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HomeMy WebLinkAboutResolutions - 2002.07.18 - 26815MISCELLANEOUS RESOLUTION # 02158 July 18, 2002 BY: General Government Committee, William R. Patterson, Chairperson IN RE: BOARD OF COMMISSIONERS - AREA AGENCY ON AGING 1-B FISCAL YEAR 2003 ANNUAL IMPLEMENTATION PLAN FOR SERVICES TO OLDER ADULTS To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS in Michigan, the Older Michiganians Act (P.A. 180 of 1981) authorizes the Michigan Office of Services to the Aging to serve as the State unit on aging and specifies the powers and duties of the State's designated area agencies on aging; and WHEREAS the Agency on Aging 1-B (AAA1-B) is a private nonprofit organization responsible for planning, coordinating, and funding older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Counties; and WHEREAS the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974; and WHEREAS the Oakland County Board of Commissioners appoints two representatives to serve on the Board of Directors of the Area Agency Aging 1-B - a County Commissioner and a County resident who is at least 60 years of age; and WHEREAS the Area Agency on Aging 1-B has studied the needs of older persons in the region and held community input sessions for this purpose; and WHEREAS the proposed Fiscal Year 2003 Annual Implementation was reviewed by the Area Agency on Aging 1-B Board of Directors and Advisory Council prior to the public hearing; and WHEREAS the plan was reviewed by the Board of Directors and Advisory Council after the public hearing; and WHEREAS the views on the proposed plan, and the views of the Advisory Council were taken into consideration in the final plan; and WHEREAS the Area Agency on Aging 1-B Advisory Council has approved the final Fiscal Year 2003 Annual Implementation Plan for Region 1-B; and WHEREAS the Area Agency on Aging 1-B Board of Directors has approved the final Fiscal Year 2003 Annual Implementation Plan for Region 1-B and directed that such plan be submitted to the Michigan Office of Services to the Aging for approval; and WHEREAS the State of Michigan Commission on Services to the Aging adopted a requirement on April 28, 2000, that requires all Area Agencies on Aging to present their annual implementation plan to each Board of Commissioners within their respective Planning and Service Area (PSA) for approval. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners does hereby approve the Fiscal Year 2003 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 Vote: Motion carried unanimously on a roll call vote. 39eCia1i5iS in aging County Access Centers May 17, 2002 Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-357-2255 800-852-7795 Fax: 248-948-9691 Livingston 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton'Twp, MI 48038 Phone: 810-226-0309 Fax: 810-226-0408 Monroe 502 West Elm, Rm. E203 Monroe, MI 48162 Phone: 734-241-2012 Fax: 734-241-6877 St. Clair 1985 Gratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 Washtenaw 32 North Washington Sljte 11 YpsikLiti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 www.aaalb.erg Commissioner Thomas A. Law, Chairperson Oakland County Board of Commissioners District 13 31640 Northwestern Highway Farmington Hills, MI 48334 Dear Commissioner Enclosed please find a copy of the Area Agency on Aging 1-B's Region 1-B FY 2003 Annual Implementation Plan. This Plan was adopted by action of the AAA 1-B Board of Directors on April 26, 2002, and has been submitted to the Michigan Office of Services to the Aging for approval. The AAA 1-B Board review and approval process involves two appointees of each Region 1-B County Board of Commissioners, a member commissioner and an older adult representative from the County. As you may know, the AAA 1-B Board of Directors consists of a majority of County Commission appointees. The plans have also been reviewed and approved by the AAA 1-B Advisory Council, and have been the subject of a public hearing, where favorable comments and questions on the plans were submitted. 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 policies stipulate if a County chooses to take such action, it must be completed by July 26, 2002. Please forward any adopted resolution, and minutes of the meeting where such action is taken, to the AAA 1-B. Thank you for your consideration of this request. If you have questions or require assistance relative to the plan, please contact Jim McGuire, AAA 1-B Director of Planning and Advocacy, at (248) 262-9216. Sincerely, SAndra K. Redinga Executive Director SKR/JM/mc Enclosures Commissioner Michelle Friedman-Appel Commissioner LawrEmcc, A. Cbmcht Area geney on g 1-13 Advocacy • Action • Answers on Aging • Region 1-B FY 2003 Annual plementation Plan for Services to Old 'r Adults Area Agency on Aging 1-B Sandra K. Rerninga, Executive Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 (248) 357-2255 * www.aaalb.coin Serving the Counties of Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw Area Agency on etgng 1-B FY 2003 Annual Implementation Plan Table of Contents SECTION I. INTRODUCTION 1 II. FUNDED SERVICES 2 A. Purchased Services 2 B. Contracted Services 2 C. Direct Services 2 D. Care Management 4 E. Program Development 6 III. DOCUMENTATION A. Board Endorsement 7 B. Advisory Council Endorsement 8 C. County Review 9 D. Public Hearing Results 10 IV. BUDGET A. Area Plan Grant Budget 12 B. Care Management Detail 15 C. Organizational Chart 18 V. APPENDICES A. Public Hearings 20 B. Board Membership 21 C. Advisory Council Membership 23 G. Planned Entrepreneurial Activities 25 J. Nutritionist Services Budget 26 K. Caregiver Support 27 L. Legal Services 32 M. Agreement for Receipt of Supplemental Cash-in-Lieu of Commodity Payments for the Nutrition Program for the Elderly 33 VI. ASSURANCES - A. Assurances and Certifications 34 B. Assurance of Compliance (HHS690) 36 FY 2003 Annual Implementation Plan Introduction AREA AGENCY ON AGING 1 -B The Area Agency on Aging 1-B (AAA 1-B) is a nonprofit organization that is responsible for services to the more than 420,000 persons age 60 and older 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; 2) allocating federal and state funds for social and nutrition services; 3) developing new older adult service programs; 4) coordinating activities with other public and private organizations; and 5) assessing the needs of disabled older persons and linking them with needed community-based long term care services. The AAA 1-B prioritizes activities that allow older persons to maintain their independence with dignity, and places a special emphasis on assistance to frail, low-income, disadvantaged, and minority elders. This Area Agency on Aging 1-B (AAA 1-B) Proposed FY 2003 Annual Implementation Plan delineates how the AAA 1-B intends to utilize available Older Americans Act and state funds in support of direct service, planning, coordination, administration, and advocacy activities in fiscal year 2003. The Plan was developed in accordance with requirements established by the Michigan Office of Services to the Aging, and was the subject of a Public Hearing, which was held: Monday, April 8, 2002 9:30 a.m. to 11:30 a.m. Area Agency on Aging 1-B Southfield Office 29100 Northwestern Highway, Suite 400 Southfield, Michigan The purpose of the Plan is to support an array of social, nutrition, and long term care services that 1) promote access to needed services, and 2) allow older persons to maintain their independence with dignity. The priority for all AAA 1-B activities carried out under this Plan will be to target limited resources for individuals who have the greatest social; and economic needs. The Plan contains specific information on the AAA 1-B's objectives in the following areas: • Funded Services • Care Management • Program Development The Plan also includes details of the Area Agency on Aging Services Grant Budget. Any questions on the AAA 1-B FY 2003 Annual Implementation Plan should be directed to Mr. Jim McGuire, Director of Planning and Advocacy, at 248-262-9216. Page 1 FUNDED SERVICES Purchased Services 1 84,980 34,662 545,885 15,409 1,619 3,124 1,802,346 2,529 23,000 15,716 4,117 42,431 0 18,700 1,035 3,560 568 9,486,086 296 3,072 9,655 3,165 210 1,595 9,674 1,204 1,000 6,971 3,811 11,942 20 3,104 405 288 568 423,747 1,027 J 1,176,752 CURRENT YEAR Units 246,909 Clients 1,505 PLANNED FOR FY 2003 Units 243,699 Clients 1,495 Funding 2,641,980 8,884,558 296 3,566 9,655 2,962 210 1,595 9,674 1,174 1,150 6,971 3,811 11,942 0 3,104 405 288 568 423,747 1,017 