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Expansion of Waiver Services 2 <br />In keeping with our commitment to ensure an appropriate level of care is available for <br />members, Sandhills Center expanded 1915 (b)/(c) Medicaid services in 2015. <br />This is significant for many individuals in need of assistance because it allows for <br />additional services to be offered to an increased number of people in Sandhills <br />Center's nine -county catchment area. <br />Requests for Proposals (RFPs) were conducted through a competitive bid process and <br />included respite, community guide and peer support services. Sandhills Center chose <br />nine respite services providers, five community guide providers and four peer support <br />providers. <br />Expansion of services also included supported employment/employment specialist, <br />personal care/individual support, one-time transitional costs and physician <br />consultation services. <br />In addition to these expansions, we also transitioned 84 individuals to the community, <br />with 68 persons housed as of November 2015. <br />The expansion addresses supported employment services for people leaving adult <br />care homes through the Department of justice initiative, Transitions to Community <br />Living (TCL). This gives more than 3,000 North Carolina residents the choice to move <br />into an apartment community - which translates to long-term housing and fewer <br />hospital stays. <br />For people with serious mental health needs, TCL means: <br />Individual preferences are valued and supported <br />Services are provided in a flexible setting tailored to the individual <br />All services are recovery -oriented <br />Housing that helps individuals connect with others <br />A home that does not limit social activities, with the people of <br />their choosing <br />Services provided by the Transitions to Community Living Initiative include: <br />Transition planning <br />Housing slots with rental and transition support <br />Assertive Community Treatment Team (ACTT) services <br />Supported Employment services <br />Crisis Resources <br />To increase access and availability of ACTT services, Sandhills Center conducted an <br />RFP to locate a new team in Montgomery, Lee or Moore counties. Daymark Recovery <br />Services Inc. was selected, and ACTT services began in May 2015. Additionally, the <br />ACTT service reimbursement rate was increased by 15 percent in recognition of the <br />importance that ACTT services play in supporting individuals in our community. <br />