1 / 42

Helping Ohioans Move, Expanding Choice

The MFP Grant from January 2007 to Present ?A Celebration of Partnership!. WelcomeI want to talk a moment about partnership. A partnership is defined as ?a relationship between individuals or groups that is characterized by mutual cooperation and responsibility, as for the achievement of a specif

crystal
Télécharger la présentation

Helping Ohioans Move, Expanding Choice

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Helping Ohioans Move, Expanding Choice

    2. The MFP Grant from January 2007 to Present A Celebration of Partnership! Welcome I want to talk a moment about partnership. A partnership is defined as a relationship between individuals or groups that is characterized by mutual cooperation and responsibility, as for the achievement of a specified goal.

    3. The MFP Grant from January 2007 to Present A Celebration of Partnership! The goals of the Money Follows the Person Grant are as follows: Help @2200 individuals in nursing facilities, ICFMR facilities and hospitals move back into the community we think of this as the HOME Choice Transition Program. Use the experience of the 2200 and the dollars earned through the HOME Choice Transition Program to reform the long term services and supports system to meet the vision.

    4. The MFP Grant from January 2007 to Present A Celebration of Partnership! The vision is: Ohioans who need long-term services and support . . . Get services and supports they need in a timely manner In settings they want from whom they want, And if needs change, services and supports change accordingly. Assure quality and continuity of care in the HOME Choice Transition Program and as we balance Ohios system.

    5. The MFP Grant from January 2007 to Present A Celebration of Partnership! Ohio began a partnership to meet the specified goals of MFP long before January 2007. Special thanks to the leadership of Medicaid Director Tracy Plouck and three people who spent multiple hours meeting with Ohioans with disabilities and on behalf of Ohioans with disabilities to develop a proposal that truly helps Ohioans move, and expands choice thanks to Mary Haller, Kelley Scott (no longer in OHP), and Erika Robbins.

    6. The MFP Grant from January 2007 to Present A Celebration of Partnership! When Ohio was awarded the grant in January 2007, ODJFS embarked in a large stakeholder partnership under the leadership of Medicaid Director Cristal Thomas. Stakeholders from all delivery systems developed the components of what is known as Ohios operational protocol approved by the Centers for Medicare and Medicaid Services on June 30, 2008.

    7. The MFP Grant from January 2007 to Present A Celebration of Partnership! Many thanks to the multiple people who spent hours of time and energy making the grant proposal a reality! We recognize the multiple Ohioans with disabilities, advocacy organizations, provider networks including nursing facilities, local systems such as county boards of MR/DD, PAAs, Centers for Independent Living, Brain Injury Association, Long Term Care Ombudsmen, and multiple state agencies such as ODA, ODMH, ODADAS, OHFA, ODOD, RSC, ODMRDD.

    8. The MFP Grant from January 2007 to Present A Celebration of Partnership! The large group of stakeholders fed the 7 workgroups to build the components of the HOME Choice Transition Program, but also the recommendations of system balance. Services and Self-Direction led by Roger Fouts and Sue Fredman Housing led by Kim Donica and Brock Robertson Workforce led by Scott Layson and Bibi Manev Operations led by Kelley Scott and Lesli Anderson Outreach and Identification led by Susan McKinley Quality and Evaluation led by Chuck Drake and Brandi Nicholson And Balancing led by Erika Robbins and Roland Hornbostel These workgroups met on average 8 times between January 2007 and February 2008. Every component of the workgroups work is within the approved operational protocol.

    9. The MFP Grant from January 2007 to Present A Celebration of Partnership! It is true that the MFP project was built by Ohioans for Ohioans a true partnership cooperation, responsibility and achievement!

    11. How are we one step closer to choice? 2231 Ohioans living in nursing facility, ICF/MR, and Hospital settings meeting the HOME Choice eligibility requirements will move back into community settings through the new HOME Choice Transition Program. Ohio will learn from the experience of the 2231 and will apply the dollars earned and the lessons learned to balance the long term services and supports system to meet greater choice. Both transition and balance are outlined in Ohios 6/30/08 approved operational protocol. 11

    12. 12 HOME Choice Transition Program Participant Requirements include: Reside in NF, ICF/MR or hospital for at least 6 months Institutional Level of Care (SLOC, ILOC, ICF/MR LOC) Medicaid eligible at least 30 days prior to discharge Move to a qualified residence

    13. 13 What is the HOME Choice Transition Program?

    14. 14 What is the HOME Choice Transition Program? HOME Choice participation has three distinct periods: Pre-Transition Period (period of time where activities occur prior to moving to the community) Demonstration Period (begins the date of discharge and runs 365 days calendar days) Post-Demonstration Period (begins day 366 after discharge from facility)

    15. 15 What is the HOME Choice Transition Program? Think of HOME Choice as: A wrap-around program. For persons wanting to move back into the community from Nursing Facilities, Intermediate Care Facilities for Persons with MR/DD and/or Hospitals. Services are available through the waiver and/or state plan for a 365 day period, PLUS Extra services are available only to HOME Choice enrollees during a 365 day period.

