State to Hold Info Call for Families Re: Entry into Sheltered Workshops (06.17.2015)

The Office of Developmental Disability Services (ODDS) will be holding an informational phone call about the upcoming policy changes for entry into sheltered workshops for individuals and their family members/support people on Wednesday, June 17, 2015 from 9:00 – 10:00 AM.

The purpose of this call is to discuss:

  • Upcoming changes to entry into sheltered workshops
  • How these changes will affect you or your family members/support people
  • Effects on those already working in a sheltered workshop
  • Effects on those not working in sheltered workshops
  • Other employment services that are available
  • Answer your questions

To call in please use this conference line:  800-260-0702 and enter guest code 361647

Additional Resources:
Entry into Sheltered Workshops: Upcoming Policy Changes FAQ
Watch a Video of ODDS Director Lilia Teninty Answering FAQs About the Changes
Governor’s Executive Order

 

“Did You Get My Timesheet?”

Since the State of Oregon Department of Human Services began taking on Personal Support Worker and provider payment through its eXPRS system, one of the most common questions brokerages have received from providers is “Did you get my timesheet?”

There’s a relatively easy way for providers to access this information via eXPRS. ODDS’ Julie Harrison and her team have created a How To guide entitled “How to Find/View Plan of Care Service Claims”. Check out the guide by clicking here. You’ll learn how to read the eXPRS screens and determine where your payment claim is in the process. Be sure to bookmark this guide for future reference. (Of note: eXPRS refers to hours or miles keyed into its system as SDEs – Service Delivered Entries.)

One additional note: If you are sending invoices or timesheets via email, please be sure to use the billing@independencenw.org email address. If you are faxing invoices or timesheets, please be sure you receive a return confirmation that the fax was received.

Thanks for your continued partnership through the ongoing systemic changes. Your work is very much appreciated.

didyougetmytimesheet

Resources for PSWs: April 1st, 2015 Changes to Provider Payment for Brokerage Services

Dear Personal Support Workers,

This is just a reminder that all services provided April 1st, 2015 forward must be entered into and paid out of the State of Oregon’s new payment system, eXPRS. You must have both a provider number and an eXPRS login in order to use eXPRS. Additionally, all PSW timesheets and invoices must show time-in and time-out for all hours worked. PSW-Domestic Employees MUST use the state’s new timesheet  and new mileage reimbursement form moving forward. PSW-Independent Contractors must ensure that their invoices continue to meet these guidelines developed by the state. (Note: all ICs are already meeting these requirements to be paid, so there are no new expectations listed here.)

Need training on the eXPRS system? We’re hosting several trainings here at INW on April 9th. Click here for details!

Additionally, the state’s payment system creates monthly utilization caps for the number of hours a customer can receive in a given month. Keep an eye on your mailbox this week for details on how this will affect service agreements with your customers.

If you encounter issues or have questions along the way, please communicate with our office. Working together, we will weather this next set of changes to the system. Thank you for the essential work you provide to our community!


The FAQ below was mailed to Personal Support Worker – Domestic Employees in early March.

When do the changes happen?
PSWs working with Independence Northwest customers must start using eXPRS for hours worked starting on April 1st, 2015. Effective this date, ALL brokerages and counties will be operating via eXPRS.

What do I need to make the transition?
All providers need two things:

  1. A provider number. Without a provider number you will not be able to work starting on April 1st, 2015. There are no exceptions.
  2. An eXPRS log-in so you can enter your hours.

What if I don’t have a provider number or eXPRS log-in?
If you don’t have a provider number, please call Rachel Kroll at our office immediately at 503.546.2950 or email her at rkroll@independencenw.org. If you don’t have an eXPRS log-in, please email dhs.servicedesk@state.or.us or call 503.945.5623.

What is this about time-in and time-out on timesheets?
You will no longer be able to show just the number of hours you work in a given day. Instead you will be required to show exactly what time you worked.

How will I submit my hours?
With your log-in you will be able to enter your time-in and time-out directly into eXPRS. It will do the math for you. At the end of the pay period you can print your timesheet from eXPRS and submit it to INW as you have in the past. All timesheets still require your employer’s signature.

What if I don’t have a printer?
PSW – Domestic Employees: If you do not have a way to print your timesheet out of eXPRS, you can copy your eXPRS hours onto the timesheet we mailed to you in early March and submit it to us.

What if I don’t have a computer or internet connection?
PSW – Domestic Employees: If you do not have a computer with an internet connection at your home and don’t have access to a public library, Independence Northwest will have a computer in our office available for you to use. Please contact us if you would like to access this option.

What if I don’t want to use the state’s payment system?
We want PSWs to be empowered to enter and track their own hours. However, if you are unable or unwilling to use eXPRS, an INW Personal Agent is required to perform data entry on your behalf. If you choose this option, you MUST check the box on your timesheets to authorize us to do this work. If you do not enter your own hours and then fail to check the box on the timesheet authorizing INW to do it for you, you will not get paid on time.

 


Additional Resources

INW has set up a webpage just for eXPRS transition resources. Visit www.independencenw.org/psw for links to the following:

  • State of Oregon eXPRS Training Video on YouTube
  • Copies of state-mandated timesheets with time-in/time-out feature
  • Copies of the state-created step-by-step training on how to use eXPRS
  • Links to key personnel to contact when you have questions
  • Links to payroll calendars
  • Links to state transmittals regarding PSW payment and documentation
  • A link to the eXPRS log-in page
  • More!

When Will Personal Support Workers for Independence Northwest Customers Begin Using eXPRS?

By Ron Spence, Independence Northwest Operations Director

As many of you may have heard, the Oregon Office of Developmental Disabilities (ODDS) has taken a step back from its mandate that all payments to brokerage providers – Personal Support Workers and otherwise – be moved into  eXPRS starting in January of 2015. Brokerages have worked closely with ODDS throughout 2014 to help them understand the risks of moving into the eXPRS system before it’s truly ready and we’ve seen real partnership from state leaders in the last couple months on this issue. ODDS has valid reasons for wanting to get this thing launched once and for all (so does Independence Northwest – more on that soon); it’s a tribute to the new leadership that they listened to our concerns and agreed to develop a more sensible plan based on the realities of the situation, a plan that allows a gradual roll out between now and April of 2015. Some brokerages will enroll PSWs in January, some in February, some in March, and some in April.

Based on our evaluation of the current state of eXPRS, Independence Northwest has made the decision not to move its PSW payments into eXPRS until April of 2015.

