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HomeMy WebLinkAboutResolutions - 2012.07.18 - 20442MISCELLANEOUS RESOLUTION #12180 July 18, 2012 BY: General Government Committee, Christine Long, Chairperson IN RE: BOARD OF COMMISSIONERS — AREA AGENCY ON AGING 1-B — FY 2013 ANNUAL IMPLEMENTATION PLAN To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974; and WHEREAS the Area Agency on Aging 1-B has assessed the needs of older county residents and developed a plan to provide assistance that addresses identified needs; and WHEREAS the proposed plan has been submitted for review by the public, and has been subjected to a public hearing; and WHEREAS the comments at the public hearings on the proposed plan were mostly favorable, and constructive changes in the plan were made as a result of some comments; and WHEREAS the Oakland County Board of Commissioners appoints two representatives to the AAA 1-B Board of Directors, a County Commissioner and a county resident who is at least 60 years of age; and WHEREAS the Michigan Office of Services requires that county Boards of Commissioners be given the opportunity to review and approve an area agency on aging's annual implementation plan. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners, hereby approves the FY 2013 Annual Implementation Plan of the Area Agency on Aging 1-B, for the purpose of conveying such support to the Area Agency on Aging 1-B and the Michigan Office of Services to the Aging. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution GENERAL GOVERNMENT COMMITTEE GENERAL GOVERNMENT COMMITTEE: Motion carried unanimously on a roll call vote. June 25, 2012 Commissioner Michael Gingell, Chairperson Oakland County Board of Commissioners County Service Center, Bldg 12 East 1200 N. Telegraph Pontiac, MI 48341 Dear Commissioner Gingen Enclosed please find a copy of the Area Agency on Aging 1-B (AAA 1-B) FY 2013 Annual Implementation Plan. This Plan was adopted by action of the AAA 1-B Board of Directors on June 22, 2012, and has been submitted to the Michigan Office of Services to the Aging for approval. The AAA 1-B Board of Directors' review and approval process involves two appointees from each Region 1-B county Board of Commissioners, a member commissioner and an older adult representative. As you may know, the AAA 1-B Board of Directors consists of a majority of county commission appointees. The plan has also been reviewed and approved by the AAA 1-B Advisory Council, and has been the subject of a public hearing, where favorable comments on the plan were received. This document is being sent to you in accordance with a directive from the Michigan Office of Services to the Aging, which allows each county Board of Commissioners to adopt a resolution of approval for the plan. A model resolution is enclosed for your convenience. State policy stipulates that if a county chooses to take such action, it must be completed by July 30, 2012. Please forward any adopted resolution, or minutes of the meeting where such action is taken, to the AAA 1-B, Attention: Deanna Mitchell. Thank you for your consideration of this request. If you have questions or require assistance relative to the plan, please contact Andrea Layman, Director of Network Development, at (248) 262-9924. Sincerely, 7 /7 7flei-zaa • • , „ County Access Centers Widand/Main Office 7H00 Northwestern Hwy. 400 MI 48014 z48-')97-2255 24 4.640.9601 Livingston/Washtenaw .i')41 Research Park Dr. B Ann Arbor, MI 48100 Phone: 73+213-6704 734-213-6800 {-oldeOJ ii 102 („linton "kyr.. MI 4 Monroe I LaPla:• Stitt(' 110 •.nroe, MI 48161 I.:734-141-2012 F • . 734-241-6877 Si. Cklir 501 Or,lziot Blvd. ,Soite 2 ivizirvsy Inc • Tina Abbate Marzolf Chief Executive Officer sa Enclosures c: Helen Hanger \Veb:-Ire: ,-( I t, ( MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLAN 2013 ANNUAL IMPLEN]ENTATION PLAN AREA AGENCY ON AGING 1-B ‘\_ r - F L t I Areas Served Livingston, Macomb, Monroe, Oakland, St_ Clair, Washtenaw 29100 NORTHWESTERN HWY., SUITE 400 SOUTHFIELD, MI 48034 248-357-2255 1-800-852-7795 248-948-9691 (Fax) TINA ABBATE MARZOLF, DIRECTOR www.aaalb.orq Office of Services to the Aging Field Representative Steve Betlerly, 517-373-4089 benerlys@michigangov Printed On: 6/6/2012 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Table of Contents County/Local Unit of Government Review 2 Plan Overview 3 Public Hearings 6 Available Resources & Partnerships 7 Access Services 10 Program Development Objectives (State) 13 Program Development Objectives (Regional) 17 Advocacy Strategy 18 Community Focal Points 21 Community Living Program 45 ADRC/MMAP 47 Other Grants 49 Appendices 51 Printed On: 6/6/2012 Area Agency On Aging 1-6 FY: 2013 . T 1 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) County/Local Unit of Govt. Review AAA Response: In April, the AAA 1-B contacts each Region 1-B county Board of Commissioners (BOC) to determine their July meeeting date and deadlines for submission of materials. The AAA 1-B Advisory Council and Board of Directors approve the Annual Implementation Plan (AIR) during their June meetings. Upon Board approval, the AAA 1-B sends a copy of the AIR, and a draft resolution to the chairperson of each county BOC, with a letter requesting approvla of the AIP by July 31. The materials are sent via certified mail with a signature required to confirm delivery. A copy of the materials is also emailed to each of the BOC's clerk/administrative assistant who is asked to ensure approval of the AIR is placed on the July meeting agenda. A Board member or AAA 1-B staff member attends each BOC's July meeting to answer any questions and encourage approval of the AIP. No action by a BOC is considered approval. The AAA 1-B notifies OSA by August 1 of the status of county level approval of the AIP. Printed On: 6/6/2012 2 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 Plan Overview AAA Response: The AAA 1-B is a non-profit organization that is responsible for services to more than 550,000 persons age 60 and older and adults with disabilities residing in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties. The AAA 1-B is dedicated to: 1) advocating on issues of concern to older persons and persons with disabilities; 2) allocating federal and state funds for social and nutrition services; 3) ensuring access to a network of long-term care services; 4) developing new older adult and independent living service programs; 5) coordinating activities with other public and private organizations; and 6) assessing the needs of older adults and adults with disabilities and linking them with needed community-based long-term care services. The AAA 1-B prioritizes activities that allow older people to maintain their independence with dignity and places a special emphasis on assistance to frail, low-income, disadvantaged, and minority elders and adults with disabilities. This AIP proposes to support the following array of services: Adult Day Health Service Care Management Chore Community Living Program Services Community Living Services Congregate Meals Elder Abuse Prevention Evidence-Based Disease Prevention Grandparents Raising Grandchildren Health Benefits Education Hearing Assistance Home Delivered Meals Home Injury Control Homemaking Information & Assistance In-Home Respite Legal Assistance Long Term Care Ombudsman Medication Management National Family Caregiver Support Program Out-of-Home Respite Personal Care Public Education Resource Advocacy Transportation Vision Services Volunteer Caregiver FY 2012 State Goals Update Printed On: 6/6/2012 3 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 - AAA 1-B staff trained 18 leaders to facilitate the evidence based Personal Action Towards Health (PATH) programs in the community - Two AAA 1-B contracted partners (National Kidney Foundation of Michigan and Arthritis Foundation) funded with remaining ARRA dollars reached 541 "completers" of the PATH program - Over 10 professionals, including 1-B Registered Dietician, were trained as facilitators of the evidence based "Healthy Eating for Older Adults" nutrition program - Mobility management program "myride2" launched in May. The purpose of myride2 is to provide mobility coordination for older adults and adults with disabilities in Oakland and Macomb counties. Toll free phone number and website for the service have been established - 1B staff and others working in the field of housing successfully advocated for the waiver of the "40% rule" in assisted living settings (rent can't be more than 40% of income). - Approximately 14 Creating Confident Caregiver (CCC) programs scheduled throughout FY 12, plus an additional veteran specific class. Two AAA 1-B staff were certified as CCC Master Trainers - The Coordinated Community Response Coalition (CCRC) of Oakland & Wayne counties, chaired by AAA 1-B staff, established an interim housing project for victims of elder abuse and exploitation - Both Monroe and Washtenaw county collaboratives working on the prevention of elder abuse, neglect and exploitation (PEANE) held their first ever Elder Justice summits. - Over 200 professionals attended the annual Judith J. Wahlberg lecture and training in February, focused on medication challenges and psychiatric disorders among the elderly - AAA 1-B has convened a workgroup of representatives from local homecare agencies to research and develop a report on the demonstrated outcomes of homemaking and person care services, and highlight the value of these services. The report is anticipated to be completed in the third quarter of FY 12. - Successfully reduced the waitlist for OSA funded home and community based services to by 100% through the use of services through the Community Living Program, and increased serving by 50%. FY 2013 Goals & Partnerships highlights The development of a comprehensive and coordinated service delivery system has been facilitated by the AAA 1-B through partnerships with a diverse array of private and non-profit organizations dedicated to delivering quality services. This year, we will continue to focus on improving access to needed long-term care resources for targeted populations by growing the Community Living Program (CLP) and using specific strategies to help people to use their own resources to purchase or try services rather than being placed on a waiting list. In-home, access and respite services will continue to remain a high priority, as well as exploring opportunities to strengthen other community services and enhance opportunities for older adults and adults with disabilities to engage in more evidence-based wellness and prevention activities. Highlights for 2013 include growth of the Care Transitions program, expansion of our Evidence Based programs into less populated areas of our region, implementation of our mobility management service, further exploration of the opportunities to diversify our business model, implementation of our Aging and Disability Resource Center (ADRC) plan, updating of our strategic plan, advocacy efforts related to Integrated Care to ensure AAA 1-B is still involved in the long-term care needs of dual eligibles, and continued progress with our goals and objectives set out in the FY 2010-2012 Multi-year Plan. Budget Scenario Planning Printed On: 6/6/2012 4 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) The AAA 1-B is planning for FY 2013 with maintenance of FY 2012 funding for all services. We anticipate OSA programs will be maintained in 2012 with no reduction in funding. Although 2013 federal funding levels have not yet been determined, the AAA 1-B is planning for maintenance of 2012 federal funding as well. There is a potential for additional funding at the state level for the Aging and Disability Resource Centers, Alzheimer's education and Elder Abuse prevention services. If approved, how this funding with be distributed to Area Agencies on Aging has not yet been determined. One significant change is in the use of Title III-D funds. The Administration on Aging (AoA) has mandated that all III-D funds be used solely to support evidence-based programs, such as PATH, Matter of Balance, Creating Confident Caregivers, etc. The full list of approved programs is available on the AoA website. Previous AAA 1-B services funded under the Title III-D funds include hearing services, vision services, some respite services and medication management. These services will now be funded primarily under Title III-B funds. Contingency Plan In the event that federal funding is reduced, the AAA 1-B will adjust funding cuts in accordance with the AAA 1-B prioritization plan (see Prioritization Data Spreadsheet in the Appendices). Under this scenario, the Home Injury Control and Public Education programs could be cut. Funding from the congregate meal program may be transferred to protect the high priority home delivered meal program. Printed On: 6/6/2012 5 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Public Hearings AAA Response: Date Location Time Is Barrier Free No of Attendees 05/30/2012 AAA 1-B Southfield office 09:30 AM Yes 27 Narrative: A public hearing was held on May 30. 2012 at the AAA 1-B Southfield Office. Twenty seven people attended, including ten MA 1-B staff people and 1 OSA representative. People had the option of participating by phone or in-person. Notice of the public hearing was placed in the newspaper, distributed via email to the service provider and advocacy network, and posted on the AAA 1-B website. An overview and highlights of the plan were provided by the AAA 1-B CEO and the Director of Network Development. All attendees were provided with an opportunity to provide feedback. Two agencies submitted written comments, Livingston County Catholic Charities (LCCC) and Oakland Livingston Human Service Agency (OLHSA). It was also reiterated to attendees that written feedback was being accepted until June 1,2012. Printed On: 6/6/2012 6 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 Available Resources & Partnerships AAA Response: As in FY 12, the AAA 1-B will continue to work to address identified unmet needs by attaining the highest value from existing local, county, state and federal resources; utilizing these funds to leverage other public, private and individual resources; and maintaining and enhancing families' ability to assist older persons in need. It will be necessary to successfully engage in a variety of collaborative partnerships; resource and program development activities; and advocacy on behalf of older persons in order to accomplish these outcomes. The AAA 1-B recognizes the county planning efforts in the forms of "blueprints for aging" and "senior needs assessments" as imperative to accomplishing the above outcomes. This plan stipulates the use of available state and federal funds to support older adult services. Although maintenance funding for FY 13 is anticipated, state sources have seen significant decreases over the last several years and federal reductions for 2013 are being threatened as a part of deficit reduction. In addition to these resources, a truly comprehensive service delivery system will require substantial contributions of resources from other local sources. The predominant method of supplementing state and federal dollars with local resources is through the adoption of senior millages, which are present in 61 of 83 Michigan counties. However, only two Region 1-B counties. Monroe and St. Clair, have senior millages (which raise approximately $3 million each), and several municipalities have local millages that are either dedicated to older adult services (Bloomfield Hills, Madison Heights, Milford, Oakland Township, Rochester, and Rochester Hills) or are partially dedicated in combination with other uses, such as recreation (Saline). In the other four non-millage counties, county boards of commissioners commit a significant amount of general fund dollars for older adult services, and local municipalities are expected to provide leadership in supporting the operation of senior centers. While this matrix of support has created a strong service delivery system, these local sources of support are expected to continue to decline in FY 2013 due to a decline in property tax-based revenue. AAA 1-B is also working with the Monroe county effort to renew the senior millage in FY 12, and with St.Clair county to secure an increase in FY 2012. The potential loss of support provided through senior millages would be devastating in these communities. Many areas where resources are clearly lacking and are inadequate to address needs will remain throughout the region. The AAA 1-B will cointinue to address this problem of shrinking resources in a variety of ways including: 1) educating funders and decision makers about the importance and need for older adult services; 2) identifying opportunities for partnerships with other public and private resources to preserve or expand services; and 3) instituting new models for service delivery, such as the Community Living Program, which has made significant impacts on the reduction of the waitlists for services. The AAA 1-B is intimately involved with numerous local planning bodies, such as the county human service collaborative councils, the various aging councils and collaboratives, and many issue specific initiatives such as the elder abuse coalitions and the dementia related coalitions. We place a high value on the need to maintain and build upon these local relationships in order to ensure our efforts have a further reach into the community and we are able to pool resources with other aging and disability focused agencies. In addition to these county or local level initiatives, there are several initiatives that depend on the strength of our community partners and relationships, such as: Printed On: 6/6/2012 7 Area Agency On Aging 1-B FY: 2013 1 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Care Transitions (CT): The Care Transitions program is discussed in detail in the Regional Program Development Objective section of this plan. The AAA 1-B has partnered with numerous local agencies to deliver this program, including Beaumont Hospital Troy, Henry Ford Health Systems Macomb (Clinton Two), McClaren Oakland Hospital, Canterbury on the Lake (Skilled Nursing Facility), Beaumont Hospice, Henry Ford Hospice, Critical Signal Technologies, Premier Visiting Physicians, Oakland Family Services, Michigan Peer Review Organization, Beaumont Home Care , and GoLean, Inc. AAA 1-B received funding from Centers for Medicare & Medicaid Services (CMS) to provide this program in the community for at least two years, with the opportunity to extend the funding and program for another three years. Together with our partners, the program aims to reduce hospital readmission rates for high risk Medicare beneficiaries. Program for All inclusive Care for the Elderly (PACE): AAA 1-B is working with several partners, including United Methodist Retirement Communities (UMRC) and University of Michigan Health Systems, to explore the development of an integrated care service delivery PACE site in the Ypsilanti area, with the potential to serve dual-eligibles in portions of Washtenaw and Monroe counties. This initiative is still under review by the AAA 1-B CEO and CFO, but AAA 1-B is eager to have a potential part in bring an alternate service delivery model to dual eligibles in our region. Aging and Disability Resource Center (ADRC): AAA 1-B has worked with numerous partners, including three local Centers for Independent Living (CIL), to submit a plan to Michigan Office of Services to the Aging for approval of a regional ADRC. In April 2012, our ADRC of Southeastern Michgian plan was approved as an "emerging ADRC". AAA 1-B now will focus on working with our partners on implementation and delivery of the goals set out in the plan. More information on the AAA 1-B ADRC plan can be found in the MMAP/ADRC section of this AIP. Lesbian, Gay, Bisexual, Transgender (LGBT) efforts: AAA 1-B is working with several partners to increase awareness, acceptance and understanding of the specialized needs of LGBI older adults. AAA 1-B has a staff person trained by the National Resource Center on LGBI Aging to bring training to older adult service providers in Michigan. We are the only agency to offer this training in the state of Michigan. AAA 1-B is also a member of the local LGBT Older Adult Coalition, which includes a variety of community partners, including (but not limited to) Adult Well Being Services, Affirmations, ACLU Detroit, KICK, Oakland Family Services, Medilodge of Southfield, Presbyterian Villages of Michigan and a representative from the State Commission on Aging. Integrated Care (IC): Throughout FY 12, AAA 1-B has been monitoring and advocating on the state's plan to move toward an Integrated Care plan for Medicare and Medicaid dual-eligibles. AAP, 1-B is working on behalf of older adults, the service provider network, and Area Agencies on Aging to ensure that the needs of older adults and people with disabilities are the top priority in the Michigan IC model, and that the extensive experience and expertise of AAA's and the service provider network will continue to be available to consumers under this long-term care IC model. As the plan develops and is implemented throughout FY 13, AAA 1-B will continue to advocate and stay involved in the planning process, foster relationships with prospective integrated care organizations for the purpose of preserving the AAA 1-B role in managing MI Choice services, and do all that we can to ensure the strengths of AAA 1-B are incorporated into the array of benefits that will be coordinated through the Michigan IC plan. Printed On: 6/6/2012 8 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMP Area Agency On Aging 1-B FY: 2013 The Community Living Program (CLP), discussed in detail in this plan, will also continue to redistribute resources to community care management clients and assist individuals to use their own resources more effectively. Community partners, such as the Resource Advocacy contractors, are key to the succesful expansion of this program to reach more older adults. Finally, the AAA 1-B is in the final stages of wrapping up it's inaugural 3-Year Strategic Plan (FY 10-12), which includes collaborative efforts to enhance services and revenues through new business development, adoption of best practices, branding and advocacy. FY 13 will include the implementation of a revised strategic plan, with a continued development and implementation focus on collaborative efforts and partnerships. Printed On: 6/6/2012 9 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Access Services Information and Assistance Starting Date 10/01/2012 Ending Date Total of Federal Dollars $200000.00 Total of State Dollars Geographic area to be served: AAA 1-B Region: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties List each goal for the program, including timeline and expected outcome: Goal: To apply for AIRS accreditation for the AAA 1-B Resource Center. Expected Outcome: To enhance the credibility of the AAA 1-B's information and assistance service. Timeline: September 30, 2013 Goal: Continue to incorporate the mobility options counseling service into the Resource Center. Expected Outcome: Improved access by older adults to mobility related services including ways to maintain current mobility. Timeline: September 30, 2013 Outreach Starting Date 10/01/2012 Ending Date Total of Federal Dollars $102167.00 Total of State Dollars Geographic area to be served: AAA 1-B Region: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties List each goal for the program, including timeline and expected outcome: Goal: Restructure the site map of the AAA 1-B website to enhance the navigational experience of older adults, adults with disabilities and family caregivers. Expected Outcome: A more clear understanding of the programs and services available to the different audiences served by the AAA 1-B Timeline: September 30, 2013 Goal: To initiate a branding review for the AAA 1-B in regards to awareness within the agency's target