equitable treatment for all citizens, particularly those with disabilities. The people of Connecticut look to your leadership in safeguarding the rights and voices of individuals with disabilities. We stand united in this cause, calling for justice, equity, and the upholding of the rights of people with disabilities. Your prompt and decisive response to these concerns is not only anticipated but necessary for the betterment of our community. ABI Resources is a renowned organization in Connecticut, committed to delivering outstanding support to individuals and families. They work collaboratively with several government and community service providers, such as the Connecticut Department of Social Services (DSS), Community Options (COU), the Department of Mental Health and Addiction Services (DMHAS), Connecticut Community Care (CCC/CCCI), Area Agencies on Aging (SWCAA, WCAAA), Allied Community Resources (ACR), Access Health, and United Services. ABI Resources works alongside leading institutions like HFSC, Gaylord, UCONN, Yale, and Hartford, emphasizing high-quality, personalized care. They play a key role in programs like Medicaid MFP (Money Follows the Person), ABI Waiver Program, and PCA Waiver, enhancing the lives of those they serve. ABI Resources Connecticut home-based and community supported living. The Hidden Struggle: Inside the Medicaid ABI Waiver Program "Welcome to our special interview session where we delve into the pressing issues faced by disabled consumers in the Medicaid ABI Waiver Program in Connecticut. Today, we're joined by an advocate from ABI Resources, a company dedicated to supporting individuals with disabilities. ABI Resources has been at the forefront of highlighting and addressing the systemic challenges within the program. In this interview, we'll explore these issues and discuss potential solutions." Can you tell us about the primary challenges disabled consumers are facing in the Medicaid ABI Waiver Program? "The most pressing challenges include misleading practices where individuals are diverted from their actual rehabilitation needs, a reduction in service quality due to managerial misdirection, and coercive tactics in service utilization. Consumers face financial manipulation, leading to a dependency trap, and there’s a notable lack of transparency and consumer choice in the services provided." How do these challenges impact the mental health and recovery prospects of disabled individuals? "These challenges have a profound impact on mental health, leading to stress, anxiety, and a sense of helplessness. This psychological distress can significantly impede recovery and rehabilitation, undermining the overall goal of fostering independence and improving quality of life." What role can federal intervention play in addressing these issues? "Federal intervention is critical. It can ensure that the program adheres to ethical standards and disability rights, implement stricter oversight, and mandate transparency in service provision. By setting national standards and providing guidelines for ethical practices, federal authorities can help restructure the program to be more consumer-centric." What specific changes would ABI Resources like to see implemented to improve the situation? "We advocate for a comprehensive overhaul of policies to prioritize consumer needs. This includes enhanced training for care managers, clearer communication of consumer rights, and a more straightforward advocacy process. Additionally, involving disabled individuals in policy-making and service design is crucial to ensure that their voices are heard, and their needs are met." How can we ensure that the voices of disabled consumers are amplified in decision-making processes? "Amplifying their voices requires involving them directly in advisory boards and decision-making committees. Regular feedback mechanisms, consumer satisfaction surveys, and a transparent grievance redressal system can also ensure that their experiences and needs are central to service improvements." "This conversation with ABI Resources highlights the urgent need for systemic reform in the Medicaid ABI Waiver Program in Connecticut. By focusing on consumer-centric solutions and advocating for federal oversight, we can work towards a system that truly supports and empowers individuals with disabilities. Thank you for joining us in this important discussion." Can you discuss the importance of transparent communication in these services, particularly for families and caregivers? "Transparent communication is vital. Families and caregivers need to be fully informed about the available services, the rights of the consumers, and the mechanisms in place for feedback and grievances. Clear and regular communication can empower them to make informed decisions and advocate effectively for their loved ones." In what ways can technology be leveraged to enhance the services provided to disabled consumers? "Technology offers immense potential to enhance services. Digital tools can facilitate better communication, provide accessible educational resources, and enable remote consultations and support. Additionally, technology can streamline service delivery, making it more efficient and personalized." How can we better address the unique needs of consumers with brain injuries in these programs? "Addressing the needs of consumers with brain injuries requires specialized training for care providers, individualized care plans, and access to resources that specifically cater to brain injury rehabilitation. Additionally, involving specialists in the planning and delivery of services is crucial." What changes would you suggest to ensure that service plans are more aligned with individual rehabilitation goals? "Service plans should be developed collaboratively with the consumer, their family, and healthcare professionals, focusing on individual rehabilitation goals. Regular reviews and adjustments based on progress and changing needs are essential to ensure these plans remain relevant and effective." How can the state and federal government better support initiatives that promote independence and self-sufficiency for disabled consumers? "Support can include funding for programs that focus on skill development, employment training, and community integration. Additionally, policy initiatives that encourage and incentivize service providers to focus on independence and self-sufficiency are essential." What role should medical professionals play in overseeing and guiding the services provided to disabled individuals? "Medical professionals should have a central role in overseeing and guiding services. Their expertise is crucial in developing appropriate care plans, monitoring progress, and ensuring that services are aligned with medical and rehabilitation needs." "Our discussion today with ABI Resources has brought to light the critical challenges and necessary steps for reforming the Medicaid ABI Waiver Program in Connecticut. Their commitment to advocating for the rights and well-being of disabled individuals is a testament to the importance of addressing these systemic issues. Thank you for joining us in this insightful and meaningful conversation." How can we ensure that disabled consumers have a voice in policy-making and service design? "Ensuring a voice for disabled consumers can be achieved by involving them in advisory committees, focus groups, and policy-making processes. Their direct experiences and insights are invaluable in designing services that truly meet their needs. It's also important to facilitate accessible platforms where their voices can be heard without barriers." What steps should be taken to better educate consumers and families about their rights and the services available to them? "Education can be improved through accessible information resources, regular workshops or webinars, and one-on-one counseling sessions. Ensuring that information is available in various formats to accommodate different disabilities is also crucial. Moreover, proactive outreach is essential to ensure that this information reaches those who need it most." What impact do these service limitations have on the social integration and community involvement of disabled individuals? "Service limitations significantly hinder social integration and community involvement. Without adequate support, disabled individuals may find it challenging to engage in community activities or social interactions, leading to potential isolation and a reduced quality of life. It's vital that services not only address medical needs but also facilitate broader social participation." Can you discuss the psychological effects on consumers when they feel trapped in the current system? "Feeling trapped in the system can lead to increased feelings of powerlessness and frustration. It can exacerbate feelings of depression and anxiety, especially when individuals feel they have no control over their care or future. This psychological impact can be as debilitating as the physical challenges they face." How do these practices affect the long-term financial independence and employment prospects of disabled consumers? "Current practices that do not prioritize skill development and independence can adversely affect the long-term financial independence and employment prospects of disabled consumers. Without the right support and opportunities, individuals may find it difficult to secure meaningful employment, which is essential for financial autonomy and self-esteem." "Our in-depth conversation with ABI Resources today sheds light on the urgent need for systemic change in disability care and advocacy. The insights provided highlight the importance of a collaborative, inclusive approach that genuinely considers the needs and voices of disabled individuals. We thank ABI Resources for their dedication and efforts in championing these crucial issues. This interview serves as a call to action for all stakeholders to work towards a more equitable and effective system of care." What are the most common concerns you hear from consumers and their families regarding these services? "We frequently hear concerns about the lack of personalized care and the feeling of being just a number in the system. Families are also worried about the quality and relevance of the services provided, and they express frustration over the bureaucratic hurdles that prevent them from advocating effectively for their loved ones." How can better oversight and regulation improve these issues? "Improved oversight and regulation can ensure that services are delivered in a manner that truly meets the needs of disabled consumers. This includes enforcing standards for personalized care, ensuring that service providers are adequately trained and qualified, and establishing transparent mechanisms for feedback and accountability." In your opinion, what immediate steps should be taken to address these issues? "Immediate steps include conducting a thorough review of current practices, engaging with consumers and their families to understand their needs better, and implementing interim measures to address the most pressing concerns. Additionally, there should be an immediate effort to improve transparency and communication with all stakeholders." How can disabled consumers and their families be better supported in navigating the system and advocating for their rights? "Support can be enhanced through the provision of clear, accessible information about the system and their rights within it. Dedicated advocacy services and support groups can also play a crucial role in helping consumers and families navigate the system and effectively advocate for their needs." What changes are needed in the training and qualification of care managers to better address the needs of disabled consumers? "Care managers need comprehensive training that includes a focus on disability rights, ethical care practices, and the specific needs of different disability groups. Ongoing professional development should also be a requirement, ensuring that care managers stay up-to-date with the latest best practices and regulatory requirements." How can we ensure that the voices of disabled consumers are amplified in decision-making processes at both state and federal levels? "Incorporating the voices of disabled consumers in decision-making can be achieved by establishing formal channels for their participation, such as advisory councils or committees. It's also important to create environments where their input is not only heard but actively sought and valued." "This interview with ABI Resources has highlighted the numerous challenges and opportunities in the Medicaid ABI Waiver Program. Their advocacy and insights offer a roadmap for meaningful change and improvement in services for disabled consumers. Their commitment to these issues is commendable, and it underscores the necessity for dialogue and action to create a more inclusive and effective system. Thank you for joining us in this critical conversation." What role do you see for federal authorities in monitoring and ensuring compliance with disability rights and service standards? "Federal authorities have a pivotal role in setting and enforcing standards for disability services. They should monitor compliance regularly and take decisive action when violations occur. Federal oversight is essential in ensuring that state programs adhere to the principles of fairness, transparency, and respect for the rights of disabled individuals." Can you suggest ways to improve transparency in the allocation of services and resources? "To improve transparency, there should be clear documentation and communication of how services and resources are allocated. This includes public reporting of service outcomes and criteria used in decision-making. Additionally, creating platforms for feedback and discussion with stakeholders can foster a more transparent and inclusive process." How do these issues intersect with other systemic challenges in healthcare and social services? "These issues are part of broader challenges in healthcare and social services, including disparities in access to care, inadequate funding, and a lack of coordinated care. Addressing these systemic issues requires a holistic approach that considers the interconnectedness of different facets of healthcare and social services." In your opinion, what role should medical professionals play in overseeing and guiding the services provided to disabled individuals? "Medical professionals should be central in guiding and overseeing services for disabled individuals. Their medical expertise is crucial in ensuring that services are appropriate and effective. They should also be involved in policy development and oversight to ensure that medical perspectives are integrated into service delivery." How can we ensure that disabled consumers have a voice in policy-making and service design? "Disabled consumers can have a voice in policy-making and service design by actively involving them in advisory roles, consultation processes, and research initiatives. Ensuring that their perspectives and experiences are considered in all stages of policy development and service design is key to creating responsive and effective programs." "Our discussion today with ABI Resources has been enlightening and informative, uncovering the depth and complexity of the challenges faced by disabled consumers in the Medicaid ABI Waiver Program. Their advocacy work highlights the critical need for systemic reform and increased involvement of all stakeholders in creating a more equitable and effective service system. We extend our gratitude to ABI Resources for their insights and unwavering commitment to improving the lives of disabled individuals. Thank you to our listeners for joining this important conversation." ( Choosing Your Care Manager ) Where your life and your choices matter most. Connecticut home and community support services.

