ADRC ImplementationFunding Work Group

July 2, 2012

Funding Overview

• Review ADSA ADRC strategy• Current levels of Area Agency on Aging I&A

funding• Review pilot site funding• Estimates of ADRC level of need• Funding gap(s)• ADSA’s interim approach

ADSA ADRC Expansion Approach

Transform Senior Information and Assistance• Builds on existing Senior Information & Assistance• Operational infrastructure, administered by AAAs.

• Through expanded partnerships of local aging and disability networks, create an integrated statewide ADRC system

ADSA ADRC Expansion Approach

Why go this route?• Ability to leverage Senior I&A coverage and

organizational capacity.• 13 AAA is WA• AAAs also run other complimentary community

support services• Ability to leverage financial investments

ADSA ADRC Expansion Approach

Expansion Approach – some quick difference• ADRC program definition expands I&A services to

serve people of all ages with disabilities• ADRC provides a seamless point of entry to all

publicly funded long-term services and support options

• ADRC conducts a more robust standardized person-centered options counseling, individualized decision support, and assistance

• ADRCs have formal procedures for person-centered care transitions assistance for individuals

ADSA ADRC Expansion Approach

Expansion Approach – Incremental• ADRC funding is provided under current grants• Pierce County was the first; 3 additional site• Grant sunsets at the end of this September

• Beyond the existing grant funding and current federal and state investments, no identified or sustainable source

• Incremental expansion as funding and other resources allow

Current AAA Funding

AAA I & A Expenditures, 2010

Federal Funding State Funding

AAA Title 3B Title 3E 1 TXIX SCSA 2 SFCSP 1Senior Drug

EducationMIPPA Admin

MIPPA Services

MIPPA ADRC 3 Total

Olympic 96,464$ 62,490$ 41,248$ 386,435$ 81,024$ 12,535$ 543$ 6,245$ 686,985$

NW 158,548$ 33,384$ 20,158$ 356,073$ 105,832$ 12,535$ 526$ 6,890$ 693,947$

Snohomish 200,108$ 163,899$ 120,000$ 153,927$ 157,821$ 12,535$ 6,633$ 814,923$

King 594,541$ 458,347$ 189,365$ 493,214$ 479,088$ 16,463$ 1,459$ 13,335$ 2,245,812$

Pierce 70,672$ 40,394$ 65,701$ 221,325$ 105,539$ 17,560$ 233$ 2,680$ 22,078$ 546,183$

LMT 89,558$ 71,271$ 213,500$ 95,952$ 12,535$ 586$ 6,745$ 490,148$

SW 44,895$ 90,189$ 320,500$ 71,246$ 9,739$ 582$ 5,369$ 542,521$

Central 172,330$ 45,554$ 26,164$ 161,246$ 78,121$ 11,742$ 271$ 2,039$ 497,466$

SE 156,452$ 82,867$ 79,761$ 222,712$ 191,370$ 7,185$ 691$ 7,941$ 748,978$

Yakama 2,639$ 23,755$ -$ 19,539$ 144$ 46,077$

Eastern 129,256$ 74,683$ 68,353$ 231,988$ 124,312$ 17,560$ 1,274$ 8,967$ 656,393$

Colville 7,508$ 4,514$ 13,811$ 9,000$ 12,535$ 47,367$

Kitsap 153,480$ 29,531$ 209,833$ 58,490$ 223$ 2,570$ 454,127$

Total 1,876,453$ 1,180,879$ 610,749$ 2,984,564$ 1,577,334$ 142,923$ 6,388$ 69,558$ 22,078$ 8,470,926$

Federal total 8,229,979$ State total 240,947$ % Total 97% % Total 3%

Current AAA Funding

• Values represent AAA I&A expenditures, not the entire cost of the desired ADRC system.

• The majority of funding is from Federal Sources.

• Most federal funding is driven by estimated numbers of the target population.

• State funding, while a smaller proportion of the overall expenditures, is driven by the annual budget cycle and therefore is more at risk.

ADRC Level of Need

Sketch level Estimates of Need

• 2007 ADSA estimate

• Based on a per capita cost of I&A applied to under 60 disabled population

• 2010 Estimate based on Wisconsin ADRCs Budgeting

• 1% method (coverage to 1% of 18+ population)

Funding Gap

How do we think about level of need?

• Estimate of need far outweigh current resources

• Sketch level

• AAA I&A services only a portion of total I&A for aging and disability services

ADSA’s Interim Approach

• Funding

• Administration on Community Living Grant

• Money Follows the Person – Supplemental

ADSA’s Interim Approach

• Expenditures – focus on capacity building

• Management, Coordination, and IT• ADRC Program Manager (ADSA), ADRC, IS Project Manager

(ADSA), Statewide IS System Administrator (ADSA), Statewide Resource Directory Specialists (ADSA)

• Training/Support• OC Curriculum Developer/Trainer (ADSA), ADRC Care Transition

Coaches (Local), Qualis Health Technical Assistance/Training/CQI, ADRC Options Counselors (Local), IS System Administrators (Local), Resource Directory Specialists (Local)