{"report_id":213,"form_id":"23","user_id":81,"organization_id":10,"question_id":"110","question_type":"Free_Text","text_answer":"The examples of Demand Resource Mismatch & Prescribed Practice (policies, resource constraints, etc.) influenced the ability to have \"success\" working as a team. \r\n\r\nThis request was subsequently denied by the county due to the county being unaware of available funds for modification for new development and that the county had limited foster care development. The limited foster care development was influenced by the county having a high number of foster care homes serving individuals from other counties along with a statewide moratorium on the creation of foster care beds, which in essence was a hold in developing further beds. This moratorium not only limited the foster care development in the county, but it also impacted the elimination of institutions in the state and left few alternative housing options. Other influences of the elimination of institutions was the Jensen Settlement and the Minnesota Olmstead Plan which found that individuals with disabilities were unconstitutionally secluded and the plan detailed a way to ensure that individuals with disabilities live in the most integrated setting appropriate for their needs.\r\n\r\nWhen the roommate passed away, the provider inquired about adding a staff but were told that 2:1 staff couldn\u2019t be reimbursed. This was impacted by the county not moving forward with the rate exception due to the needs of the person not changing, which in turn was influenced by the banding for the state rate allowing limited rate increase for service intensity.","created_by":81,"updated_by":81,"updated_at":"5\/25\/2021 10:59:40 am","created_at":"5\/25\/2021 10:59:40 am","id":17041}