If you’d like to learn more about our decision, stay tuned. We’ll be posting a more in-depth article on the topic this week. In the meantime, don’t forget to sign up for one of the eXPRS/PSW trainings happening in January 2015 in the Portland metro area.

 

 

 

Metro Area Personal Support Worker eXPRS Training Dates Announced

In January 2015, the Oregon Department of Human Services is putting on a series of trainings on their electronic billing system eXPRS. The trainings are specifically geared toward Personal Support Workers. You may attend a training at any of the sites below, whether or not you serve individuals at the hosting brokerage or county. The Independence Northwest training will be held on January 13th. Be sure to RSVP by emailing ODDS.training@state.or.us.

 

PSWTrainingsJan2014

Five Things That Are Working Well in Brokerage Support Services Today

By Larry Deal, Executive Director of Independence Northwest

Over the past year and a half, so much time has been spent deconstructing and reconstructing Oregon’s Intellectual and Developmental Disabilities system, there’s been little opportunity to sit back and celebrate some of the successes. Here are five things that are currently working well – and that deserve their moment in the sun.

People are getting more services. With the change from 100% Title XIX Waiver to a mix of K Plan and Waiver funding, Oregonians with intellectual and developmental disabilities are getting more services than ever before. This is a wonderful thing. Historically, people in crisis situations had limited resources and little option other than out of home placement (group homes and foster care homes) whether that was their preference or not. In the new system, many Oregonians now have the resources to continue living at home; the current design supports true individual and family choice. The importance of this change cannot be overstated. (That said, there’s still a very real fiscal sustainability discussion that must be had to support these efforts long-term.)

Providers are beginning to expand capacity. This one’s a slower burner, but it’s beginning. Customers, families, and professionals have all been highly concerned about the increase in funding since it came without an ounce of provider capacity expansion planning or incentives. Oregon put the funding before the resources. In recent weeks and months, many agencies have begun reaching out to brokerages and are expanding their services to our community in everything from in-home to employment supports; in 2015, I believe we will see a tangible increase in options for our customer base.

There’s a recent willingness for course correction when things aren’t working. If you haven’t heard of DSA (Day Support Activities,) consider yourself lucky. In short, DSA was an exercise in rushed change implementation. Ultimately, it changed rates, it changed processes, and it changed the definition of certain services. The process upended Brokerage, CDDP (Community Developmental Disabilities Program) and provider organization operations and damaged the integrity of reporting systems statewide. However, collaborative efforts (led by ODDS)  amongst brokerages, CDDPs (counties), providers, and state has made a real difference. Recent changes in leadership have assured a common sense, customer-first approach to problem solving. In other words, there’s strong collaboration happening again in Oregon. This is a very good thing – let’s do more of it.

We’re sticking with our current needs assessment tool. One of the major concerns brokerages have been facing while implementing the still-new functional needs assessment has been knowing full well we’d have to change assessments again at the beginning of 2015. Recent actions from the state suggest that we will be working to make the current brokerage tool (the Adult Needs Assessment) work well into the future. For brokerage customers, this is promising. We need consistency, stability, and some time to do some in-depth analysis on the efficacy of the current tool first. This decision deserves kudos.

Perhaps most significantly, Oregon is focusing on individual goals – again. If you have been working in the system or receiving services for the last year and a half, you’ve no doubt noted the troubling focus on deficits-based language and approach. I remember being in a meeting very, very early on in the K Plan implementation when it was announced by someone with significant influence that “this is no longer about goals, it’s about needs.” Soon, that refrain began to echo. Fortunately, that interpretation is no longer alive and well. What some people didn’t understand early on in the transition process was this: Brokerages have always addressed disability-related support needs. And we have done so while helping people reach their goals. You don’t provide publicly-funded services without making sure needs are documented and necessary. A sophisticated, supportive, holistic system addresses health and safety while placing a premium on the wants, needs, and goals of the individual. We know it can work because we’ve been doing it for thirteen years. I can’t say enough how pleasing it is to hear high-ranking leaders in our state stating that goals matter.

There are many issues we must continue wrestling with: the eXPRS payment system and pending Personal Support Worker entry, the monthly versus annual services issue, the ongoing review of Behavioral Supports, changes to supported employment, and many more. But as we inch ever closer to the new year,  it’s safe to say that we all hope for continued positive developments in the Oregon I/DD service delivery system. We’re a resilient, engaged, and growing community. Fingers crossed we can focus the coming year’s efforts on enhancing, expanding, and enriching the lives and experiences of the individuals, families, and communities we support. Oregon was once at the forefront of community-based services in our country; with continued focus, effort, and partnership there’s no reason that can’t be a reality again.

 

State/UCP Connections Offer Personal Support Worker Training for Billing in eXPRS

UCP Connections, a fellow support services brokerage, recently began a field testing of the Oregon Office of Developmental Disabilities‘ upcoming transition to paying Personal Support Workers (both Domestic Employees and Independent Contractors) through its payment system (eXPRS.) Effective January 1, 2015, all PSWs will be paid directly through the state’s eXPRS payment system. As part of the field testing,  UCP and ODDS’s Julie Harrison are offering up trainings for Personal Support Workers  They have opened up these opportunities to PSWs throughout the metro area. Please see dates below. 

To register: contact Maggie Deeks at maggied@ucpconnections.org or (503) 546 2991 ext 358.

PSW Training
Monday, December 1st at West Linn Public Library, 1595 Burns Street, West Linn, 97068

  • Session #1: 10:00am to 11:30am
  • Session #2:  1:00pm to 2:30pm
  • Session #3:  3:30 to 5:00pm

PSW Training
Monday, December 15th at UCP Connection, 305 NE 102nd Ave, Suite 100, Portland, 97220

  • Session #1:  10:00am to 11:30am
  • Session #2:  1:00pm to 2:30pm
  • Session #3:  3:30 to 5:00pm

Provider Organization Training
Monday, December 15th at UCP Connection, 305 NE 102nd Ave, Suite 100, Portland, 97220

6:00 pm to 7:30pm

 

Introducing the Personal Support Worker Enhanced and Exceptional Worker Certificate Program

The 2013-15 HCW/PSW Collective Bargaining Agreement provides for a new level of worker and compensation. Enhanced and Exceptional Workers provide services to consumers with certain assessed medical and/or behavioral needs, AND have successfully completed additional training.

