Options Counseling - Maryland Elder Law

Report
www.marylandaccesspoint.info
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Navigating a Complex System
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MAP is Maryland’s
AGING & DISABILITY RESOURCE CENTER
Money Follows the
Person
Balancing Incentives
Program
• Single Entry Point (ADRC)
• Screening and referral to
AERS for standardized
assessment (interRAI)
• Nursing facility  home
• NF Options counseling
MAP
The Big Picture
Options Counseling
• Person-centered
• Two types: nursing facility-based;
community-based (MAP site)
• Coordinate and plan referrals,
services, application assistance
Other
• Coordinating with hospital
discharge
• Serving veterans
• Chronic disease selfmanagement
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Older Americans Act of 2006
Section 102(a)(4)
The term ‘Aging and Disability Resource Center’ means an
entity established by a State as part of the State system of longterm care, to provide a coordinated system for providing –
(A) comprehensive information on the full range of available
public and private long-term care programs, options, service
providers, and resources within a community, including
information on the availability of integrated long-term care;
(B) personal counseling to assist individuals in assessing their
existing or anticipated long-term care needs, and developing
and implementing a plan for long-term care designed to meet
their specific needs and circumstances; and
(C) consumers access to the range of publicly-supported long-term
care programs for which consumers may be eligible, by serving as
a convenient point of entry for such programs.
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Maryland Legislation
• Maryland Senate Bill 83 – passed in 2013
• Human Services Article, Section 10-1001(D)
• Defines ADRC and establishes it in the MDoA
• Defines “options counseling”
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Aging & Disability Resource Centers/MAP
• 20 ADRC/MAP sites statewide
• Multiple agency partners
• Single entry point for Medicaid community long
term care programs
What can a consumer expect at MAP?
• Information on all programs & services
• Options counseling
 Person-centered discussion
 Planning and decision-making support
• Referrals & application assistance
 MEDICAID COMMUNITY LTC PROGRAMS
• Limited follow up
Options Counseling Types
Nursing Facility OC
• Performed by CIL and
AAA staff
• Operational protocol
strictly outlined
• Payment per referral
• Provided only to NF
residents.
OC in the Community
• Performed MAP staff
• Funded by ACL and
DHMH
• Operational protocol
under development
• Grant-based payment,
currently
Why connect your clients to MAP?
• Learn about full range of services and programs
available to them.
• Find programs that may better suit their needs.
• Plan for long-term care.
• Connecting individuals to Medicaid community
long term care services
Accessing MAP
• Statewide Toll Free Phone Number
▫ 1-844-MAP-XXXX
• Website – www.MarylandAccessPoint.info
▫ 10,500 provider listings and adding more
▫ Changes starting Summer 2014
• In-Person
▫ 20 MAP sites statewide
Medicaid Supports Planning Services
Supports Planning = Case Management
Community Options waiver and Community
First Choice programs
Consumer choice in Supports Planning
Providers
Education, Planning, and Connection
▫ Maryland Access Point (MAP) = Options
Counseling related to long term care programs,
including Medicaid programs
▫ MAP website = consumer side of long term care
reform in Maryland
 MAP website will include a personal care
provider directory
▫ Statewide toll free number for access to long
term care information and services and planning
Diversion and Supports Planning
• MDoA diversion programs (Senior Care, Subsidized
Assisted Living Group Homes, Congregate Housing,
Nutrition/Meals) complement Medicaid’s efforts to divert
people from nursing homes and prior to their
meeting Medicaid eligibility criteria
• AAAs will provide supports planning for waiver and CFC
participants
• MAP/AAAs are realigning under MDoA leadership to
serve a broader population in the new long term care
infrastructure
Contact
Teja Rau
Maryland Department of Aging
301 W. Preston Street, Suite 1007
Baltimore, MD 21201
(410) 767-1266
[email protected]

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