HomeMy WebLinkAboutResolutions - 2003.07.31 - 27170Miscellaneous Resolution #03182 July 31, 2003
BY: General Government Committee, William R. Patterson, Chairperson
RE: Board of Commissioners — Area Agency on Aging 1-B FY 2004-6 Multi-Year Area
Plan and FY 2004 Annual Implementation Plan
TO: Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS, the Area 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 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 plans have been submitted for review by the public, and have been
the subjected to a public hearing; and
WHEREAS, the comments at the public hearings on the proposed plans 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
AM 1-B Board of Directors, a County Commissioner and a county resident who is as 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 area agency on aging multi-year area plans and
annual implementation plans.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners does
hereby approve the FY 2004-6 Multi-Year Area Plan and FY 2004 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.
BE IT FURTHER RESOLVED, that the Oakland County Clerk forward a copy of this adopted
resolution and minutes of the Board of Commissioners meeting where such action was taken to
the Area Agency on Agency 1-B.
Chairperson, on behalf of the General Government Committee, I move the adoption of
the foregoing Resolution.
GENERAL GOVERNMENT COMMITTEE
kitit417 PotAitt,044
General Government Committee Vote:
Motion carried unanimously on a roll call vote.
Advocacy • Action • Answers on Aging
County Access Centers June 30, 2003
Oakland/Central Office
29100 Northwestern Hwy.
Suite 400
Southfield, MI 48034
Phone: 248-357-2255
800-852-7795
Fax: 248-948-9691
Livingston/Washtenaw
35 Research Dr.. Suite B
Ann Arbor, MI 48103
Phone: 734-213-6704
Fax. 734-213-6806
Macomb
44200 Garfield, Suite 200
Clinton Twp., MI 48038
Phone: 586-226-0309
Fax: 586-226-0408
Monroe
14930 LaPlaisance, Suite 119
Monroe, MI 48161
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
Website: www.imalb.com
Commissioner Thomas A. Law
Oakland County Board of Commissioners
1200 N. Telegraph
Pontiac, MI 48341
Dear Commissioner Law:
Enclosed please find a copy of the Area Agency on Aging 1-B's Region 1-B
FY 2004-2006 Multi-Year Area Plan and FY 2004 Annual Implementation
Plan. This Plan was adopted by action of the AAA 1-B Board of Directors on
June 27, 2003, 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,
member commissioner and an older adult representative from the County.
As you may know, the MA 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 31, 2003.
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,
S dra K. Reminga
Executive Director
SKR/JM/mc
Enclosures
c: Commissioner Greg Jamian
Commissioner Helaine Zack
G.T11,1-1,KAREAPLANn004-6 Area PlarAGene, county approval latter.dot.
A11
AArea Agency on
.‘Aging 1-B
Advocacy • Action • Answers on Aging
Region 1-B FY 2004-6
MULTI-YEAR AREA PLAN
and
FY 2004
ANNUAL IMPLEMENTATION PLAN
Area Agency on Aging 1-B
29100 Northwestern Hwy., Suite 400
Southfield, Michigan 48034
248-357-2255
www.aaalb.com
Sandra K. Reminga, Executive Director
Sewing the counties of Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw
A4614=17 on._ FY 2004:: Multi-Year Area Plan
FY 2004 Annual Implementation Plan rlaw, • AO. •
TABLE OF CONTENTS
I. EXECUTIVE SUMMARY
A. Narrative 1-1
B. Funded Services 1-3
1. Purchased Services 1-3
2. Contracted Services 1-3
3. Direct Services 1-3
II. BUDGET
A. Area Plan Grant Budget 11-1
B. Organizational Chart 11-4
IlL STATEMENT OF NEED
A. Demographics
1. 2000 Census Population by County 111-1
2. 2000 Racial/Ethnic Census Population by County 111-2
3. 2000 Poverty Level Preliminary Census Data By County 111-3
4. Total Relative Caregivers 111-4
B. Community Forums H1-5
C. Evaluation of Unmet Needs 111-16
D. Available Resources and Partnerships 111-19
IV. SERVICE DELIVERY PLAN
A. Targeting IV-1
B. Access 1V-5
C. In-Home Services 1V-8
D. Community Services IV-10
E. AAA Administered Direct Services IV-12
V. PROGRAM DEVELOPMENT V-1
VI. ADVOCACY STRATEGY V1-1
VII. COMMUNITY FOCAL POINTS
A. Definition and Rationale for Selection VII-1
B. Listing:
1. Social Community Focal Points VII-3
2. Livingston County Community Focal Points VII-5
3. Macomb County Community Focal Points V11-7
4. Monroe County Community Focal Points VII-12
5. Oakland County Community Focal Points VII-14
6. St. Clair County Community Focal Points VII-23
7. Washtenaw County Community Focal Points VI1-25
AnA Zneyon FY 2004-6 Multi-Year Area Plan
/Al Aging HI FY 2004 Annual Implementation Plan
VIII. APPENDICES
A. Public Hearings VIII-1
B. Board Membership VIII-7
C. Council Membership VIII-9
D. Proposal Selection Criteria VIII-12
E. Planned Entrepreneurial Activities VIII-16
F. Regional Service Definitions
1. In-Home Services — Chore VIII-17
2. Community Services — Interfaith Volunteer Caregiver VIII-21
G. FY 2004 Transfers
H. FY 2004 Nutritionist Budget VIII-24
I. FY 2004 Agreement for Receipt of Supplemental Cash-In-Lieu of Commodity
Payments for the Elderly
J. Administration of Direct Services
1. Care Management VIII-25
2. Information & Assistance VIII-29
3. Health Benefit Education VIII-34
4. Refugee Assistance Program VIII-39
K. Glossary of Acronyms in Aging VIII-42
IX, ASSURANCES AND CERTIFICATIONS
A. Affirmative Action Plan IX-1
B. Assurances and Certifications IX-7
C. Assurance of Compliance with Title VI of the Civil Rights Act of 1964 IX-10
II
AAA Apamon FY 200416 Multi-Year Area Plan
IA" Aging 18 FY 2004 Annual Implementation Plan
I. EXECUTIVE SUMMARY
A. NARRATIVE:
The Area Agency on Aging 1-B (AAA 1-B) is a nonprofit organization that is
responsible for services to more than 420,000 persons age 60 and older residing
in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties.
The MA 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 adultservice 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.
The AAA 1-B was created in 1974 in response to the 1973 amendments to the
Older Americans Act (OAA), which called for the creation of regional planning
and allocation agencies to bring some structure to the delivery of social and
nutritional services to older adults. The Older Michiganians Act established the
Michigan Office of Services to the Aging as Michigan's designated state unit on
aging, and establishes provisions under which area agencies on aging are
designated and monitored. In Michigan there are 16 different area agencies on
aging. The OAA and the Michigan Legislature provide funding to the state unit on
aging and area agencies on aging that can be allocated to provider organizations
in accordance with an Area Agency on Aging's approved area plan.
This Area Plan proposes to support the following array of services that allow
older persons to maintain their independence with dignity, and provide access to
their entitled benefits:
Adult Day Service Hearing Assistance Medication Management
Unmet Needs
Care Management Home Delivered Meals National Family Caregiver
Support Program
Chore Home In u Control Out-of Home Res•ite
Congregate Meals Homemaking Personal Care
Counseling Information & Assistance Refugee Assistance Program
Elder Abuse Prevention In-Home Respite Resource Advocacy
Family Caregiver Services Interfaith Volunteer Senior Center Staffing
Caregiver
Grandparents Raising Legal Assistance Transportation
Grandchildren
Health Benefits Education Long Term Care Vision Services
Ombudsman
1-1
AArta ApAginenygoiri.8 FFYY 22000044-A6 nMnuulti a; YI mepalretreenataPtliaonn Plan
Mireov • kfloot • elamr. on OM
The AAA 1-B has facilitated the development of a comprehensive and
coordinated service delivery system that is facilitated through partnerships with a
diverse array of private and non-profit organizations dedicated to delivering
quality services to older persons. While the existing array of services is broad,
the system is characterized by a level of demand for assistance among the
Region's older adult population that exceeds the supply of services. This
disparity is unfortunate and harmful because of the preventive nature of many
AAA 1-B services. Thus insufficient or closed services forces many older
persons to go without needed help, experience avoidable health problems, and
seek assistance through more costly and less desirable alternatives such as
nursing home care.
The AAA 1-B plans to address this problem by educating decision makers about
the importance and need for older adult services, and identifying opportunities for
partnerships with other public and private resources to expand services.
Examples of past progress in achieving these objectives include: advocacy
culminating in state support for re-opening the M1 Choice program; securing
additional local funding to support in-home services from a local United Way,
senior millage, and county boards of commissioners; and partnering with a health
insurance company to expand health prevention services. Plans to expand and
enhance older adult services in the areas of health, housing, transportation,
social and nutritional services, and long term care call for the development of
collaborative partnerships that will result in additional resources and increased
sensitivity of other service delivery systems toward the unique needs of older
adults. Additional efforts will focus on improving access to needed community
resources for targeted populations by working more closely with local
governments and religious, cultural, ethnic, and minority organizations.
1-2
B. FUNDED SERVICES
Fiscal Year 2004
Agency: Area Agency on Aging 1-B
CURRENT YEAR (FY 2003) PLANNED FOR FY 2004
FUNDED SERVICES Funding Units Clients Allocation Carry- - Units Clients Funding
over
PURCHASED SERVICES 223,263 1,503 2,868,848 0 223,263 1,503 2,857,477
1. Homemaking
2. Personal Care
3. In-Home Respite . -
4. Adult Day Service - - .
5. Transportation , - -
6. Medication Management
7. Home Delivered Meals - _ -
8. Out-of-Home Respite _ _
9. Unmet Needs _
-10. National Family Caregiver
Support Program
(NFCSP)
TOTAL FUNDING 2,868,848 0 2,857,477 _
CONTRACTED SERVICES 10,100,801 430,294
1- 200
_ 11,139,529 _
1. Adult bay Service 92,000 200 92,000
2. Chorec 32,544 3,400 _ 35,798 3,740
3. Congregate Meals' 545,885 1,200 -
_
_ _ 557,026 1,225
4, Counseling 12,553 1,814 _ 12,553 1,814 - 5. Elder Abuse Prevention , 1,858 323 2,007349
6. Hearing Assistance 3,457 _ 1,695 3,457 -1,695 _
_7. Home Delivered Meals' 1,838,393 9,674 -1,935,151 10,183 ,
_8. Home Injury Control' 2,677 1,232 2,998 1,380
9. Interfaith Volunteer 21,500 1,100
_
25,370 1,298
Caregiver' _
10. Legal Assistance 15,636 6,911 - 15.636 6,911
11. Long Term Care 4,348 r 4,023 4,348 4,023
Ombudsman _
12. Resource Advocacy' 42,431 11,942 _ _ 44,553 12,538
13. Senior Center Staffing' 17,9322,176 19 367 2 350 _ _ , . ,
_14. Vision Assistance 1,118 456 1,118 456
15. Grandparents Raising 536 81 - - 536 81
Grandchildren
1 6 . NFCSP 3,740 154 3,740 154
TOTAL FUNDING 10,100,801 430,294 11,139,529
DIRECT SERVICES ___
1. Program Development 421,725 459,322 _
2, Care Management 1,164 1,025,218 1,164 1,025,218
3. Information & Assistance3 13,000 10,000 186,277- 13,00-0- 10,000 186 277
4. Health Benefits Education 4,000 3,500 24,000 ! 4,000 3,500 24,000
5. Refugee Assistance 950 100 87,00 950 I 300 87,500
, Program
TOTAL FUNDING 1,744,720 0 1,782,317 '
I FY 2004 increase in funds/clientslunits due to application of 2000 Census data to intrastate funding formula.
2 Includes public awareness campaign and out-of-home respite beds.
3 Includes National Family Caregiver Support Program (NFOSP) funding to respond to calls generated from the
public awareness campaign.
1-3
Total:
State Tobacco Respite Administratle
It otal State lohacco Respite Grant
I Expenditures
FTEs
1. Salaries/Wages 19.00 628,353
2. Fnnge Benefits 136,905
3. Office Operations 293,979
I Total: J I 1,061,23f I
I Cash Match-Detail I In-Kmd Match Detail
Source _ Amount Source Amount
Interest Income 7,000 Board/Advisory 10,000
County Funds 101,555 Caregivers 8,862
Total: 106.555 Total: 18,862
18,962 93:37.8211 108,555 1061,231
169,156
33t)
127,616
213,085
702,157
843,673
1,025,221
73,035
249,998
944,533
716,492
390,737
857,929
381,954
47,795
656,275
1,557,875
2.329,340
10,918,91b
TOTAL
2,296.609
1,612,105
98,834
2,475,813
169,156
935,603
127,616
213,085
702,157
843,673
1,025,221
73,035
249,998
992,328
1,372,767
390,737
857,929
1,557,875
2.702,294
2(1,846714
720.647,1145
SERVICES SUMMARY
SUPPORTIVE
SERVICES
NUIRITION
SERVICES
2296,609
1,612,105
98,834
2,149,879
2,475,813
FUND SOURCE
1. Federal Title 111-B Services
2. Fed Title III-C1 (Congregate)
3. State Congregate Nutrition
4. Federal Title III-C2 (NOM)
5. State Home Delivered Meals
EL Fed Title 111-D (Prey. Health)
9. Federal Title III-E (NFCSP)
10. Federal Title III-EAPIRefugee
11. Stale Access
12. State In-Home
13. State Alternative Care
14. State Care Management
15. State Ombudsman
16. Stab Senior Center Staff
17. Local Match
a. Cash
b Inrnd
18. State Respite Care (Escheat)
19. State Tobacco Respite Care
20. USDA
21. Program Income
I OTA1-: 9,977,796
o ng
Agency Area Agency on Aging I-B
PSA: 1-B
AREA PLAN GRANT BUDGET
Budget Period: 10/01/03 to 09/30/04
Date: 06/09/03 Rev. No.: 01
Rev. 11/2001
Page 1of 3
ADMINISTRATION
Federal Administration
State AdminiStration
°ea as
195,928 108,b5b 18,662
137,892
Tag
21:515
137,892
Revenues
Other
Other
Cl tC2 transfer 9960,000
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.
SANDRA K REMINDA
IXECIJTIVE DIRECTOR
D.
9 3
;
AREA AGENCY GRANT FUNDS. SUPPORT SERVICES DETAIL
Agency: Area Agency an Aging I-B Budget Perla 10/91103 09130104 Rev. 11101
PSA: 143 Date: 06109/03 Rev No.: 01 page 2 of 3
we 61 r ... ea 4 • • , ••• . rogram as n n
SERVICE CATEGORY Tilt III -B Tit% III-D idle III EAP Title III - E Access In-Home Care Mgmt Slate Funds Respite Income Match Match TOTAL
_ _
Support Services
1. Access '
a Care Management 97,771 1625221 . ' 4200, 41811 82.966 1,251,969
b. Case Coord/supp 213.085 213.085
c Disaster Advocacy .
d. Information 8 Assis 186277 11692 28,611 232 846
a Res. Adv/Aff.qs 405653 220,000 3915 82.192 74221 785681_
_ f. Transportalion
2. In-Home
a. Chore 376,601 69,692 32,206 61.884540.443 _
b. Horne Care Assis , _
c. lim InyHm Health 3249 126,099 11,893 11600 28806 14,504 188,451, ,
d. Homemaking - _
e. Home Health Aide _
9. Medication Mgt 43,057 7,095 3,669 53,821 ..
g. Personal Care
h. PERS
i. Respib Care - -
j. Friendly Reassure
Regional/LTC 396.721 298,263 702,157 843,673 17,122 443,154 166,067 422.275 252,996 3542430
Regional _ .
- _
3. Legal Assistance 781,050 23,930 20,263 361100 278,213•_
3IIIITLITALI1 76,91 7O157 I l'I . I 17,122 r 4' 644,700 548,819 7,084,239
' .
4. Community Services I
a. Adult Day Care . -
b. Dementia ADC 10,000 17.440 257,785 414,775 64.001 105,102 69.9%i 939.001
c. Disease Prevent •.
d. Health Screening _
e. Assist to Deal 51,655 3,000 8,785 4,179 67,8201
f. Horne Repair -
g. LTC Ombudsman 20,983 73.035 1,580 16591 6,814 119,023 _
h. Sr Ctr Operations
-4
I Sr Ctr Staffing 249,998 r 471 20225 7653 276247
• j. Vision Services 49,100 . 1.020 8.269 4,006 62.385 I
k Eider Abuse Prevnt 2,688 40.116 6,952 3,077 52833
L Counseling 155.615 7,1001 l _ 24,288 36,596 1,8% 225,087
r
. _.
m. Spec Respite Caro _
Reg. IFVC/Refugee 66000 87.500 65:903 2.020 15,625 39,000 278,145,
Reg Resp/NFCSP 129.730 I 115,830 5.9e0 51,188 10,202 312,930
_
5. Program Develop 459,322 31.000 21.036 510.358 i
1 : e 1 : .;7.• " 'Waal =MA 01111.111I UM 'Li '.111111/1114 . 1.",'-'
-q .. , 3• , • .1 ::. Z42 1 nn,1 • 7.1- 935,603 213.086 702.167 843.673 1,025,221 323.033 390,737 1 807.6291 361.954 _ 944.533j 716492 9,927,5r
II-2
AREA PLAN GRANT BUDGET-NUTRITION SERVICES DETAIL
Rev. 1112001
Agency: Area Agency on Aging I-B Budget Period: 1010112003 to 09/30/04 Rev. Number: 01
PSA: 1-B Date: 86109/03 page 3 of 3
SERVICE CATEGORY Title III C-1 Tide III C-2 ' State State HDM USDA Program Cash In-Kind TOTAL
Congregate Income Match Match
6. Nutrition Services
1. Congregate Meals 1,612,105 98,834 355,000 835,939 11,780 178,324 3,091,982
2. Home Delivered Meals 2,149,879 2,475,813 1,202,875 1,484,401 36,015 477,951 7,826,934
3. Nutrition Counseling 01
4. Nutrition Education g -
4 5. Regional 0
kiutrition Services Total I 1,612,105 _ 2,149,879 I 98,834 2,475,813 1,557,875 _ 2,320,340 47,795 I 656,275 I 10,918,916
GiDep0Mem0OrzChar0OreCheri2D02
Revised May I, 2003 Area Agency On Aging 141
Advisory Council
Area Agency On Aging 1 -B
Board of Directors
Judith Wattberg
Controller
Finance end Administration
Kathleen Kirschenheiter41
ASSOciate Director
Community Care Services
--ele7-ile Caine -
Fiscal/Accounting
Supervisor
Judith Beatty
Accounting/Payroll
Administrator
Charlene Thomps
Senior Accounlin°91
Clark 1.nn•
Kim Belie
— Resource Specialist
Rhonda Rhine
Resource Speciallat
Roslyn Walton
Resource Specialret
Anne Gordon
Resource Specialist
AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART
Sandra K Reminga
Executive Director
Angeiina Micherni
Director
xmation 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 Deveiopment
Kyra TePaske
Director
Access & Benefits
Assistance
Sable Justice
PR Coordinator Helen Nye
MMAP Coadnator
May Burch
Prograrnmer
r 7ra c
I DWAPPtrcation I
Developer L. _ _/ d Annette Andrysiak
Human Resources
Coordinator
Meta Lothrnin
Focal Analysr
Melissa Maxwell
FA/CPS Clerical
John Hortubisa
— Feral Manages
Nutrition Services
Sandra Carter
Fiscal Manager
Social Services
Maryanne Moore DSP Manager
Cathy Backe*
OSP Manager
Amy MVis
Social Servi
Contracts ,.=
Karen Jackson
Nutrition Contracts
Manager
Roberta Habowskl
Older Ward
Coordinator'
Brenda Beater
Oder Drivers
Coordinator
Jerry Xu
Nape Data Dray
Suzanne
Unman-Duda, Okla
Worker EmPtrzflorent
Coordinator
Melissa Christi
Secretary II
I
T—area Jagodzinski
Secretary I H Cuman
Clerical Assistant/
Receptionist il Canis Summers
Clerical Asskitardl
Receptionist
7 Vacant
—Housing/Transporta
I
lion,
Speciafist
Luanne Bakk
r— Community Planner,
Health Specialist ,
Peggy &Make
Information & Anis
Lance Supervisor
H Helen Hannon'
Data Entry Clark
(See Page 2)
(t)Temporary Position
Part-Time Position
r )7a7c a-Fit —
Focal OSP
Manager L —
riraca7.1 I TricaTni — I 'Refugee Asa I I Vendor Duality I
Lprgtrain Coordinatos L Assurance. k The Area Agency on Aging -B in an firma) Opportunity and Affirmative Action Employer
11
11-4
Joel Goitsacker DATAOFERATIONS
SLPERVISOR
r — — Vacant
I CONICAL QUALITY ASSURANCE MGR.
