Goal 2: Implement evidenced-based services to establish a continuum of care and supports in the community that improve autonomy, choice, and outcomes to consumers

Story Behind the Curve

The SMP Program provided 181 education and outreach events to senior centers and other Aging Network Partner to help prevent health care fraud. Provided education and outreach to the general public, including older persons and their families and caregivers. 

Partners

Partnering with NM Area Agencies on Aging and Indian Area Agency, religious ministries (Statewide), AARP, Heconomics, The New Mexico Alliance of Health Councils, NM Department of Health, NM Retiree Healthcare Authority, Educational Retirement Board, Office of the Attorney General, and Office of Superintendent of Insurance, Mobile Integrated Healthcare Program with the City of Las Cruces, New Mexico Health Navigators (Statewide), NM AARP (Statewide), Oasis Albuquerque, University of New Mexico Osher Lifelong Learning Institute (OLLI), Albuquerque, NM Western Institute for Lifelong Learning (WILL).  Silver City, NM, New Mexico Office of Indian Elder Affairs (OIEA) (Statewide), NM Alliance of Health Councils  (Statewide), NM Retiree Health Care Authority (Statewide), UNM Veteran’s Upward Bound Program (Northern NM), New Vistas-Centers For Independent Living (NE), The Ability Center (SW), NM State Police (Statewide), Taos Pueblo HHS (NE), San Ildefonso HHS (NE) and University of New Mexico - Community Health Workers (OC).

What Works

The pandemic has exacerbated the challenge to reach out to seniors the SMP program adapted outreach services through technology by providing victual presentations. 

What We Do

The SMP mission is to empower and assist Medicare beneficiaries, their families, and caregivers, to prevent, detect, and report suspected healthcare fraud, errors, and abuse through outreach, counseling, and education. SMPs work to resolve beneficiary complaints of potential healthcare fraud in collaboration with state and federal partners.

How We Impact

Nationally, each year, the Office of the Inspector General (OIG) completes an annual performance report on the SMP projects. The 2021 OIG SMP Performance Report documents the following outcomes for 2021 activities:

• Community Outreach Events: SMP projects reached 556,980 people through 12,660 group outreach and education events. 
• One-on-One Counseling: SMP projects held more than 239,625 individual counseling sessions with, or on behalf of, Medicare beneficiaries regarding potential fraud, errors, or abuse.
• Expected Medicare Recoveries: SMP Projects reported $2.5 million in expected Medicare recoveries.

Story Behind the Curve

The SHIP Program reached 14,324 individuals of Medicare beneficiaries who received benefits and individuals who were screened for low-income subsidy program, including assistance in completion an application to help pay for premiums and lower drug costs. 

Partners

Partnering with NM Area Agencies on Aging and Indian Area Agency, religious ministries (Statewide), AARP, The New Mexico Alliance of Health Councils, NM Department of Health, NM Retiree Healthcare Authority, Educational Retirement Board, Office of the Attorney General, and Office of Superintendent of Insurance, Mobile Integrated Healthcare Program with the City of Las Cruces, New Mexico Health Navigators (Statewide), NM AARP (Statewide), Oasis Albuquerque, University of New Mexico Osher Lifelong Learning Institute (OLLI), Albuquerque, NM Western Institute for Lifelong Learning (WILL).  Silver City, NM, New Mexico Office of Indian Elder Affairs (OIEA) (Statewide), NM Alliance of Health Councils  (Statewide), NM Retiree Health Care Authority (Statewide), UNM Veteran’s Upward Bound Program (Northern NM), New Vistas-Centers For Independent Living (NE), The Ability Center (SW), NM State Police (Statewide), Taos Pueblo HHS (NE), San Ildefonso HHS (NE) and University of New Mexico - Community Health Workers (OC).

What Works

Provided community information and education events to include topics related to Medicare, Medicaid,  Medicare Fraud/Abuse/Errors, other benefits and public assistance programs. Working with Medicare Improvement  for Patients and Providers Act (MIPPA) grantees in state to develop quarterly enrollment events. Partnering with   Rural and Frontier partners to connect New Mexicans in underserved areas with resources. Collaborating with AAA and OIEA  to develop relevant vital programming. Expanding virtual presentations of Medicare 101 workshops to include hybrid in-person  events. Launching virtual/Facebook live/ other social media monthly minute presentation in English and Spanish.

