Indiana

1
Indianas Aging and Disability Resource Centers
2
Pre-ADRC Indiana

• Area Agencies on Aging are the single point of
  entry for Home and Community Based Services.

3
Indiana in 2004
Area 2 Agency on Aging REAL Services, Inc South
Bend, IN
Area 13 Agency on Aging Generations Vincennes, IN
4
Successes
Databases

• Statewide AAA database for determining functional
  eligibility
• Statewide AAA database for resources and intake
  which bridges to functional database

5
Advisory Board

• Advisory Board membership representing AARP,
  2-1-1, SHIIP, Professor of Gerontology from
  Indiana University, IN Association of Home Care
  and Hospice, Indiana Home Care Task Force,
  Indiana Association of Homes and Services for the
  Aging, Alzheimers Association of Greater
  Indiana, Indiana Commission on Aging, Office of
  Medicaid Policy and Planning.

Because of the involvement of interested
stakeholders, such as the Director of Indiana
2-1-1 and SHIIP, MOUs were quickly signed at the
outset.
6
Website

• Link-Age.org website averaging more than 600 hits
  a month with most during off-office hours.

7
Uniformity and Consistency

• Standard Operating Procedures developed to give
  consistency and uniformity to all ADRCs in
  Indiana.
• Core Competency trainings were provided to
  everyone answering the phones in the ADRC
  Medicare, Medicaid, Legal Services, Housing
  Issues, etc.

Area 2
Area 13
8
Options Counseling

• Options Counseling turned the Pre-Admission
  Screening process into an opportunity to educate
  and inform consumers on long-term care options.
  In the past it seemed that individuals made the
  nursing home decision because they were not aware
  of other choices.

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Options Counseling Continued

• To help individuals access assistance within
  their homes, here are some examples of the
  options that Options Counselors might discuss
• Individuals with Resources
• 1. Private Pay Services
• Individuals without Resources
• 1. Home Equity Conversion Mortgage (HECM)
• 2. Life Insurance Policies

10
Options Counseling Continued

• From Case ManagerstoOptions Counselors

172 individuals diverted from Nursing Facility
to Home/Community Setting
11
Marketing Link-Age

• Challenge Changing the public impression of who
  we are, reaching out to the private pay market.
• Response St. Marys Project

12
Indiana in 2006
Area 2 Agency on Aging REAL Services, Inc South
Bend, IN
Area 6 Agency on Aging LifeStream Services,
Inc. Yorktown, IN
Area 13 Agency on Aging Generations Vincennes, IN
Area 11 Agency on Aging Aging Community
Services Of South Central Indiana, IN Columbus, IN
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Indianas Aging and Disability Resource Center
Initial Call or Contact
Information Only (IRis database)
Options Counseling 1) Identify Needs/Assess the
Situation, 2) Identify Options, 3) Develop a Plan
Services with Contracted Public
Services w/o Contracted Public (including
private pay)
Provide assistance with system navigation to
appropriate resource make a private case
management referral, if applicable.
Medicaid Screening Tool
Intake/Assessment
Navigation Assistance Medicaid Application
Assistance
Home Community Based Services (Non-Medicaid)
Medicaid Waivers
Place on Waiting List
Place on Waiting List
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Contact Information

• Jane Lorton
• Elder Resource Director
• Aging Disability Resource Center
• jlorton_at_realservicesinc.com
• REAL Services, Inc.
• 1151 S. Michigan Street
• South Bend, IN 46601
• 574-251-2592
• 800-986-3505