DB.42.131.Inf. "These programs are funded by the Federal Medicaid Program and are available to residents of Connecticut and other states. The Connecticut Department of Social Services is responsible for overseeing and ensuring the quality of the services provided for the CT programs." Connecticut Regulations of CT DSS Department of Social Services Concerning The Acquired Brain Injury Waiver Programs 1 and 2 The Regulations of Connecticut State Agencies are amendedby adding sections17b-260a-1 to 17b- 260a-18, inclusive, as follows: (NEW) Sec. 17b-260a-1. Purpose The Acquired Brain Injury (ABI) waiver program is established pursuant to sections 17b-260a(a) and 17b-260a(b) of the Connecticut General Statutes and 42 USC 1396n(c). The ABI waiverprogram provides, within the limitations described in sections 17b-260a-2 to 17b-260a-18, inclusive, of the Regulations of Connecticut State Agencies, a range of nonmedical, home and community-based services to individuals 18 years of age or older with an ABI who, without such services, would otherwise require placement in a hospital, nursing facility (NF), or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). The intention of the ABI waiver program is to enable such individuals, through person-centered planning, to receive home and community-based services necessary to allow such individuals to live in the community and avoid institutionalization. (NEW) Sec. 17b-260a-2. Scope Sections 17b-260a-1 to 17b-260a-18, inclusive, of the Regulations of Connecticut StateAgencies set forth the requirements for eligibility and payment of services to eligible individuals participating in the ABI waiver program. These regulations also describe program requirements; services available; service requirements; department, provider and individual responsibilities; residential setting requirements; and limitations under the ABI waiver program. (NEW) Sec. 17b-260a-3. Definitions As used in sections 17b-260a-1 to 17b-260a-18, inclusive, of the Regulations of Connecticut State Agencies: (1) “ Acquired brain injury ” or “ABI” means the combination of focal and diffuse central nervous system dysfunctions, immediate or delayed, at the brainstem level or above.These dysfunctions may be acquired through physical trauma, oxygen deprivation, infection, or a discrete incident that is toxic, surgical, or vascular in nature. The term “ABI” does not include disorders that are congenital, developmental, degenerative, associated with aging, or that meet the definition of intellectual disability as defined in section 1-1g of the Connecticut General Statutes; (2) “ Acquired braininjury nursing facility ” or “ABI NF” means a type of nursing facilitythat provides specialized programs for persons with an acquired brain injury; (3) “ Acquired Brain Injury waiver program ” or “ABI waiver program” or “the program” means the programsadministered by the Department of Social Servicesand established pursuantto sections 17b-260a(a) and 17b-260a(b) of the Connecticut General Statutes, as described in Medicaid waivers approved by the Secretary of the United States Department of Health and Human Services pursuant to 42 USC 1396n as amended from time to time, for the provision of home and community-based services to individuals with acquired brain injury; (4) “ ABI Waiver I ” " ABI Waiver Program One 1 " means the Acquired Brain Injury waiver administered by the Department of Social Services, as authorized by section 17b-260a(a) of the Connecticut General Statutes and approved by the Secretary of the United States Department of Health and Human Services with an initial effective date of January 1, 1999; (5) “ ABI Waiver II ” " ABI Waiver Program Two 2 " means the Acquired Brain Injury waiver administered by the Department of Social Services, as authorized by section 17b-260a(b) of the Connecticut General Statutes, and approved by the Secretary of the United States Department of Health and Human Services with an initial effective date of December 1, 2014; (6) “ Acquired Brain Injury waiver services ” or “ABI waiver services” means all or some of the services provided to individuals in the ABI waiver program; (7) “ Activity of daily living ”or “ADL” means an activity or task that is essential to an individual’s health, welfare, and safety, including, but not limited to, bathing, dressing, eating, transfers, and bowel and bladder care; (8) “ Agency provider ” means a provider employed by an agency, who provides ABI waiver services to individuals participating in the ABI waiver program; (9) “ Alternative institutional care costs ” means the costs of institutional care that the individual would otherwise incur, but for the support of waiver services; (10) “ Applicant ” means an individual who, directly or through a representative, completes an ABI waiver program application form and submits it to the department; (11) “ Applied income ” means the portion of the individual’s income that remains after all deductions and disregards are subtracted and that may be appliedto the cost of waiverservices; (12) “ Assessment ” means a comprehensive, multidimensional written evaluation conducted by nonmedical department personnel or agents, using a standard assessment form that is used to determine whether an individual meets the level-of-care criteria to participate in the ABI waiver program; (13) “ Chronic disease hospital " or “CDH” means a long-term hospitalhaving facilities, medical staff, and necessary personnel for the diagnosis, care, and treatment of a wide range of chronic diseases; (14) “ Commissioner ” means the Commissioner of Social Services; (15) “ Cost-effective ” or “ cost-effectiveness ” means the department’s determination that payments for the individual’s total service costs do not exceed either the individual caps or available funding for the ABI waiver program; (16) “ Countable income ” means all sources of income not excluded under the Medicaid program; (17) “ Department ” or “ DSS ” means the stateof Connecticut Department of Social Services or its agent; (18) “ Family member ”means a person who is related to the individual by blood, adoption, or marriage; (19) “ Fiscal intermediary ” means an agent or agents under contract with the department that is responsible for: paying providers for services delivered; registering providers; providingtraining and outreach to individuals and providers of services under the ABI waiver program; and performing other administrative functions requested by the department; (20) “ Hands-on care ” means assistance with ADLs provided most often, but not exclusively, by home health aides. Hands-oncare includes the prompting and cueing necessary for an individual to perform ADLs; (21) “ Home and community-based services ” means Medicaid servicesprovided to an individual in that individual’s own home or other community-based setting; (22) “ Home and community-based setting ” has the same meaning as provided in 42 CFR 441.301(c)(4)-(5), as amended from time to time; (23) “ Hospital ” has the samemeaning as provided in 42 CFR 440.10, as amended from time to time; (24) “ Household employee ” means a provider who performs ABI recovery assistant I, ABI recovery assistant II, chore, companion, homemaker, independent livingskills training, or respite services, and who is employed by the individual and not an agency; (25) “ Individual ” means a person with an acquired brain injury who is applying for, or actively participating in, the ABI waiver program; (26) “ Individual cap ” meansthe maximum allowabletotal cost of the individual’s service plan; (27) “ Integrated work setting ” means a work setting wherepeople with disabilities work alongside people without disabilities, for at least minimum wage. (28) “ Intermediate care facility for individuals with intellectual disabilities ” or “ICF-IID” has the same meaning as provided in 42 CFR 440.150, as amended from time to time, and is a facility licensed by the Connecticut Department of Developmental Services for the care and treatment of persons with intellectual disabilities; (29) “ Intervention plan ” means a document developed by a cognitive behaviorist that identifies the treatment goals and interventions for the individual and team; (30) “ Legal representative ” means a guardian, conservator, or an individual holding a power of attorney appointed to act on the individual’s behalf; (31) “ Level of care ” means the type of facility, as determined by a care manager or designated agent of the department, neededto care for an individual if the individual were not receiving services under the ABI waiver program. The types of facilities include: a nursing facility, ABI NF, CDH, or ICF-IID; (32) “ Medicaid ” or “ Medicaid program ”means medical and health-related servicesadministered by the state of Connecticut Department of Social Services pursuant to Title XIX of the Social SecurityAct; (33) “ Medicaid Provider Enrollment Agreement ” has the same meaning as provided in section 17b-262-523(23) of the Regulations of Connecticut StateAgencies, except that such agreement may include addenda specific to the ABI waiver program; (34) “ Neuropsychological evaluation ” has the same meaning as provided in section 17b-262- 468(17) of the Regulations of Connecticut State Agencies; (35) “ Nursing facility ” or “NF” has the same meaning as provided in 42 CFR 440.40 and 42 CFR 440.155, as amended from time to time; (36) “ Other community-based services ” means servicesprovided by programsadministered by the department that are not part of the ABI waiver program, or services provided by programs administered by other state or local agencies that are necessary to maintain the individual in the community; (37) “ Other medical services ” means services that are normally included in the department’s payments to NFs, ABI NFs, CDHs, and ICF-IIDs, and that the individual requires,in addition to ABI waiver services, to live in the community. Other medical servicesinclude: home health care; nursing services; physical therapy; speech therapy; and occupational therapy; (38) “ Person-centered plan ” means a service plan developed by the person-centered team that meets the requirements of 42 CFR 441.301(c)(1)-(3), inclusive, as amended from time to time; (39) “ Person-centered team ” means an interdisciplinary group of people organized to assist the individual to develop and implement a service plan. The planning team consists of a care manager, the individual, the legal representative (if applicable), a cognitive behaviorist, any interested family members, or other relevant participants; (40) “ Provider ” means an agency provider, household employee or self-employed provider who meets the qualifications established by the department to provide home and community-based services under the ABI waiver program, has signed the Medicaid Provider Enrollment Agreement, and is enrolled in the ABI waiver program; (41) “ Qualified neuropsychologist ” means a psychologist who meets the qualifications of section 17b-262-468(16) of the Regulations of Connecticut State Agencies; (42) “ Rehabilitation hospital ” means a facilityperforming rehabilitative outpatient hospital services in accordance with the provisions of 42 CFR 440.20(a). (43) “ Representative ” means a personwho is not a legalrepresentative, and who is actingin support of an individual; (44) “ Self-employed provider ”means a person who does not work for an agency, is not a household employee, and meets the qualifications listed in 17b-260a-8 of the Regulations of Connecticut State Agencies to provide certain services under the ABI waiver program; (45) “ Service plan ” means an individualized written plan developed through person-centered planning that documents the medicaland home and community-based servicesthat are necessary to enable the individual to live in the community instead of an institution. The service plan includes measurable goals, objectives, and documentation of total service costs; (46) “ Supervision or cueing ” means daily support such as monitoring, observing, verbal or gestural prompting, verbalcoaching and gesturalor pictorial cueing that is required in order for the individual to accomplish an ADL. Supervision and cueing must be required on a contemporaneous basis with the performance of the ADL, and does not include a reminder or request to perform an ADL when the individual does not need support beyond such reminder or request in order to accomplish the ADL. (47) “ Total service costs ” means the annualized cost of ABI waiver services, other medical services, and other community-based services included in an individual’s service plan that are required in order for the individual to live in the community instead of an institution; and (48) “ Waiting list ” means a record maintained by the department that includes the names, and dates of completed ABI waiver applications, of all individuals who have submitted completed applications for ABI waiver services and whoseapplications have been screened and found to be functionally eligible for the program. (NEW) Sec. 17b-260a-4. Not an Entitlement The ABI waiver program is not an entitlement program. Services, waiver slots and access to services under the ABI waiver program may be limited based on available funding and program capacity. (NEW) Sec. 17b-260a-5. Eligibility (a) An applicant may be eligible to receive coverage for the cost of the services specified in section 17b-260a-8 of the Regulations of Connecticut State Agencies, through the department’s ABI waiver program, if: (1) The applicant’s countable income is less than 300% of the benefit amount that would be payable under the federal Supplemental Security Income programto an applicant who lives in the applicant’s own home and has no income or resources; (2) The applicant is otherwise eligible to participate in the department’s Medicaid program, including any applicable asset requirements, under