The next meeting has been rescheduled to Thursday November 19 at 12 pm CST.

Your standard join link will work, though if you need to register, here is the link: https://us02web.zoom.us/meeting/register/tZYpduqsrDwqGdBc5uTrlpaw2YELrVc-CVfH

The meeting was moved up to discuss the Senate Finance Request for Information (RFI) seeking feedback on overhauling the long-term care system. The RFI seeks suggestions on a path to make a universally available HCBS benefit that it names home care-the idea is surely broader when reading the request and our comments will include adult day within the proposed benefit.

A few questions to start the conversation from members, though all thoughts are welcome:

1. How many days a week do most of your clients/participants come? 
2. What is the payer mix of your clients? For private pay, what is the approximate out of pocket cost? Do you have a cost sharing mechanism or sliding fee scale? Does it hinge on income and assets? How often do you adjust your private pay rate and how do you decide when or how much?What happens if someone runs out of funds?
3. How long are clients enrolled in your programs, on average?
4. Is there a trigger event/common diagnosis/new behavior that is a telling signal a transition to more care is needed?
5. How should Adult Day be thought of in a limited benefit HCBS model? (Attributes for an equivalency similar to the VA?) What services should be included vs ad-on payments?
6. What policies, application requirements, documentation should be built in to protect high-integrity providers and support general fiscal and programmatic responsibility? What works and what doesn’t?

Any questions on how to join? Reach out to Georgia Goodman at ggoodman@leadingage.org for more information.