Caroline Ryan, Administration for Community Living Daniel Schoeps, Veterans Health Administration 1
Agenda ► Provide an overview of the VD-HCBS Program ► Discuss the role of VD-HCBS with growing access to HCBS and serving Veterans ► Examine the impact of the Veterans Choice Program on growing VD-HCBS at existing and new VD-HCBS Programs ► Discuss the VD-HCBS evaluation 2 5/10/2017
The Veteran Directed Home and Community Based Services Program (VD-HCBS) The VD-HCBS program serves Veterans of any age who are at risk of admission to an institution as well as their family caregivers. • Veterans receive a flexible service budget they use to hire family, friends, and neighbors to provide long term services and supports (LTSS). • Veterans also receive facilitation services from a Person Centered Counselor (Options Counselor) and financial management support from a Financial Management Services (FMS) organization. • Veterans determine how to use their VD-HCBS budget and hire, schedule, direct, and fire their employees. 3 5/10/2017
VD-HCBS Product Components • Veteran’s Budget Goods ► Spending Plan Veteran’s ► Emergency-Backup and Emergency/Back Monthly -up and Planned Services Planned Savings Fund Budget/Spending Savings Plan • Administration Person ► One-time: Centered Counseling Facilitate Veteran- centered Assessment Financial Monthly ► Recurring: VD-HCBS Management Admin Provider Services Administrative Services (FMS) Person Centered Counseling Fiscal Management Service Program Administration One Time Initial Assessment (full/partial) 4 5/10/2017
VD-HCBS Framework VA Medical Centers (VAMCs) purchase the VD-HCBS • program from Aging and Disability Network Agency (ADNA) Providers, including : Area Agencies on Aging Aging and Disability Resource Center/No Wrong Door Systems Centers for Independent Living State Units on Aging • Before offering VD-HCBS, ADNAs complete a VA Readiness Review (RR), conducted by VA Central Office Ensures ADNAs have demonstrated the skills and competencies to deliver VD-HCBS to Veterans 5 5/10/2017
VD-HCBS Benefits • Veterans and Caregivers ► Higher levels of satisfaction with services ► Flexibility to customize services to meet individualized needs ► Reduction in Caregiver stress/burnout • VAMCs ► New community partner to increase access to non-VA services ► VD-HCBS is covered under the Veterans Choice Program (VCP) ► Cost-savings can be achieved through VD-HCBS enrollment 6 5/10/2017
VD-HCBS Consumer Experience www.youtube.com/watch?v=GNtQEGUBIEY 7 5/10/2017
VD-HCBS Program Status 8 5/10/2017
Veteran Census in VD-HCBS Veteran Census 2,000 1,800 1,600 1,400 1,200 1,000 800 600 400 200 0 Veteran Census 9 5/10/2017
VA Choice Provider Agreements • 125 VD-HCBS Providers (AAAs, ADRCs, CILs, SUAs) are currently eligible to enter into VA Choice Provider Agreements for VD-HCBS • 92 VD-HCBS Providers have signed VA Choice Provider Agreements 10 5/10/2017
VD-HCBS Evaluation 5 year evaluation • Phased rollout of VD-HCBS to all remaining VA Medical Centers • VA team evaluating: • ► Implementation strategies ► Impact of VD-HCBS on Veterans’ health care use and costs ► Impact of VD-HCBS on Veterans’ satisfaction, unmet needs, quality of life and independence ► Impact on Caregivers’ well-being 11 5/10/2017
Thank You We would like to take a moment to thank the Financial Management Services Organizations who are currently working with ADNA Providers to deliver VD-HCBS 12 5/10/2017
Questions? If you would like to learn more about VD-HCBS: • ► www.va.gov/GERIATRICS/Guide/LongTermCare/Veteran- Directed_Care.asp ► https://nwd.acl.gov/vd-hcbs.html ► https://acl.gov/Programs/CIP/OCASD/VDHCBS/index.aspx • For questions or if you’re interested in VD-HCBS, please email: ► veterandirected@acl.hhs.gov 13 5/10/2017
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