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Inclusa is dedicated to supporting members to live where their autonomy, independence, and inclusion is maximized. Among other things, this means striving to support every member to live in a place that meets these goals and falls into one of these categories
of Inclusa’s Outcome Definition of a Community Living setting:

  • A place they own
  • A place they lease directly from community landlords
  • A place they sub-let from a natural support or
  • A place they live with a natural support

Inclusa is committed to ensuring every member has the opportunity to explore and choose community living in one of the options described above, with formal residential services used as a temporary or last resort to ensure members are always supported to live in the least restrictive, most integrated setting possible. This will ensure our residential provider network is not overwhelmed and you can use your expertise and resources to provide residential services to those who need them most.

To advance this vision, we want to support residential providers to actively engage with members and their IDT in three possible ways:

  1. To assist a member to fully explore and understand the opportunities available for community living.
  2. To assist a member to transition from residential services to community living.
  3. To assist a member referred for residential services with diversion to community. living where residential services may be used, if necessary, on a short-term basis while a community living situation is being developed.

Inclusa recognizes this work by residential providers require exceptional effort and expertise; to support this, the following payments will be available to providers who complete the eligibility process per the terms and conditions of the CIE Outcome:

  • Residential Transition Full Payment Range: $6,000 to $9,000/Member
  • Residential Diversion Full Payment Range: $3,500 to $6,500/Member 

Note: While the Transition and Diversion outcomes utilize the same resources as the Community Living outcome, the Community Living outcome is not a requirement to receive the Transition or Diversion outcome payment. Please see Application Terms and Conditions for additional payment details.

Risk Adjustment Tool

The Risk Adjustment Tool is completed with the member, Inclusa IDT and Residential Provider.  Upon completion, this tool determines the payment amount for the Residential Transition and Residential Diversion Outcome Payments.

Community Living Videos

The above link will take you to Inclusa’s Provider Learning Management System where you and the member can access videos related to Community Living. Once logged-in please select the “Community Living” category. These short videos are geared to foster inspiration on how members can achieve greater independence and community connections.

Community Living Workbook PDF

This workbook will guide you through the suggested activities for the completion of the Community Living Outcome Payment project and required activities for the Residential Transition and Diversion Outcome Payment projects.

  1. Have at least one member residing in your facility who currently has rates calculated through Inclusa’s Residential Rate Methodology.
  2. Have commitment of member, legal decision maker (if applicable) and IDT Staff to support transition from residential placement to community living (per Outcome Definition) as a goal established in the 2021 calendar year with an expected completion date to be achieved within one (1) year.
  3. Be willing to partner with Inclusa and make a commitment to actively assist the member, and work collaboratively with others involved, to achieve the transition to community living within the allowable timeframe.
  4. Submit application to participate and agree to Terms and Conditions of outcome anytime throughout the year prior to the deadline of December 1, 2021.
    • Include the results from a completed Risk Adjustment Evaluation for the member. This tool identifies potential strengths, barriers as well as the agreed upon payment amount.
    • Applications will be either “approved”, “rejected”, or “added to waiting list” within one month of the date submitted. Only an approved application will guarantee the agreed upon payment amount is set aside for your organization, earmarked for the specific member named in the application.
    • An Inclusa subgroup will review submitted applications and send notification via email, from innovation@inclusa.org, to providers within one month of submitted application date.
  5. Complete the following within 12 months of an approved application.
    • View at least one (1) Community Living Video with member and answer related question(s) together.
    • Actively participate with the member and work collaboratively with others involved with the member, to achieve the transition to community living: either by the target date or within the allowable timeframe.
    • Support a successful transition to the member’s preferred living arrangement to a community living setting (per Outcome Definition).
    • Identify and complete all applicable activities related to the member’s transition plan found within the Community Living Workbook. Document your efforts and role in making the transition happen successfully with the member within the Community Living Workbook.
    • Complete the Residential Transition/Diversion Project Upload within two (2) weeks of the member living in their new home for a full fourteen (14) days, confirming member’s successful transition, and documenting your experiences of the outcome payment project.
  6. When applicable, withdraw the approved application if the member’s plan to transition (no longer working towards transition) changes, via email notification to innovation@inclusa.org to allow the outcome payment reserved for the member to be released for another member’s participation.
  1. Have rates calculated through Inclusa’s Residential Rate Methodology.
  2. Have commitment of member, legal decision maker (if applicable) and IDT Staff to support diversion from residential placement to community living (per Outcome Definition) as a goal established in the 2021 calendar year with an expected completion date to be achieved within one (1) year.  
  3. Be willing to partner with Inclusa and make a commitment to actively assist the member, and work collaboratively with others, to achieve the diversion from residential placement to community living within the allowable timeframe.
  4. Submit application toparticipate and agree to Terms and Conditions of outcome anytime throughout the year prior to the deadline ofDecember 1, 2021. 
    • Include the results from a completed Risk Adjustment Evaluation for the member.  This tool identifies potential strengths, barriers as well as the agreed upon payment amount.  
    • Applications will be either “approved”, “rejected”, or “added to waiting list” within one month of the date submitted. Only an approved application will guarantee the agreed upon payment amount is set aside for your organization, earmarked for the specific member named in the application. 
    • An Inclusa subgroup will review submitted applications and send notification via email, frominnovation@inclusa.org, to providers within one month of submitted application date. 
  5. Complete the following within 12 months of an approved application
    • View at least one (1) Community Living Video with member and answer related question(s) together.
    • Actively participate with the member and work collaboratively with others involved with the member, to achieve the diversion from residential placement to community living: either by the target date or within the allowable timeframe could be acceptable for the provider to earn the incentive. 
    • Support a successful diversion to the member’s preferred living arrangement to a community living setting (per Outcome Definition)
    • Identify and complete all applicable activities related to the member’s diversion planfound within the Community Living Workbook. Document your efforts and role in making the diversion happen successfully with the member within the Community Living Workbook.
    • Complete the Residential Transition/Diversion Project Upload, within two (2) weeks of the member living in their new home for a full fourteen (14) days, confirming member’s successful diversion from a long-term residential placement, anddocumenting your experiences of the outcome payment project.
  6. When applicable, withdraw the approved applicationif the member’s plan of diversion (no longer working towards diversion) changes, via email notification to Innovation@inclusa.orgto allow the outcome payment reserved for the member can be released for another member’s participation.

Application

Click to start Application
  • Application Deadline: December 1st, 2021

Project Upload

Click to Upload Project
  • Project Deadline: within 12 months of approved Application