State Plan for Independent Living (SPIL)

State: Tennessee

Agency: Tennessee Division of Rehabilitation Services

Plan for: 2011-2013

Submitted in fiscal year: 2010

Table of Contents

Part I: Assurances

Part II: Narrative

Part I: Assurances

Section 1: Legal Basis and Certifications Return to Top

1.1 The designated State unit (DSU) eligible to submit the State Plan for Independent Living (SPIL or the plan) and authorized under State law to perform the functions of the State under the State Independent Living Services (SILS) and Centers for Independent Living (CIL) programs.

Division of Rehabilitation Services

1.2 The separate State agency eligible to submit the plan and authorized under State law to provide vocational rehabilitation (VR) services to individuals who are blind.

N/A

1.3 The Statewide Independent Living Council (SILC) that meets the requirements of section 705 of the Act and is authorized to perform the functions outlined in section 705(c) of the Act in the State.

Statewide Independent Living Council Inc. of Tennessee

1.4 The DSU and, if applicable, the separate State agency authorized to provide VR services to individuals who are blind, and the SILC are authorized to jointly develop, sign and submit this SPIL on behalf of the State, and have adopted or otherwise formally approved the SPIL.

Yes

1.5 The DSU, and, if applicable, the separate State agency authorized to provide VR services to individuals who are blind, may legally carry out each provision of the plan and will comply with all applicable Federal statutes and regulations in effect with respect to the three-year period it receives funding under the SPIL.

Yes

1.6 The SPIL is the basis for State operation and administration of the program. All provisions of the SPIL are consistent with State law.

Yes

1.7 The representative of the DSU and, if applicable, of the separate State agency authorized to provide VR services to individuals who are blind, who has the authority under State law to receive, hold, and disburse Federal funds made available under the SPIL and to submit the SPIL jointly with the SILC chairperson is Andrea Cooper, Assistant Commissioner.

Section 2: SPIL Development Return to Top

2.1 The plan shall be reviewed and revised not less than once every three years, to ensure the existence of appropriate planning, financial support and coordination, and other assistance to appropriately address, on a statewide and comprehensive basis, the needs in the State for:

The provision of State independent living services;

The development and support of a statewide network of centers for independent living;

Working relationships between programs providing independent living services and independent living centers, the vocational rehabilitation program established under title I, and other programs providing services for individuals with disabilities.

Yes

2.2 The DSU and SILC conduct public meetings to provide all segments of the public, including interested groups, organizations and individuals, an opportunity to comment on the State plan prior to its submission to the Commissioner and on any revisions to the approved State plan.

Yes

2.3 The DSU and SILC establish and maintain a written description of procedures for conducting public meetings in accordance with the following requirements. The DSU and SILC shall provide:

appropriate and sufficient notice of the public meetings;

reasonable accommodation to individuals with disabilities who rely on alternative modes of communication in the conduct of the public meetings, including providing sign language interpreters and audio-loops; and

public meeting notices, written material provided prior to or at the public meetings, and the approved State plan in accessible formats for individuals who rely on alternative modes of communication.

Yes

2.4 At the public meetings to develop the State plan, the DSU and SILC identify those provisions in the SPIL that are State-imposed requirements beyond what would be required to comply with the regulations in 34 CFR parts 364, 365, 366, and 367.

Yes

2.5 The DSU will seek to incorporate into, and describe in, the State plan any new methods or approaches for the provision of IL services to older individuals who are blind that are developed under a project funded under chapter 2 of title VII of the Act and that the DSU determines to be effective.

Yes

2.6 The DSU and SILC actively consult, as appropriate, in the development of the State plan with the director of the Client Assistance Program (CAP) authorized under section 112 of the Act.

Yes

Section 3: Independent Living Services Return to Top

3.1 The State, directly or through grants or contracts, will provide IL services with Federal, State, or other funds

Yes

3.2 Independent living services shall be provided to individuals with significant disabilities in accordance with an independent living plan mutually agreed upon by an appropriate staff member of the service provider and the individual, unless the individual signs a waiver stating that such a plan is unnecessary.

Yes

3.3 All service providers will use formats that are accessible to notify individuals seeking or receiving IL services under chapter 1 of title VII about:

the availability of the CAP authorized by section 112 of the Act;

the purposes of the services provided under the CAP; and

how to contact the CAP.

Yes

3.4 Participating service providers meet all applicable State licensure or certification requirements.

Yes

Section 4: Eligibility Return to Top

4.1 Any individual with a significant disability, as defined in 34 CFR 364.4(b), is eligible for IL services under the SILS and CIL programs authorized under chapter 1 of title VII of the Act. Any individual may seek information about IL services under these programs and request referral to other services and programs for individuals with significant disabilities, as appropriate. The determination of an individual's eligibility for IL services under the SILS and CIL programs meets the requirements of 34 CFR 364.51.

Yes

4.2 Service providers apply eligibility requirements without regard to age, color, creed, gender, national origin, race, religion or type of significant disability of the individual applying for IL services.

Yes

4.3 Service providers do not impose any State or local residence requirement that excludes any individual who is present in the State and who is otherwise eligible for IL services from receiving IL services.

Yes

Section 5: Staffing Requirements Return to Top

5.1 Service provider staff includes personnel who are specialists in the development and provision of IL services and in the development and support of centers.

Yes

5.2 To the maximum extent feasible, a service provider makes available personnel able to communicate:

with individuals with significant disabilities who rely on alternative modes of communication, such as manual communication, nonverbal communication, nonverbal communication devices, Braille or audio tapes, and who apply for or receive IL services under title VII of the Act; and

in the native languages of individuals with significant disabilities whose English proficiency is limited and who apply for or receive IL services under title VII of the Act.

Yes

5.3 Service providers establish and maintain a program of staff development for all classes of positions involved in providing IL services and, if appropriate, in administering the CIL program. The staff development programs emphasize improving the skills of staff directly responsible for the provision of IL services, including knowledge of and practice in the IL philosophy.

Yes

5.4 All recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will take affirmative action to employ and advance in employment qualified individuals with significant disabilities on the same terms and conditions required with respect to the employment of individuals with disabilities under section 503 of the Act.

Yes

Section 6: Fiscal Control and Fund Accounting Return to Top

6.1 All recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will comply with applicable EDGAR fiscal and accounting requirements and will adopt those fiscal control and fund accounting procedures as may be necessary to ensure the proper disbursement of and accounting for those funds.

Yes

Section 7: Recordkeeping, Access and Reporting Return to Top

7.1 In addition to complying with applicable EDGAR recordkeeping requirements, all recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will maintain records that fully disclose and document:

the amount and disposition by the recipient of that financial assistance;

The total cost of the project or undertaking in connection with which the financial assistance is given or used;

the amount of that portion of the cost of the project or undertaking supplied by other sources;

compliance with the requirements of chapter 1 of title VII of the Act and Part 364 of the regulations; and

other information that the Commissioner determines to be appropriate to facilitate an effective audit.

Yes

7.2 With respect to the records that are required by 34 CFR 364.35, all recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will submit reports that the Commissioner determines to be appropriate.

Yes

7.3 All recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will provide access to the Commissioner and the Comptroller General, or any of their duly authorized representatives, to the records listed in 34 CFR 364.37 for the purpose of conducting audits, examinations, and compliance reviews.

Yes

Section 8: Protection, Use, and Release of Personal Information Return to Top

8.1 Each service provider will adopt and implement policies and procedures to safeguard the confidentiality of all personal information, including photographs and lists of names in accordance with the requirements of 34 CFR 364.56(a)(1-6).

Yes

Section 9: Signatures Return to Top

As the authorized signatories, we will sign, date and retain in the files of the state agency(ies) and the Statewide Independent Living Council the Part I: Assurances, 1-8, and the separate Certification of Lobbying forms ED-80-0013 (available in HYPERLINK "http://www.ed.gov/fund/grant/apply/appforms/ed80-013.doc" MS Word and HYPERLINK "http://www.ed.gov/fund/grant/apply/appforms/ed80-013.pdf" PDF formats) for the state independent living program (Part B) and the centers for independent living program (Part C).

The effective date of this SPIL is October 1, 2010.

Section 9: Signature for SILC Chairperson

Name: Judith Barrett

Title: Chairperson

Signed? Yes

Date signed: 06/30/2010

Section 9: Signature for DSU Director

Name: Andrea Cooper

Title: Assistant Commissioner

Signed? Yes

Date signed: 06/30/2010

Section 9: Signature for Separate State Agency for Individuals Who Are Blind

Is there a Separate State Agency for Individuals Who Are Blind? No

Name

Title

Signed? No

Date signed

Part II: Narrative

Section 1: Goals, Objectives and Activities - Screen 1 Return to Top

1.1 Goals and Mission

Describe the overall goals and mission of the State's IL programs and services. The SPIL must address the goals and mission of both the SILS and the CIL programs, including those of the State agency for individuals who are blind as they relate to the parts of the SPIL administered by that agency.