Kathleen Mappers MACOMB
REGVNALSLIPERVISOR
LaShawn Fakie Amod y—LI
nern ,
Coordoslor I
KM Northern
Data En try Clerk
MACOMB
COMMUNRYCARE
PAANAGEMENT
Joyce Kirkuk
Nurse
Kalhleen Fee
Nurse
Raabe Hagen
Nurse
Elizabeth Woofers
Nurse
— — — Vacant
Nurse I
Karen Ranelle
Nurse
Diana Brom Social Worker
Mary Hoover
Nutrition Assessor
Judith Paige Social Worker
Audrey Smith
Nurse
Joyce Hart
Nurse
Kim Daniedsld
NutdtIon Assessor
r —
Social Worker L —
Karol Southerland PA Bienarivancrisaiim Coodmor
Chama LaMar
Social Worker
Gayle Brdak PA Resource
Specialist
Cheryl Coffins PA Screening/
Eligibility Specialist
Rosemarie Baguio PA — Clerical
srtne Mortician Social Worker
Mn Made Posh
Social Worker
Lana McCann
PA Data Entry/
Probate
Gertrude Robinson
Title V
D. Schumacher Mile V
rOAKLAND COMMUNITY CARE MANAGEMENT
Vacant
REGICNAL SUPF_RVISORJ
CENTRAL
Marie Matallan Mine
Ruth Gazo Nurse
Barbara Leash
Nurse
Barbara Sims
Nurse
Susan Hearshen
Social Worker
I Marilyn Demaray H Social Worker
• Vacant Social Worker L —
LEi_babeltiCsaplicki
Nurse
r canT
Nurse L —
nice Wolf Nurse
_ Vaca nt
Nurse
Martin Franke
Social Worker Charlene Southern Nurse
I Tcrrya Blanks-MAN
I ETKibfitY SpeciawN
Cathertie Cook
Saeening Specialist
Lawrence Bassin 1_1
Social Worker
Vacant
Social Worker
Ruth Becker Social WCAN Gal Ley
Nurse
(I) Temporary Position
•
Part-Terre Position
The Area Agency on Aging I-Ui. arc Equal Opportunity and Affirmative Action Employer
REGIONALSUPERVISOR
Amber Totten
MONROE
COMMUNITY CARE MANAGEMENT
Margaret Roshito.•3
Nurse
Shara Pit
Nurse
Debbra Lush Nurse
Genlyn Powers Nurse
Nancy Hoffman
Nurse
— 4 Vacant a7t 1 1
Nurse i
H Sarah Jacobs
Social Worker
Martha Eades Social Worker
1—Cariene Fields PA RecetadoV
MOON
1rIkk.1 Rochester er
BillIngfAulhoriza-
lion Coordination'
Barbara Lavery
ST. CLAIR
RE-GIONALSUPERVISOR
Kathleen Saab WASHTENAWIJVNGSTON
REGIONALSUPERVISOR
ST. CLAAR
COMMUNITY CARE
MANAGEMENT
Patricia Pencak
Nurse
Dawn Nazi
Nurse
Robin Mack
Nurse
RIchl Taylor
Nurse
Sara Burzynaki
— Social Worker
Lynda Masinick
— PA EllInglAultion-ration Coordinator
LI Lownn Marks
PA Reception/ Clerical
WASHTENAW
COMMUNITY CARE MANAGEMENT
Efirsbelh Kelly
Nurse
Christine Wagner Nurse
hristine Gann Nurse
Karen Zomey
Nurse
a Bo
ISO
Laura Jacks Nurse
Vacant
Nurse L —
Rebecca Knorp Social Worker
Carrie Lenard Social Worker
Kathleen °criminal • Social Worker
H . Kevin Valenti
Social Worker
LIVINGSTON
COMMUNITY CARE
MANAGEMENT
Kathy Poland
Nurse
peoely Hart Nurse
Susan Schuster
Nurse
Nancy Wedell
Social Worker
Rhonda Barrie
Nurse
Cattly. PA
Kristina Menard NMrftion Assessor
Kimberly Heisner
PA Screening1
Eligitikly Specialist
Denise Parker r -1 ____ PA Bng/Aulhoriaa-
I Vacant
Social Worker r don Coordinator
L -1 Sandra Smith
Speciaist
PA Screening/
AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART
Page 2
Kathleen Kirschenhelter
Associate Director
Community Care Services
II -
4
III-1
ISAge eY on Agingan 1-B
Advocacy - Action - Answers on Aging
2000 Census Population by County
Comparison to 1990 Census Population
Provided courtesy of Area Agency on Aging 1-8, 29100 Northwestern Highway, Suite 400, Southfield, MI 48034, 800-852-7795
1990 2000 Growth In 60+ Growth in 851-
population population
population 60+ population 85+ popular 60+ population 85+ from 1990 to from 1990 to ,...____.
Total Total 2000 2000
Population Total % of total Total % of 60+ Total population _ Total % of Total Total % of 60+ Total
MICHIGAN 9,295,297 1 1510,397 16.2% 106,907 7.1% 9,938,444 1,596,162 16.1% 142,460 8.9% 5.7% 33.3%
REGION 1-B 2,478,781 373,773 15.1% 24,918 6.7% 2,772,332 419,023 15.1% 36,818 8.8% 12.1% 47.8%
Livingston County 115,645 13.405 11.6% 851 6.3% , 156,951 18,610 11.9% 1,308 7.0% 38.8% 53.7% ...
Macomb County 717,400 _ 122,922 17.1% 7,203 5.9% 788,150 139,027 17.6% 11,889 8.6% 13.1% _ 65.1%
Monroe County 133,600 19,427 14.5% _ 1,304 6.7% 145,945 21,829 15.0% 1,816 8.3% 12.4% 39.3%
Oakland County 1,083,592 164,308 15.2% 11,520 7.0% 1,194,156 177,634 14.9% 16,209 9.1% 8.1% 40.7%
St. Clair County 145,601 24,189 16.6% , 1,696 7.0% 164,235 26,445 16.1% 2,397 9.1% 9.3% 41.3%
Washtenaw County 282,937 29,522 10.4% 2,344 7.9% 322.895 _ 35,478 ,_ 11.0% 3,199 9.0% 20.2% 36.5%
Permission to copy and reproduce granted by the Area Agency on Aging 143
ISAPAginga Ile la Y"
Advocacy • Action - Answers on Aging
2000 Racial/Ethnic Census Population by County
Comparison to 1990 Census Data: Age 60+
Provided courtesy of Area Agency on Aging 1-8.29100 Northwestern Highway, Suite 400, Southfield, MI 48034, 800-852-7795 www.aaal b.corn
1990 RACL4UETHN1C CATEGORY 60+ 2C00 RACIAUETHNIC CATEGORY 60+
Growti In 60+
1990 American Asian, Total % of 1990 2000 American Asian, Total % of 2000 Minority
Census Rack or Indian/ Hawaiian, Minority Census Census Black or Indian/ Hawaiian, TWO or Minority Census Population
Popula6cn African A/askan or Pacific Some Population Population Hispanic or Population African Alaskan or Pacific Some More Population Population Hispanic or from 1990 to
60+ White American Native Islander Other Race 60+ 60+ Wino "' 60+ White American Naiive Islander Other Race Races 60+ 60+ Lathe" 2008
' MICHIGAN 1,510,391 1,3.36,795 157,060 4,329 5,722 4,472 171,602 11.4% 15,363 1,596,162 1,400,703 160,741 4,658 12,298 , 5,250 12.502 195,459 , 12,2% 18,653 131%
REGION I-B 313,773 359,358 10,702 603 2,556 552 14,415 3.9% 3,059 419,023 391,406 11,081 600 6,015 803 3,112 27,617 6.6% 3,535 91.6%
Livingston County 13,405 13,309 33 34 26 3 96 0.7% 53 18,610 18,360 44 44 60 15 93 256 1.4% 93 1661%
Macomb County 122,922 120,912 1,075 181 666 88 2,010 1.6% 857 139,007 134,818 ,, 1,557 , 192 1,379 128 953 4 209 3.0% 933 . 109.4%
Monroe County 19,427 18,975 343 43 26 40 452 2.3% 193 21,829 21,247 345 28 44 39 126 582 2.7% 196 28.8%
Oaldand County 164,308 156,015 6,287 243 1,434 329 8,293 5.0% ., 1,494 177,634 160,377 11,541 217 3,522 458 , 1,519 , 17,257 9.7% 1,747 108.1%
-
St. Clair County 24,189 23,617 438 56 19 59 572 2.4% 198 26,445 25,6943 442 52 44 75 134 747 2,8% 237 30.6%
Wastitenaw County 29,522 26,530 2,526 _ 46 387 33 2,992 101% 264 35A78 30,912 3,152 67 966 94 _ 287 4,566 12.9% 329 526%
Permission to copy and reproduce granted by the Area Agency on Aging 1-B
_ 111-2
14
Advocacy • Action • Answers on Aging
2000 Poverty Level Preliminary Census Data by County
Comparison to 1990 Census Data
Provided courtesy of Area Agency on Aging 1-B, 29100 Northwestern Highway, Suite 400, Southfield MI 48034, 800-852-7795 wwwaaa 1 b.com
1666 1 o %Below
% Below 150%
Population 60 60+ Below 150% of 60+ Below 150% of i poverty poverty I- Geographic Area 1990 60+ Below Poverty Poverty 2000 Population 60+ 60+ Below Poverty Poverty Increase/ Increase/
Total I Total Decrease Decrease
Population % of % of 60+ % of 60+ Population % of % of 60+ % of 60+ 1990 to 1990 to
Total Total Total , Total Total . Total Total . Total Total Total Total _. Total 2000 2000
Region 1-B 2,478,781 373,773 15.1% 24,238 6.48% 54,263 14.5%, 2,772,332 419,023 15.1% 25,400 6.1% 51,599 12.3% 4.8% -4:9%
1 ,Livingston 115,645 13,405 11.6% 782 5.83% 1,759 13.1% 156,951 18,610 11.9% 7491 4.0% 1,720 92% -4.2%
Macomb 717,400 122,922, 17.1% 7,124 _ 5.80% 17,444, 14.2% 788,150 139,027 17.6% 8,282 6.0% 18,003 12.9% 16.3% 3.2%
Monroe 133,600 19,427 14.5% 1,769 9.11% 3,985_ 20.5% 145,945 21,829 15.0% _ 1,779 8.1% 3,385 15.5% 0.6% -15.1%
Oakland 1,083,592 164,308 15.2% 10,321 6.28% 21,805 13.3% 1,194,156 177,634 14.9% _ 10,618 6.0% 20,520 11.6% 2.9% -5.9%
St. Clair 145,607 24,189 16.6% 2,203 9.11% 5,123, 21.2% 164,235_4 26,445 16.1% . 2,030 7.7% 4,381 16.6% -7.9% -14.5%
Washtenaw 282,937 29,522 10.4% 2,039 6.91% 4,147_ 14.0% 322,895 35,478_ 11.0%_ 1,942 5.5% 3,590_ 10.1%1 -4.8% -13.4%
111-3
Arta FY 2004-6 Multi-Year Area Plan
Agency on Aging 1-B FY 2004 Annual Implemetation Plan
TOTAL RELATIVE CAREGIVERS
Percent of
Percent of total grandparents living in
Grandparents population who are household with one or
living in household grandparents more own
with one or more Grandparent living in household grandchildren who are
Total own grandchildren responsible for with one or more responsible for
Area Population under 18 years grandchildren own grandchildren grandchildren
Region 1-B 2,772,331 37,053 13,437 1.3% 36%
Livingston 156,951 1,816 655 1.2% 36%
Macomb 788,149 11,101 3,600 1.4% 32%
Monroe 145,945 2,276 920 1.6% 40%
Oakland 1,194,156 15,782 5,805 1.3% 37%
St. Clair 164,235 2,505 1,004 1.5% 40%
,Washtenaw 322,895 3,573 1,453_ 1.1% 41%
1 4 111-4
Area Agency on Aging 1-B
Community Forums
on the Needs of
Older Region 1-B Residents
March 6 and 7, 2003
A summary of older adult needs in Livingston, Macomb, Monroe,
Oakland, St. Clair, and Washtenaw counties as indicated by older
persons, family caregivers, and provider agencies at the Community Forums
Sponsored by:
Area Agency on Aging 1-8
Sandra K. Reminga, Executive Director
29100 Northwestern Highway, Suite 400
Southfield, Michigan 48034
(248) 357 -2255
wwvv.aaa1b.com
Area
MAgeney on
VAX Aging 1-B
Advocacy • Action • Answers on Aging
Area Agency on Aging 1-B * Community Forums on the Needs or Older Adults 111-5
Introduction
On March 6 and 7 2003, the Area Agency on Aging 1-B (AAA 1-B) conducted two Community Forums on the
Needs of Older Adults in Troy and Ypsilanti, Michigan. The purpose of these forums was to provide older adults, family
caregivers, agency representatives, elected officials, and other interested parties with an opportunity to discuss the needs
and concerns of order persons. Participants were invited to offer testimony on unmet needs, and influence the priorities that
would be established for older adult programs across Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw
counties.
=
The Community Forum testimony is utilized by the AAA 1-B in the development of its Fiscal Year 2004 — 2006 Multi-
Year Area Plan, which establishes planning, advocacy, and allocation priorities for approximately $19 million in federal
Older Americans Act and state funds to support a range of social, nutritional, access, and long term care services.
Attending the forums were 20 older adults, two family caregivers, three elected officials or their representatives, and 72
other agency representatives or interested parties. This report summarizes the statements about older adult needs discussed
at the forums, and documents a range of older adult needs in Region 1-8.
Area Agency on Aging 1-B " Community Forums on the Needs of Older Adults 111-6
A • in • Network and AAA 1-B Res • onsibilities
SENIOR CENTERS
Senior center director testimony indicated a local task force
has been established to address senior center enhancement
and promotion needs, and urged AAA 1 -B to continue
their support of this collaborative effort. Additional testi-
mony stated that the effectiveness of local senior centers
varies greatly, where some centers enjoy strong local financial
and political support, while others are so poorly supported
that it is an embarrassment. A collaborative effort is needed
to help strengthen some marginal senior centers.
Service provider testimony expressed concern because it is
becoming increasingly difficult to attract younger seniors to
senior centers. Testimony indicated a need to evaluate the
programs and services senior centers provide so they more
effectively appeal to younger seniors. Additional older adult
testimony indicated that the number of individuals attending
senior centers is decreasing, and as people are retiring, many
are not choosing to participate in centers' activities.
Elected official testimony stressed the importance of letting
individuals know about the activities and services available
at senior centers.
COMMUNITY-BASED LONG TERM CARE
MI Choice
Older adult testimony from a nursing home volunteer ex-
pressed support for the MI Choice program. Testimony
described situations in which nursing home residents are
forced to rely on the facility to receive personal care such as
bathing, which is often provided in a sporadic manner. Tes-
timony expressed her desire to receive long term care ser-
vices in the setting of her choice.
Service provider testimony expressed support for the re-
opening of the MI Choice program, and expressed appre-
ciation to the AAA 1 -8 for successfully transitioning MI
Choice consumers when the Washtenaw County MI Choice
program relinquished its status as a Waiver Agent.
Service provider testimony expressed regret that the array of
MI Choice direct service purchase services respond to the
individual's basic care needs, but do little to address many
problems that must be resolved to make the individual more
comfortable in their home. Many individuals do not qualify
for other home repair and modification programs, and should
be able to receive housing assistance through MI Choice
when other resources cannot be accessed.
Service provider testimony from a skilled home health care
agency expressed frustration over the closure of the MI Choice
program because they have many patients who need to be
referred to MI Choice for assistance when their Medicare
skilled care benefit is exhausted. Testimony described a
patient who was forced to remain in a nursing home after a
rehabilitation stay because they could not afford home care,
and the MI Choice program was closed. Additional testi-
mony called for the expansion of respite programs because
many family caregivers are overburdened with their caregiving
responsibilities.
In-Home Services
Service provider testimony described how the innovative
delivery of in-home services can have positive outcoines on
home care consumers. Testimony described how home care
services have resulted in a reduction in the use of depression
medications because of the home care service's positive ap-
proach.
Careqivinct
Caregiver testimony expressed the frustration encountered
when providing care for her mother, and her desire to have
her mother remain living independently in her own home.
Testimony expressed appreciation for the available respite
services, including the Out-of-Home Respite Program.
The caregiver will have waited one year to receive one week
of out-of-home respite for her mother, and this will be the
first time in three years that the caregiver can sleep in her
own oed. Testimony indicated that it is often extremely
difficult to find the services to provide care to her mother
and there is a need to have this information more readily and
easily obtainable.
