Aging and Disability Resource Center Initiative: Integrating Access to Long-Term Care

The summary for the Aging and Disability Resource Center Initiative: Integrating Access to Long-Term Care grant is detailed below. This summary states who is eligible for the grant, how much grant money will be awarded, current and past deadlines, Catalog of Federal Domestic Assistance (CFDA) numbers, and a sampling of similar government grants. Verify the accuracy of the data FederalGrants.com provides by visiting the webpage noted in the Link to Full Announcement section or by contacting the appropriate person listed as the Grant Announcement Contact. If any section is incomplete, please visit the website for the Administration on Aging, which is the U.S. government agency offering this grant.
Aging and Disability Resource Center Initiative: Integrating Access to Long-Term Care: In FY 2003, the Administration on Aging (AoA) and the Centers for Medicare & Medicaid Services (CMS) formed a historic partnership to launch the Aging and Disability Resource Center (ADRC) demonstration grant initiative. The goal of the ADRC program is to empower individuals to make informed choices and to streamline access to long-term support services. AoA and CMS share a vision to have Resource Centers in every community serving as highly visible and trusted places where people of all ages can turn for information on the full range of long-term support options and a single point of entry to public long-term support programs and benefits. ADRCs are a resource for both public and private-pay individuals. They serve older adults, younger individuals with disabilities, family caregivers, as well as persons planning for future long-term support needs. ADRCs are also a resource for health and long-term support professionals and others who provide services to older adults and to people with disabilities. Since FY 2003, 43 states have received three year grants from AoA and CMS to design and implement ADRC demonstrations serving the elderly and at least one other target population of adults with disabilities in at least one community. An ADRC Program Announcement published in FY 2003 resulted in the funding of twelve states that year with an additional twelve states funded to develop ADRC programs in FY 2004. Nineteen additional states were funded to develop ADRC programs based on a Program Announcement published in FY 2005. To view the Program Announcements published in FY 2003 and FY 2005 please visit www.aoa.gov. For more information on the 43 funded ADRC projects please visit www.adrc-tae.org. AoA and CMS believe streamlined access to long-term support options, as embodied in the ADRC model, is a critical component of states' efforts to reform long-term care systems, such that a reliance on institutional care is shifted to focus on support in home- and community-based settings. AoA and CMS further recognize effective and enduring systems change may take many years to accomplish. This Program Announcement is designed to provide continued support to states funded to develop ADRC programs in FY 2004 to assist these states in creating enduring systems change through the establishment of "one-stop" access to long-term supports and services. Overview AoA, in continued partnership with CMS, will award competitive grants to assist states funded to develop ADRCs in FY 2004 to significantly expand their existing Resource Center programs. Building on current efforts, state Resource Center programs funded under this Program Announcement will be: 1) expanded to provide services to additional communities, and/or; 2) positioned to assume the role as the only entry point to publicly funded long-term support systems, and/or; 3) enhanced to support state's long-term care rebalancing efforts. AoA and CMS recognize that additional funding opportunities are available to assist states in their efforts to streamline access to long-term care for older Americans and individuals with disabilities. Applying for and securing funding from multiple sources is encouraged. Applicants applying for funding under this Program Announcement must detail in their proposal all current funding resources directly supporting their ADRC and all grant applications pending/planned for FY 2007 that include activities to streamline access to long-term supports. In addition, the applicant must describe how the various resources will support and build upon, rather than duplicate, ADRC activities to enhance the state's efforts to streamline access to long-term care. Applicants for this funding opportunity must continue to develop their ADRC projects within the framework established under the FY 2003 and FY 2005 ADRC Program Announcements. Key ADRC elements that must be supported include: -- Awareness and Information - public education; information on long-term support options. -- Assistance ???????????????????????? long-term support options counseling; benefits counseling; employment options counseling; referral to other programs and benefits; crisis intervention; helping people to plan for their future long-term support needs. -- Access - eligibility screening; assistance in gaining access to private-pay long-term support service; comprehensive assessment; programmatic eligibility determination; Medicaid financial eligibility determination that is integrated or closely coordinated with the Resource Center services; one-stop access to all public programs for community and institutional long-term support services. -- Resource Center grantees must serve the elderly and at least one target population of people with disabilities (e.g. physical; developmental/mental retardation; mental illness). ADRC projects should move towards the goal of serving persons with disabilities of all ages and types. -- Resource Center work plans should include a plan for streamlining access to long-term care signed by the State Medicaid Agency, State Unit on Aging and the State agency(s) representing target population(s) of people with disabilities. -- Resource Centers will target private-pay individuals in addition to those eligible for publicly funded services. -- Resource Centers will create formal linkages between and among the critical pathways to long-term support. -- Resource Center programs must meaningfully involve stakeholders, including consumers, in planning, implementation and evaluation activities. -- Resource Centers must establish strong partnerships with the State Health Insurance Assistance Program (SHIP) and other programs instrumental to ADRC activities. Examples of other programs include Alzheimer's disease programs, Area Agencies on Aging, Centers for Independent Living, Developmental Disabilities Councils, Information and Referral/2-1-1 programs, Long-Term Care Ombudsman programs, housing agencies, transportation authorities, State Mental Health Planning Councils, One-Stop Employment Centers and other community-based organizations. -- The ADRC program will have a management information system that supports the functions of the program including tracking client intake, needs assessment, care plans, utilization and costs. -- Resource Center grantees must establish measurable performance