market Expected Outcome: To increase the awareness of the AAA 1-B among older adults, adults with disabilities and family caregivers. Timeline: September 30, 2013 Case Coordination and Support 09/30/2012 09/30/2013 Starting Date 10/01/2012 Total of Federal Dollars $402.000.00 Ending Date Total of State Dollars 09/30/2013 Geographic area to be served: AAA 1-B Region: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties Printed On: 6/6/2012 10 Area Agency On Aging 1-B FY: 2013 Planned Next Year: Planned Next Year: Planned Next Year: Planned Next Year: 300 300 30 1.100 Planned Next Year: 50 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) List each goal for the program, including timeline and expected outcome: Care Management Starting Date 10/01/2012 Ending Date 09/30/2013 Total of Federal Dollars $10500000 Total of State Dollars $1.028.664.00 Geographic area to be served: AAA 1-B Region: Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties List each goal for the program, including timeline and expected outcome: Goal: To continue to maintain a minimal to no waitlist for all OSA funded care management services. Expected Outcome: Older adults requesting in-home and other OSA funded care management services will receive services quicker, assisting in prevention of unneccessary nursing home placement or hospitalization. Older adults on the MI-Choice Waiver will continue to be offered OSA services as funding allows, permitting some older adults to receive services immediately rather than waiting for several years for the Waiver services. Timeline: September 30, 2013 Goal: Conduct at least four trainings for care management and commmunity living consultant staff on new technology, practice guidelines, person-centered thinking and self-directed care. All new CSS staff will attend formal person centered thinking within their first year of hire. Expected Outcome: Care managers and community living consultants will keep their knowledge and skill levels current to the agency and state priorities and models for provision of care for participants. Care managers will be better equipped to embrace agency culture change. Timeline: September 30, 2013 Goal: Coordinate services, through the Community Living Program (CLP), for older adults transitioning out of the 30 day service period for the CMS funded Care Transitions program. Expected Outcome: At least 50 participants in the Care Transitions program will continue to receive services after the 30 day Care Transitions funding period is completed, allowing for unnecessary interruption or discontinuation of home and community based services by enrolling older adults into CLP. Having a process for continuation of services could further assist in the prevention of unneccessary hospitalization. Timeline: September 30, 2013 Number of client pre-screenings: Number of initial client assesments: Number of initial client care plans: Total number of clients (carry over plus new): Staff to client ratio (Active and maintenance per Full time care MATCH: Source of Funds Cash Value: Current Year: Current Year: Current Year: Current Year: Current Year: Printed On: 6/6/2012 $83,416.00 In-kind $200,000.00 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B Source of Funds Source of Funds OTHER RESOURCES: Source of Funds Cash Value: Source of Funds Cash Value: Source of Funds Cash Value: FY: 2013 In-kind In-kind In-kind In-kind In-kind Cash Value: Cash Value: Printed On: 61612012 12 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 Program Development Objectives (State) State Plan Goal: Goal One Work to Improve the health and Nutrition of Older Adults AAA Response: Objective: Coordinate and facilitate at least 8 Evidence Based Disease Prevention/Health Promotion (EBDP) programs in the less populated areas of the 1-B region, with an emphasis on Livingston, Monroe and St. Clair Counties. Timeline: October 1, 2012- September 30, 2013 Activities: Activities necessary to complete this project include: - Analysis of the location of EBDP programs through FY 12 and Identification of geographic areas serviced through AAA 1-B EBDP contract for FY 13, to identify gaps in service territory - Communication with senior centers, senior housing, and service providers in each of these counties to identify locations to hold the workshops and promote the program - Recruitment of additional volunteers to facilitate the programs - Identification of facilitators for each of the programs, Facilitators may be trained AAA 1-B staff, trained volunteers, or other trained professionals. - Tracking and reporting of programs and participation Staff time allocated to the objective: This goal will be primarily driven by the Network Development department. The Program Manager/Training Specialist will take the lead in coordinating these efforts. The Program Manager for Nutrition Services and the Respite and Residential Services Specialist will also assist in the coordination and facilitation of these programs, as they are each trained on at least one EBDP program. The opportunity to utilize a care manager specialized in EBDP is also being explored in the Community and Support Services department. A total of .50 FTE will be allocated towards this project. Resources to be mobilized/utilized: 111-D Funds and Program Development funds Expected Outcome: At least 50 older adults will benefit from having access to an EBDP program, including PATH, Matter of Balance, and/or Healthy Eating for Successful Living in Older Adults. These programs are targeted for areas that have received few to no EBDP in FY 11 and/or FY 12. AAA 1-B expects to fill the gaps not serviced by the AAA 1-B EBDP program contracts. State Plan Goal: Narrative The narrative should explain what the program development efforts intend to do to improve the quality of Printed On: 6/6/2012 13 MICHIGAN OFFICE OF SERVICES TO THE AGING cr-z/ ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 life for older adults in the PSA; whether older persons will receive what they want; and identify the effort and expenses involved. The FY 2013 AIP should include this narrative even if there are no new objectives or changes, or updates. It is OSA's expectation that program development efforts be meaningful to older adults within the PSA. Complete the Narrative under the Objective box below. Enter "We° in Timeline, Activities, and Expected Outcome boxes. AAA Response: Objective: FY 13 includes the addition of one new state program development objective (Evidence Based programs expansion) and one new regional program development objectives (Care Transitions). However, there is much additional work continuing based on our Multi-Year Plan, and our FY 12 objectives being carried over and expanded upon for FY 13. In addition to the two new objectives, ongoing objectives are as follows: 1. Explore and test alternative meal delivery methods and menus. This currently includes exploration of congregate meal site hours, increasing use of volunteers to maintain access to more rural sites, and developing an on-line registration system for congregate sites. We are also looking at the addition of an Asian specific congregate or home-delivered meal program in Oakland county. 2. Secure additional resources to support the preservation and expansion of public transportations services for older adults, in collaboration with public transit authorities and local transit service providers. This currently includes participation on several local and regional transportation planning bodies, support of the regional transportation efforts, and development of the mobility management service myride2, discussed in detail later in this plan. 3. Identify affordable housing options for low and middle income older adults and adults with disabilities: This currently includes advocacy for maintenance of the 40% rule and expansion of the AAA 1-B affordable assisted living program. 4. Partner with the Ann Arbor and Blue Water Centers for Independent Living (CILs) and the Disability Network of Oakland Macomb to create a foundation for development and implementation of a coordinated, decentralized ADRC model. This currently has been accomplished as our application was accepted for an emerging ADRS status. See ADRC section of this plan for more details. 5. Provide information and training to caregiver aimed at helping them better manage the stress related to caregiving. This currently is primarily being addressed through the facilitation of Creating Confident Caregivers throughout our region. Over 15 classes are planned for FY 12. See &guotother grants and initiatives&guot; section of this plan for more details. 6. Increase awareness of elder abuse in Region 1-B. Currently 1-B is active in multiple county level collaboratives and initiatives throughout our region. In late FY 12, 1-B will begin working with all of the Elder Abuse Prevention contractors to develop a media awareness campaign centered on elder abuse, with the anticipation that this campaign will carry into FY 13. 7. Provide at least 25 training sessions for at least 1,000 aging professionals, advocates and lay leaders. Printed On: 6/6/2012 14 Area Agency On Aging 1-B FY: 2013 gg 11 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) This is on target for FY 12 and is being accomplished through our quarterly training programs as well as our annual Judith J. Wahlberg lecture. Important to note that over the past several years, AAA 1-B has grown the program to reach over 1000 professionals annually. In addition to providing additional skills and knowledge to professionals in the aging and disability fields, the training program is able to generate some revenue for AAA 1-B to cover the administrative costs of the program. In FY 13, we hope to more closely explore the gaps in training for direct care workers, and potentially offer some low-cost trainings to assist direct care providers in keeping their staff up to date on topics related to hands on care, aiming to improve the quality and effectiveness of care provided to older adults. We will also continue to build upon our efforts in training service providers how to be more culturally aware and provide access to the Lesbian, Gay, Bisexual and Transgender (LGBT) older adult population. We are also discussing a partnership with Hospice of Michigan, which would bring the opportunity to host a quarterly traininig on cultural diversity es it relates to a specific ethnic or cultural population, with CEU's available. Lastly, AAA 1-B is working on a partnership with Boston University to offer the service provider network, AAA 1-B staff, Board of Directors and Advisory Council members a low-cost training program that provides CEU's and the opportunity to earn a Certificate in Aging. 8. Identify measureable outcomes and indicators for select funded services that demonstrate the positive impact of services on consumers and family caregivers. In FY 12 the focus of this effort is on personal care and homemaking services. A group of service providers, in partnership with 1-B staff, are collaborating on research, advocacy, and an outcomes report development to demonstrate the importance of these two services. An additional service will be identified for research and outcomes identification in FY 13 - potentially respite services. Other objectives expanded into FY 13 are related to growth and development of the evidence-based Healthy Eating for Older Adults program, efforts related to cdllaborations between aging and mental health providers, and improvement of the AAA 1- B website to make it more accessible and user-friendly. Many of these objectives are discussed in more detail throughout the AIP, and additional FY 13 highlights are mentioned in the Plan Overview. All of the AAA 1-B objectives tie not only into the state program goals, but also the 1-B strategic plan. The program objectives are developed with these standards in mind, as well as the prioritization of services and in consideration of the gaps in services for older adults. Our Multi-Year Plan (MYP) for FY 2010-2012 included feedback from older adults via survey and focus group to identify their needs and priorities, and guided the development of the AAA 1-B goals. (Note: The MYP for FY 10-12 will carry-over into FY 13, due to a decision at the state level to delay all MYP's at all Michigan Area Agencies on Aging until FY 14-16). All goals are developed with the intention of improving the quality of life of older adults and provision of effective and competent services in the community. Timeline: n/a Activities: n/a Expected Outcome: n/a Printed On: 6/6/2012 15 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (Art/IPs) Printed On: 6/6/2012 16 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 Program Development Objectives (Regional) CARE TRANSITIONS FY 2013 OBJECTIVE Objective: Achieve project goals for the Centers for Medicare and Medicaid (CMS)funded Community-Based Care Transitions Program (CCTP) to assist three partner hospitals reduce 30-day readmission rates for high risk Medicare fee for service beneficiaries. Activities: AAA 1-B Community-Based Care Transitions Program will become fully operational in three partner hospitals. Five strategies will be utilized based on the Care Transitions Intervention model to provide Transitions Coaching to high risk patients discharged home or to skilled nursing facilities. Resources Mobilized: Funding for the CCTP will come from CMS and be used to support Transitions Coaching and the purchase of needed supportive services for CCTP patients train a pool of specialized service providers. Hospitals have donated in-kind contributions of time and access, and the AAA 1-B will utilize materials, training and expertise contributed or purchased from CMS, the Care Transitions Intervention program, partner hospitals and skilled nursing facilities, and the MPRO — Michigan's Quality Improvement Organization. Who Will Benefit: Discharged Medicare fee for service patients with Chronic Heart Failure, Chronic Obstructive Pulmonary Disease, Acute Myocardial Infarction, 'pneumonia, and those with a history of frequent and recent' readmissions. Hospitals will benefit by experiencing a reduction in avoidable readmissions for discharged Medicare patients. Staff Positions and Time Allocated: The CCTP will require 21 FTE positions, with all project costs paid under the agreement with CMS. Additional support will be provided by existing AAA 1-B care staff including the Chief Financial Officer, Chief Executive Officer, Director of Administrative Services, Director of Operations, and Director of Research, Policy Development and Advocacy. The additional support will be the equivalent of .75 FTE, Desired Outcome: Patients assisted through the CCTP will have a reduced rate of unplanned hospital readmissions for 30 days after discharge that is lower than the hospital average for patients with comparable conditions, as measured by data published by CMS. Partner hospitals will experience an all-cause readmission rate reduction of 20% by April, 2014. Also, AAA 1-B will learn the test the effectiveness of combining evidence-based Care Transitions Intervention Transitions Coaching with health education materials and supportive services on reducing hospital readmissions; gain experience at this new skill set; and determine whether this is a new business opportunity that can be replicated with additional hospitals and funding sources. Printed On: 6/6/2012 17 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Advocacy Strategy AAA Response: The Area Agency on Aging 1-B (AAA 1-B) advocacy strategy will focus on issues identified as priorities under the AAA 1-B FY 2011-12 Advocacy Platform, and will be modified to respond to emerging issues during the fiscal year planning period. Advocacy efforts relating to funding services will focus on expanding resources needed to satisfy the demand for services. Advocacy efforts relative other priority services will emphasize effecting policy and systems change to make these services more responsive to the needs of older persons. Program development priorities will receive advocacy attention emphasizing support for research, demonstration projects, and development of innovative partnerships. The AAA 1-B advocacy priorities and objectives are determined by actions of the AAA 1-B Advisory Council and Board of Directors. The Advisory Council establishes advocacy direction through the development of recommendations by its ad hoc study committees, or reviews issues at Council meetings, and recommends positions to the Board of Directors. In addition, advocacy priorities will be influenced by the platform for Older Michiganians Day 2012, which focuses on: • Investing in quality long term care options focused on cost-effective solutions that meet the needs of citizens; • Providing suitable housing, transportation and health care choices to support independent living and strengthen the economy; and • Ensuring safety and security through elder abuse protection. Advocacy issue identification will also stem from the AAA 1-B Consumer Advisory Boards, input from our collaborative partners, and in response to legislative or regulatory activity at the federal, state, or local levels. A specific emphasis will be placed on advocating for systems change, policies, and resources that will foster the rebalancing of Michigan's Medicaid long term care services system with a greater emphasis on development and access to community-based options. All advocacy activities are undertaken with special consideration given to the needs of targeted populations to assure that policies and programs are responsive to the needs of vulnerable, socially, and economically disadvantaged older persons. The AAA 1-B strives to provide leadership on advocacy issues within Region 1-B; directly influence decision makers through the provision of information and analysis of older adult needs; and facilitate the direct involvement of older adults in advocacy on their own behalf. The AAA 1-B Advocacy Blueprint describes the following activities that the AAA 1-B, through the efforts of senior advocates, Board and Council volunteer leadership, staff, and other interested Printed On: 61612012 18 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 parties, will undertake to fulfill the mission to advocate for the needs of older adults: SENIOR ADVOCATES Senior Advocacy Network (SAN) The SAN is a network of individuals and organizations that are committed to following public policy issues which affect older adults, and speaking out on behalf of the needs of older persons. Members of the SAN receive informational mailings on various issues from the AAA 1-B; call, write, and speak with elected officials and other key decision makers; attend public information sessions; and provide leadership in urging others to be active senior advocates. Michigan Senior Advocates Council (MSAC) The AAA 1-B appoints representatives to the MSAC. These representatives also sit on the AAA 1-B Advisory Council. MSAC members meet monthly in Lansing when the legislature is in session. They review introduced bills of importance to seniors, formulate positions on these bills, provide testimony before legislative committees, and regularly meet with their elected representatives to advocate on a wide range of issues. AAA 1-B Advisory Council and Board of Directors The AAA 1-B Advisory Council and Board of Directors are charged with the responsibility to aggressively advocate on behalf of older adults in their region. They accomplish this by adopting the FY 2011-12 Advocacy Platform, arriving at positions relative to bills introduced at the state and federal levels, commenting on proposed policies and regulations, and by providing testimony at various hearings, forums, and meetings. AAA 1-B Staff As part of the AAA 1-B, staff are charged with advocating on behalf of older adults consistent with the agency's mission, and advocacy permeates the agency. Staff at the AAA 1-B coordinate advocacy efforts, serve as -front line" advocates (i.e. care managers), and educate others about the needs and unmet needs of older adults in the region (e.g. family care givers and the aging network). ADVOCACY TOOLS The Advocate In order to educate the AAA 1-B advocates about current issues of concern, the agency produces The Advocate newsletter monthly. The Advocate is distributed electronically and as a paper copy. Through The Advocate, senior advocates can track pending and passed legislation on the local, state and federal levels, learn about upcoming Printed On: 6/6/2012 19 Area Agency On Aging 1-B FY: 2013 **--Z MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (ArOPs) advocacy events, and get tips for advocating more effectively. Legislative E-Newsletter The Legislative E-Newsletter provides elected officials with relevant and timely information regarding older adults in their district. The publication is a mix of testimonies from the AAA 1-B clients, information about services that will be useful to their constituents, useful demographic data for policy decisions, and updates regarding new programs for seniors. Legislative Analyses In addition to the two newsletters, the AAA 1-B provides analysis of legislation that is pertinent to older adults. The legislative analyses are provided to the AAA 1-B Advisory Council and Board of Directors to facilitate their decision making of whether or not to advocate for or against a particular bill. Upon approval of the Board, the appropriate persons (staff, volunteers, senior advocates) use the analysis to educate elected officials regarding the pros or cons of the bills and the potential effect on older adults. AAA 1-B Advocacy Platform In November 2010 the AAA 1-B approved an advocacy platform which identifies the public policy issues that will be the focus of agency advocacy activities. This was developed in collaboration with, and support from, organizations and individuals concerned about the welfare of older adults and adults with a disability. ADVOCACY ACTIVITIES Legislative Visits Regular, face-to-face contact with elected officials and their staff is a key component of the AAA 1-B 2009 Advocacy Blueprint. The AAA 1-B CEO plans monthly visits with the legislators from Region 1-B, with the goal of meeting with each of the state's legislators at least once during the year. The agency also participates in the Area Agency on Aging Association (4AM) sponsored legislative activities. Older Michiganians Day The statewide Older Michiganians Day (OMD) offers opportunities for advocates to gather and hear about local issues of importance as well as to advocate on behalf of the statewide OMD legislative platform. Printed On: 6/6/2012 20 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Community Focal Points Describe the rationale and method used to assess the ability to be a community focal point, including the definition of community. Explain the process by which community focal points are selected. 1. AAA DEFINITION FOR COMMUNITY: A city, village or township which is defined as a municipal civil division under state law. A religious, racial or ethnic group whose membership extends across municipal boundaries constitute a social community. 2. RATIONALE FOR DEFINITION: Each municipality is defined as a separate community because the majority of older Region 1-B residents identify most strongly with the municipal civil division in which they reside, and the municipalities are most often a primary sponsor of community focal points for the delivery of services to older adults. In addition, the nature of adjacent communities often differs significantly as one crosses municipal boundaries. However, many older adults maintain strong ties to religious, racial or ethnic organizations which preserve cultural heritage and foster a sense of community among members. Assimilation into American culture may or may not have occurred among these groups, yet there remains a primary desire to identify oneself with a cultural affiliation, as opposed to one's municipality of residence. 