Area Agency on Aging 1-I3 Community Forums on the Needs of Older Adults III-7
Aging Network and AAA 1-B Responsibilities
Service provider testimony expressed appreciation to the
AAA 1 -B for the extensive work to raise family caregiver
awareness of available community resources, with support
from the National Family Caregiver Support Program.
Additional testimony indicated that support for family
caregivers should be one of the top agency priorities.
Service provider testimony requested that the AAA 1 -B
utilize available funding to support volunteer caregiver
programs_
DIRECT SERVICE PURCHASE
Personal Care
Service provider testimony indicated that a growing number
of older persons do not have adult children or other sup-
ports available to provide assistance. Testimony stressed
the importance of insuring that individuals have the resources
and services they require to remain in their homes. Many
older persons require minimal personal care, such as assis-
tance with bathing, in order to remain in their homes. How-
ever, the private rate for this service typically averages $1 9
per hour for a minimum of three to four hours of care, which
is often unaffordable to vulnerable older adults. Several
service providers' testimony supported the need for per-
sonal care services.
Homemaking
Service provider testimony stressed the need for homemaking
services for older persons residing in the community. Because
of physical limitations, it is often difficult for individuals to
perform household tasks and there is a need for various levels
of assistance, from light to heavy housekeeping.
CONTRACTED SERVICES
Adult Day Servic&
Service provider testimony indicated that support for adult
day services should be one of the AAA 1 -B's top priorities.
Interfaith Volunteer Caregiving
Service provider testimony called for continued support of
the Interfaith Volunteer Caregiving program, citing program
statistics that found the average cost of one unit of service is
$17.49, and recipients of service received an average of
1 6 units of service per year. Testimony also requested direct
AAA 1-B funding of volunteer respite through Interfaith
Volunteer Caregiving programs.
Nutriton
Older adult testimony suggested that senior nutrition
programs and food banks should operate on weekends to
serve the indigent, citing examples where older persons
have had to steal food from supermarkets to address hunger.
Older adult testimony expressed concern related to the
declining number of older adults that are attending congregate
meal program sites. Testimony indicated that nutritional
Programs are not attracting younger older persons.
Older adult testimony requested clarification on financing
that is received from federal, state and local funds to subsi-
dize the cost of a meal received at a congregate site though
the senior nutrition program. Service provider testimony
provided a breakdown of both funding sources and expenses
that are incurred for each meal served
Service provider testimony expressed concern about the
priority being placed on supporting home delivered meals
programs at the expense of congregate meals. Testimony
indicated that many congregate meal program participants
are at great risk, living alone at or near poverty. Many
congregate meal participants are very frail, and are one
meal away From qualifying for home delivered meals.
Service provider testimony expressed concern over the
minimal growth in federal funding over the past five years,
which totaled six percent. This level of growth is inadequate
considering the increase in operating and food costs over
that period of time, as well as the six percent funding
reduction in state home delivered meals for fiscal year
2003, and increased administrative requirements related to
NAPIS data collection requirements, Testimony advocated
that reporting requirements be reduced to allow more of the
Area Agency on Aging 1-8 * Community Forums on the Needs of Older Adults 111.8
Aging Network and AAA 1-B Responsibilities
nutrition funding to be spent on serving additional meals.
Additional testimony stressed that the demand for meals
and expectations for reporting have increased over this period,
and have not been accompanied by increased funding.
Service provider testimony requested that administrative
changes in the nutrition programs be limited to once every
three years, in order to reduce costs associated with making
changes.
Service provider testimony requested a halt in plans to
implement nutritional analysis because of the increased
administrative effort and cost required to implement the
analysis at the local level, and advocated that this function
be performed at the Area Agency on Aging 1-B level.
Additional testimony expressed concern over a proposal to
integrate the home delivered meal assessment with the
AAA 1-B's comprehensive assessment for other community-
based long term care services. In addition, testimony
stressed that a significant portion of the financial support for
the nutrition programs was from local sources, therefore
functions like assessment should be done at the local level.
Resource Advocacy
Service provider testimony indicated that Resource
Advocates are being asked to perform many more tasks for
needy older persons because some programs are dosed
due to funding cuts. Testimony described a case where the
Resource Advocate had to assist one c onsumer in
completing twelve different applications to obtain
medications from pharmaceutical manufacturer indigent
prescription drug programs, whereas if Michigan's Eider
Prescription Insurance Coverage program were open, they
would have only needed to prepare one application.
Service provider testimony advocated for continued support
of Resource Advocacy, indicating that it is a cost-effective
system for helping older persons maintain their independence.
Testimony cited program statistics that indicate the average
annual cost of serving a consumer through the Resource
Advocacy program is $153.
Respite
Service provider testimony called for an expansion of
available respite services, including additional out-of-home
respite beds, because many family caregivers are
overwhelmed by their caregiving responsibilities and are in
need of a break.
Service provider testimony stressed the need to provide re-
spite services in order to maintain individuals in their own
home and relieve caregiver stress. Testimony indicated that
it is less expensive to provide long term care at home, but it
can be extremely difficult to obtain respite services.
Chore
Service provider testimony substantiated the need for chore
services to better enable older persons to maintain their homes
and continue to reside within the community. Testimony sug-
gested there are cost savings associated with maintaining an
individual in their home.
Home Injury Control
Service provider indicated that through home injury control
funding, ramps were provided to older persons who were
previously unable to leave their homes because of physical
limitations.
Elder Abuse
Service provider expressed frustration about the Family
Independence Agency (RA) budget cuts, and the lack of
staff adequately trained to detect elder abuse as a result of
these financial cutbacks. It is critical that caseworkers receive
the education necessary to detect indicators of elder abuse.
Testimony expressed concern for the well-being of older
adults in abusive situations, indicating that FIA caseworkers
have voiced uncertainty as to how to identify indications of
elder abuse. Testimony described two incidents that occurred
in 2002 in which elders were residing with abusive spouses.
in one case, the lack of detection resulted in death because
the abuse was not verified.
Legal Assistance
Service provider testimony indicated the need to provide
assistance to older persons encountering situations where
they are in need of legal advice or help, but cannot afford
Area Agency on Aging 1-B * Community Forums on the Needs of Older Adults 111-9
Aging Network and AAA 1-B Responsibilities
the services of an attorney. More vulnerable older persons may not have access to the legal system without this assis-
tance.
ADVOCACY
Older adult testimony stressed the importance of information on older adult needs being documented in writing and
submitted to elected officials. Documentation must be conc:se to be effective. Testimony suggested that the most effective
method of educating elected officials is through personal meetings. Testimony cautioned that advocacy must be directed to
specific legislators who serve on key committees with jurisdiction over the issue being addressed.
State representative testimony encouraged individuals to write to their representatives and express their concerns. This is
an effective means to reach decision makers.
PLANNING
Service provider testimony expressed appreciation for the AAA 1 -B's commitment of staff to collaborate with local
providers in planning for enhanced services.
Service provider testimony referenced the support that AAA 1-B planners provided to organizations in past years, and
the value of their assistance with training, outreach, planning, and funding needs. Testimony indicated a need for AAA
1-B planners to become involved in local community efforts, particularly in the area of health and wellness.
Area Agency on Aging 1-B * Community Forums on the Needs of Older Adults 111-10
Collaboration with Other Service Delivery Systems
HEALTH
Prescription Drugs
Older adult testimony expressed concern that drug stores
participating in Michigan's Elder Prescription Insurance
Coverage (EPIC) program may not be adhering to prescribed
guidelines, and that consumers are possibly being overcharged
for needed medications. Testimony described how prices
charged under the EPIC program for prescribed medications
are never the same when obtaining refills at a specific pharmacy
Older adult testimony indicated that the proposed federal
legislation providing a 10 to 20 percent discount on
prescription medications under the Medicare oenefit is
inadequate to meet the prescription drug needs of older
persons.
Older adult testimony stressed the necessity of requesting
generic medications from physicians as a means of saving
money on prescription medications. Testimony described a
situation in which a prescription was initially written for a
brand-name medication which cost $110. When rewritten
for the generic equivalent, the cost was $4. Testimony
indicated that the generic prescription was not readily
obtainable from the physician, and stressed the need to ask
if a generic equivalent is available.
Older adult testimony expressed frustration about the rising
cost of medications and the need to be aware of alternatives
that are available for saving money on prescription drugs.
Testimony described a personal situation in which an
individual's physician changed the strength of his medication
from 20 strength to 40 strength. As a result of this
modification, the cost increased from $12 to $116 for the
same 90-day supply.
Elected official testimony indicated that the Great Lakes
Alliance for Affordable Drugs Act has been introduced
into the House. This bill would allow Michigan to form a
compact with other states and use their collective bargaining
power to negotiate lower prescription drug prices. If enacted,
the proposed legislation would help to make prescription
drugs more affordable for older persons.
Service provider testimony called for the creation of a federal
prescription drug program to address older adult prescription
orug needs. Several service providers testimony stressed
the need to advocate for new and better prescription drug
options. Testimony referenced the AAA 1-B Ad Hoc
Study Report on Prescription Drug Affordability, and
commented on the usefulness of this document and its
findings.
Service provider testimony expressed frustration over the
closure of Michigan's Elder Prescription Insurance Coverage
program, and the failure of Congress to create a promised
federal prescription drug program. The absence of significant
prescription drug assistance forces workers to spend an
excessive amount of time assisting low income older persons
to obtain needed medications through a piecemeal approach
from many different sources. Testimony described how it
was necessary to submit 12 applications to assist a single
consumer who could not afford to purchase prescribed
medications.
Health Care
Elected official testimony indicated that health care for older
persons is under-funded by the federal government. Testimony
expressed concern about the loss of older adults' ability to
make decisions pertaining to their receipt of health care
services as the government moves toward a managed health
care system.
Wellneg
Service provider testimony indicated that there is a need for
senior health fairs which provide information and testing
focused on health promotion and prevention. Additional
activities are needed that encourage greater fitness and
wellness lifestyles.
Prevention
Older adult testimony expressed concern about a $20 charge
for a flu shot under Medicare Part B. The individual received
the flu shot for $3 and was confused about why there was
an additional charge for this service. Service provider
testimony indicated that the centers providing this service
receive approximately $1 6 from Medicare for each flu shot
that is administered, and clarified that this reimbursement
Area Agency on Aging 1-B • Community Forums on the Needs of Older Adults
Collaboration with Other Service Delivery Systems
helps to support the cost of the vaccine and equipment.
Testimony indicated that typically, physicians offices charge
between $70 and $90 to administer this vaccine.
Consumer Awareness
Service provider testimony expressed concern that there are
many medical products which can assist older persons to
better manage their health problems, but they are unknown
to many consumers.
Dental Health
Caregiver testimony expressed frustration over the prospect
of having to replace a lost denture of a loved one, indicating
that the cost is excessive. Additional service provider
testimony indicated that a large portion of emergency and
unmet need assistance is used to provide dental services.
Service provider testimony indicated that assistance in
purchasing needed dental care, particularly for emergency
situations, is a great need among older adults because most
have no dental health insurance.
Hearing Impaired
Older Adult testimony advocated that the provision of closed
caption audio features be made mandatory for all television
broadcasts, as a service to deaf and hearing impaired persons.
Mental Health
Service provider testimony called for greater outreach to
older persons with mental health needs, and requested AAA
1-B support for a planned effort to utilize mental health
consumers as caregivers for the elderly.
Medicare
Older adult testimony expressed outrage that Medicare is
the first payer for health care, indicating that private insurance
should be the first payer to help preserve limited public
resources.
HOUSING
Subsidized Housing
Older adult testimony expressed concern about the high
growth rate of immigrant populations in senior housing, citing
aggressive advocacy by immigrant service organizations as a
factor in this growth. US residents do not appear to receive
as high a level of service and individual advocacy. Concern
was also expressed over federal subsidized housing rules
which establish priority for factors that are more endemic to
immigrant older adult populations.
Older adult testimony expressed regret over the loss of
subsidized housing because federal policies allowing non-
elderly substance abusers into senior housing buildings has
made some facilities dangerous and undesirable. Testimony
called for policies that allow senior-only subsidized housing.
Service provider testimony indicated that there is a great
need for additional subsidized or affordable housing stock.
Service provider testimony expressed appreciation to the
AAA 1-B for supporting local efforts to prevent property
tax indebtedness and foreclosure. Washtenaw county's
prevention efforts resulted in no older persons losing their
home because of property tax foreclosure in the past year.
Assisted Living
Service provider testimony indicated that there are very few
assisted living options for persons participating in the MI
Choice program, and called for the development of MI
Choice policies that would encourage the utilization of
assisted living.
Affordable Housing
Service provider testimony indicated the need for more
affordable housing options for persons choosing to reside
and receive services in the community.
Aging in Place
Older adult testimony requested that the AAA 1-B
encourage grocery stores to make borne delivery available to
older persons with mobility limitations. Additional testimony
called for flexibility in United States Postal Service policies
that would allow mail carriers to deliver mail to the door of
Area Agency on Aging 1-B * Community Forums on the Needs of Older Adults 111-12
Collaboration with Other Service Delivery Systems
disabled condominium owners who have difficulty retreiving
their mail from outside lockboxes. Older Adult testimony
cited the need for housing to be constructed with the
needs of disabled residents in mind, and requested that
features like wide doorways and rubber surfaces on ramps
be made standard.
for some to travel to medical appointments outside these
boundaries. Additional service provider testimony indicated
that, because of limited access, many older persons are unable
to get to desired locations.
UNMET AND EMERGENCY NEEDS
Service provider testimony advocated for the development
of prcigrams that focus on helping individuals to remain
comfortable in their own home by providing an array of
assistance beyond the existing continuum of in-home care,
chore, and minor home repair. Testimony stressed that
supportive services which enable an individual to be cared
for in their home are insufficient if the home environment is
inadequate or in disrepair.
Service provider testimony indicated that older persons
have many emergency and unmet needs that are not being
met through traditional agency programs, particularly in the
areas of dental, hearing, and vision needs. Testimony
described a one-time-only emergency program for these
purposes that quickly exhausted its $20,000 funding
level in four months.
TRANSPORTATION
Older adult testimony expressed concern about recent
cutbacks and the future of transportation services for °icier
persons.
Elected official testimony described the transportation needs
of older adults and the lack of a viable regional transportation
system.
Service provider testimony expressed concern that the
availability of public transportation services is not uniform
across their county. Transportation service is an important
resource that adds to older persons' quality of life.
Additional service provider testimony expressed frustration
pertaining to the lack of funding dedicated towards the
transportation needs of older persons. An announcement
was made that officials in Washtenaw county are investigating
the feasibility of proposing a county-wide transportation
millage.
Service provider testimony indicated that there is a need for
specialized transportation services to insure that older adults
with physical limitations are able to access needed services.
Testimony stressed that some older persons lack family
support and rely solely on public transportation services.
Limited transportation service areas make it extremel y difficult
Area Agency on Aging 1-B * Community Forums on the Needs of Older Adults 111-13
Community and Societal Issues
.7=
PUBLIC FINANCING
Budget Cuts
Service provider testimony expressed concern over the
announced and planned reductions in funding levels for various
older adult programs, but had confidence that the AAA
1-B process for implementing reductions would attempt to
mitigate the impact on older adults and administer the cuts
fairly across service provider organizations. Testimony
demonstrated respect for the fact that the AAA 1-B looked
first to absorbing cuts at the administrative level.
Service provider testimony expressed regret over the cuts to
the Senior Volunteer Programs, because they not only allow
Fewer older volunteers to participate, they diminish the level
of service that is provided by volunteers to needy adults
through programs such as the Senior Companion Program.
Elected official testimony expressed concern about the bud-
get crisis and $1.7 billion state deficit for fiscal year 2004.
Decision makers are currently faced with a number of diffi-
cult choices as they attempt to balance the state budget.
Senior Mil_lage
Service provider testimony indicated that more than half of
Michigan's 83 counties have dedicated senior millages, and
suggested that it may be appropriate for Washtenaw county
to consider such a millage. Testimony indicated that providers
need more information on how senior millages work, and the
impact it can have on service delivery. Additional testimony
indicated that it is time to begin working toward support of
a senior millage in Washtenaw county.
PUBLIC AWARENESS
Older adult testimony cautioned service providers about
the adequacy of traditionai outreach efforts because many
older adults cannot access a web site, do not read, or own
a phone. To reach the most isolated older persons,
particularly racial and ethnic minority elderly, word of mouth
is the best method utilizing local organizations such as churches.
Additional testimony expressed an interest in volunteering
to help older persons, however indicated that aging
organizations need to make persons more aware of potential
volunteer opportunities within the community.
Service provider testimony indicated that aging organizations
need to do a better job of informing older adults about
available community resources.
DIVERSITY
Older adult testimony described the development of enclaves
of various immigrant populations in selected subsidized
housing locations, and its effect of making this housing less
desirable for majority elders. Testimony stressed the
importance of welcoming immigrant populations, but indicated
that public policies which provide favored status for immigrant
populations in the competition for public benefits has fostered
resentment against immigrants.
Older adult testimony cautioned providers about the
effectiveness of plans for outreach to minority populations,
indicating that many older persons cannot be reached through
traditional means because of the prevalence of illiteracy,
hearing and vision loss, and the absence of telephone service.
More effective outreach methods would involve
communication through local churches and ministerial alliances.
Service provider testimony noted that the dicier adult
population is growing through an enriched diversity, and
stressed the importance of service providers to understand
the various cultures, and be sensitive to the unique needs of
minority and ethnic populations. Testimony requested that
the AAA 1-8 replicate an earlier publication aimed at
educating providers about racial, religious, cultural, and ethnic
minority populations, and identifying community resources
that are available to assist these elders. This publication
should be produced for additional Region 1-8 counties.
NEEDS OF THE NEAR-OLD
Service provider testimony expressed frustration at not being
able to help many adults in their 50s who are not at the age
of being eligible for older adult programs, but have many of
Area Agency on Aging 1-B * Community Forums on the Needs of Older Adults III-14
Communit and Societal Issues
the same needs of the elderly Testimony advocated that the
definition of older adult be reduced for certain programs in
order to allow the near-old to qualify for needed benefits.
Area Agency on Aging 1 -6 Community Forums on the Needs of Older Adults I11-15
AAna A Aprolon FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan
III. STATEMENT OF NEED
C. EVALUATION OF UNMET NEEDS:
The Area Agency on Aging 1-B (AAA 1-B) utilizes a variety of methods for
identifying and verifying unmet needs among older persons in the planning and
service area. Methods include: the conduct of Community Forums on the Needs
of Older Adults; analysis of relevant secondary data and needs studies such as
the Oakland County Needs Assessment of the 60 and Over Population
conducted by the Oakland Livingston Human Service Agency and the seniors
count survey from St. Clair county; reports from the AAA 1-B Information and
Assistance program; 2000 Census data; and recommendations from Ad Hoc
Issue Study Committees of the AAA 1-B Advisory Council.
