Social Security Overpays Billions to People, Many on Disability. Then It Demands the Money Back.

Please be aware of the situation even if it has not yet impacted you personally. This has the potential to have significant impact on our loved ones, families and providers.

Article

  https://kffhealthnews.org/news/article/social-security-overpayments-investigation/?fbclid=IwAR3KZV84uChkRd_tn6rgFenJXIiXRj6HafUl8lA5tQqKKPpjz7cJp-r2dsc

ABC Story

 https://abcnews.go.com/GMA/News/video/social-security-overpaying-billions-americans-103246629

Catholic Charities turning away disability clients

Albany Times Union, Saturday August 26,2023

By Andy Tsubasa Field

The July 19 letter sent by Catholic Charities Disabilities Services

Executive Director Paula Jubic, and obtained by the Times Union,

tells potential clients to withdraw help requests.

ALBANY — A leading nonprofit’s disability services department is turning away potential clients due to a lack of staff.

A July 19 letter sent by Catholic Charities Disabilities Services Executive Director Paula Jubic, obtained by the Times Union, tells potential clients to withdraw help requests. The letter said an ongoing staffing crisis has prevented the department from responding to all requests for services.

“Should you wish to reconsider services through CCDS in the future, your care manager can assist you in doing so, or you may choose to seek services through another agency providing these services which can address your needs in a timely manner,” the letter said.

Jubic said Catholic Charities Disabilities Services has 83 residential staff members, 70 fewer than needed to properly assist residents of its properties. She said the department temporarily closed two houses due to limited staffing and has considered shutting down another where five women who use wheelchairs live. For its largest 14- and 12-bed properties, she said her department is barely scraping by to meet a three-person fire safety standard.

“We’re not getting to people. If they need to go to the bathroom and there are only a few people on and there’s something going on with someone else, that person is waiting,” Jubic said. “And then you’re trying to do medication for 14 people at the same time and each person could have 10 different meds.”

Jubic said CCDS worked with the New York Alliance for Inclusion and Innovation to push for an 11.5 percent cost of living adjustment for those working in nonprofit programs. The actual increase was far lower, meaning the nonprofit could only raise service providers’ wages to $16.80 after undergoing training.

Additionally, Jubic said longtime staff retired during the pandemic, and others more recently have left for higher-paying jobs due to inflation. The staffing shortages have led to administrators covering provider shifts more frequently, she said.

“Weekly, like every week,” said Jubic, who has worked for Catholic Charities for 15 years. “I’ve never seen it to the likes of this.”

Catholic Charities is far from alone in facing staffing shortages.

Agencies that provide human services have for years complained that they don’t get enough state funding to attract enough employees to their workforces.

That problem may have been exacerbated by the COVID-19 pandemic, which prompted numerous retirements, and the inflation in recent years, which have forced people to seek as high a wage as possible.

In June 2022, Catholic Charities closed its Mercy House women and children’s shelter citing a falling headcount and difficulty staffing the 19-bed emergency shelter.

Launch of Care Coordination Program Evaluation

Dear Friends and Colleagues,

In keeping with the goals outlined in our 2023-2027 Strategic Plan, I am pleased to announce the launch of our Care Coordination Program Evaluation, one of several evaluations being conducted to identify opportunities for improvement and to respond to concerns raised by our stakeholders.

OPWDD is partnering with the American Institutes for Research®  (AIR) to evaluate the effectiveness of Care Coordination practices. AIR was chosen through a competitive procurement process based on the strength of their application and their extensive experience conducting similar program evaluations for other state and federal entities, organizations, and agencies.

The evaluation will include a review of current procedures, identification of opportunities to streamline processes, research on promising practices, and submission of recommendations to improve the quality of care-managers and the care management model. It will also include opportunities for stakeholders to share their experiences and stories engaging CCO’s.

More information on the progress of the evaluation and opportunities to engage will be shared throughout the duration of the project as part of our ongoing strategic plan updates. In the meantime, if you would like to provide feedback, you can email ARPA.Inquiry@opwdd.ny.gov.