3. RATIONALE AND PROCESS FOR SELECTION OF THE COMMUNITY FOCAL POINTS: All organizations that serve as a community-based source of information and services for older adults shall be considered a community focal point. Senior centers, county-level aging organizations including the AAA 1-B county offices, and religious, racial or ethnic organizations function as community focal points. Focal points at a minimum serve as a point of contact for older persons to learn about or be linked to older adult resources in their community, and offer space for the facilitation of programs. The effectiveness of identified focal points varies greatly from thriving senior centers with multiple service, recreational, nutritional, and social programming, to small part-time centers and agencies that struggle financially and in attracting participants. Recognition of the variance of senior center effectiveness is reflected in the work of the AAA 1-B/Michigan Association of Senior Center Enhancement and Promotion Task Force, which has produced a series of recommendations to elevate recognition of senior centers as viable community focal points. The process for designating community focal points begins with the identification of senior centers, county-level aging organizations and religious, racial or ethnic groups that serve as focal points in each Region 1-B municipality. Public officials are provided an opportunity to review and comment on proposed Community Focal Points at two public hearings on the AAA 1-B FY 2010-2012 Multi Year Plan. Based upon comments received at the public hearing, the AAA 1-B Advisory Council and Board of Directors act to designate the community focal points. COMMUNITY FOCAL POINT SERVICES KEY Printed On: 6/6/2012 21 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) A. Chore Services B. Computer Classes C. Congregate Meals D. Driving Classes E. Education/Lifelong Learning F. Food Commodity Distribution G. Friendly Reassurance H. Health Screenings/Fairs I. Home Delivered Meals J. Intergenerational Activities K. Legal Assistance L. Medicare/Medicaid Assistance M. Mobile Library N. Outreach (Home Visits) 0. Physical Fitness/Exercise P. Support Groups Q. Tax Filing Assistance R. Transportation S. Travel Programs T. Vision Services U. Hearing Impaired Services V. Volunteer Opportunities W, Other Provide the following information for each focal point within the PSA. List all designated community focal points with name, address, telephone number, website, and contact person. This list should also include the services offered, geographic areas served and the approximate number of older persons in those areas. List your Community Focal Points in this format. Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Sterling Heights Senior Citizen Center 40200 Utica Rd., P.O. Box 8009, Sterling Heights, MI 48313 586-446-2750 Cindy Guzi 19,954 Sterling Heights A, B, C, D, E, G, H, I, J, L, 0, P, Q, R, S, T, Other: Social Activities, Library Chaldean Federation of America 29850 Northwestern Hwy., Suite 250, Farmington Hills, MI 48034 www.chaldeanfederation.org 248-996-8384 Joseph T. Kassab Chaldean Elders G, J, K, V, Other: Refugee Assistance Printed On: 6/6/2012 22 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Arab-American and Chaldean Council 28551 Southfield Rd. Ste. #204, Lathrup Village MI 48076 www.myacc.org 248-559-1990 Dr. Radwan Khoury or Haifa Fahkouri Arab and Chaldean Elders A, E, G H,IJ, L, N, P, 0, R, T. U. V Northfield Twp. Senior Center 9101 Main St., P.O. Box 431, Whitmore Lake, MI 48189 www.twp.northfield.mi.us/services/sr_center/sr_center home 734-449-2295 Susan Laity 734 Whitmore Lake A, E, G, H, J, K, L, M, 0, 0, S, V, Other: Diabetic Shoes Hartland Senior Center 9525 Highland Rd, Howell, MI 48843 www.hartlandseniors.org 810-626-2135 Alice Andrews 2,909 Hartland Twp., Oceola Twp., Tyrone Twp. B, C, 0, E, F, G, H, I, J, K, L. N, 0, P, 0, R, S, T Hazel Park Senior Center 620 W. Woodward Heights Blvd., Hazel Park, MI 48030 248-546-4093 Barbara Scott 2,757 Hazel Park C, F, H, I, R, S, T, V Commerce-Richardson Senior Center 1485 Oakley Park Dr., Commerce Twp., MI 48390 www.commercetwp.com/seniors 248-473-1830 Emily England 3,626 Commerce Two B, C, H, 0, S, V Finnish Center Association 35200 W. 8 Mile Rd., Farmington Hills, MI 48335 vvww.finnishcenter.org 248-478-6939 Lois Makee Finnish Elders Printed On: 6/6/2012 23 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: E, H, S, V. Other: Social Activities Charter Twp. Of Chesterfield Senior Ctr. 47275 Sugarbush, Chesterfield Twp., MI 48047 586-949-0400 Carol Rose 4,334 Chesterfield Twp., New Baltimore H, J, 0, R, S, V Clinton Twp. Senior Activity Center 40730 Romeo Plank Rd., Clinton Twp., MI 48038 www.clintontownship-mi.gov/seniors 586-286-9333 Matthew Makowski 17,453 Clinton Twp. C, D, E, G, H, J, K, L, 0, P, R, S, T, V, Other: Social outlets, Arts and Crafts, Spa Services Turner Senior Resource Center 2401 Plymouth Rd., Ste. C, Ann Arbor, MI 48105 www.med.urnich..edu/geriatrics/tsrc 734-998-9353 Carolyn White 11,839 Ann Arbor B, C, D, E, G, H, L, 0, P, 0, S, V Jewish Community Center 15110W. Ten Mile Rd., Oak Park, MI 48237 www.jccdet.org 248-967-4030 Leslee Magidson 4,558 Oak Park, Jewish Elders B, C, D, E, H, J, 0, P, Q, R, S, V, Other: Cultural, Jewish Holiday and Entertainment Programs Chaldean American Ladies of Charity 32000 Northwestern Hwy, Ste 150, Farmington Hills, MI 48334 www.calconline.org 248-538-8300 Jane Shallal or Clair Konja Chaldean Elders Other: Holiday Dinners and Catholic Mass, Bingo Auburn Hills Dept. Senior Services 1827 N. Squirrel Rd., Auburn Hills, MI 48326 Printed On: 6/6/2012 24 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: 248-370-9353 Karen Adcock 2,206 Auburn Hills A, B, C, E, F, H, I J, K, L, M, N, 0, P, 0, R, S, T, U, V Macomb County Health Department 43525 Elizabeth Rd., Mt. Clemens, MI 48043 www.macombcountymi.gov/publichealth 586-469-5280 Thomas Kalkofen 139,027 Macomb County E, H Port Huron Senior Center 600 Grand River Ave., Port Huron, MI 48060 810-984-5061 Laura Newsome 9,215 Burtchville Twp., Clyde Twp., Fort Gratiot, Grant Twp., Kimball Twp., Marysville, Port Huron, Port Huron Twp., Wales Twp. A, G, H, N, 0, R, S, Other: Loan Closet, Prescription Drug Assistance Costick Activity Center 28,600 Eleven Mile Rd., Ste. #111, Farmington Hills, MI 48335 248-473-1820 Mary DiManno 17,566 Farmington, Farmington Hills B, C, D, E, G, H, I, J, K, L, M, N, 0, P, 0, R, S, U, V Macomb County Community Services Agency 21885 Dunham Rd., Clinton Twp., MI 48036 www.macombcountymi.gov/mccsa 586-469-6999 Frank Taylor 139,027 Macomb County A, E, F, G, H, I, J, K, L, N, P, Q, R, Other: Information and Referral, Speakers Bureau, Loan Closet, Weatherization, Financial Assistance Association of Chinese Americans 32585 Concord Dr., Madison Hgts., MI 48071 www.acadetroit.org 248-585-9343 Shenlin Chen Chinese Elders B, C, E, H, J, L, N, 0, P, Q, R, S, V Printed On: 6/612012 25 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS AM Ps) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone. Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Southfield Senior Adult Center 23450 Civic Center Dr., Southfield, MI 48034 www.cityofsouthfield.com/seniors 248-796-4650 Nicole Massina 14,894 Southfield A, B, C, D, E, F, H, I, J, K, L, N, 0, P, 0, R, S, V Macomb County Dept. of Senior Citizen Services 21885 Dunham Rd., Clinton Twp., MI 48036 www.macombcountymi.goviseniorservices 586-469-6313 Rhonda Powell 139,027 Macomb County E. H, I, J, K, L, N, P, Q, R, T, V, Other: Loan Closet, Prescription Assistance, Speakers Bureau, Counseling, Caregiver Support, Grief Support, Kinship Care, Adult Day, Information and Referral, Housing Options Counseling, Emergency Cell Phone Distribution Council on Aging, Inc., Serving St. Clair Co. 600 Grand River Ave., Port Huron, MI 48060 www.thecouncilonaging.org 810-987-8811 Laura Newsome 26,445 St. Clair County A, C, G, H, I, L, N, 0, Q, R, S, V, Other: Loan Closet, Information and Referral St. Clair Shores Senior Activities Center 20000 Stephens, St. Clair Shores, MI 48080 586-498-2414 Sue Fickau 16,447 St. Clair Shores A, B, C, D, E, G, H, I, J, L, 0, P. 0, R, S, T, Other: Social Activities, Library Ypsilanti Township Recreation Center 2025 East Clark Rd., Ypsilanti, MI 48198 http://ytown.org/government/township-departments/recreation 734-544-3800 Deborah Aue 6,124 Ypsilanti Twp., Superior Twp. B, C, D, E, F, G, H, J, L, M, 0, P, Q, R, S, T, U, V, Other: Social Activities Richmond Twp. Senior Center 75701 Memphis Ridge Road, PO Box 306, Richmond, MI 48062 Printed On: 6/6/2012 26 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: 586-727-6700 Cathy Wylin 846 Richmond C, i, 0, P, R, 5, Other: Information and Referral, Social Activities Fowlerville Senior Center 203 N. Collins St., Fowlerville, MI 48836 517-223-3929 Patrick Essenmacher 2,272 Cohoctah Twp.,Conway Two., Fowlerville, Handy Twp., losco Twp. B, C, H, N, 0, P, S, U, Other: Social Activities, Bread Delivery Madison Heights Senior Center 29448 John R, Madison Heights, MI 48071 www.madison-heights.org/departments/senior_center 248-545-3464 Lee Fedel 5,586 Madison Heights A, B, C, H, 0, R, S, V, Other: Information and Referral, Loan Closet Saline Area Senior Center 7190 North Maple Rd. Saline, MI 48176 www.salineseniors.org 734-429-9274 Rina Chemin 5,589 Bridgewater Twp., Freedom Twp., Lodi Twp., Pittsfield Twp., Saline, Saline Twp., York Twp. B, C, D, F, H, I, J, K, 0, P, 0, R, S, T, V Howell Senior Center 925 W. Grand River Ave., Howell, MI 48843 www.howellrecreation.org/seniors 517-546-0693 Cathy Skidmore 6,238 Deerfield Twp., Genoa Twp., Howell City, Howell Twp., Marion Twp., Oceola Twp. A, B, C, E, H, I, J, K, M, 0, P, 0, S, T, V Orion Senior Center 21 East Church St., Lake Orion, MI 48362 www.orion.lib.mi.us/townshio/seniorcenter/senior.html 248-693-2066 Lisa Sokol 3,019 Orion Twp, A, B, C, H, K, L, N, 0, P, Q, S, Other: Cell Phone Donation Program Printed On: 6/6/2012 27 Area Agency On Aging 1-B FY: 2013 7, .7 gm! MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Southeastern Michigan Indians Assoc., Inc. Name: Address: 26641 Lawrence St, Center Line, MI 48015 Website: Telephone: 586-756-1350 Contact Person: Euphemia Franklin Persons: 2,248 Service Area: Center Line, Native American Elders Services: A, C, E, F, G, H, I, J, K, L, N, 0, Q, R, S, T, U, V, W Other: Social Activities Name: Address: Website: Santosh Multicultural Resource Center 4205 Woodcreek Dr., Ypsilanti, MI 48197 Telephone: 734-930-1953 Contact Person: Chandana Sarkar Persons: Service Area: South Asian Elders Services: Name: South Lyon Center for Active Adults Address: 1000 N. Lafayette, South Lyon, MI 48178 Website: www.slcs.us/ Telephone: 248-573-8175 Contact Person: Jamie James Persons: 2,844 Service Area: South Lyon, Lyon Twp. Services: B, D, E, G, H, J, K, L, N, 0, P, Q, R, S, T, H, V, Other: Social Activities, Health and Beauty, Secretary of State Onsite, Loan Closet, Information and Referral Name: Shelby Township Senior Center Address: 51670 Van Dyke, Shelby Twp., MI 48316 Website: Telephone: 586-739-7540 Contact Person: Lori DePauw Persons: 10,326 Service Area: Shelby Twp., Utica Services: B, C, E, H, I, J, K, 0, P, R, S, T, U, V, Other: Social Activities, Crafts, Quilting, Watercolor Classes Name: Cherry Beach Sernior Center Address: 7232 S. River Rd., Marine City, MI 48039 Website: Telephone: 810-765-3523 Contact Person: Debbie Heraty Persons: 9,406 Service Area: Algonac, Casco Twp., China Twp, Clay Twp., Columbus Twp., Cottrellville Twp., East China, Ira Twp., Marine City, St. Clair, St. Clair Twp. Services: A, B, C, D, E. G, H, I, J, K, L, N, 0, P, 0, R, 5, T, U, V Name: Address: Website: Water Tower Park Center 11345 Harold Drive, Luna Pier, MI 48157 Printed On: 6/6/2012 28 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: 734-848-8700 Wendy Colter 1,625 Erie Twp., LaSalle Twp., Luna Pier C, K, 0, Other: Social Activities Fraser Senior Center 34935 Hidden Pine Dr., Fraser, M I 48026 www.ci.fraser.mi.us 586-296-8483 Kathy Kacanowski 2,948 Fraser B, G, H, 0, R, S, Other: Social activities, Reflexology and Massage Independence Senior Center 6000 Clarkston Rd., P.O. Box 69 Clarkston, MI 48348 www.itpr.org 248-625-8231 Margaret Barton 3,770 Independence Twp. C, D, F, H, I, J, K, L, N, 0, P. Q. R, S, T, U, V, Other: Social Activities, Alternative Medicine, Gardening Eastpointe Senior Center 16600 Stephens Dr., Eastponte, MI 48021 586-445-5084 Mary Grant 6,672 Eastpointe A, B, H, J, 0, P, 0, R, S Tucker Senior Center 26980 Ballard, Harrison Twp., MI 48085 www.harrison-township.org/id32.htm 586-466-1498 Eileen Holly 3,603 Harrison Twp. C, 0, R, S, Other: Social Activities Bedford Senior Citizen Center 1653 Samaria Rd., Temperence, MI 48182 http://monroe.lib.mi.us/community_info_organizations_bedford senior_center.htm 734-856-3330 Pamela Rybka 6,478 Bedford Twp., Erie Twp., Ida Twp., Luna Pier, Whiteford Twp. C, 0, 0, Other: Loan closet, Social Activities Printed On: 6/6/2012 29 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Wixom Senior Citizen's Center 49045 Pontiac Trail Wixom, MI 48393 248-624-4557 Tracy McMahan 993 Wixom B, D, E, H, J, 0,0, ft S, V Ann Arbor Community Center 625 North Main, Ann Arbor, MI 48105 www.annarbor_communitycenter.org 734-662-3128 Yolanda Whiten 11,839 Ann Arbor C, G, H, N. 0, 0, Other: Social Activities Pittsfield Senior Center 701 W. Ellsworth, Ann Arbor, MI 48108 www.pittsfieldtwp.orgidepartments/sup/parks/senior_html 734-822-2117 Carol Presley 2,380 Pittsfield Twp. B, C, D, E, G, H, 0, P, Q, S, V Sullivan Senior Center 13613 Tuttlehill Road, Milan, MI 48161 734-439-1733 Frankie Foidl 856 London Twp., Milan, Milan Twp. C, H, K, Q, S Oak Park Senior Center 13600 Oak Park Blvd., Oak Park, MI 48237 www.oakpark-mi.com/Recreation/Senior_Activities.htm 248-691-7400 Lynn Davey 4,558 Oak Park A, B, C, H, 1, K, 0, Q, R, S, T, U, V Milford Senior Center 1100 Atlantic St., Milford, MI 48381 www.villageofmilford.org/1/village/senior_center.asp 248-685-9008 Nancy lzzard 1,939 Milford Twp. Printed On: 6/6/2012 30 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: C, H, K. 0,0, R, S, V Catholic Social services of Washtenaw/Blueprint for Aging 4925 Packard Rd., Ann Arbor, MI 48108 www.csswashtenaw.org or www.blueprintforaging.org 734-971-9781 Lawrence Voight 35,478 Washtenaw County L, P, 0, V, Other: Respite, Information and Referral Clawson City Senior Citizen Center 509 Fisher Court, Clawson, MI 48027 248-583-6700 Kathy Leenhouts 2,419 Clawson C, H, I, Q, R, V, Other: Information and Referral Addison Twp. Senior Center 1440 Rochester Rd., Leonard, MI 48367 248-628-3388 Jeanette Brown 709 Addison Twp. C, H, V Waterford Senior Center 3621 Pontiac Lake Rd., Waterford, MI 48328 www.waterford.k12.mi.usiseniorcenter 248-682-6134 Robert Brady 10,317 Waterford Twp. C, F, G, H, I, K, N, P, Q, S, U, V, Other: Loan Closet Birmingham Area Senior Coordinating Council (BASCC) 2121 Midvale, Birmingham, MI 48009 www.bascc.org 248-203-5270 Renee Cortright 3,484 Birmingham A, B, C, D, E, G, H, I, J, K, L, N, 0, P, Q, R, S, V, U, V Printed On: 6/6/2012 31 Area Agency On Aging 1-B FY: 2013 Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Chelsea Senior Citizen Activity Center 512 E. Washington St., Chelsea, MI 48118 www.chelseaseniors.org 734-475-9242 Trihn Pifer 3,456 Chelsea, Sylvan Twp., Lima Twp., Lyndon Twp. C, D, E, F, G, H, J, L, 0, P, 0, S, V Dexter Senior Nutrition Center 7714 Ann Arbor St, Dexter, MI 48130 734-426-5397 Cindy White 618 Dexter B, C, D, G, I, L, 0, 0, U, V Gerry Kulick Community Center 1202 Livernois, Ferndale, MI 48220 248-473-1830 Julie Hall 2,815 Ferndale A, B, C, D, E, F, G, H, I, J, K, L, N, 0, P, 0, R, S, T, U, V Monroe County Health Dept. 2353 S. Custer Rd., Monroe, MI 48161 www.co.monroe.mi.us 734-240-7800 Rebecca Head or Carol Austerberry 21,829 Monroe County E, H, P Older Persons Commission 650 Letica Dr., Rochester, MI 48307 www.opcseniorcenter.org 248-608-0255 Marye Miller 12,735 Oakland Twp., Rochester, Rochester Hills B, C, D, E, F, G, H, I, J, K, L, N, 0, P, 0, R, 5, T, V, Other: Social Activities, Fundraisers Printed On: 6/6/2012 32 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Hamburg Senior Center 10407 Merrill, PO Box 157, Hamburg Twp., MI 48139 www.hamburg.mi.us 810-231-4266 Christine Hoskins 1,964 Hamburg Twp. B, C, F. G, I, J, 0, 0, 5, U, V Frenchtown Senior Citizen Center 2786 Vivian Rd., Monroe, MI 48162 734-243-6210 Barbara Mazur 4,513 Berlin Twp., Carleton, Exeter Twp., Frenchtown Twp. C, H, K, 0, P, S, Other: Adult Day Services, Social Activities, Fundraising Brighton Senior Center 850 Spencer Rd., Brighton, MI 48116 www.brightoncity.org 810-299-3817 Marcy Hosking 7,228 Brighton Brighton Twp. Genoa Twp. Green Oak C, H, I, J, K, L, 0, Q, R, S, V Lighthouse of Oakland County 46152 Woodward, Pontiac, MI 48342 www.lighthouseoakland.com 248-920-6000 John Ziraido 7,548 Pontiac A, E, F, G, Q, R, Other: Budget Counseling, Prescription Assistance Ypsilanti Senior Citizen Center 1015 Congress, Ypsilanti, MI 48193 www.cityofypsilanti.com/servicesirecreation/scc 734-483-5014 Monica Prince 1,999 Ypsilanti C, E, G, H, J, M, 0, 0, V, Other: Social Activities Dundee Senior Citizen Center 284 Monroe St., Dundee, MI 48131 734-529-2401 Bob Clark 1,444 Dundee Twp., Petersburg, Summerfield Twp. Printed On: 6/612012 33 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: C, H, I, K, 0, S Ann Arbor Senior Center 1320 Baldwin, Ann Arbor, MI 48104 www.ci.ann-arbor.mi.us/Community Services/Parks/Senior Center/senior_main.html 734-769-5911 Pam Simmons 11,839 Ann Arbor B, C, D, E, G, H, J,M,O, P, 0, S, V, Other: Senior Housing Awareness, Publish A TV Show, Social Activities Manchester Seniors Citizens 912 City Rd. Manchester, MI 48158 http://vil-manchesterorg Marian Ahrens 855 Manchester Twp., Sharon Twp. C, I Pearl Wright Senior Center 21131 Garden Lane, Ferndale, MI 48220 248-542-6752 Joyce Bond 1,135 Royal Oak Twp. H, 0, R, V Novi Senior Center 25075 Meadowbrook, Novi, MI 48375 248-347-0414 Rachel Zagaroli 5,107 Novi A, B, C, 0, E, F, G, H, I, J, K, L, M, N, 0, P, Q, R, S, T, Li, V Taekeuk Village 3712 Williams, Wayne, MI 48184 734-729-7920 Eun Jong Korean Elders Other: Social Activities Printed On: 6/6/2012 34 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Name: Association of Chinese Americans Detroit Chinatown Drop-In/Outreach Center Address: 32585 Concord Dr., Madison Heights, MI 48071 Website: www.acadetroit.org Telephone: 248-585-9343 Contact Person: Shenlin Chen Persons: Service Area: Chinese Elders Services: B, C, E, H, J, L, N, 0, P, 0, R, S, V Name: International Institute of Metropolitan Detroit Address: 111 E. Kirby, Detroit, MI 48202 Website: www.iimd.org Telephone: 313-871-8600 Contact Person: Wojciech Zolnowski Persons: Service Area: Polish and Eastern European Elders (Ukrainian, Romanian, Yugoslavian, Albanian) Services: E, J Name: Stilwell Manor/Joseph Coach Manor Address: 26600 Burg Rd., Warren, MI 48089 Website: Telephone: 586-758-1310 Contact Person: Becky Rose Persons: 30,560 Service Area: Warren Services: C, H, 0, S, Other: Social Activities Name: Berkley Recreation Dept. Address: 2400 Robina, Berkley, MI 48072 Website: Telephone: 248-546-2450 Contact Person: Kevin Price Persons: 2,422 Service Area: Berkley Services: A, B, E, G, H, J, K, L, N, 0, Q, R, S, T, U, V Name: Royal Oak Senior renter Address: 3500 Marais, Royal Oak, MI 48073 Website: www.ci.royal-oak.nni.us/senior/index Telephone: 248-246-3912 Contact Person: Paige Gembarski Persons: 10,788 Service Area: Royal Oak Services: A, B, C, D, E, F, G, H, I, K, L, N, 0, P, Q, R, S, T, U, V Name: Bowen Senior Center Address: 52 Bagley St., Pontiac, MI 48341 Website: Telephone: 248-857-5723 Contact Person: Alma Moss Persons: 7,548 Service Area: Pontiac Printed On: 61612012 35 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Services: B, E, 0, Other: Social Activities Name: Ash Seniors Address: 700 Carleton Rockwood Rd., P.O. Box 21, Carleton, MI 48117 Website: Telephone: 734-586-8063 Contact Person: Rita Sanders Persons: 1,072 Service Area: Ash Twp. Services: K, V, Other: Social Activities Name: Troy Community Senior Center Address: 3179 Livernois, Troy, MI 48083 Website: wwvv.ci.troy.mi.us/ParksRec/SeniorCitizens Telephone: 248-524-3484 Contact Person: Carla Vaughn Persons: 11,500 Service Area: Troy Services: A, B, C, D, E, F, H, I, J, K, L, M, 0, P, 0, R, 5, U, V, Other: Loan Closet Name: Mitchell Senior Center Address: 3 First St., Yale, MI 48097 Website: Telephone: 810-387-3720 Contact Person: Debra Green Persons: 901 Service Area: Brockway Twp., Greenwood Twp., Kenockee, Lynn Twp., Yale Services: A, G, El, N, 0, 0, R, S, Other: Loan Closet, Prescription Drug Assistance Name: Gregory Area Senior Center Address: 126 Webb St, PO Box 120, Gregory, MI, 48137 Website: Telephone: 734-498-2502 Contact Person: Richard Ellsworth Persons: 450 Service Area: Unadilla Twp. C, F, G, H, I, J, L, 0, S Name: Putnam Township Senior Center Address: 131 S. Howell, Howell, MI 48169 Website: www.co.livingston.mi.us Telephone: 734-878-1810 Contact Person: Beverly Smith Persons: 1,431 Service Area: Pickney, Putnam Twp., Unadilla Twp. Services: B, C, F, G, H, I, J, L, M, N, 0, S, Other: Resource Advocacy, Information and Referral, Loan Closet Name: Address: Website: Guest Community Center 16221 Fraxho Road, Roseville, MI 48066 Printed On: 6/6/2012 36 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: 586-445-5597 Debra Goethals 9,146 Roseville Arthur Leslow Community Center 120 Eastchester, Monroe, MI 48161 monroe.lib.mi.us 734-241-4313 Tracy Palm 4,063 t'vlonroe C, E, H, J, 0 The Monroe Center 15275 South Dixie Highway, Monroe, MI 48161 www.co.monroe.mi.us 734-241-0404 Sandie Pierce 7,808 LaSalle Twp., Monroe, Monroe Twp., Raisinville A, B, C, D, E, F, G, H. I, J, K, L, M, N, 0, P, 0, R, S, T, U, V, Other: Durable Medical Equipment, Nutrient Supplements, Information and Assistance to Cancer Patients, Their Families, Caregivers and Care Providers Area Agency on Aging 1-B Livingston/Washtenaw Access Center 3941 Research Park Dr., Suite B, Ann Arbor, MI 48108 www.aaalb.com 734-213-6704 Shavon Walton 54,088 Livingston and Washtenaw Counties L, Other: Information and Assistance, Care Management, vOuciCy Bloomfield Township Senior Services 4315 Andover Road, Bloomfield Hills, MI 48302 248-723-3500 Christine Tvaroha 23,471 Bloomfield Hills, Bloomfield Twp., Orchard Lake, West Bloomfield Twp. B, H, I, Q, 0, P, R, S, V, Other: Loan Closet, Telephone Reassurance Dublin Community Senior Center 685 Union Lake Road, White Lake, MI 48386 248-698-2394 Kathy Gordineer 3,163 White Lake A, B, C, D, E, F, H, I, J, L, 0, P, R, S, T, U, V Printed On: 6/612012 37 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Name: Address: 3325 Grange Hall Rd., Holly, MI 48442 Website: Telephone: 248-634-0749 Contact Person: None Persons: 2,022 Service Area: Holly, Rose Two. Services: C, 0, S, Other: Case Management Name: Oxford Veterans Memorial Civic Center Address: 28 North Washington, Oxford, MI 48051 VVebsite: www.oxfordtownship.orgicitizens.html Telephone: 248-628-9056 Contact Person: EvaId Jorgensen Persons: 10,593 Service Area: Oxford Twp. Services: A, N, R, S, Other: Social Activities Name: Jewish Community Center - West Bloomfield Address: 6600 W. Maple Rd., West Bloomfield, MI 48322 Website: www.jccdet.org Telephone: 248-661-1000 Contact Person: Mark Lit Persons: Service Area: Jewish Elders Services: B, C, E, F, G. H, J, 0, P, Q, R, S, V Name: Capac Senior Center Address: 315 W. Meier St., Capac, MI 48014 Website: Telephone: 810-395-7889 Contact Person: Jan Hathcock Persons: 1,642 Service Area: Berlin Twp., Capac, Emmett Twp., Mussey Twp., Riley Twp. Services: A, G, H, 0, N, Q, R, S, Other: Information and Referral, Prescription Drug Assistance Name: Jewish Community Center of Washtenaw County Address: 2935 Birch Hollow Dr., Ann Arbor, MI 48108 Website: Telephone: 734-971-0990 Contact Person: Lesley Bash Persons: 11,839 Service Area: Ann Arbor, Jewish Elders Services: C, E, J, 0, Other: Social Activities Holly Presbyterian Village Name: Address: Website: Armada