Area Agency on Aging for North Florida, Inc.

1. By Sarah Rode, MSW Area Agency on Aging for North Florida, Inc.

2. Florida’s Aging Network U.S. Congress Department of Health & Administration on Aging Governor and Legislature Department of Elder Affairs Area Agencies on Aging Lead Agencies Local Service Providers

3. Designated State Unit on Aging • Responsibilities • Administering human services programs • Benefit Florida’s growing elder population • Coordinating home and community-based services • Through a network of eleven Area Agencies on Aging across Florida • Commonly known as AAAs Department of Elder Affairs (DOEA)

4. Directly administers a wide range of programs • Long-Term Care Ombudsman Program • Statewide Public Guardianship Office • Communities for a Lifetime • SHINE (Serving Health Insurance Needs of Elders) • CARES (Comprehensive Assessment and Review for Long-Term Care Services) Department of Elder Affairs (DOEA) Cont.

5. AAANF • Mission Statement • To plan, coordinate and advocate for programs and services which promote the independence, dignity, health and well-being of seniors and their caregivers. • Located in Tallahassee • Serve 14 counties in North Florida Area Agency on Aging for North Florida, Inc.

6. Planning and Service Area (PSA) 2 PSA 2 covers 14 Counties: Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla and Washington

7. ARC AAA Board of Directors AAA Advisory Council ARC Local Coalition Workgroup Janice D. Wise Executive Director 06/98 George Scheiferstein LAN Manager 06/91 Stephanie Perkins Comfort Program Coordinator 05/02 Norma Adams Fiscal Administrator 08/01 Jennifer Jones Medicaid Program Administrator 10/99 Lisa Bretz Planning Administrator 04/95 CARES DCF/ESS Marissa Henderson Medicaid Waiver Sp. 02/08 Melanie Reed ARC Medicaid Benefits Counselor 10/09 Ander Bjorklund ARC I&R Specialist 01/08 Sarah Rode Program Specialist 09/07 Lead Agencies Matt Heald Fiscal Asst. 03/10 Vacant PT Medicaid Waiver Sp. 2010 Access Points Jawanna Thomas ARC Medicaid Benefits Counselor 12/09 Susan Hutchison Contracts & Grants Specialist 06/09 Keith Lavery-Barclay ARC I&R Database Specialist 06/05 Letha Paulus MBOA Coord. & FTRI Outeach Sp. 07/09 Frances Pybus ARC Medicaid Cl. Svcs. Sp. - 2B 07/09 Vacant ARC Medicaid Benefits Counselor 05/10 Charles Place SHINE Liaison 11/07 Jean Eggersdorf Administrative Asst. 10/03 Approved: 9/27/07; Rev 12/07; 03/08; 6/09; 7/09; 12/09; 4/10 Barbara Pate ARC Medicaid Cl. Svcs. Sp. – 2A 04/10 Linda Burns Office Manager 05/02 Organizational Chart

8. With Lead Agencies and other subcontractors • Provide Technical Assistance • Training • Case Management • ARTT • ADI • Telephone Support • On-Site Visits • Monitor Service Provider Agencies • Client File Reviews • Review Technical Assistance and Monitoring Reports • Monthly Achievement Reviews • On-Site Visits AAANF Relationships

9. Home and community based services provided through the following programs: • Home Care for the Elderly (HCE) • Community Care for the Elderly (CCE) • Alzheimer’s Disease Initiative (ADI) • Older Americans Act (OAA) • Aged and Disabled/Medicaid Waiver (ADA/MW) Programs

10. Rank 1 – 8 (lowest to highest) • Lower or higher risk of nursing home placement • Rank 1 and 2 • Annual assessment • Rank 3, 4, 5, 6, 7, 8 • Semi-annual assessment • Rank 6,7,8 • 6: Imminent Risk • 7: Aging Out from DCF Services • 8: Adult Protective Services (APS) • Required to serve within 72 hours of receiving referral • Serve clients with the highest rank (highest need) first Ranking system / Prioritization

11. Funding Federal Programs State Programs Older Americans Act Community Care for the Elderly Medicaid Waiver Home Care for the Elderly Energy Assistance Alzheimer’s disease Initiative SHINE

12. Encourage the provision of care for elders in family-type living arrangements in private homes • An alternative to nursing home placement • Provides a monthly stipend for caregivers for basic support and care of an elder individual • To help offset the cost of care giving, NOT to pay the caregiver Home Care for the Elderly (HCE)

13. Eligibility • Clients must be aged 60 or older • At risk of nursing home placement • Financially eligible • Based on income and assets • Caregivers must be at least 18 years of age • Capable of providing a family-type living arrangement • Willing to accept responsibility for the needs of the client Home Care for the Elderly (HCE)

14. Services • Case Management • Case Aide • Basic Subsidy • Intended for support and health maintenance • Special Subsidy • Payments for goods and services necessary for health and well-being of elderly client Home Care for the Elderly

15. Passed by the Florida Legislature in 1973 • Designed to assist functionally impaired elders to live dignified and independent lives in their own homes • Eligibility • Individuals must be aged 60 or older • Functionally impaired • Determined to be at risk of institutionalization (nursing home placement) • Co-Pay* for services based on income *(See Co-Pay schedule) Community Care for the Elderly (CCE)

16. Began with the passage of state legislation in 1985 Provide services and training to address the needs of individuals with Alzheimer’s disease and related memory disorders Research related to the cause Prevention Treatment and cure of the disease Alzheimer’s Disease Initiative (ADI)

17. Eligibility • Diagnosed or suspected of having memory loss where mental changes appear and interfere with the activities of daily living (ADLs) • 18 years or older • Not just Alzheimer’s disease • Must have a caregiver • Caregivers are eligible to receive training and support services to assist them in caring for the individual with memory problems • Co-pay* for services based on income *(See Co-Pay schedule) Alzheimer’s Disease Initiative (ADI) cont.

