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Investor Presentaiton

AGING PROGRAMS AND PLAN FOCUS AREAS OAA FOCUS 2 - ACL DISCRETIONARY GRANTS (cont.) No Wrong Door (NWD) Senior Medicare Patrol (SMP) Virginia NWD is a statewide network of community partners and shared resources linked through a virtual system, designed to streamline access to LTSS - connecting individuals, providers, and communities across the Commonwealth. NWD Virginia is a public-private partnership, which adheres to guidelines established under the ACL, of- fering a unique electronic tool to share information between certified community part- ners, enabling them to safely and securely access personal information, with consent, expediting an individual's access to LTSS. The NWD web-based/technology system enables partners to provide person-centered decision support, send and receive real-time electronic referrals, document and secure- ly share assessments, track enrollment, and analyze aggregated data on an individual, agency, community, and statewide levels. Virginia's NWD System offers electronic tools from case management intake to com- plex care coordination to hospital and care transitions. NWD partners include all 25 AAAS, 120 local departments of social services (LDSS), CILS and an array of providers ranging from hospitals to home health organizations who can access an electronic re- source database of over 26,600 public and private health and human supports main- tained by Virginia Navigator. No Wrong Door is locally led and managed by 25 AAAs across the Commonwealth. Each unique local community has an advisory group and network of partners who contribute their expertise, collaborate and share client-level data, with consent, through a secure system to streamline access and support. Adhering to guidelines established for a NWD System under the ACL, NWD Virginia is sustained by federal grants, state general funds, local county/community investments and foundation supports. NWD Virginia is governed by a Strategic Leadership Team comprised of DARS, Virginia Navigator, the Office of the Secretary of Health and Human Resources (HHR), DMAS, DBHDS, VDH, and VHDA, and the Virginia Hospital and Healthcare Association (VHHA). The SMP mission is to educate Medicare beneficiaries, and their families and caregiv- ers to prevent, detect and report healthcare fraud, errors and abuse through outreach, counseling, and education. For the past 20 years, and most recently with a five-year ACL grant funded through the Health Care Fraud and Abuse Control Program (June 1, 2018 to May 31, 2023), the Virginia Association of Area Agencies on Aging (V4A) has administered the SMP program with the support of 25 AAAS and in partnership with the Virginia State Corporation Commission's (SCC) Bureau of Insurance, Virginia OAG, and DARS. SMP staff, trained volunteers and AAA partners conduct outreach, implement public awareness campaigns, and educate Medicare beneficiaries to detect discrepancies on their quarterly Medicare Summary Notice statements, and to report suspicious activity for further investigation. 36
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