The Oregon Home Care Commission will be holding the first pilot Enhanced and Exceptional Worker trainings for both HCWs and PSWs in November/December in the Portland area. If you, or someone you know, are interested in being part of the pilot, follow these steps:

1. Make sure your CPR/First Aid is up-to-date. You will need to send a copy of your certification with the application.|

2. Go to the website: ohcc-training.org. Create an account, then log in to your account. Look under “Courses” for the Readiness Assessment for your work group (HCW or PSW).

3. You are allowed to take the Readiness Assessment one time only, so some study ahead of time will be helpful. It is highly recommended that you review course manuals from the classes you have attended that are listed on the website if you have taken them.

4. Complete the Readiness Assessment. You will be able to review your answers after you finish the assessment.

5. If you pass the assessment with a score of 80% or better, you will be directed to the application. Fill this out and send to the Home Care Commission. These must be received by October 20, 2014 to be eligible for the pilot course.

If you do not pass the readiness assessment, you can use the feedback online to determine which topics to learn more about or courses to attend. The assessment will open again in 2015 the next time the course is offered.

For more information contact:
Joan Medlen
Personal Support Worker Training Coordinator
joan.e.medlen@state.or.us

 

 

 

Important Information About Independent Contractor Payment

Update: TNT has communicated to us that independent contractor checks will go out in today’s mail.

Dear Independent Contractors,

There seems to be pandemonium in the field because independent contractors haven’t been paid. Unfortunately this post isn’t going to clear anything up but I wanted to send something out regardless since we are being inundated with phone calls asking questions we cannot answer. Here’s the short version of what we know and don’t know:

  • Neither TNT nor the state has communicated to us when ICs should or will be paid. We assumed that they would be paid according to the terms of the collective bargaining agreement.
  • We have heard rumors of a problem with payment but there has been no direct communication to us from TNT or from ODDS about this delay.
  • TNT assured us that missing vendor packets would not impact payment this month.
  • We met TNT’s deadline for submission of our bills, which was at 10:00 am on July 8th. It wasn’t easy.

We will update you here as soon as we learn more.

– Ron Spence, Operations Director

Changes to Provider Payments Are Still Planned for July 1st, 2014 – What You Need to Know (And Do)

By Ron Spence, Operations Director

The recent announcement that DHS listened to the community and delayed implementation of the eXPRS data system was welcome news to stakeholders across the state. However, in order to meet the terms of the collective bargaining agreement it made with SEIU, the state must collapse all payments to Personal Support Workers (PSWs) into a “single payment system” by July 1st In order to meet this obligation, DHS is in negotiations to contract with TNT Fiscal Intermediary Services (TNT FI) to make all PSW payments to providers in all DD programs (counties as well as brokerages) statewide.This change affects thousands of providers; brokerages and counties have been charged with making the transition in three weeks and some questions remain unanswered. Time is short and much work will need to be done to ensure every PSW in the state is paid on time in July. Please help us by spreading the word.  We will update the FAQ below as more information comes in. Our top priorities remain uninterrupted services to our customers and uninterrupted payment to their providers. 

Note: While there is much overlap in how things will work for providers working with different brokerages, the information in this post is specific to providers who work with Independence Northwest’s customers. The requirements of the transition to a single payer (TNT FI) are different depending on the provider type.

PERSONAL SUPPORT WORKER – DOMESTIC EMPLOYEE Because TNT already processes payroll for domestic employee PSWs who work with Independence Northwest’s customers, this group of providers will experience the least impact during the transition. If you’re a domestic employee, the changes you can expect are the following:

  • Timesheet due dates and pay days may change. Due dates, processing time, and pay dates are part of the state’s agreement with SEIU, but as of this writing the state has been unable to tell us what those dates are. We will let you know as soon as we know.
  • Reduced frequency of payroll: Independence Northwest has historically run DE payroll three (sometimes four) times a month. Under the collective bargaining agreement this number is reduced to twice a month. If you are someone who submits timesheets later in the month this may mean you will wait longer to be paid than you have in the past.

DON’T FORGET: You will still need to get a provider number for when the state rolls out eXPRS later in the year. If you don’t have a provider number yet contact the state immediately: 1-800-241-3013 or SPD.ProviderNumber@state.or.us 

PERSONAL SUPPORT WORKER – INDEPENDENT CONTRACTOR 

Effective July 1 all payments to PSW independent contractors will no longer originate from INW offices but will be processed by TNT FI from their office in Salem. In order to make this happen, all ICs will need to fill out a TNTFI_VENDOR ENROLLMENT PACKETICs must fill out a separate packet for each customer they work with. Please note that the packet includes a direct deposit form. Unfortunately the direct deposit form you have on file with INW will not transfer to TNT. The packet must be signed by the customer or the customer’s legal guardian. If you want to continue using direct deposit after July 1  you must fill out this new one and provide all the documentation it requires.   Below are some changes PSW-ICs who work with INW customers should expect:

  • Changes to invoice due dates and pay dates: Because INW cuts checks for independent contractors on a weekly basis, we do not expect ICs to adhere to any invoice deadline. However, under the new system, due dates, processing time, and pay dates are determined by the state’s agreement with SEIU, and as of this writing the state has been unable to tell us what those dates are. We will let you know as soon as we know.
  • Reduction in pay frequency and flexibility: INW cuts checks on a weekly basis for vendors so that a vendor can invoice us at any time during the month and expect timely payment. Under the collective bargaining agreement payment is reduced to twice a month. This may mean you will need to change the timing of your invoicing in order to avoid delays in payment. With payment no longer occurring in-house, INW unfortunately loses the flexibility to accommodate same-day check runs and other special requests as we have in the past.

PROVIDER ORGANIZATIONS, NON-PSW INDEPENDENT CONTRACTORS, AND OTHER VENDORS 

Payments to all entities not covered by the collective bargaining agreement (provider organizations, non-PSW ICs) will continue to be paid by INW until eXPRS is implemented. If you are the rare IC who provides both PSW services and non-PSW services you will receive separate payments from TNT FI and TNT FI.

FAQ: July 1 Changes to Provider Billing and Payment

Note: Most of this information is brand new and as such is subject to change. We will update this FAQ as we get new information so please check back frequently.

Q. What is changing about how provider payments are made? A. All payments to Personal Support Workers (PSWs) across the state are being consolidated so that they are paid by a single entity, TNT Fiscal Intermediary Services (TNT FI). This affects thousands of providers.