    16. 16 What is the HOME Choice Transition Program? The Extra Services are: Independent Living Skills Training Community Support Coaching HOME Choice Nursing Services Social Work/Counseling Nutritional Consultation Community Transition Services Transition Coordination Communication Aids Service Animals

    17. 17 What is the Operational Protocol?

    18. 18 How did Ohio Build the Operational Protocol?

    19. 19 How did Ohio Build the Operational Protocol?

    20. 20 How did Ohio Build the Operational Protocol?

    21. 21 What is contained in the Operational Protocol?

    22. 22 What is contained in the Operational Protocol? Examples of Balancing Strategies include: Consumer Council, Developing the Ohio State Profile Tool, Referenced to ULTCB, Service enhancements (e.g. transition coordination, community support coach), front door work, self-direction initiatives such as self directed health maintenance activities, Permedion, Career Pathways Model, Health Care and Direct Service Workforce center, local housing and services cooperatives, IAF, Atlantes, TAC Examples of Balancing Strategies include: Consumer Council, Developing the Ohio State Profile Tool, Referenced to ULTCB, Service enhancements (e.g. transition coordination, community support coach), front door work, self-direction initiatives such as self directed health maintenance activities, Permedion, Career Pathways Model, Health Care and Direct Service Workforce center, local housing and services cooperatives, IAF, Atlantes, TAC

    23. 23 What is contained in the Operational Protocol?

    24. 24 What is contained in the Operational Protocol?

    25. 25 What is contained in the Operational Protocol?

    26. 26 What is contained in the Operational Protocol?

    27. 27 What is contained in the Operational Protocol?

    29. What is the state of Ohios current long term services and supports system? According to the 2008 report Disability in Ohio: Current and Future Demand for Services by S. Mehdizadeh of Scripps Gerontology Center: In 2020, Ohios population will increase 5.1% to an estimated 12.2 million with Ohioans over age 60 rising 32.2% to @2.8 million. More than 20% of Ohioans currently receiving long term services and supports are under age 60. By 2020, 126,902 Ohioans will require formal care paid for with public funds. In 2006, long term care accounted for 42% of Medicaid funding. Ohio spent $4.7 billion equaling 24% of the total state budget. A majority of Medicaid funds (71.1%) of the long term care expenditures were spent on institutional care.

    30. How will we build on what we learn? Through key initiatives such as: The Unified Long Term Care Budget The Money Follows the Person Grant Related Efforts (TSIG, MRDD Futures)

    31. The Money Follows the Person Grant The HOME Choice Transition Program Ohio benchmarks (expenditures, transition, workforce) CMS National Evaluation Ohio Quality and Evaluation Data (such as housing, workforce, services) Quality of Life Survey Use of the dollars earned to invest in system reform opportunities testing key concepts such as consumer council, financial management service and self-direction, PATHS, housing, changes to the Front Door)

    32. The Money Follows the Person Grant The grant amount is comprised of three categories of services to HOME Choice transition program participants. Category 1 - Qualified services: Receive enhanced match Existing HCBS waiver and certain state plan services (like home health, community mental health, private duty nursing). Category 2 - Demonstration services: Receive enhanced match New services that are time limited in nature Assist an individual in successful integration (e.g. independent living skills, community support coach)

    33. The Money Follows the Person Grant Category 3 - Supplemental services: Do not receive enhanced match New services that are time limited in nature Assist an individual in successful integration (e.g. transition coordination and communication aids).

    34. The Money Follows the Person Grant Enhanced Reimbursement: Ohio created a Money Follows the Person Enhanced Reimbursement Fund in Amended Substitute House Bill Number 562 SECTION 751.20. MONEY FOLLOWS THE PERSON ENHANCED REIMBURSEMENT FUND The Money Follows the Person Enhanced Reimbursement Fund is hereby created in the state treasury. The federal payments made to the state under subsection (e) of section 6071 of the "Deficit Reduction Act of 2005," Pub. L. No. 109-171, shall be deposited into the Fund. The Department of Job and Family Services shall use money deposited into the Fund for system reform activities related to the Money Follows the Person demonstration project. The enhanced match will go into this fund for reinvestment into the long term service and support delivery system.

    35. The Unified Long Term Care Budget Am. Sub. H.B. of the 127th General Assembly, Section 213.30 required the development of a Unified Long Term Care Budget through a workgroup process. The Unified Long Term Care Budget workgroup was required to develop a budget that facilitated the following: (1) Providing a consumer a choice of services meeting the consumer's health care needs and improving the consumer's quality of life; (2) Providing a continuum of services meeting the consumers needs throughout life; (3) Consolidating policymaking authority and the associated budgets in a single entity to simplify the consumer's decision making and maximize the state's flexibility in meeting the consumer's needs; (4) Assuring the state has a cost effective system linking disparate services across agencies and jurisdictions.