Goal Name: Mission

Goal Description: It is the mission of the Statewide Independent Living Council (SILC) of Tennessee, Incorporated to promote independent living in Tennessee and support the independent living philosophy, its practices and its values.

Goal Name: Goal 1

Goal Description: Further develop the current network of centers for independent living and enhance the effectiveness of the network.

Goal Name: Goal 2

Goal Description: Educate Tennesseans on attitudinal barriers and legislative affairs.

Goal Name: Goal 3

Goal Description: Promote systems change in the areas that affect people with disabilities.

1.2 Objectives

1.2B Describe the steps planned regarding outreach to populations in the State that are unserved or underserved by programs under title VII, including minority groups and urban and rural populations.

Identify the populations to be designated for targeted outreach efforts

See below.

Identify the geographic areas (i.e., communities) in which the targeted populations reside

The Memphis Center for Independent Living serving Shelby County comprised of approximately 168706 persons with disabilities; the Jackson Center for Independent Living serving 8 counties (Madison Carroll Crockett Gibson Henderson Chester Hardeman Haywood) comprised of approximately 59669 persons with disabilities; the Center for Independent Living of Middle Tennessee serving 7 counties (Cheatham Davidson Robertson Rutherford Sumner Williamson Wilson) comprised of approximately 191632 persons with disabilities; the Tri-State Resource and Advocacy Center serving 10 counties (Bledsoe Bradley Grundy Hamilton Marion McMinn Meigs Polk Rhea Sequatchie) with approximately 118764 persons with disabilities; disability Resource Center located in Knoxville serving Knox County comprised of approximately 71656 persons with disabilities and Training Advocacy Referral & Peer Support (TARP) serving the following 8 counties in North West/ Middle Tennessee Benton Dickson Henry Houston Humphreys Montgomery Stewart and Weakley with approximately 59084 persons with disabilities.

Describe how the needs of individuals with significant disabilities from minority group backgrounds will be addressed

• Provide the CIL brochure and basic information in Spanish.
  
• CIL of Middle Tennessee (CILMT) will continue to provide outreach to the Hispanic community by forging relationships with Conexion Americas or other Hispanic agencies, churches, or neighborhoods.
  
• Continue to promote disability awareness and independent living concepts to organizations and businesses in the community.
  
• Continue partnerships on ADA projects that increase compliance and access to the community for all.
  
• The CILMT will look seriously at reducing the service area to one that is consistent with the proposed reduction in funding and consistent with the service area and population served by the other CILS in the State. This change would provide services to 570,000 folks in Davidson County, and still serve the second largest population in the State. This is a reduction of around 600,000 folks outside Davidson County.
  
• Due to the anticipated reduction in staff, the CILMT will also focus on system advocacy for health care, assistive technology, and transportation that is inclusive of the four core services for consumers.
  
• Plan to expand their partnerships and education throughout the community in an effort to maximize the resources available to consumers in an effort to maintain the current level of services as funding is reduced.
  
• Anticipate further development of programs that will be more involved in assistive technology, and effective communication for consumers.
  
• CILMT currently has a HUD certified Home Ownership trainer on staff, and will continue this project, as well as supporting the visitability and universal design efforts in the area.
  
• The agency is currently planning to have folks that are providing peer support for groups and on an individual basis to be certified by the State of Tennessee through TMHCA. As a core service, this would make the program much more effective.
  
  

• dRC will advocate for, support, and create CIL services in counties surrounding Knox County.
  
• dRC will survey nursing homes to ascertain individuals who want to live in the community.
  
• drRC will provide Survivor Island Extreme training for youth up to age 24.
  
• dRC will provide home modifications/ramp construction to the unserved and underserved populations. Funding for this activity comes from private organizations and Part B dollars.
  
• With Part B funding, disability Resource Center (dRC) will advocate for, support, and create CIL services via outreach offices to the unserved in East Tennessee.
  
• dRC will engage in resource development activities (i.e. Pork Knox Q-Fest) in order to supplement funding for outreach to unserved and underserved populations.
  
• dRC will continue ADA celebrations as media coverage provides outreach and promotion of IL philosophy.
  
• dRC will provide transitional training for underserved youth up to age 21. dRC will participate as a partner of the K-Town Youth Empowerment Project.
  
• dRC will provide ramp construction and minor home modifications to unserved and underserved populations in order to assist people in remaining in their own homes rather than nursing homes.
  
• dRC staff will serve as sponsor of the Ability Works Coalition for Knox County.
  
• dRC staff will serve as partners on Mayors Council on Disability Issues (CODI), Knox Area Employment Consortium, and the Knox County ADA Committee. (CODI is broadcasted to Knox County and surrounding counties thereby serving unserved and underserved populations.)
  
  

• JCIL will work to achieve more efficient and effective ways of increasing IL core services to our consumers through outreach, advocacy, focus groups and satellites. We will increase our advocacy training for both staff and consumers.
  
• JCIL will continue our IL in the Classroom program with in-school presentations on Independent Living and other disability related issues.
  
• As a means of educating the public and elected officials on IL issues as well as a resource development tool, JCIL will continue our Media Programs include a weekly radio program discussing IL and current disability topics. This program features people with disabilities who wish to participate in the program.
  
• JCIL will continue our ADA Anniversary Event called another 4th of July which draws much public and media attention to IL and other disability issues.
  
• The Educational Safari and Fishing programs will continue and be expanded to serve the under-served people in our area by enabling us to provide services to over 100 students with disabilities each year with training in nature, sports, IL, self-sufficiency and skills training such as sign language and cooking.
  
• JCIL will continue outreach to the Hispanic community with Spanish speaking staff member and Spanish printed materials.
  
• JCIL plans to expand our outreach to the unserved and underserved population including the Hispanic Community with focus group type meetings in all of the counties we serve using Part B and private funds.
  
• JCIL plans to increase our outreach activities to those living in nursing homes and to those trying to stay out of nursing home by providing advocacy, peer support, referral, home modifications and other programs with from Part B and other funds.
  
• JCIL will continue to provide assistance to our local election commissions to insure polling locations are accessible by serving as an official voting place, the JCIL precinct and by being a model for accessibility.
  
  

• Memphis CIL (MCIL) continues to focus on individuals in nursing homes or in other repressive or restrictive environments or those at risk of institutionalization. Young adults with disabilities who have aged out of the city school system with few, if any, marketable skills are at great risk and usually live in very restrictive environments.
  
• The Memphis Peer Outreach Program (POP), by networking with area rehabilitation centers and Memphis Nursing Homes, will provide outreach for those in need of peer support.
  
• Technology Outreach Program (TOP) provides outreach to nursing homes and young adults through access to the MCIL computer lab workstations, basic computer instruction and Internet access.
  
• The Memphis CIL PALs program staff works with high school-age and young adults to develop strategies for transitions. Outreach through classroom participation and satellite programs allow more young people with disabilities the opportunity to grow and to learn more about living in the community.
  
• Memphis CIL continues its commitment to provide all materials in accessible format to include electronic-disc or e-mail, large print, or audio as needed for accommodation.
  
• Memphis CIL will continue their outreach to the Hispanic community through development of a brochure in Spanish to be disseminated as possible.
  
  

• TARP will continue to outreach and educate the community with the Annual ADA Celebration, which is an all day event filled with games, disability related vendor information booths, live music, food, a motorcycle ride/show and more. This is our big event every year that also enables us to receive local publicity that educated the public of what we do.
  
• TARP will continue to outreach to and advocate for individuals in Nursing Homes who want to move into the community.
  
• TARP will continue to outreach to the underserved homeless population by remaining active with Homeless Connect due to the high percentage of homeless persons with disabilities. TARP will remain a Continuum of Care (COC) member (HUD Homeless assistance efforts). TARP has and will continue its many housing/homeowner/home modification-related partnerships with other organizations such as THDA, Community Action Network, Continuum of Care, Federal Home Loan Bank of Cincinnati, USDA Rural Development, Housing Within Reach, Habitat for Humanity, Carey Counseling Center, UCP (Nashville) for the Home Access Program and the Tennessee Disability Housing Assistance Grant that assists with home modifications and repairs for rural/underserved individuals with physical disabilities as well as the which pays for ramps.
  
• TARP will continue assisting consumers in acquiring durable medical equipment and other items, as available. TARP has also partnered with The Star Center, West Tennessee Healthcare, SWAAAD, NWAAAD, & other stakeholders to help create an accessible database of available items, and has been instrumental in locating additional used equipment/assistive technology items available for listing/reuse.
  
