Course #1: Coordination of Long-term Services and Supports (LTSS) Across Programs and Settings: Part A and B

Online Training

A. Overview of Service and Support Needs

Learning Objectives:

After completing this course, participants will understand the following:

  • The necessary provider qualifications and types necessary for the delivery of various services. How to work with access issues for needed supports and services that are either unavailable or unaffordable.
  • The philosophy and practice of participant directed programs across systems.
  • How to match the service and support needs with the goals of the person in the person-centered plan.

Course Competencies:

Knowledge:

  • Understands the range of provider types and qualifications for services and supports.
  • Understands participant-direction philosophy and programs including role of support broker, FMS, and  participant employer responsibilities
  • Understands the benefits of health promotion/care transition programs
  • Understands the need to engage the person in determining amount, duration, and scope of services and supports are necessary to meet each goal in the person centered plan.
  • Understands how to work with a person and providers on solving problems related to lack of access to needed services and supports

Skills and Abilities: 

  • Able to effectively describe the scope of necessary services, their purpose, their comparative effectiveness, and the provider qualifications necessary for effective delivery. 
  • Able to effectively describe participant-direction philosophy and programs including role of support broker, FMS, and  participant employer responsibilities
  • Able to effectively describe the benefits of health promotion/care transition programs and the scope of programs that are available across disability groups, older adults, and within the context of cultural, income and geographic variation.
  • Able to engage the person in determining amount, duration, and scope of services and supports are necessary to meet each goal in the person centered plan.
  • Can effectively work with a person and providers on solving problems related to lack of access to needed services and supports
  • Able to research programs using national, state, local resources and tools to identify available benefits and services.
  • Able to show how options compare including which private and public options can be combined, which options may allow participant direction, maximize independence, use resources most efficiently, support family caregiver.
  • Able to work collaboratively with teams, providers, agencies to facilitate the activation of the  services and supports identified in the person-centered plan..

B. Overview of Financing and Eligibility of HCBS

Learning Objectives

After completing this course, participants will understand the following:

  • How to effectively work within the constraints and opportunities of funding and eligibility requirements within and across programs, services and supports to help meet the person's goals.
  • How to assist a person in the enrollment process across myriad programs.

Course Competencies

Knowledge:

  • Understands private & public pay options including insurance coverage, co-pay, sliding scale, spend down.
  • Understands enrollment, eligibility and costs of a range of services and supports in public and private programs and in programs that could be paid from a person's own resources.
  • Understand how to braid and blend funds to finance necessary services. Understands how participant direction is funded including financial management services, support brokerage, and the development of person centered plans.
  • General understanding of private LTSS insurance, reverse mortgage programs and other private options that can help people plan ahead for their LTSS needs.

Skills and Abilities:

  • Able to work with  the person to successfully navigate all relevant application and/or eligibility processes, including completing and submitting all required application forms and documentation.
  • Able to work successfully with other professionals in the NWD and LTSS system who play a formal role in access to LTSS from the beginning of the application process, through formal determination of eligibility, and as appropriate, through ongoing follow-up with the person that may necessitate changes to the services and supports a person is receiving.
  • Able to use contacts and tools to identify and involve other specialists to assist the person  in implementing his or her person-centered plan. 
  • Able to facilitate enrollment in participant directed programs
  • Able to effectively support a person in determining the optimal mix of services in relation to cost issues such as insurance coverage, co-pay, sliding scale, spend down, etc.
  • Able to effectively communicate enrollment, eligibility and costs of range of services and supports and programs that could be paid from a person's own resources.
  • Able to effectively braid and blend funds to finance necessary services.
  • Able to effectively explain how participant direction is funded including financial management services, support brokerage, and the development of person centered plans.

 

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