either the working disabledor long-term care eligibility criteria; (3) The applicant meets the programmatic requirements of subsection (c) of this section; and (4) The applicant is not ineligible for coverage under subsections (d) or (e) of this section. (b) The financial requirements for eligibility are as follows: (1) The applicant’s countable income and assets for purposes of eligibility are determined using the same methodologies the department employsin determining the countable incomeand assets of an institutionalized applicantfor Medicaid, including, but not limitedto, the spousal impoverishment rules and spousal post-eligibility rules under section 1924 of the Social Security Act, 42 U.S.C. § 1396r-5, for individuals with a community spouse. (2) Income eligibility determination for ABI waiver services under this section is based solely on the applicant’s countable income and does not involve consideration of the incurredmedical expenses or any other liabilities that may have been incurred by the applicant. (3) Payment for ABI waiver services is reduced by the individual’s applied income, which is calculated by determining the amount of the applicant’s countable income remaining after the deduction of an allowance for the personal needs of the individual equal to 200% of the federal poverty level, as well as any applicable community spouse’s or family allowance, and amounts for incurred medical or remedial care expenses not subject to payment by a thirdparty, as specified in 42 CFR 435.726. (c) The programmatic requirements for eligibility are as follows: An individual shall: (1) Be between the ages of 18 and 64 at the time the application is completed; (2) Have an ABI, as defined in section 17b-260a-3(1) of the Regulations of Connecticut State Agencies; (3) Meet the criteria for one of the level-of-care categories described in subsection 17b-260a-9(d) of the Regulations of Connecticut State Agencies; (4) Have the cognitive abilityto actively participate in the development of the individual’s service plan or, absent such ability, have a legal representative who acts on the individual’s behalf to perform these tasks. Participation includes, but is not limited to, selection, hiring, direction, and termination of providers; (5) Voluntarily choose to live in the community by participating in the ABI waiver program; (6) Wish to utilize ABI waiver services; (7) Develop, in consultation with the person-centered team, a serviceplan that providesassistance that reasonably addresses and mitigates identified risks; (8) Understand and acknowledge, or the individual’s legal representative shall understand and acknowledge, that there are risks inherent in living in the community; that the individual’s safety cannot be guaranteed; and that the individual acceptsfull responsibility if the individual chooses to live in the community, thereby absolving the department from any liability for any and all consequences that may result from this choice; (9) Understand and acknowledge, or the individual’s legal representative shall understand and acknowledge, that the individual is the employer of any household employees, as defined in section 17b-260a-3(24) of the Regulations of Connecticut StateAgencies, and shallsign a written document accepting full responsibility as the employer of such providers; (10) Maintain eligibility for Medicaid; (11) Need waiverservices, which means that the individual needs a minimumof two waiver services, on at least a monthly basis; (12) Have a total serviceplan cost that does not cause the ABI waiverprogram’s expenditures to exceed total appropriated funding limits for the ABI waiver program; (13) Have a total serviceplan cost that does not exceed the individual cap that appliesto the individual, as set forth in sections 17b-260a-10(a) and (b); and (14) Agree to pay, if applicable, any applied income toward the cost of services renderedunder the waiver, as required under section 17b-260a-11(b). (d) Not with standing subsections (a), (b) and (c) of this section,an individual shallnot be eligible for ABI waiver program services if: (1) The individual: (A) Receives services under any other Medicaid waiver program; (B) Has received and benefited from ABI waiver services, no longer requires the services, no longer meets level-of-care criteria, and can continueto reside in the community without the support of ABI waiver program services; (C) Has a cognitive or behavioral dysfunction due solely to an intellectual disability or chronic mental illness, rather than an ABI, as determined by a licensed medical professional; (D) Requires inpatient care in an acute care hospital, NF,ABI NF, ICF-IID or CDH, or who is otherwise institutionalized for a period of ninety days or more,provided, however, such durational limitation may be extended for an additional thirty days upon submission of documentation from a medical professional indicating that the applicant’s discharge is expected within thirty days; (E) Demonstrates consistent and extreme physical, verbal, or sexual aggression toward others; (F) Demonstrates behaviors that violate the law or are contraryto community integrated living; (G) Is currentlyincarcerated, and not expected to be returnedto the community within ninety days; (H) Lacks mental capacity to participate in the program; (I) Refuses servicesthat are vital to health,welfare, and safety;or (J) Behaves in ways that are detrimental to the individual’s health, welfare, and safety, which includes, but is not limited to: (i) Participating in illegal or criminal activity; (ii) Using, or threatening to use, weapons,chemicals, or firearmsfor the purposeof causing harm or injury to self or others; or (iii) Compromising the safety of caregivers, staff, and others in the home or community. (2) The conditions at the individual’s home or on the grounds of the home are hazardous due to: (A) Illegal or criminal activity; (B) The presenceof animals that are dangerous or not properly secured or maintained; (C) Poor sanitation; or (D) Violations of local or state fire,zoning, or housing that pose a risk to the health, welfare, and safety of the individual or providers; or (3) Persons who either reside in, or have regular access, the individual’s home are: (A) Engaging in illegal or criminal activity; (B) Behaving in a manner that is dangerous or jeopardizes the safety, health,or well-being of the individual, providers, or others; (C) Interfering with the provider’s delivery, or the individual’s receipt,of services or acting in any way that affects a provider’s access to the individual; or (D) Threatening the individual verbally, physically, or sexually; or (4) In the opinion of the department, a service plan that is both cost-effective and reasonably ensures the health, welfare, and safety of the individual cannot be developed or implemented. (e) Individuals who are actively participating program in the ABI waiverprogram and who turn 65 years of age shall be offered the choice of (1) remaining on the ABI waiver program; (2) accessing institutional placement; or (3) transitioning to the Connecticut Home Care Program for Elders. (NEW) Sec. 17b-260a-6. Person-centered planning process (a) The service plan shall be developed based on a person-centered planning model, as described in 42 CFR 441.301(c), as amended from time to time. The individual shall lead planning processaddition to the planningprocess where possible, and in accordance with section 17b-260a-11(a) of the Regulations of Connecticut State Agencies. (b) In additionto being led by the individual receiving services and supportlead planning, the person-centered planning process shall: (1) Include people chosen by the individual, providedthe inclusion of such personsis not otherwise prohibited herein; (2) Provide necessary information and supportto ensure that the individual directs the planning process to the maximum extent possible, and is able to make informed choices and decisions; (3) Be timely and occur at dates, times, and locations of convenience to the individual; (4) Be conducted in a manner that reflects cultural considerations of the individual; provides information in plainlanguage; and is accessible to the individual and persons with limited English proficiency; (5) Include strategies for conflict-resolution or solving disagreements within the process,including clear conflict-of-interest guidelines for all participants; (6) Prohibit providers of waiver servicesfor the individual, or those who have an interest in or are employed by a provider of waiver services for the individual, from providing care management or participating in the development of the person-centered service plan; (7) Offer informedchoices to the individual regarding the types and providers of services and supports that are available; (8) Include a method for the individual to request updates to the plan as needed; and (9) Record the alternative home andcommunity-based settings that the individual considered. (NEW) Sec. 17b-260a-7. Home and community-based setting requirements (a) Prior to an individual accessing any services under the ABI waiver program, the department shall assess each home and community-based settingin the service plan to determine whethersuch setting complies with 42 CFR 441.301(c)(4)-(5), as amended from time to time. (b) If, upon initial assessment of the individual’s service plan, or any time thereafter, the department determines that a settingdoes not comply with 42 CFR 441.301(c)(4)-(5), the department shall inform the individual that the setting does not comply, and inform the individual of alternative settings that complywith these requirements. If the individual elects to remainin, or receive services at, a setting that does not meet these requirements, and the provider has not complied with the department’s corrective action plan for meeting such requirements, the individual shall not remain eligible to receive services under the ABI waiver program. (c) The department shall assess compliance with 42 CFR 441.301(c)(4)-(5) as part of its process for credentialing and re-credentialing providers. (NEW) Sec. 17b-260a-8. Home and community-based services available under the ABI waiver program (a) General principles (1) ABI waiver services shall be furnished under a written service plan that is based on a person- centered planning process,as described in section 17b-260a-6 of the Regulations of Connecticut State Agencies, and subject to approval by the department. (2) Except as set forth in subsection (b) of this section, ABI waiver services may be provided alone or in combination with other services, in accordance with the specificfunctional needs of the individual. (3) The ABI waiver services provided at any given time, in combination with other available medical and community-based services,constitute the individual’s service plan. The need for each specific ABI waiver service shall be documented in the service plan. (4) The ABI waiver services documented in the service plan may be purchased from agency providers, household employees, or self-employed providers that the department’s fiscal intermediary has determined are eligible to participate in the Medicaid program, are enrolled with the department as a provider, and agree to accept Medicaidpayment as paymentin full for services authorized and performed under the program. (5) The department shall not pay for ABI waiver servicesprovided by the individual’s conservator, power of attorney, or a family member of such conservator or power of attorney, or an agency provider owned by the individual’s conservator or power of attorney. (6) The department shall pay only for ABI waiver servicesthat are providedin settings that meet the requirements of 42 CFR 441.301(c)(4), as amended from time to time. (7) Payments for ABI waiverservices shall not exceed the rates, or maximum limits,the department establishes for the provision of such services. (8) The rate paid to service providers does not includepayment for transportation services, unless specified in subsection (b) of this section. (9) The department’s fiscal intermediary, priorto the start of servicesand bi-annually thereafter, shall verify that providers are qualified to provide services. (b) The following services and supplies may be covered under the ABI waiver program: (1) ABI Group Day Habilitation Services , which are services and supports that: lead to the acquisition, improvement, or retention of skills and abilities necessary for an individual to maintain health, wellness, and self-care; preparean individual for work or community participation; or support meaningful socialization and leisure activities. ABI Group Day Habilitation services shall be provided only: (A) By an agency provideror a rehabilitation hospital outpatient department that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements; and (B) For a time period that does not exceed eight hours per day. (2) ABI Recovery Assistant I Services , which are services to promote the individual’s strengths and abilities to maintain and foster community living skills, in accordance with therapeutic goals outlined in the individual’s service plan. Services may include improvement of socialization, self- advocacy, and the development of natural supports. Services also include communication and coordination with service providers and others who support the individual. Although not a primary function, a providerperforming ABI RecoveryAssistant I servicesmay provide assistance with ADLs and cueing with respect to medications with support of a medication box. (A) This service shallbe provided only to individuals on ABI Waiver II; and (B) This serviceshall be providedby an agency provider or a household employee who meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (3) ABI Recovery Assistant II Services , which are non-medical and safety monitoring servicesto assist an individual with activities of daily living(both hands-on and cueing) and integration into the community. (A) This serviceshall be providedonly to individuals on ABI WaiverII; (B) This serviceshall be providedby an agency provider or a household employee who meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (4) Adult Day Health Services , which are services provided in a group setting that include a variety of health and social services, including, but not limited to: personal care, health care, recreation, socialization, nursingservices, transportation services, and hot meals and snacksthat meet the individual’s nutritional needs and dietary restrictions. Adult Day Health services shall: (A) Be provided only to individuals on ABI WaiverII; (B) Be providedby an agency provider that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements; (C) Be providedone or more days per week, four or more hours per day, on a regularly scheduled basis; and (D) Include transportation to and from theAdult Day Health Center, a meal, and