The most significant barrier to addressing identified needs of older persons is the
lack of sufficient public resources to provide the level of subsidized assistance
that is needed by older persons. As a result, many individuals are placed on wait
lists, receive less assistance than is needed, and/or become discouraged and
quit seeking assistance because there is little possibility their needs will be met.
Another significant barrier is that older persons often are not aware of services
that may assist them, or do not know how to find information on available
assistance. Additional barriers include restrictive eligibility requirements,
communication problems, especially for limited English speaking populations,
cultural issues, and the lack of transportation that is needed to help older persons
access available programs.
An analysis of these various data sources, and consideration of identified barriers
has led to four basic conclusions:
1. There is a continued need for the MA 1-B's current funding priorities,
with evidence that the demand for these services exceeds the supply
that can be provided with existing resources.
2. The services provided to older persons in the areas of health, housing,
transportation, and income benefits have a need for expansion and
modification by other systems in order to make them more sensitive
and responsive to the needs of older persons.
3. There are a number of unique but serious problems that affect small
subsets of the older adult population, which appear to be growing and
which warrant further attention, study, and program development.
III-16
AAgin
Ar;
g 143 FY 2004 Annual Implementation Plan
A agenoyon FY 2004-6 Multi-Year Area Plan
4. Greater assistance is needed for family caregivers to assist in
sustaining their caregiving responsibilities, and linking them with
needed resources.
Service Priority:
The AAA 1-B prioritizes older adult service needs with consideration to resources
that benefit older persons through other service delivery systems. Service needs
are classified into the following categories, in ranking order:
1. Services that warrant funding from the AAA 1-B.
2. Services that should be the focus of AAA 1-B planning, program
development, and advocacy activities.
3. Service needs that are limited and/or emerging, and that require
further study and program development.
Funding Priority:
1. Nutrition
• Congregate Meals
3 Home Delivered Meals
2. Access Services
3 Resource Advocacy
1 Regional Information and Assistance
3 Health Benefits Education and Access
3 Care Management
3 Transportation
3. In-Home Services
3 Homemaking
3 Personal Care
3 In-Home Respite
3 Chore Services
3 Home Injury Control
3 In-Home Unmet Need
3 Medication Management Unmet Needs
4. Community Services
3 Adult Day Service
3 Elder Abuse Prevention
3 Hearing Impaired Assistance
• Interfaith Volunteer Caregiver
3 Long Term Care Ombudsman
3 Out-of-Home Respite
III-17
AArelAg (In"—
FY 2004-6 Multi-Year Area Plan
12F.1 ,1i„,, FY 2004 Annual Implementation Plan
3 Vision Impaired Assistance
3 Senior Center Staffing
3 Legal Assistance
3 Counseling
3 Refugee Assistance Program
3 National Family Caregiver Support Program
Planning, Advocacy, Policy and Resource Develoompntgzipzit4
3 Community-based health and long term care services
3 Public transportation services
3 Decent and affordable housing alternatives
3 Employment and income maintenance services
3 Comprehensive need assessment and data collection
3 Prescription drug assistance
3 At-risk older driver assistance
Program Development Priority:
3 Assistance for grandparents raising grandchildren
3 Volunteer respite
3 Affordable health insurance for the uninsured
3 Dental services
3 Specialized supportive housing for frail and mentally ill older adults
3 Major home modifications, such as ramps
3 Money management/bill paying assistance
3 Assistance for older gay and lesbian individuals
3 Assistance for those who have been victimized by, or are vulnerable to
consumer fraud
3 Assistance for older persons who are victims of domestic violence
3 Assistance for older persons who are at risk of losing their home through
property tax foreclosure
3 Affordable prescription drugs
3 Support for older persons requiring guardianship
3 Health promotion and prevention services and education
III-18
AAre A Agency on FY 2004-6 Multi-Year Area Plan
Afing" FY 2004 Annual Implementation Plan All«mr, • *Nog • ....AM
D. AVAILABLE RESOURCES AND PARTNERSHIPS:
The AAA 1-B will work to address identified unmet needs by attaining the highest
value from existing 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.
This Area Plan stipulates the use of available state and federal funds to support
older adult services. 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 58 of 83 Michigan counties. However, only two Region 1-B
counties, Monroe and St. Clair, have senior millages (which raise over $2 million
each), and several municipalities have local millages that either are dedicated to
older adult services, or are partially dedicated in combination with other uses,
such as recreation. In the other four 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, there are many areas where resources are clearly
lacking and inadequate to address needs.
The AAA 1-B plans to address this problem by educating decision makers about
the importance and need for older adult services, and identifying opportunities for
partnerships with other public and private resources to expand services. Plans to
expand and enhance older adult services in the areas of health, housing,
transportation, social and nutritional services, and long term care call for the
development of collaborative partnerships that will result in additional resources
and increased sensitivity of other service delivery systems toward the unique
needs of older adults. Additional efforts will focus on improving access to
needed community resources for targeted populations by working more closely
with local governments and religious, cultural, ethnic, and minority organizations.
This strategy may include advocacy for the adoption of county and/or local senior
millages.
111-19
Ares A Ageuryon FY 2004-6 Multi-Year Area Plan
'AI Aging " FY 2004 Annual Implementation Plan
IV. AREA AGENCY ON AGING 1-B SERVICE DELIVERY PLAN
Fiscal Years: 2004 — 2006
A. TARGETING:
Baseline Data
Native Asian/ Low-
Source: Year-end report for FY '02 African American/Native Pacific Hispanic income Low-
Indicate the number sewed by group American Alaskan Islander Minority income
and the percentage of that group's 60+
population that the number represents. _
Supportive Number Served 3,450 139 430 385 3,104 11,582 Services Percentage 7% 0.2% 1% 1% 6% 22%
Congregate Number Served 547 42 124 68 295 2,908 - Nutrition Percentage 3% _ 0.3% 0.7% 0.4% 2% 18%
Home Delivered Number Served 768 7 25 50 392 2,866 1 Meals _ Percentage 7% 0.1% 0.2% 0.4% 3% 25%
IV-1
AArea
iken" 9._ FY 2004-6 Multi-Year Area Plan
Ili FY 2004 Annual Implementation Plan AMeery • kith • mte Arq
1. DESIRED OUTCOMES:
a. FY 2004:
(1) To increase provider knowledge of the provider network in
Region 1-B by using NAPIS Advanced Reports and re-
institute provision of regional minority and low-income
serving data to providers on a regular basis.
(2) To increase AAA 1-B technical assistance to providers in
developing annual targeting plans.
To increase Asian and Hispanic participation rates by at
least 1% in social service programs, and 2% in congregate
meal programs.
(4) To increase knowledge of aging network resources and
services among minority and ethnic churches and
congregations
b. FY 2005 - FY 2006:
(1) To sustain provider knowledge of minority and low-income
participation rates in Region 1-B by providing updated NAPIS
Advanced Reports.
(2) To sustain increases in minority and low-income participation
rates for nutrition and social service programs.
To maintain relationships with minority and ethnic churches
and congregations.
2. ACTION:
a. FY 2004:
(1) Enhance the FY 2004-2006 Request for Proposals and
Service Provision Manual (based on survey feedback from
contractors) and include more examples and easier to
understand instructions for developing annual service
specific targeting plans.
(2) Enhance FY 2004-2006 nutrition service standards to
include a monthly menu development requirement that
(3)
(3)
IV-2
11
mAA ha igeneyon FY 2004-6 Multi-Year Area Plan
104 " FY 2004 Annual Implementation Plan kiln
reflects the ethnic food preferences of clients in the service
area.
(3) Continue to work with L'Amistad Hispanic Senior Center to
increase participation rates in the congregate meal site.
(4) Work with L'Amistad to identify Hispanic churches and target
them for community education.
(5) Utilize language line to assist non-English speaking persons.
(6) Develop and distribute new ethnic recipes to all nutrition
contractors.
(7) Continue to develop the Refugee Assistance Program and
enhance refugee knowledge of aging network social and
nutrition services.
(8) Distribute a revised Cultural and Ethnic Minority Directory to
providers and work with the Office of Services to the Aging
(OSA) to increase training opportunities.
(9) Expand access to the NAPIS advanced reporting tool to all
AAA 1-B management, program development, and contract
management staff.
(10) Regularly review minority and low-income serving through
the NAPIS Advanced Reports with social and nutrition
providers.
(11) Continue prioritizing of Senior Center Staffing applications
which target minority and low-income older persons.
b. FY 2005 - FY 2006:
(1) Continue prioritizing of Senior Center Staffing applications
which target minority and low-income persons.
(2) Continue working with L'Amistad Hispanic Senior Center to
increase participation rates in the congregate meal site.
Continue working with Hispanic churches to educate
membership about aging network resources and services.
(3)
IV-3
Area
nty.:03
,Imom
FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
(4) Continue to develop and distribute new ethnic recipes to all
nutrition contractors.
(5) Continue to develop the Refugee Assistance Program and
enhance refugee knowledge of aging network services.
(6) Continue to utilize language line to assist non-English
speaking persons.
(7) Regularly review NAPIS Advanced Reports at contractor
trainings to allow for closer monitoring and group discussion
of region-wide targeting population serving levels.
(8) Identify opportunities to sponsor or promote trainings for
social and nutrition providers and Care Managers.
3. UTILIZATION OF FUNDS:
See funded services page and budget.
IV-4
• Area A Agency on FY 2004-6 Multi-Year Area Plan
" FY 2004 Annual Implementation Plan
111n1n1
B. ACCESS SERVICES:
1. Information and Assistance;
The Area Agency on Aging 1-B has a comprehensive, automated
database containing over two thousand (2,000) agencies and five
thousand (5,000) service listings. The Information and Assistance service
is linked to our five (5) county access offices through a toll free number. In
addition, the ability to provide this service through each of our county
offices enables caregivers, care recipients, and care providers a local
presence with familiar people to maintain an on-going relationship. This
number is published in all AAA 1-B brochures and flyers, in each quarterly
Access newspaper, and on our website. In 2002, the Information and
Assistance unit handled over 13,400 calls. We coordinate with the
nationwide ElderCare Locator funded by the Administration on Aging.
The AAA 1-B will use Title III-D funds for the Health Benefits Education
and Access service, to provide partial support of the regional Medicare
Medicaid Assistance Program (MMAP). This program utilizes volunteers to
assist older adults and their caregivers with questions about Medicare,
supplemental health insurance, long term care insurance, and Medicaid.
The AAA 1-B Regional Coordinator will continue to work with the county
MMAP Coordinators to develop new sites for volunteer placement,
volunteer skill development and new volunteer training. The Regional
Coordinator will continue to provide training and technical assistance to
the volunteers, ensuring that accurate and comprehensive information can
be provided at all times to those who need to understand their rights
regarding public benefits and insurance programs.
MMAP Coordinators and volunteers, Resource Advocates, Information
and Assistance staff, and AAA 1-B Care Managers work together in the
access network to address the needs of older adults. Often seniors hear
about a confusing array of choices and programs that can be daunting to
navigate. With the help of knowledgeable staff and volunteers, older adults
can gain the information they require quickly and easily from a trusted and
impartial source.
2. Transportation:
The AAA 1-B works on several levels to assure that adequate
transportation is available to older persons residing within the planning
and service area. A strong emphasis is placed on program development
and advocacy activities. Program development activities include:
documenting the need for additional older adult transportation services;
IV-5
&Area' A AVM on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan AARRI, • kee. Af.I
working with local and public transit providers to improve coordination of
service within and across local and county boundaries; working with
hospital systems to identify unmet needs and improve access to health
and medical facilities; securing state and federal transportation resources
to assist older persons with mobility planning and safe driving; and
assisting specialized services providers with securing capital and
operating resources needed to continue or expand service. Advocacy
activities include: participation on county coordination committees and
public transit agency Local Advisory Councils, identification of new
resources to support public or alternative transportation, and advocacy for
local, state, and federal funding to support and expand public or
alternative transportation to address unmet mobility needs. AAA 1-B
funding for transportation is only utilized to assist AAA 1-B In-home
Service Program and Community Care Management clients with errands
and for medical transportation when no other alternatives exist.
The You Decide: Senior Driving Awareness Program (SDAP) currently
operates in four counties (7 locations) in Region 1-B. The goals of the
program are to keep older adults driving for as long as safely possible, to
ease the transition to non-driving when it becomes necessary, and to
encourage individuals to plan for lifelong mobility, much like one would
plan for retirement. The program assisted more than 737 persons in FY
2002.
Plans for FY 2004 include outreach to legal justice and law enforcement
divisions, and securing a funding source to allow for continuation and
expansion of the program.
3. Resource Advocacy:
The AAA 1-B contracts for outreach activities throughout the planning and
service area under the service definition of Resource Advocacy. The
Resource Advocates are part of the AAA 1-B Access Team, which also
includes Care Managers and Information & Referral Specialists. In
addition to utilizing a Universal Intake form designed to foster great
communication and referrals between agencies, the team also meets
quarterly to discuss client and process issues.
Resource Advocates are required to place a special emphasis on
outreach to targeted minorities residing in key areas of the region. Under
the service definition providers: target specific ethnic and minority groups;
are encouraged to hire minority/ethnic Resource Advocates; and are
required to coordinate activities with minority organizations in the service
area.
IV-6
AAzea A Agony= FY 2004-6 Multi-Year Area Plan
Aging143 FY 2004 Annual Implementation Plan
The AAA 1-B and Resource Advocates work together to reach persons
with greatest economic and social need with particular attention to low-
income and minority persons, as well as limited English speaking persons,
and persons with Alzheimer's disease or related disorders and the
caregivers of those individuals.
4. Care Management:
The AAA 1-B will prioritize Community Care Management (CCM)
services to older adults (and persons with disabilities, where funding
sources allow) who have the fewest financial and family resources and
the greatest need. CCM, the In-Home Services Program (ISP), Rapid
Response Short Term, Rapid Response Respite, and the MI Choice
program, are all available in each county of Region 1-B, making the
five county AAA 1-B offices into complete access sites for the
centralized assessment/direct service purchase (DSP) system for key
long term care services. The AAA 1-B currently conducts a centralized
assessment that includes eligibility determination for home delivered
meals in two Region 1-B counties, and will explore strengthening the
assessment process throughout the region. This will be accomplished
through the use of a workgroup with representatives from AAA 1-B and
nutrition contractors, which will develop standard assessment items,
protocols, and data reporting mechanisms. Once this standardization
is developed, contractors may choose to perform the assessment
function directly or to have the AAA 1-B assume the function for that
contractor.
The AM 1-B will purchase services from a DSP pool of approved vendors
in the community. Individuals needing home care will receive a
comprehensive assessment for these services. Care Management will be
coordinated through the local AAA 1-B office to allow a smooth transition
between programs when an individual's health or functional status
changes. A coordinated central assessment and DSP system will
increase access to services for individuals and their families, improve
responsiveness to the individual's particular need, and provide the
opportunity for consumer choice in the service delivery.
IV-7
•G"
nA'" FY 2004-6 Multi-Year Area Plan Attu
/AVAgisig " FY 2004 Annual Implementation Plan
C. 1N-HOME SERVICES:
1. OVERALL STRATEGY:
The AAA 1-B will address the in-home needs of older adults by contracting
for and directly purchasing a variety of in-home services, and by providing
care management to identify needs of individual older adults and to
arrange needed services. Contracted services include Chore, Interfaith
Volunteer Caregiver, and Home Delivered Meals. Successful applicants
for contracts must meet minimum standards and be approved through the
AAA 1-B Request for Proposals process. The services most frequently
used for Direct Service Purchase (DSP) are Homemaking, Personal Care,
and In-Home Respite services. The DSP system uses a pool of vendors
who have met minimum administrative and quality standards set by the
AAA 1-B. Both contract and DSP standards include OSA Operating
Standards for Service Programs.
2. CHORE:
A new Chore service definition has been approved by the AAA 1-B Board
of Directors. Utilizing survey data collected from various aging network
sources including Chore service contractors, Chore clients, care
managers, Care Management clients, resource advocates, Senior
Centers, Home Delivered Meals drivers, and local municipalities, the new
definition outlines mandatory and optional services and provides an
expectation of the service that will be used throughout the region.
Mandatory services will include lawn care, snow removal, minor in-door
home repairs, and emergency/heavy cleaning services. Optional services
will include minor outdoor repairs and outdoor cleanup.
Chore services are coordinated with Home injury Control. Home Injury
Control is expanded with funding from Blue Cross/Blue Shield of Michigan.
Together the funding is used to install devices, which prevent slips and
falls in the home.
3. INTERFAITH VOLUNTEER CAREGIVER - VOLUNTEER RESPITE:
Funded under the Interfaith Volunteer Caregiver (IFVC) service definition,
the AAA 1-B will work closely with IFVC providers region-wide to expand
and refine volunteer respite service. Over the course of the next three
years the AAA 1-B will work with IFVC providers to expand the capacity of
volunteers to provide volunteer respite care. Planned activities include:
IV-8
AnAPAgingamoin.
Memo. • &IAN n In so 4peg
FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
a. development of a Universal Assessment tool;
b. identification/development of caregiver training;
c. procurement of specialized equipment (cell-phones; computers); and
d. increased staffing.
4. HOME DELIVERED MEALS:
Home Delivered Meals will continue to be targeted to eligible low-income
and minority persons. Over the next few years, the AAA 1-B will work with
nutrition providers to identify new methods to:
a. share information;
b. track referrals;
c. coordinate training;
d. develop assessment and follow-up protocols; and
e. improve outcome measurements.
In addition, the AAA 1-B will continue to explore new ways to meet the
need for special diets, and to offer weekend meals throughout the region.
5. HOMEMAKING AND PERSONAL CARE:
All Homemaking and Personal Care services are provided through the
DSP system, after in-home assessments by care managers. Based on
the assessed level of need, clients will be assigned to a Community Care
Services program, and Homemaking and Personal Care services will be
authorized based on the client-approved care plan developed by the care
manager. Typically, In-Home Services Program clients receive the least
amount of service, followed by Rapid Response, Community Care
Management and then MI Choice clients with the highest service levels.
6. IN-HOME RESPITE CARE:
In-Home Respite services will be provided through the DSP system, after
in-home assessments by care managers. Older adult clients may receive
respite services in any of the Community Care Services programs.
Through Tobacco Settlement funds, the Rapid Response Respite program
can also serve adults age 18 and over, with an identified need for
caregiver relief.
