Integrating State Systems Change
into a
National Policy Framework
Alaska Works Initiative
November 9, 2009
Alaska Works Policy Summit
May 2002
Purpose
Discuss current policy status and issues
Disability Populations
Medicaid Buy-In
1-Stop Job Center Services
Personal Assistance Services
Make policy recommendations
Create lasting change
Look comprehensively across programs and services
Create linkages and partnerships
Policy Definition
Legislative action
Regulatory process
Day-to-day policy and procedures
Implementation of policy at all levels
throughout the state
Includes obtaining, allocating or re-allocating
resources (people, time, money)
Policy Summit Agenda
Overview disability policy framework
Discuss policy issues from national
perspective
Discuss policy implications of Alaska
data and research
Policy work group discussion
Reports and next steps discussion
Process Used
Discuss Alaska policy in relation to
identified issues
Identify and discuss any other issues not
previously raised
Determine whether current policy is
supportive, inhibiting, neutral or non-
existent
In relation to disability policy framework
In relation to data and research findings
Process Used (continued)
Determine need for change in current
policy or if new policy is needed
Generate policy options
Use priority grid to rate each option
Positive impact on services
Cost savings
Resources available to implement
Doable/can be accomplished in reasonable amount of
time
Advances disability policy framework
Fits with what data and research tells us
Process Used (continued)
Discuss next steps
Determine need for additional data or
information
Identify stakeholders
Determine unintended consequences (if any)
Determine what it would take to implement
proposed policy
Assign responsibilities
Outcomes
Disability populations
People with severe mental illness
MIG funding used for employment specialist
Partial use MH block grants for supported
employment pilots
DBH/DVR memorandum of agreement and letter
Change in DBH regulations
Training and technical assistance
MIS/data collection changes
Outcomes
Disability populations
Youth with disabilities
MIG money used for youth coordinator
Targeted group for DD waitlist initiative
Youth Intermediary Grant
5-Year strategic plan
Post-school outcomes survey
Increased funding
Developmental disabilities
DD Supported Employment Action Plan
MIG funding used for employment specialist
Alliance for Full Participation
Outcomes
Medicaid Buy-In
Change in resource limits
$2,000 to $10,000 for an individual
$3,000 to $15,000 for a couple
Personal Assistance Services
Increase access and equity
Eliminate the “time for task” approach
Provide a menu of services
Activities of Daily Living
Instrumental Activities of Daily Living
Outcomes
1-Stop Job Centers
Customized Employment Grant
Change in DVR policy
Job center service integration
Training, technical assistance and
consultation
Families First (adaptation for TANF
population)
Start-Up Alaska grant
Outcomes
1-Stop Job Centers
Disability program navigators
Increase in use by people with disabilities
from 2.3% (2003) to 4.4% (2007)
Increase in percent entering employment
from 50% (2003) to 61% (2007)
Increase in percent retaining employment
from 64% (2003) to 81% (2007)
FY11 Increment request