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 & Assistance3. 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 & Awareness2. 2. Options Counseling, Advice & Assistance3. 3. Streamlined Eligibility Determination for Public

programs4. 4. Person-Centered Transition Support5. 5. Quality Assurance & Continuous Improvement

Meet the ADRN Leadership TeamThe 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

1-800-000-0000

WebsiteADRN

Partner Agency

Duties of Level 1 Entity:Information or Referral

Level 1 ScreeningSupport Navigator

Medicaid Application Assistance

Potential for Level 2

Receiving Medicaid?

LTSS Eligibility Level 2

CDJFSMedicaid Eligibility

Duties of Level 2Comprehensive Assessment/Level 2 Assessment

Options CounselingPotential for Level 1 Entity to do Level 2 Assessment

Provides LOC outcome to CDJFSInforms Support Navigator of LTSS outcomes

Supp

ort N

avig

ator

Func

tions

Support Navigator

Functions

Ohio Benefits: Long Term careWhat does this mean for ADRN

Partners?◦Opportunities!!

Streamlined referral processes Can help consumers complete On-line

LTCQ’s

Ohio Benefits: Long Term CareA closer Look

Ohio Benefits: Long Term CareDefined 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 CareAKA: 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 CareGoals:

◦Further Balancing efforts◦Streamline Access◦Improve System Performance◦Improve Quality Measurement &

Oversight

Ohio Benefits Long Term CareOfficial Launch Date:

July 1st 2015

Ohio Benefits Long Term Care

2015

Ohio Benefits Long Term CareWhat 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 CareHow?

◦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 CareMeet 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 CareAccess & 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 CareQuality 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 CareQuality 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 CareTake 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 CareQuestions?

Strategy CafeDirections: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.