• TARP will continue our involvement with Workforce Essentials (Career Centers) to broaden our volunteer work base and provide job readiness skills and experience. TARP actively participates in Creating Jobs Initiative (CJI) Taskforce and is active with VR (Vocational Rehabilitation) and Supported Employment Programs in our area. TARP has two certified Job Coach Trainers and regularly trains job coaches for supportive employment programs. TARP is working with Northwest Tennessee Human Resources Agency Senior Aides program (Older Americans Act program) helping elderly and disabled train and gain skills to return to work.
  
• TARPs outreach will continue on a broader level with the Director, Staff, & Board Members maintaining a presence on appropriate Statewide & local councils, committees and advisory boards and will seek further opportunities to represent Tennessees unserved and underserved people with disabilities.
  
  

• TRAC will continue to expand the Support Group Meetings in all ten counties of the service area, increase participation and broaden the scope of interests.
  
• Continue to work with healthcare providers and expand resources and options made available for consumers, develop alternative options through prevention and maintenance.
  
• Generate media responses on high profile cases of discrimination and barriers. This is achieved through maintaining our relationships with the media on a consistent basis.
  
• TRAC will continue efforts to promote awareness and develop educational campaigns in unserved/underserverd populations.
  
• Provide workshops in anticipation of trends or based on requested topics, and partner with our collaborating agencies in the service area.
  
• Sponsor and co-sponsor events with an emphasis on IL Services, information campaigns, disability awareness, and barrier removal.
  
  

1.3 Financial Plan

Describe in sections 1.3A and 1.3B, below, the financial plan for the use of Federal and non-Federal funds to meet the SPIL objectives.

1.3A Financial Plan Tables

Complete the financial plan tables covering years 1, 2 and 3 of this SPIL. For each funding source, provide estimated dollar amounts anticipated for the applicable uses. The financial plan table should include only those funding sources and amounts that are intended to support one or more of the objectives identified in section 1.2 of the SPIL. To the extent possible, the tables and narratives must reflect the applicable financial information from centers for independent living. Refer to the SPIL Instructions for additional information about completing the financial tables and narratives.

Year 1 - 2011 Approximate funding amounts and uses

Year 2 - 2012 Approximate funding amounts and uses

Year 3 - 2013 Approximate funding amounts and uses

1.3B Financial Plan Narratives

1.3B(1) Specify how the part B, part C and chapter 2 (Older Blind) funds, if applicable, will further the SPIL objectives.

Services for the Blind will continue to offer services through rehabilitation teachers located in nine offices across the state. Funds from Title VII, Chapter 1, Part B and Chapter 2 are used to support these direct services to individuals who are blind or visually impaired. Some of the services include mobility training, sensory technological aids and devices, and independent living skills training.

1.3B(2) Describe efforts to coordinate Federal and State funding for centers and IL services, including the amounts, sources and purposes of the funding to be coordinated.

Part B and C dollars are the two (2) major funding sources for ILS in Tennessee. Part C dollars allocated to Tennessee are used for the general operation of five (5) centers for independent living. These centers also receive donations and other private grants to enhance their services delivery program. Part B dollars are used to fund the SILC Resource Plan and other IL activities including: Rehabilitation Teachers, TARP Center for Independent Living general operations, and other IL grant/contract opportunities to address the underserved and unserved population. The DSU and SILC will continue working with centers and other IL entities to avoid the duplication of efforts to enhance the number of individual receiving ILs. The DSU, with SILC assistance, monitor and conduct on-site reviews to enforce compliance.

1.3B(3) Describe any in-kind resources including plant, equipment or services to be provided in support of the SILC resource plan, IL services, general CIL operations and/or other SPIL objectives.

N/A

1.3B(4) Provide any additional information about the financial plan, as appropriate.

N/A

1.4 Compatibility with Chapter 1 of Title VII and the CIL Work Plans

1.4A Describe how the SPIL objectives are consistent with and further the purpose of chapter 1 of title VII of the Act as stated in section 701 of the Act and 34 CFR 364.2.

Goal 1, Objective A - Secure State legislative support for Independent Living through appropriation of state funds to support Independent Living and support of state legislation in the areas of transportation, housing, employment, home and community based services and centers for independent living in Tennessee. This supports Sec 701 (1) and (2): Provision of IL Services and Support of the network of centers. Goal 2, Objective A - Educate local government officials on disability issues. This supports Sec 701 by education local government officials to make community changes that have positive effect on the independence of citizens with disabilities. Goal 2, Objective B - Decrease attitudinal barriers toward disabilities in Tennessee. This supports Sec 701 by promoting the philosophy of independence and systems advocacy. Goal 2, Objective C - Increased public awareness of Council and IL philosophy. This promotes the Council, which can be contacted for further information and/or further participation in the local community organizations/activities. Goal 3, Objective A - Organizational Partnerships. By collaborating with local Area Agencies on Aging and Disability organizations, we provide more information and resources for consumers toward self-determination, equal access, consumer control and information. Goal 3, Objective B - Will promote the development of integrated, affordable and accessible housing in Tennessee. This promotes the philosophy of independent living, equal access and community inclusion. Goal 3, Objective C - Promote the increased accessibility of transportation and infrastructure. This promotes the philosophy of independent living, equal access and community inclusion. Goal 3, Objective D - Collaborate with current service providers to support and improve accessible public transportation in Tennessee. This promotes the philosophy of independent living, equal access and community inclusion.

1.4B Describe how, in developing the SPIL objectives, the DSU and the SILC considered and incorporated, where appropriate, the priorities and objectives established by centers for independent living under section 725(c)(4) of the Act.

In a SPIL development session facilitated by the SILC Executive Director, the DSU, CIL directors, and several SILC members drafted the goals and objectives. Any revisions were transmitted to the meeting members via e-mail and comments/corrections were requested.

1.5 Cooperation, Coordination, and Working Relationships Among Various Entities

Describe the steps that will be taken to maximize the cooperation, coordination and working relationships among the SILS program, the SILC, and centers; the DSU, other State agencies represented on the SILC and other councils that address the needs of specific disability populations and issues; and other public and private entities determined to be appropriate by the SILC. The description must identify the entities with which the DSU and the SILC will cooperate and coordinate.

-The Alliance for Disability Policy - an organized, formal collaborative to unify and strengthen Tennessee affiliates of national disability advocacy groups in public policy work. The Alliance develops policy and legislative priorities and annual goals during the legislative sessions. The members are: The Arc of Tennessee, The Down Syndrome Network of Tennessee, United Cerebral Palsy of Middle Tennessee, Tennessee Council on Developmental Disabilities, Disability Law and Advocacy Center of Tennessee and, most recently, the Statewide Independent Living Council of Tennessee. -Statewide Visitability Collaboration - A group of interested disability, aging, building/construction and realtor organizations has developed a certification process for the concept of Visitability and version thereof in Tennessee. It is facilitated by the Tennessee Council on Developmental Disabilities. -Tennessee Technology Access Program, Statewide Advisory Council - This council is developed due to the Assistive Technology Act of 2004. It is to provide consumer-responsive, consumer-driven advice to the state of Tennessee for the planning, implementation, and evaluation of the activities carried out through the grant. -The SILC and CILs will maintain an ongoing working relationship with the Tennessee Valley Authority (TVA) which has made available IL grant opportunities to CILs. -The SILC is a Member of the Tennessee Disability Coalition which represents statewide cross disabilities and provides funding for CIL activities. All of the members are board members. By having a presence of the CIL and SILC board members on their Board, we can encourage more investment in CILs especially in unserved and underserved areas. -The SILC continues to collaborate with the State Rehabilitation Council on issues relating to persons with significant disabilities. Preparations are being made to restart the annual combined meeting between the 2 councils. -The SILC continues to collaborate with the State Rehabilitation Council on issues relating to persons with significant disabilities. Preparations are being made to restart the annual combined meeting between the 2 councils.

1.6 Coordination of Services

Describe how IL services funded under chapter 1 of title VII of the Act will be coordinated with and complement other services to avoid unnecessary duplication with other Federal, State, and local programs, including the OIB program authorized by chapter 2 of title VII of the Act, that provide IL- or VR-related services.

