ADRC Implementation

1. ADRC Implementation Funding Work Group July 2, 2012

2. Funding Overview • Review ADSA ADRC strategy • Current levels of Area Agency on Aging I&A funding • Review pilot site funding • Estimates of ADRC level of need • Funding gap(s) • ADSA’s interim approach

3. ADSA ADRC Expansion Approach • Transform Senior Information and Assistance • Builds on existing Senior Information & Assistance • Operational infrastructure, administered by AAAs. • Through expanded partnerships of local aging and disability networks, create an integrated statewide ADRC system

4. ADSA ADRC Expansion Approach • Why go this route? • Ability to leverage Senior I&A coverage and organizational capacity. • 13 AAA is WA • AAAs also run other complimentary community support services • Ability to leverage financial investments

5. ADSA ADRC Expansion Approach • Expansion Approach – some quick difference • ADRC program definition expands I&A services to serve people of all ages with disabilities • ADRC provides a seamless point of entry to all publicly funded long-term services and support options • ADRC conducts a more robust standardized person-centered options counseling, individualized decision support, and assistance • ADRCs have formal procedures for person-centered care transitions assistance for individuals

6. ADSA ADRC Expansion Approach • Expansion Approach – Incremental • ADRC funding is provided under current grants • Pierce County was the first; 3 additional site • Grant sunsets at the end of this September • Beyond the existing grant funding and current federal and state investments, no identified or sustainable source • Incremental expansion as funding and other resources allow

7. Current AAA Funding

8. Current AAA Funding • Values represent AAA I&A expenditures, not the entire cost of the desired ADRC system. • The majority of funding is from Federal Sources. • Most federal funding is driven by estimated numbers of the target population. • State funding, while a smaller proportion of the overall expenditures, is driven by the annual budget cycle and therefore is more at risk.

9. ADRC Level of Need • Sketch level Estimates of Need • 2007 ADSA estimate • Based on a per capita cost of I&A applied to under 60 disabled population • 2010 Estimate based on Wisconsin ADRCs Budgeting • 1% method (coverage to 1% of 18+ population)

10. Funding Gap • How do we think about level of need? • Estimate of need far outweigh current resources • Sketch level • AAA I&A services only a portion of total I&A for aging and disability services

11. ADSA’s Interim Approach • Funding • Administration on Community Living Grant • Money Follows the Person – Supplemental

12. ADSA’s Interim Approach • Expenditures – focus on capacity building • Management, Coordination, and IT • ADRC Program Manager (ADSA), ADRC, IS Project Manager (ADSA), Statewide IS System Administrator (ADSA), Statewide Resource Directory Specialists (ADSA) • Training/Support • OC Curriculum Developer/Trainer (ADSA), ADRC Care Transition Coaches (Local), Qualis Health Technical Assistance/Training/CQI, ADRC Options Counselors (Local), IS System Administrators (Local), Resource Directory Specialists (Local)