IV-9
Athol% FY 004- YY 220A6nnu
Annual m
epaireAmreenataPtliaonn Plan Multi
AOINO, • 4cOva • /WM
D. COMMUNITY SERVICES:
The AAA's overall strategy for meeting the needs of older adults requiring
community services includes:
1. refining existing service definitions and standards based on unmet need or
gaps in service;
2. integrating/educating caregivers who are 60 years of age and older about
community based services; and
3. identifying new community services that best meet the needs and
overcome barriers identified by older adults, caregivers, and service
providers in the region.
In FY 2004, the AAA 1-B plans to fund the following services in the
community services category:
1. Assistance for the Hearing Impaired: This service shall be available
throughout Region 1-B. It shall include the provision of assistance to older
persons with hearing impairments, or who are deaf, to enable them to
better compensate for these loses in daily life. Activities shall include:
education/training; assistance in obtaining benefits and other services;
training in techniques for adjusting to lifestyle changes; and community
education.
2. Assistance for the Visually Impaired: This service shall be available
throughout Region 1-B. It shall include the provision of service to visually
impaired or blind persons. Activities shall include: 1) orientation and
mobility training; 2) rehabilitation for activities of daily living; 3) optometric
services; and 4) group education.
3. Comprehensive Care (Dementia) Adult Day Service: This service will be
available in Macomb, Monroe, Oakland, St. Clair, and Washtenaw
counties. The AAA 1-B continues to explore opportunities to develop this
service in Livingston County. Service includes: dementia specific
programming, 1:4 staffing ratio, on-site personal care, specialized
transportation, nutrition/snacks, and expanded hours (M-F 10-12
hours/day; and Saturday 5 hours).
4. Counseling: This service shall be available throughout Region 1-B. It
shall include professional-level counseling services including emotional
support, problem identification and resolution, and skill building provided
to older adults and caregivers who are experiencing personal, social or
emotional problems which may be related to psychological and
IV-10
AAAging" FY 2004 Annual Implementation Plan
Ares A pnivon FY 2004-6 Multi-Year Area Plan
*ay 4,4*. • Amer. ON Atkvi
physiological dysfunction. Only persons without billable health insurance
shall be served under this category,
5. Congregate Meals: This service shall be available throughout Region 1-B.
This service includes the provision of nutritious meals and nutrition
education to older individuals in congregate settings.
6. Elder Abuse Prevention: This service shall be available throughout Region
1-B. It shall include activities that develop, strengthen, and carry out
programs for the prevention and treatment of elder abuse, neglect, and
exploitation.
7. Long Term Care Ombudsman/Advocacy: This service shall be available
throughout Region 1-B. It shall include the provision of assistance to
residents of long-term care facilities to resolve complaints through problem
identification and definition, education regarding rights, provision of
information on appropriate rules, and referrals to appropriate community
resources. This service also involves assistance to prospective long term
care facility residents and their families regarding placement, financing,
and other long term care options. Identification and sharing of best
practices in long term care service delivery, with an emphasis on
promotion of Eden Alternative, is also a part of the service. Program
components include: 1) family support; 2) complaint
investigation/advocacy; 3) community education; and 4) volunteer support.
8. Senior Center Staffing: This service shall be available throughout Region
1-B. It shall include the provision of funding to support staff positions at
senior centers or other types of senior service centers for the purpose of
program development.
9. Legal Assistance: Contractors provide confidential legal services
(including in-home visits), advice, referrals and public education.
Maintenance funding is planned for FY 2004. In FY 2004, the AAA 1-B
will work with contractors to identify how referral activities can benefit
caregivers. The AAA 1-B will closely monitor client serving in light of
Legal Service Corporation (LSC) reconfiguration to determine the impact
on the aging network.
10. Out of Home Respite: The AAA 1-B purchases beds located in licensed
Homes for the Aged (HFA) and Adult Foster Care homes (AFC), and
coordinates scheduling of respite service for community participants. The
service is available to meet caregiver needs generally up to 14 days per
stay, and permits 2 stays per year. The service has been embraced by
caregivers and care managers throughout the region.
•
IV-11
AAThil nay on FY 2004-6 Multi-Year Area Plan /AN.Alireng
FY 2004 Annual Implementation Plan
E. MA ADMINISTERED DIRECT SERVICES:
The AAA 1-B proposes to administer directly the following services: Information
and Assistance, the Medicare/Medicaid Assistance Program, Care Management,
Refugee Assistance Program and selected activities under the National Family
Caregiver Support Program. Each of these activities are considered important
for the AAA 1-B to fulfill its role as a regional focal point for access to care and
information about needed community resources.
1. REGIONAL INFORMATION AND ASSISTANCE:
The Area Agency on Aging 1-B (AAA 1-B) has a comprehensive,
automated database containing two thousand (2,000) agencies and five
thousand (5,000) services. The Information and Assistance service is
linked to our six (6) county planning and service areas through a toll free
number. In addition, the ability to provide this service through each AAA
1-B county office enables caregivers, care recipients, and care providers a
local presence with familiar people with whom to maintain an on-going
relationship. In 2002, the Information and Assistance unit handled over
13,400 calls. It is coordinated with the nationwide ElderCare Locator
funded by the Administration on Aging.
A portion of the MA 1-B's National Family Caregiver Support Program
funds will be utilized to increase awareness of supportive services for
caregivers and expand their use by caregivers, older adults, and persons
with disabilities who live in Region 1-B. Planned activities include
supporting the provision of caregiver information through the AAA 1-B web
site, libraries and physician offices, conducting a caregiver fair, producing
a magazine targeted for caregivers in collaboration with other Michigan
area agencies on aging, and securing media coverage on topics of
interest to caregivers.
2. HEALTH BENEFITS EDUCATION AND ACCESS:
The AAA 1-B will use Title III-D funds for the Health Benefits Education
and Access service for partial support of the regional Medicare Medicaid
Assistance Program (MMAP). This program utilizes volunteers to assist
older adults and their caregivers with their questions about Medicare,
supplemental health insurance, long term care insurance, and Medicaid.
The AAA 1-B Regional Coordinator will continue to work with the county
MMAP Coordinators to develop new sites for volunteer placement,
volunteer skill development and new volunteer training. The Regional
Coordinator will continue to provide training and technical assistance to
the volunteers, ensuring that accurate and comprehensive information can
Arts
IV-12
A.zgavA,ing-77..
44.,Me7 M. • ON Ara,
FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
be provided at all times to those who need to understand their rights
regarding public benefit and insurance programs.
3. CARE MANAGEMENT:
The AAA 1-B believes strongly in the value of care management as the
heart of the comprehensive system for delivery of community-based long
term care services in Region 1-B. Care management is seen as the
process of working with older adults and persons with disabilities in order
to assist them to maintain their independence and improve their quality of
life in their chosen home environment. The AAA 1-B commitment to
helping older adults identify and address their needs using all available
resources, and coordinating care across medical and non-medical
settings, drives the AAA 1-B decision to directly administer care
management. Direct administration provides clients and families a
seamless approach to addressing their long term care needs. It offers the
AAA infrastructure of planning, vendor relations, information, and public
relations components that all serve to strengthen the quality of the care
management provided. For these reasons, we believe direct
administration of care management fits the mandates of the Older
Americans Act and the mission of the AAA 1-B.
4. REFUGEE ASSISTANCE PROGRAM:
The AAA 1-B was selected by the Michigan Office of Services to the Aging
to receive a designated grant to conduct outreach activities to older adult
refugee populations. This three-year project will include collaborative
partnerships with organizations that serve refugees to translate and
produce program and educational materials, increase cultural sensitivity
among aging organizations, support access to assistance for non-English
speaking persons, and conduct refugee resource fairs.
IV-13
Itreneyn FY 2004-6 Multi-Year Area Plan
4" Aging" FY 2004 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Years: 2004 — 2006
Objective Desired Outcome Activities Corn • lotion Date
The AAA 1-8 will be in The AAA 1-B will ensure Form MA 1-8 management workgroup September 30,
compliance with HIPAA compliance with HIPAA to implement identified activities. 2004
Security requirements that security provisions, including Assess HIPAA requirements and
will take effect February 20, policies, procedures, and determine activities the AAA 1-B must
2005. electronic media protections, undertake to be in compliance.
through changes in:
Develop and implement a HIPAA
)> Administrative procedures Security Compliance Plan that updates
> Physical security measures AAA 1-B policies, procedures, and
> Technolo• safe•uards electronic technolo• .
Develop a Region 1-B A publication that identifies Convene a work group of religious, September 30,
resource publication to religious, cultural, and ethnic cultural, and ethnic minority 2004
assist providers in minority elders, and community representatives to guide resource
addressing the needs of resources to assist in delivering development.
religious, cultural, and services will be produced and
ethnic minority elders, distributed to: Identify resources to support production
including Limited English of a resource publication.
Speaking persons. > Aging service providers
> Hospitals Produce and distribute resource
A Home health agencies publication.
). Resettlement service
agencies
V-1 1
AA P
wan FY 2004-6 Multi-Year Area Plan
A' Aging " FY 2004 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Years: 2004 — 2006
Objective Desired Outcome Activities Completion Date
Strengthen, expand, and Caregivers will have the option Establish a coalition of providers to work September 30,
standardize Interfaith of receiving volunteer respite with the AAA 1-B to develop a 2004
Volunteer Caregivers service in all Region 1-B standardized assessment tool to
Respite services. counties. determine if clients are appropriate for
volunteer respite.
Caregivers will experience
reduced stress as a result of Coordinate and develop a specialized
having additional options. training program for respite volunteers.
1
Additional hours of volunteer Identify financial resource to support
respite will be provided to older and expand the availability of volunteer
persons and family caregivers respite service.
in FY 2004 by interfaith
volunteer caregiver organiza-
tions.
Enhance services at and Senior centers will offer an Convene a senior center task force. September 30,
promote the roles of increased number of programs. 2004
Region 1-B senior centers. Develop recommendations for senior
Senior centers will offer a more center service and role enhancement.
diverse array of programs.
Assist senior centers to implement
Older adult senior center recommendations for senior center
participation levels will service and role enhancement.
increase.
AA Arneson FY 2004-6 Multi-Year Area Plan
46" Aging " FY 2004 Annual Implementation Plan Miecee • Mi. • 44,
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Years: 2004 — 2006
Objective Desired Outcome Activities Completion Date
Develop at least two local At least 100 rural older persons Identify geographic areas for targeted September 30,
community-based initiatives will participate in a community- local initiatives. 2004
that address older adult based program, and have
needs of rural elders. improved access to community Work with local officials to plan
resources. initiatives.
Publicize planned events.
Implement local initiatives.
Expand the Affordable At least one additional county Identify a partner with Section 8 September 30,
Assisted Living Project. will have a capacity to combine vouchers. 2004
the MI Choice and Section 8
housing voucher benefits to Identify a qualified assisted living
make assisted living affordable. facility.
Establish procedures to combine MI
Choice and Section 8 housing voucher
benefits.
Implement Affordable Assisted Housing
project in a new county.
V-3
September 30,
2004
AArea
ArkAim...yen FY 2004-6 Multi-Year Area Plan
"gmg141 FY 2004 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Years: 2004 - 2006
Objective
Provide at least three
training sessions for
provider organizations on
topics related to their
training needs.
Provide training and
technical assistance for
provider organizations
about county senior
millages.
Desired Outcome
At least 120 aging
professionals will participate in
training sessions that will
enhance their ability to deliver
quality services in a manner
that is sensitive to the needs of
older persons.
Conduct a training that will
educate providers about how
senior millages work in
Michigan, and about structures
for millage allocation decision-
making.
Consult with at least four
organizations about the
adoption of senior millages.
Activities
Survey training needs of providers.
Identify potential presenters and
resource people.
Publicize the trainings.
Conduct a series of Aging Matters
training sessions that will address
identified needs.
Identify qualified speakers with
expertise in securing senior millages.
Publicize the senior millage training.
Conduct training on senior millage
issues.
Speak with organizations about the
need for and benefits of a senior
millage.
September 30,
2004
V-4
Are:A on -B
AgenoyAring
Mom Aga.
FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Years: 2004 — 2006
Objective Desired Outcome Activities Completion Date
Secure resources that will Older drivers and family Submit a minimum of 5 grant requests September 30,
allow for the continuation members will have access to to support continuation and expansion 2004
and expansion of the education and support that will of the program.
Senior Driver Awareness assist them in staying safely
Program (S DAP). mobile and planning for future Identify opportunities to expand the
mobility needs. SDAP program from 8 to 9 sites.
I
Advocate with state officials to secure
support for state line item funding for
program continuation and ex sansion.
Implement a Refugee At least 700 older refugees will Conduct cultural sensitivity September 30,
Assistance Program to receive assistance from aging presentations. 2004
strengthen providers' ability programs which lessen
to extend services that isolation', promote mobility, and Issue RFP and award contracts for
address the needs of at enhance access to social and education, outreach, and translation of
least 700 older adult health services, materials.
refugees.
Continue utilization of the Language
Line service.
Print and disseminate translated
materials.
'
V-5
AtAvaDY" FY 2004-6 Multi-Year Area Plan
igillg" FY 2004 Annual Implementation Plan
V. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT
Fiscal Years: 2004 — 2006
Objective Desired Outcome Activities Completion Date_
Increase awareness and More family caregivers will be Educating physicians and their staff September 30,
utilization of caregiver aware of and benefit from through distribution of caregiving 2004
services, community resources, as materials by Medical Outreach
reflected in an increased call Specialists to at least 500 physicians'
volume to the MA 1-B offices in all six counties.
Information and Assistance
program, and a 25% increase Continue to host an annual caregiver
in attendance at the annual fair with presentations on key issues
AAA 1-B Caregiver Fair. facing caregivers and access to
community resources through exhibitor
displays. Develop and distribute 6,800
copies of the quarterly Generations
magazine for caregivers through
physician offices, libraries and other
areas in the local community.
Secure quarterly media coverage on
topics of interest to caregivers.
4
V-6
y on igige IC Agiaga I
/111.1.7 • I.. • Am•Or on Agin
• A
FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
VI. ADVOCACY STRATEGY
The Area Agency on Aging 1-B (AAA 1-B) advocacy strategy will focus or issues
identified as priorities under this Area Plan, and will be modified to respond to emerging
issues over the three year planning period. Advocacy efforts relating to Funding Priority
services will focus on expanding resources needed to satisfy the demand for services.
Advocacy efforts relative to Planning, Advocacy, Policy and Resource Development
Priority services will emphasize effecting policy and systems change to make these
services more responsive to the needs of older persons. Program Development Priority
services receive advocacy attention emphasizing support for research, demonstration
projects, and development of innovative partnerships.
AAA 1-B advocacy priorities and objectives are determined by actions of the AAA 1-B
Advisory Council, with consent of the 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.
Advocacy activities will include efforts to empower older persons to advocate on their
own behalf, through development of a strong Senior Advocacy Network, and through
coalition building through efforts such as the MI Choice Coalition.
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.
OA FY 2004-6 Multi-Year Area Plan AArss
\ Aging 1-B F- Y 2004 Annual Implementation Plan
VII. COMMUNITY FOCAL POINTS
A. DEFINITION AND RATIONALE FOR SELECTION:
1. AAA DEFINITION FOR COMMUNITY:
A city, village or township which is defined as a municipal civil division under
state law. Religious, racial or ethnic groups 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 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 that struggle financially and in attracting participants.
VII-1
flArea A Agenoyon FY 2004-6 Multi-Year Area Plan
Agi4 " FY 2004 Annual Implementation Plan Alresny • Melo • Amor,' on Meg
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 2004 - 2006 Area 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 CONTACT PERSQN
Chinese Elders Shenlin Chen
Chaldean Elders Kelly DiCicco
Finnish Elders Betty Holmdo
Area
Agency on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan 0* Aglf
B. LISTING:
1. SOCIAL COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Association of Chinese Americans
Detroit Chinatown
Drop-In/Outreach Center
420 Peterboro
Detroit, Michigan 48201
(313) 831-1790
Arab-American and Chaldean Council
28551 Southfield Road, Suite 204
Lathrup Village, Michigan 48076
(248) 559-1990
Chaldean Federation of America
18470W. 10 Mile Road
Southfield, Michigan 48075
(248) 577-2362
Finnish Center Association
35200 W. 8 Mile Road
Farmington Hills, Michigan 48335
(248) 478-6939
International Institute of
Metropolitan Detroit
111 E. Kirby
Detroit, Michigan 48202
(313) 871-8600
Arab and
Chaldean Elders
Polish and
Eastern
European
Elders
(Ukrainian,
Romanian,
Yugoslavian,
Albanian)
Dr. Radwan Khoury
Richard Thidodeau
Jewish Community Center
15110W. Ten Mile Road
Oak Park, Michigan 48237
(248) 967-4030
Jewish Elders Leslee Magidson
COMMUNITY CONTACT PERSON
Jewish Elders David Sorkin
1 Area A Agency on FY 2004-6 Multi-Year Area Plan
.4&Aging " FY 2004 Annual Implementation Plan
COMMUNITY FOCAL POINT
Jewish Community Center
6600 West Maple Road
West Bloomfield, Michigan 48322
(248) 661-1000
Manoogian Manor
Michigan Home for the
Armenian Aged, Inc.
15775 Middlebelt Road
Livonia, Michigan 48154
(734) 522-5780
Armenian Elders Rosemarie Arakelian
International Senior Program Asian Elders Chizuko
312 Woodward Street
Rochester, Michigan 48307
(248) 608-0277
Egyptian Elders Father Mina Essak St. Mark Coptic Church
3603 Livernois
Troy, Michigan 48083
(248) 689-9099
Southeastern Michigan Indians
Association, Inc.
26641 Lawrence Street
Center Line, Michigan 48015
(586) 756-1350
Taekeuk Village
3712 Williams
Wayne, Michigan 48184
(734) 729-3432
Ukrainian Village
26377 Ryan Road
Warren, Michigan 48091
(586) 755-7720
Native American Lorraine Sherada
Elders
Korean Elders Hyojin Lee
Ukrainian Elders Igor Kometskyi
Cohoctah Twp.
Conway Twp.
Fowlerville
Handy Twp.
losco Twp.
Nancy lzzard 356
302
462
908
244
Hamburg Twp. Sally Hayes 1,964
CONTACT PERSON
Nancy Hall
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
1,349
1,831
2,127
1,921
COMMUNITIES
Brighton
Brighton Twp.
Genoa Twp.
Green Oak
Hartland Twp.
Oceola Twp.
Tyrone Twp.
Alice Andrews 1,162
729
1,018
Pinckney
Putnam Twp.
Unadilla Twp.
Cindy Kaye 177
804
450
Deerfield Twp.
Genoa Twp.
Howell City
Howell Twp.
Marion Twp.
Oceola Twp.