Steps necessary to maximize the coordination among the DSU, SILC and CILs include: The SILC ED will continue making monthly reports and holding routine meetings with the DSU regarding the implementation and progress of the SPIL in compliance with the grant requirements. The SILC and CILs will continue to improve on the current process for distribution of new Part C funds to enhance the CIL network and establish new CILs in the top five priority counties. The CILs will continue receiving part B funding for conducting quarterly meetings independent of the SILC quarterly meetings. These meetings will be for the purpose of gauging progress of the SPIL in reference to issues raised during public forums and hearings i.e. Personal Assistance Services, Transportation, Education, Employment, Home and Community Based Services. The CILs will report their progress in addressing these issues during the SILC quarterly meetings. The SILC and CILs will continue participating in active partnership with HUD and other stakeholders to identify the current percentage of integrated, affordable, and accessible housing in their communities. Education and outreach will be conducted to encourage persons with disabilities to participate in public hearings relative to housing issues. The SILC and CILs will participate in active partnership with other entities, such as local transit authorities, to develop and disseminate checklists to rural community disability leaders relative to increasing their knowledge on transportation issues. The DSU has made available, on occasion, grant opportunities to the CILs to provide core services in addition to those supported by Part B and Part C funds. The SILC will assist CILs in advocating for all available state funding to supplement their general operations. The SILC will make an annual request to the DSU to include State funding for centers in their annual budget request. The SILC will collaborate with centers to send letters to legislators in their service areas identifying the need for independent living services, especially in unserved and underserved areas. The SILC will also facilitate the involvement of persons with significant disabilities in unserved areas relative to the letter writing activity. The DSU will continue to make available grant opportunities to the CILs to provide IL services. For example, letter of understanding with VR to assist individuals with significant disabilities with employment opportunities and attendant care management training. The DSU will consider the CILs as first priority for letters of understanding and grant opportunities. SILC members, staff and liaison are represented on councils that address the needs of specific disability groups. These organizations include the Tennessee Council on Developmental Disabilities, the State Rehabilitation Council, and the Advisory Council for the Education of Students with Disabilities, the Tennessee Department of Transportation Steering committee, Disability Law and Advocacy Center, the Tennessee Technology Access Project, the Tennessee Disability Coalition, and the Center for Non-Profit Management. Tennessee CILs collaborate with numerous other organizations as noticed in the scope of services and other areas of the plan.

1.7 Independent Living Services for Individuals who are Older Blind

Describe how the DSU seeks to incorporate into, and describe in, the State plan any new methods or approaches for the provision of IL services to older individuals who are blind that are developed under the Older Individuals who are Blind program and that the DSU determines to be effective.

N/A

Section 2: Scope, Extent, and Arrangements of Services Return to Top

2.1 Scope and Extent

2.1A Check the appropriate boxes in the SPIL Instrument table indicating the types of IL services to be provided to meet the objectives identified in section 1.2 of this SPIL, and whether the services will be provided by the CILs or by the DSU (directly and/or through contract or grant).

Table 2.1A: Independent living services

Provided by the DSU (directly)

Provided by the DSU (through contract and/or grant)

Provided by the CILs (Not through DSU contracts/ grants)

Core Independent Living Services - Information and referral

Yes

Yes

Yes

Core Independent Living Services - IL skills training

Yes

Yes

Yes

Core Independent Living Services - Peer counseling

No

Yes

Yes

Core Independent Living Services - Individual and systems advocacy

No

Yes

Yes

Counseling services, including psychological, psychotherapeutic, and related services

No

No

No

Services related to securing housing or shelter, including services related to community group living, and supportive of the purposes of this Act and of the titles of this Act, and adaptive housing services (including appropriate accommodations to and modifications of any space used to serve, or occupied by, individuals with significant disabilities)

Yes

Yes

Yes

Rehabilitation technology

No

No

No

Mobility training

No

No

No

Services and training for individuals with cognitive and sensory disabilities, including life skills training, and interpreter and reader services

No

No

No

Personal assistance services, including attendant care and the training of personnel providing such services

Yes

Yes

Yes

Surveys, directories and other activities to identify appropriate housing, recreation, accessible transportation and other support services

Yes

Yes

Yes

Consumer information programs on rehabilitation and IL services available under this Act, especially for minorities and other individuals with disabilities who have traditionally been unserved or underserved by programs under this Act

Yes

Yes

Yes

Education and training necessary for living in the community and participating in community activities

Yes

Yes

Yes

Supported living

No

No

No

Transportation, including referral and assistance for such transportation

Yes

Yes

Yes

Physical rehabilitation

No

No

No

Therapeutic treatment

No

No

No

Provision of needed prostheses and other appliances and devices

No

No

No

Individual and group social and recreational services

Yes

Yes

Yes

Training to develop skills specifically designed for youths who are individuals with significant disabilities to promote self-awareness and esteem, develop advocacy and self-empowerment skills, and explore career options

Yes

Yes

Yes

Services for children with significant disabilities

No

No

No

Services under other Federal, State, or local programs designed to provide resources, training, counseling, or other assistance of substantial benefit in enhancing the independence, productivity, and quality of life of individuals with significant disabilities

No

No

No

Appropriate preventive services to decrease the need of individuals with significant disabilities for similar services in the future

No

No

No

Community awareness programs to enhance the understanding and integration into society of individuals with disabilities

Yes

Yes

Yes

Other necessary services not inconsistent with the Act

No

No

No

2.1B Describe any service provision priorities, including types of services or populations, established for meeting the SPIL objectives identified in section 1.2.

N/A

2.1C If the State allows service providers to charge consumers for the cost of services or to consider the ability of individual consumers to pay for the cost of IL services, specify the types of IL services for which costs may be charged and for which a financial need test may be applied, and describe how the State will ensure that:

Any consideration of financial need is applied uniformly so that all individuals who are eligible for IL services are treated equally; and

Written policies and consumer documentation required by 34 CFR 364.59(d) will be kept by the service provider.

Indicate N/A if not applicable.

N/A

2.2 Arrangements for State-Provided Services

2.2A If the DSU will provide any of the IL services identified in section 2.1A through grants or contractual arrangements with third parties, describe such arrangements.

N/A

2.2B If the State contracts with or awards a grant to a center for the general operation of the center, describe how the State will ensure that the determination of an individual's eligibility for services from that center shall be delegated to the center.

The DSU will conduct annual on-site reviews of all centers receiving Part B grants for the general operation of the center to ensure compliance with statutory provisions of the Act as amended. Results of the on-site review will be recorded in the 704 Report.

Section 3: Design for the Statewide Network of Centers Return to Top

3.1 Existing Network

Provide an overview of the existing network of centers, including non-Part C-funded centers that comply with the standards and assurances in section 725 (b) and (c) of the Act, and the geographic areas and populations currently served by the centers.

There are currently six Part C centers for independent living in the State of Tennessee: (1) The Memphis Center for Independent Living serving Shelby County, comprised of approximately 168,706 persons with disabilities; (2) the Jackson Center for Independent Living serving 8 counties (Madison, Carroll, Crockett, Gibson, Henderson, Chester, Hardeman, Haywood), comprised of approximately 59,669 persons with disabilities; (3) the Center for Independent Living of Middle Tennessee serving 7 counties (Cheatham, Davidson, Robertson, Rutherford, Sumner, Williamson, Wilson), comprised of approximately 191,632 persons with disabilities; (4) the Tri-State Resource and Advocacy Center serving 10 counties (Bledsoe, Bradley, Grundy, Hamilton, Marion, McMinn, Meigs, Polk, Rhea, Sequatchie,) with approximately 118,764 persons with disabilities; (5) disability Resource Center located in Knoxville serving Knox County, comprised of approximately 71,656 persons with disabilities; (6) Training, Advocacy, Referral & Peer Support Center serving 8 counties (Benton, Dickson, Henry, Houston, Humphreys, Montgomery, Stewart and Weakley) with approximately 59,084 persons with disabilities. The SILC and consumer-controlled entities will increase capacity in Tennessee by establishing a Part B CIL in one of the three geographic areas identified and prioritized in the SILC's August, 2003 needs assessment. Part B funding of at least $100,000.00 for each year from 2010 - 2013 will be used to support the development and operations of a part B CIL.

3.2 Expansion of Network

Describe the design for the further expansion of the network, including identification of the unserved and underserved areas in the State and the order of priority for serving these areas as additional funding becomes available (beyond the required cost-of-living increase).

