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HHS One Stop Initiatives: Streamlining Access to Long Term Supports: 

HHS One Stop Initiatives: Streamlining Access to Long Term Supports Josefina Carbonell, Assistant Secretary for Aging and Patricia Morrissey, Ph.D., Commissioner, Administration on Developmental Disabilities U.S. Department of Health and Human Services

Medicaid Long-Term Support ExpendituresInstitutional v. Home and Community-Based Services: 

Medicaid Long-Term Support Expenditures Institutional v. Home and Community-Based Services

AoA’s Vision for Long Term Care: 

AoA’s Vision for Long Term Care Access Choice Control Autonomy

Aging and Disability Resource Center Initiative: 

Aging and Disability Resource Center Initiative One-Stop Access Transportation HealthCare Nursing Homes Health Promotion Disease Prevention Home and Community Based Services Education Information andamp; Assistance

Aging and Disability Resource Center Program: 

Aging and Disability Resource Center Program Key Elements Awareness and Information Public Education Information about programs and services Assistance Long Term Support Options Counseling Crisis Intervention Referral to other programs and benefits Assisting individuals to plan for their future long term support needs Access Intake Assessment Eligibility Screening Programmatic andamp; Financial Eligibility

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ADMINISTRAION ON AGING CENTERS FOR MEDICARE andamp; MEDICAID SERVICES AGING AND DISABILITY RESOURCE CENTER GRANT PROGRAM FY 2003 ARDC Awardees Louisiana New Hampshire Maine New Jersey Maryland Pennsylvania Massachusetts Rhode Island Minnesota South Carolina Montana West Virginia FY 2004 ARDC Awardees Alaska Indiana Arkansas Iowa California New Mexico Florida North Carolina Georgia Northern Marianas Illinois Wisconsin

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ADMINISTRAION ON DEVELOPMENTAL DISABILITIES FAMILY SUPPORT 360 PLANNING GRANTS FAMILY SUPPORT 360 PLANNING GRANTS Alabama Michigan Rhode Island Alaska Minnesota South Dakota Colorado Missouri Utah DC Nevada Vermont Florida New Hampshire Virgin Islands Georgia New Mexico Virginia Hawaii North Carolina Washington Idaho Northern Mariana Islands Wisconsin Kentucky Oklahoma Wyoming Maryland Oregon Massachusetts Puerto Rico X AGING AND DISABILITY RESOURCE CENTER GRANTS Alaska Maine Northern Mariana Islands Arkansas Maryland Pennsylvania California Massachusetts Rhode Island Florida Minnesota South Carolina Georgia Montana West Virginia Illinois New Hampshire Wisconsin Indiana New Jersey Iowa New Mexico Louisiana North Carolina X X X X X X X X X X X X X X X X X X X X X X X X

The Motivation for AOA & ADD One Stop Initiatives: 

The Motivation for AOA andamp; ADD One Stop Initiatives AGING DISABILITY

Our Common Ground: 

Our Common Ground Individuals with Disabilities of all ages want: to be as independent as they can be choice and control over the services and supports they receive to be safe

Implications Underlying Our Common Ground: 

Implications Underlying Our Common Ground Individuals and their families need timely access to information they understand throughout the life cycle The services and supports an individual receives should be determined through a person-centered planning process Individuals may have needs for services and supports that cut across agency lines If decisions related to services and supports are made in a collaborative, coordinated manner, the experience with service systems will more likely be positive and the benefits to the individual optimal

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Our One Stops Assumptions Need to think outside of the box Need to walk in the other person’s shoes Need to sell our expertise Need new partnerships Need new approach to demonstrations Outcomes New leaders in delivery of human services Greater credibility with customers Greater buy-in and impact on communities New models for reaching and serving people that others want to replicate

Long View of Family Support 360: 

Long View of Family Support 360 Design and implement a family-friendly human service system, using the one-stop approach, so that families with a member with a developmental disability may stay together and thrive In the one-stop: in-take, eligibility determination, assessments for services, family plans, confirmation of services, and follow along help would be offered

Scope of Family Support 360: 

Scope of Family Support 360 Characteristics of families to be served will be determined by project, but must be from unserved and underserved populations Services to be offered will be those that targeted families need Examples of services: health care, early intervention services and education, child care, employment, housing, transportation, counseling

Customers: 

Customers Experience one eligibility determination Participate in developing their plans Know what services and supports they will receive Have a comprehensive plan Have a ‘navigator’ throughout the service delivery process

Outcomes: Indicators of a Real Buy-In: 

Outcomes: Indicators of a Real Buy-In Money for services to customers come from existing funding streams Process is customer friendly Process is streamlined Overhead is reduced Budgeting is allocated and tracked for services by family Decisions on services more timely Service delivery is monitored from one source

Results: 

Results Public and private partnerships foster trust, ability to work together, and the confidence to expand collaboration efforts Families get what they need when they need it Policy makers and administrators see something working

We Are on the Way…: 

We Are on the Way… To restoring hope To fostering optimism To new and revitalized partnerships To building a shared vision that permits individuals to be served where they live and thrive To changing the face of human service systems in America

Contact Information: 

Contact Information Aging and Disability Resource Center Program Staff Contact: Greg Case – (202) 357-3442; greg.case@aoa.gov Web Site: www.adrc-tae.org Family Support 360 Initiative Staff Contact: April Myers – (202) 690-5985; amyers@acf.hhs.gov Web Site: www.acf.dhhs.gov/programs/add