objectives including objectives related to visibility of Resource Centers, consumer trust in Resource Centers, ease of access to services, responsiveness to consumer needs, efficiency of operations and effectiveness of the Resource Center program. Applications for this funding opportunity must describe the accomplishments of the state ADRC project to date and how the ADRC will be advanced through one or more of the following ways: 1) expansion of the ADRC to additional communities; 2) positioning the ADRC as the only point of entry to publicly funded long-term care; 3) enhanced to support state's long-term care rebalancing efforts. Description of Accomplishments to Date Proposals for funding must include an explanation of how the state met the requirements of their original ADRC grant to streamline access to long-term supports, including the provision of Awareness and Information, Assistance, and Access services. Please address, in particular, how the existing ADRC project meets the requirements of the Access function as described in the FY 2003 Program Announcement: -- One-Stop Access to all publicly funded programs for community and institutional long-term support services administered by the state under Medicaid including home health, personal care, targeted case management, home and community-based waivers under section 1915 (c) of the Social Security Act, nursing facility services, and Intermediate Care Facilities for the Mentally Retarded (ICFs-MR), and those portions of Older Americans Act programs that the state has determined will be devoted to long-term support services, and any other publicly funded services which the state determines should be accessed through the Resource Center. -- Programmatic Eligibility Determination (level of care determination) for publicly funded long-term support services. -- Medicaid Financial Eligibility Determination that is either integrated or so closely coordinated with the Resource Center that each individual applicant experiences a seamless interaction. Successful applications for funding will also describe the substantial involvement of the state Medicaid agency and their role in the development and implementation of the ADRC. A copy of a Memorandum of Understanding between the state ADRC grantee and the Medicaid agency should be included as an attachment to the application. In addition, the proposal should include a description of the state's intentions to develop ADRCs statewide as evidenced by State legislation, budget requests that include plans to take ADRCs statewide, documented gubernatorial support or other substantial indications. Program Expansion to Additional Communities The AoA and CMS vision is to have Aging and Disability Resource Centers in every community across the country serving as highly visible and trusted places where people with disabilities of all ages can turn for information on the full range of long-term support options and to access single point of entry to public long-term support programs and benefits. To assist states in their efforts to achieve this vision, applicants may apply through this funding opportunity to make ADRC services available to consumers in additional communities. State ADRC expansion may be achieved in several ways. For example, an existing ADRC pilot site service area may be expanded to cover a larger geographic region or to provide statewide coverage. An ADRC pilot model tested in one part of the state may be replicated in other areas of the state. Resource Centers may be established in other parts of the state based on a model that is being demonstrated in another state. A state may also choose to demonstrate a new ADRC model to meet the specific needs of a particular region of the state. However a state chooses to expand the availability of ADRC services, AoA and CMS strongly encourage all applicants to continue their efforts towards eventual statewide availability of the ADRC. ADRC as the Only Entry Point to Publicly Funded Long-Term Care One goal of the ADRC initiative is to ensure that the consumer's experience of the long-term care system and eligibility process is as seamless as possible. Systems that require all individuals to pass through a single "gateway" to access all publicly funded long-term supports, including both institutional and home-and community-based care, ensure that all consumers have access to the full range of long-term support options. Under this announcement, applicants have the opportunity to advance their ADRC as the only point of entry to publicly funded long-term care. A number of activities may be undertaken to position the ADRC as the only point of entry. In addition to other activities, applicants may: Develop a single application for all publicly funded long-term supportive services for use by the ADRC. -- Supplement evaluation activities to document the specific benefits of using the ADRC as the single point of entry for supportive services. Documented savings to Medicaid or other public funding may serve to encourage additional support from state, federal, and other resources. -- Enhance the ability of management information systems to be used across agencies to avoid duplication of information and permit ADRCs to gather information and pass it onto other entities involved in approving applications for publicly funded programs. Such systems may also be used to allow other entities to gather information and share it electronically with the ADRC. -- In partnership with the Single State Medicaid Agency, fund activities that explore the feasibility of, or prepare for the implementation of the ADRC as the only point of entry to publicly funded long-term care. -- Applicants may propose to use grant funding to expand the target populations of people with disabilities served by the ADRC, working towards the goal of one day serving people with disabilities of all types and ages. In addition, project activities designed to foster integration or increased coordination between the aging and disability networks in an effort to position the ADRC as the only point of entry to long-term care may be included in proposals.
Federal Grant Title: Aging and Disability Resource Center Initiative: Integrating Access to Long-Term Care
Federal Agency Name: Administration on Aging
Grant Categories: Income Security and Social Services
Type of Opportunity: Discretionary
Funding Opportunity Number: HHS-2007-AOA-DR-0707
Type of Funding: Cooperative Agreement
CFDA Numbers: 93.048
CFDA Descriptions: Special Programs for the Aging_Title IV_and Title II_Discretionary Projects
Current Application Deadline: No deadline provided
Original Application Deadline: Jun 29, 2007 See link to full announcement for de
Posted Date: May 14, 2007
Creation Date: May 21, 2007
Archive Date: Jul 29, 2007
Total Program Funding: $2,400,000
Maximum Federal Grant Award: $200,000
Minimum Federal Grant Award: $0
Expected Number of Awards: 12
Cost Sharing or Matching: Yes
Applicants Eligible for this Grant
State governments
Link to Full Grant Announcement
Information not provided
Grant Announcement Contact
Joseph Lugo
[email protected]
[email protected] Joseph Lugo
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