Real
Choice Systems Change
DISTRICT OF COLUMBIA
Grant
Information
Name of Grantee
Department
of Health, Medical Assistance Administration
Title of Grant
DC
Coordinating Community Care Options for Individuals who are Disabled or Aging
(DC C3ODA)
Type of Grant
Real
Choice Systems Change
Amount of Grant
$1,385,000
Year Original Funding
Received
2002
Expected Completion Date
September
2006
Contact
Information
Robert Cosby, Project Director
Office on Disabilities and Aging
825 North Capitol Street NE
Suite 5135
Washington, DC 20002
202-442-5972
robert.cosby@dc.gov
Subcontractor(s)
To be determined by the RFP process.
Target
Population(s)
Elderly and adults with physical
disabilities, ages 18 to 64 years.
Goals
- Create the
infrastructure to build a cost-effective home and community based services
(HCBS) system.
- Create mechanisms to
ensure full community participation in the project and to coordinate
policy decision-making across district government agencies.
- Improve the flow of HCBS
information to consumers and streamline the eligibility determination
process.
- Build an accessible
continuum of services.
- Construct the
infrastructure necessary to ensure appropriate use of services.
- Provide a single point
of entry for HCBS through development and implementation of a Resource Center that will provide options
counseling, eligibility determination, and channel individuals to the most
effective and medically appropriate setting.
Activities
- Develop a Real Choice
Systems Change Advisory Committee that is composed of consumers,
providers, and various representatives of District government agencies.
- Develop and implement a
resource center or single point of entry for home and community based
services that provides long-term care options counseling,
self-determination, Medicaid and other publicly funded eligibility,
channeling of individuals to the most effective and medically appropriate
setting, and effective management of cost of services.
- Expand services to
include assisted living, targeted case management for particular
populations, an independent provider/consumer-directed form of attendant
care services, and expanded coverage of assistive technology.
- Increase the number of
new waiver providers and continue a current rate-setting analysis.
- Develop a long-term care
information systems software package to improve the quality of care and to
ensure proper levels of service utilization.
Abstract
The DC C3ODA project will address strategies for
responding to the desires of the elderly and individuals with physical
disabilities to live in and receive services in appropriate home and
community-based settings. The project will focus on the development of the
infrastructure to build a cost-effective HCBS system and address issues related
to establishment of an Advisory Committee to ensure community and government
participation in the decision-making process, information dissemination to
consumers, streamlining the eligibility determination process, access to
services and other publicly funded programs, and building capacity for access,
adequacy, availability, appropriateness, and quality of services along the
continuum of care.
The DC C3ODA program will develop a Resource Center that will serve as a single point
of entry for accessing the long-term care system and provide consumers with the
tools and supports to manage their care. The system will maximize the ability
of HCBS to target individuals at high risk for institutionalization, empower
individuals to make informed choices about their long-term care options, and
channel those in need of long-term care services to the most effective and
medically appropriate settings of their choice. The project will also establish
a care coordination system that incorporates financial incentives for providers
in order to increase flexibility, improve quality of life and care, and control
costs.
Significant and sustainable outcomes will include a system
that fosters greater consumer control and choice, service provision that will
enable the elderly and individuals with physical disabilities to be integrated
into the social mainstream, and methods to allow individuals to be
appropriately served in the settings of their choice and to have control over
the delivery of those services.