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New opportunities sometimes arise when they are least expected. An openness to learn, teach and work together is the synergy needed to make change.

Area Agency on Aging, District 7 (AAA7) in Ohio has administered Home and Community Based Services (HCBS) waiver services for the Ohio Department of Aging since 1990 serving primarily individuals over age 60. As an Aging and Disability Resource Center (ADRC), AAA7 fields inquiries about resources for individuals of all ages. Due to a lack of disability-specific resources in their area – namely no Center for Independent Living – AAA7 systematically increased their experience with individuals under the age of 60 with various types of disabilities. In 2013, this self-education resulted in a partnership with a large managed care company to develop a bid to provide case management services for individuals with disabilities from birth through age 59. The bid was successful and AAA7 became a subcontractor for the managed care company in 2014. Through this partnership, AAA7 has gained experience in serving younger individuals as well as exposure to the managed care culture and expectations for providers.