georgia’s community living program - support options
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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 - PowerPoint PPT PresentationTRANSCRIPT
Georgia’s Community Living Program - Support Options
Cara PellinoAtlanta Regional Commission
Kim GrierDivision of Aging Services
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
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
Home/Community Nursing
Home
Spenddown
to Medicaid
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
Nu
rsin
g
Hom
e/M
ed
icaid
D
ivers
ion
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 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 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)
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
livingand The need for assistance to compensate for these
impairments
FunctionLevel ofImpairment
UnmetNeedForCare
Case Comments: Identify resources, describe special needs and circumstances that should be taken into account when developing a care plan
1. Eating 0 1 2 3 0 1 2 3
2. Bathing 0 1 2 3 0 1 2 3
3. Grooming 0 1 2 3 0 1 2 3
4. Dressing 0 1 2 3 0 1 2 3
5. Transferring 0 1 2 3 0 1 2 3
6. Continence 0 1 2 3 0 1 2 3
7. Managing Money
0 1 2 3 0 1 2 3
8. Telephoning 0 1 2 3 0 1 2 3
9. Preparing Meals
0 1 2 3 0 1 2 3
10. Laundry 0 1 2 3 0 1 2 3
11. Housework 0 1 2 3 0 1 2 3
12. Outside Home 0 1 2 3 0 1 2 3
13. Routine Health 0 1 2 3 0 1 2 3
14. Special Health 0 1 2 3 0 1 2 3
15. Being Alone 0 1 2 3 0 1 2 3
Box A: Subtotal Col A, Items 1-6
Box A Box B Box B: Subtotal Col B, Items 1-6
Box C: Subtotal Col A., Items 7 - 15
Box C Box D Box D: Subtotal Col B, Items 7 - 15
Box E: Subtotal Box A & Box C
Box E Box F Box F: Subtotal Box B & Box D
Box G Box G: Subtotal Box E & Box F
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
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 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
“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
“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
Veteran Directed Home andCommunity-Based Services