1,176,752 84,980 32,588 545,885 16,591 1,619 3,124 1,802,346 3,159 20,500 15,716 4,117 42,431 600 18,700 1,035 3,560 568 Funding 2,681,980 FY 2003 ANNUAL IMPLEMENTATION PLAN FUNDED SERVICES Agency: Area Agency on Aging 1-B Date: 4126102 1. Homemaking 2. Personal Care 3. In-Home Respite 4. Adult Day Care 5. Transportation 6. Medication Management 7. Home Delivered Meals 8. Out-of-Home Respite 9. Unmet Needs 10. National Family Caregiver Support Program (NFCSP) Contracted Services i 1. Adult Day Service 2. Chore' 3. Congregate Meals 4. Counseling' 5. Elder Abuse Prevention 6. Hearing Assistance 7. Home Delivered Meals 8. Home Injury Control' 9. Interfaith Volunteer Caregivers 2 10. Legal Assistance 11. LTC Ombudsman 12. Resource Advocacy 13. Respite Demonstrations 14. Senior Center Staffing 15. Vision Services 16. NFCS P4 17. Grandparents Raising Grandchildren Direct Services 1. Program Development 2. Care Management l , 3. Information & Assistance 3,500 3,500 45,000 3,500 3,500 45,000 4. Health Benefit Education' 4,000 3,500 30,000 4,000 3,500 24,000 5. NFOSP1 5,000 5,000 123,277 5,000 5,000 83277 Page 2 3 4 FY 2003 Annual Implementation Plan Funded Services Notations Agency: Area Agency on Aging 1-B Date: 4/26102 The decrease for FY 2003 is planned because there was a one-time-only increase in the current year that increased clients and units, but may not occur in FY 2003. This one-time-only increase resulted from carry-over funds available in the current year that cannot be counted on in FY 2003. 2 Planned increases in units and clients are a result of mid-year funding increases allocated by the AAA 1-B Board of Directors, which are expected to be sustained in FY 2003 for the entire 12-month period. Current year funding of $12,500 will not be continued for FY 2003 because of the lack of appropriate applications, and funds are needed to support Adult Day Service and In-Home Respite. Includes public awareness campaign and out-of-home respite beds. Page 3 FY 2003 ANNUAL :MPLEMENTATION PLAN CARE MANAGEMENT NARRATIVE PROGRAM OBJECTIVES CURRENT PLANNED YEAR FY 2003 1. Number of Client Prescreenings ' - 800 790 1 _ 2. Number of Initial Client Assessments 782 772 . 3. Number of Initial Client Care Plans 775 765 , 4. Total Number of Clients (Carry-Over plus New) 2,099 2,089 _ 5. Staff to Client Ratio (Active & Maintenance per full time Care Manager) _ 40 - 40 PROGRAM OBJECTIVES: 1. The Community Care Management (CCM) and HCBS/ED Waiver programs are located in the six AAA 1-B local offices in the six counties of Region 1-B. The program is available county-wide in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. The Waiver program is built on the CCM model. CCM services include a telephone screen to determine likely eligibility for the programs; an in-person comprehensive assessment conducted by a nurse-social worker team; development of an individual care plan responding to the needs identified; arranging and, if appropriate, purchasing services according to the care plan approved by the client; assignment of a Primary Care Manager for ongoing monitoring of services and client care; and in-person reassessment of the client's health and functional status every three or six months, depending on the stability and/or complexity of the individual's condition. 2. CCM responds to frail elderly residents who are age 60 or older, and need a nursing home level of care. The CCM program will continue to target those areas of each county with populations of lower economic and minority statuses. Outreach will be conducted on an ongoing basis to community referral sources, including local hospitals, home care agencies, and senior groups. At least 12 half-hour information sessions will be conducted during the fiscal year. The success of these outreach efforts will be measured by the number of appropriate referrals made to the CCM program, and the total number of individuals served by CCM in each fiscal year. The HCBS/ED Waiver program serves persons age 65 or older, and disabled individuals age 18 or older, who qualify financially and are medically eligible for nursing home admission. Medicaid Waiver (MAW) services are targeted to low- income areas of each county, including Howell, Warren, St. Clair Shores, Clinton Township, City of Monroe, Pontiac, Southfield, Royal Oak, Royal Oak Township, Port Huron, Ann Arbor, and Ypsilanti. Outreach for the HCBS/ED program will be conducted on an ongoing basis to local offices of the state Family Independence Agency, hospitals, home care agencies, other providers and senior groups. At least six half-hour information sessions will be conducted during the fiscal year. The success of these outreach efforts will be measured by the number of appropriate referrals made to the Waiver prograrh, and the total number of individuals served in each fiscal year. Page 4 Specific annual goals for total served through the CCM/VVaiver programs in each county are: • County Total C C M M A W _ Livingston 170 128 42 Macomb 462 231 231 - , Monroe _ 254 173 81 Oakland 684 238 446 - St. Clair 176 98 78 ' Washtenaw 343 149 194 Total 2,089 1,017 1,072 The annual service goal for the entire region is 2,089 persons served in the two programs. Intake and serving levels will be monitored on a monthly basis, and outreach efforts adjusted accordingly. 3. Other service objectives include: • Continue to generate funding from fee-for-service arrangements, including revenues from LifePlans and Probate Court agreements. • Provide organized trainings for CCM/Waiver staff at least four times during the fiscal year. • Maintain the average per client per day cost of the Waiver program to not more than 60% of comparable nursing home costs. QUALITY ASSURANCE: 1. Care Managers will maintain contact with clients on a monthly basis, specifically inquiring about the regularity and quality of services. Problems noted at these contacts, and efforts at resolution, will be tracked in the client record. A formal system of tracking client-reported problems with services and other provider-related concerns will be implemented through use of a Provider Feedback Log. Case conferences will be done both formally on a monthly basis, and informally on a day- to-day basis as needed at each office. A telephone survey of satisfaction with care management and in-home services will be conducted with at least 10% of clients. At least 10% of all Direct Service Purchase vendors will receive a formal assessment each year, with use of a standard assessment tool, a written summary of assessment findings, and a timeframe for necessary corrective action. 2. CCM/Waiver client files are reviewed to assure appropriate programmatic implementation. Staff teams composed of members from each county office conduct clinical peer reviews of files from other offices two times yearly, every 180 days, using a standardized review tool. A random sample method is utilized, with the sample size based on 10% of the current active and maintenance caseload. Completed review tools are analyzed by staff, and written summaries, with appropriate corrective action identified, are approved by supervisors. Page 5 FY 2003 Annual Implementation Plan Program Development Objectives AREA AGENCY ON AGING 1-B The Area Agency on Aging 1-B resource and program development activities focus on affecting systems change and enhancement through increasing amounts of funding for older adult programs and individuals, development of new programs, and securing policy change that makes other service systems more responsive to the needs of older persons. In FY 2001, an additional $3,901,433 was secured as a result of agency resource development activities. Desired Time Objectives Activities Outcomes Atiiti Line _ Identify and expand the Identify and work with Develop funding requests or number of organizations four organizations to partnership proposals. providing financial support secure their financial 9/30/2003 for older adult services, resource commitment. Increase access to needed Secure at least two Engage in needs services for older adults policy changes that will determination, planning, and that are provided by other improve quality or advocacy activities with other 9/30/2003 service delivery systems. access to services for systems on behalf of older older persons. persons. Increase the availability of Secure additional Engage in needs needed services provided resources for the determination, planning, for older adults by other expansion of at least advocacy, and resource and 9/30/2003 service delivery systems. one service