6420 - Center for State Health Policy, Rutgers University

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Service Delivery Structure Resource Center (RC) • Outreach • Information and Assistance • Family Care Functional Eligibility Determination • LTC Options and Benefit Counseling • Pre-admission Consultation Independent Enrollment Consultant (EC) • Review Options • Report Choice on CMO and RC Economic Support Unit (ESU) • Financial Eligibility and Recertification • Records of Level of Care and Enrollment Case Management Organization (CMO) • Care Management • Individualized Service Plans (ISP) • Arrange for Direct Services • Reassessments for Some Counties • Provider Networks/Payment • Facilitate Consumer Directed Option • Claims processing and record keeping • Quality Assurance/Improvement • Compliant and Grievance Resolution 38
Origins of Resource Centers • Three are from county Departments on Aging. • One is from the county Public Health Department and the Department on Aging. • Four is from county Social Service or Human Service agencies. • One is split between the Aging Program and the Developmental Disabilities Program, both in the county Human Services Department. 39
Page 1 and 2: Aging and Disability Resource Cente
Page 3 and 4: Key Building Blocks PERSON Philosop
Page 5 and 6: What is the ADRC Initiative? • An
Page 7 and 8: Why a Single Point of Entry? • Lo
Page 9 and 10: Potential Functions of a Single Ent
Page 11 and 12: Goals & Functions of an ADRC Awaren
Page 13 and 14: • 12 grantees: 2004 ADRC Grantees
Page 15 and 16: Activities of Pilot Sites • Infor
Page 17 and 18: Early Results • 43 grantees: - 12
Page 19 and 20: Example: NJ Aging & Disability Reso
Page 21 and 22: ADRC Target Populations • Year 1:
Page 23 and 24: Community Choice Counseling • One
Page 25 and 26: NJ ADRC Organizational Components
Page 27 and 28: Warren County Pilot Site: The Focus
Page 29 and 30: ADRC Highlights/Activities • Defi
Page 31 and 32: Example: Wisconsin’s Aging and Di
Page 33 and 34: WI ADRC Goals/Activities • Statew
Page 35 and 36: Wisconsin Pilot Sites • 5 Resourc
Page 37: Family Care Organizational • Reso
Page 41 and 42: Lessons Learned • Communication a
Page 43 and 44: Lessons Learned • It takes at lea
Page 45 and 46: Split SEP System in Washington •
Page 47 and 48: WA ADRC Goals/Activities • Use so
Page 49 and 50: Overview of ADRC Challenges • Lea
Page 51 and 52: System Design • Vision and Missio
Page 53 and 54: Personnel & Staffing • Budget cha
Page 55 and 56: Funding and Sustainability • Busi

6420 - Center for State Health Policy, Rutgers University

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