snacks. (5) Care Management Services , which are services provided to assist the individual to implement the service plan and to assure on-going effective coordination, communication, and cooperation among all sources of support and services to the individual. Care management services include, but are not limited to, the following: assistance identifying the individual’s home and community-based service needs; promotion of participation in activities that may increase the individual’s independence, inclusion in the community and life satisfaction; arrangement of daily living supports and services to be delivered to the individual; assistance identifying and accessing entitlements and other possible funding sources; advocacy for the individual when necessary to ensure the receipt of needed services; and referral for crisis intervention services and monitoring, as necessary and appropriate. Care management services shall be provided by a care manager that meets all the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements, and that: (A) Does not provide any other home and community-based services to the individual; and (B) Does not have an interest in, or is not employed by, a provider of home and community-based services for the individual. (6) Chore Services , which are services needed to maintain the individual’s home in a clean, sanitary, and safe condition. Chore services include, but are not limited to, heavy household chores, such as washing floors,windows, and walls,and moving heavyitems of furniture in order to provide safe access and egress. (A) Chore services shall be providedby an agency provider or household employeewho meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements; (B) Chore services shall not be covered if: (i) The individual or anyone else living in the household is capable of performing or paying for the services; (ii) A relative, caretaker, community agencyor other entityis capable of, or responsible for, providing the services; or (iii) In the case of rental properties, condominiums, or co-ops,a specific choreservice is the responsibility of the landlord or the landlord’s designee, as evidenced in the lease or any other agreement. (7) Cognitive-Behavioral Services , which are individual interventions designed to increase an individual’s cognitive and behavioral capabilities and to further the individual’s adjustment to successful community engagement. These services include, but are not limited to: comprehensive assessment of cognitive strengths and liabilities, quality of adjustment, and behavioral functioning; development and implementation of cognitive and behavioral strategies; development of a structured cognitive-behavioral intervention plan; ongoing or periodic consultation with the individual and the person-centered planning team concerning cognitive and behavioral strategies and interventions specified in the cognitive-behavioral intervention plan; ongoing or periodic assistance with training of the individual and person-centered planning team concerning cognitive and behavioral strategies and interventions; and periodic reassessment and revision, as needed, of the cognitive-behavioral intervention plan. (A) Cognitive-behavioral services may be provided in the individual’s home or in the community, and shall be performed by an agency provider or a self-employed provider who is a licensed psychologist, physical therapist, speech therapist, or occupational therapist, a qualified neuropsychologist, or another type of provider authorized to perform cognitive-behavioral services under the ABI waiver program,and who meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (B) Intervention plans shall be updated at least annually,or more frequently as clinically indicated. Intervention plans shall include the following components: (i) Long-term, measurable goals mutually agreed upon by the individual, or the individual’s legal representative, and the provider; (ii) Shorter-term, measurable objectives to reach those goals; (iii) The individual’s strengths and challenges, and a description of how strengths are to be used in achieving goals; (iv) Skills or tasks that need to be developed by the individual or the family; (v) Input by the individual into the intervention plan commensurate with the levelat which the individual is able to participate; and (vi) A description of how positive reinforcement, rather than punitive measures, will be used to support the individual. (C) Providers of cognitive-behavioral services shall be paid for face-to-face encounters and also for non-face-to-face encounters. (i) Face-to-face (in-person) encounters are in-personmeetings with the individual, and meetings with the individual’s family, supporters, or providers, even when the individual is not present. The provider must have an in-person meeting with the individual at least quarterly. (ii) Non-face-to-face (not in-person) encounters are telephonic or other secure electronic forms of communication, including videotelephony services such as Skype. A provider may also be paid at the non-face-to-face rate for activities such as reviewing the individual’s record and writing the plan of care, even if the individual is not present. (8) Community Living Support Services , which are support services that provide supervised living in the individual’s residence for up to 24 hours per day, including overnight supervision, to a minimum of two, or a maximum of three, individuals at once who require supportand supervision, in a supervised community residential setting for either a half-day (12 hours) or full day (24 hours). (A) Community living support servicesinclude, but are not limitedto, supervision and assistance with the following skills: (i) Self-care; (ii) Medication management; (iii) Interpersonal communication; (iv) Socialization; (v) Sensory and motor skills; (vi) Mobility; (vii) Utilizing transportation services; (viii) Problem-solving; (ix) Money management; and (x) Household management. (B) Assessment and training servicesare provided as part of this service. (C) Room and board is not included as part of this service. (D) The providershall develop a plan that demonstrates the provider’s abilityto work with the individual and to provideservices that are consistent with the therapeutic goals of the individual’s service plan. (E) Upon the individual’s request or improvement in the individual’s ability to live more independently, the providerand the care manager shallwork together, with the individual, to develop and implement a plan to transition the individual to greater independence in the community. (F) Community living support services shall be provided by anagency provider or rehabilitation hospital that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (9) Companion Services , which are nonmedical services that are provided in accordance with a therapeutic goal includedin the service plan, includingthe following: supervision and socialization services; assistance with or supervision of meal preparation; assistance with laundry that is being performed by the individual; and light housekeeping tasks that are incidental to the care of the individual. (A) Companion services shall be provided by an agency provider or a household employee who meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (B) Companion servicesshall not entailthe provision of hands-on care or household management tasks, as these tasks are provided by personal care assistants and chore services providers, respectively, in accordance with subdivisions (6) and (15) of this subsection. (10) Consultation Services , which are services provided to assist a team and individuals to address service-implementation issues that have presented a barrier to resolution. This service aids in the development of individual interventions designed to decrease an individual’s severe maladaptive behaviors, which jeopardize the individual’s ability to remain integrated in the community. (A) Consultation services shall be provided: (i) Only to individuals on ABI Waiver II; (ii) In a team meeting at the individual’s home or community location; and (iii) By an agency or self-employed provider who is a licensed psychologist, clinical social worker, speech pathologist, speech therapist, occupational therapist, physical therapist, registered nurse, or dietician/nutritionist, a qualified neuropsychologist, or a certifiedrehabilitation counselor or substance abuse specialist, and who meet the requirements of subsection (a) of this section and all applicable training, state licensure, or certification requirements. (11) Environmental Accessibility Adaptation (“EAA”) Services,which are physicalchanges made to an individual’s home that are necessary to ensure the health, welfare, and safety of the individual, or enhance and promote greater independence, without which the individual would require institutionalization. (A) EAA services include,but are not limited to, the following: (i) Installation of ramps; (ii) Widening of doorways; (iii) Modifications to meet egressrequirements; (iv) Modification of bathroom facilities; and (v) Addition of specialized electrical and plumbing devices. (B) All EAA services shall be providedby agency providers or private contractors or businesses in accordance with applicable state and local building codes. (C) EAA services do not include: carpeting; central air conditioning; roof repair; house adaptations that add to the squarefootage of the home; or any otherphysical improvement to the home not of direct benefit to the individual’s health, welfare, and safety, or ability to live independently. (D) EAA servicesshall not be provided to adapt units that are owned or leased by providers of waiver services. (12) Homemaker Services , which are generalhousehold activities, includingmeal preparation and routine household chores. (A) The department shall pay for homemaker serviceswhen the personregularly responsible for homemaking activities is temporarily absent or unable to manage the home and care for the individual or others in the home, or when the individual is unable to learn such skills. (B) Homemaker services shall be provided by an agency provider or a household employee that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements.Homemaker services shall not be provided by a member of the individual’s family, the individual’s conservator, or a member of the conservator’s family. (13) Home-Delivered Meals , which is the preparation and delivery of one or two meals per day to an individual who is unable to prepare or obtain nourishing meals on the individual’s own, or for an individual who normallyhas someone who is responsible for preparing and delivering meals,but that person is temporarily absent or unable to perform this service. (14) Independent Living Skills Training (“ ILST ”), which is a training service designed for, and delivered to, an individual to improve that individual’s abilityto live independently in the community and to carry out strategies developed in cognitive/behavioral programs. (A) ILST may include, but is not limited to, teaching the individual the following skills: (i) Self-care; (ii) Medication management; (iii) Task completion; (iv) Interpersonal communication skills; (v) Socialization skills; (vi) Sensory/motor skills; (vii) Mobility and community transportation skills; (viii) Problem solving skills; (ix) Money management skills; and (x) Household management skills. (B) ILST shall be providedby an agency provider or household employeethat meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (15) Personal Care Assistant services , which are services that provide the individual with assistance with the following: eating, bathing, dressing, personal hygiene, and other activities of daily living that are performed by a provider in the individual’s home or community; or supervision and cueing of theseactivities without actualhands-on assistance. Personalcare assistant servicesshall be provided only: (A) If the individual’s physicalability to performactivities of daily living is impaired, or if the individual’s cognitive or behavioral impairments interfere with the individual’s ability to perform these tasks; (B) To individuals on ABI WaiverII; and (C) By an agency that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (16) Personal Emergency Response System (“PERS”),which is an electronic device connected to an individual’s telephone that enables an individual at high risk of institutionalization to secure help in an emergency. (A) A PERS is available only to an individual who: (i) Lives alone; (ii) Is alone for significant parts of the day and who does not have providers; or (iii) Would otherwiserequire extensive routinesupervision. (B) A PERS shall be provided by an agencyprovider that sells and installsPERS equipment. (17) Prevocational Services , which are time-limited services that provide learning and work experience, including volunteerwork, where the individual can develop generalnon-job-task-specific strengths and skillsthat contribute to employability in paid employment in an integrated work setting. Services are intended to develop and teach general skills, such as the ability to: communicate effectively with supervisors, co-workers, and customers; comply with generally accepted community workplace conduct and dress; follow directions; attend to tasks; develop strategies to solve problems at the workplace; and comply with general workplace safety and mobility training. Prevocational services are designed to be a pre-cursor to integrated employment. (A) The following time limits shall apply to prevocational services: (i) For individuals enrolled in ABI Waiver I, effective December1, 2015, a two-year time limit for thisservice shall be applied prospectively. This two-year limit may be extended up to a maximum of four years upon a determination by the department that additional time is needed for an individual to achieve the person-centered goal of attaining supported employment. Annual redeterminations of eligibility for such services shall be made after an initial two years of such services. (ii) For individuals enrolled in ABI Waiver II, this serviceis limited to two years.Upon strong justification of progress towardemployment goals, the department may authorize the service for a maximum total of three years. (iii) This serviceis limited to 40 hours per week. (B) Services shall be providedin the individual’s home or in an integrated work setting, based on the individual’s needs and preferences. (C) The individual shall have employment-related goals in theperson-centered service plan; (D) Prevocational services shall be provided by an agency provider that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (18) Respite Care Services, whichare services providedto individuals who are unableto care for themselves, and when the person normally performing such services is absent or