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Nursing Home Diversion Modernization Grants. Linda Velgouse OPPD/AoA N4A/Cash and Counseling Webinar – 2-27-08. Key Messages. These grants begin to implement the 3 rd component of new LTC provisions in the OAA

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Nursing Home Diversion Modernization Grants


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nursing home diversion modernization grants

Nursing Home Diversion Modernization Grants

Linda Velgouse

OPPD/AoA

N4A/Cash and Counseling Webinar – 2-27-08

key messages

Key Messages

These grants begin to implement the 3rd component of new LTC provisions in the OAA

Provides broad national standards for an Aging Network “Nursing Home Diversion Program” with state flexibility

Encourages State Units on Aging to transform existing OAA, ADDGS, and state revenue dollars into flexible funding options

Gives states an additional tool for rebalancing

key parameters

Key Parameters

12 grants awarded at approximately $500,000 per grantee

SUAs were only eligible applicant

SUAs must work with AAAs, community providers, and state Medicaid office, among other stakeholders

Funds can be used to transform existing $ or expand services

States must meet certain minimum expectations by the end of the 18 month grant period

nursing home diversion standards
Nursing Home Diversion Standards

Service Elements

  • Use Flexible Service Dollars
  • Target individuals at-risk of nursing home placement
  • Give all clients the option of Cash & Counseling
  • Use funds to complement, not supplant, resources of families and other programs
  • Target publicly supported services at individuals at-risk of spending down to Medicaid
targeting criteria
Targeting Criteria
  • At Risk of Nursing Home Placement
    • Functional Status
    • Health Status
    • Cognitive Status
    • Status of Informal Support System
  • At Risk of Spend Down
    • States May Consider Income and/or Assets
nursing home diversion standards1
Nursing Home Diversion Standards

System Elements

  • Use Single Entry Point to ensure streamlined access for consumers
  • Infrastructure to support consumer directed services, including Cash & Counseling model
  • Quality Assurance
  • Performance Measurement & Evaluation
minimum expectations
Minimum Expectations
  • Serving consumers with flexible service dollars
  • Targeting individuals at risk of Nursing Home Placement and spenddown to Medicaid
  • Using a Single Entry Point System
use of grant funds
Use of Grant Funds
  • Direct Services and Supports
  • Case management and broker services
  • Developing new targeting criteria/tools
  • Developing new budget systems/tools
  • Designing and implementing Evaluation systems/tools
fy2007 state grantees
FY2007 State Grantees
  • Arkansas
  • Connecticut
  • Georgia
  • Illinois
  • Kentucky
  • Maryland
  • Michigan
  • Minnesota
  • New Hampshire
  • New Jersey
  • Vermont
  • West Virginia
consumer direction in nhdm programs
Consumer Direction in NHDM Programs
  • Most grantees developing a cash and counseling model
  • States using different funding sources
  • Most using Title III E and III B funds
  • Other funds include: state funds, ADDGS
  • AR, IL, KY, MI, MN, NJ VT, MI, expand or replicate current C&C programs
state examples
State Examples
  • Georgia
  • Transform State Respite and Title IIIB funds and some grant funds for services
  • Pilot through Atlanta Regional Commission (10 county) ADRC
  • Anticipate 200 screened and 50 in program by end of grant
state examples1
State Examples

Minnesota

  • Will transform Title III-B, Title III-E, and ADDGS funds
  • 2 AAA sites: Arrowhead & Central MN
  • Will provide consumer-directed service options to 50-75 consumers/caregivers (ADDGS funds will be used to serve 1/4 of target population with Alzheimer’s)
  • Plan to identify 200-300 at risk older adults and 150-200 caregivers for future services
state examples2
State Examples

Vermont

  • Will transform Title III-B, Title III-E, State Revenue, and Local Revenue funds
  • Plan to provide options counseling, training, or flexible services to 200 persons (ADDGS funds will be used to serve 1/3 of target population with Alzheimer’s)
  • Selecting 5 AAA sites, eventually expand program statewide through AAAs
state examples3
State Examples

West Virginia

  • Will transform Family Alzheimer's In-Home Respite (FAIR) Plus Program funds
  • Upper Potomac AAA pilot site
  • Will provide consumer-directed service options to 50 consumers/caregivers affected by Alzheimer’s by end of grant
  • Plan to expand program to other parts of state in 2010-2011
state examples4
State Examples
  • Arkansas
  • Implement C&C Model in 2 AAA pilot sites: Central AR and NW AR AAAs.
  • Transform funds including Title IIIE and state general funds
  • Develop and test Medicaid spenddown screening tool
  • Expect to serve up to 150 consumers
more information

More Information

Linda Velgouse

linda.velgouse@aoa.hhs.gov

http://www.aoa.gov/prof/Nursing/nursing_grants.asp