Q. Why is this change happening?  A. Under the collective bargain agreement DHS made with the Service Employees International Union (SEIU), the state agreed that it would adopt a centralized payment system for all of SEIU’s PSW members in Oregon.

Q. I thought eXPRS was going to be the payment system. Is TNT replacing eXPRS? A. Yes and no. The state has delayed implementation of eXPRS, in part, as a result of questions about its readiness voiced by the community. However, that delay did not absolve the state of its collectively-bargained mandate to adopt a centralized payment system by July 1. Moving PSW payments to TNT FI is a transition plan to meet that mandate.

Q. Will eXPRS make PSW payments in the future? A. To the best of our knowledge TNT will continue to handle all PSW payments for the foreseeable future because eXPRS lacks the complexity to handle payroll under the brokerage customer-as-employer model. Once implemented, eXPRS will act as a “front-end” interface for billing data entry; TNT will process payments using the data entered into eXPRS.

Q. Is there paperwork I need to fill out for this change? A. If you are a PSW-DE there is no additional paperwork for you at this time. If you are a PSW-IC you need to fill out a TNT FI Vendor Enrollment Packet immediately and return it to INW.

Q. Will my direct deposit remain in place? A. It depends on whether you are a PSW-DE or a PSW-IC. Domestic employee direct deposits will be unaffected by this change. PSW independent contractors will need to fill out the new direct deposit form included in the TNT FI Vendor Enrollment Packet if they want to continue using direct deposit. 

Q. Who do I sent my invoices or timesheets to? A. Nothing changes in the short run. Continue to submit your bills to Independence Northwest as you always have.

Q. Will the day my timesheets or invoices are due change? A. Probably. Due dates, processing time, and pay dates are determined by the state’s agreement with SEIU, and the state has been unable to tell us what those dates are. We will let you know as soon as we know.

Q. Will my pay day change? A. Probably. See answer to previous question and check back here often.

Q. What if I need an out of cycle check or if my check is lost or stolen? A. The state has not yet shared how it plans to handle out of cycle checks and other special exceptions after July 1.

Q. What if I am overpaid or underpaid? A. The state has not yet shared the details of how error corrections will occur after July 1.

Q. Does the July 1 change affect me if I am not a PSW? A. The most current information we have is that non-PSW payments will not change on July 1.

Q. Will INW continue to verify my income and employment for housing and other credit applications? A. Because we are not privy to the details of the contract negotiations between TNT FI and DHS, we are unsure whether this duty will remain with INW or will be taken over by TNT FI. Once we have the answer to this question, we will update you.

Q. Will INW continue to respond to unemployment claims? A. We have not been told by DHS if this will remain our responsibility. Stay tuned.

 

What to Expect Between Now and July 1st, 2014

By Larry Deal
Executive Director

There are just 40 working days left between now and the end of the current fiscal year, June 30, 2014. Over the past year, that mid-summer date has been a much-publicized target for many changes in the Oregon’s developmental disabilities brokerage system. You’ve no doubt heard many times over: “this, that, or the other has to be done by July 1st”. This includes significant changes such as ensuring all 7,500 or so brokerage customers have been assessed with the new Functional Needs Assessment, ensuring that all providers are signed up in the state’s payment system, and preparing for having the state take over direct payment to all brokerage providers.  In some areas of the state, customers are changing fiscal intermediaries as well. (Here at INW, this is not the case.)

There’s a lot happening. We understand that change can be confusing, frustrating and overwhelming. Sometimes all three. So here’s a cheat sheet for what you need to tend to in the next forty days.

If you’re a customer or a representative designee:

  • Be sure to respond to your Personal Agent’s (or a state worker’s) call to complete the new Functional Needs Assessment. It’s essential these are completed for everyone by June 30th. This allows the state to draw down increased federal funding via the new K Plan. Additionally, be ready to revise your plan to make some language changes. Your PA will help you with that.
  • If you have a provider, be sure that s/he has filled out a Provider Enrollment Agreement. We want to be sure they can continue to get paid after the state takes over payment (currently planned for July 1st.)
  • One great way to better understand the changes is to attend one of INW’s community forums. We have two scheduled in May.

If you’re a provider of brokerage services:

  • Make sure the customers you serve have scheduled a Functional Needs Assessment with their PA (or a state worker.) If they need some support during the assessment and would like you to assist, offer your help.
  • If you have not already, you must apply for and receive a Medicaid provider number. Sign up by filling out the Provider Enrollment Agreement form as soon as possible.
  • If you have already applied for a provider number, but haven’t heard back from the state, please contact them directly at DD-MH.OHCC@state.or.us
  • If we’ve contacted you about updating your Criminal History Check, be sure you respond quickly. All PSWs must have a CHC completed every two years. You cannot be paid without a current check on file.
  • Attend one of the upcoming Personal Support Worker webinars. There are currently three scheduled. The webinars will give you basic details on the state’s payment system (eXPRS) and how the way you’ll be paid is changing. Click here to learn more.
  • Attend one of INW’s community forums.

If there are changes to the deadlines or expectations (and there may be), we’ll keep you updated via additional mailing. In the meantime, keep an eye on the INW blog or our Facebook page for the latest. As always, thank you for the opportunity to serve you, your family, and this community.

 

 

Provider Training: Learn About the State’s Payment and Changes to How You’ll Be Paid

The Oregon of Office of Developmental Disabilities (the state) is putting on a series of training for brokerage PSW providers. The training is called “Using eXPRS for DD Personal Support Workers and DD Independent Contractor PSWs.”

Per the state, “Use of the eXPRS Payment System will begin July 1st, 2014. This training is a repeat of the April 22nd webinar training session and will cover the information PSW or IC-PSWs need to know to get ready for July 1st. These trainings are online, computer-based trainings.

Training participants will need a computer and internet to view the training materials AND access to a phone to listen to the discussion. Pre-registration for these trainings is required as each session has a limit to the number of participants.”

Once registered, participants will receive an email with the training site link, conference phone number and instructions on how to connect to the training on the date you are registered to participate. If you have questions, contact Julie Harrison at JULIE.A.HARRISON@dhsoha.state.or.us.

 

 

May 2014: Join Independence Northwest for a Community Forum on Changes to Brokerage Services

Our May 2014 Big Changes in Brokerage Services Community Forum dates are set! Join us on Thursday May 22nd at 6pm or Friday May 23rd at 10am. Learn more about the K Plan, the upcoming needs assessment requirement, new options for case management, plans for a new universal ISP, changes to provider payment and rates, and much more. We’ve got lots of details to share. Join us!

