2050 - APPLICATION PROCESSING OVERVIEW

							PROGRAM INTEGRITY                                    STATE PLAN EVELOPMENT

                        5710 - State Plan Development
 POLICY STATEMENT   All State Units on Aging (SUA) are required to submit multi-
                    year plans outlining program goals, objectives and activities to
                    the Administration on Aging Assistant Secretary.

                    State Plans must report on program directions, progress,
 BASIC
                    address all assurances cited by the Administration on Aging
 CONSIDERATIONS
                    from the Older American’s Act, include public comment on
                    needs of the aging population and contain an Intrastate
                    Funding Formula (IFF)

                    The State Plan is developed from the Area Agencies on Aging
                    (AAAs) Area Plans.

                    The State Plan serves as a comprehensive document that
                    provides direction for the state as it plans and implements
                    long-term care reform efforts. The State Plan strategically
                    positions the state to address many realities such as a rapidly
                    growing new generation of long-term care consumers, an
                    overwhelming desire on the part of citizens to age at home and
                    the considerable fiscal presses on state and local budgets.

                    The State Plan serves multiple functions including:

                        A publication which will provide State government
                         officials tangible examples of long-term care reform
                         efforts;
                        A document that translates activities, data and
                         outcomes into proven best practices which can be used
                         to leverage additional funds;
                        A planning process which allows for the coordination
                         and optimum use of all applicable staff and funding
                         resources; and
                        A blueprint for how the state plans to carry out the
                         principles and strategies of Choices for Independence,
                         which include:
                             o Empowering consumers to make informed
                                  decisions about their care options
                             o Helping consumers who are at high-risk of
                                  nursing home placement, but not yet eligible for
                                  Medicaid, to remain in their own homes and
                                  communities through the use of flexible service
                                  models, including consumer-directed models of
                                  care

                    The State Plan Process Overview flowchart is located in
                    Appendix D, Flowcharts.



P I MT 2 – 03/09                                                    SECTION 5710-1
PROGRAM INTEGRITY                                       STATE PLAN EVELOPMENT

 PROCEDURES             DAS State Plan Process Procedures:

               Step 1   DAS reviews Older Americans Act (OAA) Assurances for
                        changes in state plan requirements

               Step 2   DAS reviews current Intrastate Funding Formula (IFF)
                        demographic data elements and identifies changes if needed; if
                        not needed, go to Step 6

               Step 3   DAS compiles statewide/AAA region allocations based on
                        selected data elements taken from census data

               Step 4   DAS electronically distributes census data and proposed IFF
                        allocations for AAA review

               Step 5   DAS convenes workgroup of DAS staff and AAA Directors to
                        finalize IFF

               Step 6   DAS and AAAs conduct public hearings, focus groups, or
                        other forums to gain needs assessment input from consumers,
                        providers, etc.

               Step 7   AAAs develop Area Plans by revising budget information,
                        assurances, and individual program information

               Step 8   DAS develops State Plan format and content based on all
                        previous steps

               Step 9   DAS obtains approval/signatures from DAS Director, DHR
                        Commissioner, and Governor

              Step 10   DAS submits plan to AoA

              Step 11   Copies are made and distributed to AAAs, DAS, State
                        Legislators and Governor




P I MT 2 – 03/09                                                      SECTION 5710-2