Plans for expanding the network of centers for independent living are to have as many established throughout the state as necessary in order to cover relatively small geographical areas in such a way as to maximize efficient use of funding. This will allow more persons with significant disabilities to participate in IL services because of easier access to CILs. Tennessee is a very rural state with virtually no access for many with disabilities to transportation and the electronic superhighway. Part C ARRA funds were used for competition to establish the new Part C center, Training, Advocacy, Referral & Peer Support (TARP), in the following North West/ Middle Tennessee counties: Benton, Dickson, Henry, Houston, Humphreys, Montgomery, Stewart and Weakley, at $200,000 a year over a 5 year period. These counties include approximately 59,084 persons with disabilities. The remaining part C ARRA funds are being distributed equally between four (4) of the existing part C centers: Center for Independent Living of Middle Tennessee, Disability Resource Center, Jackson Center for Independent Living and Memphis Center for Independent Living to address the underserved populations in their service areas. No ARRA Part C funds were distributed to the Chattanooga center, Tri-State Resource and Advocacy, Inc., because that center declined to participate in discussions with the DSU, SILC, and the other Part C centers regarding the distribution of the ARRA Part C funds. Other priority counties are identified in 1-5 below and will be considered for a new CIL when at least $100,000 in State or Federal funding opportunities becomes available. Top five priority counties: (1) Northeast Tennessee counties of Sullivan, Johnson, Carter, Washington, Unicoi, Greene, Hawkins, Hancock, Claiborne; (2) East Tennessee counties of Campbell, Cocke, Union, Anderson, Roane, Loudon, Monroe, Blount, Sevier, Jefferson, Grainger and Hamblen; (3) Cumberland Plateau including counties of Morgan, Scott, Pickett, Clay, Macon, Jackson, Smith, Dekalb, Trousdale, White, Cannon, Van Buren, Cumberland, Fentress, Overton, and Putnam; (4) South Central counties including Hickman, Perry, Maury, Lewis, Wayne, Lawrence, Giles, Marshall, Lincoln, Moore, Bedford, Coffee, Franklin and Warren; (5) West (North/South) Tennessee counties of Obion, Lake, Lauderdale, Tipton, Fayette, McNairy, Hardin, Decatur and Dyer; Additional CILs will be started after a CIL -- established with seed funding of $100,000 annually reaches $200,000 in Part C Annual funding. The most significant barrier to completion of the network of CILs continues to be a lack of funding. The SILC will support the CILs in pursuing funding from the State for independent living services. If additional regular Part B funds become available in an amount less than $100,000, that funding will be distributed in an equitable manner as determined by the SILC and DSU to Part C centers actively participating in the SPIL to provide outreach services to the unserved in the top five priority areas and/or underserved areas as determined by the SILC. If additional regular Part C funds become available in an amount less than $100,000, that funding will be distributed in an equitable manner as determined by the SILC and DSU to all Part C centers in the state that are actively participating in the SPIL.

3.3 Section 723 States Only

3.3A If the State follows an order of priorities for allocating funds among centers within a State that is different from what is outlined in 34 CFR 366.22, describe the alternate order of priority that the DSU director and the SILC chair have agreed upon. Indicate N/A if not applicable.

N/A - TENNESSEE is a 722 state.

3.3B Describe how the State policies, practices and procedures governing the awarding of grants to centers and the oversight of these centers are consistent with 34 CFR 366.37 and 366.38.

N/A - TENNESSEE is a 722 state.

Section 4: Designated State Unit (DSU) Return to Top

4.1 Administrative Support Services

4.1A Describe the administrative support services to be provided by the DSU for the SILS (Part B) program and, if the State is a Section 723 State, for the CIL (Part C) program. Refer to the SPIL Instructions for additional information about administrative support services.

The DSU will provide the following support services: -Assign a Program Manager to serve as SILC Liaison and facilitate State independent living services; -Collaborate with the SILC/centers and other organizations serving persons with significant disabilities to develop and implement the SPIL; -Collaborate with the SILC to determine the distribution of part B and part C awards; -Assign a Secretary to provide administrative support such as preparing minutes, Braille and other required documents; -Collaboration with the SILC Executive Director in the preparation of the 704 report; -Provide input into the development of the SILC resource plan; -Develop and monitor part B grants and contracts; -Conduct annual on-site reviews of the part B Center with the assistance of IL representatives; -Assist in the preparation of SILC meetings; -Prepare and submit SILC nominations to the Governor after collaboration with the SILC and other entities representing persons with significant disabilities; -Support CIL activities such as town hall meetings, ADA and fundraising events; -Make annual visits with SILC Executive Director to all six centers to better facilitate and identify the need for technical/administrative assistance; and -Participate in CIL on-site reviews with RSA.

4.1B Describe other DSU arrangements for the administration of the IL program, if any.

The DSU provides Part B grants to the SILC and CILs to carry out provisions of the SPIL and facilitate the funding of the SILC Resource Plan. The DSU is responsible for all oversight responsibilities related to Part B funding of the SILC, CILs or other provision of service related activities.

Section 5: Statewide Independent Living Council (SILC) Return to Top

5.1 Resource plan

5.1A Describe the resource plan prepared by the SILC in conjunction with the DSU for the provision of resources, including staff and personnel, made available under parts B and C of chapter 1 of title VII, section 101(a)(18) of the Act, and from other public and private sources that may be necessary to carry out the functions of the SILC identified in section 705(c). The description must address the three years of this SPIL.

Refer to the SPIL Instructions for more information about completing this section.

For more information click the icon.

GRANT BUDGET
Year 1
The Following Is Applicable To Expense Incurred In The Period: 7/1/2010 Through 6/30/2011

Policy Expense Object Grant Contract Grantee Match Total Project
03 Object Line-Item Category
Line-item (participation)
Reference

1 Salaries $60,250.00 $0.00 $60,250.00
2 Benefits & Taxes [17.6%] $16,345.00 $0.00 $16,345.00
4, 15 Professional Fees $11,620.00 $0.00 $11,620.00
Grant Awards
5 Supplies $3,300.00 $0.00 $3,300.00
6 Telephone $6,984.00 $0.00 $6,984.00
7 Postage & Shipping $0.00 $0.00 $0.00
8 Occupancy $15,008.00 $0.00 $15,008.00
9 Equipment Rental & $38,478.00 $0.00 $38,478.00
Maintenance
10 Printing & Publications $3,850.00 $0.00 $3,850.00
11, 12 Travel / Conferences & $34,940.00 $0.00 $34,940.00
Meetings
13 Interest $0.00 $0.00 $0.00
14 Insurance $2,200.00 $0.00 $2,200.00
16 Specific Assistance to $0.00 $0.00 $0.00
Individuals
17 Depreciation $0.00 $0.00 $0.00
18 Other Non-Personnel $327,120.00 $0.00 $327,120.00
TARP & other CILs
20 Capital Purchase $0.00 $0.00 $0.00
22 Indirect Cost $0.00 $0.00 $0.00
24 In-Kind Expense $0.00 $0.00 $0.00
25 GRAND TOTAL $520,095.00 $0.00 $520,095.00


ATTACHMENT [2]
GRANT BUDGET
Year 2
The Following Is Applicable To Expense Incurred In The Period: 7/1/2011Through 6/30/2012

Policy Expense Object Grant Contract Grantee Match Total Project
03 Object Line-Item Category
Line-item (participation)
Reference

1 Salaries $60,250.00 $0.00 $60,250.00
2 Benefits & Taxes [17.6%] $16,345.00 $0.00 $16,345.00
4, 15 Professional Fees $11,620.00 $0.00 $11,620.00
Grant Awards
5 Supplies $3,300.00 $0.00 $3,300.00
6 Telephone $6,984.00 $0.00 $6,984.00
7 Postage & Shipping $0.00 $0.00 $0.00
8 Occupancy $15,008.00 $0.00 $15,008.00
9 Equipment Rental & $503.00 $0.00 $503.00
Maintenance
10 Printing & Publications $3,850.00 $0.00 $3,850.00
11, 12 Travel / Conferences & $34,940.00 $0.00 $34,940.00
Meetings
13 Interest $0.00 $0.00 $0.00
14 Insurance $2,200.00 $0.00 $2,200.00
16 Specific Assistance to $0.00 $0.00 $0.00
Individuals
17 Depreciation $0.00 $0.00 $0.00
18 Other Non-Personnel $327,120.00 $0.00 $327,120.00
TARP & other CILs
20 Capital Purchase $0.00 $0.00 $0.00
22 Indirect Cost $0.00 $0.00 $0.00
24 In-Kind Expense $0.00 $0.00 $0.00
25 GRAND TOTAL $292,120.00 $0.00 $292,120.00

GRANT BUDGET
Year 3
The Following Is Applicable To Expense Incurred In The Period: 7/1/2012 Through 6/30/2013

Policy Expense Object Grant Contract Grantee Match Total Project
03 Object Line-Item Category
Line-item (participation)
Reference

1 Salaries $60,250.00 $0.00 $60,250.00
2 Benefits & Taxes [17.6%] $16,345.00 $0.00 $16,345.00
4, 15 Professional Fees $11,620.00 $0.00 $11,620.00
Grant Awards
5 Supplies $3,300.00 $0.00 $3,300.00
6 Telephone $6,984.00 $0.00 $6,984.00
7 Postage & Shipping $0.00 $0.00 $0.00
8 Occupancy $15,008.00 $0.00 $15,008.00
9 Equipment Rental & $503.00 $0.00 $503.00
Maintenance
10 Printing & Publications $3,850.00 $0.00 $3,850.00
11, 12 Travel / Conferences & $34,940.00 $0.00 $34,940.00
Meetings
13 Interest $0.00 $0.00 $0.00
14 Insurance $2,200.00 $0.00 $2,200.00
16 Specific Assistance to $0.00 $0.00 $0.00
Individuals
17 Depreciation $0.00 $0.00 $0.00
18 Other Non-Personnel $327,120.00 $0.00 $327,120.00
TARP & other CILs
20 Capital Purchase $0.00 $0.00 $0.00
22 Indirect Cost $0.00 $0.00 $0.00
24 In-Kind Expense $0.00 $0.00 $0.00
25 GRAND TOTAL $292,102.00 $0.00 $292,120.00

5.1B Describe how the following SILC resource plan requirements will be addressed.