provided program development activities by other service in collaboration with other delivery systems. service delivery systems. Develop additional Develop at least one Engage in needs programs that address new program that determination, research, emerging and unmet needs addresses additional planning, resource and 9/30/2003 of older persons, with an needs of older persons. program development emphasis on chronic activities. conditions and cure giving. Assure that the AAA 1-B is Assure that the AAA Implement provisions of a responsive to the needs of 1-B outreaches to LEP Board approved LEP plan that older persons with Limited persons living in may include, but not be limited English Proficiency (LEP), Region 1-B and to, outreach, material including older refugees. addresses their translation, sensitivity training, 9/30/2003 identified needs for service purchase/arrangement, information and and interpretation services for assistance. refugees and persons with LEP. - Page 6 WHEREAS, the views on the proposed plan, and the views of the Advisory Council, were taken into consideration in the final plan; and WHEREAS, the Board of Directors believes that the plan meets the Michigan Office of Services to the Aging Approval Criteria. THEREFORE BE IT RESOLVED THAT the Area Agency on Aging 1-B Board of Directors hereby approves the final FY 2003 Annual Implementation Plan for Region 1-B, and directs that such plan be submitted to the Michigan Office of Services to the Aging for approval. Signed: AREA AGENCY ON AGING 1-B e 2CJ ,7 00 7-- Cirn C Bartley, Jr., ChWrWison Board of Directors Area Agency © ing 1- specialists in aging County Access Centers Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-357-2255 800-852-7795 Fax: 248-948-9691 Livingston 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton Twp, MI 48038 Phone: 810-226-0309 Fax: 810-226-0408 AREA AGENCY ON AGING 1-B BOARD OF DIRECTORS RESOLUTION The Area Agency on Aging 1-B Board of Directors hereby acknowledges and resolves that: WHEREAS, the Area Agency on Aging 1-B is designated to be the regional planning, coordinating, advocacy, and allocating body for older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties; and WHEREAS, the Area Agency on Aging 1-B has studied the needs of older persons in the Region, and held community input sessions for this purpose; and WHEREAS, the proposed FY 2003 Annual Implementation Plan was reviewed by the Area Agency on Aging Board of Directors and Advisory Council prior to the public hearing; and WHEREAS, the plan was reviewed by the Board of Directors and Advisory Council after the public hearing; and • Monroe 502 West Elm, Rm. E203 Monroe, MI 48162 Phone: 734-241-2012 . Fax: 734-241-6877 St. Clair 1985 Gratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 Washtenaw 32 North Washington Suite 11 Ypsilanti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 Website: www.aaalb.org Page 7 County Access Centers Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-357-2255 800-852-7795 Fax: 248-948-9691 Area envy n Aging 1- specialists in aging Livingston 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton Twp, MI 48038 Phone: 810-226-0309 Fax:. 810-226-0408 Monroe 502 West Elm, Rm. E203 Monroe, MI 48162 Phone: 734-241-2012 Fax: 734-241-6877 St. Clair 1985 Gratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 AREA AGENCY ON AGING 1-B ADVISORY COUNCIL RESOLUTION The Area Agency on Aging 1-B Advisory Council hereby acknowledges and resolves that: WHEREAS, the Area Agency on Aging 1-B is designated to be the regional planning, coordinating, advocacy, and allocating body for older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties; and WHEREAS, the Area Agency on Aging 1-B Advisory Council has studied the needs of older persons in the Region; and WHEREAS, the proposed FY 2003 Annual Implementation Plan was reviewed and commented on by the Area Agency on Aging 1-B Advisory Council prior to and after the public hearing; and WHEREAS, the views on the proposed plan, and the views of the Advisory Council, were taken into consideration in the final plan; and WHEREAS, the Advisory Council believes that the plan meets the needs of the Region, as well as the criteria of the Michigan Office of Services to the Aging. THEREFORE BE IT RESOLVED THAT the Area Agency on Aging 1-B Advisory Council hereby approves the final FY 2003 Annual Implementation Plan for Region 1-B, and directs that such plan be submitted to the Michigan Office of Services to the Aging for approval. Signed: AREA AGENCY ON AGING 1-B Washtenaw 32 North Washington Suite 11 Ypsilanti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 "--/// 7/0 Marg*et Belton, Chairperson Date Advisory Council Website: vp,vw.aaa 1 b.org Page 8 Area Agency on Aging 1-3 specialists in aging County Access Centers April 30, 2002 Oakland/Central Office 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 Phone: 248-357-2255 800-852-7795 Fax: 248-948-9691 Livingston 2900 East Grand River Howell, MI 48843 Phone: 517-545-0048 Fax: 517-545-1302 Macomb 44200 Garfield, Suite 200 Clinton Twp, MI 48038 Phone: 810-226-0309 Fax: 810-226-0408 Monroe 502 West Elm, Rm. E203 Monroe, MI 48162 Phone: 734-241-2012 Fax: 734-241-6877 St. Clair 1985 Gratiot, Suite 1-B Marysville, MI 48040 Phone: 810-388-0096 Fax: 810-388-0122 Washtenaw 32 North Washington Suite 11 Ypsilanti, MI 48197 Phone: 734-480-4113 Fax: 734-480-9373 Mr. Paul Tait, Executive Director Southeast Michigan Council of Governments 1900 Edison Plaza 660 Plaza Drive Detroit, Michigan 48226 Dear Mr. Tait: The Area Agency on Aging 1-B (AAA 1-B) hereby submits its approved Fiscal Year 2003 Annual Implementation Plan for review under Michigan Federal Project Review procedures. This document serves as the application for obtaining federal Older Americans Act funds, which are used to address the needs of older persons residing in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. The enclosed plan has also been submitted via registered mail to the Chair of each County Board of Commissioners for their action and approval, in accordance with requirements of the Michigan Office of Services to the Aging. If any Commission does not approve the Plan, the reason(s) that the Plan was not approved must be specified. A Commission's failure to take action on the Plan by July 26, 2002, shall be considered passive approval. The Plan's budget includes a fiscal year 2003 request of $8,674,603 in federal funds from a total budget of $19,479,635. Funds have not yet been appropriated by Congress or the Michigan Legislature for continuation of the Older Americans Act and state-supported older adult programs for fiscal year 2003. Once final Region 1-B allotments are determined, the budget may be revised accordingly. Sincerely, 8andra K. Reminga Executive Director SKR/JM/dm Enclosure Website: www.aaalb.org FY 2003 ANNUAL IMPLEMENTATION PLAN PUBLIC HEARING RESULTS Agency: Area Agency on Aging 1-B FY 2003 PROPOSED AAA 1-B FY 2003 ANNUAL IMPLEMENTATION PLAN The Area Agency on Aging 1-B Board of Directors conducted a public hearing on the proposed AAA 1-B FY 2003 Annual Implementation Plan on April 8, 2002, in Southfield. Older persons, service providers, media, elected officials, and other interested parties were notified and invited to provide oral or written comments on the proposed Plan. Copies of the document were made available via the Area Agency on Aging 1-B office in each of the six counties of Region 1-B. Participating in the public hearings were fourteen service providers, in addition to members of the AAA 1-B staff and Board of Directors. In addition to the oral testimony presented at the hearings, there were two written comments received. PUBLIC HEARING TESTIMONY SUMMARY The following is a summary of testimony provided by service providers on the Area Agency on Aging 1-B FY 2003 Annual Implementation Plan: ADMINISTRATION Service provider testimony indicated that the FY 2003 Annual Implementation Plan (AIP) appears to address older adult needs in the region in a cost-effective manner that keeps administration to a minimum. ADVOCACY Older adult testimony suggested that the Area Agency on Aging 1-B advocacy efforts target key legislators and work to educate them. Family caregivers should also be contacted and encouraged to advocate for older adult issues as well. Family caregivers and other organizations that focus on older adults should also be contacted and informed about the AAA 1-B advocacy efforts. Elected official testimony recommended that AAA 1-B advocacy efforts