What We Do

SHIP is a national program that offers one-on-one assistance, counseling, and education to Medicare beneficiaries, their families, and caregivers to help them make informed decisions about their care and benefits. SHIP services support people with limited incomes, Medicare beneficiaries under the age of 65 with disabilities, and individuals who are dually eligible for Medicare and Medicaid.

The SHIP mission is to empower, educate, and assist Medicare-eligible individuals through objective outreach, counseling, and training. The SHIP vision is to be the known and trusted community resource for Medicare information.

Story Behind the Curve

Reached 14,324 individuals of Medicare beneficiaries who received benefits and individuals who were screened for low-income subsidy program, including assistance in completion an application to help pay for premiums and lower drug costs. 

Partners

Partnering with NM Area Agencies on Aging and Indian Area Agency, religious ministries (Statewide), AARP, The New Mexico Alliance of Health Councils, NM Department of Health, NM Retiree Healthcare Authority, Educational Retirement Board, Office of the Attorney General, and Office of Superintendent of Insurance, Mobile Integrated Healthcare Program with the City of Las Cruces, New Mexico Health Navigators (Statewide), NM AARP (Statewide), Oasis Albuquerque, University of New Mexico Osher Lifelong Learning Institute (OLLI), Albuquerque, NM Western Institute for Lifelong Learning (WILL).  Silver City, NM, New Mexico Office of Indian Elder Affairs (OIEA) (Statewide), NM Alliance of Health Councils  (Statewide), NM Retiree Health Care Authority (Statewide), UNM Veteran’s Upward Bound Program (Northern NM), New Vistas-Centers For Independent Living (NE), The Ability Center (SW), NM State Police (Statewide), Taos Pueblo HHS (NE), San Ildefonso HHS (NE) and University of New Mexico - Community Health Workers (OC).

What Works

Provided community information and education events to include topics related to Medicare, Medicaid, Medicare Fraud/Abuse/Errors, other benefits and public assistance programs. Working with Medicare Improvement  for Patients and Providers Act (MIPPA) grantees in state to develop quarterly enrollment events. Partnering with   Rural and Frontier partners to connect New Mexicans in underserved areas with resources. Collaborating with AAA and OIEA  to develop relevant vital programming. Expanding virtual presentations of Medicare 101 workshops to include hybrid in-person  events. Launching virtual/Facebook live/ other social media monthly minute presentation in English and Spanish.

What We Do

The Medicare Improvement for Patients and Providers Act (MIPPA) program helps Medicare beneficiaries with limited income and assets learn about programs that may save them money on their Medicare costs. Through MIPPA, ACL provides grants to states and tribes to support targeted outreach and education to eligible Medicare beneficiaries, especially those who are:

• Low-income with limited resources
• Residents of rural areas
• Members of American Indian, Alaskan Native, and Native Hawaiian communities
• People with disabilities under age 65
• Speakers of English as a secondary language

How We Impact

Story Behind the Curve

What Works

Re-establishment of partnerships continues to be developed by the OADC, and additional information on the website should be developed and added during the next reporting period.

Who We Serve

Caregivers

Design Specification: Non-Data Driven Measure

Story Behind the Curve

With the development of the New Mexico State Plan for Alzheimer's Disease and Other Dementias (2022–2025) which was released in July 2022, one of the goals is to become a Dementia Friendly/Dementia Capable State. Currently the Office of Alzheimer's and Dementia Care (OADC) is preparing a Request for Proposal for new programs. Included in this RFP is the Goal above mentioned. Additionally, the OADC has been able to secure (2) Administration for Community Living Grants—the Lifespan Respite Care Grant for New States and the Alzheimer's Disease Program Initiatives Grant for New States (ADPI). Through the ADPI Grant, additional efforts to become a "Dementia Friendly-Dementia Capable State" will be addressed. It is anticipated that the implementation of this initiative will be started toward the end of SFY 2022—early SFY 2023.

Partners

 Administration for Community Living—Lifespan Respite Care Program—Administration for Community Living—Alzheimer's Disease Programs Initiative—ARCH National Respite Network and Resource Center—New Mexico Caregiver Coalition—New Mexico Department of Health—Office of Community Health Workers; Caregiver Criminal History Program (CCHSP)—CL Hoskins & Associates—Coop Consulting, Inc.;  Michael Coop—  RTI International—International Association for Indigenous Aging (IA2).

What Works

The ability to develop new programs and initiatives, collaboration at the local, state and national levels and having  motivated partners who believe in the programs and initiatives and who can help move projects forward and the ability to obtain start-up funding for programs and services for the Citizens of New Mexico.

Design Specification: Non-Data Driven Measure