www.marylandaccesspoint.info 2 Navigating a Complex System 3 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 5 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. 6 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” 7 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 teja.rau@maryland.gov