The State Perspective. Karol Swartzlander and Ed Ahern California Health and Human Services Agency. STAKEHOLDER INPUT FORUM East Los Angeles Community College, LA, September 25, 2012. Today’s AGENDA. Part 1: Overview Presentation Introductions
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The State Perspective
Karol Swartzlander and Ed Ahern
California Health and Human Services Agency
STAKEHOLDER INPUT FORUM
East Los Angeles Community College, LA, September 25, 2012
Part 1: Overview Presentation
"For too long, too many Americans have faced the impossible choice between moving to an institution or living at home without the long-term services and supports they need. The goal of the new Administration for Community Living will be to help people with disabilities and older Americans live productive, satisfying lives." - Secretary Kathleen Sebelius
Federal HHS brings together the Administration on Aging (AoA), the Office on Disability (OD) and the Administration on Developmental Disabilities (ADD)
ACL oversees federal policies and system improvements for consumers of any age; including seniors and people with disabilities.
U.S. Department of Health and Human Services, Administration on Aging, Washington DC 20201 PHONE 202.619.0724 | FAX 202.357.3555 | EMAIL firstname.lastname@example.org | WEB www.aoa.gov
“The vision is to have Resource Centers in every community serving as highly visible and trusted places where people of all ages and income levels can turn for information and options counseling on their long-term care needs.”
It’s all about building partnerships and making connections….
New Systems….NOT New Programs
Part A ADRC FundingKey Deliverables for 8 States (36 Months)
Person Centered System
An ADRC partnership is a new service delivery model that provides a coordinated system of information, referral and assistance for anyone seeking long-term services and supports (LTSS), regardless of age, disability or income.
At the center of an ADRC model is a core partnership between an Area Agency on Aging (AAA) and Independent Living Centers (ILC), and then the broader LTSS network providers.
Each county has a unique mix of health care and social service supports.
California’s No Wrong Door approach allows local ADRC partnerships to build on existing expertise and infrastructure.
Rather than creating new services, ADRCs re-envision and redefine how information and services can be made more accessible to any consumer.
Every community in California has a highly visible, reliable, universal access point that provides objective information to facilitate access to long-term services and supports.
One-stop access from the Consumer’s perspective
Home and Community
An established infrastructure that connects the broad array of LTSS service providers in a community
Call centers staffed with Information and Assistance experts
Consumers streamlined access to the information they need
Knowledge of the diverse and broadly defined LTSS population
Databases that include a wide array of provider referrals
One-to-one Options Counseling that serves to empower individuals and promote personal choice and responsibility.
Expertise in transition services (hospital-to-home and nursing facility-to-home)
Access to skills training, assistive technology, nutrition programs, care coordination
Assistance with/ access to Medi-Cal eligibility application processes
Service Delivery Reforms
Demographic Shifts in Service Demand
Budget Adjustments and Resource Limitations
Nexus of managed Medi-Cal managed LTSS and momentum for ADRC partnerships offers a unique opportunity and challenge
ADRC Partnerships could offer a gateway to support dual demonstration efforts and Medi-Cal Managed LTSS
VA Medical Center
Employer Insurance Plans
Employer Assistance Programs
Imperative to create consistency of:
Message to the Public About LTSS
Four Core ADRC Services
Options Counseling Standards
Facilitated Access to Public Programs
How can the local organizations work together to:
ADRC Advisory Committee deliberated and generated draft criteria
State planning team made changes
2 Public Forums will generate additional modifications
ADRC Advisory Committee will recommend final criteria to CHHS
ADRC application process will be available to new and existing ADRCs
5th - 12th contact
15 minutes Break
Review and Discuss California Draft ADRC Designation Criteria
Identify Technical Assistance Needs