No Wrong Door System
Description of Program
The Department of Elder Affairs (Department) received a 2014 grant award from the United States Department of Health and Human Services, Administration for Community Living (ACL) for “Transforming State Long Term Services and Supports (LTSS) Access Programs and Functions into a No Wrong Door (NWD) System for all Populations and all Payers.” The grant period is September 30, 2014 through September 29, 2015. In this initiative, the Department is partnering with the Agency for Health Care Administration (AHCA), Department of Children and Families (DCF), Agency for Persons with Disabilities (APD), Department of Health (DOH), Department of Education (DOE), Department of Veterans Affairs (DVA), Developmental Disabilities Council, the Commission for the Transportation Disadvantaged, and the Florida Association of Area Agencies on Aging, to develop a comprehensive 3-year implementation plan for expanding Florida’s No Wrong Door System of access to long term services and supports for all populations and all payers. The goal is that Florida will develop a more integrated system that is easier for individuals to learn about and access the services and supports that they need, across care settings.
Key Goal and Deliverable of the No Wrong Door Planning Grant
GOAL: To support a state-led 12-month planning process to identify the key actions the state will need to take to move forward with the development and implementation of a NWD System.
DELIVERABLE: A comprehensive 3-year implementation plan for creating a No Wrong Door System of access to long term services and supports for all populations and all payers.
NWD System Vision
The U.S. Administration for Community Living (ACL), the Centers for Medicare & Medicaid Services (CMS) and the Veterans Health Administration (VHA) have developed this Funding Opportunity Announcement (FOA) to assist states in the planning of a No Wrong Door (NWD) System to help individuals access long term services and supports (LTSS). The NWD System will make it easy for people of all ages, disabilities and income levels to learn about and access the services and supports they need. The NWD System will also provide states with a vehicle for better coordinating and integrating the multiple access functions associated with their various state administered programs that pay for LTSS.
NWD System Functions:
State Governance and Administration
Public Outreach and Coordination with Key Referral Sources
A NWD System must also have formal linkages (e.g., Formal Agreements and Protocols, etc.) with the key referral sources in a given community to ensure the staff in these entities know about the functions of the NWD System and have up-to-date information and tools for quickly identifying and referring individuals to the NWD System. Among the key sources of referral the NWD System must have formal linkages with all of the following entities:
The NWD System should be seen as a major resource for health care systems and providers; it will have the capacity to serve as a “front door” to the LTSS System that can quickly link their clientele to a full range of community services and supports. A fully operational NWD System will have formal linkages between and among all the major pathways that people travel while transitioning from one health care setting to another or from one public program payer to another.
Person Centered Counseling
Person centered planning is an approach when working with individuals that is now being required in the LTSS System under multiple Medicaid regulations. The NWD System PCC function involves five basic steps: 1) conducting a personal interview; 2) developing a person-centered plan; 3) facilitating access to private services and supports; 4) facilitating streamlined assess to public programs; and 5) conducting ongoing follow-up.
Notices of public meetings are published in the Florida Administrative Weekly and follow standards of the Florida Sunshine Law.
Kick-Off Meeting: The Department convened the No Wrong Door System State Governing Body (NWDSSGB) to review the project goals and objectives through a conference call meeting on Thursday, November 6, 2014 at 10:00 a.m. The NWDSSGB membership consists of the partnering agencies. The NWDSSGD meets monthly alternating by conference call and face-to-face meetings.
Planning Retreat: On Thursday, January 8, 2015, the Department hosted a two-hour meeting retreat on the “No Wrong Door (NWD) System Planning Grant Project, ” with participation of the partnering agencies. The purpose of this retreat was to discuss the vision and mission statements of the NWD Project.Public Meeting: On January 21, 2015, the Department held a public meeting through a Webinar to inform the public about the planning grant and to review the vision and mission statements for Florida’s NWD system.
The Department plans to engage in constructive dialogue with stakeholders who use long-term services and supports (LTSS) and stakeholders who assist individuals in accessing LTSS, by listening to their concerns and learning from their experiences. The process for obtaining meaningful input from stakeholders includes public forums such as Webinars, face-to-face meetings, surveys, email correspondence, and roundtable discussions. To share your experiences and offer suggestions regarding accessing long-term services and supports, please write to firstname.lastname@example.org.
January 21, 2015 No Wrong Door Planning Project Public Meeting
April 21, 2015 No Wrong Door Planning Project Public Meeting
Florida Department of Elder Affairs is trying to make it easier for individuals, families, and caregivers in need of long-term care services and supports to learn about and access the help they need to remain in their homes and communities. We would appreciate it if you would give us some feedback on the call you made to get information or services for yourself or someone else. This will just take a few minutes, and your answers will help us to improve our services. Your answers are completely confidential and will not in any way affect the services that you are or will be receiving in any way.
Please call the Florida Department of Elder Affairs at 850-414-2111 if you have problems taking the survey.
On April 21, 2015, the Department plans to conduct a face to face meeting providing stakeholders an opportunity to review a draft of the three year implementation plan and provide input regarding the plan. The months of May and June, 2015 will provide an open comment period in which stakeholders may continue to share information that could inform the implementation plan development and to share information regarding the draft implementation plan.
On July 21, 2015, the Department plans to conduct a Webinar meeting providing stakeholders an opportunity to review and discuss the draft 3-year implementation plan with stakeholder input incorporated into the plan. August, 2015 will be a period that stakeholders may continue to share information regarding the final draft implementation plan.
The Department plans to conduct roundtable discussions and interviews in the eleven (11) planning and service areas (PSAs) across the state during the months of March, April, May, and June 2015.
Notice of Meeting/Workshop Hearing
DEPARTMENT OF ELDER AFFAIRS
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