State
Opportunities to Integrate Services and Improve Outcomes for Older Adults
and People with Disabilities
ACL developed the Strategic Framework to support state efforts
to:
- Address the holistic needs
of older adults and people with disabilities through program
coordination and integration with health care financing and delivery;
and
- Support partnerships across
health care and social service organizations to improve health care
outcomes and lower costs by effectively addressing social determinants
of health.
ACL is particularly interested in receiving comments that
answer the following questions:
- What roles has your state
played in supporting and enhancing Community
Integrated Health Networks within your state?
- Are there other issues
related to financial management and oversight that should be included
in the review of oversight considerations?
- Do your state and
sub-grantee agencies use financing strategies (e.g., blending and
braiding) at the federal, state, and local levels to integrate and
align various funding streams to broaden the reach of services? Please
describe and comment on any barriers to blending and braiding of funds
that would be helpful to address.
- How have your state and
sub-grantee agencies mitigated actual or perceived conflict of
interest, especially related to intake & referrals, options
counseling, or other benefits counseling while ensuring compliance
with relevant program specifications, including Medicaid regulatory
requirements?
- How have your state and
sub-grantee agencies ensured information will be used and shared in a
way that appropriately maintains privacy and confidentiality
protections?
- The Strategic Framework
discusses Older Americans Act implications extensively. Are there
other statutory (or other) authorities or sources of funding that you
think we should more robustly address in the Framework?
- How has your state or
agency approached the issue of risk and liability when considering
potential revenue-generating partnerships?
- In your experience, have
you been able to successfully leverage Section 212 of the Older
Americans Act to enter “into an agreement with a profitmaking
organization […] to provide services to individuals or entities not
otherwise receiving services” under the Act? If not, what
barriers did you encounter?
- This Strategic Framework
seeks to identify best practices for engaging the aging and disability
network to address social determinants of health. Are there other best
practices in your state or region that we should include? Are there
other social determinants of health that you think we should address?
- This Strategic Framework
also seeks to highlight effective approaches for collaboration across
state agencies (Aging, Disability, Medicaid, Transportation, Housing,
etc.) to improve program coordination and availability of services and
supports to individuals in need. Are there approaches you have found
to be successful or barriers to collaboration that need to be
addressed?
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