No Wrong Door LTSS Program Evaluations and Planning

Posted by IntegrityM | | Government Evaluation

The No Wrong Door (NWD) system is intended to streamline access to long-term services and support (LTSS) options for older adults and individuals living with disabilities. NWD grants are collectively overseen by the Administration for Community Living, the Centers for Medicare & Medicaid Services, and the Veterans Health Administration.  

Without NWD, finding the right LTSS services can be a daunting task for individuals and their family members. People in need of long term services and support often need more than one service and will use a mix of programs to fulfill their LTSS needs.  

These separate programs make use of numerous funding streams, and are administered by multiple Federal, State, and local agencies using complex, fragmented, and often duplicative intake, assessment, and eligibility processes. Individuals trying to access the multitude of new LTSS frequently find themselves confronted with a maze of agencies, organizations, and bureaucratic requirements at a time when they may be vulnerable or in crisis. These issues frequently lead to use of the most expensive forms of care, including institutional care, and can cause a person to quickly exhaust their own resources.

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Advantages of a No Wrong Door Policy

In contrast, NWD systems are designed to serve as highly visible and trusted places available in every community where people of all ages, incomes, and disabilities go to get information and one-on-one person-centered counseling on the full range of LTSS program options.  

NWD systems provide information and assistance not only to individuals needing either public or private resources, but also to professionals seeking assistance on behalf of their clients and to individuals planning for their future long-term care needs. NWD systems serve as the entry point to publicly administered long-term supports, including those funded under Medicaid, the Older Americans Act, Veterans Health Administration, and State revenue programs.

LTSS No Wrong Door Grant Evaluations & Reports

The aforementioned Federal agencies are currently accepting applications for additional NWD grants. These latest grants are designed to assist States in transforming their existing LTSS access programs and functions into a single statewide NWD System of Access to LTSS for all populations and all payers.  

One element of the NWD grant opportunity is the need to evaluate the resultant program to measure and report outcomes. The grant application needs to describe the methods, techniques, and tools that will be used to:  

  1. Determine whether or not the proposed intervention achieved its anticipated outcome(s), and
  2. Document the “lessons learned” – both positive and negative – from the project that will be useful to people interested in replicating the intervention, if it proves successful.

Government Program Evaluations

Integrity Management Services, Inc. (IntegrityM) can assist with this, and similar, evaluation requirements. Our highly experience evaluation team has many years of experience designing and conducting Federal and State government program evaluations. We are adept at conducting formative evaluations, to evaluate programs under development and in process, which can yield in-process improvements, and summative evaluations, to evaluate program outcomes.  

So call us today at (703) 683-9600 to speak with someone about how we can assist with your No Wrong Door or other evaluation needs. Or if you prefer, click here and one our evaluation experts will be in touch.

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