Twp. Senior Center 75400 N. Ave,, P.O. Box 306, Armada, MI 48005 Printed On: 6/6/2012 38 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 Telephone: 586-784-8050 Contact Person: Cathy Wynn Persons: 672 Service Area: Armada Twp. Services: C, E, I, 0, P, R, S, Other: Information and Referral, Social Activities Name: Lenox Township Senior Center Address: 63975 Gratiot Ave., Lenox, MI 48050 Website: Telephone: 586-727-2085 Contact Person: Teri Girten Persons: 883 Service Area. Lenox Two. Services: H, 0 Name: St. Anne's Senior Center/Warren Community Center Address: 6100 Arden, Warren, MI 48092 Website: Telephone: 586-939-3110 Contact Person: Sister Mary Jane Kleindorfer Persons: 30,560 Service Area: Warren Services: 0, S, V, Other: Social Activities Name: Washington Senior Activity Center Address: 57880 Van Dyke, Washington, MI 48094 Website: Telephone: 586-786-0131 Contact Person: Sandy Keown Persons: 2,593 Service Area: Washington Twp. Services: A, B, C, H, K, N, 0, 0, R, Other: Loan Closet, Telephone Reassurance Name: Edna Burton Senior Center Address: 345 Ball St., PO Box 429, Ortonville, MI 48462 Website: www.brandontownship.us/v2/seniors/index.htm Telephone: 248-627-6447 Contact Person: Annette Beach Persons: 1,754 Service Area: Groveland Twp., Brandon Twp. Services: C, R, V, Other: Loan Closet Name: Highland Twp. Senior Center Address: 209 N. John St., P.O. Box 249, Highland, MI 48357 Website: Telephone: 248-887-1707 Contact Person: Cathy DeRusha Persons: 2,051 Service Area: Highland Twp. Services: C, H, K, M, N, Q, ft S, V Printed On: 6/6/2012 39 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Northville Senior Adult Services 303 W. Main St., Northville, MI 48167 www.ci.northville.mi.us/Services/SeniorServices/SeniorServicesOverview.htm 248-349-4140 Rachel Zargaroli 534 Northville A, H, 0, P, 0, R, S, Other: Loan closet, Information and Referral, Social Activities Oakland Livingston Human Service Agency - Livingston Office 2300 E. Grand River, Ste. #107, Howell, MI 48843 www.olhsa.org 517-546-8500 Marie Verheyen 18,610 Livingston County A, F, L, N, Q, Other: Guardianship/Conservatorship, Home Rehabilitation, Loan Closet, Undesignated Temporary Financial Aid, Weatherization Oakland Livingston Human Service Agency - Oakland Office 196 Cesar E. Chavez Ave., Pontiac, MI 48343 www.oihsa.org 248-209-2600 Marie Verheyen 177,634 Oakland County A, F, G, L, N, R, Other: Housing Counseling, Personal Care/Housekeeping, Respite Care, Undesignated Temporary Financial Aid, Weatherization Ray Township 64255 Wolcott Road, PO Box 306, Ray, MI 48096 586-749-3358 Cathy 'y'Vylin 554 Ray Two. E, I, 0, P, R, S, T, Other: Information and Referral, Social Activities Richmond Community Center 36164 Festival, Richmond, MI 48062 586-752-9601 Stacie Vankirk 846 Richmond C, D, E, I, 0, S, Other: Social Groups Printed On: 6/6/2012 40 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: PP rsorIR: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Romeo Senior Activity Center 361 Morton, Romeo, MI 48065 rvvbparksrec.org/Senior.htm 586-752-9601 Debbie Webber 4,806 Ray Twp., Romeo, Washington, Bruce Twp. A, C, D, E, H, I, J, K, L, N, 0, P, 0, R, S, T, U, V, Other: Loan Closet, Telephone Reassurance Roseville Senior Activity Center 18185 Sycamore St., Roseville, MI 48066 586-777-7177 Leona Niedoliwka/ Tony Lipinski 9,146 Roseville F, R, Other: Social, Distribution of 911 Emergency Phones Monroe County Commission on Aging 29 Washington St., Monroe, MI 48161 734-240-7363 Terri Hamad 21, 829 Monroe County Other: Prescription Expense Assistance Monroe County Opportunity Program 1148 S. Telegraph, Monrore, MI 48161 734-241-2775 Stephanie Kasprzak 71 ,R7Q County-Wide A, F, N, R, Other: Home Rehabilitation, Housekeeping/Personal Care, Respite, Financial Aid, Weatherization Area Agency on Aging 1-B Macomb Access Center 39090 Garfield, Suite 102, Clinton Twp., MI 48038 www.aaal b.com 586-226-0309 Barbara Lavery 139,027 Macomb County L, Other: Information and Assistance, Care Management, Advocacy Printed On: 6/6/2012 41 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS AMPs) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Area Agency on Aging 1-B St. Clair Access Center 501 Gratiot Blvd., Suite 2, Marysville, MI 48040 www.aaa1b.com 810-388-0096 Barbara Lavery 26,445 St. Clair County L. Other: Information and Assistance, Care Management, Advocacy Area Agency on Aging 1-B Oakland Office 29100 Northwestern Hwy., Suite 400, Southfield, MI 48034 www.aaalb.com 800-852-7795 Tina Abbate Marzolf 177,634 Oakland County L, Other: Information and Assistance, Care Management, Advocacy Pleasant Ridge Community Center 4 Ridge Rd., Pleasant Ridge, MI 48069 248-542-7322 Scott Pietrczak 407 Pleasant Ridge Other: Social Activities Brown Center: Jewish Vocational Service 29699 Southfield Rd., Southfield, MI 48076 www.jvsdetroit.org 248-233-4000 Peter Ostrow Jewish Elders E, J, 0, S, V, Other: Adult Day Services, Social Activities Area Agency on Aging 1-B Monroe Access Center 14930 LaPlaisance, Suite 130, Monroe, MI 48161 www.aaa 1h.com 734-241-2012 Gerilyn Selmek 21,829 Monroe County L, Other: Information and Assistance, Care Management, Advocacy Jack and Patti Salter Community Center 1545 E. Lincoln Ave., Royal Oak, MI 48067 wvvw.ci.royal-oak.mi.us/senior/index 248-246-3900 Kim Mannaioni 10,788 Royal Oak Printed On: 6/6/2012 42 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: A, B, 0,0, E, F, G, H, I, K, L, N, 0, P, 0, R, S, T, U, V Italian American Cultural and Community Center 43843 Romeo Plank Rd., Clinton Twp., MI 48038 www.iacsonline.net 586-751-2855 Martin Garagiola Italian Elders Social Activities LaAmistad Senior Center/Ruth Peterson Center 990 Joslyn Rd., Pontiac, MI 48340 248-858-2307 Pablo Moran Jr. 7,548 Pontiac C, H, 0, Other: Social Activities Owen Jax Parks & Recreation Center 8207 East Nine Mile Road, Warren, MI 48089 586-757-7480 Becky Rose 30,560 Warren C, 0, Other: Social Activities West Bloomfield Parks &amp:amp:amp:amp:amp; Recreation 4640 Walnut Lake Rd., W. Bloomfield, MI 48323 248-451-1900 Daniel J. Navarre 11,609 West Bloomfield Twp. D, H, 0, Q, R, S Huntington Woods Parks & Recreation/City of pgat..599§ptiiv86tistrthaingjogwri§, MI 48070 248-541-3030 Nancy Waldman 962 Huntington Woods H, N, R, Other: Telephone Reassurance Printed On: 6/6/2012 43 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Name: Address: Website: Telephone: Contact Person: Persons: Service Area: Services: Milan Senior & Community Activity Center 45 Neckel Court, Milan, Michigan 48160 http://milan.mi.us/community_center.shtml 734-439-1549 Jennifer Michalak or Ben Swayze 1,865 Augusta Twp., Milan, York Twp. C, D, E, G. H, J, K, M, 0, 0, R, S, U, V, Other: Social Activities Springfield Township Parks & Recreation 12000 Davisburg Rd. http://wv.AN.springfield-twp.us/pr_srServices.htm 248-634-0412 Sarah Richmond 3,770 I, R, Other: Social Activities Cherry Beach Senior Center 7232 S. River Rd., Marine City, MI 48039 810-765-3523 Debbie Heraty 9,406 Algonac, Casco Twp., China Twp, Clay Twp., Columbus Twp., Cottrellville Twp., East China, Ira Twp., Marine City, St. Clair, St. Clair Twp. A, B, C, D, E, G, H, I, J, K, L, N, 0, P, C:), R, S, T, U, V Printed On: 6/6/2012 44 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Community Living Program The Community Living Program has become a vital program of the AAA 1-B, allowing the agency to reach more older adults, and for the first time in years, maintain no waiting list for OSA funded care management services. FY 12 growth of the CLP includes the development of coupons for specific 1-B services to expand private pay options, the development of an "introductory offer" which allows private pay clients the ability to try services "free" for 30 days before committing to a longer term purchase of services, and the successful implementation of our CLP tiers, ranging from telephonic care management services to more traditional in-home care management services. All of these processes have contributed to the success of the program and the aforementioned waitlist elimination. AAA 1-B has also successfully partnered with Resource Advocacy contractors and a few HUD building service coordinators to promote and coordinate CLP services in their respective communities. We plan to expand this effort in FY 13 by increased HUD building partnerships, and potential partnerships with the nutrition service provider assessors for CLP. Three AAA 1-B staff are able to facilitate PCP/PCT trainings. While the majority of AAA 1-B staff have received PCP/PCT training, FY 13 will focus on the training of additional/new staff members, and offering a minimum of three trainings to the provider network. The provider network trainings will target the service providers that provide direct care services, particularly in-home services, residential services and adult day services. AAA 1-B is also exploring the potential to partner with other agencies, such as AAA 1-C, to extend the reach of these trainings to our provider network. Options counseling will be a natural transition for AAA 1-B, as it closely mirrors the practices put into place through our CLP Tier 3 telephonic care managers, known as Community Living Consultants (CLC). Our Information & Assistance specialists will be the primary group trained to implement options counseling. Options counseling is also a major component of our ADRC implementation plan. Additionally, options counseling has been written into the service definition for our Resource Advocacy contractors. Working with these partners, we will be able to reach more older adults with options counseling services. As mentioned previously, in FY 12 the AAA 1-B was able to eliminate the waiting list for OSA services by connecting all older adults in need of in-home services with a telephone based care manager. Rather than being placed on a waiting list, the older adult was given an opportunity to speak quickly with a CLC to identify services they needed to keep them independent, and prevent any unnecessary nursing home placement. All older adults are screened for risk, and if their risk score indicates a higher potential for nursing home placement, they are "turfed up" to a higher level of care management beyond the telephone based CLC. In FY 12, AAA 1-B staff began contacting all older adults on the MI-Choice waitlist to identify their current need for services, and were able to offer services through CLP to assist in prevention of nursing home placement. This allowed people to remain on the waitlist for full MI-Choice services while still receiving some services through CLP. This practice will continue as needed into FY 13. AAA 1-B will continue to promote self-directed service delivery by allowing a participant to hire a friend or family member as their care provider through the umbrella worker or Agency with Choice model. AAA 1-B works closely with each participant to help them understand the options under self-directed service, including any risks or responsibilities that come along with this service. We find that many participants take advantage of this opportunity to have someone they know well be their regular care provider, as opposed to the traditional option of using the worker assigned by an agency. Private pay clients can also Printed On: 6/6/2012 45 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) select this option, and many of our service providers currently have non 1-B clients that utilize the self-directed model. For several years, the AAA 1-B has worked with the Veterans Directed Home and Community Based Services program. In FY 12, funding for this program was not expanded, so additional referrals from the VA are extremely limited. Only 1 referral was received in FY 12, and one thus far in FY 13.. AAA 1-B will continue to assist and serve participants currently enrolled in this program, and will serve any new referrals received as a result of attrition. The AAA 1-B, in partnership with the three Centers for Independent Living, has been very involved with the development of the application for emerging ADRC status. This was achieved in April 2012. The ADRC will be very committed to ensuring unbiased information and assistance and options counseling are provided to older adults, adults with disabilities and family caregivers by all ADRC partners. Partners directly providing these two services will be required to participate in trainings and meet established quality measurements developed and implemented by the ADRC leadership committee. Printed On: 6/6/2012 46 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 ADRC/MMAP ADRC Indicate if the AAA will participate in the development of ADRC partnership(s)in the PSA. If yes, please describe the anticipated role the AAA will play in the partnership(s). AAA Response: The Area Agency on Aging 1-B (AAA 1-B) is one of four organizations that began the development of the ADRC partnership in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties known as the ADRC of Southeast Michigan (ADRCSEM). The other three leadership partners are the Blue Water Center for Independent Living, Disability Network of Oakland and Macomb, and the Ann Arbor Center for Independent Living. The ADRCSEM submitted an application in December 2011, and recently submitted in March 2012 additional requested documentation to the Michigan Office of Services to the Aging to become designated as an emerging ADRC. In April 2012, the ADRCSEM was approved by OSA as an emerging ADRC. The AAA 1-B, in partnership with the three CIL's, has been actively involved in the development of the ADRC application through community meetings to increase awareness and knowledge of the ADRC, recruitment of ADRC community partners, the structure of the ADRCSEM and the writing of the application for emerging status. As an emerging ADRC, AAA 1-B will play a key role, with the partnering CIL's to develop a leadership council consisting of representation from key organizations across the six county region served by the ADRCSEM. The leadership council will be responsible for the implementation of the ADRCSEM concept as outlined in the application for emerging status. The AAA 1-B will support the implementation of the ADRCSEM through a position on the leadership council and also by directly providing, at minimum, information and assistance services, options counseling, training for community partners and quality management. MMAP If your Agency is a MMAP agency, provide an overview of your program, including numbers of persons served, volunteer recruitment and innovative ways of getting the information to residents. AAA Response: The AAA 1-B is committed to meeting the required performance measures for the MMAP program as determined by MMAP Inc., and Centers for Medicare and Medicaid Services. In FY 2013, the AAA 1-B will attain at minimum, 14,348 contacts with Medicare beneficiaries, reach 51,502 individuals through presentations and events and will provide 10,764 hours of total counseling as reported by MMAP counselors. In addition, the AAA 1-B will meet established contacts with low income Medicare beneficiaries, disabled beneficiaries and dual eligible beneficiaries with a mental health disability. Medicare fraud prevention activities are an integral part of MMAP. The AAA 1-B will continue to provide assistance to Medicare beneficiaries with reporting fraud and abuse including one-on-one counseling activities and community presentations. Printed On: 6/6/2012 47 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 The AAA 1-B will be hiring two additional staff to coordinate MMAP volunteers and activities in the counties of Macomb, St Clair, Livingston and Monroe to help ensure the agency meets the overall MMAP performance measures as a region and by county within our service area. The current site coordinator will support MMAP in Oakland County, and the AAA 1-B will continue to partner with Catholic Social Services of Washtenaw County to serve that county. Additional staffing will help support volunteer recruitment, management and retention. The Regional Coordinator will be responsible for developing standardized training for all volunteers based on new Medicare and Medicaid regulations, knowledge gaps identified by site coordinators and Medicare Open Enrollment. MMAP staff will also be actively deployed in the community to ensure that the AAA 1-B meets the required performance measures by county in addition to meeting the overall performance measures as a region. The AAA 1-B will continue to have a strategic plan for the recruitment of strong volunteers to support the MMAP program. In FY 2012, the AAA 1-B used radio advertising on key stations that reach a demographic of professional retirees to recruit and train 20 new MMAP volunteers. A similar strategy will be used again in FY 2013 with at minimum one MMAP training for new volunteers provided and possibly additional trainings depending on the capacity of MMAP Inc and the implementation of web-based training. MMAP has been actively engaged with the development of the ADRC of Southeast Michigan (ADRCSEM) and has participated in all community meetings, reviewed the application for emerging status and will be an active partner when the ADRCSEM as the group begins to implement ADRC activities in the six counties served by the ADRC. Printed On: 6/6/2012 48 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs Other Grants 1. Describe other grants and/or initiatives the area agency is participating in with OSA and other partners. AAA Response: myride2 - Mobility Management Service (JARC & New Freedom) Time Period: October 2010- September 2013 Amount: $247,855 This service is a one-call, one-click mobility management service and is dedicated to helping seniors remain mobile for life. This innovative service provides access to transportation and driver safety information via a toll-free, multi-lingual phone line or interactive website. This service will help older adults, persons with disabilities and their families to get where they want to go in a person-centered and empowering process. Mobility Specialists help determine which type of transportation options are best, and either directly connect callers to providers or schedule the ride with only one call. Individuals can also search for a provider, request a ride, or find safe driving information using the web site. Initial service areas are Macomb and Oakland counties, with plans for expansion in the future. The toll-free number (855-myride2, 855-697-4332) and website (www.myride2.com) will be launched in May 2012. FY 2013 will focus on adding additional service areas, marketing toward employment related transportation needs of older adults and adults with disabilities (per JARC funding), and securing additional partners. Current funding is through FY 2013, and is anticipated through FY 2014. Donations will help to support this program. Partners include Jewish Family Service, SMART, Centers for Independent Living, Disability Network Oakland Macomb, and other local/regional transportation advocates. The Mobility Project Manager continues to explore opportunities for further funding via grants, including future JARC and New Freedom funds, National Center for Senior Transportation, and the Federal Transit Administration. 2. Describe how these grants and other initiatives will improve the quality of life of older adults within the PSA. AAA Response: The Area Agency on Aging 1-B anticipates helping hundreds of older adults and adults with disabilities access effective and efficient transportation in FY 2013 through myride2. This will improve the quality of life for older adults by helping them get to life-sustaining (medical, grocery, pharmacy) and life-enhancing (social activities, volunteer opportunities, places of worship) activities. Older adults often report feeling frustrated and/or confused by the lack of coordinated mobility services, and this service will promote seniors to stay active in their communities by decreasing barriers to community activities and programs. Most importantly, it will allow people who otherwise would not be able to be successfully mobile in their community to do so with dignity and respect, enabling them to age in place. 3. Describe how these grants and other initiatives reinforce the area agency's planned program development efforts for FY 2013. AAA Response: The myride2 Mobility Management Service also supports the AAA 1-B's strategic plan, and is linked to State Plan Goal #4: Improve the Effectiveness, Efficiency, and Quality of Services Provided Through the Michigan Aging Network and its Partners. As stated previously, the ultimate goal of this service is to help seniors improve their quality of life and maintain independence by reducing isolation and dependence Printed On: 6/6/2012 49 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) solely on family and friends to get where they want to go. It also increases our community partnership strength by working with an already implemented transportation service with Jewish Family Service and collaborating with SMART, the Centers for Independent Living and other local transportation providers and advocates. Many of the partners for myride2 are key players in the ADRC as well. 4. Describe the area agency's Creating Confident Caregivers initiative for FY 2013. AAA Response: The AAA 1-B will continue to coordinate a strong Creating Confident Caregivers (CCC) program in the 1-B region in FY 13. In addition to being on target to well exceed our goal of reaching 60 caregivers in FY 12, other FY 12 highlights include: Two staff attaining master trainer status, new partnerships to expand the program including Evangelical Homes of Michigan to facilitate the Vetereran specific CCC program, development of a partnership with the former director of the Michigan Office of Services to the Aging to facilitate CCC workshops, and expansion of the program into all 6 counties in the 1-B region. FY 13 will be the third year of the program with funding through the ADSSP program via OSA and AoA. Cathy Backos (Program Manager, Caregiver and Respite Services) is the lead for the 1-B region on this program. The goal for FY 13 is to train at least 80 caregivers through a minimum of eight sessions throughout the region. While the ADSSP funds provide the primary support for this program in FY 11-13, another focus for FY 13 will be to identify potential funding resources beyond FY 13, including the potential use of III-D funds. Printed On: 6/6/2012 50 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Appendices Printed On: 6/6/2012 51 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL 8, MULTI YEAR IMPLEMENTATION PLANS (AMPS) APPENDIX A Board of Directors Membership Asian/Pacific African NativeHispanic Persons Total American/ with Female Islander American Origin Membership Alaskan Disabilities Membership 0 3 0 0 2 9 19 Demographics Aged 60 and Over 0 1 0 0 2 4 10 ... Elected Community Name of Board Member Geographic Area Affiliation Official Appointed Representative Maggie Jones Livingston County Commissioner Yes Toni Moceri Macomb County Commissioner Yes R. LaMar Frederick Monroe County Commissioner Yes Helaine Zack Oakland County Commissioner Yes , Terry London St. Clair County Commissioner Yes 1 Barbara Levin Bergman Washtenaw County Commissioner Yes _ Andrew Hetzel Regional Public Relations Yes Amin Irving Regional Corporate/Foundations Yes Dr. Peter Lichtenberg Regional Gerontology/Geriatrics Yes Robert McMahon Regional Regional Planning Yes Mark Rottermond Regional Finance Yes Jamie Verdi Regional Legal Yes Karen Wintringham Regional Healthcare Yes Vacant Regional Yes Walter Ernst Livingston Older Adult Yes Representative Sandra Hann Macomb Older Adult Yes Representative Printed On: 6/6/2012 52 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Aleta Jackson Monroe Older Adult Yes Representative Jan Dolan Oakland Older Adult Yes Representative Vurn Bartley, Jr. St. Clair Older Adult Yes , , Representative Tom Miree Washtenaw Older Adult Yes Representative Printed On: 6/6/2012 53 