BIP Funding Plans: Aging & Disability Perspective

Report
Nyle Robinson
Deputy Manager
Aging Home & Community Services
NOTE: CMS has not yet formally approved the plan &
funding must be approved by the legislature
 No Wrong Door Data System Design
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Data system development to link systems & facilitate
appropriate referrals
 Under the Framework
 Will help move Framework forward with additional larger
advantages to service delivery
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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
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Advertising Plan
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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
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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
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ADRC Branding & Strengthening (Aging)
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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)
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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
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Home & Comm. Ombudsman Program (Aging)
HB 1191 allowed for coverage of waiver participants subject to
funding
 BIP funding will provide this, quality improvement
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Central Toll-Free Hotline (Aging)
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HSP Reintegration Expansion to Cover Persons 60 & Over (DRS)
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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)
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See Overarching
Covered under DD, participation of DRS anticipated
Expanded DMH MFP Coverage (DMH)
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Covered under MH
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Employment First
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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
 Capacity
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Expansion
Expand DD waiver capacity to an additional 500
individuals on the waiting list in the community
Tied to Ligas consent decree
 Expansion
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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
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* 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
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PAS/RR System Interface with UAT
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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
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 Peer
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A place where persons transitioned back to the
community can engage peers who have done so
successfully, offer support & hope
 Dual
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Support in Drop-in Centers
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
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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
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Bi-directional Integrated health Care for
Complex Needs
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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

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