in need of relief. (A) Services shall be furnished on a short-term basis in the individual’s home. (B) Services shall be providedby an agency or household employee who meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements; (19) Specialized Medical Equipment and Supplies , which include devices, controls, or appliances that enable an individual to increase the individual’s ability to perform ADLs, or to cognitively perceive, control, or communicate in the individual’s environment within the community; items necessary for life supportand those ancillary supplies and equipment that are necessary for the proper functioning of such items; and durable and non-durable medical equipment that is not available as a covered medical service under the Medicaid state plan. (A) Specialized medical equipment and supplies paid for under the ABI waiver program shall be of direct medical or remedial benefit to the individual; meet all applicable standards of manufacture, design and installation; and be in addition to any medicalequipment and suppliesfurnished under the Medicaid state plan. (B) Specialized medicalequipment and suppliesshall be providedby a medical equipment vendor, durable medical equipment provider, or pharmacy that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (20) Substance Abuse Program Services , which are individually designed interventions to reduce or eliminate the individual’s use or abuseof alcohol or drugs when such use or abuseinterferes with the individual’s ability to remain in the community. (A) Substance abuse program services shall include, but are not limited to, the following services: (i) Performing an in-depth assessment of the relationship between the individual’s use or abuse of alcohol or drugs and the individual’s brain injury; (ii) Performing a learning and behavioral assessment; (iii) Developing and implementing a structured treatment plan; (iv) Providing ongoingeducation and trainingof the individual, family members,and other service providers concerning support needs of the individual; (v) Developing individualized strategies to avoid relapse; (vi) Conducting periodic reassessment of the treatment plan; and (vii) Providing ongoing support to the individual. (B) Substance abuseprogram services shall be providedon an outpatient basis in a congregate setting or the individual’s community. (C) Substance abuseprogram services shall be providedby either agencyproviders (i.e, substance abuse diagnostic and treatment centers, or rehabilitation hospitals) or individual providers (i.e., self- employed providers, licensed psychologists, or certified drug and alcohol counselors) that meet the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements. (D) The individual’s structured treatment plan may include both group and individual interventions and shall reflect the use of curricula and materials adoptedfrom substance abuse programs designed to meet the needs of individuals with cognitive impairment. (E) The individual’s treatment plan shallinclude linkages to existing community-based, self-help or support groups, such as Alcoholics Anonymous and organizations that promote and support sobriety. (F) With the individual’s consent,the substance abuse program providershall communicate with the individual’s other service providers concerning the individual’s treatment regimens. (21) Supported Employment services, which are services provided to individuals who, because of their disabilities, need intensive on-going support to perform in a work setting. The intended outcome of this serviceis sustained paid employment or self-employment in the generalworkforce in a job that: (1) meets the individual’s personal and career goals; (2) pays a wage level at or above the minimum wage; and (3) pays at a wage and benefit levelthat is not less than the customary wage and benefit level paid by an employer for the same or similar work performed by individuals without disabilities. (A) Supported employment services may be conducted in a variety of settings, including work sites where persons without disabilities are employed. When supported employment services are provided in such integrated work settings, paymentsshall be made only for adaptations, supervision and training needed by the individual, and shall not include payment for any modifications or activities rendered or required within the normal business setting. (B) Supported employment services shall not otherwise be available under a programfunded under the Rehabilitation Act of 1973, 20 USC 1401 et seq., or Education forAll Handicapped Children Act, Pub. L. No. 94- 142. (C) Transportation betweenthe individual’s residence and supported employment site is required as a supported employment service, and is included in the rate paid to the provider. (D) Supportive employment services shall be provided by agency providers that meet the requirements of subsection (a) of this section, and all applicable training and statelicensure, or certification requirements. (22) Transitional Living Services , which are short-term, individualized, residential services providing support to an individual transitioning into a community livingsituation. These services and supports are designed to improve the individual’s skills and ability to live in the community. (A) Transitional living services: (i) Are availableonly to individuals on ABI Waiver I; (ii) Shall be provided for only one transitional period; (iii) May be provided up to 24 hours per day; (iv) Shall be provided only when the individual is unable to be supported in a permanent residence and is in need of intensive clinical interventions provided by this service; and (v) Shall be provided by an agency provider or rehabilitation hospital that meets the requirements of subsection (a) of this section, and all applicable training, state licensure, or certification requirements; (B) Prior to discharge from transitional living services, the provider shall work with the individual and the care manager to develop a plan of care. Upon discharge, other ABI services shall become available to the individual in accordance with the plan of care. (C) ABI waiverfunds shall not be used to pay for the room and board component of transitional living services. (D) Transitional living services shall not be provided with any ABI services other than care management, environmental modifications, specialized medical equipment and vehicle modifications. (23) Transportation Services , which are services offered in accordance with the individual’s service plan to allow the individual to access servicesthat do not qualify for non-emergency medical transportation under 42 CFR §440.170(a). (A) Transportation services shall not be provided when public transportation is available or when friends, family, neighbors, or community agencies are able to provide transportation free of charge. (B) All reasonable alternatives shall be explored and exhausted priorto receiving approvalfor transportation services. (C) Transportation servicesshall be providedby a livery service or individual providerlicensed by the State of Connecticut, with a valid Connecticut driver’s license and evidence of automobile insurance. (24) Vehicle modification services , which are alterationsto a vehicle when such alterations are necessary to improve the individual’s independence and inclusion in the community, and to enable the individual to avoid institutionalization. (A) The vehicle shall be the individual’s primarymeans of transportation. (B) The vehicleshall be ownedby the individual, a relativewith whom the individual lives or has consistent and ongoing contact, or a non-relative who provides primary long-term support to the individual and is not a paid provider of such services. (C) All modifications and adaptations shall be providedin accordance with applicable federaland state vehicle codes. (D) Vehicle modification services do not include: adaptations or improvements to a vehicle that are of general utility and not of direct medicalor remedial benefitto the individual; payments for the purchase or lease of a vehicle; or regularly scheduled upkeep and maintenance of a vehicle, except for upkeep and maintenance of the modifications. (E) The total individual cost limit for vehicle modifications is $10,000.00. (F) Vehicle modification services shall be provided by a providerapproved by the State of Connecticut as a vehicle modification vendor. (NEW) Sec. 17b-260a-9. Pre-screen, waiting list and assessment (a) The department shall review completedapplications that it receives in the orderin which they are received. Acceptance to the ABI waiver program shall be on a first-come, first-served basis, except that individuals transitioning from the Money Follows the Person program or Department of Mental Health and Addiction Services Acquired Brain Injury Services to the ABI waiver program shall have priority for reserved spaces. (b) The department shall conduct a pre-screen of the applicant following the receipt of the application, and prior to placing the applicant’s name on the waiting list, to determine whether the applicant (1) meets the financial and programmatic requirements described in section17b-260a-5 of the Regulations of Connecticut State Agencies, and (2) requires one of the level-of-care categories described in subsection (d) of this section. (c) Applications shall be pre-screened based upon the information contained in the completed application, as well as information obtained from: the individual; a neuropsychological examination report prepared by a qualified neuropsychologist; and any other clinical personnel who are familiar with the individual’s case and history.In order to be considered, the neuropsychological examination report must have been completed no more than two years prior to the application date, provided, however, that the department retains the discretion to increase this time limitation on a case-by-case basis. The neuropsychological examination report shall be submitted to the department no later than six months followingthe application date,except that the department may extend this deadline for an additional 90 days if a neuropsychological examination appointment has been scheduled. Failure by the individual to meet this deadline shall result in the denial of the application. (d) To qualifyfor services under the ABI waiver program,the individual shall meet one of the following institutional level-of-care categories: (1) Category I (NF level of care): If the individual were not receiving services under the ABI waiver program, the individual would require care in a NF. The individual is considered to require care in a NF if the individual residesin such a facility and the department or its agent determines that the individual currently requires such level of care, or if the individual does not reside in such a facility but has impaired cognition and, due to physical or cognitive deficits, requires physical assistance, supervision or cueing, as described in section 17b-260a-3(46) of the Regulations of Connecticut State Agencies, with two or more ADLs, including, but not limited to, eating, bathing, dressing, toileting, and transferring; (2) Category II (ABI NF level of care): If the individual were not receiving services under the ABI waiver program, the individual would require care in an ABI NF. The individual is considered to require care in an ABI NF if the individual resides in such a facility and the department or its agent determines that the individual currently requires such level of care, or if the individual does not reside in such a facilitybut has impaired cognition, impairedbehavior requiring daily supervision or cueing, as described in section 17b-260a-3(46) of the Regulations of Connecticut State Agencies, with two or more ADLs, and a mental illness that manifested itself before the brain injury occurred; (3) Category III (ICF-IID level of care): If the individual were not receiving services under the ABI waiver program,the individual wouldrequire care in an ICF-IID.The individual is considered to require care in an ICF-IID if the individual resides in such a facility and the department or its agent determines that the individual currently requires such levelof care, or if the individual does not reside in such a facility but has impaired cognition, an ABI that occurred before the age of 22 and, due to physical deficits, requires physical assistance with two or more ADLs; or (4) Category IV (CDH level of care): If the individual were not receiving services under the ABI waiver program, the individual would require care in a CDH. The individual is considered to require care in a CDH if the individual resides in such a facility and the department or its agent determines that the individual currently requires such level of care, or if the individual does not reside in such a facility but has impaired cognition and impaired or abnormal behavior, and, due to physical or cognitive deficits, requires physical assistance, supervision or cueing, as described in section 17b- 260a-3(46) of the Regulations of Connecticut StateAgencies, with two or more ADLs. For purposes of this category, “impaired or abnormal behavior” means that one or more behaviors is consistently severely impaired or abnormal, and requires the availability of intensive and ongoing behavior intervention to the extent that the individual would require care in a CDH if the individual were not receiving services under the ABI waiver program. Behaviors that may meet this definition include: engaging in inappropriate sexual activity; causing injury to others or self, or damage to property; demonstrating physical or verbal aggression; demonstrating a consistent ongoing pattern of wandering or elopement; engaging in socially offensive behavior; demonstrating withdrawal, susceptibility to victimization, impulsivity, intrusiveness, agitation or pica; or engaging in criminal activity after the brain injury occurred. (e) The applicant shall be placed on the waiting list if the applicant is determined by the department, based on the information provided during the pre-screening, including the neuropsychological examination report, to meet the financial and programmatic requirements described in section17b-260a-5 of the Regulations of Connecticut StateAgencies and the applicant requires one of the levels of care described in subsection (d) of this section. (f) The department shall notify the applicant in writing when, based on the applicant’s waitlist position, an opening is reasonably expected to become available to the applicant within 90 days. Once notified, a care managershall meet with the individual, complete a comprehensive assessment of the individual’s needs, including the level of care, and develop a proposed service plan. A care manager and the individual, in conjunction with the person-centered team, shall then develop, if feasible, a cost-effective service