Mark Swanson 409
2,127
1,439
816
718
729
Area
Agency on FY 2004-6 Multi-Year Area Plan
r Aging" FY 2004 Annual Implementation Plan
2. LIVINGSTON COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Brighton Senior Center
850 Spencer Road
Brighton, Michigan 48116
(810) 299-3817
Fowlerville Senior Center
203 N. Collins
Fowlerville, Michigan 48836
(517) 223-3929
Hamburg Senior Center
10407 Merrill
Hamburg Twp., Michigan
48139
(810) 231-4266
Hartland Senior Center
3642 Washington St.
P.O. 900
Hartland, Michigan 48353
(810) 632-6286
Howell Senior Center
925 W. Grand River Ave.
Howell, Michigan 48843
(517) 545-0219
Pinckney Senior Center
125 Putnam Street
Pinckney, Michigan 48169
(810) 225-3758
COMMUNITY FOCAL POINT COMMUNITIES
Oakland Livingston Human County-Wide
Service Agency
2300 E. Grand River
Suite 107
Howell, Michigan 48843
(517) 546-8500
Area Agency on Aging 1-B County-Wide
35 Research Drive, Suite B
Ann arbor, Michigan 48103
(734) 213-6704
Area AkAgenay on FY 2004-6 Multi-Year Area Plan
"AnAging " FY 2004 Annual Implementation Plan plInn.cy MINA • Alamos Ailfif
County-Wide Livingston County
Health Department
2300 E. Grand River
Suite 102
Howell, MI 48843
(517) 546-9850
CONTACT PERSON
M. Catherine Rea
Kathy Sarb
Ted Westmeier
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
18,610
18,610
18,610
APPROXIMATE #
OF 60 PLUS
WITHIN
CONTACT PFRSON COMMUNITY COMMUNITY
Armada Twp. Cathy Wylin 672
Bernice Webb 1,006 Bruce Twp.
Karen Heythaler Center Line 2,248
Clinton Twp. 17,453 Kathleen Hickey
6,672 Eastpointe Mary Grant
Chesterfield Twp. Carol Rose 3,361
AAArea
Agenoy on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan Admocy • Atria* • Answer,. Mg
3. MACOMB COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Armada Twp. Sr. Center
75400 N. Ave., P.O. Box 306
Armada, Michigan 48005
(586) 784-8050
Romeo —Washington-Bruce-
Parks & Recreation Senior
Activity Center
361 Morton
Romeo, Michigan 48065
(586) 752-9601
Center Line Parks & Recreation
Dept.
25355 Lawrence Blvd.
Center Line, Michigan 48015
(586) 757-1610
Charter Twp. of Chesterfield
Senior Center
47275 Sugarbush
Chesterfield Twp., Michigan
48047
(586) 949-0400 Ext. 138
Clinton Twp. Senior
Activity Center
40730 Romeo Plank Road
Clinton Twp., Michigan 48038
(586) 286-9333
Eastpointe Senior Center
16600 Stephens Dr.
Eastpointe, Michigan 48021
(586) 445-5084
V11-7
COMMUNITY
Fraser
Harrison Twp,
Lenox Twp.
Macomb County
CONTACT PERSON
Lori Hammond
Diane Park
Kathy Dodge
Kathy Dodge
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
2,948
3,603
883
139,027
Macomb County Frank Taylor
Macomb County Kathleen Kueppers
Macomb County Thomas Kalkofen
139,027
139,027
139,027
AAAPa nay on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan olOetacy • Atthm • Awrogn
COMMUNITY FOCAL POINT
Fraser Senior Center
34935 Hidden Pine Drive
Fraser, Michigan 48026
(586) 296-8483
Tucker Senior Center
26980 Ballard
Harrison Twp., Michigan 48045
(586) 466-1498
Macomb County Department of
Senior Citizen Services
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6313
Macomb County Department of
Senior Citizen Services
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6313
Macomb County Community
Services Agency
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6999
Area Agency on Aging 1-B
44200 Garfield, Suite 200
Clinton Township, Michigan
48038
(586) 226-0309
Macomb County
Health Department
43525 Elizabeth Road
Mt. Clemens, Michigan 48043
(586) 469-5235
VII-8
COMMUNITY CONTACT PERSON
Macomb Twp. Sal DiCaro
Mt. Clemens Myrna Messenger
New Baltimore Carol Rose
New Haven Kathy Dodge
Cathy Wylin Richmond
r4enoy on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
5,216
COMMUNITY FOCAL POINT
Macomb Township
Senior Center
19925 23 Mile Road
Macomb, Michigan 48042
(586) 992-0710 ext. 2
L'Anse Creuse-Mt. Clemens Sr.
Citizens Program
300 N. Groesbeck
Mt. Clemens, Michigan 48043
(586) 469-5031
Charter Twp. of Chesterfield
Senior Center
47275 Sugarbush
Chesterfield Twp., Michigan
48047
(586) 949-0400 ext. 138
Macomb County Department of
Senior Citizen Services
21885 Dunham Road
Clinton Twp., Michigan 48036
(586) 469-6313
Richmond Township
Senior Center
34900 School Section
Richmond, Michigan 48062
(586) 727-6700
2,867
973
267
Bernice Webb 554
846
Romeo —Washington-Bruce- Ray Twp.
Parks & Recreation Senior
Activity Center
361 Morton
Romeo, Michigan 48065
(586) 752-9601
CONTACT PERSON
Anthony Lipinski
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
9,146
St. Clair Shores Carole Kline 16,477
Shelby Twp. Lori DePauw 9,519
Sterling Heights Helen Cerny 19,954
807 Lori DePauw Utica
Becky Rose 30,560
Aer4leneY
FY 2004-6 Multi-Year Area Plan
A Aging" FY 2004 Annual Implementation Plan sl.seAer • Ie... IIIO I/ ON Asim• Admucy • Arno. • Asnotrr •••n Atkg
COMMUNITY FOCAL POINT COMMUNITY
Roseville Parks and Recreation Roseville
18185 Sycamore St.
Roseville, Michigan 48066
(586) 445-5480
St. Clair Shores Senior
Activities Center
20000 Stephens
St. Clair Shores, Michigan
48080
(586) 445-0996
Shelby Township
Senior Center
51670 Van Dyke
Shelby Twp., Michigan 48316
(586) 739-7540
Sterling Heights Senior
Citizen Center
40200 Utica Road
P.O. Box 8009
Sterling Heights, Michigan
48313
(586) 446-2750
Shelby Township
Senior Center
51670 Van Dyke
Shelby Twp., Michigan 48316
(586) 739-7540
Fitzgerald Recreation Center Warren
4355 East Nine Mile Road
Warren, Michigan 48091
(586) 759-0920
COMMUNITY CONTACT PERSON
Warren Becky Rose
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
30,560
Becky Rose Warren 30,560
Becky Rose 30,560
Warren Becky Rose
Warren Sister Mary Jane
Kleindorfer
ANA
Aiencyon FY 2004-6 Multi-Year Area Plan
"X Aging " FY 2004 Annual Implementation Plan Ad...my • Anlim Ammar s. A*,
COMMUNITY FOCAL POINT
Italian-American Cultural
Senior Center
28111 Imperial Drive
Warren, Michigan 48093
(586) 751-2855
Owen Jax Parks &
Recreation Center
8207 East Nine Mile Road
Warren, Michigan 48089
(586) 757-7570
Stilwell Manor/Joseph
Coach Manor
26600 Burg Road
Warren, Michigan 48089
(586) 758-1310
St. Anne's Senior Center
6100 Arden
Warren, Michigan 48092
(586) 939-3110
30,560
30,560
Ridgewood Recreation Center Warren
13333 Racine
Warren, Michigan 48093
(586) 751-8080
2,593 Romeo —Washington-Bruce- Washington Twp. Bernice Webb
Parks & Recreation Senior
Activity Center
361 Morton
Romeo, Michigan 48065
(586) 752-9601
CONTACT PERSON
Rita Sanders
Pamela Rybka
Tisha Throne
Barbara Mazur
Larry Black
Aaron Simonton
AAAreAgeancY IA\Agilig"
on FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
4. MONROE COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Ash Senior
P.O. Box 21
Carleton, Michigan 48117
(734) 654-2006
Bedford Senior
Citizen Center
1653 Samaria Road
Temperence, Michigan 48182
(734) 856-3330
Dundee Senior
Citizen Center
284 Monroe Street
Dundee, Michigan 48131
(734) 529-2401
Frenchtown Senior
Citizen Center
2786 Vivian Road
Monroe, Michigan 48162
(734) 243-6210
Sullivan Senior Center
13613 Tuttlehill Road
Milan, Michigan 48161
(734) 439-1733
Monroe Senior Center
15275 South Dixie Highway
Monroe, Michigan 48161
(734) 241-0404
COMMUNITIES
Ash Twp.
Bedford Twp.
Erie Twp.
Ida Twp.
Luna Pier
Whiteford Twp.
Dundee Twp.
Petersburg
Summerfield Two.
Berlin Twp.
Carleton
Exeter Twp.
Frenchtown Twp.
London Twp.
Milan
Milan Twp.
La Salle Twp.
Monroe
Monroe Twp.
Raisinville
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
1,072
4,244
723
623
182
706
859
143
442
855
342
478
2,838
384
198
274
720
4,063
2,319
706
COMMUNITIES
Erie Twp.
LaSalle Twp.
Luna Pier
County-wide
County-wide
County-wide
County-wide
CONTACT PERSON
Evelyn Bryant
Tern Hamad
Sally Pritchett
Amber Totten
Judy Heath
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
723
720
182
21,829
21,829
21,829
21,829
Area A Agency on FY 2004-6 Multi-Year Area Plan
AginoB FY 2004 Annual Implementation Plan ANway • Auk* • A4MHS II Arai
COMMUNITY FOCAL POINT
Water Tower Park Center
11345 Harold Drive
Luna Pier, Michigan 48157
(734) 848-8700
Monroe County Comm.
on Aging
106 East First Street
Monroe, Michigan 48161
(734) 240-7363
Monroe Co. Opportunity
Program
1148 S. Telegraph
Monroe, Michigan 48161
(734) 241-2775
Area Agency on Aging 1-B
14930 LaPlaisance
Suite 119
Monroe, Michigan 48161
(734) 241-2012
Monroe County
Health Department
2353 S. Custer Road
Monroe, Michigan 48161
(734) 243-7140
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
709
1,250
10,228
AAgeanoyon FY 2004-6 Multi-Year Area Plan
A Aging " FY 2004 Annual Implementation Plan •Mi.. • Ansi.. Amt
5. OAKLAND COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Addison Township Senior Center
1440 Rochester Road
Leonard, Michigan 48367
(248) 628-3388
Auburn Hills Department
Senior Services
1827 N. Squirrel Road
rn Aubu Hills, Michigan 48326
(248) 370-9355
Berkley Recreation Dept
2400 Robina
Berkley, Michigan 48072
(248) 546-2450
Oxford Park Towers
2345 Oxford Street
Berkley, Michigan 48072
(248) 399-9300
Birmingham Area Senior
Coordinating Council (BASCC)
2121 Midvale
Birmingham, Michigan 48009
(248) 203-5270
Mature Minglers Senior Center
7273 Wing Lake Road
Bloomfield Hills, Michigan 48301
(248) 341-6450
COMMUNITY CONTACT PERSON
Addison Twp. Jeanette Brown
Auburn Hills Karen Adcock
Berkley Chris Doe
Berkley Pennae McLean
Birmingham Theresa Monsour
Bloomfield Christine Tvaroha
Hills
Bloomfield
Twp.
2,206
2,422
2,422
3,484
flA
Area Ageney on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan Aomry • AL114 • !WNW 04 Agiq
APPROXIMATE #
OF 60 PLUS
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON WITHIN
COMMUNITY
Ortonville Senior Center
345 Ball, P.O. Box 429
Ortonville, Michigan 48462
(248) 627-6447
Brandon Twp. Wilma Merritt 1,219
Clawson City Senior Citizen Center Clawson Kay Phillips 2,419
509 Fisher Court
Clawson, Michigan 48017
(248) 583-6700
Commerce-Richardson Commerce Virginia Bullis 3,626
Senior Center Twp.
1485 Oakley Park Drive
Commerce Twp., Michigan 48390
(248) 926-0063
Costick Activity Center Farmington Mary DiManno 2,530
-28600 Eleven Mile Rd. Suite 111 Farmington 15,036
Farmington Hills, Michigan 48336 Hills
(248) 473-1830
Gerry Kulick Community Center Ferndale Paige Gembarski 2,815
1202 Livemois
Ferndale, Michigan 48220
(248) 544-6767
Ortonville Senior Center Groveland Wilma Merritt 535
345 Ball Street, P.O. Box 429 Twp.
Ortonville, Michigan 48462
(248) 627-6447
Hazel Park Senior Center Hazel Park Taheia D. Shofner 2,757
620 W. Woodward Heights Blvd.
Hazel Park, Michigan 48030
(248) 546-4093
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
2,051
Huntington
Woods
Amy Kessler
Independence Margaret Bartos
Twp.
Keego Harbor Virginia Chamberlain
Holly Judy Blakemore
Lathrup
Village
Mary Pollock
AArea Agemoina FFYY 22000044-A6 nMn uualtil-YI mepaireAmreenataPtliaonn Plan
*Marcy • Maim • Ammo
COMMUNITY FOCAL POINT
Highland Senior Center
209 N. John Street, P.O. Box 249
Highland, Michigan 48357
(248) 887-1707
COMMUNITY CONTACT PERSON
Highland Barbara Rollin
Twp.
1,356 Hollyhock Adult Activities
Senior Center
3323 Grange Hall Road
Bldg. 700
Holly, Michigan 48442
(248) 634-7571
Huntington Woods
Parks & Recreation
26325 Scotia Road
Huntington Woods, Michigan 48070
(248) 541-3030
Independence Senior Center
6000 Clarkston Road
Clarkston, Michigan 48348
(248) 625-8231
Keego Harbor Senior Center
2881 Orchard Lake Road
Keego Harbor, Michigan 48320
(248) 681-6172
City of Lathrup Village
27400 Southfield Road
Lath rup Village, Michigan 48076
(248) 557-2600
962
3,770
284
698
Connie Wickersham 1,051 South Lyon Center for Active Adults Lyon Twp.
1000 N. Lafayette
South Lyon, Michigan 48178
(248) 573-8175
ArgeneY °I1
FY 2004-6 Multi-Year Area Plan
A Agin"g Adverscy Agenerra gig FY 2004 Annual Implementation Plan • Adim • or*
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON
Madison Heights Senior Center Madison Jennifer Martin
29448 John R Heights
Madison Heights, Michigan 48071
(248) 545-3464
Milford Senior Center Milford Twp. Rita Sandon
1050 Atlantic Street
Milford, Michigan 48381
(248) 685-9008
Northville Area Senior Center Northville Sue Koivula
215W. Cady
Northville, Michigan 48167
(248) 349-4140
Novi Senior Center Novi Janet McAlpine
25075 Meadowbrook
Novi, Michigan 48375
(248) 347-0414
Oak Park Senior Center Oak Park Rhonda Homer
14300 Oak Park Blvc.
Oak Park, Michigan 48237
(248) 691-7577
Jewish Community Center Oak Park Leslee Magidson
15110W. Ten Mile Road
Oak Park, Michigan 48237
(248) 967-4030
5,586
1,939
534
5,107
4,558
4,558
Older Persons Commission
312 Woodward Street
Rochester, Michigan 48307
(248) 656-1403
Oakland Twp. Marye Miller 1,440
I""n FY 2004-6 Multi-Year Area Plan
Affrig" FY 2004 Annual Implementation Plan Admecy • Mai. • Anws
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
Mature Minglers Senior Center Orchard Lake Christine Tvaroha 384
7273 Wing Lake Road
Bloomfield Hills, Michigan 48301
(248) 341-6450
Orion Senior Center
21 East Church Street
Lake Orion, Michigan 48362
(248) 693-2066
Orion Twp. Marylou Enneking 3,019
Oxford Senior Citizens Center Oxford Twp. Evy Jorgensen 10,593
28 North Washington
Oxford, Michigan 48051
(248) 628-9056
City of Pleasant Ridge Pleasant Scott Pietrczsk
4 Ridge Road Ridge
Pleasant Ridge, Michigan 48069
(248) 542-7322
407
Bowen Senior Center Pontiac Tabatha Hickey
52 Bagley Street
Pontiac, Michigan 48341
(248) 857-5723
Howard Dell Senior Center Pontiac Willie Martinez
345 Edison Street
Pontiac, Michigan 48342
(248) 758-3233
La Amistad Senior Center Pontiac Raquel M. Casillas
990 Joslyn Road
Pontiac, Michigan 48340
(248) 338-7066
7,548
7,548
7,548
Lighthouse of Oakland County Pontiac Noreen Keating
46152 Woodward
Pontiac, Michigan 48342
(248) 920-6100
Older Persons Commission Rochester Marye Miller
312 Woodward Avenue Rochester
Rochester, Michigan 48307 Hills
(248) 656-1403
Hollyhock Adult Activities Rose Twp. Judy Blakemore
Senior Center
3323 Grange Hall Road
Bldg. 700
Holly, Michigan 48442
(248) 634-7571
7,548
1,430
9,865
666
Area Agency on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
COMMUNITY FOCAL POINT COMMUNITY CONTACT PERSON
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
Ruth Peterson Senior Center. Pontiac Marlene Marion- 7,548
Gough 990 Joslyn Rd.
Pontiac, Michigan 48340
(248) 857-5631
Royal Oak Senior Center
3500 Marais
Royal Oak, Michigan 48073
(248) 246-3900
Pearl Wright Senior Center
21075 Wyoming
Ferndale, Michigan 48220
(248) 542-6752
Southfield Senior Adult Center
23450 Civic Center Drive
Southfield, Michigan 48034
(248) 827-0700
Royal Oak Kathleen Heikkila
Royal Oak Silena Johnson
Twp.
Southfield Nicole Massina
10,788
1,135
14,894
VII-19
COMMUNITY
South Lyon
CONTACT PERSON
Connie Wickersham
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
1,793
Troy
Troy
Troy
Carla Vaughn
Luisa Hartman
Anna Oaks
11,500
11,500
11,500
Walled Lake Maria Spence 1,035
Springfield
Twp.