18. Case Management • Respite (in-home) • Respite (facility-based) • Bay • Jefferson • Leon • Washington Alzheimer’s Disease Initiative (ADI) Services

19. Less than private pay • Based on income of consumer • Programs • Community Care for the Elderly (CCE) • Alzheimer’s Disease Initiative (ADI) • Exemptions • Clients enrolled in Medicaid Waiver • CCE clients who are HCE caregivers • High Risk APS referred consumers during 1st thirty (30) days of services Co-Payment Schedule

20. Funds the federal Administration on Aging, State Units on Aging, and Area Agencies on Aging Organization and delivery of supportive services and nutrition programs for elders Must be bid on every three years Older Americans Act (OAA)

21. Eligibility • Individuals aged 60 or older • Targeted toward low-income, minority elders • Elders are not required to pay for services • Donations are accepted • Volunteer recruitment is encouraged Older Americans Act (OAA) cont.

22. Part B (OA3B) • Access Services • Public Education • Speaking to groups or distributing materials to individuals at public gatherings about services and opportunities available • Outreach • Reaching target individuals • Community setting or in their home • Information • Responding to an inquiry from a consumer regarding public and private resources and available services • Referral • Information is obtained about a person’s needs and the person in directed to a particular resources (Note: Information and Referral services are provided by the Aging Resource Center) OAA Title III-Part B

23. Supportive Services • Homemaking • Housing Improvement • Chore • Companionship • Legal Services • AAA contracts with Legal Services for North Florida, Inc. • Legal Assistance protects against the loss of basic civil rights • Ensures the autonomy and independence of older persons • Client are not charged for services. OAA Title IIIB (OA3B)

24. Part C (OA3C) • Nutrition Services • Congregate Meals (referred to as C1) • Facility based • Socialization • Games/activities • Home Delivered Meals (referred to as C2) • Home bound clients • Nutrition Education • Safe food handling • Medications and food • Healthy eating habits • Nutrition Counseling • If funding is available OAA Title III-Part C

25. Eligibility • Clients must be aged 60 or older • Determined to be financially eligible by Department of Children and Families (DCF) • Determined to be functionally eligible • Through assignment of Level of Care (LOC) by DOEA/CARES (Comprehensive Assessment and Review for Long-Term Care Services) Aged and Disabled/Medicaid Waiver Program

26. Services Include • In-home assistance (parallel to those of CCE) • Medical care and prescriptions • Durable medical supplies • Fair Hearing requests are filed with Department of Children and Families Aged and Disabled/Medicaid Waiver Program

27. Emergency Home Energy Assistance for the Elderly Program (EHEAP) • Eligibility • Applicant must be 60 years old or older • Verification of a home energy crisis • Household income must be below 150% of the poverty guidelines • Household may apply once per season • Cooling Season: April 1 through September 30 • Heating Season: October 1 through March 31 Additional Programs

28. Payment of a delinquent utility bill • Cut-off notice • Deposit for home energy services • Repairing of air conditioner or heating source • Purchases • Air conditioner • Fan • Heater • Propane • Blankets Emergency Home Energy Assistance for the Elderly Program (EHEAP) cont.

29. Florida Telecommunications Relay, Inc. (FTRI) • Amplified telephones for the hard of hearing • Outreach Partner • Regional Distribution Center • Requirements • Permanent Florida Resident • Deaf, Deaf/Blind, Speech Impaired, Hard of hearing • Aged 3 and older • Target consumers 60+ • All phones are free of charge Additional Programs

30. SHINE • Serving the Health Insurance Needs of Elders • Telephone counseling • Long term care insurance • Medicare Health Plan Choices • Prescription assistance • Call the Elder Help Line: 1-800-963-5337 Additional Programs

31. THE ELDER HELPLINE 1-800-963-5337 1-800-96-ELDER Aging Resource Center

32. Department of Elder Affairs Fact Sheet http://elderaffairs.state.fl.us/english/ARC/ARC_FAQ.pdf Additional resources AAANF Website www.aaanf.org

33. Questions? Don’t be afraid to ask questions! For General Revenue and Nutrition Program Questions: Sarah Rode: 850-617-4357 Lisa Bretz: 850-617-4321 For Medicaid Waiver and Assisted Living Waiver Questions: Jennifer Jones: 850-617-4305 Marissa Henderson: 850-617-4307 For Aging Resource Center Questions: Call your ARC Representative Melanie Reed: 850-617-4344 Jawanna Thomas: 850-617-4355