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3 Design Options 1. Single location in a community - one or multiple organizations housed together –IN - AAAs serve older adults and people with physical disabilities (statute) –NJ - AAAs (county choice) –WI - county agencies but different
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Resource Center Design OptionsResource Center Design Options
SusanSusan C. Reinhard, R.N., Ph.D. C. Reinhard, R.N., Ph.D.CoCo-Director-Director
Rutgers Rutgers CenterCenter for State Health Policy for State Health Policy
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Resource Center Design OptionsResource Center Design Options
Design Options– operational configuration may vary
Services Resource Centers Must Provide
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Design OptionsDesign Options
1. Single location in a community - one or multiple organizations housed together– IN - AAAs serve older adults and people
with physical disabilities (statute)– NJ - AAAs (county choice)– WI - county agencies but different
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Design OptionsDesign Options
2. Multiple locations in a community - one organization managing multiple sites for all the same populations– OR - 4 offices in Portland metro area– Regional “management entity” with
contracts with more local entities
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Design OptionsDesign Options3. Different organizations managing
separate sites with coordinated services– “no wrong door” technology intensive
approach– Texas - “System navigators”– but must assure uniform information,
assistance and access
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Design OptionsDesign Options
4. Multiple locations in a community- one organization managing multiple sites focused on distinct populations– WA State agency operates separate SEPs
at the local level
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Design OptionsDesign Options
5. Different organizations managing separate sites focused on distinct populations with coordinated services – MN - AAAs, CILs, County Departments
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Resource Centers Must ProvideResource Centers Must Provide
Whatever design is chosen, the Resource Centers must provide:
Public Education and Outreach– ensuring all potential users of long term
support (and their families) are aware of both public and private long term support options, as well as awareness of the existence of Resource Center services
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Resource Centers Must ProvideResource Centers Must Provide
Information on Long-term Support Options
(Options Counseling)– Providing comprehensive, objective, up-to-
date, citizen-friendly information covering the full range of available immediate and long-range options
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Resource Centers Must ProvideResource Centers Must Provide
Long-term Support Options Counseling
– Helping individuals understand available community support options, assess their needs and resources and assisting them in developing and implementing their long-term support choices
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Resource Centers Must ProvideResource Centers Must Provide
Benefits Counseling
– Helping people learn about and, if desired, apply for public and private benefits including private insurance (such as Medigap), SSI, Food Stamps, Medicare, Medicaid and private pension benefits
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Resource Centers Must ProvideResource Centers Must Provide
Employment Options Counseling
– Helping people understand their options for employment and the impact on other benefit programs; coordinating with other state and local employment counseling entities is expected
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Resource Centers Must ProvideResource Centers Must Provide
Counseling and Referral to help People Remain in the Community
– Providing comprehensive and accurate information on services and programs that help people remain at home and in the community such as direct services, generic community resources and public or private insurance
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Resource Centers Must ProvideResource Centers Must Provide
Crisis Intervention
– Responding to situations of immediate jeopardy to the health or welfare of an individual in a timely manner with appropriate means
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Resource Centers Must ProvideResource Centers Must Provide
Planning for Future Needs
Health Promotion
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Resource Centers Must ProvideResource Centers Must Provide
Eligibility Screening
– Helping all individuals who may be eligible for publicly funded programs with a non-binding inquiry into their income and assets to determine probable eligibility for programs, services and benefits, including Medicaid
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Resource Centers Must ProvideResource Centers Must Provide
Private Pay Services
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Resource Centers Must ProvideResource Centers Must Provide
Comprehensive Assessment
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Resource Centers Must ProvideResource Centers Must ProvideProgrammatic (Functional) Eligibility
Determination– Determining non-financial eligibility to
publicly supported benefits or services; may require a functional assessment of an individual’s health and environment, including a “level of care” assessment for Medicaid services
– At least 16 States determine functional for older adults and at least one other population
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Resource Centers Must ProvideResource Centers Must Provide
Medicaid Financial Eligibility– Ensuring that an individual can receive a
determination of Medicaid financial eligibility through integrated or coordinated access with that resource; must be seamless to the applicant
– AZ, CT, GA, MI, MN,OR, SD,WA determine financial and functional eligibility for older adults and at least one other population
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Resource Centers Must ProvideResource Centers Must Provide
One-Stop Access to Public Programs
– Ensuring that individuals have the information they need about available immediate and long-term public and private supports so they can make informed decisions and understand the Center is the comprehensive point of entry for publicly supported long term services
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Contact InformationContact Information
Susan ReinhardCenter for State Health Policy (CSHP) Rutgers, The State University of NJ317 George Street, Suite 400New Brunswick, NJ 08901732-932-3105, ext. 230 (v)732-932-0069 (fax)[email protected]://www.cshp.rutgers.edu/
