Caroline Ryan, Administration for Community Living Daniel Schoeps, - - PowerPoint PPT Presentation

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Caroline Ryan, Administration for Community Living Daniel Schoeps, Veterans Health Administration

5/10/2017

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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

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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.

The Veteran Directed Home and Community Based Services Program (VD-HCBS)

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VD-HCBS Product Components

• Veteran’s Budget

►Spending Plan ►Emergency-Backup and

Planned Savings Fund

• Administration

►One-time:

 Facilitate Veteran-

centered Assessment

►Recurring:

 Person Centered Counseling  Fiscal Management Service  Program Administration Monthly Admin Services

Person Centered Counseling Financial Management Services (FMS) One Time Initial Assessment (full/partial) VD-HCBS Provider Administrative

Veteran’s Monthly Budget/Spending Plan Goods Emergency/Back

• up and Planned

Savings Services

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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

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Ensures ADNAs have demonstrated the skills and competencies to deliver VD-HCBS to Veterans

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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

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VD-HCBS Consumer Experience

www.youtube.com/watch?v=GNtQEGUBIEY

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VD-HCBS Program Status

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Veteran Census in VD-HCBS

200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000

Veteran Census

Veteran Census

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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

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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

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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

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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