North Central Ohio Aging & Disability Resource Network Regional Summit 2015

What is an ADRN? ADRN-Aging Disability Resource Network: The larger community of partners including Area Agencies on Aging ADRN’s are a collaborative effort from the national to the local level that serves as “no wrong door” systems ADRN’s are not limited by state programs, but include all programs The goal of the ADRN is to keep individuals in the community

5 Core Functions of an ADRN 1. Information, Referral & Awareness 2. Options Counseling, Advice & Assistance 3. Streamlined Eligibility Determination for Public programs 4. Person-Centered Transition Support 5. Quality Assurance & Continuous Improvement

Meet the ADRN Leadership Team What does the Leadership Team Do?  Ensure that the ADRN is responsive to the changing landscapes  Continues to grow & evolve  Ensure that the ADRN stays focused on the 5 core functions: 1.1. Information, Referral & Awareness 2.2. Options Counseling, Advice & Assistance 3.3. Streamlined Eligibility Determination for Public programs 4.4. Person-Centered Transition Support 5.5. Quality Assurance & Continuous Improvement

Meet the ADRN Leadership Team The ADRN consists of Members representing a wide variety of Neworks within the ADRN: ◦ Hospitals ◦ Nursing Facilities ◦ Mental Health & Addiction Services ◦ Developmental Disabilities ◦ Housing ◦ Hospice ◦ Federally Funded Health Clinics

Where are we going? Ohio Benefits: Long-term Care—AKA: BIP Balance Incentive Program ◦ Establishes a No wrong door/Single Entry Point System (SEP) ◦ Conflict Free Case Management System ◦ Support Navigation ◦ Core standardized-assessment instruments  Level I Screen—LTCQ Long Term Care Questionnaire  Level II Assessment—ACAT/CCAT  Adult Comprehensive Assessment Tool  Children’s Comprehensive Tool

Person Flow No Yes Website ADRN Partner Agency Duties of Level 1 Entity: Information or Referral Level 1 Screening Support Navigator Medicaid Application Assistance Potential for Level 2 Duties of Level 1 Entity: Information or Referral Level 1 Screening Support Navigator Medicaid Application Assistance Potential for Level 2 Receiving Medicaid? LTSS Eligibility Level 2 CDJFS Medicaid Eligibility CDJFS Medicaid Eligibility Duties of Level 2 Comprehensive Assessment/Level 2 Assessment Options Counseling Potential for Level 1 Entity to do Level 2 Assessment Provides LOC outcome to CDJFS Informs Support Navigator of LTSS outcomes Duties of Level 2 Comprehensive Assessment/Level 2 Assessment Options Counseling Potential for Level 1 Entity to do Level 2 Assessment Provides LOC outcome to CDJFS Informs Support Navigator of LTSS outcomes Support Navigator Functions

Ohio Benefits: Long Term care What does this mean for ADRN Partners? ◦ Opportunities!!  Streamlined referral processes  Can help consumers complete On-line LTCQ’s

Ohio Benefits: Long Term Care A closer Look

Ohio Benefits: Long Term Care Defined as: Ohio’s new single entry point for accessing long-term care services and supports taking a “no wrong door” approach to linking individuals to vital information

Ohio Benefits Long Term Care AKA: BIP What is it? ◦ Federally Funded Program aimed at improving access to home & community based long-term services & supports. ◦ Balances Ohio’s long-term care spending

Ohio Benefits Long Term Care Goals: ◦ Further Balancing efforts ◦ Streamline Access ◦ Improve System Performance ◦ Improve Quality Measurement & Oversight

Ohio Benefits Long Term Care Official Launch Date: July 1 st 2015

Ohio Benefits Long Term Care 2015

Ohio Benefits Long Term Care What does this mean for ADRN Partners? ◦ Streamlined access  Information Referral & Awareness  Options Counseling ◦ Improved system performance—assuring positive outcomes for consumers ◦ Quality measurements with continual improvement

