Systems Integrations Award

1. Systems Integrations Award Presenter: Jamie Cramer, Thom Snyder, Cliff Burt Presentation to: Ga AAAs Date: 10-21-11 Georgia Department of Human Services

2. Vision, Mission and Core Values Vision Stronger Families for a Stronger Georgia. Mission Strengthen Georgia by providing Individuals and Families access to services that promote self-sufficiency, independence, and protect Georgia's vulnerable children and adults. Core Values • Provide access to resources that offer support and empower Georgians and their families. • Deliver services professionally and treat all clients with dignity and respect. Manage business operations effectively and efficiently by aligning resources across the agency. • Promote accountability, transparency and quality in all services we deliver and programs we administer. • Develop our employees at all levels of the agency.

3. Systems Integration • Create a web-based no wrong door system of access to services that includes: • On line public access to ESP data • On line chat capabilities • Self-service features • Use of platform independent mobile applications • Statewide Marketing of the system

4. Streamlined Access • Establish data sharing agreement with DCH • Develop process for Gateway/ ADRC and CM staff to track client Medicaid eligibility status through DCH portal • Develop protocol for Gateway/ ADRC staff to assist clients with completing Medicaid application to include electronic signature • Information gathered by the Aging Services portal will be passed on to the integrated eligibility system

5. Conceptual Enterprise Eligibility ModelMedicaid, TANF, SNAP, WIC Federal Service Hub Enterprise Functions Program Validations Verifications • Notices, • Reporting, • Benefit Processing, Appeals, • Etc. Electronic Face to Face Documents GTA Service Hub GAMMIS Home, Call Center, State Office Other Locations Eligibility Engine Medicaid Enrollment Processing Interfaces IRS, SSA, DOL, etc. Verifications / Document Imaging PeachCare Other program referrals TANF WIC Food Asst. Federal / State Reporting HHS Govt. Assistance Application Identify Client (MCI) / Automated Validations / Verifications Collected Preliminary Eligibility For MA/CHIP/TANF/WIC/SNAP Plan Offerings and Enrollment Medicaid / CHIP Eligible • TANF • Food Asst • WIC • Etc. Not Eligible

6. Wellness Evidence Based Initiatives • Wellness Initiatives to bring evidence based programming to the Georgia Aging Network • CDSMP expansion over three years • Trainings and supplies • A Matter of Balance (year one) • Trainings and supplies • Tai Chi Moving for Better Balance (year two) • Trainings and supplies

7. Nutrition Initiatives • Nutrition Initiatives to help with food insecurity and evidence based education. • EBT Machine Partnerships with Farmers’ Markets • Will help incentivize signing up for SNAP for older adults. • Will benefit local farmers and farmers’ markets • Will benefit local communities and increase access to healthy foods. • Stanford Nutrition Action Program • An evidence based nutrition education program to help unify and strengthen nutrition education across the aging network.

8. Expansion of innovative approaches • Expand the use of consumer direction - CLP: • Movement to align CCSP consumer direction with non-Medicaid model • Provide TA to AAAs to implement with traditional services using FA • Expand person-centered care transitions and consumer directed services: • Provide Statewide training for Gateway/ ADRC, Options Counselor, APS staff and CCSP and Non Medicaid CM

9. Innovations • Village - 1 year grants (total of 5) • LGBT – Cultural competence • LEP/SI - Navigators at AAA level

10. RCI TA and Training for EBPs • Rosalynn Carter Institute will implement a dementia capable comprehensive training program for AAA, APS, and Alzheimer’s Association staff • First step will be to conduct a statewide assessment of training needs • Feedback received from all AAAs last June at Early Stage AD Work Team indicated that training on managing problem behaviors, competency, financial management issues, and hoarding would be helpful

11. Caregiver Evidence Based Programs • Expand the availability of evidence-based and evidence-informed programs and services: • Funding for: • PTC • Savvy Caregiver

12. Dementia Capable Network • Comprehensive training program to increase competencies of Gateway/ ADRC, Case Management staff and APS including dementia-capable assessments and service planning

13. Telephone Reassurance for Memory Impaired Clients • Participants at Early Stage AD Work Team noted Telephone Reassurance as way to serve: • People who live alone and are at risk • Those on waiting lists • Alzheimer’s Association will implement statewide program, receiving referrals from Gateway/ ADRC, Case Managers, APS etc.. • Second model implemented by River Valley AAA • Statewide training on both models in Year three of grant

14. Create a sustainable service delivery system • All AAAs will receive TA on business plans and private pay service systems • Templates with tax and other rules specific for: • AAA/ RC • 501(c)3 • County or municipality • Web portal opportunities for private pay

15. Questions?