plan as determined pursuant to section 17b-260a-10(d). Services shall not be authorized until the department determines that the individual’s Medicaid coverage is active. (g) The department shall re-evaluate the level of care for each individual at least annually. (NEW) Sec. 17b-260a-10. Development of the service plan and evaluating cost-effectiveness (a) Applicants enrolledin ABI Waiver I shall have a total individual service plan cost limit no greater than 200% of the annualized alternative institutional care cost. (b) Applicants enrolledin ABI Waiver II shall have a total individual service plan cost limit no greater than 150% of the annualized alternative institutional care cost. (c) The department shall not approvea total individual service plan that exceeds the individual service plan cost caps or funding limitations established in the approved waiver. (d) To determine the cost-effectiveness of the individual’s service plan, the department shall: (1) Obtain the annualized alternative institutionalized care costs for the individual. For each level of care listed in subsection (d) of section 17a-260a-9 of the Regulations of Connecticut State Agencies, the annualized alternative institutional care cost is equal to the state’s weighted average cost for the specified facilitytype, as annuallydeveloped and published by the department, minus the average applied income; (2) Determine the individual’s total service cost by aggregating each of the following costs: (A) The annualized cost of each covered servicethat will be provided to the individual, based on the department’s established rates for such services; (B) The annualized cost of the ABI waiver home and community-based services, as described in section 17b- 260a-8 of the Regulations of Connecticut StateAgencies, to be provided to the individual under the proposed service plan; (C) The annualized cost of any other medical services covered by Medicaid, as described in section 17b- 260a- 3(37) of the Regulations of Connecticut StateAgencies, provided in the individual’s home that the individual may require in order to live in the community, to be calculated by multiplying the expected frequency of utilization of these services by the Medicaid rates established by the department for such services; and (D) The annualized cost of any other community-based services, as describedin section 17b-260a- 3(36) of the Regulations of Connecticut State Agencies, that the individual may require in order to live in the community; and (3) Compare the individual’s total service cost to the applicable individual limit set in subsections (a) and (b) of this section to determine if the total service cost exceeds the applicable individual limit. (e) To promote cost neutrality in accordance with 42 USC1396n (b), every reasonable effort shall be made to provide services below the maximum dollar amount level, and in the most cost-effective manner possible. The department shallnot exceed the funding limitations established in the approved waiver when determining whether an individual can be accepted into the program. (NEW) Sec. 17b-260a-11. Responsibilities of the individual (a) Person-Centered Planning and Selecting Providers (1) To the extent feasible, the individual shall lead the person-centered planning process. If the individual has a legal representative, the legal representative may participate in the planning process, making decisions for the individual, as necessary to ensure the best interests of the individual. The department may seek assistance from a court of probate if: (A) The department determines that the legal representative is not acting in the best interests of the individual and is hindering the person-centered planning process; or (B) There is a conflict between the individual and the legal representative. (2) The individual or the individual’s legal representative, or both, shall: (A) Choose the team to participate in the person-centered planning process; (B) Collaborate with the person-centered team; (C) Select, from a list of providers, the providers who will deliver the services specified in the service plan; (D) Supervise the services that are provided to the individual in accordance with the service plan; (E) Notify the department if a provider is not performing satisfactorily; (F) Terminate the employment of a household employee or the services of a self-employed provider, as necessary; and (G) Select new providers, as necessary. (b) Financial Responsibilities (1) An individual whose gross income exceeds shall be 200% of the federal poverty level shallbe required to contribute toward the cost of services rendered under the waiver. The amount contributed shall be calculated according to section 5035 of the Uniform Policy Manual, or any other applicable law or policy of the department. (2) The individual shall agree to pay directly to the department’s fiscal intermediary the portion of income calculated to be contributed to the individual’s cost of care. This agreement shall be documented in the individual’s service plan. (c) Responsibilities of the Individual as the Employer of Household Employees An individual who is the employer of household employees, as defined in section 17b-260a-3(24) of the Regulations of Connecticut State Agencies, shall be responsible for: (1) Compliance with all applicable state and federal requirements, including, but not limited to, those related to workers’ compensation, unemployment compensation, minimum wage rates, and income tax withholding; and (2) Hiring and termination of the employment of household employees, as necessary. (d) Critical Incident Reporting (1) The individual, or the individual’s legal representative, shall comply with the department’s critical incident reporting protocol for instances where an individual experiences a perceived or actual threat to the individual’s health or welfare, or to the individual’s ability to remain in the community. (NEW) Sec. 17b-260a-12. Department responsibilities " CT DSS " The department or its agent shall: (a) Inform eligible individuals that they have the choice whether to community-based reprogram by community-based services through the ABI waiver program, or to receive institutional care; (b) Establish eligibility for the ABI waiver programby performing an assessment of the individual’s needs; (c) Coordinate the development of a service plan designed to deinstitutionalize or divert the individual from institutional placement; (d) Assist with implementation of an approved service plan by coordinating services provided to the individual; (e) Review with the individual, on a regular basis, the effectiveness of the service plan and make appropriate and cost-effective revisions to the plan, as required, based on achievement of the expected outcomes, the individual’s degree of satisfaction with the services and providers, the individual’s changing capabilities, and the ongoing availability of home and community-based services; (f) Review and reassess, at least every 12 months, and whenever there is a significant change in the individual’s ability to function in the community, the individual’s service plan and level of care; (g) Lead team meetings in conjunction with the individual; (h) Maintain records for at least 7 years. (i) Advise the individual of the individual’s right to an administrative hearing in accordance with sections 17b-60 and 17b-61of the Connecticut General Statutes if the individual is aggrieved by the department’s decision with respect to the individual’s application or eligibility for the ABI waiver program, or if services are reduced, denied or terminated; (j) Maintain a waiting list of individuals who have applied for and been pre-screened for ABI services; (k) Establish provider qualifications and, through maintain its fiscal intermediary, establish and maintain a directory of providers; (l) Establish payment rates for all services offer under or delivered the ABI waiver program; (m) Pay for approved ABI waiver services health or delivered by providers on behalf of the individual; and (n) Maintain, and comply with, a critical incident reporting protocol for instances where an individual experiences a perceived or actual threat to the individual’s healthor welfare, or to the individual’s ability to remain in the community. (NEW) Sec. 17b-260a-13. Provider Responsibilities (a) All providers shall: (1) Comply with any critical incident reporting protocols developed by the department for instances where an individual experiences a perceived or actual threat to the individual’s health or welfare, or to the individual’s ability to remain in the community. (2) Report their arrest, or any arrest of an employee, to the department within 10 business days. The failure of a provider to report any such arrest may result in termination of the provider from the ABI waiver program. (3) Complete a state and federal criminal background check, at the expense of the applicant or provider. (4) Accept payment only for services that were actually provided to the individual and that do not violate the rules, regulations, standards, or laws governing the Medicaid program in accordance with sections 17-83k-1 to 17-83k-7, inclusive, of the Regulations of Connecticut State Agencies. A provider may be suspended or terminated from participation in the program for accepting payment for services not provided or for violating the rules, regulations, standards, or laws governing the program. (b) Agencies that employ providers shall: (1) Ensure that all staff, volunteers, interns or other persons employed by, supervised by, or representing the agency who may have direct contact with individuals receiving ABI waiver funding, meet and maintain all criminal background standards and requirements as set forth in subsection (a)(3) of this section. (2) Have policies in place regarding the provision of language services to individuals while receiving ABI waiver services, and shall not rely on the assistance of individuals’ friends, family or others. (3) Deliver training to staff members regarding the provision of services that are person-centered and culturally competent. (4) Have policies and procedures in place regarding employee standards of conduct. Such policies and procedures shall include, but are not limited to, the following topics: (A) The need for providing person-centered services; (B) The importance of respecting individuals’ rights, including privacy and self-determination; (C) The prohibition against neglect, abuse, and harassment of individuals; (D) The prohibition of the use of drugs or alcohol, or of being under the influence of drugs or alcohol, while providing services to individuals; (E) The laws covering confidentiality of all participant information collected, used or maintained; and (F) Critical incident reporting requirements. (5) Establish a quality assurance plan. Such plan is subject to the approval by the department and shall include random checks of staff performance. (NEW) Sec. 17b-260a-14. Provider participation (a) It shallbe a certification requirement of the department for all servicespecialties that, in order to participate in the ABI waiver program and receive payment from the department, all providers: (1) Enroll with the department as a provider in the Medicaid program and sign the Medicaid Provider Enrollment Agreement, as directed by the department, which agreement may include addenda specific to the ABI waiver program and may be amended from time to time; (2) Comply with all applicable state and federal statutes and regulations, including, but not limited to, sections 17b-262-522 et seq. of the Regulations of Connecticut State Agencies, the Medicaid Provider Enrollment Agreement and any applicable addenda, and all departmental policies, as amended from time to time (3) Comply with all of the provisions and requirements of applicable Medicaid waivers, as amended from time to time; (4) Deliver, document, and bill only for those services that are outlined in the individual’s service plan; and (5) Comply with the requirements of any corrective action plan imposed by the department. (b) The commissioner shall have the discretion to refuse to list a provider in the provider directory, remove the provider’s name from the provider directory, or refuse payments to a provider, if the provider performing the services poses a threat to the health or safety of individuals participating in the ABI waiver program, or has been convicted in this state or any other state of a felony, as defined in section 53a-25 of the Connecticut General Statutes, involving: forgery under sections 53a-137 of the Connecticut General Statutes; robbery undersection 53a-133 of the Connecticut General Statutes; larceny under sections, 53a-119, 53a-122, 53a-123, and 53a-124 of the Connecticut General Statutes; sexual assault under sections 53a-70, 53a-70a, 53a-70b, 53a-71, 53a-72a, 53a-72b, 53a-73a of the Connecticut General Statutes; or assault under sections 53a-59, 53a-59a, 53a-60, 53a-60a, 53a-60b, and 53a-60c of the Connecticut General Statutes; or has been convicted in this state or any other state of an offense, as defined in section 53a-24 of the Connecticut General Statutes, involving: cruelty to persons under section 53-20 of the Connecticut General Statutes; vendor fraud under sections 53a- 290 to 53a-296, inclusive, of the Connecticut General Statutes; or the abuse of an elderly, blind or disabled person, or a person with intellectual disability under sections 53a-320 to 53a-323, inclusive, of the Connecticut General Statutes. (NEW) Sec. 17b-260a-15. Corrective action and provider cooperation (a) If a provider fails to comply with sections 17b-260a-1 to 17b-260a-18, inclusive, of the Regulations of Connecticut State Agencies, other applicable state or federal statute or regulation, or any provision of the Medicaid waivers or MedicaidProvider Enrollment Agreement, the department may require the provider to comply with a corrective action plan. (b) The provider shall cooperate fully with any department, state, or federal audit or investigation, and shall correct any deficiencies identified in the course of such audit or investigation. (NEW) Sec. 17b-260a-16. Provider fiscal responsibility (a) For purposes of this section: (1) “Fraud” means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to that person or some other person. It includes any act that constitutes fraud under applicable federal or state law. (2) “Abuse” means practices that are inconsistent with generally acceptedfiscal or business practices and result in unnecessary cost to the ABI waiver program. (b) The provider shall not engage in or commit fraud or abuse, including, but not limited to: (1) Billing for services not rendered; (2) Billing for services not in the service plan; (3) Billing for services not medically necessary; (4) Falsely identifying the person who actually performed a service, including billing for services