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMP s) APPENDIX B Advisory Board Membership Asian/ Native Persons African Hispanic Total Pacific American/ with Female American Origin Membership Islander Alaskan Disabilities Membership 1 2 0 0 4 9 19 Demographics Aged 60 and Over 0 0 0 0 4 5 13 Name of Board Member Geographic Area Affiliation Kellie Boyd Private Sector Representative Disability Network of Oakland & Macomb Tom Rau Private Sector Representative Nexcare Health Systems Sue-Anne Sweeney Private Sector Representative Madonna University Department of , - Gerontology Vacant Private Sector Representative Vacant Private Sector Representative Beth Adams Public Sector Representative Title III Nutrition Provider Ann Arbor Meals on Wheels Mark McDowell Public Sector Representative Michigan Peer Review Organization Willenoa Brown Public Sector Representative Macomb County Department of Human Services (FIA) Catherine Martin Public Sector Representative UAW Retirees Jeff Brown Public Sector Representative Oakland County Community Mental Health Shenlin Chen Public Sector Representative Title III Provider Association of Chinese Americans Bob Fox Livingston County Older Adult Representative Mark Swanson Livingston County Older Adult Representative Printed On: 616/2012 54 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Theresa Monsour Macomb County Older Adult Representative Dan Sier Macomb County Older Adult Representative SaraMarie Watson Macomb County Older Adult Representative Floreine Mentel Monroe County Older Adult Representative Steve Faine Oakland County Older Adult Representative Jim Forrer Oakland County Older Adult Representative Dennis K. Griffin Oakland County Older Adult Representative Robert Hull Oakland County Older Adult Representative Vacant St. Clair County Older Adult Representative Vacant Washtenaw County Older Adult Representative Printed On: 616/2012 55 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) APPENDIX C Current Provider Demographics Asian/ Native Persons TOTAL African Arab/ Hispanic American/ with Female (all contractors) Pacific American Chaldean Origin Island Alaskan Disabilitie (all employees) i Number of Contractors by 1 9 0 2 2 4 23 41 Demographics _ Number of Contractor 5 51 3 8 11 10 400 488 Employees by Demographics _ The above table should reflect contractors/staff that are funded by the AAA only. Number of employees of contractors should reflect a specific point in time. For example, report the numbers as of April 1, 2011. The data collection date should be the same for all contractors. The information gathered from this report will be used in the cultural competency work that is being conducted by OSA. Please contact your field representative for more information. Printed On: 6/6/2012 56 MICHIGAN OFFICE OF SERVICES TO THE AGING if If MOMMISSIINONOWN ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 APPENDIX D Proposal Selection Criteria Date criteria approved by Area Agency on Aging Board: 02/25/2011 In February of 2011, the AAA 1-B Board of Directors approved AAA 1-B staff to move forward with restructuring the process for selecting Direct Service Purchase providers for select DSP services, Providers of Personal Care, Homemaking, In-Home Respite, Community Living Program Services (CLPS), Personal Emergency Response Systems and Medication Management are now required to submit a competitive application to provide DSP services under a 3-Year Bid agreement model, The need to move towards a more competitive bid agreement process was implemented to reduce the excessive number of providers in the DSP pool, improve quality of service delivery and provider monitoring, and provide a better return on investment for providers. Providers were selected based on higher standards of quality, including experience in the field and in the aging network, training practices, program implementation and process, quality assurance procedures and more. This process was implemented in October of 2011, with the selected vendors being identified in March of 2012. The 3-Year bid agreement will go into effect on October 1,2012. Printed On: 6/6/2012 57 Area Agency On Aging 1-B FY: 2013 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) APPENDIX E Planned Entrepreneurial Activity Amount Expected Activity To Raise: Fundraising to support Holiday Meals on Wheels and Unmet Needs for 60,000.00 AAA 1-B participants. Amount Expected Activity To Raise: Information and Assistance donations to support administrative costs. 1,500.00 _ Amount Expected Activity To Raise: AAA 1-B training (participant fees) to provide revenue to reduce training 7,000.00 costs assumed by the agency. Amount Expected Activity To Raise: Caregiver events (sponsor and exhibit fees) to support the hosting of 75,000.00 caregiver education events. Amount Expected Activity To Raise: ClickonAging.com advertising to support the hosting and further 1,500.00 development of the partnership website www.clickonaging.com Amount Expected Activity To Raise: AAA 1-B continues to explore the development of a PACE model in 0.00 Washtenaw county, in partnership with United Methodist Retirement Communities. See "Available Resource and Partnerships" section for more information. At this time, revenue is not expected to be generated from this project in FY 13, as FY 13 will continue to focus on planning and development. Amount Expected Activity To Raise: As part of the AAA 1-B FY 2010-2012 Strategic Plan objectives, Goal 2 0.00 (Financial Stability), which states "develop diverse, sustainable funding sources while continuing strong stewardship of current resources for long-term stability," the AAA 1-B went through a process in FY 11 and FY 12 to identify potential new business opportunities. While committed to the core functions of an Area Agency on Aging, the AAA 1-B also recognizes the need to diversify and expand our role in the aging network in order to remain relevant and viable. AAA 1-B partnered with an external consultant to analyze our services, expertise, history and Printed On: 6/6/2012 58 Vtg&I, MICHIGAN OFFICE OF SERVICES TO THE AGING 9111.nnn10191 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 relevance within the service provider network as well as areas of threats and opportunities. As of April 2012, several potential opportunities have been identified by AAA 1-B and the external consultant, although no decisions have yet been made on which, if any, of these opportunities should be moved forward on by AAA 1-B. These decisions are under review by the AAA 1-B Board of Directors, including the Finance Committee, and must be additionally reviewed by the Michigan Office of Services to the Aging before advancement. Printed On: 6/6/2012 59 rse utt PAUGIll.y WI I PA II IV 1 FY: 2013 Fund Source See attached Unit of Service See attached MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) APPENDIX F Regional Service Definitions Service Definition Definitions attached for one Direct Service Purchase (DSP) services: Transportation, and six contracted services: Chore, Home Injury Control, Grandparents Raising Grandchildren, Hearing, Vision and Volunteer Caregiver. All definitions have been previously approved but have recently been minimally updated. The regional service definitions for out-of-home respite, resource advocacy, and community living program services have also been included, although no changes have been made in the past yr Service Category El Access 0 In-Home 0 Community Minimum Standards See attached Status 0 New 0 Previously Approved Printed On: 6/6/2012 60 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 APPENDIX G Agreement for Receipt of Supplemental Cash-In-Lieu of Commodity Payments for the Nutrition Program for the Elderly The above identified agency, (hereinafter referred to as the GRANTEE), under contract with the Michigan Office of Services to the Aging (OSA), affirms that its contractor(s) have secured local funding for additional meals for senior citizens which is not included in the current fiscal year (see above) application and contract as approved by the GRANTEE. Estimated number of meals these funds will be used to produce is: 217,000 These meals are administered by the contractor(s) as part of the Nutrition Program for the Elderly, and the meals served are in compliance with all State and Federal requirements applicable to Title Ill, Part C of the Older Americans Act of 1965, as amended. Therefore, the GRANTEE agrees to report monthly on a separate OSA Financial Status Report the number of meals served utilizing the local funds, and in consideration of these meals will receive separate reimbursement at the authorized per meal level cash-in-lieu of United States Department of Agriculture commodities, to the extent that these funds are available to OSA. The GRANTEE also affirms that the cash-in-lieu reimbursement will be used exclusively to purchase domestic agricultural products, and will provide separate accounting for receipt of these funds Printed On: 6/6/2012 61 Area Agency on Aging 1-B D. Service Standards — Transportation (DRAFT) Issue Date: 3/27/07 I Rev Date: 9/30/11 Adrocacy Action - Answers on Aging Service Name Transportation Service Definition A centrally organized service offered to enable individuals to gain access to MI Choice and other community services/facilities, activities, and resources specified by the plan of care. This service is offered in addition to medical transportation REQUIRED under 42 CFR 431.53 and transportation services provided under the state plan (implemented through DHS) and shall NOT replace them. , Transportation services under the AAA 1-B programs shall be offered in accordance with the individual's plan of care. Whenever possible, family, neighbors, friends, or community agencies, which can provide this service without charge, will be utilized. Service Code A0130 Non-emergency/Non-medical transportation wheelchair van, per trip S0209 Wheelchair Van, mileage, per mile S0215 Non-emergency transportation, mileage, per mile 12003, Non-Emergency Transportation: encounter/trip Units A0130 = Per mile . S0215 = Per mile Service Delivery 10 Traditional/Agency-Based 0.tions WI Self-Determination I. MINIMUM STANDARDS A. The vendor shall be a centrally organized transportation company or agency that provides transportation utilizing any of the following methods: 1. Demand/Responses — Characterized by scheduling of small vehicles to provide door-to-door or curb-to-curb service on demand. The DSP vendor may include a passenger assistance component and/or the following variations: a. Route Deviation Variation — A normally fixed route vehicle leaves the scheduled route upon request to pick up the participant. b. Flexible Routing Variation — The DSP vendor constantly modifies routes to accommodate service requests. D-90 D. Service Standards — Transportation (DRAFT) issue Date: 3/27/07 Rev Date 9/30/11 Area Agency on rAv Aging 1-B AdC0CaCy • At lion • Answers On Aging 2. Public Transit — Characterized by partial or full payment of the cost for a participant to use an available public transit system. This can be either a fixed route or demand/response. The vendor may include a passenger assistance component. 3. Volunteer — Characterized by reimbursement of out-of-pocket expenses for individuals who transport participants in their private vehicles. The vendor may include a passenger assistance component. 4. Ambu-Cab — Characterized by a wheelchair-equipped van to provide door-to-door service on demand. The vendor shall include a passenger assistance component. B. All paid drivers for transportation vendors supported entirely or in part by AAA 1-B funded service programs shall be physically capable and willing to assist persons who require help, including door-to-door assistance and in and out of vehicles. The driver shall offer such assistance unless expressly prohibited by either a labor contract or insurance policy. C. The vendor shall train all paid drivers for transportation programs supported entirely or in part by AAA 1-B funded service programs to cope with medical emergencies, unless expressly prohibited by a labor contract or insurance policy. Written emergency procedures, communication devices (i.e. cell phones) and first aid supplies must be available in all vehicles. D. All paid drivers of the vendor must be trained on the vendor's transportation procedures and be knowledgeable of the needs of the persons served. E. Each vendor must review driving records of all drivers on a regular basis. F. Each vendor shall operate in compliance with PA 1 of 1985 regarding seat belt usage. G. The Secretary of State must appropriately license and inspect all drivers and vehicles used for transportation supported all or in part by AAA 1-B funded service programs. The vendor must cover all vehicles used and owned by the agency with liability insurance D-91 D. Service Standards — Transportation (DRAFT) Issue Date: 3/27/07 Rev Date: 9/30/11 Area Agency on rAM,Aging 1-B .4drocacy • Ar lion • Answers on Ar,in , H. All vendors of transportation services must submit (with the bid application) seat belting protocol, and an outline of driver training guidelines, which shall include how to ensure that participants are properly restrained. For current providers, this policy shall be reviewed upon assessment. MA 1-B participants riding in the back seat of an automobile must be seat belted. Note: State law requires use of front seat belts. J. For AAA 1-B participants riding in wheelchairs, the chair must be belted into the van/bus and the participant must also be belted into the chair. Both types of restraints are required. K. Agencies transporting participants in vehicles that do not include shoulder belts to keep participants in the chair should contact the AAA 1-B Care Manager to discuss options for obtaining a seatbelt that can be connected directly to the wheelchair. The AAA 1-B may use funded service programs to pay for the costs of non-medical transportation for program participants. Whenever possible, the AAA 1-B shall utilize family, neighbors, friends, or community agencies that can provide their service without charge. M. The MA 1-B may not use funded service programs to purchase or lease vehicles for AAA 1-B participants to provide transportation services. N. The AAA 1-B shall not authorize MI Choice funds to reimburse caregivers (paid or informal) to run errands for AAA 1-B participants when the participant does not accompany the driver of the vehicle. The purpose of the transportation is to enable MI Choice participants to gain access to waiver and other community services, activities, and resources. 0. All wheelchair transportation vehicles will be assessed for the following: 1. Accessibility 2. Safety features 3. Safety equipment 4. Maintenance of vehicles in accordance with the manufacturer's recommendations. I . D-92 Area Agency on Aging 1-B D. Service Standards — Transportation (DRAFT) Issue Date: 3/27/07 I Rev Date - 9/30/11 AdEocacy • Action • Answers on Ang P. All providers of wheelchair transportation will be assessed annually by the AAA 1-B for compliance with these standards. II. VENDOR RECORDS A. Participant Records - Each vendor must maintain participant records that contain: 1. A copy of the request for service - CSS Authorization Form 2. Pertinent information as necessary for the service performed Summary of Need Form received from AAA 1-B 3. A description of the provided service: a. Route sheet showing date, time, and destinations MINIMUM STANDARDS FOR SELF-DETERMINED SERVICE DELIVERY A. Each chose provider must minimally comply with Section C of the General Operating Standards. B. The Secretary of State must appropriately license and inspect all drivers and vehicles used for transportation supported all or in part by MI choice funds. The provider must cover all vehicles used with no fault automobile insurance. C. Each chosen provider for transportation services supported entirely or in part by MI Choice funds shall be physically capable and willing to assist persons requiring help to and from and to get in and out of vehicles. D. Each chosen provider shall operate in compliance with P.A. 1 of 1985 regarding seat belt usage. COMMUNITY SERVICES: VOLUNTEER CAREGIVER SERVICE NAME Volunteer Caregiver „ , SERVICE CATEGORY Community/In-Home Management, recruitment, and matching of volunteers with i older adults in need of companionship, assistance, o ' transportation to relieve the primary caregiver. The provision of volunteer in-home respite in the absence of or to relieve the primary caregiver shall include , SERVICE DEFINITION companionship, supervision and assistance with instrumental activities of daily living such as light homemaking, light chores, errand running, meal preparation, and other tasks the participant may have difficulty performing or be unable to perform without assistance. No hands on care (i.e., bathing, toileting) shall be provided by volunteers. One hour of direct client services (respite/relief or service UNIT OF SERVICE . coordination). ... MINIMUM STANDARDS 1. The Volunteer Caregiver service is intended to provide respite to caregivers of older adults. All older adults enrolledin this service must also have a caregiver (i.e. family member, friend, neighbor, etc.) who is aware of and benefiting from the Volunteer Caregiver service. 2. Programs must be governed and supported by representatives from faith-based and/or community organizations. Programs must be separately incorporated and independent with a 501 (c)(3) status (programs under a larger faith-based and/or community organization may request a waiver of this standard). 3. Units of service shall be allocated to Service Coordination or directly to caregiver assisted. Units allocated to Service Coordination shall only include units directly related to arranging provision of above mentioned services. Units of service allocated to Service Coordination and direct service for the caregiver must be reported separately in the narrative section of the quarterly reports. 4. Agencies shall comply with NAPIS reporting requirements which include capturing and reporting required caregiver data. Note: Agencies are required to also capture and provide care receiver data, and to submit this information quarterly on the AAA 1-B Quarterly Programmatic Client/Unit Report. 5. Programs must maintain a policy, which assures that individuals of all religious denominations or affiliation, and those without religious affiliations, can be served. 6. Programs must maintain a policy which requires volunteers to agree in writing, not to solicit nor accept monetary contribution from program participants and/or caregivers for their own use; nor attempt the sale of any type of merchandise or service to program participants and/or caregivers; and agree not to seek, or encourage the acceptance on the part of participant and/or caregiver of any particular belief or philosophy. 4. Programs must employ a paid coordinator with the overall responsibility for program management, volunteer recruitment, screening, orientation, training, and matching volunteers with older persons and/or older caregivers in need. See below for additional staffing requirements for volunteer respite. 5. All programs must place a high priority on the provision and expansion of in- home volunteer respite service. 6. Programs must have a written plan that guides the ongoing recruitment of volunteers from religious congregations and the general community. 7. Programs must develop and document a volunteer orientation that includes at a minimum, a review of interpersonal communication skills and techniques, accessing community based resources, universal precautions, and emergency procedures. 8. Programs must conduct an on-site evaluation (assessment for volunteer respite) of the participant's situation (and screening of prospective volunteers) to ensure that the skills and training of the volunteer are appropriate for the participant's needs. The plan must include a record of the individuals requesting service, volunteers recruited to assist, placements made, and hours and type of volunteer service provided. See below for additional assessment requirements for volunteer respite participants. Exceptions are allowed in situations of immediate need, such as for transportation assistance. 9. Requirements for the provision of in-home volunteer respite shall include: a. Programs must employ a professionally qualified individual who directly supervises volunteers providing respite. Supervision must be available to program volunteers at all times (via phone or pager) while in the participant's home. Note: Supervision shall not be used as a replacement for emergency procedures that must be in place and used by all volunteers if necessary. b. Programs must use the AAA 1-B specialized training program for training respite volunteers which minimally includes CPR/choking (optional), empathy training, understanding caregiver stress, dealing with dementia, and operation of wheelchairs. c. Programs must use the approved AAA 1-B caregiver and care receiver assessment tool to determine if participants are appropriate for volunteer respite. d. An initial assessment is not required for individuals referred by a personal care, home health aide, care management or in-home respite basic care organization provided the assessment was conducted within the past 90 days. A copy of the assessment must be provided to the volunteer respite program as well as a recommendation of the volunteer respite care services needed by the participant. e. A re-assessment (in person or via telephone) shall be conducted minimally every 180 days or if the volunteer caregiver reports significant changes in a participant's condition. f. Programs shall not assist participants, in any way, in preparing, reminding, or taking prescription or non-prescription medications. Programs must develop an emergency plan for each participant, in conjunction with the primary caregiver, which must be available to the volunteer respite caregiver at all times. The plan shall include a minimum of two emergency contact names and phone numbers and information on hospital of choice. 10. Programs must have a written procedure for requesting, encouraging, and accepting donations from participants. 11. Programs must plan to serve a broad geographic area. 12. Programs shall participate in a region-wide coalition of volunteer programs assisting older adults and caregivers, to avoid duplication, maximize the potential for coordinated program development, expansion, volunteer recruitment, training, and appropriate referrals of both participants and volunteers. g. COMMUNITY SERVICES: ASSISTANCE FOR GRANDPARENTS RAISING GRANDCHILDREN , SERVICE NAME ' Assistance for Grandparents Raising Grandchildren SERVICE CATEGORY Community Developing or providing service, informational materials, SERVICE DEFINITION and/or training targeted to support, educate, or assist grandparents raising grandchildren. May be either: 1) one hour of staff time worked; 2) one UNIT OF SERVICE information piece developed and distributed; or 3) one ,training developed and implemented. MINIMUM STANDARDS 1. Programs must be targeted to grandparents and/or other family caregivers age 55 years and older. 2. Units of service shall be allocated to either Service Coordination or directly to the grandparent assisted. Units allocated to Service Coordination shall only include units directly related to arranging provision of above services. Units of service allocated to Service Coordination and direct service for the caregiver must be reported separately in the narrative section of the quarterly reports. 3. Agencies shall comply with NAPIS reporting requirements which include capturing and reporting required caregiver data. 4. Priority will be given to programs that achieve maximum geographic coverage in Region 1-B. 5. Development of counseling services or support groups must not duplicate existing community programs. 