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Georgia’s Community Living Program - Support Options. Cara Pellino Atlanta Regional Commission Kim Grier Division of Aging Services. The Community Living Program. A strategy that builds on the Aging Network’s existing work to develop comprehensive systems of community

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georgia s community living program support options

Georgia’s Community Living Program - Support Options

Cara Pellino

Atlanta Regional Commission

Kim Grier

Division of Aging Services

the community living program
The Community Living Program

A strategy that builds on the Aging Network’s existing

work to develop comprehensive systems of community

based supports to help people live at home for as long

as possible and avoid unnecessary placement in nursing

homes using non-Medicaid funding.

key elements
Key Elements
  • Modernization
    • OAA funds and other state revenues are used in a more flexible manner to provide more service options.
    • Consumer-Directed Care Model
      • Empowers consumers to direct their service dollars.
    • Nursing Home Diversion
      • Delays or prevents nursing home placement.
community living program strategy
Community Living Program Strategy

Low-Risk of NH Placement & Spending down to Medicaid

Medium-Risk of NH Placement & Spending down to Medicaid

High-Risk of NH Placement & Spending down to Medicaid

Home/Community

Nursing Home

Nursing Home/Medicaid Diversion

Spenddown

to Medicaid

components of effective community living programs
Components of Effective Community Living Programs
  • Uses the Aging Disability Resource Connection (ADRC) or other single entry point system
  • Offers flexible services, supports and financing to meet the unique needs and preferences of the individual
  • Self-directed care is the cornerstone of the CLP
  • Targets individuals at high risk of nursing home placement and high risk of spending down to Medicaid
  • Complements the efforts of family caregivers and other community supports
  • Is not case management
defining self directed care
Defining Self-Directed Care
  • Also referred to as consumer-directed care
  • Is a philosophy and a practice
  • Usually includes the purchase of both services and products
  • Quick definition:
    • choice and direction of care by its user
ga s community living program
GA’s Community Living Program
  • Eligibility
    • Age
    • Frailty Level (DON-R)
    • Income
    • Resource
    • Authorized Representative
  • Services
    • In Home Services
    • Respite Care
    • Treatment and Training
    • Environmental Modifications
    • Material Goods
determination of need revised don r
Determination of Need – Revised (DON-R)
  • Standardized assessment tool
  • Measures functional impairment and unmet need for care
  • Allows for independent assessment of:
    • Impairment in functioning on basic activities of daily living

and

    • Impairment in functioning on instrumental activities of daily living

and

    • The need for assistance to compensate for these impairments
aging information management system aims
Aging Information Management System (AIMS)
  • AIMS is a statewide information system designed specifically for Georgia to assist in the accountability and management of aging services and includes:
    • Extensive client data
    • Effective reports for each program and service
    • Providers and services authorized 
current state of the community living program in ga
Current State of the Community Living Program in GA
  • Received 3rd round of funding
  • Accepted for Veterans Directed Home and Community Based Services
  • Expanding to Northwest Georgia Area Agency on Aging
ga s community living program consumer statistics
GA’s Community Living Program – Consumer Statistics
  • 91% have an authorized representative
  • 67% have a dementia diagnosis
  • 76% currently access respite as a service option
  • 100% agree that Support Options has allowed them or their loved ones to live in and receive services in the place they most desire
quotes
Quotes
  • “I thank God for this program. It seems too good to be true.” Support Options Consumer
  • “It’s just been a wonderful thing…this gives her more freedom.” Daughter of a Support Options Consumer
more quotes
More Quotes
  • “Support Options has allowed my father to remain in my home with his family. Without this program, I would not have been able to keep my father at home – he would have had to go into a nursing home…This is my father’s final stage of life and his request is to remain at home. Thank you all for helping us carry out his wishes.” Daughter of a Support Options consumer
contact information
Contact Information

Cara Pellino

404-463-3158

cpellino@atlantaregional.com

Kim Grier

404-520-2101

kagrier@dhr.ga.gov