feature a narrow focus, and ask elected officials for their opinions on key issues such as support for community based long term care. Additional elected official testimony suggested it will be most effective if officials are contacted before the primary election. Term limits have resulted in unprecedented turnover of state elected officials, so it will be important to educate new legislators on aging issues. Testimony also requested that the AAA 1-B develop information on aging issues for candidates, and develop talking points for the public to use that will assist them in asking questions of candidates on their support for aging issues such as expansion of the Medicaid Waiver. Testimony also suggested that these talking points be included on the AAA 1-B web site. Public testimony suggested that the AAA 1-B offer some form of endorsement for candidates who support the expansion of community based long term care. Service provider testimony suggested that talking points on the Medicaid Waiver and H.O.M.E. (Homecare Options for Michigan's Elders) programs be given to home care agency intake workers Page 10 FY 2003 ANNUAL IMPLEMENTATION PLAN PUzLIC HEARING RESULTS Agency: Area Agency on Aging 1-B FY 2003 and discharge planners, so they can encourage advocacy from persons who are being denied service and placed on wait lists. Additional service provider testimony suggested that the AAA 1-B develop an honor role of candidates who support community based long term care. BUDGET CUTS Elected official testimony expressed concern over recent reductions for in-home services and the Medicaid Waiver, and questioned whether there would be adequate care for the region's frail older residents who choose to remain living independently in their own home. CAREG IVI NG Service provider testimony indicated that many families do not know where to turn when they begin to plan for their long term care needs. Most families seem to learn as they go, but should receive more guidance. Additional testimony discussed the value of the National Family Caregiver Support Program, and its community education campaign. HOME DELIVERED MEALS Service provider testimony expressed concern over recent increases in gasoline prices, indicating that such a change can adversely affect the provision of home delivered meals and jeopardize the ability of providers to maintain the number of projected clients and meals that will be served. MEDICAID WAIVER Service provider testimony expressed appreciation to the AAA 1-B for a smooth transition for Medicaid Waiver clients who were transitioned from a former Waiver agent to the AAA 1-B. Testimony indicated that the Michigan Department of Community Health does not allow a sufficient amount of funding to be spent to address the service needs of Medicaid Waiver participants, with the actual need being much more than the $32 per person per day average that the program allows. Additional service provider testimony questioned why the Medicaid Waiver program has been closed by state officials, when it is much more cost effective than nursing home care. RESPITE Service provider testimony expressed support for the AAA 1-B plan to continue out-of-home respite beds, and suggested that a bed be established in a nursing home. Additional testimony from a Community Mental Health (CMH) agency suggested that a partnership be established to utilize former CMH facilities as out-of-home respite bed sites. VISION IMPAIRED Service provider testimony indicated that one in nine persons over age 65 are visually impaired and one in four persons over age 85 are visually impaired. Two thirds of visually impaired older adults live in their own home. Testimony expressed concern that the AIP calls for a lower level of funding for services, yet the number of units and clients to be served in FY 2003 is the same as in FY 2002. Page ii Agency: Area Agency on Aging I-B PSA: 1-B Budget Period: 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) 10. Federal Title III-EAP 11. State Access SERVICES SUMMARY 8UPPOR I WE SERVICES 2,118,737 149,674 784,007 37,074 205,909 678,492 816,980 17 Local Match a. Cash b. In-Kind 18. State Respite Care (Escheat) 19. State Tobacco Respite Care 20. USDA 21 Program Income DIP 985,235 504,206 299,006 753,875 381,954 9 109 4 !Total including State Tobacco, Respite Administration: Expenditures 1. Salaries/Wages 19.00 576,870 Z Fringe Benefits 127,553 3. Office Operations ;',r.:..i';'„fi:;,".,:,...:' • ' 290,790* Total: '-'-',.F:"7:•=!2:1;'::1-':- I 995,213 Cash Match Detail I In-Kind Match Detail I Source Amount Source Amount Interest Income 15,000 Board/Advisory 20,069 County Funds 83,126 Caregivers 30,000 Total: 98,126 Total: 50,0691 Date: 03/01/02 plate lobacco Respite Administration Total State Tobacco Respite Grant: 149,674 784,007 37,074 205,909 678,492 816,980 1,078,981 72,622 242,701 47,795 614,149 1,430,406 2,320,340 1370.1E 1,033,030 1,118,355 299,006 753,875 1,430,406 2,702,294 9.479.E 19,563,84 12. State In-Home 13. State Alternative Care 1,078,981 72,622 242,701 14. State Care,Management 15. State Ombudsman 16. State Senior Center Staff Rev. 11/2001 ADMINISTRATION Local Cash Local In-Kind otal 83,164 837,639 TOTAL I-ederal Administration State Administration Other Other NOTR1TION SERVICES Revenues 2,118,737 1,378,512 94,033 2,055,482 2,429,465 1,378,512 94,033 2,055,482 2,429,465 10/01/02 09/30/03 Page 1of 3 Rev. No.: 00 KUM 98,126 720,711 126,307 868,906 126,307 0.069 847.018 995,213 AIEKPUITGIWT-BUIYM Cl 1C2 transfer $990,000 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. Executive Director Title 3/1/02 Date AREA AGENCY GRANT FUNDS • SUPPORT SERVICES DETAIL Agency: Area Agency on Aging I-B Budget Period: 10/01/02 09/30/03 Rev. 11/01 . PSA: 1-B Date: 03/01/02 Rev. No.: 00 page 2 of 3 State State St. Alt State Care Other St Escheat St Tobacco Program Cash In-Kind SERVICE CATEGORY Title III-B Title 111-D Title III-EAP Title III - E Access In-Home Care Mgmt State Funds Respite Income Match Match TOTAL .: - Support Services . _ .. s s,-, :',...:;r::::;. ' :W:,Iii.IP-1,,'„:6 ...:1:.,;;;.::'4.;;Et 2-.:i4a:-- .I :' ''''I !,:ltr,;i:.?Vi:t".:':-.;:''.., ;:-.7i.';g..,;l•- 1. Access :' .-- . - ... •-•,l ' .7A-41,' ..: :, I a. Care Management 97,771 I ' ' '..IZ.;4; 1,078,981 i#:2;;;J:gg:::ii'A '.!;:iiiIti4.4...--4, r.....--,r;. .7' 4,200 41,811 88,939 1,311,702 b. Case Coord/supp .., 205,909 :': Fii.,:,;:...X4M-ri::::l s: l717-1A414'. - ;Ai.1:: •; . 205,909 a Disaster Advocacy ,,:,t ,,,:g'.',li::•,,g1 ;.lc• :1!?I:;:,..I.?".:i.4.1: I.: .1-.44:44.P.4:.:',..:,:f.qw.g.....: g.f4.:-..:, . - d. Information & Assis 45,000, . ..•:.:,,s: , , . 63,277 _ :'",d';;,:,js:g:`,.tkr4.1.2:r ' ''11.2,i057:, . .., ..,.. 17,952 9,117 135,346 e. Res. Adv/Access 375,903.'''..; -2-, •• 220,000 I 4 : st, -S.''filli0 3,915 82 192 56,082 738 092 . _ f. Transportation -;i'''• -.::.:,:: ' -,011.4k4K477'.5!- ' :::-,::5•Rrtf,',,Ar.-"N;-la.-1T.::.,.•,:i.,::: .. 2. in Home .. '' . --,--41".f.-• ..,, -'-"'' "?.-: „:., ;7:•:, AT , ,... ,.,',.-.'„f::;:;., -7-1-l::4gI`,,::' .:!g:,.:•';,„ . -:,:. ......, ,..,.. a. Chore 342,601 , .: . - ,IFI;A::::.!:R-,;.,,: _ •• .. . 69,692 32,306 23,344 467,943 b. Horne Care Assis .. „, ' - -.: ' - iri•:.1!....'f. a Hm lnj/Hm Health 3,249, 113,293 , ' .' st.-:;:i....':(4;'4',.: . . 11,900 20,806 8,330 157,578 d. Homemaking . 4-N10-4A! '1 .'i::P,4 ,V1;...: .. e. Home Health Aide , :.'•'-:.1.:::::l: ' •,.., .•-:';‘: !..•.; +r- I . Medication Mgt 36,381 l'J-!li;:::?..;:;;I:l':,:.,::: - ' - --!..5..t-d .14:0g 7,095 2000 45,476 g. Personal Care , :Y:'4,krtrl'.., '1 ,!.s.......' " '''''' .C.:.1-7.7::A:;:.:'. 714;Zie*.c.•,.'::; - h. PERS r.l'.l.l2t'.': - - - '' :ei.Ila.RA-1 teg:iII:l.egiii..FR 'I I :l• - i. Respite Care • V.,:1;;...s.. .. '.,:'...-l2:1 ..:- --i.c 711:.7A:;''. 1 . - r: , - , :i'AW,41ti .*-:: :; '2'.,:...4,, j1:j J . Friendly Reassure -:., • • : Regional/LTC 291,449 165,730 678,492 816,980 • 187,881 275,000 166.067 422,275 181,608 3,185,482 Regional _ 3. Legal Assistance 201,050 ,l.: ' , -.F „ l.': , ::• :,:. 'Iii .: k34:' 23,900 , 20,263 245,213 laMTOTAL (1-3) 1,357,023 J 149,674 I 449,007 I 205,9091 678,492 816,980 1 1,078,981 1 187,881 1 275,000,1 279 6741 644,700 L 369,42011 6,492,7411 4. Community Services '.....:F,:;2',:::::-?-.,n; :::!:.:z-:',4.f.;;;.',-,ti -' fi.'"AiVOs•VAaii31!;1':VgAt ;flf:10Y:ill i-ig-ZaliS i..',5---;l " - -;'' a. Adult Day Care ,:lil'.1V.ct V -,''I ''.:-Ii' ;-',:i-V. :.I'IO.nl.:..s.:4:lI-Pt:1 b. Dementia ADC 30,000 17,440 lilfail: ' ''''':'::::;::: '-::-.,. 