1. North Central Ohio Aging & Disability Resource Network
Regional Summit 2015

2. 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

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

4. 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. 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

5. 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

6. 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

7. Person Flow 1-800-000-0000 Website ADRN Partner Agency CDJFS
No Yes
Duties of Level 1 Entity:
Information or Referral
Level 1 Screening
Support Navigator
Medicaid Application Assistance
Potential for Level 2
Website
ADRN Partner Agency
Support Navigator Functions
Receiving Medicaid?
Support Navigator Functions
CDJFS
Medicaid Eligibility
LTSS Eligibility Level 2
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

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

9. Ohio Benefits: Long Term Care
A closer Look

10. 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

11. 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

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

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

14. Ohio Benefits Long Term Care
2015

15. 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

16. 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#

17. 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

18. 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

19. 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.

20. Ohio Benefits Long Term Care

21. 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.

22. 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.

23. 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

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

25. 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

26. 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

27. 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

28. Ohio Benefits Long Term Care
Questions?

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