The SILC's responsibility for the proper expenditure of funds and use of resources that it receives under the resource plan.

The Council reviews the resource plan at each quarterly meeting. SILC monthly requests for reimbursements are passed to the DSU grant unit to be submitted to the State financial department. The SILC will be responsible for the proper expenditure of funds and the use of resources it receives under the SILC Resource Plan.

Non-inclusion of conditions or requirements in the SILC resource plan that may compromise the independence of the SILC.

No conditions or requirements are included in the SILC Budget that will compromise the independence of the SILC. While assisting the SILC in carrying out its duties under the SPIL, staff and other personnel assigned to the SILC under the SILC Resource Plan will not be assigned duties by the DSU or other agency or office of the State that would create a conflict of interest.

Reliance, to the maximum extent possible, on the use of resources in existence during the period of implementation of the State plan.

The SILC and the DSU support the ideal of all Part B funds to be used to further the purpose of Title VII, Chapter 1 of the Act.

5.2 Establishment and Placement

Describe how the establishment and placement of the SILC ensures its independence with respect to the DSU and all other State agencies. Refer to the SPIL Instructions for more information about completing this section.

The SILC is not established as an entity within any State agency, including the DSU, and is independent of the DSU and all other State agencies. Following is a brief description of the legal status and placement of the SILC: The Statewide Independent Living Council of Tennessee, Inc. is a 501(c) 3 status, non-profit agency at 2601 Elm Hill Pike. It is independent of the DSU. The SILCs current operational functions are delegated to a paid SILC Executive Director and staff.

5.3 Appointment and Composition

Describe the process used by the State to appoint members to the SILC who meet the composition requirements in section 705(b). Refer to the SPIL Instructions for more information about completing this section.

The Governor makes the appointments to the SILC. It is the responsibility of the Council members and the Executive Director to secure qualified nominees. The Executive Director collaborates with the DSU liaison to develop the packet to include representatives of organizations representing a broad range of individuals with disabilities, and organizations interested in individuals with disabilities, to be sent to the Governors office. The SILC and DSU maintain a grid of all current members indicating terms served dates of appointed term, seat requirements, whether the member has a disability, and geographic region representation. To elect the Chair and the Executive Committee of the Council, a selection sub-committee was formed. They are charged with producing a slate of nominees for each Officer position (Chair, Vice Chair, Treasurer and Secretary). The slate is brought to the Council for a vote. Term limits and vacancies are maintained by quarterly membership updates at each Council meeting by the DSU Liaison.

5.4 Staffing

Describe how the following SILC staffing requirements will be met.

SILC supervision and evaluation, consistent with State law, of its staff and other personnel as may be necessary to carry out its functions.

As stated in the SILC By Laws; the Executive Director serves at the pleasure of the Council Chair. The entire Executive Committee is involved in reviewing and evaluating the Executive Directors performance and annual review. The Executive Director serves as a full time staff and other staff as needed to implement the SILC mandates pursuant to Section 705 of the Rehabilitation Act, as amended.

Non-assignment of duties to SILC staff and other personnel made available by the DSU, or any other State agency or office, that would create a conflict of interest while assisting the SILC in carrying out its duties.

There is no assignment of duties by the DSU or any other agency to the SILC staff.

Section 6: Service Provider Requirements Return to Top

Describe how the following service provider requirements will be met:

6.1 Staffing

Inclusion of personnel who are specialists in the development and provision of IL services and in the development and support of centers.

The State Independent Living Services (SILS) have appropriate employment practices and policies in place regarding hiring, training and on-going training and annual evaluation. Hiring practices encourage prioritizing individuals with disabilities for all positions within SILS. SILS entities maintain a minimum staffing of 51% of people with disabilities, some as high as 75%, in order to appropriately deliver services such as peer counseling, information and referral, nursing home transitioning, advocacy for transportation, housing, and equality. The Executive Director will create a CIL Reporting Device for Service Providers in order to provide quarterly and/or yearly reports as designated to include the following information: To be included in quarterly reports, centers will submit staff training records for the following topics: 1) Development and provision of IL services 2) Development and support of centers

Availability, to the maximum extent feasible, of personnel able to communicate (1) with individuals with significant disabilities who rely on alternative modes of communication, such as manual communication, nonverbal communication devices, Braille, or audio tapes and (2) in the native languages of individuals with significant disabilities whose English proficiency is limited and who apply for or receive IL services under title VII of the Act.

CILs provide alternative modes of communication and foreign language interpreters as needed. The CILs will include services provided in quarterly reports to the SILC, and Centers will submit communication needs met by CIL personnel for individuals with significant disabilities such as manual communication, nonverbal communications devices, Braille, audio tapes, or in native languages.

Establishment and maintenance of a program of staff development for all classes of positions involved in providing IL services and, where appropriate, in administering the CIL program, improving the skills of staff directly responsible for the provision of IL services, including knowledge of and practice in the IL philosophy.

To be included in quarterly reports to the SILC, CILs will submit a program of staff development for all positions involved in providing and or administering IL services. The program will include any trainings that will improve the skill level of staff in providing IL services, including knowledge and practice in the IL philosophy. This will be included in the quarterly report.

Affirmative action to employ and advance in employment qualified individuals with significant disabilities on the same terms and conditions required with respect to the employment of individuals with disabilities under section 503 of the Act.

To be included in Section 704 Annual Performance Report Subpart IV, Section B, submitted and reviewed by the SILC Executive Director.

6.2 Fiscal Control and Fund Accounting

Adoption of those fiscal control and fund accounting procedures as may be necessary to ensure the proper disbursement of and accounting for funds made available through parts B and C of chapter 1 of title VII of the Act, in addition to complying with applicable EDGAR fiscal and accounting requirements.

All centers maintain strict checks and balances on all funds received from the Department of Education and all grantors. Through the use of the accounting program QuickBooks and an outside accountant and annual audit, our books are monitored for appropriate and ethical use of funds.

6.3 Recordkeeping, Access and Reporting

Maintenance of records that fully disclose and document the information listed in 34 CFR 364.35.

All centers submit the required reports, documentation and fiscal audits as necessary and in accordance with regulations.

Submission of annual performance and financial reports, and any other reports that the Secretary determines to be appropriate

All centers submit the required reports, documentation and fiscal audits as necessary and in accordance with regulations.

Access to the Commissioner and the Comptroller General, or any of their duly authorized representatives, for the purpose of conducting audits, examinations, and compliance reviews, to the information listed in 34 CFR 364.37.

All centers submit the required reports, documentation and fiscal audits as necessary and in accordance with regulations.

6.4 Eligibility

Eligibility of any individual with a significant disability, as defined in 34 CFR 364.4(b), for IL services under the SILS and CIL programs.

Centers provide Information and Referral to anyone asking for this service without regard to any bias. Independent Living services are provided to any individual stating or self-declaring a significant disability.

Ability of any individual to seek information about IL services under these programs and to request referral to other services and programs for individuals with significant disabilities.

Centers provide Information and Referral to anyone asking for this service without regard to any bias. Independent Living services are provided to any individual stating or self-declaring a significant disability.

Determination of an individual's eligibility for IL services under the SILS and CIL programs in a manner that meets the requirements of 34 CFR 364.51.

Centers provide Information and Referral to anyone asking for this service without regard to any bias. Independent Living services are provided to any individual stating or self-declaring a significant disability.

Application of eligibility requirements without regard to age, color, creed, gender, national origin, race, religion, or type of significant disability of the individual applying for IL services.

Centers provide Information and Referral to anyone asking for this service without regard to any bias. Independent Living services are provided to any individual stating or self-declaring a significant disability.

Non-exclusion from receiving IL services of any individual who is present in the State and who is otherwise eligible for IL services, based on the imposition of any State or local residence requirement.

Centers provide Information and Referral to anyone asking for this service without regard to any bias. Independent Living services are provided to any individual stating or self-declaring a significant disability.

6.5 Independent Living Plans

Provision of IL services in accordance with an IL plan complying with Sec. 364.52 and mutually agreed upon by the individuals with significant disabilities and the appropriate service provider staff unless the individual signs a waiver stating that an IL plan is unnecessary.