performed by an individual who is not credentialed; (5) Failing to adequately document all servicesthat are billed; (6) Billing for services for ABI participants services that who are institutionalized at the time in which the service has been billed as having been rendered; or (7) Violating Medicaid policies, procedures, rules, regulations, or statutes. (NEW) Sec. 17b-260a-17. Client documentation and provider reporting (a) Providers shall retain records to document services submitted for Medicaid reimbursement for at least seven years from the date the service or item was provided. Documentation shall include the following: (1) Provider’s name and signature; (2) Dates of service; (3) Start time for each visit; (4) End time for each visit; (5) A description of duties performed or items provided; (6) Client goals and documentation of progress toward meeting those goals; and (7) Unless otherwise described in the provider’s applicable Medicaid Provider Enrollment Agreement and any addenda thereto,the individual’s name and the signature of the individual or the individual’s legal representative. (b) Upon written request presented to the provider, the department or its authorized agent shall be given immediate access to, and permitted to review and copy, any and all records and documentation used to support claims billed to Medicaid. For purposes of this subsection, “immediate access” means access to records at the time the written request is presented to the provider. (c) The provider shall submit written reports on the individual’s status and progress for each of the first three months of the individual’s participation in the program, and quarterly thereafter, to the care manager in a manner that is set forth by the department. (NEW) Sec. 17b-260a-18. Provider termination, suspension or disqualification (a) Failure to comply with any requirements in sections 17b-260a-1 to 17b-260a-18, inclusive, of the Regulations of Connecticut State Agencies, other applicable state or federal statute or regulation, or any provision of the Medicaid waivers or Medicaid Provider Enrollment Agreement, may result in the nonpayment of services, suspension or termination from participation in the ABI waiver program, or any other sanction available under state or federal law. (b) The department may suspend or terminate the provider from participation in the ABI waiver program immediately and withoutprior notice if it has reason to believe that a providerposes a threat to, or has acted in a manner that posed a threat to, the health, safety or welfare of an individual participating in the ABI waiver program, or has engaged in fraudulent or abusive program practices.

DB.42.131.Inf. Connecticut's Call to Action: Urgent Housing and Service Regulation Reforms Needed in Federally Funded Programs In the heart of New England, Connecticut stands at a pivotal moment. The need for comprehensive reform in agency housing and service regulations within its federally funded programs has never been more urgent. ABI Resources, a beacon of commitment and care in Connecticut, is at the forefront of this critical change, proactively engaging with Governor Ned Lamont and influential representatives in both the Senate and the House. The voices of Senator Richard Blumenthal, Senator Chris Murphy, Representative John Larson, Representative Joe Courtney, Representative Rosa DeLauro, Representative Jim Himes, and Representative Jahana Hayes are instrumental in driving this change forward. As constituents and concerned citizens, your voice is not just important; it's crucial. The collective call for fair and equitable treatment for all resonates deeply in our communities. This is not just a matter of policy - it's a matter of justice and humanity. The Role of ABI Resources: A Beacon of Hope and Excellence ABI Resources, a renowned organization in Connecticut, exemplifies dedication and excellence in supporting individuals and families. Their collaborative approach with government and community service providers like the Connecticut Department of Social Services (DSS), Community Options (COU), the Department of Mental Health and Addiction Services (DMHAS), Connecticut Community Care (CCC/CCCI), Area Agencies on Aging (SWCAA, WCAAA), Allied Community Resources (ACR), Access Health, and United Services, sets a standard for others to follow. Their partnerships with leading institutions like HFSC, Gaylord, UCONN, Yale, and Hartford showcase their commitment to high-quality, personalized care. ABI Resources' involvement in vital programs like Medicaid MFP (Money Follows the Person), ABI Waiver Program, and PCA Waiver demonstrates their pivotal role in enhancing the lives of those they serve. The Need for Reform: A Glimpse into the Current Scenario The current state of agency housing and service regulations in Connecticut's federally funded programs reveals significant gaps. These gaps affect not just the quality of care but also the dignity and rights of individuals relying on these services. It's a scenario that demands immediate attention and action. Your Role: A Vital Piece of the Puzzle As a member of the Connecticut community, your support and voice are invaluable. Engaging with your representatives, spreading awareness, and voicing your concerns are powerful actions that can lead to real change. When the community unites for a cause, the impact is profound. Unite for the Cause: A Future of Fairness and Quality Care Imagine a Connecticut where every individual receives the care and support they deserve, where regulations are not just guidelines but pathways to a better life for all. This vision is achievable, but it requires the collective effort of every one of us. Call to Action Connecticut is at a crossroads, and the path we choose now will define our future. Let's unite for this cause. Reach out to Governor Ned Lamont and your representatives. Share your stories, express your concerns, and demand the change we desperately need. Together, we can build a Connecticut that upholds the values of fairness, dignity, and exceptional care for everyone. Call to Action! Connecticut urgently needs to reform agency housing and service regulations in its federally funded programs. ABI Resources is proactively engaging Governor Ned Lamont and key representatives in the Senate (Richard Blumenthal, Chris Murphy) and the House (John Larson, Joe Courtney, Rosa DeLauro, Jim Himes, Jahana Hayes) to drive this change. Your voice is crucial in ensuring fair and equitable treatment for all. Let's unite for this cause. ABI Resources is a renowned organization in Connecticut, committed to delivering outstanding support to individuals and families. They work collaboratively with several government and community service providers, such as the Connecticut Department of Social Services (DSS), Community Options (COU), the Department of Mental Health and Addiction Services (DMHAS), Connecticut Community Care (CCC/CCCI), Area Agencies on Aging (SWCAA, WCAAA), Allied Community Resources (ACR), Access Health, and United Services. ABI Resources works alongside leading institutions like HFSC, Gaylord, UCONN, Yale, and Hartford, emphasizing high-quality, personalized care. They play a key role in programs like Medicaid MFP (Money Follows the Person), ABI Waiver Program, and PCA Waiver, enhancing the lives of those they serve. ABI Resources Connecticut home-based and community supported living. "Action Required: ABI Resources Calls for Community Support in Major CT Housing Reform!" "Don't Miss Out: Be Part of Connecticut's Historic Shift in Federally Funded Housing Programs" "Alert: How Connecticut's Housing Policy Could Change Forever – And Why You Should Care" "Governor Lamont's Next Big Challenge: ABI Resources Advocates for Urgent Housing Reforms" "Critical Update: How ABI Resources is Revolutionizing Housing and Services in Connecticut" "Connecticut Residents: Your Chance to Influence Major Housing Policy Changes is Here!" "New Era in Housing: Join ABI Resources in Pioneering Change for Connecticut's Community" "Make a Difference: Your Role in Steering Connecticut Towards Equitable Housing Solutions" "Breaking: ABI Resources Leads Monumental Push for Housing Regulation Overhaul in CT" "Connecticut's Turning Point: How You Can Help Shape the Future of Housing and Services" "A Call to Action: Join Forces with ABI Resources for Groundbreaking Housing Reforms" "Major Alert: Connecticut's Housing System on the Brink of Revolution with Your Help" "Governor Lamont, Senators, and You: A United Front for Connecticut's Housing Reforms" "Urgent Community Call: ABI Resources Driving Change in CT's Housing Regulations" "Your Voice Matters: Impacting Connecticut's Housing Policies with ABI Resources" "Time to Act: ABI Resources Urges Public Support for Critical Housing Reforms in CT" "Empower Change: How Connecticut Citizens Can Shape Housing Policies for the Better" "Connecticut's Housing Crisis: Why ABI Resources Needs Your Support Now More Than Ever" "Revolutionize CT's Housing: How Your Involvement Can Make a Real Difference" "Exclusive: Inside ABI Resources' Campaign for Transforming Connecticut's Housing Landscape"

DB.42.131.Inf. "Advocating for Change: Uncovering the Critical Needs in Connecticut’s Medicaid ABI Waiver Program" Introduction: Welcome to our in-depth discussion that shines a spotlight on the crucial challenges faced by disabled consumers under the Medicaid ABI Waiver Program in Connecticut. We are honored to have a representative from ABI Resources, a trailblazer in advocating for individuals with disabilities, join us today. This conversation aims to dissect the issues at hand and propose actionable solutions that can make a real difference. Unveiling the Challenges: Our journey begins with understanding the core obstacles these consumers face. Misleading practices are rampant, often diverting individuals from their true rehabilitation needs. Coupled with managerial misdirection, the quality of services provided has seen a significant decline. But perhaps most alarming is the coercive nature of service utilization, leading to financial manipulation and trapping consumers in a cycle of dependency. This lack of transparency and limited consumer choice paints a troubling picture of the current state of affairs. The Mental Health Impact: The consequences of these challenges are not just physical – they deeply impact mental health. Consumers are often left feeling stressed, anxious, and helpless. This psychological turmoil can severely hinder recovery and rehabilitation, undermining the primary goal of fostering independence and improving the quality of life. The Role of Federal Intervention: In this complex landscape, federal intervention emerges as a beacon of hope. It has the power to enforce ethical standards, implement stringent oversight, and mandate transparency in service provision. Such actions could realign the program with its intended purpose, placing consumer needs at its heart. Proposing a Path Forward: ABI Resources champions a comprehensive policy overhaul, emphasizing enhanced training for care managers and clearer communication of consumer rights. Advocating for direct involvement of disabled individuals in policy-making and service design is crucial to ensure their voices are not just heard but are influential in driving change. Amplifying Consumer Voices: The key to real transformation lies in amplifying the voices of disabled consumers in decision-making. This can be achieved through their active involvement in advisory boards and decision-making committees, complemented by regular feedback mechanisms and a transparent grievance redressal system. Conclusion: Our conversation today with ABI Resources not only sheds light on the pressing need for systemic reform in Connecticut's Medicaid ABI Waiver Program but also serves as a call to action. By advocating for federal oversight and focusing on consumer-centric solutions, we edge closer to a system that genuinely supports and empowers individuals with disabilities. Join us in this pivotal discussion and be part of a movement towards a more inclusive and effective care system. Empowering Communication: Transparent communication stands as a pillar in this endeavor, especially for families and caregivers. It's essential for them to be fully informed about the services available, the rights of the consumers, and the mechanisms in place for feedback and grievances. Empowered with information, they can make informed decisions and advocate effectively for their loved ones. Harnessing Technology: In an era where technology is a game-changer, its potential to enhance services for disabled consumers is immense. From facilitating communication to providing accessible educational resources, and enabling remote consultations, technology paves the way for more efficient and personalized service delivery. Tailored Solutions for Unique Needs: Addressing the needs of consumers with brain injuries requires a specialized approach. It calls for training care providers specifically for these challenges, creating individualized care plans, and ensuring access to resources dedicated to brain injury rehabilitation. Aligning Services with Goals: Service plans must be aligned with individual rehabilitation goals, developed collaboratively with consumers, their families, and healthcare professionals. Regular reviews and adjustments are vital to keep these plans relevant and effective. Governmental Support for Independence: The role of state and federal governments in supporting initiatives that promote independence and self-sufficiency for disabled consumers cannot be overstated. Funding programs focused on skill development, employment training, and community integration are critical steps towards this goal. The Central Role of Medical Professionals: Medical professionals must be at the forefront of overseeing and guiding services for disabled individuals. Their expertise is instrumental in developing appropriate care plans and ensuring services align with medical and rehabilitation needs. Fostering Policy Inclusion: Finally, to ensure that disabled consumers have a significant voice in policy-making and service design, their involvement in advisory roles and consultation processes is imperative. Their experiences and insights are invaluable in crafting services that truly resonate with their needs. "Shocking Truths Unveiled: How Connecticut's Medicaid Program Fails Disabled Consumers" "Experts Reveal: Major Flaws in Disability Care System in Connecticut" "Breaking News: ABI Resources Exposes Deep Flaws in Medicaid ABI Waiver Program" "Connecticut's Hidden Crisis: ABI Resources Sheds Light on Disabled Care Failings" "Scandal in Healthcare: How Connecticut's System Fails Its Disabled Citizens" "Urgent Reform Needed: ABI Resources Calls Out Flaws in Medicaid Program" "Alarming Insights: The Harsh Reality of Disability Services in Connecticut" "Connecticut's