I encourage you to follow along, participate, and to share your thoughts with AIR and OPWDD in the coming months, as we work together to reach health and quality-of-life outcomes.

Sincerely,

Kerri E. Neifeld
Commissioner

We Want to Hear From You!

In-Person and Virtual Forums on OPWDD’s Strategic Plan Update
Dear Friends and Colleagues,This summer OPWDD has several stakeholder engagement opportunities underway to honor our commitment to work in partnership with you to move our system forward.Today, I am inviting everyone to participate in an opportunity related to our ongoing strategic planning activities. We are hosting in-person and virtual forums to share updates on the progress we are making toward reaching our 2023-2027 Strategic Plan goals and objectives and hearing your feedback.Below you will find the full schedule and registration information for the forums.The forums are open to everyone so I hope you will consider joining us at a forum in your area or an online forum from your own location to listen or to speak.Your voice continues to be important to our work and collaborative efforts to transform our system.Sincerely,

Kerri Neifeld
Commissioner
Date and TimeIn-Person or VirtualLocation
7/28, 1-3 pm
In- PersonUpstate
Caring Partners
1601 Armory Drive
Building C
Utica, NY  13501

7/31, 2-4 pm
In-Person
OPWDD Regional Office
1021 Broadway Street
Buffalo, NY  14212

8/3, 5:30-7:30 pm
In-Person
Westchester Institute for Human Development
20 Plaza West
Valhalla, NY  10595

8/9, 6-8 pm
In-Person
Metro NY DDSO
25 Beaver Street
New York, NY  10004

 8/10, 10 am-12 pm
In-Person
Long Island DDRO
415 Oser Ave.
Hauppauge, NY  11788

8/11, 2-4 pm
VirtualOnline

8/14, 2-4 pm
In-Person
The ARC Jefferson/St. Lawrence
420 Gaffney Drive
Watertown, NY  13601

8/15, 6-8 pm
Virtual Online 

Register for an In-Person ForumRegister for August 11, 2023 Virtual Forum
Register for August 15, 2023 Virtual Forum
To review the full 2023-2027 Strategic Plan, visit the strategic planning page Strategic Planning | Office for People With Developmental Disabilities (ny.gov) of the OPWDD website
To view this announcement in another language, visit 
We Want to Hear From You! Sign Up for In-Person and Virtual Forums on OPWDD’s Strategic Plan Update | Office for People With Developmental Disabilities (ny.gov)

Act now to support two critical disability rights issues!

This year, with your support, we defended cuts to Medicaid for the millions of people nationwide who rely on it. But our fight to protect and expand rights for people with intellectual and developmental disabilities isn’t over.

Please join us again in contacting your members of Congress about two priority issues.We desperately need more funding for HCBS so people with disabilities can access the vital care they need to thrive!
Medicaid home and community-based services (HCBS) play a vital role in helping people with disabilities live independently in the community—but a lack of funding for these services has left over 650,000 people stuck on waiting lists.Too many people are in limbo, unsure of when they will gain access to critical benefits, and many live segregated lives in the archaic institutions that still exist in 33 states.

Tell Congress to increase funding for HCBS so life in the community possible for all!
Act Now to Say #CareCantWait


Join us in demanding updates to SSI for the millions of people with disabilities who rely on it!Outdated rules to the Supplemental Security Income (SSI) program force millions of people with disabilities into poverty and prevent many others from getting married for risk of losing their much-needed benefits.Congress can change this by passing the SSI Savings Penalty Elimination Act, which would raise SSI asset limits for the first time in over 30 years and reduce marriage penalties related to SSI asset limits.Tell Congress to Update SSI!