All centers for independent living specialists offer and assist with the implementation of Independent Living plans as requested by consumers, additionally working with consumers with waivers to ascertain that desired goals and steps to achieve them are in place. Assistance is provided if needed. Centers will continue to ensure that waivers are signed and placed in the consumer's file.

6.6 Client Assistance Program (CAP) Information

Use of accessible formats to notify individuals seeking or receiving IL services under chapter 1 of title VII about the availability of the CAP program, the purposes of the services provided under the CAP, and how to contact the CAP.

All centers provide CAP information to their consumers. Some centers include CAP information on their application for eligibility. CAP posters are also posted in all CIL offices and referrals are made as needed.

6.7 Protection, Use and Release of Personal Information

Adoption and implementation of policies and procedures meeting the requirements of 34 CFR 364.56(a), to safeguard the confidentiality of all personal information, including photographs and lists of names.

All centers have established strict guidelines and procedures to ensure the confidentiality of all consumer information.

Section 7: Evaluation Return to Top

Describe the method that will be used to periodically evaluate the effectiveness of the plan in meeting the objectives established in Section 1. The description must include the State's evaluation of satisfaction by individuals with significant disabilities who have participated in the program.

Section 7: Evaluation Return to Top

Goal(s) and the related Objective(s) from Section 1

Method that will be used to evaluate

Mission

Goal 2

The SILC Executive Director is responsible to facilitate the development, implementation and evaluation of the SPIL. The current status of the SPIL is assessed during SILC quarterly meetings. The Executive Director monitors and works with all CILs to make continuous forward progress on the goals and objectives. Starting October 01, 2011, CILs will make annual contact with their legislators and congressmen to educate them on the IL philosophy and need for additional IL services in their catchment areas. The SILC will increase collaboration between the DSU, CILs, SRC and other organizations that addresses specific disability populations through the statewide campaign and public service announcements.

Goal 3

The SILC will review consumer satisfaction data from the CILs across the state to determine the effectiveness of the SPIL. This will be facilitated by the SILC Executive Director. CILs will take several steps noted in the SPIL to support/increase Home and Community Based Services by collaborating with Tennessee Area Agencies on Aging and Disability. CILs will continue to advocate for increased funding for accessible mass transportation and infrastructure.

Goal 1

CILs are responsible for developing a legislative/congressional database by September 30, 2011, to use in their service area.

Mission

The DSU will conduct annual on-site reviews of the SILC by September 30th of 2010 - 2013 to ensure full compliance with Section 704 and 705 of the Act and its implementing regulations. Results of the review will be included in the Part I 704 Performance Report.

Section 8: State-Imposed Requirements Return to Top

8 State-Imposed Requirements

Identify any State-imposed requirements contained in the provisions of this SPIL.

All IL Programs operating under Title VII, Part B funds are required to make monthly reports indicating progress made toward the goals of the program. All programs are subject to audit and monitoring activities by the Fiscal Services Department of State Government. All programs must follow state purchasing procedures when purchasing goods or services which are being charged to Title VII, Part B monies.

Summary of Comments Received at Public Hearings on Plan

CHATTANOOGA COMMENTS:

1. What is the financial relationship between the SILC/DSU and Tri-State Resource and Advocacy, Inc. (TRAC)?

2. I inquired about TRACs services in 2007 and discovered that most of the services listed by TRAC were not available. I was pursuing services for my son who was 24 years old and TRAC directed us to organizations that only served the elderly. There appeared to be a huge lack of knowledge on the part of TRAC about what was available. My son is currently receiving services through the VR program.

3. There is limited transportation and housing in the Hamilton County surrounding areas. There are a lot of untapped partnerships in the Chattanooga area working to provide housing. There is one organization in North Georgia, Community Services and Volunteers of America. We need to get some of those models into Hamilton County. Hamilton County should be listed as an underserved county relative to having adequate accessible housing. We are aware that STS and Carter Caravans provide transportation but not after 8:00 pm. My son has to ride a bike for 3 miles to catch a bus after he gets off work at 8:00 pm.

JOHNSON CITY - No comments

JACKSON COMMENTS:

1. The question was asked about Lake and Obion Counties being included in the new part C center. We are at the end of the state and sometimes we are left out. Our counties were in the SPIL currently being served by TARP.

2. There was an inquiry about whether or not there was a Center for Independent Living in Dyersburg.

3. Editorial of TRAP to TARP (page 44)

4. What significant changes are in this plan from the last 3 years?

5. The State Rehabilitation Council should be added to section 1.5, Cooperation/Coordination and Working Relationship among various entities.

6. Rozann Downing: We are in favor of having TARP becoming a part C - Center for Independent Living in our community. TARP has done a great job. We would like for TARP to receive the part C funds and the part B funds being used by TARP be used to start a new part B center in Northeast Tennessee.

I am connected with Northeast Tennessee as far as the Creating Home Initiative goes. The way we have structured the Crating Homes Initiative in the state is that those 8 counties in the Northeast Region are separated by mountains and the person that is the Housing Facilitator states that the mountains really divide the community. They have a consortium up there that draws down federal dollars that is called Eastern Eight. The Northern Eastern counties have tried to start a center for several years. If the counties trying to start the center would get Eastern Eight and the Housing facilitator involved they may actually get a center started.

7. What is Tri-State Resource and Advocacy, Inc?

KNOXVILLE COMMENTS:

1. Is there any money allocated to start a new (CIL) center in east Tennessee or the counties surrounding Knoxville? What is a center for independent living, how it functions and the process to receive counseling services?

2. One CIL employee stated that they had been given grants from the city within the last 3 years to build ramps. We would like to see some of the available money be used to build ramps. This will aid in nursing home transitions.

3. A question was asked about how long it would be before a new CIL opens in Tennessee that would include the counties currently not being served.

MEMPHIS COMMENTS:

1. With changes under the TennCare system, waiver system relative to home and community based services, there is no real information coming out about 1) consumers rights under the new system; 2) Theres no information on how we hold the Managed Care Organizations (MCO) and state accountable in order to support an increase in HCBS services. We have also got to find a way to hold this state accountable for the Olmstead Plan Decision as they transfer into this MCO model.

2. Somehow we have got to transfer this information to all the centers. We need to monitor the new system, get information out about our rights under it since there is no information coming out of TennCare right now, unless you want to read the book of rules.

3. All across the state we have a chronic problem; though there are some variations in regions on how some of the waivers have been applied. Folks lacking an established workforce of people that provide services within the home in an independent living model. I would hope that all the centers would be charged with an affirmative waiting period and cooperate in this statewide effort.

4. Provide for Olmstead complaints; we need to look at what this change is going to do to folks; that is going to be an important step. One consumer suggested meeting to help craft some additional language that may fit.

5. Under the CMS there is a particular Q1A question: Do you want to get out of the nursing home? People respond affirmative to that but there is a lack of ability for the disability, as far as needing to get out.

6. There was an inquiry on how do we make sure the centers are connected to 1) the referrals of people coming out of nursing homes and 2) under the new MCO model they will be doing the transitions.

7. We can have some contact information from the director of community services and medical directors for the MCOs.

8. It would have to be that TennCare writes a rule that mandates that the MCOs refer individuals transitioning out of nursing homes to a local CIL, for example, if there was one; the age and disability commissions; and/or other community groups in their area not just the centers.

9. CILs would like to train the social workers who are primarily handling the transitions.

10. They are crafting a statement to go in Goal 3 - Objective A. It could also be in the education piece educating consumers about their rights under this new system. The statement may be placed in both places.

NASHVILLE COMMENTS:

1. Objective A in Goal 3 should be broad, Support the increase in home and community base services available through the state of Tennessee.

2. Work with the Management Care Organizations that will implement the program.

3. One CIL director stated that the funding in section 1.3A does not flatten out it goes backwards because the distribution of funds for existing agencies will be less. Approximately $40,000 less for per agency. Part of the SILCs responsibility is to support the existing agencies. That is what is going to happen when the TARP funds run out, essentially I will lose a position.

There has never been a discussion about the distribution of funding across the state. It has always been the distribution of services. I think the big problem is you have a finite amount of money to deal with.

The money is essentially equally distributed. Each one of the agencies will be reduced by $40,000 when the stimulus money runs out December 31, 2013. It will be sucked back in by the government to pay down the deficit.

That is the position in my world. That is why we are going to reduce the service area that we have. We are going to reduce the service area in Middle Tennessee by 600,000 people by eliminating services to the contiguous counties. That is what is going to happen. We are going to fund a new program up in east Tennessee while we are taking away money from existing programs.

