Advisory Council October 2019 Meeting Presentation: Expanding Access to LTSS

10/21/2019

ADVISORY COUNCIL ON ALZHEIMER'S RESEARCH, CARE, AND SERVICES

Monday, October 21, 2019

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Expanding Access to LTSS through Caregiver Support

Susan Engels, Office Chief, State Unit on Aging
Aging and Long-Term Support Administration
Washington State Department of Social and Health Services

Serving People with Dementia

At DSHS, we make a conscious effort to weave supports for people with dementia and their families into our infrastructure and programs.

Family Caregiver Support Program

  • There are over 850,000 unpaid caregivers in Washington state.
  • The Family Caregiver Support Program has $14 million in annual funding.
  • The program serves less than 1% of the caregivers.
  • 53% of caregivers served are caring for individuals with Alzheimer’s disease or dementia.
  • 32% are caring for individuals with memory or cognitive problems.
Used Medicaid Long-Term Care services in 12 months following TCARE screen?
PIE CHART: No 89%, Yes 11% (Nursing Home 4.2%, Community Residential Services 2.5%, In-Home Services Only 4.5%). PIE CHART: No 91%, Yes 9% (Nursing Home 3.4%, Community Residential Services 1.9%, In-Home Services Only 3.6%).
https://www.dshs.wa.gov/ffa/rda/research-reports/expanding-eligibility-family-caregiver-support-program-sfy-2012

Family Caregiver Support Outcomes

LINE CHART.
Source: Bridge Lavelle, PhD; David Mancuso, PhD; Alice Huber, PhD, Barbara E.M. Felver, MES, MPA; DSHS Research and Data Analysis, April 2014.

Expanding Supports: 1115 Waiver

  • Medicaid Alternative Care (MAC). Designed to support unpaid caregivers in continuing to provide quality care.
  • Tailored Supports for Older Adults (TSOA). New eligibility group to support individuals who need Long-Term Services and Supports and are at risk of spending down assets to impoverishment with or without unpaid caregivers.

Long-Term Care Trust Act

  • All W-2 workers contribute.
  • They pay 58 cents per $100 of income.
  • The trust fund invests the money.
  • Each person who is eligible to receive the benefit can access services and supports costing up to $36,500.
  • The value of this benefit will increase over time.

The benefit can be used for a range of services and supports, including:

  • Professional care in your home, a licensed residential facility or a nursing facility
  • Adaptive equipment and technology like wheelchair ramps and medication reminder devices
  • Home safety evaluations
  • Special training, consultation, pay and other supports for family caregivers
  • Home-delivered meals
  • Rides to the doctor

The Long-Term Care Trust will help delay and defer enrollment into Medicaid and the use of costly long-term services and supports.

Questions?


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