1. 1 California Community Choices Financing Study Robert Mollica Leslie Hendrickson November 1, 2007

2. 2 Focus Examine the laws, regulations, policies and payment methodologies related to long term care financing Improve understanding of the financial and structural barriers to increasing access to home and community services Recommendations to manage funding and long term supports to promote community living options

3. 3 Study components Background –Future needs –Current system –Service and funding gaps Historical analysis –Spending, participants Comprehensive analysis of policies, laws and regulations

4. 4 Components…. Rates and fiscal incentives Potential payment strategies Recommendations

5. 5 Phases ElementDue Review work plan11/1 Review documents 1/31 Stakeholder meetings/interviews3/31 Expenditure analysis6/30 Financial review7/31 Systems analysisJune

6. 6 Phases…. ElementDue System description8/31 Recommendation optionsSept Site visit to discuss options9/30 Draft report12/31 Final report1/31

7. 7 Purpose of interviews Role in long term care system Information available – costs, spending, participation Recommendations for improving the system

8. 8 Discussion points What is the vision, goals and priorities for long term care services? What are the strengths of the system? What are the gaps, barriers? What are the opportunities to move forward? Describe the key issues: –Organizational, delivery system, budget/financing, service array