RSVP to Rachel at 503.546.2950 or by emailing rkroll@independencenw.org.

May2014CustomerForum

Sign Up for This Month’s Craft Night: Tuesday, May 13th, 2014

craftnightmay2014

Please join us for Craft Night on Tuesday May 13th, 2014 at Independence Northwest. We suggest a $3 donation, but no one will be turned away. Our office is located at 541 NE 20th Avenue Suite 103 in Portland. You may RSVP by calling 503.546.2950 or emailing Rachel at rachel@independencenw.org.

Please note: if you require support to participate, please bring someone to assist you. Providers may be paid via brokerage funds to provide disability-related support.

March 2014 Brokerage Changes Forums Filling Up Fast! Reserve Your Spot Today

Seats are filling up very fast this month! Our March 12th forum is at capacity, but there’s still space for our March 26th evening session. Save your space by calling Rachel at 503.546.2950 or emailing rkroll@independencenw.org. Lots of developments this month. We look forward to seeing you there.

bigchangesMarch2014

State Announces Payment Systems Change Delay; Provider Enrollment Agreements Still Needed

Dear Providers,

Yesterday, newly-appointed ODDS Interim Director Trisha Baxter announced that Oregon is putting the brakes on its move to centralize payment to providers of brokerage services.

The new target date for the change is now July 1st, 2014.

For quite some time, there has been great concern amongst brokerages, providers, and customers regarding what has been a rather rocky implementation process. Payment to our essential provider base must be top priority for our community and system. We applaud ODDS’ move to delay for solid planning and pledge to work with the Department on development of a thoughtful and thorough approach to this transition.

That said, all providers still need to turn in their Provider Enrollment Application and Agreement. Regardless of how long this process takes, one thing is certain: you will need a provider number to do business in Oregon. It’s in your best interest and in the best interest of your customers that you take this important step now.

To recap:

  • Continue to send your timesheets and invoices to INW as you always have. We’ll continue payment to you until at least June of 2014.
  • If you haven’t sent in your Provider Enrollment Agreement, do so now. This is an essential action on your part, regardless of changing timelines. The state should then follow up with you and provide you details on how to sign up and sign in to the eXPRS payment system.
  • If you have turned in your PEAA and have received no response back from the State, contact them directly at DD-MH.OHCC@state.or.us.
  • Additionally, all providers must have a criminal history check completed every two years.

Thanks for your work and support of our community. Stay warm out there!

Best,

Larry Deal
Executive Director

11/25/2013 Update on Provider Payment Changes and Provider Enrollment into the State’s System

Dear Providers,

There continue to be hold-ups on the State’s move to take over payment to providers of brokerage services.

Representatives from the Office of Developmental Disabilities Services promise there’s continued work on a solid plan, but as of right now they have produced no clear plans or feasible timelines. What we do know is this:

  • Payment will not be coming through the State effective January 1st, 2014
  • We will continue to provide your payment until an appropriate plan is developed and agreed upon.

Given the amount of work left to do during implementation, our best guess is a transition several months into the new year at this point.

If you haven’t sent in your Provider Enrollment Agreement, do so now. This is an essential action on your part, regardless of changing timelines.

If you have turned in your PEAA and have received no response back from the State, contact them directly at DD-MH.OHCC@state.or.us. (We initially thought we would be able to send out emails for those who had provider numbers, but the information we have received from the State isn’t in a format that allows us to do so given our limited resources.) Please email the State for assistance on this matter.

Many of you have received requests for W4s, I9s, and Direct Deposit forms. (Oddly, this request also went to Independent Contractors, a designation of providers who do not utilize W4s or I9s in their business practice.) Stranger still, we understand that you’re being told to submit items to brokerages. We have already processed these forms during your initial qualification and we cannot process them a second time. Please send your W9s, I9s, Direct Deposit forms directly to the State at:

            Email:            info.exprs@state.or.us
Mail:               DHS – ITBSU
ATTN: eXPRS User Enrollment
500 Summer Street NE E-12
Salem, OR  97301

Finally, provider organizations who need a provider number should be hearing from the State shortly. We are aware of a transmittal being developed and have heard it should be out within the next week or so.

Unfortunately, the State has not provided a phone number to field your questions. If that changes, we will update you and share the resource. We will continue to update you as we have more clear information. Thank you for your continued patience during this process. Rest assured that your payment will continue to come through us in the interim while these bureaucratic and procedural tangles are dealt with.

 

Join INW in December for a Community Forum on the Big Changes Happening in Brokerage Services

bigchangessmalldecember2013

Independence Northwest continues its community outreach on big changes to brokerage and I/DD services in Oregon. Since August, we’ve held many highly successful community forums presenting to over 300 community members – and we’ve got two more scheduled for the month of December!

Join us if you’d like to learn more about the K Plan, the upcoming needs assessment requirement, new options for case management, plans for a new universal ISP, changes to provider payment and rates and much more.

Remember to RSVP by calling our front desk 503.546.2950. You may also email us at larry.deal@independencenw.org. Space is limited, so reserve your space at one of our evening or day sessions today!

Big thanks to all the families, customers, providers and community members who have joined us in the past few weeks. Your questions, comments, concern and input continue to make a difference in the restructure of the I/DD system!

Update for Providers Regarding Provider Numbers and Forthcoming Payment Changes

numbersDear Providers for Customers of Independence Northwest,

I’m writing to give you a general update regarding upcoming changes to provider payments. There’s been a flurry of activity around this topic in recent weeks and here’s the latest as we know it.

As you know, the State of Oregon Office of Developmental Disabilities Services plans to take over payments to brokerage providers in the near future. The deadline has changed multiple times and their current public target is January 1st, 2014.

In preparation for this change, all providers must obtain a Provider Number. In order to receive a Provider Number, you must turn in a Provider Enrollment Application and Agreement (Word or PDF). The Provider Number will allow you to go into the State’s payment system and make your claims. Without this number, you won’t be paid.

Many of you have contacted us via phone, email, on Facebook and in-person concerned because you submitted the required paperwork, yet you’ve heard nothing from the State. Communication and direction has been spotty, for sure.

Here’s how INW can help.

A day ago, the thirteen support services brokerages received a spreadsheet from the Oregon Home Care Commission. This spreadsheet contains the names and contact information for about 3,400 providers statewide. It includes assigned Provider Numbers. We are currently in the process of sorting through the list to determine which providers are attached to Independence Northwest.

