Administration on Aging Update - nasuad.org · NLRC is a collaborative project involving five...
Transcript of Administration on Aging Update - nasuad.org · NLRC is a collaborative project involving five...
2010 AIRS Conference
Administration on Aging
Update
Presented by Sherri Clark
Aging Services Program Specialist
2010 AIRS Conference
Outline
Assistant Secretary PrioritiesReauthorizationCaregiving EffortsADRC UpdatePartnership with VAHUD/HHS Community Living CollaborativeResource Center UpdatesOther Stuff
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ASA Priorities
Investing in Core HCBS
Health and Wellness
Nursing Homes and Culture Change
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Reauthorization of the OAA
Current legislation set to expire 9/30/2011Timely opportunity to update legislationListening SessionsLegislative process has not begun.To provide input visithttp://www.aoa.gov/AoARoot/AoA_Programs/OAA/Reauthorization/Index.aspxMore on Tuesday
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Caregiving Efforts
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10th Anniversary of the NFCSPCreated in the 2000 Reauthorization of the Older Americans Act
Focus on Caregiver vs. Care Recipient
Celebration ideas being explored
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NFCSP Impact
Who Do We Serve?675,000 caregivers1/3 work full timePrimarily Women (73%)Elderly themselves
54% age 60+22% age 75+
17% live in rural areasGrandparents
81% female84% age 60-74
What They Tell Us?84% receive respite45% said respite was most helpful75% reported less stress85% reported caregiving was easier95% reported service quality as good to excellent
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Lifespan Respite Care Act of 2006
Signed on December 21, 2006
First appropriation in 2009 ($2.5 million)
Based on Model State Programs
Establishes Respite as a National Priority
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Lifespan Respite Care Act
Provides for Mandatory Activities:Development or Enhancement of State and Local Lifespan Respite SystemsProvision of Planned or Emergency Respite for All AgesVolunteer/Provider Recruitment & TrainingInformation to CaregiversAccess Assistance
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Who is Eligible for Lifespan Respite?
Family members of any age, foster parents or other adults (18+) providing unpaid care to:
Adults and children of all ages with all disabling and chronic conditions
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Program Implementation
Eligible EntitiesState Units on AgingState Medicaid AgenciesOther State Agencies
In concert with…Aging and Disability Resource CentersState Lifespan Respite Coalition
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Lifespan Respite Care Program
12 States funded in 2009PA for new FY 2010 GranteesMore information about the Lifespan Respite Care Program and grantees:
http://www.aoa.gov/AoARoot/AoA_Programs/HCLTC/LRCP/index.aspx
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FY 2009 Lifespan Respite Care Program State Grantees
AlabamaArizonaConnecticutDistrict of ColumbiaIllinoisNevada
New HampshireNorth CarolinaRhode IslandSouth CarolinaTennesseeTexas
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VP’s Middle Class Task ForceCaregiver Initiative
Focuses on specific needs of caregiversIntegrates Caregiver Support with other HCBS$102.5 Million for FY 2011
$48 million for III B$48 million for III E$4 million for Native American programs$2.5 million for Lifespan Respite Care Program
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Aging and Disability Resource Center Update
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Aging and Disability Resource Centers
Collaborative AoA/CMS effort since 2003Goal - Easier access to health and long-term care options ADRCs provide
“one-stop shop” sources of information,one-on-one counseling, and streamlined access to programs and services
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Aging and Disability Resource Centers
54 states and territories have been funded
14 states ADRC system statewide
300 ADRC systems
Numbers served continue to grow
http://www.adrc-tae.org/tiki-index.php?page=HomePage
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Funding Opportunity New Funding Opportunity Coming Soon
Affordable Care Act
Funding for ADRCs 2010-2014 $10 million a year for five years (FY 2010-2014)
Funding for SHIPs, AAAs, ADRCs, and National Center for Benefits Part D and prevention outreachTotal $45 million between 2010 and 2012:
$15 m for AAAs, $10 m for ADRCs, $5 m for the Center $15 m for SHIPs
Funding for Care Transitions
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Partnership With VA
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Partnership with VA
• VA/AoA partnership since 2008
• Create opportunities for Aging Network to serve veterans of all ages at risk of nursing home placement.
• VA has invested approximately $20 million to date
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How Program Works
Target Population: All Veterans enrolled in VA health care system are eligible to participate in the VDHCBS program when the Veteran is “in need of nursing home care” and interested in consumer directed care.
