Letter to the Centers for Medicare & Medicaid Services

Public Input Provided in 2012

Letter of Endorsement for HHSC’s Application to Participate in the Federal Centers for Medicare and Medicaid Services Balancing Incentive Program

June 15, 2012

Jennifer Burnett
Centers for Medicare & Medicaid Services
Disabled and Elderly Health Programs Group
7500 Security Boulevard
Mail Stop: S2-14-26
Baltimore, MD 21244-1850

Dear Ms. Burnett:

I am pleased to support the Texas Health and Human Services Commission’s (Commission) application to participate in the federal Centers for Medicare and Medicaid Services’ (CMS) Balancing Incentive Program (BIP).

The Texas Council for Developmental Disabilities (TCDD) is established by federal law in the Developmental Disabilities Assistance and Bill of Rights Act and consists of a 27 member board, appointed by the Governor, 60 percent of whom are individuals with developmental disabilities or family members of individuals with disabilities. TCDD’s purpose in law is to encourage policy change so that people with disabilities have opportunities to be fully included in their communities and exercise control over their own lives.

Rebalancing the system that serves people with disabilities remains one of our top priorities. I am encouraged that the Commission expressly identifies the potential for the use of a new assessment and intention to include the establishment of regional Crisis Intervention Teams to help persons with intellectual and developmental disabilities and co-occurring mental illness. I look forward to participating in a robust stakeholder process associated with the design and testing of a functional assessment that has a foundation in a person centered approach and that adequately addresses Quality of Life, Employment, Housing, and Social Integration. Also, by providing in home crisis intervention and triage, training to family and staff, and behavioral supports the state’s system will be modified to address the changing needs of persons in the community system.

I am delighted that the Commission is taking advantage of this tremendous opportunity. I look forward to seeing this effort move forward and to having a long term services and supports system that is truly rebalanced. Count on TCDD to work with the Commission by providing input into the work plan and ongoing implementation activities.


Roger Webb
Executive Director