6. Informational materials must be available for duplication and distribution throughout Region 1-B when appropriate and at the discretion of the Area Agency on Aging 1-B (AAA 1-B). Any materials may be reproduced by the AAA 1-B at any time. 7. Programs must coordinate with legal services, probate courts, school districts, the Michigan Department of Human Services (DHS), and other relevant community agencies, as appropriate. 8. For programs that do not focus on providing service directly to participants (i.e., development of informational materials), Sections III and VI of the application need not be completed. 9. These funds are intended as seed funding. Applicants may apply for one cycle of funding, after which time the program should be continued through other resources (if appropriate). Area Agency on FANN.,.Aging 1-B Advocacy - Ac1ion - Answers on Ak ,ing IN-HOME SERVICES: CHORE 1 SERVICE NAME 1 Chore SERVICE CATEGORY In-Home 1 Non-continuous household maintenance tasks intended to I SERVICE DEFINITION increase the safety and ability of the individual(s) living at , the residence to maintain their independence. One hour spent performing specific chore tasks for eligible , UNIT OF SERVICE participants. See Minimum Service Standard #14, if , applicable. CONTRACT TYPE Expenditure PRIORITY ALLOWABLE OUTDOOR CHORE TASKS • Snow Removal, including sidewalks where required by community ordinance • Lawn Cutting • Screen/Storm Window Installation and Removal • Gutter Cleaning/Roof Sweeping • Door Weather Stripping Installation PRIORITY ALLOWABLE INDOOR CHORE TASKS Minor Home Repair (generally tasks that do not require a permit): • Plumbing - Eligible tasks include, but are not limited to, replacing/repairing pipes; and replacing faucets/faucet washers. • Carpentry - Eligible tasks include, but are not limited to, repairing steps, floorboards, and railings. • Electrical - Eligible tasks include replacing fuses, light bulbs, electrical plugs and frayed electrical cords. • Heavy Cleaning/Trash Removal - Eligible tasks include, but are not limited to, cleaning attics and basements to remove fire and health hazards. CHORE TASKS ALL CONTRACTORS MUST PROVIDE • Emergency Service - This shall be provided if/when requested by AAA 1-B Care Managers, the local Emergency Operations Center, or clients directly to the chore contractors. Requests shall be approved in writing (prior to initiation) by the AAA 1-B Program Manager. OPTIONAL CHORE TASKS Tasks listed below may ONLY be provided if units/funding are available after completion of priority allowable tasks: Approved Optional Outdoor Chore Tasks • Repairing address numbers and mailboxes • Trimming of over-hanging trees branches or overgrown bushes • Washing windows • Installing or fixing locks for windows and/or doors 9 Securing skirting for mobile homes and related tasks for mobile homes • Miscellaneous tasks, including leaf raking, with prior written approval from the AAA 1-B Program Manager Approved Optional Indoor Chore Tasks • Cleaning and securing carpets and rugs • Pest control • Washing walls and windows and scrubbing floors • Repairing furniture to remove fire and health hazards • Caulking windows • Installing or fixing windows and/or door locks • Checking and replacing smoke alarm/carbon monoxide detector batteries (ONLY if performed in conjunction with other Chore tasks) • Miscellaneous tasks with prior written approval from the AAA 1-B Program Manager MINIMUM SERVICE STANDARDS 1. Only the Chore service tasks listed above shall be provided, unless prior approval is given from AAA 1-B Program Manager 2. Funds awarded for Chore service programs may be used to purchase materials and disposable supplies used to complete the Chore tasks to increase the safety of the individual. Note: No more than $200 may be spent on materials for any one household per year. Equipment or tools used to perform Chore tasks may be purchased or rented with funds awarded up to an amount equal to 10% of total grant funds. 3. Programs must develop, maintain, and demonstrate working relationships with the local or county home repair, Home Injury Control, and weatherization service providers, as available, in the project area to ensure effective coordination of services and referrals. 4. Programs must coordinate with Community Development Block Grant (CDBG) funded Chore services or locally-funded Chore services in the contracted service area. This shall minimally include documenting how service will be coordinated, specification of Chore tasks, and referral protocol. 5. Pest control services shall be provided only by appropriately licensed suppliers. 6. Programs must ensure that no one under the age of 18 will operate a motorized piece of equipment or motorized vehicle while performing Chore service tasks, without the appropriate waivers in place, in accordance with state law. 7. Programs must ensure that Chore workers receive orientation/training in the areas of safety in the workplace, proper use of tools and equipment, and ethical codes for persons working in a private home, including the issues of protecting privacy and refusing gratuities. 8. Programs must limit tasks to those that do not exceed two (2) working days to complete by any one person. Any exceptions to this must be approved in writing by the AAA 1-B prior to completion of the task. 9. Programs must electronically submit NAPIS information according to specified guidelines and by specified due dates. 10. Programs must use a system for documenting participant satisfaction after all tasks are performed. Information, including summary data, shall be available for AAA 1-B programmatic assessment. 11. Programs must contact all municipalities (city/township offices) in the designated service area to educate/inform them of service availability in their service area. This must include the provision of instructions encouraging municipalities to post and distribute information to persons likely to receive requests from older adults in need of service. 12. Programs must contact all senior renters in the designated service area to promote chore service. This must include the provision of instructions encouraging the posting and distribution of information to persons likely to receive requests from older adults in need of service. 13. Programs must contact all AAA 1-B funded Home Delivered Meals, Resource Advocacy contractors and other similar programs in the designated service area to promote chore service. This must include the provision of instructions encouraging the posting and distribution of information to persons likely to receive requests from older adults in need of service. 14. Programs may subcontract with private companies that provide specified chore services, and comply with AAA 1-B minimum insurance, service and reporting standards. Subcontractors, which define the unit "per job" (rather than per hour), must be approved by the AAA 1-B Contracts Manager. All subcontracting agreements must be approved by the AAA 1-B Contract Manager. (For a copy of the Subcontracting Request form, go to www.aaalb.com and then go to Doing Business With Us/Contracts/Reporting Forms/Social Services). 15. AAA 1-B recommends that programs explore the development of a fee-for- service or private pay program component to assist older persons who want to pay for chore service but are unable to coordinate or locate appropriate providers. Funds garnered from these programs shall be used to promote expansion or chore service in the designated service area. 16. Programs must participate in regular, on-going meetings with AAA 1-B and other Region 1-B chore programs to explore various issues including the provision of county-wide service, standardizing chore assessment protocol and instruments, referrals to other resources, and ways to expand service. Note: This service definition was developed in 2003 and updated by the AAA 1-B and Chore Contractors in 2011. Area Agency on rA,M,Aging 1-B ',racy - Action Answers on Aging IN-HOME SERVICES: HOME INJURY CONTROL I SERVICE NAME Home Injury Control SERVICE CATEGORY In-Home Providing adaptations to home environments of older , adults in order to prevent falls and/or minimize the occurrence of injuries in the home. Priority adaptations 1 SERVICE DEFINITION shall include devices, which minimize or prevent falls. . Home injury control does not involve home restoration or 1 structural renovation, or chore or homemaker activities. Installation of one safety device in an older adult's UNIT OF SERVICE residence. For ramps, installation of one ramp section. Installation is defined as connecting, preparing, or setting ' into place for use. - PRIORITY ALLOWABLE HOME INJURY CONTROL ADAPTATIONS • Wall mounted grab bars/tub or other grab rails/assistive or other break apart rails • Bathroom chairs/seats/transfer benches • Hand-held showerhead • Raised toilet seats (with or without rails) • Stairway/hallway hand rails (interior/exterior) • Safe (enhanced) lighting • Smoke alarms/Carbon Monoxide detectors • Non-slip treatments for steps/ramps/tubs • Ramps (portable and non-portable) OPTIONAL HOME INJURY CONTROL ADAPTATIONS Adaptation(s) listed below shall be provided if possible or if additional resources are secured: • Vision or hearing adaptive devices (ONLY when not provided by AAA 1-B hearing/vision contractors) • Thresholds/mini-ramps • Bedside commodes • Fans or air conditioners (as appropriate) MINIMUM STANDARDS 1. Only the Home Injury Control (HIC) adaptations listed above shall be performed by the contractor unless prior approval is obtained from the AAA 1-13 Each HIC program, prior to making any home adaptations, must determine whether a potential participant is eligible for services through a program supported by other funding sources, particularly programs funded through the Social Security Act or Veterans Administration. If it appears that an individual can be served through other resources (e.g., CDBG funded programs), an appropriate referral should be made. 2. Each program must use an AAA 1-B approved home environment assessment tool, or ensure that the tool, or comparable tool, is used by organizations referring older adults for the Home Injury Control service. 3. Each program shall provide assistive devices as described above, and offer explanation and demonstration on usage to the participant. Installation of the device is required unless a written waiver is obtained from the participant. 4_ Individuals that choose not to have the device installed, shall sign an AAA 1-B approved participant waiver which indicates that they do not require this component of the service and also list the reason why they do not require installation (e. g., family member will assist, participant refusal, device does not require installation.) 5. Each program shall provide educational literature, with an emphasis on fall prevention (as applicable) or injury prevention. 6. Each program must develop working relationships with aging network providers including AAA 1-B Community Support Services (CSS) and the Resource Center, home care agencies, chore, home repair and housing assistance service providers, and Resource Advocates as available in the project area, to ensure effective referrals and coordination of efforts. 7_ Each program shall offer participants the opportunity to meet with a Resource Specialist, if other community based needs are identified during the in-home assessment (e.g., need for home delivered meals, home care, etc.). 8. Each program must maintain a record of homes adapted, including date of assessment or referral, date work completion, tasks performed, materials used, cost and sources of payment. 9. Each program must establish and utilize written criteria for prioritizing participants in need of service. See page*** (Make sure this corresponds with the correct page number), for more information on prioritization. 10. Each program must develop and utilize a written policy for the reuse of equipment and materials (e.g., ramps) whenever possible. 11. All safety devices installed must conform to local building codes and meet respective UL® Safety Standards. 12. Home Injury Control (HIC) contractors shall demonstrate efforts to coordinate with other HIC contractors in areas which include: • Participation at regional meeting/trainings • Fundraising, grant writing, group purchasing, corporate sponsorship, and volunteer recruitment (whenever possible) • Sharing/reusing donated equipment or supplies (whenever possible) • Developing a suggested donation scale • Exploring methods to ensure timely installation of devices • Developing private pay opportunities (as appropriate) 13. Funds awarded for the HIC program may be used to purchase materials and disposable supplies needed to complete the adaptation of the home up to 10% of the grant funding. Materials and supplies should be reflected in the annual contractor budget submitted to AAA 1-B. Note: This service definition was developed in 2005 and updated by the AAA 1-8 and Home Injury Control Contractors in 2011. COMMUNITY SERVICES: ASSISTANCE TO THE DEAF AND HEARING IMPAIRED _ .._ SERVICE NAME Assistance to the Deaf and Hearing Impaired SERVICE CATEGORY Community Provision of assistance to older persons with hearing impairments or who are deaf to enable them to better , compensate for these losses in daily life. Allowable activities include: education/training relative to community services for and rights and benefits of hearing impaired and deaf persons with a focus on equal access to public , services and public accommodations; assistance in obtaining benefits and services; training in techniques for SERVICE DEFINITION adjusting lifestyle and living arrangements in response to hearing impairments and deafness; group and community education on hearing loss prevention/adjustment group education/socialization; advocacy for rights to reasonable accommodations, including interpreter services, access to assistive devices and additional technologies; assistance accessing/navigating the health care system; and individual 1 participant assistance for the Deaf to obtain translating services in their native language of American Sign I Language. UNIT OF SERVICE , One hour of allowable support activities or each community I education session. MINIMUM STANDARDS 1. Each program must have staff who are fluent in American Sign Language and other communication modes suitable to the deaf and hearing impaired. Each program must establish linkages with other local and state-wide programs offering services to the hearing impaired and have knowledge of the deaf community culture. Each program must make services available throughout the geographic target area. Service providers must identify sites where services will be delivered and develop a schedule for site-specific service delivery. Assistance to the Hearing Impaired and Deaf services must be provided throughout the six counties of Region 1-B, in proportion to the number of hearing impaired and/or deaf older adults in each county:_ COMMUNITY SERVICES: VISION SERVICES _ SERVICE NAME Vision Services SERVICE CATEGORY i Community Provision of specialized vision services for the visually impaired and older blind persons which includes: . , , 1 orientation and mobility training; 2. rehabilitation for activities of daily living (ADL's)*; 3. optometric services to help person with severe vision SERVICE DEFINITION loss to utilize remaining vision as effectively as possible, or strong relationships with and appropriate referrals to licensed optometric providers; and 4. group education on prevention of or adjustment to , visual impairment. *ADL's include personal hygiene and grooming, meal , , preparation and kitchen safety, homemaking, and leisure pursuits. UNIT OF SERVICE Each hour of service provided. Each group education session. _ MINIMUM STANDARDS 1. Program staff providing rehabilitation training must have experience and be trained: in communication skills including Braille, typing, :handwriting, use of recording devices, telephone dialing, and other appropriate skills. 2. Program staff providing orientation and mobility training must have experience and be trained in techniques, methods, and use of travel aids to visually impaired program participants. 3. Optometric services must be provided by an optometrist that has graduated from an accredited College of Optometry and is licensed to practice optometry in Michigan, and referrals must only be made to optometric providers meeting these criteria. 4. The program must have a coordinator with a minimum of a bachelor's degree in Blind Rehabilitation, Occupational Therapy, Rehabilitation Teaching, or a related field. Each vision services program must demonstrate working relationships with other local agencies and organizations offering programs for the blind and with the Department of Licensing and Regulatory Affairs, which include Rehabilitation Services, Michigan Commission for the Blind and Libraries for the Blind. ea ency on 1-B D. Service Standards Community Living Program Services Issue Date: 4-1-11 I Rev Date. Adcncory • lc lion • An,qicers OR Aging _ Service Name Community Living Program Services* Service Definition Community Living Program Services (CLPS) promote an individual's health, safety, independence and reasonable participation in the community. CLPS can be provided in the participant's residence or in community settings as necessary in order to meet support and service needs sufficient to address nursing facility level of care needs. Service Code CLPS10, Comprehensive community support services, per 15 minutes Units 15 Minutes performing CLPS activities i Service Delivery 0 Traditional/Agency Based I Options 0 Self Determination *Note: Community Living Program Services (CLPS) is not the same service as the AAA 1-B service definition for Community Living Support (CLS). CLPS is for non- Medicaid Waiver participants. CLS is for Medicaid Waiver participants only. I. MINIMUM STANDARDS A. Assisting, reminding, cueing, observing, guiding and/or training in the following activities: 1) meal preparation; 2) laundry; 3) routine, seasonal and heavy household care maintenance; 4) activities of daily living such as bathing, eating, dressing, personal hygiene; and 5) shopping for food and other necessities of daily living. B. Assistance, support and/or guidance with such activities as: 1) money management; 2) non-medical care (not requiring RN or MD intervention); 3) social participation, relationship maintenance, and building community connections to reduce personal isolation; 4) transportation from the participant's residence to community activities, among community activities, and from the community activities back to the participant's residence; 5) participation in regular community activities incidental to meeting the individual's community living preferences; 6) attendance at medical appointments; and 7) acquiring or procuring goods and services necessary for home and community living, in response to needs that cannot otherwise be met. C. Reminding, cueing, observing and/or monitoring of medication administration. D. Provision of respite as required by the participant's caregiver. Respite care may also include chore, homemaking, home care assistance, home health D -26 D. Service Standards Community Living Program Services Issue Date: 4-1-11 Rev Date: Area eney on IfAXX * 1-B dr oc act • Actioa • AnSIITTS on AP,U1q. aide, meal preparation and personal care services. When provided as a form of respite care, these services must also meet the requirements of that respective service category. Note: Social/emotional support of participant may be offered in conjunction with assistance provided. Costs associated with room and board are not included. E. Minimum Standards for Agency Providers: 1. Each program shall maintain linkages and develop referral protocols with each Community Living Consultant (CLC), GCS, CM, MI Choice Waiver and LICC program operating in the project area. 2. All workers performing Community Living Program Services shall be competency tested for each task to be performed. The supervisor must assure that each worker can competently and confidently perform every task assigned for each participant served. Completion of a certified nursing assistant (CNA) training course by each worker is strongly recommended. 3. Community Living Program Services workers shall have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording client information. Additionally, skill, knowledge, and/or experience with food preparation, safe food handling procedures, and identifying and reporting abuse and neglect are highly desirable. 4. Semi-annual in-service training is required for all Community Living Program Services workers. Required topics include safety, sanitation, emergency procedures, body mechanics, universal precautions, and household management. 5. Community Living Program Services workers may perform higher-level, non-invasive tasks such as maintenance of catheters and feeding tubes, minor dressing changes, and wound care when individually trained by the supervising RN for each participant who requires such care. The supervising RN must assure each worker's confidence and competence in the performance of each task required. 6. When the CLPS provided to the participant include transportation described in B above, the following standards apply: D. Service Standards Community Living Program Services Issue Date: 4-1-11 Rev Date: Area Agency on VAXX Aging 1-B Adroe,w • - Answers on Aging a. The Secretary of State must appropriately license all drivers and vehicles used for transportation. The provider must cover all vehicles used with liability insurance. b. All paid drivers for transportation providers shall be physically capable and willing to assist persons requiring help to and from and to get in and out of vehicles. F. Minimum Standards for Individuals Employed by Participants: 1. Individuals employed by program participants to provide Community Living Program Services shall be at least 18 years of age and have the ability to communicate effectively, both orally and in writing, to follow instructions, and be in good standing with the law as validated by a criminal background check conducted by the area agency on aging that is shared with the participant. Members of a participant's family (except for spouses) may provide Community Living Program Services to the participant. If providing transportation incidental to this service, the individual must possess a valid Michigan driver's license. 2. Individuals employed by program participants shall be trained in first aid, cardiopulmonary resuscitation, and in universal precautions and blood- born pathogens. Training in cardiopulmonary resuscitation can be waived if providing services for a participant who has a "Do Not Resuscitate" (DNR) order. The supervisor must assure that each worker can competently and confidently perform every task assigned for each participant served. 3. Individuals providing Community Living Program Services shall have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording information. Additionally, skills, knowledge and/or experience with food preparation, safe food handling procedures, and reporting and identifying abuse and neglect are highly desirable. 4. Individuals providing Community Living Program Services shall be deemed capable of performing the required tasks by the respective program participant. 5. Individuals providing Community Living Program Services shall minimally comply with person centered principle requirement in minimum standards. D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3127/07 Rev Date: 10/3/11 Area Agency on rA,M,kring 1-B Advocacy • Action • Answers on Aging Service Name Respite Care Provided Outside of the Home Service Definition The provision of temporary care and supervision, furnished on a short term basis, to persons in out-of-home settings to provide a brief period of rest or relief from the day-to-day caregiving because of the absence, or need for relief, of those persons normally providing the care (primary caregiver) when the community participant is either a dependent family member unable to care for themselves, or a primary caregiver. Either the dependent family member or the primary caregiver must be sixty years of age or older. Service Code H0045 Respite services not in the home, per diem Units H0045 = per day Service Delivery M Traditional/Agency-Based Options Li Self-Determination I. MINIMUM STANDARDS A. Each Out-of-Home Respite (OHR) vendor must be either a Medicaid certified hospital or a licensed group home as defined in MCL 400.701 if, which includes adult foster care homes and homes for the aged. Note: A copy of the license shall be submitted to the AAA 1-B with the Bid Agreement and upon each renewal. B. OHR service includes: 1. Attendant Care — (Participant is not bed-bound.) Includes companionship, supervision, and/or assistance with toileting, eating, and ambulation. 