LA County Board

19. Bringing the Veterans Directed Care Program to Los Angeles County Recommendation as submitted by Supervisor Solis: Instruct the Director of Aging and Disabilities (AD), in coordination with the Director of Military and Veterans Affairs (DMVA) and in consultation with the Chief Executive Officer (CEO), to: Engage with the Veterans Health Administration (VHA), including the Veterans Affairs Greater Los Angeles Healthcare System (VAGLAHS), to explore and pursue designation of AD as a Veteran-Directed Care (VDC) provider. Assess the operational, staffing, and infrastructure requirements necessary to implement VDC in the County, including: Person-centered planning and options counseling capacity; Coordination with a Fiscal Management Service (FMS) provider; Data sharing, privacy, and Health Insurance Portability and Accountability Act (HIPAA) compliance requirements; Alignment with existing Aging Network and Aging and Disability Resource Connection/No Wrong Door systems; and An analysis of potential Federal funding sources and strategies to ensure the program can be supported without existing or new Net County Cost (NCC). Instruct the Directors of AD and MVA, in coordination with the CEO, the Chief Information Officer (CIO), the County Office of Privacy, Auditor-Controller, and County Counsel, to identify and initiate all necessary administrative steps required to operationalize VDC, including, as applicable: Obtaining a Type 2 Organizational National Provider Identifier (NPI) through the Centers for Medicare & Medicaid Services (CMS), to support billing, contracting, and Federal program participation; Ensuring compliance with HIPAA, including designation as a covered component of the County’s hybrid entity, if applicable; Establishing appropriate data-sharing agreements and privacy protections with the VHA and program partners; Procuring or partnering with a qualified FMS provider to administer participant-directed budgets; and Identifying any additional Federal, State, or County administrative requirements necessary to implement the VDC program. Authorize the Director of AD, in consultation with County Counsel and the CIO, as appropriate, to negotiate and execute, to the extent permitted by law, agreements or amendments with the Veterans Health Administration, Fiscal Management Service (FMS) providers, and other partners necessary to implement the VDC program, subject to Board and CEO notification requirements. Instruct the Director of AD to submit an annual written report to the Board for the first three years of program implementation, that evaluates the program enrollment and demographics, veteran outcomes and satisfaction, service utilization and access, fiscal performance and overall effectiveness of the VDC model in supporting community-based living, including an analysis of funding strategies and cost-neutrality to ensure the program can be sustained without existing or new NCC. (26-5900) Executive Office