  • If your name is on the list, we will email you your Provider Number early next week. (Some providers are getting email notifications with their Provider Number from the Home Care Commission and some aren’t, so you may receive this info twice.)

 

  • If your name is not on the list, we will email you early next week and tell you that the State has not assigned you a Provider Number yet. This may be because you didn’t submit a PEAA or perhaps the State hasn’t processed your PEAA yet. We have no way of knowing which is the case (or if there are other variables), so concerned providers will need to follow up with the State at that point by emailing DD-MH.OHCC@state.or.us. At this time, the State has not provided a direct contact person or phone number. If that changes, we will update you.

We expect to receive updated Provider Number lists from the State from time to time, but don’t yet know what the frequency will be. As we receive those lists, we will update you where applicable.

If you haven’t submitted your Provider Enrollment Application and Agreement, please don’t delay – do it today.  As of right now, less than half of the Personal Support Workers in the State have been assigned Provider Numbers. It’s essential everyone is assigned a number on or before Monday, December 2nd, 2013. We can’t let a bureaucratic change affect payment for essential services to adults with I/DD.

Brokerages will continue payment (at the very least) through the end of 2013. As deadlines shift, we’ll keep you informed. You will continue to send your invoices and time sheets directly to your customer’s Personal Agent, as before.

To Recap:

  •  If you haven’t sent in your Provider Enrollment Agreement, do it now.
  •  If you have turned it in and we send you a notice saying the State hasn’t included you on its list, contact them via email at DD-MH.OHCC@state.or.us.
  • Continue to send your timesheets and invoices directly to us at Independence Northwest. We will notify you when the State is formally taking over payment. Even after the State takes over payment, you’ll still send proof of services to us for review.
  • The State will take over payment to you sometime in the new year. They are planning trainings and support for providers to get acclimated to the eXPRS system. Hold tight, information forthcoming.

We promise to communicate changes with you quickly to ensure as smooth a transition as possible. We are continuing our series of customer and community forums and welcome you to join us. It’s a great place to discuss the changes with other community members and get the latest details. I also encourage you to Like us on Facebook and subscribe to the Independence Northwest Blog to get updates as we have them.

Thank you for the essential work you do for our customers, their families and the community at large.

Best,

Larry Deal
Executive Director

PS – Provider organizations with current eXPRS log in information need not be concerned with this notice. As I currently understand it, provider organizations who are awaiting a Provider Number and eXPRS log-in will be contacted in the next week or so by the State.

ATTN: Providers – Updated Information on Payments and Provider Enrollment Agreement Timelines

calendar changeProviders, Customer Employers, and Community Members,

As you have likely heard by now, the State of Oregon Department of Human Services (DHS) has been moving toward changing the way providers of brokerage services are paid.

Since 2001, brokerages have operated as a fiscal intermediary for our customers and we have been responsible for provision of provider payment. For many years, DHS has shared its intent to update its systemic capabilities and pay providers of brokerage services directly instead. It looked like 2013 would be the year things changed.

In May of 2013, DHS sent out a missive to all Personal Support Workers, which included a copy of a Personal Support Worker Provider Enrollment Application and Agreement. The mailer stated “completion of this document is required for you to be on the State Registry” and that “by signing this agreement the state will issue a provider number which will be necessary for payment on or prior to October 1, 2013.”

However, the state’s payment change efforts have experienced continued delays and as a result of these delays payment will continue through brokerages for the time being. We are being told that January 1st, 2014 is the new target date for when you’ll be paid directly through the State.

Our office has begun receiving multiple calls from providers concerned about their payment and where it will come from as a result of the registry and the October 1st, 2013 deadline. We request two things:

1. Please continue to send your invoices and time sheets to Independence Northwest as you always have. We will follow our regular payment schedules for providers and you should experience no disruption in payment.

2. If you have not yet completed a Provider Enrollment Agreement, we implore you to do so. While we can’t be certain the new January 1st, 2014 date will be met, we know that eventually you *will* receive payment through the DHS payment system and you must be set up in order to avoid delay in payment. It’s imperative you have a provider number assigned to you before being paid. Please take a moment to take care of this important piece of business.

Thank you for your continued partnership, efforts and support of our customer base. And thank you for your patience during the current transition.

*Please note: We were told by state employees that provider organizations who are not already set up in the state’s payment system will receive a provider number via the state’s licensing unit. If you have questions about this, please contact Larry Deal at larry.deal(at)independencenw.org. Thanks.

Concern Over Talk of Reduction in Pay to Providers

By Ron Spence, Operations Director and
Larry Deal, Executive Director

Last Tuesday, August 20th, Independence Northwest hosted a community forum focusing on the big changes afoot in brokerage services and how those changes will affect providers and the provider community. We had an excellent turnout and lively conversation. A couple dozen providers (primarily Independent Contractors and a few Domestic Employees) came together to discuss upcoming systemic shifts including a change to how providers will be paid and quite possibly, how much they’re paid. As mentioned in earlier articles published by Independence Northwest, these changes are a result of the K Plan and poor audit findings. Read more about that here.

Significant Rate Reductions Potentially Ahead for Providers?

At present, SEIU (Service Employees Union International) and the State of Oregon Department of Human Services are in the process of bargaining rates for SEIU’s provider members. Thanks to House Bill 3618, all Domestic Employees and the majority of Independent Contractors serving brokerage customers are represented by SEIU. You’ll often hear these providers referred to as PSWs [Personal Support Workers] as a result).

Elvyss Argueta, an SEIU organizer who showed up to Tuesday’s forum, dropped a bombshell when he announced that there is movement by the State in current negotiations to reduce the top amount an Independent Contractor can be paid from $24 per hour to a paltry $14.00.

On Wednesday, August 21st, 2013, SEIU sent an email blast out to its members confirming Elvyss’s claims. Per SEIU: “We met with the state last Tuesday and bargained into the evening… The State is continuing to press for significant cuts to Independent Contractor rates … (and) is proposing that Independent Contractors’ current wages will only be kept whole until July 2014, at which point IC wages will drop to $14 per hour. This is unacceptable.”

We agree. Dropping rates down to such a measly rate would create a true crisis for the providers affected and the families and customers who receive services from them. There’s really no way to sugarcoat this. If SEIU’s claims become a reality, this type of service provider (with very few exceptions) will cease to exist as an option for brokerage customers.