Sherry Austin 1,216
Sylvan Lake Virginia Chamberlain 325
AAA g e
a nay on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan Agway • An.# • Aurm Allq
COMMUNITY FOCAL POINT
South Lyon Center for Active Adults
1000 N. Lafayette
South Lyon, Michigan 48178
(248) 437-0863
Springfield Township ,
Parks & Recreation
12000 Davisburg Road
Davisburg, Michigan 48350
(248) 634-0412
Keego Harbor Senior Center
2881 Orchard Lake Road
Keego Harbor, Michigan 48320
(248) 681-6172
Troy Community Senior Center
3179 Livemois
Troy, Michigan 48083
(248) 524-3484
Oakland Park Towers I
920 John R
Troy, Michigan 48083
(248) 588-7611
Oakland Park Towers ll
930 John R
Troy, Michigan 48083
(248) 585-9340
Walled Lake Villa Senior Center
1035 Walled Lake Villa Drive
Walled Lake, Michigan 48390
(248) 669-4590
COMMUNITY
Waterford
Twp.
CONTACT PERSON
Lannette Amon
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
10,317
West
Bloomfield
Twp.
Bloomfield
Twp.
West
Bloomfield
Twp.
Waterford
Christine Tvaroha
Marci Makowitz
Lannette Amon
11,609
10,228
11,609
10,317
993 Carol Kehoe Wixom
Oakland
County
Ronald Bomgesser 177,634
AAArea Agency on FY 2004-6 Multi-Year Area Plan
Agig" FY 2004 Annual Implementation Plan Aclin • Amens
COMMUNITY FOCAL POINT
Waterford Senior Center
6455 Harper Street
Waterford, Michigan 48329
(248) 623-6500
Mature Minglers Senior Center
7273 Wing Lake Road
Bloomfield Hills, Michigan 48301
(248) 341-6450
West Bloomfield
Parks & Recreation
4640 Walnut Lake Road
W. Bloomfield, Michigan 48323
(248) 738-2500
Waterford Senior Citizens
6455 Harper Street
Waterford, Michigan 48329
(248) 623-6500
Wixom Senior Citizen's Center
49045 Pontiac Trail
Wixom, Michigan 48393
(248) 624-2850
Oakland Livingston Human
Service Agency
196 Oakland Ave.,P.O. Box 430598
Pontiac, Michigan 48343
(248) 209-2600
Oakland John Erich
County
177,634
Sandra K. Reminga 177,634
AAi
e
nay on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan •MUM • Aaittr. 41.1
COMMUNITY FOCAL POINT
APPROXIMATE #
OF 60 PLUS
COMMUNITY CONTACT PERSON WITHIN
COMMUNITY
Community Services of Oakland
345 E. Nine Mile Rd.
Ferndale, Michigan 48220
(248) 542-5860
Area Agency on Aging 1-B Oakland
29100 Northwestern Hwy., Ste. 400 County
Southfield, Michigan 48034
(248) 357-2255
Health Connection
555 Towner Blvd. 1
Ypsilanti, MI 48197
(734) 484-6610 Ext. 4125
Catholic Social Services
of Washtenaw
4925 Packard Road
Ann Arbor, MI 48108
(734) 712-3625
Oakland County Health Division
1200 N. Telegraph
Pontiac, Michigan 48341
(248) 858-1410
County-Wide Ann Brown
County-Wide Larry Voight
County-Wide George Miller
35,478
35,478
177,634
Burtchville Twp. Scott Crawford
Clyde Twp.
Fort Gratiot Twp.
Grant Twp.
Kimball Twp.
Marysville
Port Huron
Port Huron Twp.
Wales Twp.
673
747
1,974
185
1,188
2,016
5,606
1,437
389
Berlin Twp.
Capac
Emmett Twp.
Mussey Two.
Riley Twp.
Jan Hathcock 342
205
299
440
356
Debbie Heraty Algonac
Casco Twp.
China Twp.
Clay Twp.
Columbus Twp.
Cottrellville Twp.
East China
Ira Twp.
Marine City
St. Clair
St. Clair Twp.
810
521
409
1,875
520
555
940
913
823
1,056
984
• Brockway Twp.
Greenwood Twp.
Kenockee
Lynn Twp.
Yale
Jan Hathcock 255
188
307
151
407
AAA;eney on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan AMeasy Attian • burnt *4 Atiq
6. ST. CLAIR COUNTY COMMUNITY FOCAL POINTS:
APPROXIMATE #
OF 60 PLUS
COMMUNITY FOCAL POINT COMMUNITIES CONTACT PERSON WITHIN
COMMUNITY
Port Huron Senior Center
600 Grand River Avenue
Port Huron, Michigan 48060
(810) 984-5061
(800) 297-0099
Cherry Beach Senior Center
7232 S. River Road
Marine City, Michigan 48039
(810) 765-3523
(800) 779-4488
Mitchell Senior Center
3 First Street
Yale, Michigan 48097
(810) 387-3720
(800) 717-4422
West Central Senior Center
112 South Main
Capac, Michigan 48014
(810) 395-7889
(800) 361-8877
A4
Are
a nay on FY 2004-6 Multi-Year Area Plan
A Aging" FY 2004 Annual Implementation Plan Ati1. • Anew, Agiq
1111nImomm
COMMUNITY FOCAL POINT COMMUNITIES
MI!
APPROXIMATE #
OF 60 PLUS
CONTACT PERSON WITHIN
COMMUNITY
Area Agency on Aging 1-B
1985 Gratiot
Marysville, Michigan 48040
(810) 388-0096
County-wide Barbara Lavery 26,445
St. Clair County Council County-wide Laura Newsome 26,445
on Aging
600 Grand River Avenue
Port Huron, Michigan 48060
(810) 987-8811
(800) 297-0099
St. Clair County County-wide Jon Parsons 26,445
Health Department
3415 28th Street
Port Huron, Michigan 48060
(810) 987-5300
CONTACT PERSON
Linda McKenny --
Michelle Kraemer
Colleen O'Neil
Nancy Paul
Phyllis Herzig
Helen Nafranowicz
COMMUNITIES
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
Ann Arbor
Ann Arbor
Chelsea
Sylvan Twp.
Lima Twp.
Lyndon Twp.
Dexter
Ann Arbor
Ypsilanti
11,839
11,839
1,214
1,417
524
301
618
11,839
1,999
AArea A Agency on FY 2004-6 Multi-Year Area Plan
Aling" FY 2004 Annual Implementation Plan Adfocety - Mika • Actlifff 44 Avg
7. WASHTENAW COUNTY COMMUNITY FOCAL POINTS:
COMMUNITY FOCAL POINT
Ann Arbor Community Center
625 North Main
Ann Arbor, Michigan 48104
(734) 662-3128
Ann Arbor Senior Center
1320 Baldwin
Ann Arbor, Michigan 48104
(734) 769-5911
Chelsea Senior Citizen
Activity Ctr.
500 Washington Street
Chelsea, Michigan 48118
(734) 475-9242
Dexter Senior Nutrition Center
7714 Ann Arbor Street
Dexter, Michigan 48130
(734) 426-5397
Jewish Community Center
2935 Birch Hollow Drive
Ann Arbor, Michigan 48108
(734) 971-0990
Lincoln Senior Citizen's Center
8970 Whittaker
Ypsilanti, Michigan 48197
(734) 483-8366
VII-25
COMMUNITIES CONTACT PERSON
Manchester Twp. Marian Ahrens
Sharon Twp.
Augusta Twp.
Milan
York Twp.
Kay Beckman
Superior Twp.
Whitmore Lake
Pittsfield Twp.
Bridgewater Twp.
Freedom Twp.
Lodi Twp.
Pittsfield Twp.
Saline
Saline Twp.
York Twp.
Deena Baty
Nancy Kuczma
Carol Presley
Reni Chemin
AArea
A Amos, on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan Adfnmect • 46tior • Am... Alf .11
COMMUNITY FOCAL POINT
Manchester Senior Citizens
912 City Road
Manchester, Michigan 48158
Milan Senior & Community
Activity Center
45 Neckel Court
Milan, Michigan 48160
(734) 439-1549
Northeast Seniors
5221 Church Road
Ann Arbor, Michigan 48105
(734) 276-5896
Northfield Township
Senior Center
9101 Main Street, P.O. Box 431
Whitmore Lake, Michigan 48189
(734) 449-2295
Pittsfield Senior Center
701 W. Ellsworth
Ann Arbor, Michigan 48108
(734) 996-3010
Saline Area Senior Center
7605 North Maple Road
Saline, Michigan 48176
(734) 429-9274
APPROXIMATE #
OF 60 PLUS
COMMUNITY
638
217
737
438
690
1,160
734
2,380
235
207
729
2,380
1,151
197
690
CONTACT PERSON
• Carolyn White
Deliena Grantham
Donna Lee Homyak
Kathy Sarb
Ellen Clement
APPROXIMATE #
OF 60 PLUS
WITHIN
COMMUNITY
11,839
1,999
4,964
1,160
35,478
35,478
&Ana A Agency on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan Adonoty • Actie. • 401
COMMUNITY FOCAL POINT COMMUNITIES
Turner Senior Resource Center Ann Arbor
2401 Plymouth Road, Suite C
Ann Arbor, MI 48105
(734) 998-9355
Ypsilanti Senior Citizen Center Ypsilanti
1015 Congress
Ypsilanti, Michigan 48193
(734) 483-5014
Ypsilanti Township Ypsilanti Twp.
Recreation Center Superior Twp.
2025 East Clark Road
Ypsilanti, Michigan 48198
(734) 544-3838
Area Agency on Aging 1-B County-wide
35 Research Drive, Suite B
Ann Arbor, MI 48103
(734) 213-6704
Washtenaw County Public County-wide
Health Department
555 Towner
Ypsilanti, MI 48197
(734) 484-7200
kAge
a ney on FY 2004-6 Multi-Year Area Plan
A Aging " FY 2004 Annual Implementation Plan
VIII. APPENDIX A - PUBLIC HEARINGS
Fiscal Years: 2004 - 2006
Area Apencv: Area Aaencv on Aaina 1-B
DATE LOCATION TIME BARRIER FREE NUMBER OF
(Y or N) ATTENDEES
June 3, 2003 Warren Community Center
5460 Arden 9:30 a.m. Y 22
Warren, Michigan
,
June 3, 2003 Turner Senior Resource Center
2401 Plymouth Road 1:30 p.m. Y 30
Ann Arbor, Michigan
Narrative:
The Area Agency on Aging 1-B (AAA 1-8) conducted two public hearings on its Proposed FY 2004 - 2006 Area Plan on
June 3, 2003 in Warren and Ann Arbor. 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.
Fifty-two individuals attended the hearings, including eleven older persons and one elected official, and the
representatives of three other elected officials. In addition to the oral testimony presented at the hearings, there were two
written comments received. Comments provided at the hearings could be categorized into three general areas; support
for very specific aspects of the plans, recommendations for items to be included or emphasized within the plans, and
discussion of needed advocacy and resource development to expand services for older persons and family caregivers.
As a result of the comments received at the public hearings, the following Program Development objectives were made to
the proposed Plan:
rAAZeney on FY 2004-6 Multi-Year Area Plan
IfilnAging 143 FY 2004 Annual Implementation Plan
Objective Desired Outcome Activities Completion
Date
Develop a multi-faceted The AAA 1-B will have an 1 Identify stakeholders in home health care direct September
plan to address the approved plan that care workforce recruitment and retention. 30, 2004
barriers inherent in the identifies activities which 2. Investigate innovative methods to achieve
recruitment and retention will lead to enhanced enhanced workforce recruitment and retention.
of home health care workforce recruitment 3. Identify potential resources support activities that
providers' direct care and retention among will result in enhanced workforce recruitment and
workforce. home care provider retention.
agencies. 4. Assess the feasibility of implementing identified
alternatives.
5. Secure AAA 1-B Board approval of plan which
includes a strategy that will result in enhanced
direct care workforce recruitment and retention.
Develop and implement Older adults will have 1. Assess current advocacy models to determine September
an advocacy plan to access to a meaningful effective strategies for recruiting and developing 30, 2004
achieve a meaningful prescription drug benefit a coalition of advocates.
prescription drug benefit that this available under 2. Define roles of advocates and determine key
as part of the Medicare Medicare. messages of prescription drug advocacy
program. campaign.
3. Recruit a core group of advocates.
4. Train advocates on effective advocacy
techniques and strategies.
5. Facilitate opportunities for advocates to interact
with decision makers.
6. Educate advocates about current legislative
prescription drug proposals under consideration
by Congress.
7. Request that advocates take action, when
necessary, to affect change.
V111-2
Aga'
a cyan FY 2004-6 Multi-Year Area Plan
A Aling " FY 2004 Annual Implementation Plan AWOKKI • Actmo • Ammer. Aliff
PUBLIC HEARING TESTIMONY SUMMARY
The following is a summary of testimony provided by service providers and older adults
on the Area Agency on Aging 1-B's Area Plan:
Housing
Service provider testimony advocated for the development of affordable assisted living,
indicating that the Ml Choice program is a viable resource to lower assisted living costs
for selected individuals. Testimony stressed that the MI Choice benefit should follow
the individual to the setting of their choice. Additional testimony indicated that family
members need to be better educated about assisted living options, and trained in how
to compare assisted living facilities.
Service provider testimony indicated that more funding to support the provision of ramps
for low-income disabled older persons is needed, citing the agency's ramp wait list of
over 100 individuals. Testimony indicated there are individuals on the wait list who have
not left their homes in 3-5 years.
Service provider testimony expressed concern about the negative consequences of
many older persons who hoard items in their housing units, and described the risks this
behavior places on residents. Additional testimony indicated there is a need for a
service that will help intervene in these situations by eliminating the debris and
conducting a though cleaning of the housing unit.
Service provider testimony indicated that long term care insurance has the potential to
eliminate or delay the need for publicly supported long term care services, and potential
consumers need to be educated about the factors individuals need to consider relative
to purchasing long sterm care insurance.
Service provider testimony warned that unscrupulous mortgage lenders continue to prey
on older homeowners by putting individuals into mortgages with payments that are
unaffordable, and concealing additional costs to homeowners.
Service provider testimony supported proposed Area Plan services that assist older
persons to age in place, but indicated that there are many older persons who will need
to move their residence, and they also need support in making housing transitions.
Older persons should consider alternative housing options in a thoughtful and planned
manner, so they are prepared if forced to move due to a crisis.
Prescription Drugs
Older adult testimony stressed the importance of assisting older persons to afford
prescription drugs, indicating that if medications are not being taken as prescribed,
VIII-3
AA11111" FY 2004-6 Multi-Year Area Plan
A Aging " FY 2004 Annual Implementation Plan Adfency • AGAR • Maser 4t711
individuals will not be able to maintain their health. Testimony advocated that
prescription drug assistance be our highest public policy priority.
Older adult testimony expressed concern about congressional proposals to address
prescription drug affordability because the proposals focus on access to prescription
drugs, but do nothing to lower the actual cost of the drugs, which is the root cause of the
prescription drug affordability problem.
Older adult testimony expressed opposition to the practice of using public funding to
subsidize basic research that is utilized by pharmaceutical manufacturers to develop
new drugs. Testimony also expressed concern about expensive advertising and its
impact on the cost of prescription drugs.
Service provider testimony described a program that utilizes staff and volunteers to help
low-income older persons to obtain prescription drugs from the manufacturers at little or
no cost. This project has secured prescription drugs valued at over $600,000 during the
past three years for 250 older persons. Testimony indicated that a tremendous amount
of effort is required to fulfill the manufacturer's application requirements for eligibility
determination, and reported that many of the older persons they assist could not
manage the application process without their assistance. The AAA 1-B was asked to
provide support for a county position that is dedicated to assisting older persons to
access prescription drug manufacturer's indigent drug programs.
Older adult volunteer testimony verified that many older persons have difficulty
completing applications for assistance from prescription drug manufacturer indigent
drug programs, and asked for help from the AAA 1-B in supporting programs that assist
older adults to access these needed medications.
Area Plan
Service provider testimony expressed support for the funding and program development
priorities proposed in the AAA 1-B's FY 2004 — 2006 Area Plan, indicating that they
accurately target many of the most essential unmet needs of older persons.
Advocacy
Service provider testimony reported that a local senior advocacy group has reviewed
the proposed Area Plan and given their support. The advocacy group also offered to
join with the AAA 1-B in advocating on behalf of the issues identified in the Plan.
Elected official testimony described the role of partisan politics in the legislative decision
making process, and stressed that effective advocacy strategies must overcome
partisan political barriers in order to achieve desired change.
Senior Centers
Service provider testimony advocated for the development of more diverse sources of
funding to support the operation of senior centers, indicating that resources like the
VIII-4
AA,Age
a ney on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
Community Development Block Grant program have too many restrictions on the use of
funding. Testimony suggested that senior millages may be a viable funding alternative.
Service provider testimony expressed concern over the Senior Center Staffing service
definition, which limits any single organization from receiving a Senior Center Staffing
grant from the AAA 1-B for more than three consecutive years. Testimony was
sensitive to the purpose of allowing new organizations to compete for the limited
funding, but in counties where all senior centers are operated by a single organization,
the policy will effectively prohibit that county's senior centers from benefiting from Senior
Center Staffing funds at least one in every four years.
Transportation -
Service provider testimony indicated that transportation continues to be a major concern
for many transit dependent older persons, particularly for those who need help in getting
to medical appointments and for grocery shopping.
Social Isolation
Service provider testimony indicated that their direct care staff report increasing levels
of social isolation among the frail elderly. Additional testimony advocated for the
development of programs that address and mitigate social isolation among older
persons with disabilities and mobility limitations.
Family Caregivers
Service provider testimony described how many family caregivers have difficulty in
managing their caregiving responsibilities due to the stress and difficulties in dealing
with public benefits programs. Additional testimony described a program that trains
volunteers to support family caregivers through a peer-to-peer model.
In-Home Services
Service provider testimony stressed the importance of providing in-home supportive
services that assist frail older persons to maintain their independence.
Direct Care Workers
Service provider testimony thanked the AAA 1-B for a recent increase in allowable
reimbursement rates for the homemaking service. The rate change was needed to help
increase the salaries of direct care staff. Additional testimony stressed the importance
of developing programs that facilitate greater direct care worker retention, training, and
support.
Counseling
Older adult testimony described their experience as a counseling client and expressed
appreciation for this valuable service. The counselor skillfully helped the individual to
accept a disabling condition, overcome severe depression, and adjust their lifestyle to
incorporate positive elements.
V111-5
kAreaenoy oin.B FFYY 22000044-A6 nMnuu latil-YI mepairetreenataPtliaonn Plan
• Aammuv A.
Volunteer Respite
Service provider testimony expressed concern over the AAA 1-B Interfaith Volunteer
Caregiver service definition that requires grant recipients to be an independent
501(c)(3) corporation. Testimony indicated that in some bedroom communities, the
nature of religious congregations does not lend itself to supporting interfaith volunteer
caregiving through an independent multi-congregation based organization.
