Presentation Overview

1. Presentation toNational Association of Area Agencies on Aging Conference MeetingApril 16, 2012Pamme TaylorVice PresidentAdvocacy & Community Based Programs

2. Presentation Overview • ReviewWellCare’s Advocacy and Community Based Program Area • Demonstrate one example of partnering with an MCO: The CommUnity Commitment • Discuss what we can do next together

3. Medicaid Managed Care Child Health Plus MLTC Family Health Plus PCP Transportation Specialists BH/SA Pharmacy Management Quality Outcomes QARR CAHPS STARS HIT Electronic Care Management System Claims EMR Encounters Provider Dashboard Optical Case Management Dental Home and Community based Care Disease Management Therapies MAP DSNP Community-based Programs Medicare Advantage Part D Current Environment: Connecting Families to Services • Community based Programs(aka public assistance programs)

4. Medicaid Managed Care Child Health Plus MLTC Family Health Plus PCP Transportation Specialists BH/SA Pharmacy Management • Quality • Outcomes • QARR • CAHPS • STARS • HIT • Electronic Care Management System • Claims • EMR • Encounters • Provider Dashboard Optical Case Management Dental Home and Community based Care Disease Management Therapies MAP DSNP • Community-based Programs Medicare Advantage Part D Current Environment: Funding Sources US Department of Housing & Urban Development Community Development Block Grants (CDBG) and related funding US Department of Health & Human Services Community Services Block Grants (CSBG) and related funding Funding through Federal or State budget allocations • Community based Programs(aka public assistance programs)

5. # of Individuals Receiving Support through Public Assistance Programson an Annual Basis in the US Seniors (65+) & Individuals with Disabilities represent 65% of program recipients often accessing self-sufficiency supports. Situation Analysis: Public Assistance Programs Community Development (sample programs) - Emergency Shelters - Rental / Utility Assistance- Homeless Programs - Housing for AIDS patients- Rural Housing Dev. - Rural Health Centers Community Services (sample programs) - Nutrition (WIC) programs - Job-related programs- Disability programs - Child-care programs- Senior programs - Adult Day Activity Centers Source: National Association for State Community Services Programs, March 2011 The states in WellCare’s Coordinated Care Program footprint (Medicaid/Medicare/Long-term Care) are states that draw-down nearly half (47%) of public-assistance program funding and represent $46.4 Billion (45%) of the national budget shortfall.

6. Field Based Engagement Strategies CHIF and Strategic Granting Reporting and Promotion Public Assistance Research and Mapping Preparing a complete listing of resources per market Analyzing resources and identifying gaps Preparing community action plans Managing engagement activities w/a single point of tracking Responding to member issues Partnerships with Community Leaders Managing the granting process at three levels – Micro, Macro, Foundation Adopting single point of tracking for grants Preparing market-level CHIF strategies Reporting best practices and promotional field activities Preparing service gap analyses and reports Producing policy and position papers Community Leaders include Congressional offices, SHIPs, AAAs CHIF = Community Health Investment Funds Functional Response: Advocacy & Community-based Programs

7. Next Steps • Phase I: Work with Civic and Community Leaders to: • Catalogue available social safety net services at a zip code level • Analyze this data against community health data to identify service gaps • Assemble or utilize existing public planning efforts to validate gap analysis • Phase II: Based on the information assembled above: • Initiate a public information campaign to promote the peril of the social safety net • Identify and advocate for policy change to sustain social safety net funding • Establish local, community-based initiatives with “new” players to identify methods for local sustainability