111,125 478,875 64,001 105,102 54,258 860,801 a Disease Prevent ., '' .i:Y -I:l .-.. I - 2 4'''' gr.„-.?1714 ''' , ..4 L...--,.-AiC d. Health Screening ''!::::r.•::".,-... 5'.ij,i",friiLVA47:,:. ..,:".:;.Iferse," z .1:2':...F:,01 .,; • '=":" ;& • - . . .. e. Assist to Deaf 46,856 ; : . . ., - ..4::i':,-;., ..., (.*:ii.1:5:,:6!.&.',T. .!;!....,:- Cig;I:::, 3,000 8,785 2929 61,570 f. Home Repair ... - - ...::::,?./-1;KAIRW.43.:.;.0-- :? „ •-•'- 0. sg7=Z,5,7'Zlq:,.!•'...5;j :.47:Stgikki-;'.;-, - g. LTC Ombudsman 16,396 -1 .7.:.7.:1;::?g,?„ ..,. ' carif:z 72622 Zi-'4f!.,:::,;:.:.„ s' ,,. 1,500 16,691 5,564 112 773 . -. h. Sr Ctr Operations ,-. - '': - . r.-,;', •I'4,1- ' ''',' l.RZ,:lil.''..::'r..-1 lt:„I'.2.f??-,::''..; 1 i. Sr Ctr Staffing .: •:'.:-.-1.':',..".:..qtr;V,$._V„'•;!..!.!: „ 242,701 iiigt;0.-::.q 471 20,225 6,742 270,139 1 j. Vision Services 44,100 .•I I--;',4- MIIiCil'.1.7 ,;-:;i:.,..:414' :::f:i4.:',!.; - •; '' 1,020 8,269 2756 56145 k. Elder Abuse Prevnt „. :',' I' ,-,': . ' . 37074 • ., ' J :::i'i..tW.ii:Z ,: i:' 6,952 2317 46,343 I. Counseling 155,615 7,000 : t• 4F7,',.::::;:, hil,lIi.;.:F:Il'il": - :' •• --... ::. 24,288 36,996 1908, 225,807 I - m. Spec Respite Care '' ::: '-4•i•ll7l's :-','-'''A:',-1,l- ' : • .; , ;.;;,4-:.-3-,tQ:7-_, - Regional/IFVC 45,000 65,000 2,020 15,625 11,875 139,520 .- Reg Resp/NFCSP 245,560 , 5,980 51.188 10,202 312,930 5. Program Develop 423,747 .,:, , ., .,:-. .,.:: 70,702 36,235 530,684 If M-OTATTT--5) q1 I- 1 761,714 1 - 1 37,074 1 335,000f - I - I. - I - I 315,323f 111,125 1 478,87511 102,280 1 340,535 1 134,78611 2616,712f ingOPPTITMV TOTAL' 2,118,737 1 149,674 1 37,074 1 784,007j 205,909 I 678,492J 816,980 I, 1,078,981 I 315,323 .1 299,006J 753,875 I 381,954 I 985,235 I_ 504,206 I 9.109.453j AREA PLAN GRANT BUDGET-NUTRITION SERVICES DETAIL Rev. 11/2001 Agency: Area Agency on Aging I-B Budget Period: 10/01/2002 to 09/30/03 Rev. Number: 00 PSA: 1-B Date: 03/01/02 page 3 of 3 -. SERVICE CATEGORY Title III C-1 Title III C-2 State State HDM USDA Program Cash In-Kind TOTAL Congregate Income Match Match 6. Nutrition Services ":',C:-.'-i•."if: ." - ..:i'.4.-;'..=:', - .,.,...:..,.., 1. Congregate Meals 1,378,512 94,033 '-r, - .: 332,400 835,939 11,780 151,837 2,804,501_ 2. Home Delivered Meals , -,-, 2,055,482 r,...f....s.,;-..- 2,429,465 1,098,006 , 1,484,401 36,015 462,312 7,565,681 3. Nutrition Counseling 0a.ii.7';-::.';... 0 _ 4. Nutrition Education ....' -,:fitigt"-. 0 . ... 5. Regional 0 i Nutrition Services Total 1, 1,378,512J 2,055,482 I 94,0331 2,429,4651 1,430,406J 2,320,340 1 47,795j 614,149) 10,370,1821 FY 2003 ANNUAL IMPLEMENTATION PLAN CARE MANAGEMENT PROGRAM BUDGET FORM (A) AREA AGENCY ON AGING 1-B LINE TOTAL OSA CM TCM MATCH MATCH OTHER ITEM BUDGETED FUNDS FUNDS CASH 1N-KIND _ RESOURCES . Wages/Salaries 969,608 712,118 32,665 70,789 0 154,036 Fringe Benefits 158,785 112,258 11,477 10,320 0 24,730 Travel 20,643 17,453 0 0 0 3,190 _ Supplies 10,851 7,351 0 0 0 3,500 Occupancy/Utilities 102,769 74,487 0 3,398 10,000 14,884 Communications 37,569 20,925 0 0 10,000 6,644 , Equipment 60,643 32,317 0 9,691 3,689 14,946 Administration 0 0 0 0 0 0 - Other/Contractual/Legal 30,395 19,922 0 2,000 0 8,473 Direct Service Purchase 100,390 82,150 0 0 0 18,240 Totals 1,491,653 1,078,981 44,142 96,198 23,689 248,643 . I certify that I am authorized to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for implementing the Care Management Program. y Executive Director SANDRA K. REMINGA Date FY 2003 ANNUAL IMPLEMENTATION PLAN CARE MANAGEMENT PROGRAM BUDGET FORM (B) AREA AGENCY ON AGING 1-B VALUE SOURCE OF FUNDS TYPE OF FUNDS CASH IN-KIND PLANNED USAGE Oakland County Funds Public 72,800 Salaries/Rent Eldercare Private 6,000 Salaries/Rent Information & Referral Private 0 23,689 Rent/Communications/Equipment Program Income Private 8,000 Conferences _ Family Caring Network Private 9,398 Salaries/Rent Totals Match 96,198 23,689 Page 16 FY 2003 Annual Implementation Plan CARE MANAGEMENT PROGRAM BUDGET FORM (C) AREA AGENCY ON AGING 1-B SOURCE OF FUNDS TYPE OF FUNDS CASH IN-KIND PLANNED USAGE Title 3-B Funds for Access Center Development Public 97,771 Salaries/Fringe/Mileage/Space/Insurance , Title V Funds Public 0 9,908 Salaries: Macomb Projected Probate Court Funds Public 20,000 Probate Court Biller Salary AAA 1-B Administrative Funds Public 16,360 CCS Director/Salary/Fringe United Way Oakland County Private 4,214 Care Manager Salary Title 3/State HDM, ADC, Transp. Funds Public 18,240 Services Title 3/State LTC Funds Public 82,150 , Salaries/Fringe/Mileage/Space/Insurance Total Other Resources 238,735 , 9,908 248,643 J Page 17 Judith Wahlberg Controller Finance and Administration Kathleen Kirschenheiter Associate Director Community Care Services (t)Temporary Position * Part-Time Position The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART G:Dept/Mgmt/OrgChart/OrgChart2002 Revised March 8, 2002 Area Agency on Aging 1-B Board of Directors Area Agency on Aging 1-B Advisory Council Sandra K. Reminga Executh===za:ezrtyc:r==j Angelina Michelini , Director Information Technology Tina Abbate-Marzolf Director Contracted & DSP Services* Deanna Mitchell Director Support Services James McGuire Director Planning and Advocacy Jenny Jarvis Director Communications and Fund Development Joyce Hunt Director Access & Benefits Assistance Mary Burch DB Programmer Sallie Justice PR Coordinator* Dawn Klobuchar PC Technician Annette Andrysiak Human Resource Coordinator Meta A. Lothman — Fiscal Analyst • Estelle Caine (t) — Fiscal/Accounting Supervisor Judith Beatty - Accounting/Payroll Administrator Charlene Thompson — Senior Accounting Clerk H Melissa Maxwell FA/CPS Clerical John Hurtubise — Fiscal Manager Nutrition Services Sandra Carter Fiscal Manager Social Services Cathy Backos DSP Manager Kyra TePaske — Social Services Contracts Manager Karen Jackson — Nutrition Contracts Manager Roberta Habowski — Older Drivers Coordinator* Brenda Beiter — Older Drivers Coordinator* Carol Russell - Napis Data Entryl Suzanne Linman-Duda, Older ' Worker Employment Coordinator Bernice Erman Title V Mellissa Christ Secretary ll Karen Jagodzinski — Secretary I Rosa Wolf Clerical Assitant/ Receptionist Nettie Dem an Clerical Assistant/ Receptionist Leslie Johnson — Community Planner, . Housing/Transportation Specialist H Louanne Bakk Community Planner, Health Specialist Peggy Bisice Resource Specialist Supervisor Kim Batie Resource Specialist Rhonda Rhine Resource Specialist HMegan Levandowskyl Resource Specialist H Anne Gordon Resource Specialist Li Helen Hannon* Data Entry Clerk Maryanne Moore DSP Manager Helen Nye MMAP Coordinator* (See Page 2) Pa2e 18 OAKLAND COMMUNITY CARE MANAGEMENT Jan Cartsrein CENTRAL REGIONAL SUPERVISOR Marie Mihaltan Nurse Ruth Gazo Nurse Barb Leasia Nurse Barbara Sims Nurse Elizabeth Czaplicki Nurse r Vca-nT L Nurse Janice Wolf Nurse Mary Gunn Nurse Charlene Southern H Nurse r — — — — Vacant Nurse L — Joel Gottsacker DATA OPERATIONS SUPERVISOR Vacant I Q UALITY ASSURANCE' SUPERVISOR LaSh awn Fairley Authorization Coordinator Karen Sorrells Billing Clerk Cynthia Stackpoole Nurse Kathleen Fee Nurse Jalaine Hagen Nurse Elizabeth Wouters Nurse Mary Hoover Nutrition Assessor Kim Danielski Nutrition Assessor Karol Southerland PA Billing/Authorization coordnator Gayle Brdak PA Resource Specialist Kim Northern Data Entry Clerk Cheryl Collins Eligibility Specialist PA Screening/ 1— Rosemarie Bonifazio PA Clerical Barbara Lavery ST. CLAIR REGIONAL SUPERVISOR ST. CLAIR COMMUNITY CARE MANAGEMENT Patricia Pencak Nurse Dawn Nasr Nurse Robin Mack - Nurse Richi Taylor Nurse Sara Burzynski Social Worker Janice Meisel — PA Screening/ Eligibility Specialist Louann Marks -- PA Reception/ Clerical LI Lynda Masinick PA Billing/uttioriza- tion Coordinator Vacant Nurse - — - Vacant Nurse Amber Totten MONROE REGIONAL SUPERVISOR MONROE COMMUNITY CARE MANAGEMENT Elizabeth Kelly Nurse Christine Wagner Nurse Christine Gannon Nurse Karen Zomey Nurse Pamela Burke Nurse r — Vacant L Social Worker — -J H Carrie Lengyel Social Worker Rebecca Knorp Social Worker Barbara Scriven — Social Worker Kathleen Ochmanski Social Worker Denise Parker — PA Billing/Authoriza- tion Coordination Kathy Poland Nurse Peggy Hart Nurse Susan Schuster Nurse Nancy Wedell Social Worker Rhonda Barrie Nurse Candy Hedgcock — PA Billing/Authorization Coordinator I—I Krishna Menard Nutrition Assessor* Kimberly Heisner PA Screening/ Eligibility Specialist Margaret Rushlow Nurse Shara Pullou Nurse Debbra Lush Nurse Gerityn Powers Nurse Vacant Nurse L I Sarah Jacobs Social Worker r Vacant I Social Worker I L — -I Martha Eades Social Worker Denise Wilburn PA Screening/ Eligibility Specialis Vikki Rochester PA Billing/Authoriza- tion Coordination* Kathleen Serb WASHTENAW/LIVINGSTON REGIONAL SUPERVISOR WASHTENAW COMMUNITY CARE MANAGEMENT LIVINGSTON COMMUNITY CARE MANAGEMENT Lesa McCann PA Data Entry/ Probate Kathleen Kueppers MACOMB REGIONAL SUPERVISOR MACOMB COMMUNITY CARE SERVICES Audrey Smith Nurse Joyce Hart Nurse Brenda Redding Nurse j Karen Ranella Nurse Diana Brown Social Worker Judith Paige Social Worker Cynthia Disbrow Social Worker Chama Latosz Social Worker Anna Morrision Social Worker Ann Marie Post Social Worker Violet Manning Title V I—I Madeline Clark Title V Tonya Blanks-Phillips Eligibility Specialist -1 Vacant I Eligibility Specialist Catherine Cook Screening Specialist Jill Ireland Social Worker Susan Hearshen Social Worker — Marilyn Dem aray Social Worker Tatyana Fingerrnan Social Worker — Vacant Social Social Worker L. Ruth Becker Social Worker Larry Bassin Social Worker 1_9 Sandra Smith PA Screening/ (I) Temporary Position Eligibility Specialist Part-Time Position The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer Carlene Fields PA Reception/ Clerical 1 Suzanne Bennett I- PA Reception/ Clerical _I AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART Page 2 Kathleen Kirschenheiter Associate Director Community Care Services Page 19 APPENDIX A Agency: Area Agency on Aging 1-B Public Hearinas FY 2003 LOCATION TIME BARRIER FREE NUMBER of ATTENDEES (Y or N) Area Agency on Aging 1-B April 8, 2002 29100 Northwestern Hwy. 9:30 a.m. Yes 25 Southfield, Michigan Narrative: The Area Agency on Aging 1-B (AAA 1-B) conducted a public hearing on its Proposed FY 2003 Annual Implementation Plan (AIP) on April 8, 2002, in Southfield, Michigan. Older adults, service providers, elected officials, and other interested parties were invited to attend the hearings, and provide the AAA 1-B Board of Directors with feedback on the proposed Plan. Fourteen representatives of the public attended the hearing, all representing service provider organizations. In addition, two written comments were received about the Plan. Comments provided at the hearing could be categorized into three general areas: support for very specific aspects of the plan; requests for additional advocacy actions to address older adult needs; and concerns about difficulty maintaining service levels called for in the Plan without additional resources. As a result of the comments received at the public hearings and direction from the Michigan Office of Services to the Aging, the following changes were made to the proposed Plan: . 0 New instructions from the Michigan Office of Services to the Aging stipulate that at least $35,000 of federal funding made available under Title III Part D of the Older Americans Act be spent on Medication Management assistance. Therefore, a category for Medication Management service has been added as a Purchased Service on the Funded Services page of the Proposed FY 2003 AIP. The Proposed FY 2003 AIP Services Detail budget page previously indicated that $36,381 would be allocated for this service. o The Michigan Office of Services to the Aging, in collaboration with the Michigan Family Independence Agency, has secured federal funds to support a range of services to older adult refugees in certain Michigan counties with high refugee populations, including Oakland County. In order to access funding available to the AAA 1-B, the Office of Services to the Aging has stipulated that a Program Development objective related to the refugee population must be included in the AAA 1-B's approved FY 2003 AIP. Therefore, the following objective has been added to the FY 2003 AIP Program Development objectives. Objectives Desired Outcomes Activities Time Line Assure that the AAA 1-B is responsive to Assure that the AAA 1-B Implement provisions of a Board approved LEP the needs of older persons with Limited outreaches to LEP persons living plan that may include, but not be limited to, English Proficiency (LEP), including older in Region 1-B and addresses their outreach, material translation, sensitivity 9/30/2003 refugees. identified needs for information training, service purchase/arrangement, and and assistance, interpretation services for refugees and persons with LEP. 05/06/2002: 11:11 AM: GADEPT PMAREAPLAM2003A1P1Final \APPENDIX A public hearing. doc Page 2(1 APPENDIX B MEMBERSHIP OF THE BOARD OF DIRECTORS Agency: Area Agency on Aging 1 -B As of: April, 2002 FY 2003 DEMOGRAPHICS Asian/ Pacific African Native Hispanic Persons with Female Total Island American American/Alaskan Origin Disabilities Total 0 2 0 1 2 8 13 Membership , Age, 60 or Over 0 2 0 0 2 5 9 NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate AFFILIATION MEMBER AREA Elected Official Appointed Community Rep _ David Hamilton Livingston County Commissioner X X Philis DeSaele Macomb County Commissioner X X _ Gail Hauser-Hurley Monroe County Commissioner X X _ Larry Obrecht Oakland County Commissioner X X _ Juanita Gittings St. Clair County Commissioner X X _ _ Barbara Levin Bergman Washtenaw County Commissioner X X Vurn Bartley, Jr. Regional Banking (Retired) X _ United Community Mae Derdarian Regional X , Services (Retired) , Page 21 NAME of BOARD GEOGRAPHIC AFFILIATION Check Those That Are Appropriate MEMBER AREA Elected Official Appointed Community Rep Harvey Gordon Regional Carco, Inc. X _ Chris Gustafson Regional Ross Labs (Retired) X Robert McMahon Regional SEMCOG X Dr. Frederik van Reesema Washtenaw Retired Physician X Children's Village X Clara White Oakland (Retired) Vacant X Theodore Crossman Livingston Older Adult Rep X Jerry DeMaire Macomb Older Adult Rep X _ Nancie Disher Monroe Older Adult Rep X Jan Dolan Oakland Older Adult Rep X Vacant St. Clair Older Adult Rep X _ Tom Miree Washtenaw Older Adult Rep X , Page 22 NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER Thomas Kalkofen Macomb County Macomb County Health Department _ Peter Lichtenberg Regional Wayne State University, Institute of Gerontology _ Richard Sides Oakland County Oakland Macomb Center for Independent Living Frank Taylor Macomb County Community Services Agency (Title III Service Provider) Vacant Public Sector Representative Congress Ardemis Kalousdian Regional Michigan Senior Advocate Jean Robinson Regional Michigan Senior Advocate , Donald Ziemer Regional Michigan Senior Advocate Vacant Regional Michigan Senior Advocate — Union Representative Roscoe Stuber Livingston County Older Adult Services Representative Vacant Livingston County Older Adult Services Representative Robert Esper Macomb County Older Adult Services Representative Vacant Macomb County Older Adult Services Representative Floreine Mentel Monroe County Older Adult Services Representative . James Seegert Monroe County Older Adult Services Representative Robert Sanchez Oakland County Older Adult Services Representative Anna Mickel Oakland County Older Adult Services Representative Marilyn Dunn St. Clair County Older Adult Services Representative Vacant St. Clair County Older Adult Services Representative Vacant Washtenaw County Older Adult Services Representative Vacant Washtenaw County Older-Adult Services Representative Pane 24 APPENDIX C MEMBERSHIP OF THE ADVISORY COUNCIL Agency: Area Agency on Aging 1-B As of: April, 2002 FY 2003 DEMOGRAPHICS Asian/ Pacific African Native Hispanic Persons with Female Total Island American American/Alaskan Origin Disabilities Total 0 1 0 1 1 9 12 Membership Age, 60 or 0 1 0 1 1 6 9 Over NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER Margaret Belton Private Sector Representative Michigan Peer Review Organization Rochelle Upfal Private Sector Representative Wingate Management Corp. Robert Hull Private Sector Representative Michigan AARP Blake Martin Private Sector Representative ComForcare _ Kim Haveraneck Private Sector Representative Emerald Kitchens (Title III Nutrition Provider) _ Vacant Private Sector Representative Parrish Nursing Network _ _ Vacant Private Sector Representative _ LTC Facilities Administrator _ James Nunnold St. Clair County Family Independence Agency Sandra Plummer Oakland County Botsford Health Care System Page 23 FY 2003 Annual Implementation Plan Appendix G - Planned Entrepreneurial Activities AREA AGENCY ON AGING 1-B The Area Agency on Aging 1-B (AAA 1-B) will engage in activities directly designed to develop and promote greater awareness, understanding, and support of the continuum of community care resources available to older adults and their caregivers. To that