Project 2020: Fulfilling the Promise of the Older Americans Act

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Project 2020 Fulfilling the Promise of the
Older Americans Act
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Background

• Winter meetings of NASUA and n4a
• Boards have met dozens of times to hammer out
  agreements
• Reauthorization of Older Americans Act language
• Seeking appropriations to match the authorizing
  language
• Using the past five years tested and proven best
  practices

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NASUA/n4a Principles

• First, do no harm.
• Build on current aging services network, not
  replace it.
• Encourage individuals ability to live
  independently.
• Continue to serve the unique needs of rural,
  poor, minority, and disabled and aging
  populations.
• Support consumer directed initiatives.
• Services should not be greater than the Medicaid
  waiver program.
• Encourage the increased use of technology to
  support efforts.
• Recognize that individuals, AAAs, SUAs,
  providers, and the federal government all have to
  contribute to make the program successful.

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Medicaid Nursing Facility Spending
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Need for Action
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Percent of Individuals with Limitations in
Activities of Daily Living by Age Group
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The Aging Services Network

• Who We Serve?
• 27 of consumers are poor
• 33 of consumers live in rural areas
• 20 of consumers are minority
• 52 of older persons report having a disability
• Who Are We?
• 56 State Units on Aging
• 655 Area Agencies on Aging
• Thousands of Service Providers

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Components of the Proposal

• Person-Centered Access to Information
• Evidence-Based Health Promotion and Disease
  Prevention
• Enhanced Nursing Home Diversion Services

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Components of the Proposal
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Number of Recipients
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Federal Savings
Change heading to Federal Net Change
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Person-Centered Single-Entry Point Systems
Over 10 years
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Evidence-Based Health Promotion and Disease
Prevention
Over 10 years
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Enhanced Access to Home and Community Based
Services
Over 10 years
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Other Components

• Technology Grants (examples of some uses)
• To build web portals for ADRCs
• To develop on-line training programs for disease
  management
• To build health information exchanges for
  community centers
• Technical Assistance
• State and community level-specific, tailored
  technical assistance
• Evaluation

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How would it work?

• Competitive Grant program
• Nursing Home Diversion Component rolled out in
  three phases
• Maximizes state flexibility in design of their
  program to best suit needs of their state
• States match
• 25 percent of ADRC program
• 15 percent of evidence-based program
• Difference between FMAP plus 5 for Nursing Home
  Diversion program

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Whats Next?
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For additional information

• Martha Roherty, Executive Director
• NASUA
• 1201 15th Street, NW
• Suite 350
• Washington, DC 20005
• 202-898-2578
• mroherty_at_nasua.org

• Sandy Markwood, CEO
• n4a
• 1730 Rhode Island Avenue, NW
• Suite 1200
• Washington, DC 20036
• 202-872-0888
• smarkwood_at_n4a.org