Virginias System Transformation Grant Opportunity

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Virginias System Transformation Grant
Opportunity
Karen Lawson Department of Medical Assistance
Services
May 16, 2006 Richmond, Virginia
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Presentation Outline
?

• Real Choice Systems Change Grants

• System Transformation Grant

• Selected Goals and Objectives
• Stakeholder Involvement

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Real Choice Systems Change Grants for Community
Living

• Offered by Congress since 2001 as a mechanism to
  assist States with building infrastructure that
  will result in effective and enduring
  improvements in long-term support systems.
• Long-term support systems enable people with
  disabilities or long term illness to
• Live in the most integrated community setting
  appropriate to their individual support
  requirements and preferences
• Exercise meaningful choices about their living
  environment, the providers of services they
  receive, the types of supports they use, and the
  manner by which they are provided and
• Obtain quality services in a manner as consistent
  as possible with their community living
  preferences and priorities.

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Real Choice Systems Change Grants for Community
Living (Continued)

• Since 2001, the Centers for Medicare and Medicaid
  Services (CMS) has awarded over 297 grants to all
  50 states, DC, and two territories totaling 238
  million
• Virginia has received six grants since 2001 to
  support Systems Change
• Real Choice Systems Change (2001) - DMAS
• C-PASS (2002) Partnership for People with
  Disabilities
• Rebalancing Initiative (2004) Partnership for
  People with Disabilities
• Transforming Virginias Mental Health Services
  System (2004) - DMHMRSAS
• Aging and Disability Resource Center (2005) VDA
• Family to Family Health Care Information and
  Education Center (2005)

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Real Choice Systems Change Grants for Community
Living (Continued)

• CMS intends to award grants for Fiscal Year 2006
  in the following grant programs
• Aging and Disability Resource Center (ADRC)
  Grants
• Systems Transformation Grants
• Virginia is not eligible to apply for the ADRC
  Grant because we received the ADRC Grant last
  year

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Presentation Outline

• Real Choice Systems Change Grants

?

• Systems Transformation Grant Opportunity

• Selected Goals and Objectives

• Stakeholder Involvement

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Systems Transformation Grant Opportunity Continued

• Intent Provide States with a greater level of
  support to begin or further current initiatives
  that target key elements of systems
  infrastructure
• Funding States may request up to 3.0 million
  to support development and implementation of a
  Systems Transformation Grant for a five (5)-year
  period
• Grant Goals States are required to address at
  least three (3) of the six (6) transformation
  goals CMS has designated as critical to systems
  transformation

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Systems Transformation Grant Opportunity Continued

• Transformation Goals
• Improved Access to Long-Term Support Services
  Development of a One-Stop System
• Increased Choice and Control Development/Enhance
  ment of Self-Directed Service Delivery System
• Comprehensive Quality Management System
• Transformation of Information Technology to
  Support Systems Change
• Creation of a System that More Effectively
  Manages the Funding for Long-Term Supports that
  Promote Community Living Options
• Long-Term Supports Coordinated with Affordable
  and Accessible Housing

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Systems Transformation Grant Grant Phases

• Grant Phases
• Application Need to conduct a Systems
  Readiness Assessment that describes the
  applicants progress toward the goals of the
  systems transformation
• Planning Phase States use the first 9 months of
  the grant to develop a vision and a strategic
  plan for the components of their long-term
  support system need to present to CMS
• Implementation Phase Once strategic plan is
  approved by CMS, grantees will have the remainder
  of the grant to implement grant goals

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Grant Technical Assistance and Evaluation

• CMS will provide funding to grantees to obtain
  technical assistance from a contractor of their
  choice to support the grantee with critical tasks
• Development of a strategic planning template
• Measurement of outcome indicators
• Consultation as needed to accomplish goals
• Total cost of TA contract cannot exceed 20 of
  proposed budget
• Applicants are also required to develop and
  implement a systems and impact-based evaluation
• Funding for the evaluation cannot exceed 15 of
  the total grant award

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Systems Transformation Grant Opportunity

• HHS plans to award this grant in 2006 to 6-7
  states.
• Letter of intent was due May 11, 2006
• Application is due June 15, 2006
• Awards will be given to grantees by September 30,
  2006
• The Office of Community Integration, DMAS,
  DMHMRSAS and other key stakeholders are
  collaboratively developing and applying for this
  grant

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Presentation Outline

• Real Choice Systems Change Grants

• Systems Transformation Grant Opportunity

?

• Selected Goals and Objectives

• Stakeholder Involvement

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Selected Goals and Objectives Goal One

• Improved Access to Long-Term Support Services
  Development of One-Stop System
• Objectives for the Goal
• Objective 1 Provide Awareness, Information, and
  Assistance
• Objective 2 Streamline the Multiple Eligibility
  Processes
• Objective 3 Target Individuals Who Are at
  Imminent Risk for Admission to an Institution

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Selected Goals and Objectives Goal Two

• Increased Choice Control Development/Enhancemen
  t of a Self-Directed System
• Objectives for the Goal
• Objective 1 Develop or Enhance Person Centered
  Planning
• Objective 2 Develop or Enhance Individual
  Budgeting
• Objective 3 Ensure Self-Directed Supports

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Selected Goals and Objectives Goal Three

• Transformation of Information Technology to
  Support Systems Change
• Objectives for the Goal
• Objective 1 Design Information Technology (IT)
  applications that will support program practices
  and processes that are individual-centered and
  enable persons to direct their own services
• Objective 2 Improve client access to service
  through use of integrated IT systems
• Objective 3 Use integrated systems to monitor
  the quality of services rendered

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Presentation Outline

• Real Choice Systems Change Grants

• Systems Transformation Grant Opportunity

• Selected Goals and Objectives

?

• Stakeholder Involvement

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Stakeholder Involvement

• CMS requires states to demonstrate a meaningful
  inclusion of key stakeholders, including
  consumers and advocacy groups, in both the
  Planning and Implementation phases of the grant
• The Office of Community Integration, DMAS,
  DMHMRSAS, and other key stakeholders, with the
  support of Secretary Tavenner, are actively
  soliciting the involvement of stakeholders
• To develop consensus on the goals and objectives
  selected for the grant
• To assist in the development and review of the
  grant application
• To demonstrate their support for grant activities
  by submitting letters of support and commitment
  to action if the grant is received

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Stakeholder InvolvementCurrent Stakeholder
Groups

• Legislators
• Advocacy Organizations
• Centers for Independent Living
• The Arc of Virginia
• Partnership
• Office of the Inspector General
• VOPA
• Provider Organizations
• VAHC
• VNPP
• VaPCP
• VACCES

• People with Disabilities or Long-term Illnesses
• Family Members of People with Disabilities or
  Long-term Illnesses
• Olmstead Board
• Virginia Association of Community Services Boards
• Area Agencies on Aging
• State Agencies

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Applicant Contacts

• The Office Of Community Integration
• Julie Stanley
• [phone]
• Julie.Stanley_at_governor.virginia.gov
• DMAS
• Karen Lawson
• [phone]
• Karen.lawson_at_dmas.virginia.gov
• DMHMRSAS
• Cheri Stierer
• [phone]
• Cheri.stierer_at_co.dmhmrsas.virginia.gov