end: With the increasing need for long-term care options for older adults, the AAA 1-B will continue to explore opportunities to work with public and private health care providers to ensure that comprehensive long-term care options are available for older adults. Initiatives will be pursued that combine the cumulative strengths of organizations involved in gerontological services. In an effort to enhance our commitment to older adults and caregivers, the AAA 1-B will continue to direct a strategic public education campaign, as part of the National Family Caregiver Support Program. The campaign will involve a three-tiered approach to: 1) build mass public awareness of issues and services available to caregivers across the six counties we serve; 2) target information to reach the specific needs of older adults and caregivers in each of the six counties we serve; and 3) educate physician groups, doctors, nurses, and office managers of the services and options available to older adults and their caregivers. The campaign will involve broadcast and print media, advertising, collateral materials, scheduled community events, and partnerships with corporations that maximize the community's access to available services. The cultivation of corporate support/sponsorship will be sought to assist in underwriting the administrative costs of such campaigns. The AAA 1-B will solicit funds from the private donor and corporate community to expand existing program efforts and nurture the development of innovative programming enhancing the quality of life for southeast Michigan older adults and their caregivers. The AAA 1-B will continue to expand its resource development activities, the garnering of additional financial support through grant writing, on behalf of collaboratives the agency engages in with other community-based nonprofits. Page 25 Agency: Area Agency on Aging 1-B Fiscal Year: 2003 FY 2003 ANNUAL IMPLEMENTATION PLAN APPENDIX J NUTRITIONIST SERVICES BUDGET ... Congregate Home Delivered FTE: Federal State Federal State Local Match Total Salary/Wages 10,232 24,908 35,140 _ Fringe Benefits 2,807 7,401 10,208 Travel 500 2,300 2,800 • Conferences 300 600 900 Office 800 1,200 2,000 _ Utilities 50 100 150 Equipment - Audit Other (Specify): ,.., 1,., 4,4 • A. In-Kind Match 5,689 5,689 B. i C. TOTAL 14,689 36,509 5,689 56,887 ---------------- Page 26 FY 2003 Annual Implementation Plan Appendix K Caregiv- r Support AREA AGENCY ON AGING 1-B The AAA 1-B has worked with local service providers to develop a spectrum of respite services for caregivers which includes: A. Tobacco Settlement & Escheat Funded Services Comprehensive Care (Dementia) Adult Day Service: Development of this service initiated two years ago and includes the following: • Extended hours (M-F 7:00 a.m. — 7:00 p.m.; Saturday 8:00 a.m. — 3:00 p.m.) • On-site personal care (including showers) • Specialized transportation • Dementia specific programming • 1:3 or 1:4 staffing ratios • 2-3 meals/day (as appropriate) • Other supportive resources for caregivers: counseling, support groups, informational brochures, videos Funding to support Comprehensive Care (Dementia) Adult Day Service will be inadequate when the surplus of Escheat Funding is depleted in FY 2004. During FY 2003, the AAA 1-B will attempt to identify additional resources or other actions required to continue current funding levels. In-Home Respite: The need for in-home respite continues to grow. The AAA 1-B has developed a Rapid Response Respite component designed to assist caregivers with short-term or emergency needs by assessing and delivering respite services within 24-72 hours. The need for respite service far exceeds the availability of resources. B. National Family Caregiver Support Program Out-of-Home Respite: The AAA 1-B has established agreements with Adult Foster Care Homes (AFCs) in each county of Region 1-B. Out-of-home respite is available for all qualified caregivers on a donation basis. The service may be reserved in advance for a respite period of up to two weeks, twice per year. An out-of-home respite coordinator is responsible for scheduling beds and assisting caregivers with completing necessary documentation for admission. Volunteer Respite: The AAA 1-B continues to expand volunteer respite service through Interfaith Volunteer Caregiver contractors. The goal is to establish a recruiting and training component in three counties of Region 1-B. The AAA 1-B will focus on creating a coalition of Interfaith Volunteer Caregiver agenci6s to obtain federal "Faith Based Initiative" funding in FY 2003. Page 27 Access/Public Education: The AAA 1-B will continue the public education campaign designed to inform caregivers about respite and other supportive services. Efforts will focus on development of caregiver corners in local libraries, and education of health care professionals. Information and Assistance: The AAA 1-B is available to respond to inquiries (Monday through Friday) by trained (certified) professionals within 24 hours of initial contact. A receptionist, rather than an automated message center, answers calls. Assistance may include arranging service or offering counseling to caregivers in crisis. Service and caregiver information is also available through the aaa1b.com interactive website. Supplemental Services: Funding will support homemaking, personal care, and in-home respite service. The need for in-home service far exceeds the current availability of resources. Grandparents Raising Grandchildren: The AAA 1-B will continue to contract with agencies to offer resources, training, and other programs designed to assist grandparents raising grandchildren. Caregiver Resource Centers: The AAA 1-B has identified that caregivers access information through a variety of resources. We have focused on development of the following focal points for caregivers: Adult Day Service Centers (ADS): • Four ADS contractors will coordinate with the Alzheimer's Association or other agencies to establish on-site counseling and support groups. • All ADS contractors will continue to develop on-site resource libraries including caregiver manuals, brochures, tip sheets, and videos. Health Care Professionals: • In FY 2002, the AAA 1-B placed videos, caregiver resource brochures, and posters in physicians' waiting rooms. In FY 2003, we plan to maintain a stock of these materials in all offices, and continue education efforts with health care professionals (discharge units, home' care providers, and physicians) about resources for caregivers. Website Development: • The AAA 1-B will continue to coordinate with the OSA Caregiver Corner, and has established an interactive website that provides resources to caregivers. Media: • The AAA 1-B will continue to work with print and radio media to inform caregivers about assistance and resources. Page 28 FY 2003 Annual Implementation Plan Caregiver Support Work Plan AREA AGENCY ON AGING 1-B Project Period: From 10-01-2002 To 09-30-2003 Please develop a work plan that identifies your goals to address Caregiver Support for all planned caregiver activities and services including those funded by tobacco settlement, state escheat respite and the National Family Caregiver Support Program. Include the stated goal, specific activity(ies) and the planned time frame of activity. Use additional pages as needed. Planned Goals and Activities Accomplishment Time Frame TOBACCO SETTLEMENT & ESCHEAT FUNDED ACTIVITIES 1. To continue development of eight (8) Comprehensive Care I Expand availability of ADS service. Expand (Dementia) Adult Day Service (ADS) Centers that offer the range of services and resources available at following services: extended hours, on-site personal care, ADS centers. specialized transportation, high staffing ratios, 2-3 nutritious meals per day, and other supportive services (i.e., counseling, support groups, informational materials) 2. To identify additional resources to continue ADS in FY 2004 10/01/2002 Continue to fund eight (8) Comprehensive Care when escheats carryover is depleted thru (Dementia) ADS centers in FY 2004 and 09/30/2003 beyond. 3. To expand the Rapid Response Respite program designed Improve assessment response time. Expand to assist caregivers with accessing short-term or emergency respite by assessing and delivering service in / availability of respite service to caregivers. 