Understanding the “Wage” of an Independent Contractor

First things first: employees and contractors are completely different animals. Decision-makers must understand this. The mere suggestion of cuts this deep points to a misunderstanding of not only the unique supports provided by these small businesses, but also of the very definition of an independent contractor.

On the surface, $14 per hour may sound like a fair and decent wage. It’s several steps above minimum wage and is considerably higher than the average direct support professional’s wage in Oregon. However, a closer look at what an Independent Contractor is and does reveals a completely different picture (please stick with us while we offer some context.) Independent Contractors get “paid” rates like $24 per hour because they assume all responsibilities for their own taxes, insurance and benefits; as a result, they take home much less than you’d think. The State was keenly aware of this important distinction as it developed a set of published rate ranges at the onset of brokerage services in the early ’00s.

Let’s start with a typical employee situation. If you are employed by a company and earn $14 per hour, that fourteen dollar figure does not represent the whole story. For starters, add 12% due to the taxes your employer must pay just to employ you and the cost jumps to $15.68 per hour or more. Then, let’s say you get health benefits – even low level benefits – from your employer. That’s probably another $300 per month (about $3,600 per year). That ends up costing your employer another $1.73 or so an hour, bringing your “wage” up to $17.41. Now, let’s throw in two weeks paid vacation and another week of sick time. That costs your employer about $1,881 for the three weeks (another 90 cents an hour) and now we’re up to $18.31 per hour. Maybe you have 401(k) or retirement benefits or if you are a government employee, maybe there’s some PERS being stashed away on your behalf. Your employer buys the supplies you need to do your job, pays for you to attend trainings, pays business insurance and liability insurance, pays for Workers Compensation insurance and mileage reimbursement and on and on… Anyway, you get the idea. $14 to you isn’t $14 to your employer.

Now let’s reverse all of that and look at it from the perspective of a contractor.

A properly classified Independent Contractor is a walking business. Unlike an employee, a contractor has no employer to offer them benefits, liability insurance, mileage/travel costs, computers, office supplies, software, training, sick or vacation time. Everything *starts* at the hourly rate which is exactly why they charge more. Your Independent Contractor might charge $24 to your Plan of Care, but his/her take-home is nowhere near that. Chances are pretty high that your Independent Contractor doesn’t drive a Lexus.

If Oregon starts paying Independent Contractors $14 per hour, these workers will very likely take home less than minimum wage for a professional service. Why would someone do all this work to make less than the guy across the street employed by a brokerage customer or provider organization? Why carry the headache of purchasing liability insurance, ensuring proper deductions, paying self-employment taxes (15.3% in 2013), worrying about your own health insurance only to make less?

If rates really are reduced to this level, we will witness hundreds of small businesses shutter and close up shop. Small businesses truly are the engine fueling Oregon’s current economic recovery.

The Need for Diversity of Provider Types to Serve a Diverse Population

We are lucky to have at our fingertips a rich community of Independent Contractors with varied backgrounds and specialties: former teachers, former case managers, people from the business community who decided they wanted to something more rewarding with their lives. Just as we value diversity in the people we serve, we value diversity in our provider base. We don’t just value that diversity for its own sake. We value it because it promotes choice and increases the quality of supports customers receive. Brokerage customers have wildly variant needs and that calls for a wildly variant set of skills in the provider community. Caregivers in the home meet certain essential needs for our customers. Skills trainers meet others. Provider agencies meet still others. It’s the diversity of choice that makes brokerage services exemplary and completely unique in the system.

A Need for Capacity and a Pledge of Support

In the Portland metro area, we work with hundreds of independent contractors. They have played an integral role in the development of brokerage services over the last twelve years and are a highly valued, essential part of this system.  As the K Plan rolls out, more services will be available for our customer base. This is a great thing. But all those extra financial resources mean nothing unless we have qualified, competent providers who can make a living doing the work. If we price them out, we all lose. Reducing capacity makes no sense.

We realize all too well that information is changing rapidly. This reduction may not even be on the table in a week. But, presently, this conversation is on the table. We feel an obligation to respond to this public information and to support the providers we, our customers, and their families rely on each day for critical health and safety supports. Independence Northwest stands in unequivocal opposition to a reduction in the rates of any provider who serves brokerage customers. 

We encourage providers to communicate with their legislators and leadership at the State to advocate for no reduction to the rates and to educate them on the services they provide. We promise to do the same.

Any reduction in rates for providers serving our customers is a step backward for all of us.

Get Involved!

Independent Contractor Patricia Lawrence is organizing Independent Contractors in the Portland metro area. Visit her new Facebook group for Independent Contractors  or send her an email directly at plawrence@tds.net to get involved.

Please Note: The proposed $10 per hour reduction is specific to those providers who fall under the Personal Support Worker/Independent Contractor designation. Services such as Behavioral and Social/Sexual Supports are not included in the announced proposed reduction.

Oregon Developmental Disabilities Director: “Guardians Can Be Paid with Right Processes in Place”

Oregon Developmental Disabilities Patrice Botsford makes a big announcement on the payment to guardians issue this afternoon:

“WE HAVE GOOD NEWS!!!! Today our federal partner, the Centers for Medicare and Medicaid Services (CMS) informed Oregon that guardians can be paid to provide care to their loved ones with the right processes in place. We are working quickly with CMS to clarify those processes and to develop a new notice for beneficiaries, but we wanted to share this information with you as soon as possible. When those details are worked out, we will provide you with an update and more information about next steps.

Thank you for your patience as we have been working through this difficult issue. We know that this issue is important and that the uncertainty about how we are moving forward is stressful for families and their loved ones. We appreciate the care and concern we have heard these past weeks and we remain committed to providing you with the most up-to-date, accurate information that we have.” Patrice Botsford Director, DHS Office of Developmental Disabilities Services

Big Changes in Oregon’s I/DD Service System | Part Two: Payment to Legal Guardians

Part Two: Payment to Legal Guardians
By Larry Deal, Independence Northwest Executive Director

NOTE: The State has reversed its take on payment to Guardians. Check out the latest details from Patrice Botsford here.


As mentioned in last week’s piece, Oregon’s Department of Human Services has chosen to change its primary funding source from Title XIX Waiver services to the new Community First Choice Option/K Plan. This change increases federal revenue for Oregon and expands services for seniors, people with physical disabilities, and children and adults with intellectual and developmental disabilities. With the additional revenue comes new mandates and expectations.