Referral Process: The VAMC will identify Veterans that are eligible for the VDHCBS program and refer the veterans to the Aging Network Agency.
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VDHCBS Program ComponentsVDHCBS programs include the following:
Home and Community-Based Services - examples include, but not limited to:
Personal Care (e.g. physical or verbal assistance with eating, bathing, dressing, grooming, transferring)Homemaker (e.g. cleaning, laundry, meal planning & preparation, shopping)Adult Day CareAssistive Technology (e.g. emergency response system, electronic pill minder)Home-Delivered Meals Caregiver Support (e.g. counseling, training)Respite CareEnvironmental Support (e.g. yard care, snow removal, extensive cleaning)Other goods and services needed to remain safely in the community (e.g. small appliances, grab bars, ramp, lift chair, etc.)
AssessmentOptions Counseling/Support Services including care managementFiscal Management Services Performance Measurement & Evaluation
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HUD HHS Community Living Collaborative
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HUD HHS Community Living Collaboration
One of three working groups in a larger HUD HHS collaboration initiated by HHS Secretary Sebelius and HUD Secretary Donovan.
HomelessnessLivable homes and communitiesCommunity living
HUD HHS Community Living Collaborative meets monthly and has established several sub-groups to focus on specific activities to encourage community living and aging in place.
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HUD HHS Community Living Collaboration – Activities
Capacity building effort that will provide technical assistance to national, state, and local entities to assist them in the planning and implementation of effective programs that link housing with long term supports and services
A demonstration project to explore how housing, long-term supports and services, and medical care can be coordinated to support older adults.
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HUD HHS Community Living Collaboration – Activities
Improved Coordination between HHS Office for Civil Rights and the HUD Fair Housing Office to more effectively address housing needs of persons with disabilities
Exploring the establishment of a “bridge fund” to temporarily fund housing for persons transitioned from a nursing home to the community while they wait for a permanent subsidy
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AoA Resource Centers Update
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National Center for Benefits Outreach and Enrollment
Increase access to benefits for seniors and younger adults with disabilities by:
providing tools and resourcesgenerating and disseminating knowledge about best practices and cost-effective strategies for benefits outreach and enrollment
Focus on public benefits that are critical to older people with limited incomes and resources
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Center Activities
Training and technical assistance on effective outreach, screening, enrollment, and follow-up strategies
Clearinghouse on best practices and cost-effective methods for finding and enrolling people in benefits outreach and enrollment
Web-based screening and enrollment tools (www.BenefitsCheckUp.org)
Fund and support Benefits Enrollment Centers10 pilots across the country focused on benefits coordination
Provide technical assistance and support to grantees that have received Medicare Improvements for Patients and Providers Act (MIPPA) grants
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Center Activities
Convening a Federal Partners working group whose focus is on benefits coordination and collaboration
Administration on AgingAdministration for Children and FamiliesCenters for Medicare & Medicaid ServicesUSDA Food & Nutrition ServiceHousing & Urban DevelopmentSocial Security AdministrationVeterans Administration
Work with National Association of State Units on Aging (NASUA) to convene a similar State Public Benefits Leadership Collaborative
www.centerforbenefits.org
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National Technical Assistance Resource Center for LGBT Elders
Objectives
Educate mainstream aging services organizations about the existence and special needs of LGBT elders
Sensitize LGBT organizations about the existence and special needs of older adults
Educate LGBT individuals about the importance of planning ahead for future long-term care needs
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National Technical Assistance Resource Center for LGBT Elders
Services and Advocacy for GLBT Elders (SAGE)Nation’s oldest and largest community-based organization serving older members of the LGBT communityLaunch planned for fall of 2010www.sageusa.org
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New National Legal Resource Center Website
NLRC is a collaborative project involving five national non-profit orgs
Purpose to empower legal and aging advocates with resources to provide high quality, free legal help to seniors
Website provides access to important resource support including case consultation and training
Excellent links on a variety of legal issues
http://nlrc.aoa.gov/NLRC/Index.aspx
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Other Stuff
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A T o o l k i t f o r S e r v i n g D i v e r se C o m m u n i t i e s
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New Media
Facebook?
Twitter?
http://www.aoa.gov/AoARoot/Press_Room/Social_Media/index.aspx
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Stay Updated!
Monthly E-NewsletterE-News Alerts
http://www.aoa.gov/AoARoot/Press_Room/Enews
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QUESTIONS!
Feel free to contact me if you have questions, suggestions, or comments