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Older Americans Act Overview

Virginia Department for the Aging. Older Americans Act Overview. CONSUMERS. CONSUMERS. CONSUMERS. Federal Executive Branch. U.S. Department of Health and Human Services. Administration on Aging. Tribal Organizations (244). State Units on Aging (56). Area Agencies on Aging (655).

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Older Americans Act Overview

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  1. Virginia Department for the Aging Older Americans Act Overview

  2. CONSUMERS CONSUMERS CONSUMERS Federal Executive Branch U.S. Department of Health and Human Services Administration on Aging Tribal Organizations (244) State Units on Aging (56) Area Agencies on Aging (655) Local Service Provider Organizations (29,000)

  3. Older Americans Act (OAA) • 1965 Great Society Legislation • OAA has be reauthorized 16 times • 2006 amendment authorizes the Act for 5 years through 2011 • Requires Advocacy (Not Lobbying) for Older Individuals • Advocate or Advocacy is mentioned 26 times President Johnson signing the OAA in 1965

  4. Older Americans Act (OAA) Title I: Objectives / Definitions • Adequate Income • Best Possible Physical and Mental Health • Suitable Housing • Institutional & Community Based Long-Term Care • Employment Without Age Discrimination • Retirement in Health, Honor, Dignity • Participate in Civic, Cultural, Educational Activities • Community Services such as Transportation • Education About Sustaining and Improving Health • Protection From Abuse, Neglect, and Exploitation Title II: Administration on Aging • Authorizes, Organization, and Finances

  5. Older Americans Act (OAA) Title III: State and Community Programs Part A: Purpose • Max Independence and Dignity • Remove Individual and Social Barriers • Continuum of Care • Managed In-home and Community Based Long-Term Care Services State Units on Aging (SUA) • Develop and Administer State Aging Plan • Advocate for Older Individuals • Designate Area Agencies on Aging (AAAs) • Establish Policies, Procedures, Service Standards • Provide Technical Assistance Area Agencies on Aging (AAA) • Develop and Administrator Local Aging Plan • Establish Advisory Council • Provide Services • Establish Focal Points to Provide Services • Facilitate Coordination of Community Long-Term Care Services Part B:Support Services & Senior Centers • Community Based Services and In-Home Services: adult day care, checking (reassuring contact), chore, homemaker, personal care, residential repair and renovation. • Access Services: care coordination, information and assistance, transportation. Part C: Nutrition / Meals • Subpart 1: Congregate (Group) • Subpart 2: Home Delivered Part D: Disease Prevention and Health Promotion Part E: National Family Caregiver Support Program

  6. Older Americans Act (OAA) Title IV: Activities for Health, Independence and Longevity • Demonstration Grants / Programs • Alzheimer’s Disease Grants • Aging & Disability Resource Center Grant • Project 2025 Title V: Community Service Senior Opportunities Act • Older American Community Service Employment Program • Department of Labor • National Contractors Title VI: Native Americans • Federally recognized American Indian Tribes • Native Hawaiian Program Title VII: Vulnerable Elder Rights Protection Activities • Ombudsman • Elder Abuse, Neglect and Exploitation • State Legal Assistance Development

  7. History of AAAs • 1969 OAA amendment created model demonstration projects across the nation. Southeastern Virginia Areawide Model Project (SEVAMP) – Senior Services of Southeastern VA was one of the original nine. • 1972 OAA amendment created the nutrition program. Funds from this program allowed Virginia to establish a congregate meal program in the 25 planning districts. • 1973 OAA amendment called for the creation of the AAAs. • Regions of the state (generally by planning district) developed a plan for their area. With approval of the plan grants were given to start the AAA. • Most AAAs were established in 1974-1975.

  8. Area Agencies on Aging (AAAs) • Local AAA are designated by the SUA; • Required to have an Advisory Council; • Funding comes from Older Americans Act, state General Fund, local governments, private grants, voluntary contributions, and fees (cost sharing); and • Each prepares an Area Plan for Aging Services.

  9. Agencies on Aging are Quasi-Governmental Entities Area Agencies on Aging (AAAs): • Predominately expend public funds; • Provide specific services; and • Organization is required by the Older American’s Act. By Contract AAAs are required to follow: • The State and Local Government Conflict of Interest Act; • Public Procurement Act; and • Freedom of Information Act.

  10. Guidance Authority Federal Authority State Authority Older Americans Act Appropriations Act / Code Executive Orders AoA Regulations • Contract • Contract Language • Incorporated Documents • Referenced Documents • Amendments (unilateral) Program Instructions Information Memorandums Service Standards Regional Office Memorandums Technical Guidelines Technical Guidelines

  11. OAA Eligibility for Services • Age 60 and over (except Title V is 55) • Not an entitlement like Social Security, Medicare or Medicaid • Services can be curtailed due to lack of funding • Not means tested – no verification of ability to pay, but programs target poverty • Income information maybe asked to determine fee-for-service/cost sharing

  12. ConcludingComments or Questions???

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