Ohio Benefits Long Term Care How? ◦ Streamlined Access & improved System performance:  ADRN partners will have 3 ways to link consumers:  Direct referral/Contact to Single Entry Point (SEP)  Go to Ohio Benefits Long Term Care website:  benefits.ohio.gov/longtermcare  Compete the LTCQ on state website  Direct contact with the state 800#

Ohio Benefits Long Term Care Meet your Regional Single Entry Points (SEPs): as Identified by Ohio Department of Medicaid ◦ District 5 Area agency on Aging ◦ Knox County Board of DD ◦ Easter Seals Central Ohio ◦ Easter Seals of Northern Ohio ◦ Mansfield/Richland County Public Library 211 ◦ Lutheran Homes Society

Ohio Benefits Long Term Care ◦ Person-Centered:  SEPs will work together to ensure extended coverage hours for North Central Ohio ADRN  Availability  Monday-Thursday 7a.m. - 7p.m.  Friday 7a.m. - 5p.m.  Saturday 8a.m. – 5p.m.  Accessible by consumers  Willing/Able to complete LTCQ on every consumer/call that comes through their door.  SEPs will provide a similar experience regardless of which agency the consumer initiated contact with

Ohio Benefits Long Term Care Access & performance ◦ Once the system is accessed a Long Term Care Questionnaire (LTCQ) will be completed with the consumer. ◦ LTCQ  Housed within LOTISS—Linking Ohioans to Independence Services & Supports  A web based system developed by Harmony for Ohio  Incorporates use of Trigger Questions & Algorithms'  Identifies potential for Medicaid eligibility  Determines:  the need for a level II Assessment for waiver services:  or determines list of appropriate referrals to be made  MH  VA  Traumatic Brain Injury  Brain Injury Assoc.

Ohio Benefits Long Term Care

LTCQ Summary: ◦ 7 page questionnaire on line ◦ Developed to screen for multiple Long term service & support needs ◦ Determines if Assessment is needed ◦ Determines potential for Medicaid eligibility.

Ohio Benefits Long Term Care ◦ Once LTCQ completed=consumer gets linked with a support navigator (if needed) within the SEP ◦ Support Navigators provide options counseling to consumers according to the outcome of their LTCQ.

Ohio Benefits Long Term Care Support Navigation  Assists consumer with referral for level II Assessment (ACAT/CCAT)  Assists consumer with referrals to community based LTC services & supports (ADRN Partner Agencies)  Assists consumer with pending Medicaid application & eligibility process

Ohio Benefits Long Term Care ◦ Intended outcome of new LTCQ & Support Navigation:  Consumers no longer get lost in the maze of our current system!

Ohio Benefits Long Term Care Quality Measurement & Continual Improvement: ◦ SEPs will be expected to meet performance measurements established & monitored by the State.  Expectations for the completion of the LTCQ & support navigation  Example: Return phone calls by close of next business day  Monitored within LOTISS

Ohio Benefits Long Term Care Quality Measurement & Continual Improvement: ◦ All SEPs expected to participate in regular Regional meetings  Coordinate regional responsibilities  Address training needs  Address system issues  Address regional issues

Ohio Benefits Long Term Care Take aways for ADRN partners: ◦ New & improved consumer system that will begin: 7/1/15 ◦ Consumers in need of Long Term Services & Supports need to go through:  One of the region’s 6 SEPs  State wide 800#  State wide website ◦ Consumer’s will have access to Support Navigation  Options counseling—with referrals to other agencies  Linkage to level II assessment  Assistance with Medicaid Eligibility process

Ohio Benefits Long Term Care Questions?

Strategy Cafe Directions: 1. There are 5 questions located at 2 separate tables each, through out the room. 2. Participants are asked to brainstorm ideas surrounding the question at their table with the other participants at the table. 3. Each table has a designated Scribe who will record the ideas of the group 4. When time is up please relocate to a table with a question you have not yet had a chance to brain storm 5. Once we have rotated 5 times we will take a break & tally common themes for report out.