Statement on the NYS Budget

A Message From the CEO

May 1, 2023
The final result of the New York State budget is deeply disappointing for New Yorkers with I/DD and the families and providers who support them. Below you will find The Arc New York’s official statement on the budget.Please share this message, and your own. Be assured, these statements do not mark the end of this year’s advocacy efforts. They mark the beginning of our fight moving forward. The budget is disappointing, but we have more to advocate for before this session ends. Our issues are better understood today, the voices of New Yorkers with I/DD are better heard, and we will mobilize to ensure the support of state leaders translates to action. 
The Arc New York Statement on the NYS BudgetThe final NYS budget was released today, and we are truly stunned by the inadequate investment in our service system. Nonprofit providers of supports and services for New Yorkers with intellectual and developmental disabilities will receive a mere 4% cost of living increase.This minimal increase covers less than half the increase in inflation over the past year. It does nothing to reverse our escalating workforce crisis. Most importantly, it does not address the erosion of care and supports for New Yorkers with I/DD.Paired with the reality of inflation, a 4% COLA has become essentially a 4.5% cut.New Yorkers with I/DD needed meaningful investment to sustain quality supports and care. Our staff needed meaningful investment to align their compensation with their skill and dedication. We called for an 8.5% COLA and a Direct Support Wage Enhancement to meet those needs. The legislature included an 8.5% COLA and no DSWE in their budgets. We advocated fiercely for that compromise to be realized, but the end result is entirely inadequate.We are grateful to the tireless advocates who raised their voices and their stories with passion and power. We thank our Champions in the legislature who fought for our families, staff, and the people we support.We are devastated that we have not been heard.State leaders put the care and quality of life New York’s most vulnerable citizens up for negotiation. Their final agreement continues a pattern of neglect we fought for decades to overcome.That fight is not over. We will grow louder. We will grow fiercer. We will not let New Yorkers with I/DD be forgotten.

State budget skirts major pay adjustment for mental health staffers

Advocates for the human services sector are disappointed by the state’s investments in the workforce, a key component of the struggling mental health system

ALBANY —  The state budget that’s expected to be finalized this week will include a raft of policies meant to address a struggling mental health sector, a stated policy goal for Democratic leaders this year as New York is grappling with workforce shortages and the post-pandemic effects on the industry. 

Gaps in the state’s historically underfunded mental health system have been a priority for Gov. Kathy Hochul, and one that remained relatively unscathed throughout the ongoing budget negotiations. Hochul touted the infusion of $1 billion into the sector last week as she announced a framework for this year’s state budget.

“Today marks a reversal in our state’s approach, a monumental shift,” Hochul said, pointing to a plan for additional psychiatric beds and increased outpatient services. 

But advocates for the human services sector said they are disappointed by the state’s investments in the workforce. The budget calls for a 4 percent cost of living adjustment, or COLA, for individuals who work in nonprofit programs. Those workers provide many of the same services as facilities run by the state workforce and are licensed and regulated through state agencies.

Hochul’s initial budget proposal had included a 2.5 percent adjustment. But many workers in the mental health sector and other human service industries decried that offer, swarming the Capitol in recent weeks to call for a much higher target of 8.5 percent.

The final agreement has left advocates frustrated, said Glenn Liebman, who leads the Mental Health Association of New York State. He said their original request was to keep funding for workers in lockstep with inflation that has challenged workforce retention.

“We’re concerned about their support,” Liebman said of the Legislature, which had originally included a much higher COLA in its one-house budgets than what ultimately was agreed on. “This will lead to people leaving our system and taking other jobs. Why would you stay in a job dealing with people with complex needs when you could go to a service industry job and make just as much money with a lot less pressure, right?”

Advocates have also pointed to potential disparity issues; much of the mental health workforce is staffed by women of color. The COLA will also affect direct care workers through other state agencies that provide services to the state’s most vulnerable residents, like those with disabilities or struggles with substance abuse, including the Office of Addiction Services and Supports, and the Office for People with Developmental Disabilities.

Liebman noted some positive developments, including a provision mandating that insurance companies reimburse school-based mental health clinics that provide outpatient care for school-aged children.

Some Democratic lawmakers are also cheering the inclusion of a task force studying “Daniel’s Law,” legislation that would empower mental health responders rather than police officers to show up to distress calls when people are experiencing a mental health or substance abuse crisis.