24-72 hours Page 29 FY 2003 Annual Implementation Plan Caregiver Support Work Plan AREA AGENCY ON AGING 1-B I Project Period: From 10-01-2002 To 09-30-2003 Please develop a work plan that identifies your goals to address Caregiver Support for all planned caregiver activities and services including those funded by tobacco settlement, state escheat respite and the National Family Caregiver Support Program. Include the stated goal, specific activity(ies) and the planned time frame of activity. Use additional pages as needed. Goals and Activities Planned Accomplishment Time Frame NATIONAL FAMILY CAREGIVER SUPPORT , FUNDED ACTIVITIES 1. To continue the provision of out-of-home respite service 1 Improve access and affordability of out-of-home which includes the leasing of 6 AFC beds (one in each respite service. county of Region 1-B), and the retention of one part-time coordinator to facilitate reservations and admissions in each facility 2. To develop a recruiting and training component and expand 1 001/20 Expand availability of volunteer respite service. /02 volunteer respite programs in three counties of Region 1-B; Identify additional resources to support volunteer program development will focus on working with Interfaith thru respites service. Volunteer Caregiver contractors. 9/30/2003 3. To continue a public education campaign designed to i Utilize print and radio media to raise caregiver services professionals about care iver services. Ex and inform caregivers about respite and other supportive availability of of f resources. Educate Eredsuocuatreoesheato lth local P 9 P libraries. Page 30 FY 2003 Annual Implementation Plan Caregiver Support Work Plan AREA AGENCY ON AGING 1-B Project Period: From 10-01-2002 To 09-30-2003 Please develop a work plan that identifies your goals to address Caregiver Support for all planned caregiver activities and services including those funded by tobacco settlement, state escheat respite and the National Family Caregiver Support Program. Include the stated goal, specific activity(ies) and the planned time frame of activity. Use additional pages as needed. Planned - Goals and Activities : Accomplishment - Time Frame: 4. To offer Information and Assistance (Monday through Improve access and provide information and Friday), using a receptionist rather than automated phone system which is provided by certified professionals who will services respond to inquiries immediately or within 24 hours of initial I assistance to caregivers who require supportive contact; Information and Assistance is also available via interactive website 5. To offer supplemental homemaking, personal care, and in- Expand availability of supportive services home respite service to caregivers 10/01/2002 thru - 6. To offer resources, training, and other supportive programs 09/30/2003 Expand availability of resources and services for for grandparents raising grandchildren grandparents raising grandchildren 7. To continue development of Caregiver Resource Centers in Improve access to resources and supportive the following areas: 1) coordinate with Alzheimer's Association or other agencies and provide on-site counseling at ADS centers; 2) develop caregiver resource i services libraries within ADS centers (i.e., brochures, videos, and other information); 3) provide caregiver resource materials to physicians and health care providers; 4) maintain an interactive website of caregiver services; 5) utilize various media to inform caregivers of local resources Page 31 FY 2003 Annual [ plementation Plan Appendix L — Legal Services AREA AGENCY ON AGING 1 -B The Area Agency on Aging 1-B (AAA 1-B) administers and monitors six legal service contracts. Legal services are available for older persons region wide. Each contractor provides confidential legal services (including in-home assistance), advice, referrals, and public education. Legal services are integrated in the aging network in various ways: 1) through Information and Assistance; 2) through informational workshops with care management and service providers in the local counties; 3) through referrals from care managers, ombudsman, resource advocates, and other community providers; and 4) through distribution of literature/brochures and other legal information. In addition, the AAA 1-B regularly (generally once per year) convenes legal service contractors to discuss needs, barriers, challenges, and innovations. Total FY 2003 planned funding for legal services is $201,050. This represents 10.35% of the total Region 1-B Title III budget. This is a maintenance of funding from FY 2002. Project client/unit serving levels for FY 2003 are: Clients Units 6,971 15,716 Serving projects are a maintenance from FY 2002. In FY 2002, the AAA 1-B funded one legal service provider to develop and distribute (region wide) a legal brochure for grandparents raising grandchildren. In FY 2003, the AAA 1-B will encourage contractors to offer informational workshops for grandparents and other older adult caregivers. In FY 2003, the AAA 1-B will continue to work with OSA and Legal Service Corporation (LSC) contractors to support the (LSC) reconfiguration plan that is most acceptable to contractors and beneficial to the older adults in Region 1-B. Page 32 e Signature. Authorized GRANtEE14 Signature, Authorized GRANTEE ,iresentative Signature, OSA Director Date Date FY 2003 Annual implementation Plan Appendix M AREA AGENCY ON AGING 1-B Agreement For Receipt Of Supplemental Cash-In-Lieu Of Commodity Payments For The Nutrition Program For The Elderly The Area Agency on Aging 1-B (AAA 1-B) (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 FY 2002 application and contract as approved by the GRANTEE. These funds will be used to produce a total of 312,000 meals during the fiscal year ending September 30, 2003. 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 agriculture products, and will provide separate accounting for receipt of these funds. Area Agency on Aging 1-B Name of GRANTEE 0 Page 33 FY 2003 Annual Implementation Plan ASSURANCES AND CERTIFICATIONS AREA AGENCY ON AGING 1-B 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 period October 1, 2002, through September 30, 2003. 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 Annual Implementation Plan in a manner that provides service to older persons in a consistent manner over the entire length of each 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 Annual 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 and the Michigan Emergency Pharmaceutical Program for Seniors. Page 34 Area Agency on Aging 1-B Name of the Area Agency on Aging 4/30/02 Date Signature, Chairperson', Are Directors Sj(nature, Director, Area Agency on A 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 the Michigan Office of Services to the Aging in January 1983 in compliance with the requirements of the Older Michiganians Act and Administrative Rules. The undersigned hereby submit the Annual 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 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. Agency on Aging Board of Vurn C. Bartley, Jr. Typed Name, Chairperson, Area Agency on Aging Board of Directors Sandra K. Reminga Typed Name, Director, Area Agency on Aging Page 35 FY 2003 Annual Implementation Plan ASSURANCE OF COMPLIANCE AREA AGENCY ON AGING 1-B 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 Page 36 Executive Director ianature of Authoi ignature of Authorized Official 4/30/02 Date City, State, Zip Code Southfield, MI 48034 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 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. The person or persons whose signature(s) appear(s) below is/are authorized to sign this assurance, and commit the Applicant to the above provisions. Area Agency on Aging 1-B Name of Applicant or Recipient Agency 29100 Northwestern Hwy., Suite 400 Title of Authorized Official Street Form HHS-690 (05/97) Page 37 1 FOREGOING RES)OLUT ON 12 al_ I HEREBY Resolution #02158 July 18, 2002 Moved by Dingeldey supported by Webster the resolutions on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Brian, Buckley, Causey-Mitchell, Coleman, Crawford, Dingeldey, Douglas, Galloway, Garfield, Gregory, Law, McPherson, Melton, Middleton, Moffitt, Moss, Palmer, Patterson, Sever, Suarez, Taub, Webster, Amos, Appel. (24) NAYS: None. (0) A sufficient majority having voted therefore, the resolutions on the Consent Agenda, were adopted (with accompanying reports being accepted). L Brooke Pattirsom County Executive Nottloal011111•1 STATE OF MICHIGAN) COUNTY OF OAKLAND) I, G. William Caddell, 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, 2002, 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, 2002. G. William Caddell, County-Clerk