Perhaps the most controversial change thus far is the mandate that legal guardians no longer be paid as care providers through brokerages. Keep in mind that legal guardianship requires a court order and is not something that automatically occurs when an individual with a developmental disability turns eighteen. Guardianship also requires annual renewal action by the guardian.

Per ODDS (Oregon Office on Developmental Disability Services), CMS (Centers for Medicare and Medicaid Services) views payment to a legal guardian as a conflict of interest (see CFR 441.505.) When the funding was coming primarily through waivers, guardianship payment was permitted, but because Oregon has chosen to change its primary funding to Community First Choice Option/K Plan, the expectation has changed. It is now consistent with the regulations for how services are implemented for seniors and people with physical disabilities.

Statewide, well over 400 guardians are paid to provide services, the majority of them supporting people served by brokerages.  At present, brokerages and CDDPs (Community Developmental Disabilities Programs) have been directed by the state (ODDS) to begin conversations with our customers and their legal representatives about how to come into compliance with the new standards. We have requested clear, written materials to be shared with families and individuals regarding this directive.

As you can imagine, there has been a lot of concern and discussion on this topic. There’s quite a bit at risk here and clear, direct communication from all parties is key right now.

In a recent mailer to its members, SEIU (Service Employees International Union) claimed “some brokerages and CDDPs have incorrectly informed parent providers that they can no longer be their child’s guardian if they want to be paid as a provider. This is not true.” We share SEIU’s concerns on this change, but their mailer is misleading. ODDS has clearly and publicly stated this is their policy and has instructed brokerages and CDDPs to share this mandate and begin the conversation on this planned change. If one follows the directive up the chain, its genesis is with the government, not brokerages and CDDPs.

Two weeks back, ODDS Director Patrice Botsford released an extensive statement explaining the state’s position. “Families must make a decision whether the guardian will remain in place and not continue as the paid service provider and a new service provider chosen, or the guardianship may be terminated or transferred… We are asking that their decision be relayed to us via their case manager no later than December 1, 2013 for January 1, 2014 implementation. Read her entire statement here.

In addition to the statement, ODDS released a two-page Frequently Asked Questions document highlighting the specifics of the change. It’s worth a read.

Long-time disability rights advocate Representative Sara Gelser (D-Corvallis District 16) has become involved in the discussion. She recently began requesting stories through posts on her Facebook page. Per a post on August 7th, Rep. Gelser had met with Patrice Botsford and others at ODDS. Wrote Gelser: ” I had a very good meeting today with Patrice Botsford and her Deputy (Director) from the Office of Developmental Disabilities. I am feeling hopeful that we can find a solution that will meet everyone’s needs and will cause minimal disruption. Thank you for your stories. Please keep sending them, as they are very helpful.” She went on to thank Patrice and her team for partnering for a solution. Sara Gelser is beginning to look at potential legislative action that could influence the future.

At present, ODDS is developing an exception policy that will potentially allow for some guardians to be paid under the K Plan. The exception policy is still in draft format and will be reviewed by CMS in the next week or so.

Advocates throughout the system continue to comb through federal regulations and state law to see if there are other approaches that can be taken to address the situation. In the meantime, if you would like to be involved in the discussion and share your story, you have a few options.

Later this week, we’ll send out another missive on the Designated Representative piece. The representative issue is linked to the guardianship discussion, but deserves its own attention due to its complexity. For the sake of clarity, we’ll address it separately.

Additional Resources:

08/15/2013 UPDATE:
DD Director Patrice Botsford shared the following new information on ODDS’ Facebook page: “I wanted to quickly update you on where we are on our request for exception on guardians as paid caregivers. Our request is currently in the hands of CMS and their attorneys. We have near daily communication with them, and are looking forward to the best possible outcome. We are as anxious as you are, and we will post here as soon as we have any updates. Keep up the good work, and thank you all again for your advocacy and support.”

Abuse Reporting Training – Tues September 18th, 2012

The folks at Clackamas County Developmental Disabilities Program are offering a great training opportunity for all professionals serving people with disabilities: a one hour training on Abuse Reporting led by Abuse Investigator Brian Pollard.

WHAT: Abuse Reporting Training
WHEN: Tuesday September 18th, 2012 from 11am to 12 noon
WHERE: Clackamas County Public Services Building (2051 Kaen Road Room 369B Oregon City, OR  97045)

Abuse Reporting is geared toward adults eligible for DD Services, their families, Personal Support Workers, Foster Care Providers and staff, Residential and Vocational staff. Adults eligible for DD services are a protected class and therefore those paid to support them are Mandatory Abuse Reporters. The class will address when and how to report abuse and neglect of adults eligible for DD services.

If you are a Personal Support Worker, Domestic Employee or Independent Contractor, we at Independence Northwest strongly urge you consider this training opportunity.

Please contact Robyn Hoffman at 503.557.2872 or robynhof@co.clackamas.or.us for any questions and to RSVP. Space is limited, so please register to reserve your place.

2012 Funds Distribution Dates and Payment Information for Providers

A Message for Independent Contractors and Provider Organizations Qualified with Independence Northwest:

It is the policy of Independence Northwest to pay all invoices on a net 30 basis. (This means that we will disburse funds within 30 days of receiving an invoice from a provider.) As a result of this policy we do not adhere to particular invoice due dates or pay dates. However, for independent contractors and provider agencies to be paid in the first cycle of checks each month, we recommend they have their invoices to our office by noon on the following dates in 2012.

Friday, January 6th
Tuesday, February 7th
Tuesday, March 6th
Friday, April 6th
Monday, May 7th
Wednesday, June 6th
Friday, July 6th
Tuesday, August 7th
Thursday, September 6th
Friday, October 5th
Tuesday, November 6th
Thursday, December 6th

A note about postal delivery and direct deposit: We have been offering direct deposit to the entire provider community since August of 2010 and it’s been a great success. It helps us process payments faster and ensures your money lands in your bank account sooner. But now there’s a new reason to consider direct deposit: As you may have read in the news, budgetary cuts to the US Postal Service are expected to result in a significant slowdown of domestic mail. Local mail that previously arrived in one day may soon take three to four days to arrive. In anticipation of this change Independence Northwest is strongly urging all providers to sign up for direct deposit. All providers are being mailed a copy of this letter along with a direct deposit form.

Thank you all for your service to our community. Here’s hoping for a productive and
rewarding 2012.

Ron Spence
Operations Director
rspence(at)independencenw.org