2. Basic Care — (Participant may or may not be bed-bound.) Includes assistance with Activities of Daily Living (ADLs) (including personal care), routine exercise, regimen, and supervision and adherence to medication requirements. D-73 Area Agency on /ANN Aging 1-B D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date: 10/3/11 Advocacy Action • AnSWCFS no Aging 3. Personal Care (PC) — Showering and assistance with ADLs. 4. Nutrition — For respite stays of 24-hours or more, the facility must have the capacity to provide a minimum of three meals per day which provide a balanced diet specific to the needs of the individual and that meets the Dietary Reference Intakes (DRI) and 100% of the daily Recommended Dietary Allowances (RDA) as established by the Food and Nutrition Board of the National Academy of Sciences, National Research Council. For more information on these standards, please contact the AAA 1-B Nutrition Contracts Manager, with additional references available at: www.healthierus.gov/dietaryguidelines. Note: Each vendor shall submit a copy of the following: • Vendor menu planning policy and sample menu rotation (i.e., monthly defined cycle, seasonal) • Current health inspection report • Current food service license • Food service manager certification • Fire safety inspection report • Documentation of compliance with other applicable local, state, and federal food and/or nutrition standards C. Programs must have the capacity to provide a wide range of support services, and be able to provide short term, intermittent care, and 24- hour rare, including holidays and weekends. II. ELIGIBILITY CRITERIA Each vendor must establish written eligibility criteria that include, at a minimum: 1. Participants must require continual supervision to live in their own homes or the home of a primary caregiver, or require a substitute caregiver while their primary caregiver needs relief or is otherwise unavailable; and 2. Participants have difficulty performing or are unable to perform ADL's without assistance. D-74 Area Agency on rA Aging 1-B D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date: 10/3/11 Advocacy - Action - Answers on Aging III. SERVICE PROVISION REQUIREMENTS A. The vendor must obtain a copy of the assessment conducted by the AAA 1-B before initiating service. The assessment information must include a recommendation made by the assessing RN (or a qualified professional) describing the respite care support services the AAA 1-B participant needs. Note: For AAA 1-B and community participants using an AAA 1-B National Family Caregiver Support Program (NFCSP) funded OHR bed, the AAA 1-B OHR Coordinator will assist the caregiver with completion of facility-required admission paperwork. B. Prior to initiating service for a particular participant, OHR facility shall be informed about: a. Special needs of the participant; b. Medication usage of the participant; c. The emergency notification plan developed in conjunction with the participant and/or primary caregiver (see the OHR Emergency Contact Form on page D-68); and d. Written instructions for service to each individual participant based on the service plan developed for that participant. IV. PARTICIPANT RECORDS Each vendor must maintain comprehensive and complete records for all AAA 1-B National Family Caregiver Support Program (NFCSP) and AAA 1-B DSP service program OHR participants that contain, at a minimum: 1. Details of the request to provide service. a. NFCSP participant—AAA 1-B OHR Authorization Form b. DSP service program participant — CSS Authorization Form 2. A copy of the AAA 1-B's evaluation of the participant's needs. a. NFCSP participant—AAA 1-B OHR Assessment b. Service Program DSP participant — CSS Assessment/ Reassessment 3. Pertinent medical, social, and/or functional participant information as necessary to provide the proper delivery of the requested service. D-75 Area Agency on MN Aging 1-B D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date: 10/3/11 I Advocacy - Action • Answers on Aging a. Completed OHR Facility Assessment Form (i.e. specific to the facility). b. Other admission forms and documentation required by the licensed OHR facility in order to provide service to participants. Refer to note below. Note: Vendor participant files must contain the following forms/documentation required by the State of Michigan for the specific license under which the vendor operates. Adult Foster Care (AFC) Facilities — Participant Assessment; Physician's Health Care Appraisal (including prescribed medications) signed by the participant's physician; Funds Release Form; Resident Care Agreement; and Participant Information Identification Record. Homes For the Aged (HFA) Facilities — Participant Assessment; Medical Evaluation (including prescribed medications) signed by the participant's physician; and Participant Information and Identification Record. 4. A description of the provided service (i.e., documentation of tasks performed/services provided for participant at the facility including assistance with personal care, meals and activities). 5. Progress Notes and Supervisory Notes a. Progress Notes are worker observations of the participant that include: • Change in the participant's condition (condition of skin, change in appetite or appearance, etc.) • The amount of assistance needed • How well service is tolerated • Any concerns or changes observed b. Vendors shall document in the participant file, date and reason for discharge for those participants whose OHR services are terminated before the scheduled discharge date. 6. The number of units (days) provided per stay. D-76 Area ency on g 1-B D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date: 10/3111 .4c/vocacy Action Answers on Aging Note: Records must contain a listing of all dates of service provision for each participant (i.e. date of admission/date of discharge/total number of respite days per stay). 7. The date(s) of service provision. 8. The total cost of each service provided (for DSP service program participants). 9. Notes in response to participant, family, and agency contacts. 10. Record of release of any personal information about the participant and/or a copy of the signed Release of Information Form. 12. Vendors with multiple sources of funding must specifically identify AAA 1-B participant files. 13. Vendors must keep all participant records (written, electronic, or other) confidential in controlled access files. V. MEDICATION PROCEDURES Each vendor shall establish written policies and procedures to govern the assistance given by staff to AAA 1-B participants taking medications while participating in the OHR program. These procedures shall be reviewed by a consulting pharmacist, physician, or RN and shall include, at a minimum: Vendor staff authorized to assist participants with taking either prescription or non-prescription medications, and under what conditions such assistance may take place. 2. A review of the type of medication the participant takes and its impact upon the participant. 3. Verification of prescription medication regimen including prescriptions and dosages. 4. The provider shall maintain all medications in their original, labeled containers. D-77 D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date 10/3/11 Area eney on Aging 1-B Advocacy - Action - Answers on Aging 5. Secured storage of medications brought in by participants or maintained by the program. 6. Disposal of unused medications. 7. Instructions for entering medication information in participant files (including times and frequency of assistance). 8. A clear statement of the participant's and participant's family's responsibility regarding medications taken by the participant while at the facility. 9. The provision for informing the participant and the participant's family of the program's procedures and responsibilities regarding administered and/or assisted self-administration of medications. 10. Volunteer respite care workers shall not assist participants, in any way, in taking either prescription or over-the-counter medications. 11. Only prescribed and over-the-counter medications that are ordered by the physician on the physician's Health Care Appraisal or Medical Evaluation - Physician's Orders Form will be administered during the respite stay. 12. Any changes that occur in medications ordered during the participant's stay at the OHR vendor agency's facility must be ordered by the participant's physician on a written prescription and verified with the physician by the OHR vendor agency. 13. Written consent from the participant, or participant's representative, to assist in taking medications. 14. Procedures for medication set-up. 15. Training provided to staff authorized to assist participants in taking medications. 16. If unlicensed staff are allowed to assist participants in self- administration of medications, the staff must have successfully completed a training program which includes: a. Relevant consumer rights and responsibilities D-78 D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date: 10/3/11 Area Agency on _Aging 1-B Advocacy Action Ansn:ers on Aging b. Job responsibilities c. Limitations of reminding versus medication administration d. Periodic (minimum every two years) demonstration of safe practice job responsibilities B. In addition, the OHRs written medication procedures shall include: 1. Procedures for observing, recording, and reporting to the physician and AAA 1-B Care Manager any reactions or effects of medications. 2. A statement of verification that agency or facility staff providing medication services document when they observe the participant taking their medications and notifying their supervisor (for DSP service program participants, ultimately the AAA 1-B Care Manager) if the participant does not take their medications as prescribed. This shall include provisions to: a. Document refusals b. Contact family/emergency contact Note: Evidence of such training is documented and retained in the employee's personnel file. 3. If agency or facility staff are administering medications, the medication policy must include a provision to maintain a written prescription in the resident's record signed by an authorized prescriber (i.e., physician, nurse practitioner). 4. All staff must use the 7 "Rs" when providing medication assistance: right person; right medication(s); right dose; right time; right route; right documentation; and right reason. C. Medication Administration Check-In and Discharge Procedure The following procedure will be followed when admitting and discharging a person participating in the AAA 1-B OHR program: 1. At the time of admission, all medication will be counted and recorded on a Medication Log sheet by the RN or admission coordinator, in the presence of the participant and/or family member. Signatures will be required for verification of those doing D-79 D. Service Standards — Respite Care Provided Outside of the Home Issue Date: 3/27/07 Rev Date: 10/3/11 Area Agency on Aging 1-B Advocacy Action Answers on Aging the count. 2. At the time of discharge, all medication will be recounted and any remaining medications will be listed on the original Medication Log sheet by the RN or admission coordinator in the presence of the participant and/or family member. Signatures will be required for verification of those doing the count. All remaining medication will be returned to the caregiver/family at time of the participants' discharge. 3. Medications can only be administered as ordered by the physician and any changes in medications, dosages, or times to be given from what is ordered on the physician's Health Care Appraisal or Medical Evaluation - Physician's Orders form must have a new written order from the physician at the time of admission. 4. All pharmacy labeled medication containers must contain enough medication to last the entire respite stay. 5. At the time of admission, if the family does not present appropriate medication as ordered in pharmacy labeled containers, the OHR facility will make the decision to continue with the admission or refuse admission until all medication is adequately supplied and in pharmacy labeled containers. VI. PERSONNEL A. Each vendor shall employ a professionally qualified program director that directly supervises program staff. Note: Supervision must be available to program staff at all times the participants are in the respite facility. B. if the vendor utilizes volunteer respite care workers, they may ONLY provide attendant care. C. Personnel assignments must conform to the wage and hour provision of pertinent local, state, and federal law. VII. TRAINING D-80 D. Service Standards — Respite Care Provided Outside of the Horne Issue Date: 3/27/07 Rev Date: 10/3/11 Area Agency on rAM,Aging 1-B Advocacy - Ac (ion Answers nn Aging A. Vendor staff must receive an orientation training which includes topics listed under orientation training in the general standards. (See General Operating Standards Section C.) B. Vendor staff must receive in-service training at least twice each fiscal year that is specifically designed to increase their knowledge and understanding of the OHR program and participants, and to improve their skills at tasks performed in the provision of service. C. In addition to the recommended in-service training topics listed in the General Operating Standards Section C, training on the following topics are also recommended for OHR program staff: • Basic nutrition • Communication, assessment, and observation skills D. The vendor must maintain comprehensive records identifying dates for training and topics covered in agency training log and/or each employee's personnel file. E. The vendor shall develop an individualized in-service training plan for each employee when performance evaluations indicate a need. Vendors must conduct in-home (on-site for OHR) supervision of their staff at least twice per each fiscal year. A qualified professional must conduct the supervisory visit. VIII. EMERGENCY REQUIREMENTS A. Each vendor shall demonstrate a working relationship with a hospital and/or other health care facility for the provision of emergency health care services, as needed. B. With assistance of the participant and/or participant's caregiver, the vendor shall determine an emergency notification plan for each participant, pursuant to each visit. C. Respite workers shall report any significant changes in a participant's condition to their supervisor promptly. D. The vendor must have first-aid supplies available at the service center. D-81 Rev Date 10/3/11 D. Service Standards — Respite Care Provided Outside of the Home [Issue Date: 3/27/07 Area Agency on FA Aging 1-B Advocacy Action Answers on Aging E. Procedures to be followed in emergency situations (fire, severe weather, etc.) must be posted in each room of the OHR service center. Practice drills of emergency procedures are to be conducted once every six months. The program must maintain a record of all practice drills. IX. OTHER PROCEDURES A. Media Publicity Procedure 1. All advertising by the OHR vendor agency that refers to the partnership with AAA 1-B must have prior written approval from the AAA 1-B and the information must be submitted for approval at least ten days prior to use. 2. The AAA 1-B will make every effort to work with the OHR vendor agency to facilitate promotion of this new OHR program. B. Bed Usage Procedure 1. The OHR vendor agency must notify the AAA 1-B of any facility related problems that could effect bed usage. 2. The AAA 1-B will not be responsible for reimbursing the OHR vendor agency for days that the AAA 1-B is unable to use the bed due to a facility related problem. Note: The OHR vendors must provide a written 30-day notice of intent to terminate participation in the AAA 1-B DSP vendor pool as noted on the bid agreement o'ocurnents. C. Clothing and Supplies Check-In and Discharge Procedure At the time of admission, all clothing and supplies shall be counted and recorded by a staff person on an inventory sheet in the presence of the participant, and/or family member. Signatures will be required from staff and family member verifying count. D. Incident Reporting Procedure D-82 D. Service Standards — Respite Care Provided Outside of the Home issue Date: 3/27/07 Rev Date: 10/3/11 Area Agency on AM, Aging 1-B Advocacy - Action • Answers on Aging . 1. When an incident/accident occurs involving a person participating in the AAA 1-B OHR program, the following procedure shall be followed: a. The OHR vendor agency will notify the AAA 1-B OHR Coordinator of any incidents/accidents involving an AAA 1-B participant on the day the incident occurs. 2. A copy of the incident report will be faxed to the AAA 1-B Respite Manager within 48-hours. 3. Facilities who participate in the AAA 1-B OHR program will incorporate 1 and 2 (listed above) in their procedure manual regarding incident reporting. E. Participant No-Show Procedure 1. The following procedure shall be followed when a scheduled participant fails to show up for admission on the scheduled day of arrival: a. The OHR vendor agency shall notify the AAA 1-B OHR Coordinator by 4:30 p.m. on the scheduled day. of arrival. If the scheduled arrival time for the participant is after 5 p.m. and the participant does not show up, the agency shall notify the AAA 1-B OHR Coordinator by 9 a.m. the following day. For scheduling problems occurring after 5 p.m. on Friday, the agency shall notify the OHR Coordinator by 9 a.m. Monday morning. 2. The OHR vendor agency shall notify the AAA 1-B OHR Coordinator of the arrival of any participant before their scheduled date of arrival and must obtain approval for an early admission before accepting the participant. F. Transportation Protocols Transportation is not part of the AAA 1-B OHR service definition. If a family member chooses to allow the participant to participate in outings, field trips, etc. off the premises of the OHR facility while a respite participant under the AAA 1-B program, the OHR facility must have the family member sign a waiver form releasing the AAA 1-B of any D-83 Advocacy - Acttrm • Answers on Aging D. Service Standards — Respite Care Provided Outside of the Home Area eney on Aging 1-B Issue Date: 3/27/07 Rev Date: 10/3/11 responsibility. The OHR facility is responsible for developing this waiver form and submitting to the AAA 1-B for prior approval. X. FACILITY FURNISHINGS A. Each vendor shall have the following furnishings: At least one straight back or sturdy folding chair for each participant and staff person; Lounge chairs and/or day beds as needed for naps and rest periods; Storage space for each participant's personal belongings; Tables for both ambulatory and non-ambulatory participants: A telephone accessible to all participants; Lounge area; and Special equipment as needed to assist handicapped individuals. B. The vendor, shall maintain all equipment and furnishings used during program activities or by program participants in safe and functional condition. C. Each vendor shall document that it is in compliance with: 1. Barrier-free design specifications of Michigan and local building codes; 2. Fire safety standards; 3. The Michigan Food Code; and 4. Applicable Michigan and local public health codes Note: The OHR vendor must send to the AAA 1-B copies of recent licensing and inspection reports within ten days of receipt. If for any reason a vendors' Adult Foster Care or Home for the Aged license is revoked or suspended by the state licensing agency, the vendor must notify the AAA 1-B Respite Manager within 24 hours of receiving notification of such action. Access Services: Resource Advocacy Service Name: Resource Advocacy Service Category: Access Service Definition: Resource Advocacy is an integral component of the AAA 1-B Access Team which is comprised of Resource Advocates, Resource Advocacy Supervisor(s), Nutrition Assessors, AAA 1-B Care Managers. AAA 1-B Care Management Supervisors, Resource Specialist(s) & AAA 1-B Contract Manager. The Access Team works in conjunction with other aging network collaboratives to support and enhance access to services. Resource Advocates seek out, identify, and assist older adults in need of community services to identify resources that meet their needs. Resource Advocates work in collaboration with AAA 1-B, but do not duplicate the work of AAA 1-B staff. Unit of Service: One hour of Resource Advocacy Service includes assisting older adults using person centered techniques either in person or via the telephone to meet the individuals identified need, within the parameters set by the minimum standards. Minimum Standards I. Resource Advocates develop expertise in understanding the range of services & benefits available to older adults in their community. 2. Resource advocates use a variety of strategies, including face-to-face or telephone contacts to seek out, assess, and assist older adults who are in need of options counseling. MMAP assistance and/or long term care services. 3. Resource Advocates assist older adults with immediate and emergency needs for food, shelter, or other basic needs. Assistance may include warm transfer referrals to appropriate agencies. 4. Resource Advocates collaborate with aging and disability resource centers (ADRC), local senior centers, senior housing buildings, faith-based organizations and other organizations in the community to identify and assist seniors in need of services. 5. At least one Resource Advocate from each contracted organization shall be certified as a Medicare/Medicaid Assistance Program (MMAP) Counselor. However, the AAA I -B recommends that all Resource Advocates are trained on MMAP, particularly Medicare Part D and Medicare Savings Programs/Low Income Subsidies. a. Certified MMAP Counselors must meet reporting requirements developed by the state office. b. Certified MMAP Counselors must participate in relevant MMAP training in order to maintain certification as required by the state office. 6. Resource Advocates receive, follow up and report on Gatekeeper referrals within 1 0 business days. Resource Advocates receive, follow up and report on any referrals received from AAA 1 - B Care Managers and/or Resource Specialists within 10 business days. 8. Resource Advocacy contractors shall collaborate with racial/ethnic/culturally diverse organizations to target services to individuals who are low income and/or culturally/racially diverse. Targeting goals are developed annually as required by the state office. 9. Resource Advocates work in partnership with AAA 1-B to receive appropriate and required training, make referrals and request services through the Community Living Program (CLP) a. Resource Advocates call the Resource Center and speak with a Resource Specialist who will collect the necessary information from the RA and make a referral to the AAA 1-B Community Living Consultant (CLC). b. The CLC will review the referral and contact the Resource Advocate within 72 hours to further discuss and verbally approve, approve with modifications or deny the requested services. c. If the referral is verbally approved the Resource Advocate will submit the required paperwork and signed documentation, fax to the appropriate CLC and mail the original documents. d. Once all the paperwork is received, the CLC will authorize services for a period of one to eight weeks. 