Common use of Local Contact Agency services Clause in Contracts

Local Contact Agency services. (LCA) a. The LCA program is a key component of the Money Follows the Person (MFP) initiative funded by the CMS. ADRCs are the point of contact for nursing facilities, hospitals, intermediate-care facilities, and other partners to refer non-Medicaid individuals interested in exploring the possibility of transitioningfrom the facility to community-based living. Additionally, ADRC options counselors play a pivotal role in helping interested residents explore community living options and available long- term services and supports to help them realize their goals. b. As the LCA point of contact, Grantee shall: i. Provide options counseling services to the non-Medicaid individuals referred to the ADRC. Options counseling is a more in-depth service in which ADRC staff work with individuals to develop an LCA Action Plan using HHSC- prescribed format. The LCA Action Plan must: (1) document the individual’s preferences and goals for transitioning to the community; (2) identify the individual’s strengths, needs, and cultural preferences, as well as the exploration of options available to the individual and specific activities or decisions that may impact the individual’s stated goals; (3) identify specific challenges related to the individual’s choices and potential options; (4) identify the formal and informal supports the individual will need to transition and remain in the community successfully; (5) identify specific ideas and backup plans for mitigating potential challenges; (6) indicate the date(s) when ADRC staff will follow up with the individual to assess progress toward the identified goals; and (7) document follow-up activities to assess progress and address any issues that may impede the transition. ii. Serve as a resource for hospital and nursing facility discharge planners and make referrals to the LIDDA for individuals identified as potentially having an intellectual disability or related condition. iii. Strengthen coordination between other ADRCs, Ombudsmen, relocation Grantees, AAAs, Centers for Independent Living, LIDDAs, local mental and behavioral health authorities, HHSC regional community services offices, managed care organizations, and other partner agencies. iv. Enhance existing community resources to serve Medicare, non-Medicaid, and private pay individuals, including developing relationships with service providers to help meet the needs of individuals transitioning out of nursing facilities. v. Create media or other publications for community outreach and education that support the objectives of the LCA function.