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Ohio Solutions Office Hours

Service Coordination Models and 

Sustainability

January 25, 2022
Welcome

Alicia Anderson, MS

Management Program Analyst

Office of Interagency Innovation

Administration for Community Living

ACL.GOV

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Welcome 

•Thank you for joining the Housing and Services Resource Center

(HSRC) for a three-part series featuring partnerships in Ohio between 

the housing sector and aging and disability networks. 

•These collaborations are expanding options for older adults and people 

with disabilities to live in their communities with access to supportive 

services they may need

Session 2: Service Coordination Models and Sustainability

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Instructions for Zoom

Audio Options

• Use your computer speakers, OR dial in using the 

phone number in your registration email.

• Please stay muted unless called upon

Chat

• Please actively use chat throughout the meeting

• To ask a presenter a question in chat, please include 

the name. For example: Question for Duana...

Raise Hand to ask a presenter a question

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This event is being recorded.
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The HSRC facilitates a federally coordinated approach to providing 

resources, program guidance, training, and technical assistance to:

•Disability and aging network organizations,

•State Medicaid agencies,

•Mental and substance use disorders service providers,

•Homeless shelters, and

•Public housing authorities and housing providers.

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HSRC Goals

• Coordinate and leverage technical assistance, training and research 

efforts of HUD & HHS partners (ACL, CMS, SAMHSA & ASPE);

• Reach a broad audience of the aging, disability, housing, and 

homeless networks and stakeholders;

• Facilitate state and local partnerships between housing and service 

systems;

• Assist communities in leveraging new housing and service resources 

including from the American Rescue Plan & Build Back Better.

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Office Hour:

What to Expect

• Learn and discuss methods that stakeholders from different sectors 

used to begin to develop partnerships to expand affordable housing 

and access to community-based supportive services 

• Receive practical tips and real-world examples 

• Participant polling will inform the next session on Feb. 10

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Office Hour 

How This Will Work

As an “office hour,” each session will have a short presentation, 

followed by a long period for participants’ questions and discussions 

that support peer-to-peer sharing.

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Ohio Area Agencies on Aging “Build” 

Success with Service Coordination

Duana Patton, CEO

Ohio District 5 

Area Agency on Aging, Inc.

Joseph Recchie, CEO

Community Building Partners and 

Praxia Partners

Justin Moor, Vice President

Area Office on Aging of Northwestern 

Ohio

Calvin Thomas, Vice President 

Accord Management

Administration for Community Living

2022 Housing and Services Resource Center

Office Hours: January 25 at 3:00 ET
Housing....It’s More Than Bricks and Mortar

What happens under one’s roof is just as vital as the structure 

itself. A Service Coordinator can make a big difference.

A Service Coordinator works with clients/residents to provide 

quality service and to ensure clients/residents get the services 

they need

A Service Coordinator builds strong relationship with community 

partners and service providers to ensure clients receive the best 

care possible
Service Coordination

It’s a FUNCTION; 

An active, ongoing 

process that assists 

and enables 

individuals to 

access services 

that their needs. 

Image Source: U.S. Department of Housing and Urban Development
The Basics 

● Service Coordination is:

○ A FUNCTION

○ Provides value to those who have access

○ Is encouraged if not required by funders of low-income housing

○ Has funding challenges

● A Service Coordinator is:

○ An individual professional

○ A facilitator, investigator, advocate, educator, networker
One Area Agency’s Service 

Coordination Model

Ohio District 5 Area Agency on Aging

Over 20 years providing Service Coordination in low-income 

housing properties

■ 3 locations under a grant from our SUA

■ 2 locations paid by developer/operational budget of the property

But there is more..... In 2020, this Area Agency elevated its Service 

Coordinators by certifying them as Community Health Workers (CHW).
Service Coordination Funding

Grants Development 

Fees

Operational 

Budget of the 

Property

Third Party 

Payors when 

using a certified 

CHW 
Community Health Workers (CHW)

What is a CHW? 

Community Health Workers are trained in public health and act as a 

bridge between health / social services and the community. 

Ohio Certification Requirements 

• Complete an approved training program

• Minimum of 100 classroom hours and 130 clinical hours

• Submit application to the Ohio Board of Nursing

CHWs add value to the team and can provide an 

opportunity for generating revenue.
Where 

HUBs 

Are 

Working

SOURCE: Pathways Community HUB Institute (PCHI)
Service Coordination Funding when 

Utilizing a Qualified CHW and a HUB 

Insurance 

Carriers

Managed 

Care 

Organizations

Medicaid Medicare
AAA5 Data for The Woods 12-Month Period

14 Linkage to other programs, including meals

12 Housing Issues

31 Environmental Issues

21 Advocacy / Support

19 Education / Employment

5 Personal Care / Homemaker

33 Health and Safety

84 Wellness Program

5 Transportation
Service Coordination + CHW + HUB = $$

Connect with 

Client

Complete 

Pathway

Agency receives 

payment from MCO
Property Management Perspective

● Calvin Thomas, VP of Accord Management

○ 18 years for large senior HUD and multifamily HUD housing

○ 3+ years VP Accord Management with LIHTC Senior and 

Multifamily

● What does it mean for Property Manager to have 

service coordination on site? 

○ Advantages and Disadvantages
Area Office on Aging of Northwest Ohio

● How does the AAA weave in care management and 

service coordination into congregate housing? 

● How does AAA integrate health plans and services with 

social determinants of health? 

● How will the AAA improve the model in future planned 

housing development? 
Area Office on Aging of Northwest Ohio

Offers “Valuable” Solutions

● 40 Years designing and investing in solutions

● Proven to help over 36,000 age in place every year

● Programs and Services are provided at no cost to the 

individual but have value as calculated below:

Home delivered meals - $8.00/Meal

Home health aid service - $20.00/hour

Hospital-to-home transitions - $1,500

Transportation (medical) - $17.00/round trip

Medicaid Waiver In-home care - $15,000/yr

Service Coordination per resident - $1,000/yr

Health and Wellness - $96.00/workshop
Why Consider a Service Coordination 

Model?

● Adds value to the CBO’s mission and presence

● Catalyst to integrating with housing development

● Opportunity for increased revenue 

● Better outcomes for clients

● A proven way to connect clients to low or no cost options 
Q&A
Register Now for the Final Ohio Office Hour

Register Today! https://acl.gov/HousingAndServices/Whats-New

Cross-Sector Partnerships to 

Expand Options for Housing

Thursday, February 10 from 3:00-4:00 pm Eastern

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Wrap Up

• How can we improve the next office hour? What did you 

like? How will you use what you learned today?

Email us at hsrc@acl.hhs.gov

• We will notify all webinar registrants when the recording, slides, 

and transcripts are available on ACL.gov

• Sign up for ACL email updates

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Acknowledgment

This presentation was supported in part by the U.S. Administration for Community 

Living through a contract with Mission Analytics Group, Inc. (Contract number 

HHSP233201500060I) which subcontracted the work to USAging. The views 

expressed do not necessarily represent the positions or policies of the 

Administration for Community Living / Department of Health and Human Services.

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