10. Resource Advocates shall work in partnership with the Aging and Disability Resource Center (ADRC) and obtain certification as an ADRC Options Counselor. Certification will be coordinated between AAA 1-B and Michigan Office of Services to the Aging (OSA). Options Counselors shall report activities as required by the state office. 11. Resource Advocates & Resource Advocacy Supervisor(s) shall participate in Access Team meetings at least twice per contract year to strengthen partnerships, attend trainings, streamline processes, and review outcomes from services provided. Resource Advocates/Supervisors shall participate once a year in a regional meeting/training focused on contract issues and other relevant issues identified by AAA 1-B and/or contractors. 12. Resource Advocates are required to provide practical assistance with the following: 1) Community Living Program (CLP); 2) Options Counseling: 3) Medicare/Medicaid; 4) Gatekeeper Program; 5) Referrals to AAA 1-B and/or appropriate organizations for Information & Assistance. 13. If resources are available, other services may also be provided including: practical assistance with prescription assistance (other than Medicare Part D) and Tax Assistance. Presentations given by Resource Advocates specific to programs/services and participation in community/health fairs are limited under AAA 1-B funding to 8% of the total contracted units per contactor, per contract year. Contractors participating in community/health fairs may count clients only when providing one-on-one assistance. Prior authorization/approval is required by the AAA 1-B Resource Advocacy Contract Manager for any other services provided by the Resource Advocates under the AAA 1 -B Resource Advocacy contract. Area Agency on Aging 1-B Board of Directors Area Agency on Aging 1-B Advisory Council Joe Hehir Chief Financial Officer & Compliance Officer Richard (son Finance & Accounting Manager Amanda Waller Executive Assistant Sonal Parikh i Billing Clerk — Karol j Southerland I Billing Clerk Charlene —Thompson Accounting Clerk Lisa Pyle Resource Specialist Vikki Rochester ! Resource Specialist Sandra Smith Resource Specialist Area Agency on Aging 1-B Organizational Chart Revised February 1, 2012 ! Tina Abbate Mar-zolf Chief Executive Officer *Part-time position **Temporary grant funded position ***Part-time, temporary, grant funded position *!"*" Contract position *"*** Part-time, temporary position ; Paula Dunlap i Fiscal Contracts ! Specialist Meta Lothman —Fiscal Analyst * j Melissa Maxwell I—Contract & Fiscal Assistant Andrea Layman Director Network Development Cathy Backos LProgram Manager, i Caregiver/Respite Srvs. Sandra Carter ---Program Manager, DSP Roberta Habowski**— I—Mobility Project j Manager ! Karen Jackson Holzhauer r-Program Manager, ! Nutrition Services Natalie Pearce —Program Manager, Social Services Nancy Thompson --Respite & Residential Services Specialist* Kristin Wilson Program Manager, Training Specialist Deanna Mitchell Director Admin Svcs and Health & Safety Officer Michelle Godboldo -HR & Payroll Specialist Sophia Michie ! Office Assistant j Lori Smith j—Administrative Assistant Laura Wilson —Administrative Assistant Beck! Kugler Director Operations j Nicole Dwyer !_ _Duality Assurance Manager & HIPAA Officer Vanessa Gornes j Wade I Operations Assistant**•"• Vacant Report Writer Jim McGuire Director Research, Policy Development, and Advocacy Louanne Bakk***!* Researcn Asst Fawn Cothran Care Transitions Specialist — Ann Langford Advocacy Specialist Vacant Policy Development Manager' Jenny Jarvis Director Communications Jennifer Therrien MMAP Manager Jane Gannen - MMAP Clerical Assistant Ellen Keils*" MIPPA. Program Assistant Lisa Muehmel • MMAP Program Assistant*** Vacant Resource Specialist Vacant Resource Specialist' r Kathleen Kueppers Director Community Supper Services ifiee j Kelly Elswick j—Resource Database j Specialist Karen Frey —Resource Specialist Sallie Justice —Communications Specialist* Angela Lippard --Resource Specialist Kathleen Yanik Communication Specialist* Carrie Harnish _.--Grant Writing Coordinator MI Choice Program OSA Programs Kevin Valenti SW Care Mgr Linda Watson-Russell RN Care Mgr Janice Wolf RN Care Mgr VACANT RN Care Mgr Assessor Tier 3 Emily DeMeester SW Care Mgr* Elizabeth Kelly RN Care Mgr Kristy Mattingly RN Care Mgr Kathy Poland RN Care Mgr Regina Smak RN Care Mgr Tier 4 I.arry Bassin SW Care Mgr Geralyn Beard RN Core Mgr Charna Latosz SW Care Mgr Tier 5 Rhonda Barrie RN Care Mgr Pam Burke RN Care Mgr Carlene Fields Program Assistant Kristin Flynn SW Care Mgr Christine Gannon RN Care Mgr Nancy Fioffman RN Care Mgr Sarah Jacobs SW Care Mgr Carrie Lengyel SW Care Mgr - Kathleen Ochmanski ! SW Care Mgr Shara Pullou RN Care Mgr Amy Sanford I SW Care Mgr Deborah Shtulman - RN Care Mgr Melissa Timm * H----Supports Coordinator Christine Wagner RN Care Mngr I Vacant i—SW Care Mgr I Amy Zonder •-- SW Care Mgr Vacant -Supports Coordinator"' 1 Vacant SW Care Mngr Vacant I SW Care Mngr Area Agency on Aging 1-B Organizational Chart Revised Fedruary 1.2012 Pape 2 Kathleen Kueppers Director Community Support Services I Nursing Facility Transition Program Vacant Supervisor Shavon Walton Regional Manager Gerilyn Selmek Regional Manager West Annette Brunetti Regional Manager Barbara Lavery East Regional Manager Note: NFT Assessors are temporarily reassigned from the NFT program to MI Choice program Tier 5 Sara Burzynski SW Care Mgr Barbara Butler Program Assistant Rebecca Fried Housing Coordinator** Sue Hearshen SW Care Mgr Carl Jackson SW Care Mgr Assessor* Nancy Koretz SW Care Mgr Assessor Cyndi Kuehn RN Care Mgr Assessor Angela Olson SW Care Mgr NFT Specialist Mary Beth Platt RN Care Mgr NFT Specialist Maria Riley SW Care Mgr Assessor* Daniala Trifan RN Care Mgr *Part-time position **Temporary grant funded position *"* Part-time, temporary, grant funded position Contract position Tier 5 --Maxine Blair SW Care Mgr I Margaret Hart I —RN Care Mgr Rebecca Knorr NFLOC Project Coordinator I Joyce Kukuk I 'RN Care Mgr _Barb Leasia — RN Care Mgr I Patricia Pencak _r—RN Care Mgr Nancy Wade!' SW Care Mgr Denise Parker (FT) I----Program Assistant (OSA)* - Eligibility Specialist (MI Choice West)* Sidnee Taylor Program Assistant Tier 5 Janet Belsky RN Care Mgr Beverley Bouverette LCharlene Southern RN Care Mgr ! RN Care Mgr Annette Brunetti RN Care Mgr Linda Campbell- Harter SW Care Manager Cheryl Collins Eligibility Specialist Kathleen Fee RN Care Mgr Elizabeth Gamboa RN Care Mgr Julie Karbginsky SW Care Mgr LouAnn Marks Program Assistant Dawn Nasr RN Care Mgr Karen Ranella RN Care Mgr Vacant CSS Clinical Compliance Spec.' Sara Ahlers CSS Admin Assist Area ency on FAIXAging 1-13 FY 2009 Call Center Referrals* N=19,408 Tri-County Regional Senior Collaborative Senior Focus Groups AAA 1-B 2009 Stakeholder Survey Top 3 Targeted for Cuts NASUA National Survey of Increased Requests for Service AAA 1-B Quality Assurance Client Survey AAA 1-B Board Funding Priorities (FY 2010-12 Area Plan) 3 44 Adtocacy .4clion • Answcrs on Aging AAA 1-B FUNDED SERVICE PRIORITIZATION INDICATORS BY SOURCE March, 2010 AAA 1-B 2009 Stakeholders Survey High Priority Rank 2009 AAA 1-B Stakeholder Survey Rank 1. Home Delivered Meals 2. Personal Care 3. Care Management 4. In-Home Respite 5. Adult Day Services (23)** 6. Information and Assistance Medication Management 8. Elder Abuse Prevention 9. Congregate Meals 10. Resource Advocacy 11. Health Benefits Education 12. Out-of-Home Respite 13. Home Injury Control (334)** 14. Homemaking 15. Chore (375)** 16. Volunteer Respite (846)** 17. Long Term Care Ombudsman 18. In-Home Unmet Needs 19. Hearing Services 19 20. Vision Services 20 21. Legal Services (18)*" 21 22. Grandparents Raising Grandchildren 22 23. Public Education 23 10 12 13 14 15 16 17 18 429 0% 0% 66 76 244 673 _.64 :222 ' •„ 49 0 75 72 459 Dark shading indicates highest prioritization * Partial Year Data ** FY 2009 4th Quarter Wait List FY 2013PLAN GRANT BUDGET Budget Period: Date: 06/06/12 FUND SOURCE 1. Federal Title III-B Services 2. Fed. Title III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) 5. State Home Delivered Meals 8. Fed. Title III-D (Prey, Health) 9. Federal Title III-E (NFCSP) 0. Federal Title VII-A 0. Federal Title VII-EAP State Access 12, State in-Home 13, State Alternative Care 4. State Care Management 6. State N.H. Ombudsman 17, Local Match 8. State Respite Care (Escheat) 228.802 19. Merit Award Trust Fund 20. NSIP 851,963 1,487,684 972,4/1 10,630-,571 SEMEETSITINTRY SUP1707717 SERVICES RITION SERVICES 2,257,605 614,110 52,305 2,509,715 1,895,024 61,714 982,594 17,011 37,630 165.011 543,719 643,411 863,653 73,036 TOTAL TOTAL: a. Cash 482,416 5,255 b. In-Kind 1,200,699 673,572 21. Program Income 613,207 2,382,866 R-eTrenues FederiTA-dministration State Administration MATF Administration Other ota Rev. No.: ADMINISTRATION Local Cash I Local Innd 836,193 I 120,000 I 12,8061 09/30/13 10/01/12 to i old 909999 144,925 76,677 144,925 I 76,677 806 0.000 77,601 'Expenditures FTEs 1. Salaries/Wages 0.17 727,840 2. Fringe Benefits 231,144 3. Office Operations 232,617 ( Total: 1,191,601 Cash Match Detail I In-Kind Match Detail Source Am un Source Amount Interest Income 20,000 Board/Advisory Council 6,000 County match 100,000 Caregivers 7,806 Total: ' 120,000 Total: 11111111=22 Agency: Area Agency on Aging PSA: 1-B I certify that I am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plan. Adequate documentation and records will be maintained to support required program expenditures. Signature Date Title FY 2013 AREA AGENCY GRANT FUNDS. SUPPORT SERVICES DETAIL Agency: Area Agency on Aging Budget Period: 10/01/12 to 09/30/13 Rev. 212012 PSA: 1-B Date: 06/06/12 Rev. No.: 0 page 2 of 3 -Mate State St. Alt. State Care State St. Respite Merit Award Medicaid SVCS Program Cash In-Kind Title III-B Title III-D Title III - E Title VII Access in-Home Care Mgmt NHO (Escheat) Trust Fund CMP Fund Sub-total Income Match Match TOTAL 1. Access a. Care Management 55,000 50,900 165,011 663,653 1.133,664 15,000 83,416 200,000 1,432,080 b. Case Coord/supp 275,000 127,000 . 402,000 27,500 73,000 502,500 d. Information & Assis _ . 200,000 200,000 1,000 10,000 40.000 251,000 e. Outreach 374,000 176,094 - 550,094 6.000 70,000 67,524 693,618 1. Transportation . 22,000 22,000 - 5,500 27,500 ,_- - . a Chore 391,601 391,601 145,000 70,000 27,900 634,501 b. Home Care Assis -,------- . . - c. Home Injury Cntrl 58,621 58,621 6,000 7,500 7,155 79,276 d. Homemaking . . , 0,000 - 10,000 2,500 12,500 g. Personal Care . 25,000 - 25,000 6,250 71,250 i. Respite Care - . . 3 Legal Assistance 175,386 F ,7 7,000 25,000 19,5 7 ?.29 2:19 4. Community Services a. Adult Day Care . - ._ - . . . 49,760 ' 208,411 25,000 435,286 718,457 179,614 898,071 ., - . - d. Evidence Based - 161,714 161 714 . . 40,429 202 ,43 e Assist to Deaf 45,408 - 45,408 300 4,500 6,852 57,0'60 1. Home Repair . . g LTC Ombudsman 27,019 17011 73,036 27,307 1 44,373 , 1200,0 13,014 1...9 387 . . - i. Sr Ctr Stalling - . . Vision Services 42,872 42,872 - 10,718 53,590 I. k. Elder Abuse Prevnt 37,630 37,630 300 6,000 3,408 47,338 I. Counseling - m. Spec Respite Care - . o. Kinship Support 25,000 25,000 300 1,500 4,750 31.550 g. Caregiver E,S,T 7,090 7,000 - 1,750 8,750 5. Program Develop 451,521 451,521 112.889 554,431 6. Region Specific . - a.IFVC - 110,000 - 1 10,000 5.000 15,000 12.500 1 42,500 b OHR 30,000 97,500 50,000 177.500 50,000 44 375 271,875 LP Services 239 17 175,000 543,719 435,000 153,802 340,000 1886938 350,000 150,000 321 ,735 2,708,673 --, ADRC Services . - MATF administration 76,677 76,677 . . - 76,677' - _ 1 SUPPRT SERV TOTAL1 2,257,605j 161,714 I 982,594 54,641 165,0 1 543,7 9 643,411 863,553 73,036 228,802 851,963 27,307 6,853,456 585,900 482,416 1,200,699 9,122,471 2257605 tigittlt#44 982594 54641 165011 543719 FY 2013 AREA PLAN GRANT BUDGET- NUTRITION SERVICES DETAIL Rev 2/2012 Agency: Area Agency on Aging Budget Period: 41183 to 09/30/13 PSA: 1-B Date: 06/06/12 Rev. Number 0 page 3 of 3 SERVICE CATEGORY Title III C-1 Title III C-2 State State HDM NSIP Program Cash In-Kind TOTAL Congregate Income Match Match Nutrition Services 1 Congregate Meals 1,581 610 52,305 404710 476,529 1,000 180,546 2,696,700 2. Home Delivered Meals 2,477,215 1,895,024 1,082,974 1.906,337 14,255 485,804 7,86 609 3. Nutrition Counseling - - - _ 4. Nutrition Education - - _ - 5. AAA RD/Nutritionist" 32,500 32,500 7,222 72,222 Nutrition Services Total 1,614,110 2,509,715 52,305 1.895,024 1,487,684 2,382,866 15,255 673,572 10,630,531 *Registered Dietitian, Nutritionist or individual with comparable certification, as approved by OSA. FY 2013 AREA PLAN GRANT BUDGET -TITLE VII LTC OMBUDSMAN DETAIL SERVICE CATEGORY Title III-B Title VII-A Title VII-EAP State NHO CMP Fund Program Cash In-Kind TOTAL Income Match Match LTC Ombudsman Services 1. LTC Ombudsman 27,019 17,011 73,036 27,307 - 12,000 13,014 169 ,387 2. Elder Abuse Prevention - 37,630 300 6,000 3,408 47 ,338 3. Region Specific _ LTC Ombudsman Ser, Total 1--- 27,019 17,011 37,630' 73,036 27,307 300 18,000 16,421 216,724 FY 2013 AREA PLAN GRANT BUDGET - RESPITE SERVICE DETAIL SERVICES PROVIDED AS A Title III-B Title III-E State Alt Care State State In-Home Merit Award Program Cashiln-KInd TOTAL FORM OF RESPITE CARE Escheats Trust Fund Income Match 1 Chore 391,601 5.000 39,660 436,261 2. Homemaking -. 6,000 600 6,600 3. Home Care Assistance - 4 Home Health Aide - - 5. Meal Preparation/HDM - _ 6. Personal Care _. 4,000 400 4,400 Respite Service Total 391,601 1- - - 15,000 I 40,660 4,7671 FY 2013 Planned Services Summary Page for PSA: 1 Budgeted Percent of Method of Provision Service Funds the Total , Purchased i Contract : Direct ACCESS SERVICES Care Management $ 1,432,080 7% x ix Case Coordination & Support 502,500 3% x ix Disaster Advocacy & Outreach Program 0% , Information & Assistance $ 251,000 1% ;x Outreach $ 693,618 4% Transportation $ 27,500 0%x • IN-HOME SERVICES : , Chore $ 634,501 3% x : , Home Care Assistance - 0% . , Home Injury Control , 79,276 0% ix Homemaking S - 0% x . Home Delivered Meals $ 7,861,609 40%x ;x Home Health Aide 0%. _ Medication Management $ 12,500 0% x Personal Care $ - 0% x : Personal Emergency Response System $ 31,250 0% x i , Respite Care $ - 0% x : , Friendly Reassurance 0% . :- COMMUNITY SERVICES Adult Day Services $ - 0% x Dementia Adult Day Care $ 898,071 5% x ix Congregate Meals $ 2,696,700 14% ix _ Nutrition Counseling $ - 0% Nutrition Education $ - 0% Disease Prevention/Health Promotion - 0% Evidence Based Disease Prevention 202,143 1% x x Assistance to the Hearing Impaired & Deaf $ 57,060 0% x Home Repair $ - 0% Legal Assistance $ 226,233 1% x Long Term Care Ombudsman/Advocacy $ 169,387 1% x Senior Center Operations $ - 0% , Senior Center Staffing $ 0% . Vision Services $ 53,590 0% ix : Programs for Prevention of Elder Abuse, $ 47,338 0% :x . Counseling Services $ - 0%. Specialized Respite Care $ - 0% Caregiver Supplemental Services 0% Kinship Support Services $ 31,550 0% x Caregiver Education, Support, & Training $ 8,750 0% AAA RD/Nutritionist $ 72,222 0% x PROGRAM DEVELOPMENT $ 836,276 4% REGION-SPECIFIC $ 142,500 1% CLP/ADRC Services $ 2,708,673 14% MATF administration $ 76,677 0% TOTAL PERCENT 100% 19% 71% 10% TOTAL FUNDING $ 19,753,002 $3,829,311 $13,946,740 $1,976,951 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 Assurance & Certificates ASSURANCE OF COMPLIANCE Assurance of Compliance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, and the Age Discrimination Act of 1975. The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal financial assistance from the Department of Health and Human Services. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH: - 1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80), to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 2. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 3. Title IX of the Educational Amendments of 1972 (Pub, L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department. 4, The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Printed On: 5/10/2012 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance. ASSURANCES AND CERTIFICATIONS The undersigned agency, designated by the Michigan Commission on Services to the Aging to act as the Area Agency on Aging within a given planning and service area, agrees to the following: 1. That the Annual Implementation Plan shall cover the current Fiscal Year 2011. 2. To administer its Annual Implementation Plan in accordance with the Older Americans Act, the Older Michiganians Act, federal and state rules, and policies of the Michigan Commission on Services to the Aging as set forth in publications and policy directives issued by the Michigan Office of Services to the Aging. 3. To make revisions necessitated by changes in any of the documents listed in point two in accordance with directives from the Michigan Office of Services to the Aging. 4. That any proposed revisions to the Annual Implementation Plan initiated by the Area Agency on Aging will be made in accordance with procedures established by the Michigan Office of Services to the Aging. 5. That funds received from the Michigan Office of Services to the Aging will only be used to administer and fund programs outlined in the Annual Implementation Plan approved by the Michigan Commission on Services to the Aging. 6. That the Area Agency on Aging will undertake the duties and perform the project responsibilities described in the Annual Implementation Plan in a manner that provides service to older persons in a consistent manner over the entire length of the Annual Implementation Plan and to all parts of the planning and service area. 7. That program development funds will be used to expand and enhance services in accordance with the initiatives and activities set forth in the approved Area Implementation Plan. 8. That all services provided under the Annual Implementation Plan are in agreement with approved service definitions and are in compliance with applicable minimum standards for program operations as approved by the Michigan Commission on Services to the Aging and issued by the Michigan Office of Services to the Aging, including Care Management. 9. That the Area Agency on Aging will comply with all conditions and terms contained in the Statement of Grant Award issued by the Michigan Office of Services to the Aging. 10. That the Area Agency on Aging may appeal actions taken by the Commission on Services to the Aging with regard to the Annual Implementation Plan, or related matters, in accordance with procedures issued by Printed On: 5/10/2012 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPs) Area Agency On Aging 1-B FY: 2013 the Michigan Office of Services to the Aging in compliance with the requirements of the Older Michiganians Act and Administrative Rules. 11. That the Area Agency on Aging will coordinate planning, identification, assessment of needs, and provision of services for older individuals with disabilities, with particular attention to individuals with severe disabilities, and with agencies that develop or provide services for individuals with disabilities. 12. That the Area Agency on Aging has in place a grievance procedure for eligible individuals who are dissatisfied with or denied services. 13. That the Area Agency on Aging will send copies of the Annual Implementation Plan to all local units of government seeking approval as instructed in the Annual Plan Instructions. 14. That the Area Agency on Aging Governing Board and Advisory Council have reviewed and endorsed the Annual Implementation Plan. 15. That the Area Agency on Aging will comply with Federal Regulation 2 CFR part 180 and certifies to the best of its knowledge and belief that its employees and subcontractors are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department. Further, that to the best of its knowledge and belief its employees and subcontractors are not presently on the Department of Community Health (DCH) or State Bureau of Health Professionals excluded parties lists. 16. That the Area Agency on Aging will comply with all conditions and terms of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act' of 1973, Title IX of the Education Amendments of 1972, and the Age Discrimination Act of 1975. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance. 17. That the Area Agency on Aging will comply with all conditions and terms of The Elliot Larsen Civil Rights Act, PA 453 of 1976 and the Persons With Disabilities Civil Rights Act, PA 220 of 1976. The Applicant provides this assurance in consideration of and for the purpose of obtaining State of Michigan Federal grants, loans, contracts, property, discounts or other State and Federal financial assistance from the Michigan Office of Services to the Aging. The signatory on the Signature Page indicates that the Area Agency on Aging is submitting the current Fiscal Year Annual or Multi-Year Implementation Plan that describes the initiatives and activities which will be undertaken on behalf of older persons within the planning and service area. We assure that these Printed On: 5/10/2012 MICHIGAN OFFICE OF SERVICES TO THE AGING ANNUAL & MULTI YEAR IMPLEMENTATION PLANS (AMPS) Area Agency On Aging 1-B FY: 2013 documents and subsequent Annual Implementation Plans represent a formal commitment to carry out administrative and programmatic responsibilities and to utilize federal and state funds as described. ASSURANCE OF COMPLIANCE WITH THE ELLIOT LARSEN CIVIL RIGHTS ACT Assurance of compliance with the Elliot Larsen Civil Rights Act, PA 453 of 1976 and the Persons With Disabilities Civil Rights Act, PA 220 of 1976. The Applicant provides this assurance in consideration of and for the purpose of obtaining State of Michigan Federal grants, loans, contracts, property, discounts or other State and Federal financial assistance from the Michigan Office of Services to the Aging. The Applicant hereby agrees that it will comply with: Non-Discrimination: In the performance of any grant, contract, or purchase order resulting here from, the Contractor agrees not to discriminate against any employee or applicant for employment or service delivery and access, with respect to their hire, tenure, terms, conditions or privileges of employment, programs and services provided or any matter directly or indirectly related to employment, because of race, color, religion, national origin, ancestry, age, sex, height, weight, marital status, physical or mental disability unrelated to the individual's ability to perform the duties of the particular job or position. The Contractor further agrees that every subcontract entered into for the performance of any grant, contract, or purchase order resulting here from will contain a provision requiring non-discrimination in employment, service delivery and access, as herein specified binding upon each subcontractor. This covenant is required pursuant to the Elliot Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2201 et seq, and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended MCL 37.1101 et seq, and any breach thereof may be regarded as a material breach of the grant, contract, or purchase order. Printed On- 5/10/2012 Resolution #12180 July 18, 2012 Moved by Dwyer supported by Quarles the resolutions (with fiscal notes attached) on the amended Consent Agenda be adopted (with accompanying reports being accepted). AYES: Covey, Crawford, Dwyer, Gershenson, Gingell, Jackson, Long, Matis, McGillivray, Middleton, Nash, Nuccio, Potts, Quarles, River, Runestad, Scott, Taub, Weipert, Woodward, Zack, Bosnic. (22) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the amended Consent Agenda were adopted (with accompanying reports being accepted). THIS RESOLUTION CHIEF FY COUNTY 'EXECUTIVE ACTING PURSUANT TO MCI- 45,559A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Bill Bullard Jr., Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on July 18, 2012, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 18th day of July, 2012. E,La 094. Bill Bullard Jr., Oakland County