The budget allocates $1 million to establish a 10-member task force studying the roll out of the law. Members will solicit feedback statewide over the next two and a half years before submitting a report to the governor’s office with final recommendations on whether to implement the system statewide.

Named after a Rochester man who died during an encounter with police while he was experiencing a mental health crisis in 2020, the law aims to shift away from a reliance on police during emergency calls. In recent weeks, the measure had been bolstered by publicized incidents involving police force during non-emergency calls.

Bill sponsor state Sen. Samra Brouk, D-Rochester, has emphasized the connection between Hochul’s focus on public safety and mental health and the legislation, calling it a logical approach to lessen the likelihood of violent interactions between people with mental illnesses and police responders. 

The budget also calls for another task force studying maternal mental health, including postpartum depression and anxiety. Lawmakers have previously called attention to the high maternal mortality rate in the state; the state Department of Health has listed mental health as the third-leading cause of pregnancy-related deaths. 

An earlier version of this story misstated the parameters of Daniel’s Law in this year’s budget appropriations. It’s being launched through a task force with a $1 million allocation. 

Promoted Links

But advocates for the human services sector said they are disappointed by the state’s investments in the workforce. The budget calls for a 4 percent cost of living adjustment, or COLA, for individuals who work in nonprofit programs. Those workers provide many of the same services as facilities run by the state workforce and are licensed and regulated through state agencies.

Hochul’s initial budget proposal had included a 2.5 percent adjustment. But many workers in the mental health sector and other human service industries decried that offer, swarming the Capitol in recent weeks to call for a much higher target of 8.5 percent.

The final agreement has left advocates frustrated, said Glenn Liebman, who leads the Mental Health Association of New York State. He said their original request was to keep funding for workers in lockstep with inflation that has challenged workforce retention.

“We’re concerned about their support,” Liebman said of the Legislature, which had originally included a much higher COLA in its one-house budgets than what ultimately was agreed on. “This will lead to people leaving our system and taking other jobs. Why would you stay in a job dealing with people with complex needs when you could go to a service industry job and make just as much money with a lot less pressure, right?”

Advocates have also pointed to potential disparity issues; much of the mental health workforce is staffed by women of color. The COLA will also affect direct care workers through other state agencies that provide services to the state’s most vulnerable residents, like those with disabilities or struggles with substance abuse, including the Office of Addiction Services and Supports, and the Office for People with Developmental Disabilities.

Liebman noted some positive developments, including a provision mandating that insurance companies reimburse school-based mental health clinics that provide outpatient care for school-aged children.

Some Democratic lawmakers are also cheering the inclusion of a task force studying “Daniel’s Law,” legislation that would empower mental health responders rather than police officers to show up to distress calls when people are experiencing a mental health or substance abuse crisis.

The budget allocates $1 million to establish a 10-member task force studying the roll out of the law. Members will solicit feedback statewide over the next two and a half years before submitting a report to the governor’s office with final recommendations on whether to implement the system statewide.

Named after a Rochester man who died during an encounter with police while he was experiencing a mental health crisis in 2020, the law aims to shift away from a reliance on police during emergency calls. In recent weeks, the measure had been bolstered by publicized incidents involving police force during non-emergency calls.

Bill sponsor state Sen. Samra Brouk, D-Rochester, has emphasized the connection between Hochul’s focus on public safety and mental health and the legislation, calling it a logical approach to lessen the likelihood of violent interactions between people with mental illnesses and police responders. 

The budget also calls for another task force studying maternal mental health, including postpartum depression and anxiety. Lawmakers have previously called attention to the high maternal mortality rate in the state; the state Department of Health has listed mental health as the third-leading cause of pregnancy-related deaths. 

An earlier version of this story misstated the parameters of Daniel’s Law in this year’s budget appropriations. It’s being launched through a task force with a $1 million allocation. 

Albany Times Union

Rega Justin, Monday May 1, 2023