Historical Documents:

Medicaid Opinion on House Bill 405    PDF
This is a legal opinion obtained by Charles Arndt from Terry S. Coleman, Esq. of Ropes and Gray, 1900 K Street, NW, Washington, D.C. 20036. Mr. Coleman was legal Counsel and an Assistant Director of the Health Care Financing Administration (HCFA) the predecessor to the Centers for Medicare and Medicaid Services (CMS) under the Reagan and Bush I administrations. The opinion, from his extensive federal Medicaid background and experience, stated that both H.B. 94 and 405 as enacted by the Ohio General Assembly in 2001 were consistent with federal Medicaid policies and practices.

House Bill 94 was the State of Ohio Biennium Budget Bill for fiscal years 2002-2003. Charles Arndt and Lee Wedemeyer testified on the budget and presented an amendment that was the “County Boards of MR/DD Medicaid Redesign and Financial Leveraging Legislation”, which did in fact become an amendment to the state biennium budget. The concepts for the legislation was created and designed by Charles Arndt. It permits the use of approximately $300 million of local county taxpayer monies available to the boards to draw down annually $500 million of federal Medicaid funding and expand services to 15,000 people with developmental disabilities in the State of Ohio.

Illinois Waiver Policy and Fiscal Analysis Recommendations    PDF
In August 2006, Charles Arndt conducted a thorough analysis, research and made significant recommendations to both the Illinois Division of Developmental Disabilities and the Illinois Institute for Public Policy for People with Disabilities on ways to reform policies, practices and funding toward best practices for the Illinois Home and Community based waiver for adults with developmental disabilities. Over forty state HCBS waivers were reviewed to develop the final recommendations and benchmark Illinois with Ohio and Pennsylvania as comparable demographic states.

Advancing Employment    PDF
The Illinois Council on Developmental Disabilities made an investment in Charles Arndt of Public Policy Impacts of Washington, D.C. (PPIWDC) and Michael Mayer of the Association for Community Therapeutic Supports (ACTS) of Raleigh, North Carolina in May 2007 to develop, produce, and deliver for Council a blueprint for Illinois… …of strategies and approaches to overcome barriers to shifting from segregated sheltered workshops and developmental training programs to individually supported employment models in integrated environments for people with developmental disabilities. Within this document is the Systems Analysis including Promising Policies and Practices for retooling employment in Illinois.

The methodology for the Systems Analysis including Promising Policies and Practices for retooling employment in Illinois toward advance supported employment focused on people. Meetings were scheduled and conducted with a representative sample of employment stakeholders including key appointed state and local officials, planning councils on developmental disabilities, schools and provider agencies, staff members, universities, businesses, advocacy organizations representing individuals with developmental disabilities, professional organizations, etc. to have dialogue about this initiative.

The process used by PPIWDC was to conduct face-to-face interviews, phone conferences and group meetings with a wide range of stakeholders within Illinois and in other key states and communities in Connecticut, New Hampshire, New York, Ohio, Oklahoma, Oregon, Tennessee, Vermont and Washington. Innovative public policies and practices that advance supported employment and self-employment as a priority including programmatic and funding arrangements in support of such approaches were reviewed and included where appropriate with the mission of this analysis.

Ohio Supported Living Transformation    PDF
With the support of county boards of MR/DD in August 1989, legislation was developed and enacted to codify supported living in Ohio. Charles Arndt was the sole testifier on the legislation. Ohio was the first state to adopt such authority for individuals with disabilities to choose to live in traditional housing of their choosing, with individuals of their choosing in small settings, with choice in services and providers. This article chronicles the evolution of supported living to ward the primary way of serving and supporting people residentially in Ohio. Ohio ranks top in the country in utilization of supported living based on total numbers served and dedicated dollars.

In July 2010, the Franklin County Board of Developmental Disabilities asked Steve Pleasnick of Georgetown, Midwest and Pacific Consulting and Charles Arndt of PPIWDCNY to create professional implementation manuals on the U.S. Social Security Administration’s Ticket to Work program; Ohio’s Medicaid Buy-In program for Workers with Disabilities and the Federal Agency Hiring initiative of President Obama for people with disabilities. The manuals on presented here with the permission of Superintendent Jed Morison.

Ticket to Work Manual 2010    PDF

Ohio’s Medicaid Buy-In for Workers with Disabilities Manual 2010    PDF

The Foundations & Strategies To Enable Individuals With Significant Disabilities To Acquire And Sustain Employment With Federal Agencies 2010    PDF

PDF 1  PDF 2  PDF 3  PDF 4
Charles Arndt conducted an investigation of the Community Alternative Funding System (CAFS) funding rules for Kenneth Ritchey, then Director of the Ohio Department of Mental Retardation and Developmental Disabilities. He found that the rules allowed excessive funding for professional personnel as described in the court brief. When the Medicaid agency refused to change the rules and correct the flaws, The Ohio Association of County Boards of MR/DD led a class action law suit to get the rules overturned and new ones promulgated. Cited here is the filed brief and two newspaper articles describing the issues. The court ruled in favor of the plaintiffs and new rules were promulgated.