Ohio Department of Aging Unified Long-term Care Budget Planning

What is a Unified Long-Term Care Budget?

It is a flexible funding process that provides long-term care, services and supports:

• Based on consumer choice and need;
• In both nursing facilities and home- and community-based settings, and
• That uses state and federal Medicaid dollars more responsibly.

Why does Ohio need a Unified Long-Term Care Budget?

The existing system is fiscally unsustainable and does not meet the needs or desires of older Ohioans. The Unified Long-Term Care Budget is a first step to contain long-term care costs.

A Scripps Gerontology Center study found:

• Between 2000 and 2006, the long-term care portion of the Medicaid budget grew at an average annual rate of 7.5%, and
• If Medicaid expenditures continue to grow at the same rate, the total LTC portion of Medicaid allocations will increase from $4.2 billion in 2006 to $13.2 billion by 2020.
• Without cost containment, Medicaid could reach 68% of the state General Revenue Fund expenditures.

An AARP survey over 85% of Ohioans would prefer to receive long term care services in their own homes and communities.

What can we expect from a Unified Long-Term Care Budget?

• Consumers will receive the right services, in the right settings at the right price.
• Medicaid will serve more long-term care consumers with the same expenditures.
• Administrative duplication for state and local agencies, as well as providers, will be reduced.

Ohio will have a long-term care system more balanced between nursing facilites and home- and community-based care, with resulting Medicaid cost containment and improved outcomes for seniors and those with disabling conditions.

Stay Informed

Subscribe to E-mail Updates and be notified via e-mail when new information is added to this site. Be sure to select "Unified Long-term Care Budget Planning" under topic areas.

Updates

(Most recent updates are listed first.)

June 29, 2009

• The Unified Long-Term Care Systems Workgroup will meet on July 14, 2009, at 1 P.M., in the Riffe Tower, 31st Floor, Columbus. View the agenda.

June 8, 2009

• "Providing Long-Term Services and Supports to an Aging Ohio: Progress and Challenges," - The Scripps Gerontology Center at Miami University has released "Providing Long-Term Services and Supports to an Aging Ohio: Progress and Challenges," a report that details trends in long-term care service utilization over 14 years; provides information about the characteristics of those in different settings such as PASSPORT, nursing homes, and residential care facilities and offers recommendations for Ohio's long-term care system.

May 29, 2008

• "Building a Cost-effective, Consumer-friendly Long-term Services and Supports System: Final Report of the Unified Long-Term Care Budget Workgroup" - In his first biennium budget, Governor Ted Strickland instructed the Department of Aging to lead the charge in determining the steps necessary to establish a unified budget for long-term services and supports, as well as to determine what that budget will look like and how it will be managed.

April 15, 2008

• Webinar Slides (PDF - 2,229kb)
  View Webinar...

April 3, 2008

• Agenda (PDF - 16kb)
• Recommended Priorities as Ohio Moves to a Unified Budget for Long-Term Services and Supports (PDF - 35kb)
• Balancing Work Group, Access & Capacity, Housing with Supportive Services Sub-Group, Gap Analysis & Recommendations (PDF - 128kb)
• Unmet Needs in Community Settings (PDF - 113kb)

March 25, 2008

• Agenda (PDF - 16kb)
• What is the MFP $100 million Grant Award? (PDF - 21kb)
• Ohio's Balancing Plan (PDF - 36kb)
• Proposed Recommendations Facility Based Capacity (PDF - 31kb)
• Meeting Notes (PDF - 41kb)

March 13, 2008

• Agenda (PDF - 16kb)
• Balancing Work Group Sub-Committee for "Criteria" Recommendations (PDF - 50kb)
• Balancing Work Group Sub-Committee for the "Financial Eligibility" Recommendations (PDF - 43kb)
• Balancing Work Group Sub-Committee for "Post Acute Care Issues" Recommendations (PDF - 30kb)
• Meeting Notes (PDF - 29kb)

Feb. 21, 2008

• Agenda (PDF - 16kb)
• Balancing Work Group Sub-Committee for the "Structure of the Front Door" Recommendations (PDF - 71kb)
• Care Management Subcommittee Recommendations (PDF - 46kb)
• Quality Management/Assurance Charter and Recommendations (PDF - 22kb)

Feb. 7, 2008

• Agenda (PDF - 16kb)
• What Is Long-Term Care? (PDF - 19kb)
• Technical Assistance Guide To Assessing a State Long-Term Care System (PDF - 92kb)
• Meeting Notes (PDF - 23kb)

Jan. 10, 2008

• Quality Management/Assurance Subcommittee Update
• ULTCBC Consumer Direction Workgroup Plan (PDF - 35kb)
• ULTCBC Consumer Direction Workgroup Recommendations (PPT - 589kb)
• Testimony from the Montgomery County Frail Elderly Services Advisory Committee (PDF - 28k)
• Data Profile of Ohio Medicaid Nursing Facility and Nursing Facility Level of Care Consumers (PPT - 86kb)
• TABLE 1 - Members, Consumers, and Payments for Waiver and PACE Services (XLS - 103k)

Nov. 16, 2007

• Agenda (PDF - 17kb)
• The Area Agency on Aging Network (PDF - 5,270kb)
• Home Care Across the Continuum of Care (PDF - 51kb)
• Medicaid Home Care Services by Program (PDF - 88kb)
• Professional Standards of Operation (PDF - 19kb)
• Medicaid Waiver Home Care Services for Children (PDF - 217kb)
• Ohio Medicaid Program Performance Audit, Dec. 19, 2006 (PDF - 474kb)
• Friendly Neighbor Program - Presentation (PDF - 103kb)
• Friendly Neighbor Program - Information (PDF - 94kb)
• Gatekeeper Program (PDF - 217kb)
• Northeast Ohio Senior Rights Advocacy Group Testimony (PDF - 915kb)
• Medicaid Managed Care (PDF - 540kb)
• Assisted Living in Ohio (PDF - 107kb)

Oct. 25, 2007

• Meeting Notes (PDF - 18kb)
• Agenda (PDF - 16kb)

Oct. 9, 2007

• Meeting Notes (PDF - 26kb)
• Agenda (PDF - 16kb)

Sept. 26, 2007

• Meeting Notes (PDF - 34kb)
• Charge to Subcommittees (PDF - 16kb)
• What is Long-term Care? (PDF - 15kb)

Sept. 6, 2007

• Meeting Notes (PDF - 25kb)
• Unified Long-term Care Budget Roadmap (PDF - 15kb)
• Purpose of a Unified Long-term Care Budget (PDF - 14kb)
• Unified Long-term Care Budget Language (PDF - 10kb)
• Workgroup Membership (PDF - 8kb)
• Agenda (PDF - 16kb)

Aug. 17, 2007

• Meeting Notes (PDF - 25kb)

August 17, 2007 (Initial Stakeholder's Meeting)

• Slide Show (PPT - 1,400kb)

August, 2007 (Regional Forums)

• Slide Show (PPT - 450kb)

Subcommittee Activity

Review reports and materials from each of the subcommittees:

• Front door / unmet needs
• Quality management / assurance
• Care management
• Consumer direction
• Administration