Lets just take all the money and serve the whole state. Throw it out there and see what happens, that is sort of what you are doing, when you do not look at funding as an issue. Actually, I get less funding when you look at the population than TARP does, I get less funding than Knoxville. After we reduce our service area we will still have the second largest service area in the state and be serving more people than the 2 programs currently existing in east Tennessee.

I am going to lose $40,000 to fund TARP when the stimulus money goes away which will happen December 31, 2013. I have a service area of over 1 million people. When I reduce my service area just to Davidson County I will be serving 560,000 people as a population. That is more service area than Knoxville and Chattanooga combined and I get the same money they do. They do not understand that they are going to be losing money. Memphis gets almost $280,000 so they are not going to be hurt quite as bad as the other folks. It seems to make sense to spend money to serve less people.

There is a huge inequity of funding throughout the state for these programs. Middle Tennessee is left out in the state plan. There is no interest in expanding services. It is hard for me to represent CILs statewide or Middle Tennessee, when there are 3 votes in the west and 2 in the east.

You heard Lillian go on about East Tennessee; we are going to fund a program? Yes with part B money. We are going to fund a satellite. At the expense of the existing programs.

These funds are temporary and they are looking to cut money all over the place for anything not military. The SILC is not representing the state of Tennessee it?s representing certain interest in the state of Tennessee. All state plans have dumped on Middle Tennessee. You are funding East Tennessee, funding West Tennessee, talking about this and that but when it comes to Middle Tennessee, we are screwed.

If you look at it from just the money perspective: $900,000 to serve West Tennessee; $470,000 to serve East Tennessee and $230,000 in Middle Tennessee.

4. I am having problems with this West, Middle and East Tennessee thing. This is the state plan, in the best interest of the entire state. Not Nashville, not Paris, not Memphis, not Knoxville but the entire state.

I think everybody understands and all the other directors understand. I do not think anybody wants to have their funding cut. Everybody is aware that it is a possibility. You may not be here 3 years from now, Nashville may not be here, and the world may not be here 3 years from now, however we may have a lot more funding 3 years from now.

5. One consumer expressed concerns on the priorities of services that it seems like healthcare was left out as an issue. Transportation and others but healthcare is pretty sorry in Tennessee right now and our consumers are suffering because of the cuts to healthcare. It seems pretty important if you are going to be out in the community to at least have access to healthcare.

6. Regarding healthcare with your limited amount of money you would need to look at the scope of what you actually looking to do. Are you looking to educate people on their options, the new healthcare stimulus fund because obviously if you are looking at providing individual healthcare needs there is nowhere near enough money in this budget to be able to provide it.

7. I believe this was discussed and the consensus was that half of the country working on that issue and the other half of the country was working on that issue. We can only continue our advocacy.

COMMENTS SENT TO THE SILC:
Comment 1
I am a consumer and TARP has helped me tremendously. It has meant so much to. They helped me as a consumer first. My house had holes in the roof, raccoons were eating it up and I could not get no help anywhere. And I am on disability. It was so horrible, I had to put pans on my bed to catch the water when it rained. In the kitchen, the floors were rottoning out. The last rain that had come, before I come up here, water was running down every doorway. It was so horrible. I came up here in a bad shape and I set down and told them and they were wonderful. I did not have to do anything else. I think that was in April and in June the roof was on my house. And I thank the Lord for it. And not only that, they hired me in through the Vista Program, and I was a Vista Volunteer here for a year. I will never forget it, either. They helped me with training, and I did not know anything about a computer. I was scared to death. They helped me daily, patiently, every one of them up here helped me. They did so much for me during that year. They have helped me so much that I am still working as a volunteer, even though I am not a Vista, getting paid to do it. I wish I was, I wish I was back employed here. They helped me in so many ways, I just cannot tell you. In just the peer-support. So many days when I would come in, I would not have been here, I could not have because of my mental. I have a memory problem and things and they worked with me patiently. I do not want them to lose any county and I just want it to keep rolling. They have worked so hard on their own. We would come in here and there would be things that we did not have the supplies, you know that we just needed basically people would pitch in and bring different things, toilet paper, paper towels, just anything. We would all pitch in because we did not have it. Nobody had the money. I thank God for this place and it has helped me and that is why I am still trying to help them. Thank you.


Comment 2
I am a representative from another community organization, Community Action Network. We are partner I guess you would say or we work a lot with TARP and they do a lot of great things. Of course it helps our non-profit also we have a non-profit. I see a lot of people that this has really touched and helped. I would like for it to continue on and I would like for it to get a little bigger and I would hate to see us lose these counties that we are losing. But I would still like to see TARP keep gaining more counties instead of losing these counties. That is what has got me bothered because it has just really hard to say what they do here. And how good of the things that they do do. And work and go help people who need the help, so that is Community Action Network backing TARP and I think they are doing a great thing.

I do believe that the director and staff and everybody here that is at this meeting, I believe they have touched us, or TARP has, touched us all. And helped us all in several different kinds of ways, whether it be educational, or operational of daily functions. And I just want to say thank you all for doing that.

Comment 3
I am a consumer here in Henry County. I just recently gained employment locally and I was able to come to the TARP Center here and work on my computer skills, which really lead to me getting the job. I feel like without the support of the TARP personnel here, I do not think I would have the job today, and I would hate to see a funding loss to any counties. It would have been really bad for me because I would still be looking for employment and I have been looking for two years. This Center has really been great for me.

I would like to say that I have seldom seen so few people do so much with so little for everybody. I have gotten resource information here that had nothing to do, you know, I mean, things that you all do not even specialize in, so to speak. When other agencies that did, really did not help and I talked earlier about the computer training um, printed out different programs in different areas, a really, without that help um, you know, led me to a grant to live under for housing, a job, better computer skills, and perhaps even, furthering my education. So, it has just been wonderful. A great resource for me.

Comment 4
I have a question every year there seems to be extra funding usually floating around at the state level with Part B money, so as people who are concerned with losing some of the counties here in the TARP region, could we put in comments from the public that we would like to see Part B dollars go to these counties that are now losing funding? I would like that to go on record. My suggestion is that there be special projects in those specific counties that have lost the funding from TARP not being there all year long and those projects be funded with the additional Part B funds.

Comment 5
I am a TARP consumer and I also was unemployed for a long time and through the help of TARP, I was able to get a job that I love working with people with disabilities. And when my mother in law got ill, we could not find her a wheelchair anywhere, and I called TARP and they had one for me available within that hour. And I had worked on that for two days before I called them and I do not know what I would have done without their help. I think it is a great place and they do a lot of great things for people and I would like to see it continue in the state plan.

Comment 6
I am disabled and a consumer of TARP. I went to a couple of major crisis last year and they were here right on top of the situation. The staff helped me so much to do different things that made a big change in my life. I just appreciate it love all of them and I certainly would not want to lose anything they have got. We just need to gain some more.

Comment 7
I am a Senior Aide Worker and Iahave been here for like a year. What gets me, what I think about I like when the consumers do call in, that is what we call them, consumers like some of the ones here, and different ones that come in they leave with a solution, more or less. And that is what I like. They have something to wake up for. When they hear about us. They have something to wake up to and the rejoice about and look forward to after they leave TARP. They have good counselors here and somebody that sits down and listens to them and stay with them and help them. And that gives a person another reason to want to live. And that is what I like about, you know, TARP being here for those people, to have something to wake up to and come to. You do not get that everyday.

And another thing, we just started a database that we are joining in together with other facilities, a campaign for old medical equipment that people cannot afford to get. We are going to fix it up and clean it up. And it is a database that it will be on the internet and you can go in there and find equipment like wheelchairs or shower seats, that they cann. t afford to buy and to show you how interested people are to try to help. We just started it. And we are getting responses. I mean we are getting responses! We cannot even hardly keep up with it as far a picking them up and stuff. It just goes to show you that there is help for people out there if we can just give it to them and they know to call us. And the database will be there for that type of thing for social workers, case managers and stuff, going into housing. I mean that is good because I used to be a social worker and I did have to find out answers and stuff. It is good. I think that?s a good project.

Comment 8
I am a receiver of TARP and Community Action Network and I just want to say, thank you guys for what you have done for me. I have bone problems and one of the things that I got was steps going out my back door. I used to have to hop over or whatever. I would not take a million dollars for my steps coming out my back door. It took me a while to get used to it but now that it is there, I do not want nobody stepping on my steps but me. So I thank you guys for all you do.

Comment 9
I am another area service provider and another thing, there has been a survey done within different agencies here in Henry County and also with different clients of these agencies. The clients, the people, they knew about a lot of the services, but the agencies did not. So this community resource group has gotten together and TARP has been in that group because I was there also representing the agency that I work for, and so this is how we get information out, this is how you find out about other sources, to communicate within the community and partner with others. It was a good thing for TARP to be there and represent themselves and me too, as well, because I am a volunteer for TARP. It was a very positive thing.

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