1. Aging and Disability Resource Center Initiative: Streamlining Access to LTC John Wren, AoA Dina Elani, CMS 2004 Gerontological Society of America Conference

2. What is the ADRC Initiative? Purpose to develop a national framework for and to implement a single point of entry system in states Purpose to develop a national framework for and to implement a single point of entry system in states An HHS initiative jointly developed and administered by the Administration on Aging and the Centers for Medicare & Medicaid Services An HHS initiative jointly developed and administered by the Administration on Aging and the Centers for Medicare & Medicaid Services 1 st Partnership of this significance between CMS- AoA 1 st Partnership of this significance between CMS- AoA Awards to state agencies coupled with a National Technical Assistance Program Awards to state agencies coupled with a National Technical Assistance Program

3. Define –Single Point of Entry System A system that enables consumers to access long term and supportive services through one agency or organization. A system that enables consumers to access long term and supportive services through one agency or organization. Single entry points vary in the services they offer. All provide awareness and information. Single entry points vary in the services they offer. All provide awareness and information. ADRC - one type of single point of entry system ADRC - one type of single point of entry system

4. Why Single Point of Entry? Why Single Point of Entry? Long term care system in many states is fragmented and disjointed with many public and private programs and services delivered by a variety of agencies and organizations. Long term care system in many states is fragmented and disjointed with many public and private programs and services delivered by a variety of agencies and organizations. Navigating the long term care system can be confusing and frustrating for persons with disabilities of all ages and their family members. Navigating the long term care system can be confusing and frustrating for persons with disabilities of all ages and their family members. Many may be placed in an institutional facility because they and their family members were unaware of, or could not easily access, home and community- based long term care services. Many may be placed in an institutional facility because they and their family members were unaware of, or could not easily access, home and community- based long term care services.

5. Aging & Disability Resource Center Vision To create a single, coordinated system of information and access for all persons seeking long term support to minimize confusion, enhance individual choice, and support informed decision-making

6. Goals & Functions of an ADRC Awareness & Information Public Education Public Education Information on Options Information on OptionsAssistance Options Counseling Options Counseling Benefits Counseling Benefits Counseling Employment Options Counseling Employment Options Counseling Referral Referral Crisis Intervention Crisis Intervention Planning for Future Needs Planning for Future NeedsAccess Eligibility Screening Eligibility Screening Private Pay Services Private Pay Services Comprehensive Assessment Comprehensive Assessment Programmatic Elig. Determination Programmatic Elig. Determination Medicaid Financial Elig. Determination Medicaid Financial Elig. Determination 1-Stop Access to all Public Programs 1-Stop Access to all Public Programs CONSUMER ACCESSASSISTANCE AWARENESS & INFORMATION

7. 2003 ADRC Grantees 2003 ADRC Grantees 12 States (first year): 12 States (first year): LouisianaNew Hampshire Maine New Jersey MarylandPennsylvania MassachusettsRhode Island Minnesota South Carolina MontanaWest Virginia 3-year cooperative agreement, sustainability 3-year cooperative agreement, sustainability

8. 2004 ADRC Grantees 12 States: 12 States: AlaskaIllinois Arkansas Indiana CaliforniaIowa CNMI New Mexico Florida North Carolina GeorgiaWisconsin 3-year cooperative agreement, sustainability 3-year cooperative agreement, sustainability

9. 2005 ADRC Grantees Discussion of 12-18 more grantees Discussion of 12-18 more grantees Would create a total of 36-42 States w/ ADRC grants Would create a total of 36-42 States w/ ADRC grants Scope within states: 2 ADRCs to statewide implementation Scope within states: 2 ADRCs to statewide implementation Congressional funding and HHS approval still pending Congressional funding and HHS approval still pending

10. ADRC Technical Assistance Three Nat’l Contractors Providing Streamlined TA  The Lewin Group: Point of 1 st contact for ADRC TA  Community Living Exchange Collaborative: Rutgers Center for State Health Policy & National Academy for State Health Policy National Academy for State Health Policy  Independent Living Resource Utilization –sub to NASUA - -