BIP Draft Funding Plans: Aging & Disability Perspective

1. BIP Draft Funding Plans:Aging & Disability Perspective Nyle Robinson Deputy Manager Aging Home & Community Services

2. Overarching Projects • NOTE: CMS has not yet formally approved the plan & funding must be approved by the legislature • No Wrong Door Data System Design • Data system development to link systems & facilitate appropriate referrals • Under the Framework • Will help move Framework forward with additional larger advantages to service delivery • Core Assessment Tools/UAT • Purchase, implementation & maintenance of both intake (Level 1) & assessment (Level 2) processes • Integrate into a uniform data system • Train people who will use both intake & assessment

3. Overarching Projects • Advertising Plan • Direct Marketing- brochures, info. materials, promotional letters • Association Relationships (Service Providers, MCOs, Healthcare Providers, Discharge Planners, Advocates, Related Business, etc)- newsletters and presentations • Event Marketing and Cross Promotions • News and Feature Releases • Web Coordination and Promos • Radio/TV/Print • Social Media • Central Toll-Free Hotline • Single entry line for LTC Services • Majority of those seeking services will be 60 & up • Aging Helpline anticipated to be central call center • Calls may also go to other lines to speed response

4. Directly for Aging & Physical Disability • ADRC Branding & Strengthening (Aging) • Aging & Disability Resource Center/Network • Intended to include all disability groups/services • Only Aging services are always included • All 13 areas have been different, need some uniformity or at least standards • Need to include the array of disability groups/services • Intended to help services work better together • Extend Options Counseling principles wider & deeper • Front-End Analysis & Improvement (Aging) • Avoiding placements more efficient & effective than reintegration later, prevention/early intervention • Illinois’ higher use of institutional care starts at the front door • Assumes we can increase deflection from placements & decrease the duration of many placements • Funds to pilot different approaches to increase deflections • Training for individuals who influence LTC placement decisions

5. Directly for Aging & Physical Disability • Home & Comm. Ombudsman Program (Aging) • HB 1191 allowed for coverage of waiver participants subject to funding • BIP funding will provide this, quality improvement • Central Toll-Free Hotline (Aging) • See Overarching • HSP Reintegration Expansion to Cover Persons 60 & Over (DRS) • MFP recently expanded to cover Brain Injury & AIDS individuals of any age • Also want to cover individuals 60 & over with <29 points • BIP will improve supports, assure DRS does not have to restrict services to help these individuals • Employment 1st (DDD/DRS) • Covered under DD, participation of DRS anticipated • Expanded DMH MFP Coverage (DMH) • Covered under MH

6. Developmental Disability • Employment First • Develop & implement a plan to review service options & enhance opportunities for individuals with DD to find & maintain meaningful employment in integrated settings at no less than minimum wage • Phase 1 - Work with consultants & stakeholders to define types of opportunities to promote, identify provider qualifications, review current rate structure, establish benchmarks • Phase 2 - obtain services to assist 200 individuals in accessing supported & competitive employment & establish procedural guide & other materials for use by providers throughout the system in supporting additional individuals in the future • NOTE: Anticipate a companion project for DRS customers

7. Developmental Disability • Capacity Expansion • Expand DD waiver capacity to an additional 500 individuals on the waiting list in the community • Tied to Ligasconsent decree • Expansion of Service & Support Teams • Currently 2 teams provide technical assistance to providers in addressing challenging situations involving individuals with behavior & medical issues • 2 additional teams will be added to meet the need for supports as the State rebalances toward reliance on community-based services

8. Mental Health • * Expanded DMH MFP Coverage • System currently has geographic gaps • Funds will cover additional areas • About half of SMI in NF are 60 & over • Without a DMH MFP program in an area many individuals have been stuck • PAS/RR System Interface with UAT • Develop interface between PAR/RR Level 1 & Level 2 screening & the UAT tool system • In-Home Recovery Support • Enhancement to the MH Rule 132 Assertive Community Treatment (ACT) & Community Support Team (CST) services • Primarily for Williams class members/not MFP eligible • Goal is to prevent returns to facilities

9. Mental Health • Peer Support in Drop-in Centers • A place where persons transitioned back to the community can engage peers who have done so successfully, offer support & hope • Dual Diagnosis Residential Treatment • Special services necessary to facilitate transition individuals with both mental illness & substance abuse • Orientation & support in Wellness Recovery Action Plan development, relapse prevention, access to self-help groups

10. Mental Health • Enhanced Skills training & Assistance • Assistance & skills training for individuals requiring a habilitation level of intervention to acquire basic skills for safe & successful independent apartment living • Primarily for Williams class members/not MFP eligible • Bi-directional Integrated health Care for Complex Needs • Coordination of behavioral & primary health care & illness management/self management to ensure the needs of those with SMI or dual SMI/SA with complex medical needs are met • Primarily for Williams class members/not MFP eligible