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Gwen Harvey-Orange County Forum Feedback.doc Page 5 <br /> interpretation being a limiting factor. <br /> ■ Create networks to accomplish goals. <br /> Deaf Adults <br /> ■ Sign-fluent direct services. <br /> ■ Need more home visits, mobile, develop trust. <br /> ■ Ability to address multiple disabilities. <br /> ■ Addressing basic needs first (independent living skills), then therapy. <br /> Deaf Children <br /> ■ 90% of deaf kids have hearing parents. Many parents are learning to sign at same rate as <br /> child. <br /> ■ Sign-fluent respite parents or any out of home care. <br /> VI. Qualified Provider Network (Priorities shown by underlined items) <br /> • Who establishes the provider network? <br /> • What qualifications? <br /> • Reimbursement levels? <br /> • There should be standards required for providers. <br /> • Movement of Funds—timely movement of funds from institutions to area programs service <br /> providers** <br /> • Barrier to providing services: <br /> --Small versus large providers <br /> --Audits /Cost <br /> I <br /> • Rules and regulations make it prohibitive for the small provider to succeed: <br /> --What incentives are there to become a provider? <br /> -- Increasing cost of insurance. <br /> -- Economy—credit more difficult to obtain. <br /> • How to market services to LME (OPC) ** <br /> • Provider relations. <br /> • More education/publicity to public about services and what's available <br /> • Control too restrictive—not LME; it's the State of North Carolina (reimbursement <br /> procedure). <br /> • How to develop a strong LME. <br /> ■ How can providers or potential providers be more involved in process and have input? '* <br /> VII. COMMUNITY AGENCIES & DEPARTMENTS <br /> 5 <br />