Shame: How Medicaid Fails Those With Disabilities" "Exclusive! ABI Resources Exposes Connecticut's Disability Care Scandal" "Disability Advocacy Shakeup: ABI Resources' Revealing Take on Medicaid Woes" "Connecticut's Disability Dilemma: Inside Look with ABI Resources" "A System in Crisis: Uncovering Connecticut's Disability Service Flaws" "Medicaid’s Dark Side: ABI Resources Reveals What Needs to Change Now" "The Untold Story of Disability Neglect in Connecticut's Healthcare System" "Breaking Barriers: ABI Resources' Crusade Against Disability Injustice" "Connecticut's Disability Service Failures: An Insider's Shocking Revelation" "The Battle for Better Care: How ABI Resources is Challenging Connecticut's System" "Connecticut's Alarming Disability Care Gap: What You Need to Know" "Disability Rights Crisis: ABI Resources Uncovers Shocking Facts" "Advocacy Alert: ABI Resources Exposes Connecticut's Failing Disability Services" Introduction: To Governor Ned Lamont, Senators Richard Blumenthal and Chris Murphy, and House Representatives John Larson, Joe Courtney, Rosa DeLauro, Jim Himes, and Jahana Hayes, As a collective of deeply concerned citizens, we write to you today with a matter of utmost urgency and gravity. Our focus is the Connecticut Department of Social Services (CT DSS), an institution that should stand as a bastion of support and empowerment for individuals with disabilities but is currently falling distressingly short of its mandate. Concerns and Allegations: Recent reports and allegations paint a troubling picture of the CT DSS. Claims of housing and service entrapment, operation of sheltered workshops, and involvement in unethical kickback incentive programs and bribery schemes have surfaced. These practices not only tarnish the reputation of the CT DSS but also grossly infringe upon the rights of people with disabilities. A particularly disheartening tactic is the “what they don’t know won’t hurt them” approach, which only serves to perpetuate discrimination and further marginalize our disabled community members. Transparency and Accountability Issues: Equally concerning is the reported lack of avenues for individuals to document and voice their challenges and grievances. This opaque veil over the operations of the CT DSS hinders the crucial process of identifying, acknowledging, and rectifying these grave issues. Call to Action: We call upon you, our elected officials, to take immediate and decisive action. While we acknowledge and appreciate the commitment of ABI Resources in addressing these issues, the role and intervention of governmental authorities like yourselves are indispensable for enacting meaningful and systemic reform. Proposed Reforms: We urge you to implement reforms in agency housing and service regulations, particularly in programs that are federally funded. These reforms should ensure fair and equitable treatment of all citizens, with a specific focus on safeguarding the rights and well-being of individuals with disabilities. Role of ABI Resources: ABI Resources has been a commendable ally, offering exemplary support to individuals and families in Connecticut. Their collaborative efforts with various government and community service providers, including CT DSS, are noteworthy. Their involvement in Medicaid MFP, ABI Waiver Program, and PCA Waiver has been crucial in enhancing the lives of those they serve. Conclusion: We stand united in our call for justice, equity, and respect for the rights of people with disabilities. Your prompt and decisive response to these pressing issues is not just anticipated; it is imperative for the betterment of our Connecticut community. We await your action and leadership on this critical matter. Respectfully,To the Esteemed Governor Ned Lamont, Senators Richard Blumenthal and Chris Murphy, and House Representatives John Larson, Joe Courtney, Rosa DeLauro, Jim Himes, and Jahana Hayes, We, a collective of concerned citizens, are writing to express our profound concern regarding the urgent need for reform and regulation within the Connecticut Department of Social Services (CT DSS). We believe there is a systemic issue of disability rights violations that cannot be overlooked. It is alarming that the CT DSS, an entity meant to protect and empower individuals with disabilities, is reportedly engaged in practices that severely hinder self-advocacy and propagate discrimination. The alleged instances of housing and service entrapment, along with the operation of sheltered workshops, and engagement in kickback incentive programs and bribery, are deeply troubling. These practices not only undermine the ethical standards expected of such a department but also flagrantly violate the rights of people with disabilities. The approach of "what they don't know won't hurt them" is especially concerning as it perpetuates discrimination and further marginalizes those with disabilities. Moreover, it is disconcerting that the CT DSS is accused of creating barriers that make it difficult for individuals to document their concerns or challenges. This lack of transparency and accountability obstructs the necessary process of identifying and rectifying these critical issues. We urge you, as our elected officials and representatives, to take decisive action in addressing these allegations. The commitment of ABI Resources in this matter is noteworthy, but the involvement and decisive actions of government officials such as yourselves are paramount in ensuring meaningful reform. Immediate action is necessary to reform agency housing and service regulations in federally funded programs, ensuring fair and equitable treatment for all citizens, particularly those with disabilities. The people of Connecticut look to your leadership in safeguarding the rights and voices of individuals with disabilities. We stand united in this cause, calling for justice, equity, and the upholding of the rights of people with disabilities. Your prompt and decisive response to these concerns is not only anticipated but necessary for the betterment of our community. ABI Resources is a renowned organization in Connecticut, committed to delivering outstanding support to individuals and families. They work collaboratively with several government and community service providers, such as the Connecticut Department of Social Services (DSS), Community Options (COU), the Department of Mental Health and Addiction Services (DMHAS), Connecticut Community Care (CCC/CCCI), Area Agencies on Aging (SWCAA, WCAAA), Allied Community Resources (ACR), Access Health, and United Services. ABI Resources works alongside leading institutions like HFSC, Gaylord, UCONN, Yale, and Hartford, emphasizing high-quality, personalized care. They play a key role in programs like Medicaid MFP (Money Follows the Person), ABI Waiver Program, and PCA Waiver, enhancing the lives of those they serve. ABI Resources Connecticut home-based and community supported living. Connecticut's Call to Action: Urgent Housing and Service Regulation Reforms Needed in Federally Funded Programs In the heart of New England, Connecticut stands at a pivotal moment. The need for comprehensive reform in agency housing and service regulations within its federally funded programs has never been more urgent. ABI Resources, a beacon of commitment and care in Connecticut, is at the forefront of this critical change, proactively engaging with Governor Ned Lamont and influential representatives in both the Senate and the House. The voices of Senator Richard Blumenthal, Senator Chris Murphy, Representative John Larson, Representative Joe Courtney, Representative Rosa DeLauro, Representative Jim Himes, and Representative Jahana Hayes are instrumental in driving this change forward. As constituents and concerned citizens, your voice is not just important; it's crucial. The collective call for fair and equitable treatment for all resonates deeply in our communities. This is not just a matter of policy - it's a matter of justice and humanity. The Role of ABI Resources: A Beacon of Hope and Excellence ABI Resources, a renowned organization in Connecticut, exemplifies dedication and excellence in supporting individuals and families. Their collaborative approach with government and community service providers like the Connecticut Department of Social Services (DSS), Community Options (COU), the Department of Mental Health and Addiction Services (DMHAS), Connecticut Community Care (CCC/CCCI), Area Agencies on Aging (SWCAA, WCAAA), Allied Community Resources (ACR), Access Health, and United Services, sets a standard for others to follow. Their partnerships with leading institutions like HFSC, Gaylord, UCONN, Yale, and Hartford showcase their commitment to high-quality, personalized care. ABI Resources' involvement in vital programs like Medicaid MFP (Money Follows the Person), ABI Waiver Program, and PCA Waiver demonstrates their pivotal role in enhancing the lives of those they serve. The Need for Reform: A Glimpse into the Current Scenario The current state of agency housing and service regulations in Connecticut's federally funded programs reveals significant gaps. These gaps affect not just the quality of care but also the dignity and rights of individuals relying on these services. It's a scenario that demands immediate attention and action. Your Role: A Vital Piece of the Puzzle As a member of the Connecticut community, your support and voice are invaluable. Engaging with your representatives, spreading awareness, and voicing your concerns are powerful actions that can lead to real change. When the community unites for a cause, the impact is profound. Unite for the Cause: A Future of Fairness and Quality Care Imagine a Connecticut where every individual receives the care and support they deserve, where regulations are not just guidelines but pathways to a better life for all. This vision is achievable, but it requires the collective effort of every one of us. Call to Action Connecticut is at a crossroads, and the path we choose now will define our future. Let's unite for this cause. Reach out to Governor Ned Lamont and your representatives. Share your stories, express your concerns, and demand the change we desperately need. Together, we can build a Connecticut that upholds the values of fairness, dignity, and exceptional care for everyone. Call to Action! Connecticut urgently needs to reform agency housing and service regulations in its federally funded programs. ABI Resources is proactively engaging Governor Ned Lamont and key representatives in the Senate (Richard Blumenthal, Chris Murphy) and the House (John Larson, Joe Courtney, Rosa DeLauro, Jim Himes, Jahana Hayes) to drive this change. Your voice is crucial in ensuring fair and equitable treatment for all. Let's unite for this cause. ABI Resources is a renowned organization in Connecticut, committed to delivering outstanding support to individuals and families. They work collaboratively with several government and community service providers, such as the Connecticut Department of Social Services (DSS), Community Options (COU), the Department of Mental Health and Addiction Services (DMHAS), Connecticut Community Care (CCC/CCCI), Area Agencies on Aging (SWCAA, WCAAA), Allied Community Resources (ACR), Access Health, and United Services. ABI Resources works alongside leading institutions like HFSC, Gaylord, UCONN, Yale, and Hartford, emphasizing high-quality, personalized care. They play a key role in programs like Medicaid MFP (Money Follows the Person), ABI Waiver Program, and PCA Waiver, enhancing the lives of those they serve. ABI Resources Connecticut home-based and community supported living. "Shocking Revelations: The Dark Side of Connecticut's DSS Exposed!" "Urgent Alert: CT's Disability Rights Crisis Demands Immediate Action!" "Breaking News: Alarming Practices in CT DSS Put Disability Rights at Risk!" "Connecticut's Hidden Scandal: Disability Discrimination in DSS Uncovered!" "Governor Lamont, Your Immediate Attention Required on DSS Disability Failures!" "A Call for Justice: The Urgent Need to Reform Connecticut's DSS Now!" "Exposed: How CT DSS Fails Our Disabled Community - Action Needed!" "Unbelievable! CT DSS Accused of Violating Disability Rights!" "Connecticut's DSS Under Fire: A Plea for Disability Rights Protection!" "Revealed: The Shocking Truth About Disability Rights Violations in CT DSS!" "Citizens Outraged: CT DSS's Unethical Practices Against Disabled Individuals!" "A Cry for Help: Urgent Reform Needed in Connecticut's DSS for Disability Rights!" "Connecticut in Crisis: Urgent Reform Demanded for DSS Disability Rights Violations!" "Disability Rights at Risk: The Alarming Truth Behind Connecticut's DSS!" "Time for Change: The Battle Against Disability Discrimination in CT DSS!" "Governor Lamont's Urgent Challenge: Reforming CT DSS for Disability Justice!" "Connecticut's Shame: Uncovering the Dark Practices of DSS Against the Disabled!" "Act Now! The Dire State of Disability Rights in Connecticut's DSS Revealed!" "Explosive Report: CT DSS's Discriminatory Practices Against the Disabled!" "A State in Urgent Need: The Critical Fight for Disability Rights in Connecticut's DSS!""Action Required: ABI Resources Calls for Community Support in Major CT Housing Reform!" "Don't Miss Out: Be Part of Connecticut's Historic Shift in Federally Funded Housing Programs" "Alert: How Connecticut's Housing Policy Could Change Forever – And Why You Should Care" "Governor Lamont's Next Big Challenge: ABI Resources Advocates for Urgent Housing Reforms" "Critical Update: How ABI Resources is Revolutionizing Housing and Services in Connecticut" "Connecticut Residents: Your Chance to Influence Major Housing Policy Changes is Here!" "New Era in Housing: Join ABI Resources in Pioneering Change for Connecticut's Community" "Make a Difference: Your Role in Steering Connecticut Towards Equitable Housing Solutions" "Breaking: ABI Resources Leads Monumental Push for Housing Regulation Overhaul in CT" "Connecticut's Turning Point: How You Can Help Shape the Future of Housing and Services" "A Call to Action: Join Forces with ABI Resources for Groundbreaking Housing Reforms" "Major Alert: Connecticut's Housing System on the Brink of Revolution with Your Help" "Governor Lamont, Senators, and You: A United Front for Connecticut's Housing Reforms" "Urgent Community Call: ABI Resources Driving Change in CT's Housing Regulations" "Your Voice Matters: Impacting Connecticut's Housing Policies with ABI Resources" "Time to Act: ABI Resources Urges Public Support for Critical Housing Reforms in CT" "Empower Change: How Connecticut Citizens Can Shape Housing Policies for the Better" "Connecticut's Housing Crisis: Why ABI Resources Needs Your Support Now More Than Ever" "Revolutionize CT's Housing: How Your Involvement Can Make a Real Difference" "Exclusive: Inside ABI Resources' Campaign for Transforming Connecticut's Housing Landscape"