2.1.1. The State envisions that the solution will support the following high-level goals: Vermonters who need home and community-based services will have equal opportunity to: • Learn about service and support options from a neutral, trusted source. • Access publicly funded services through an easy-to-use, unbiased and equitable process. • Be empowered and supported to make informed choices about a range of available services and supports and who delivers them, such as opportunities to live at home or in the community. • Participate in person-centered planning and services that respect and encourage selfdetermination, independence, growth, dignity, individual preferences and goals. • Feel confident about the quality of services and support, including the focus on individual health and welfare, integration and coordination of care, and participants’ rights. 2.1.2. Goals for the Vermont HCBS-COI Redesign: As part of the Home and Community Based Services – Conflict of Interest (HCBS-COI) Redesign, the following principles were developed to guide the redesign process and convey the goals the State is hoping to achieve for individual seeking and receiving DS and BIP home and community-based services. Case management functions are provided separately from the delivery of direct services to ensure federal compliance, improve access for all Vermonters, and protect participants’ rights. • Participants are empowered to make informed decisions about their lives and their services, including who supports them and how they are supported, for both case management and HCBS. • Person-centered thinking and coordination of care are central to all activities related to service delivery, including case management. • Case management roles and responsibilities are clearly defined and described, as are those of HCBS providers, including the intersections for collaboration and cooperation. • To the greatest extent possible, stability is maintained for provider agencies and within the workforce. • Allows the state to oversee quality and performance.