    36. The Unified Long Term Care Budget A report comprised of over 10 months of work involving 300 individuals representing consumers, providers, advocates, state agencies, and local entities was released May 30, 2008 and presented to the Joint Legislative Committee on Medicaid Technology and Reform on June 11, 2008. The report contains numerous recommendations intended to meet the vision of the Unified Long Term Care Budget process as stated below: Ohios budget for long-term services and supports will be: flexible to permit consumers to choose from a wide array of quality services based on their preferences and needs; transparent to policymakers; and a cost-effective solution to budgeting for the future service needs for Ohioans in need of long-term care who may eventually need Medicaid-funded supports.

    37. The Unified Long Term Care Budget The Unified Long Term Care Budget Workgroup proposed a five year plan for the creation of the budget structure set to occur in three stages as follows: Am. Sub. H.B. 119 created new state long-term care lines in the ODJFS, ODA, ODMH, and ODMRDD budgets. OBM, with the approval of the Controlling Board, is given authority in SFY 2009 to transfer funds from existing long-term services and supports programs to these new lines within a single agencys budget and among agencies. In the 2010/2011 biennium, the ULTCB workgroup recommends funding be appropriated directly to these new lines rather than individual programs (e.g., ODA long term services and supports rather than PASSPORT, Assisted Living, and PACE). This will allow greater flexibility within agency budgets to adjust program spending based on consumer demand while still retaining OBMs ability to transfer funds among agencies. For the 2012/2013 biennium, a single funding line for long-term services and supports is to be created in the ODJFS budget creating a truly unified budget for these services. Implementing a single funding line will only operate efficiently with an integrated information technology system.

    38. The Unified Long Term Care Budget One of the key recommendations coming out of the workgroup process is the development of a State Profile Tool. A State Profile Tool is built on the 8 system components of balance**: Administration - a single agency for both institutional and community services that coordinates policies and budgets to promote community opportunities; Single access points (also known as the Front Door) a clearly identifiable organization managing access to a wide variety of community supports, ensuring people understand the full range of available options before receiving more restrictive services; Institution supply controls mechanisms such as Certificate of Need requirements that enable states to limit or reduce institutional beds; Transition from institutions (The HOME Choice Transition Program) outreach to identify residents who want to move and assistance with their transition to the community; **December 2006 Technical Assistance Guide to assessing a state Long Term Care system by Thomson Medstat under contract (#500-00-0021) with the U.S. Department of Health and Human Services .

    39. The Unified Long Term Care Budget A State Profile Tool is built on the 8 system components of balance**: A continuum of residential options (also known as an array of service options) availability of support services in a range of options from mainstream single-family homes and apartments to integrated group settings for people who need 24-hour supervision or support; Home and Community Based Services (HCBS) infrastructure development (Providers) recruitment and training to develop a sufficient supply of providers with the necessary skills and knowledge to encourage consumer independence; Participant direction - people who receive HCBS having primary decision-making authority over their direct support workers and/or their budget for supports; and Quality management an effective system that: a) measures whether the system achieves desired outcomes and meets program requirements and b) identifies strategies for improvement. **December 2006 Technical Assistance Guide to assessing a state Long Term Care system by Thomson Medstat under contract (#500-00-0021) with the U.S. Department of Health and Human Services .

    40. Pulling it all Together! Ohio has developed multiple recommendations through both the Money Follows the Person and the Unified Long Term Care Budget process. Ohio also has two additional initiatives with multiple recommendations through the ODMRDD Futures Work and the ODMH Transformation State Incentive Grant. Collectively, the work equals over 200 recommendations.

    41. Pulling it all Together! Develop a 2010/2011 Ohio Balancing Plan with reform within the eight system components to balance: Administration Single Access Point the Front Door Institution Supply Controls Transition HOME Choice Array of Service Options Providers Self-Direction Quality Use dollars within the Money Follows the Person Enhanced Reimbursement Fund to support Balancing Plan Strategies. Develop an Ohio State Profile with a Strategic Balancing Plan and balancing metrics. Initiate an Advisory and Decision-Making Process

    42. Pulling it all Together! The Advisory and Decision-Making Process EMMA and Interagency Teams New HOME Choice Consumer Council (target date = July 2009) New Balancing Stakeholder Group (one workgroup has already begun work the Front Door Stakeholder Group) HOME Choice Webpage (Consumers, Providers, Transition Coordinators and Case Managers) Special Thanks to Brittany Baum! Transition Coordination/Case Management Bi-Monthly Conference Calls HOME Choice Newsletter

    43. 43 Where can I obtain additional information?

More Related