No Wrong Door System Business Case Development

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The No Wrong Door (NWD) System represents a collaborative effort of the Administration for Community Living (ACL), the Centers for Medicare & Medicaid Services (CMS), and the Veterans Health Administration (VHA), to support state efforts to streamline access to services in the community for all populations in order to promote the collaboration of local service organizations, making service delivery more efficient and person-centered. States have successfully transformed their access systems with focus and support from state governance, public outreach, streamlined eligibility and person-centered counseling.Every state and territory, to some degree, has an access system to home and community based services. However the need for coordinated, NWD Systems continues to grow as the current population in need of long term services and supports (LTSS) are faced with duplicate eligibility and enrollment systems that vary by different populations and funding streams. Individuals, families and caregivers become dependent on public programs, the Federal and State Medicaid budgets continue to grow exponentially and resources become scarce due to duplicative and inefficient processes. Challenges remain that not all access systems are systematically able to track comprehensive data, leading to an inability to track core outcomes and return on investment.This Funding Opportunity Announcement (FOA) would specifically fund up to 7 state grantees to support business case development for high performing, streamlined LTSS access systems, or No Wrong Door Systems, in order to demonstrate the value of home and community based services. Grantees will enhance or modify their existing LTSS delivery systems in order to implement innovative approaches to evaluating how the performance of streamlined access impacts multiple payers, multiple populations, healthcare utilization, and the return on investment at the State and Federal levels. The goal is to support states with documenting efficiency and/or cost savings. Funds may be used to develop an integrated data system, evaluate existing data elements, and/or implement a training protocol to support the intervention being tested.

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