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Aging in Community: Experiences from Four States

Learn about the Administration on Aging's Community Living Program and its impact on nursing home diversion and consumer-directed care in Massachusetts, Connecticut, Georgia, and New York. Explore the challenges of the long-term care system and the vision of AoA for person-centered care at home. Discover resources and technical assistance available for stakeholders in the field.

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Aging in Community: Experiences from Four States

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  1. Administration on Aging’s Community Living Program: Experiences from Four States Lisa Alecxih (Lewin) and Joseph Lugo (AoA) November 20, 2009

  2. Presentations Today • Massachusetts’ ADRCs: Community focal points for nursing home diversion and consumer direction • Integrating cash and counseling into a caregiver respite program: Early outcomes (Connecticut) • Nursing home diversion in Georgia • Bridging the Veteran’s Health Administration and Aging Services Systems in New York

  3. LTC System Challenges • Fragmented • Institutional bias • Invisible/Confusing • Increase in population

  4. AoA Vision • AoA’s long-range vision is to have a long-term care service system that is person-centered, consumer-directed and helps people at risk of institutionalization to continue to live at home for as long as possible.

  5. CLP Background • AoA’s Community Living Program (CLP) is designed to assist individuals who are at risk of nursing home placement and spend down to Medicaid to live in and remain in their communities. • The CLP grants are administered through the State Units on Aging (SUAs), in partnership with Area Agencies on Aging (AAAs) and in collaboration with community service providers, and other key long-term care stakeholders.

  6. Nursing Home/Medicaid Diversion Strategy Low-Risk of NH Placement & Spenddown to Medicaid Medium-Risk of NH Placement & Spenddown to Medicaid High-Risk of NH Placement & Spenddown to Medicaid Home/Community Nursing Home Nursing Home/Medicaid Diversion Spenddown to Medicaid

  7. Challenge to States • This initiative encourages the Aging Services Network to modernize and transform the funding they receive under the Older Americans Act, or other non-Medicaid sources, into flexible, consumer-directed service dollars. • This grant opportunity complements the Centers for Medicare & Medicaid Services (CMS) “Money Follows the Person Initiative” by strengthening the capacity of states to reach older adults before they enter a nursing home and spend down to Medicaid. It also supports states’ long-term care rebalancing efforts.

  8. Veteran’s Initiative • Starting in 2008, the AoA began working closely with the Veterans Health Administration to provide an additional opportunity to State Units on Aging (SUAs) and Area Agencies on Aging (AAAs) to serve veterans of all ages at risk of nursing home placement.

  9. Technical Assistance Exchange Technical Assistance Resources Website Resource Materials (e.g. Issue Briefs) National Meetings Weekly Electronic Newsletters Grantee Surveys Examples from the Field Building a Grantee Community Monthly Teleconferences/Web casts Bi-monthly Workgroup Teleconferences On-line Discussions Electronic Bulletin Board

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