Long Term Care
Service provider testimony thanked the AAA 1-B for its leadership in forming the MI
Choice Coalition, and in securing the re-opening of the MI Choice program. Testimony
indicated that this method of coalition-building should be utilized to address other key
aging issues such as transportation, housing, prescription drugs, and persons in need of
long term care assistance who are not eligible for Medicaid.
Senior Nutrition Program
Service provider testimony expressed concern about the length of time required to
determine eligibility for the home delivered meals program. Testimony objected to plans
to explore strengthening the consolidation of assessment functions in additional Region
1-B counties.
Mime, • Atli. • *war ex A fig
Agencyon
FY 2004-6 Multi-Year Area Plan
k Aging " FY 2004 Annual Implementation Plan
APPENDIX B
MEMBERSHIP OF THE BOARD OF DIRECTORS
Agency: Area Agency on Aging 1-B As of: May, 2003
DEMOGRAPHICS
Asian/ Pacific African Native Hispanic Persons with Female Total
Island American American/Alaskan Origin , Disabilities , Total 2 0 0 4 9 15 Membership _
Age 60 or 0 2 0 0 4 7 13 Over _
NAME of BOARD GEOGRAPHIC AFFILIATION
Check Those That Are Appropriate
MEMBER AREA Elected Official Appointed Community Rep _
John LaBelle Livingston County Commissioner X X
Joan Flynn Macomb County Commissioner X _ _ .
Floreine Mentel Monroe County Commissioner X X
Greg Jamian Oakland County Commissioner X _
Howard Heidemann St. Clair County Commissioner X
Barbara Levin Bergman Washtenaw County Commissioner X X _
Vurn Bartley, Jr. Regional Banking (Retired) X
VIII-7
AriFeneyon FY 2004-6 Multi-Year Area Plan
r Aging" FY 2004 Annual Implementation Plan Alsmorty • Ame. • LISIUTS NI Ali11(
Check Those That Are Appropriate NAME of BOARD GEOGRAPHIC AFFILIATION MEMBER AREA Elected Official Appointed Community Rep _
United Community Mae Derdarian Regional Services (Retired) , _
Jan Getty Regional Health Care X
Chris Gustafson Regional Ross Labs (Retired)
Robert McMahon Regional SEMCOG
Children's Village X Clara White Oakland (Retired)
Vacant
Vacant _
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
Jeanne Criger St. Clair Older Adult Rep X
Tom Miree Washtenaw Older Adult Rep _ X
VIII-8
Aar" my on
Aging 1-B
kerne, • *M.* • 4.10...
FY 2004-6 Multi-Year Area Plan
FY 2004 Annual Implementation Plan
APPENDIX C
MEMBERSHIP OF THE ADVISORY COUNCIL
Agency: Area Agency on Aging 1-B As of: May, 2003
DEMOGRAPHICS
, Asian/ Pacific African Native 1 Hispanic Persons with
, Island American American/Alaskan Origin Disabilities Female Total
Total 0 1 0 1 3 8 12 Membership _
Age 60 or 1 0 1 3 5 Over
NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER _ _
Margaret Belton Private Sector Representative Huron Valley Hospital _
Kim Haveraneck Private Sector Representative Emerald Food Services _
Blake Martin Private Sector Representative ComForcare Senior Services _ ,
Rochelle Upfal Private Sector Representative Wingate Management Corp.
Vacant Private Sector Representative
Vacant Private Sector Representative
Vacant _ Private Sector Representative
Thomas Kalkofen Macomb County Macomb County Health Department
VIII-9
Area
Agency on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION
MEMBER
Wayne State University Peter Lichtenberg Regional Institute of Gerontology
James Nunnold St. Clair Family Independence Agency
Sandra Plumer Oakland County Botsford Health Care System
Frank Taylor Macomb County Community Services Agency
(Title III Service Provider)
Vacant
Vacant
Robert Hull Regional Michigan Senior Advocate
Jean Robinson Regional Michigan Senior Advocate
Donald Ziemer Regional Michigan Senior Advocate _
Roscoe Stuber Livingston County Older Adult Services Representative ,
Vacant Livingston County Older Adult Services Representative
Vacant Macomb County Older Adult Services Representative
Vacant Macomb County Older Adult Services Representative
James Seegert Monroe County Older Adult Services Representative
Vacant Monroe County Older Adult Services Representative
Ardemis Kalousdian Oakland County Older Adult Services Representative
Anna Mickel Oakland County Older Adult Services Representative
Robert Sanchez Oakland County Older Adult Services Representative
VIII-10
111\11;ertey OA FY 2004-6 Multi-Year Area Plan
164\`. Aging 143 FY 2004 Annual Implementation Plan
NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER _
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
V III-11
A 1 neyou uFY 2004-6 Multi-Year Area Plan
-4, Aging " FY 2004 Annual Implementation Plan AIntecy • kik* • A.m. on 41011
AREA AGENCY ON AGING 1-B
CRITERIA AND PROCEDURES FOR APPLICATION REVIEW
FY 2004-2006
D. PROPOSAL SELECTION CRITERIA:
1. All applications submitted to the AAA 1-B for federal or state funding must
meet the following pre-screening criteria before being reviewed and
considered for funding:
a. All five (5) complete copies of the application submitted, with
original, authorized signatures on the summary budget, agreement
and assurance pages of the first copy. The remaining four (4)
copies may have photocopied, rather than original, signatures.
b. Copies of the application submitted to the AAA 1-B Southfield office
by the published deadline.
c. Verification of the applicant's corporate status submitted with the
application or on file at the AAA 1-B office (if not a public agency).
d. Appropriate services applied for, as listed in the AAA 1-B Request
for Proposals.
2. Applications which meet the above criteria will be reviewed and rated on
the following:
a. Responsiveness to OSA and MA 1-B Service Standards.
b. Ability to be client-centered in bringing quality service to older
adults.
Evidence of directing service to targeted populations.
d. Cost efficiency and expanded service capacity through effective
budgeting, use of additional resources, etc.
e. Flexibility and innovation in service delivery.
f. Completeness and clarity of the application.
g. Past performance, for current and prior contractors.
VIII-12
AAPa noy on FY 2004-6 Multi-Year Area Plan
A Aging " FY 2004 Annual Implementation Plan
3. Applications will be reviewed by an Application Review Committee
appointed by the Chairperson of the AAA 1-B Board of Directors, and
consisting of representatives from the AAA 1-B Board of Directors and
Advisory Council. Programmatic and fiscal application review forms will
be used by staff to identify how well an application meets the stated
criteria.
4. Contracts for services will be awarded by the Board of Directors to
agencies whose applications best meet the stated criteria, and are most
advantageous to the AAA 1-B goals of cost effective delivery of quality
services, in response to older adults most in need. All contracts will be
awarded on the basis of availability of funds. In cases where no
application best meets the criteria, the AAA 1-B Board has the right to
deny all applications and to issue a second request for proposals for the
desired service.
5. All applications will receive written notice of the Board's decisions, which
will be mailed within five (5) calendar days of the Board meeting at which
funding decisions are made. All applicants will receive notice of the AM
1-B Applicant/Contractor and Administrative Appeal Procedure, should
they wish to appeal the Board's decision.
6. The majority of contracts will be awarded for a three-year period, with first
year funding determined at the start of the contract, and subsequent
funding determined on an annual basis. Senior Center Staffing will be
funded for one year on a seed money basis, with the option of re-funding
for a maximum total of three years. Grandparents Raising Grandchildren
will also be funded annually. The AAA 1-B Care Managers and Resource
Advocacy contractors continue to strengthen the Access Team
procedures and protocol and continue to coordinate as a unit.
7. Once the AAA 1-B Board of Directors has determined funding levels for
the new contract year, client and unit numbers may have to be negotiated,
based on serving levels recommended by the Board. There may be other
application changes or program requirements which are noted in the
funding decision. Once the applicant has returned the response letter to
the AAA 1-B accepting the funding decision, AAA 1-B staff will negotiate
with applicants all further aspects of the contract. Any changes from a
Board recommendation will be reported back to the Board of Directors.
Every effort will be made to have negotiations completed and contracts
signed by October 1.
8. Requests for a waiver of any AAA 1-B policy must be submitted in writing
to the AAA 1-B with the application. At minimum, waiver requests . must
contain the following information:
VIII-13
&Area A Agency on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan Abiricocy • Attie* • Misam 4041
• The specific AAA 1-B policy for which the waiver is requested.
• The reasons why such a waiver is needed.
• The date on which the waiver would take effect, if approved.
All policy waivers are subject to the discretion of the AAA 1-B Board of
Directors. No waivers are granted for insurance requirements.
Organizations will receive written notification of the AAA 1-B disposition of
their waiver request within ten calendar days of Board action.
9. Funding levels for contract negotiations for the second and third years will
depend on the availability of funds, on the successful fulfillment of
contracted spending and sewing levels in the current contract, and on
positive fiscal and programmatic site assessments with no compliance
issues outstanding. To negotiate the subsequent years of funding, the
contractor will be asked to submit a budget, a summary of service delivery
and programmatic goals/objectives, and any additional information
required by the AAA 1-B.
10. The AAA 1-B reserves the right to adjust a contract after the first year,
and/or to issue a new RFP for any contracted service before the end of
the original contract period, based on, but not limited to, considerations of
the following:
a. Inadequate contractor performance.
b. Subsequent amendments to the AAA 1-B multi-year plan or annual
implementation plan.
c. Significant changes in the scope or nature of the service to be
provided as related to state or federal requirements.
11. Contracts for Hearing Assistance, Nutrition and Senior Center Staffing
services will be reimbursed on the basis of a fixed unit rate. All other
contracts will be reimbursed on the basis of monthly expenditures.
12. Unit reimbursement is understood as a method of payment for contracted
services, based on a fixed unit rates which is determined prior to the
finalizing of a contract for services. Individual contracted unit rates will
vary with various contractors. The primary consideration in use of this
system is to ensure the provision of quality, cost efficient units of service
at the contracted rate, and during the entire contract period. Service
quality will be monitored under existing service standards and definitions.
AAg
A alloy= FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan 4iNiceey • Aufo Oman .4 Apoti
13. The unit rate for a particular contractor will be determined each funding
year, through a process involving negotiation with the contractor and a
review of the following: a line item budget for the subsequent year,
submitted by the contractor; actual costs reported on the most recent
year-end and monthly reports; and information on unit costs for the
particular service category on the state-wide, regional and/or local levels.
All components for the cost of a unit will be used to determine a total unit
cost figure. These components include: 1) the AAA 1-B funds; 2) local
match; 3) program income; 4) additional resources; and 5) (in the case of
nutrition) USDA reimbursement. A unit will be reimbursed based on the
AAA 1-B portion of the total figure.
AAArea ay on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan
APPENDIX E
PLANNED ENTREPRENEURIAL ACTIVITIES
Fiscal Years: 2004— 2006
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 MA 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 physicians 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 including a quarterly magazine, scheduled community
events, the annual "Solutions for Family Caregivers" health fair, 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, and the
garnering of additional financial support through grant writing on behalf of collaboratives
the agency engages in with other community based non profits.
Area Agenoyon FY 2004-6 Multi-Year Area Plan
"AV‘Aging " FY 2004 Annual Implementation Plan
F. REGIONAL SERVICE DEFINITIONS:
In-Home Services - Chore:
SERVICE NAME., Chore _
SERVICE NUMBER B-1 _
SERVICE CATEGORY In-Home
Non-continuous household maintenance tasks intended to
SERVICE DEFINITION increase the safety of the individual(s) living at the
residence.
—
••:UNIT OF SERVICE . On hour spent performing specific chore tasks for eligible
„
r t
' 'CONTRACT TYPE Expenditure
MANDATORY OUTDOOR CHORE TASKS
All contractors must provide the following services:
Snow removal - Minimum service level:
> 2"+ level (Generally December March)
> Goal is to facilitate access to and from the home, mailbox, or garage (dependant
on client need)
> Must include sidewalks where required by community ordinance
Lawn cutting - Minimum service level:
• Bi-Monthly (Generally May - October)
Screen/storm window/window air conditioner installation and removal
> Generally April & October
Gutter Cleaning/Roof Sweeping
> Generally April & November
MANDATORY INDOOR CHORE TASKS
All contractors must provide the following services:
Minor Home Repair (Generally tasks that do not require a permit):
> Plumbing: Eligible tasks include replacing/repairing pipes; replacing
faucets/faucet washers; and repairing toilets.
> Carpentry: Eligible tasks include repairing steps, floorboards, railings, other
minor jobs as needed.
VIII-17
Airzeney on FY 2004-6 Multi-Year Area Plan
1-B FY 2004 Annual Implementation Plan
• Electrical: Eligible tasks include replacing fuses, bulbs, plugs and frayed cords.
• Heavy cleaning/Trash Removal: Eligible tasks include cleaning attics,
basements and other living areas of home that pose a health risk.
OTHER MANDATORY CHORE TASKS
> 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 Social Services Contract Manager.
OPTIONAL CHORE TASKS
Tasks listed below may ONLY be provided if units/funding are available after completion
of mandatory tasks:
Approved Outdoor Chore Tasks
> Repairing address numbers and mailboxes
> Trimming hedges and trees
> Outdoor spring clean-up (i.e. leaves)
> Washing windows
> Miscellaneous tasks with prior written approval from the AAA 1-B Social Services
Contract Manager
Approved Indoor Chore Tasks
> Cleaning carpets and rugs
> Pest control
> Washing walls & windows
> Miscellaneous tasks with prior written approval from the AAA 1-B Social Services
Contract Manager
MINIMUM SERVICE STANDARDS
1. Only the chore service tasks listed above shall be provided unless prior approval is
obtained from AAA 1-B.
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.
VIII-18
Area
Agency on FY 2004-6 Multi-Year Area Plan
`ii"41"" FY 2004 Annual Implementation Plan
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-funded chore
services (CDBG) 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 client 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 centers 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.
AAgen"
FY 2004-6 Multi-Year Area Plan AArea
/Aging 1-B FY 2004 Annual Implementation Plan
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. All subcontracting agreements must be approved by the AAA 1-B Social
Services Contract Manager (see the AAA 1-B Subcontracting Agreement form).
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.
VIII-20
AA411107 011 FY 2004-6 Multi-Year Area Plan
Aging 13 FY 2004 Annual Implementation Plan Mmety • kites • A...m.4MS
Community Services - Interfaith Volunteer Caregiver:
SERVICE NAME Interfaith Volunteer Caregiver — Faith in Action
.. ,
SERVICE NUMBER , , , .
SERVICE CATEGORY Community/In-Home
Management, recruitment, and matching of volunteers with
older adults and/or caregivers in need of companionship,
assistance, transportation and/or respite. The provision of
volunteer in-home respite in the absence of or to relieve the
primary caregiver shall include companionship, supervision
SERVICE DEFINITION - and assistance with instrumental activities of daily living .,.
such as light homemaking, light chores, errand running,
meal preparation, eating, and other tasks the client may
have difficulty performing or be unable to perform without
assistance. No hands on care (i.e., bathing, toileting), shall
be provided by volunteers. . .
UNIT OF SERVICE One hour of allowable tasks
MINIMUM STANDARDS
1. Programs must be governed and supported by representatives from faith-based
and community organizations. Programs must be separately incorporated and
independent with a 501 (c)(3) status.
2. Programs must maintain a policy, which assures that individuals of all religious
denominations or affiliation, and those without religious affiliations, can be
served.
3. Programs must maintain a policy which requires volunteers to agree in writing,
not to solicit nor accept monetary contribution from clients and/or caregivers for
their own use; nor attempt the sale of any type of merchandise or service to client
and/or caregivers; and agree not to seek, or encourage the acceptance on the
part of client 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.
VIII-21
Area Agsnoyon FY 2004-6 Multi-Year Area Plan
Aging 1-B FY 2004 Annual Implementation Plan Afrocay Atli. • Aomori MI Ong
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 client's situation (and screening of prospective volunteers) to ensure that
the skills and training of the volunteer are appropriate for the client'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 clients. 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 client'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 (See below).
b. Programs must work with AAA 1-B to develop a specialized training
program for respite volunteers which includes the following: CPR/choking;
empathy training; understanding caregiver stress; dealing with dementia;
and operation of wheelchairs.
c. Programs must use an assessment tool to determine if clients are
appropriate for volunteer respite that is approved by AAA 1-B.
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 client.
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 client's condition.
VIII-22
AAAgenc
y on FY 2004-6 Multi-Year Area Plan
Aging 1.B FY 2004 Annual Implementation Plan • ANIMI • 4~1 .4 Ai..
f. Programs shall not assist clients, in any way, in preparing, reminding, or
taking prescription or non-prescription medications.
Programs must develop an emergency plan for each client, 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 clients.
11 Programs must plan to serve a broad geographic area.
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 clients and volunteers.
g.
APPENDIX H
NUTRITIONIST BUDGET (If Applicable)
Fiscal Year 2004
Agency: AREA AGENCY ON AGING 1-B
Congregate Home Delivered
FTE: Local
Federal State Federal State Match Total
Salary/Wages 11,530 26,908 38,438
Fringe Benefits 4,411 7,401 11,812
Travel 400 300 700
Conferences 300 600 900
Office 1,800 1,200 3,000
Utilities 100 150
Equipment
Audit
Other (Specify):
a. In-Kind Match 6,111
b.
c.
TOTAL 18,491 36,509 6,111
an" e
Sigrfature, Authorized Area Agency Official
ArZney on FY 2004-6 Multi-Year Area Plan
‘Alk Aging. " FY 2004 Annual Implementation Plan Adoocm • AO.. • Masa. 44 Aliq
APPENDIX J
WAIVER FOR DIRECT PROVISION OF SERVICE
Fiscal Years: 2004 — 2006
Agency: Area Agency on Aging 1-B
Service: Care Management
Approved
Denied
Signature, OSA Director Date
Area
AIvecee, • A
nay on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
Area Agency on Aging:
Area Agency on Aging 1-B
Service to be Provided:
Care Management
IRECT PROVISION OF SERVICES
Project Period
' AccoMplishments
By July 31, 2003
By September 30, 2003
By September 30, 2003
lannettTirne;Fierne s*,
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be
developed for each direct service provided.
1. Revise CCS Operations Manual and train
staff on policies/procedures contained in it.
2. Conduct four trainings for care
management staff in both clinical and
technical areas of knowledge.
3. Measure client outcomes in areas of
health status and quality of life, and follow
up on any clients showing negative
outcomes.
VIII-26
03
itie Dge
„
SANDRA K. REMINGA
EXECUTIVE DIRECTOR
FY 2004 CARE MANAGEMENT PROGRAM
PROGRAM SUMMARY
BUDGET FORM (A)
TOTAL OSA CM TCM MATCH OTHER
LINE ITEM BUDGETED FUNDS FUNDS CASH IN-KIND RESOURCES
Wages/Salaries 943,281 685,791 32,665 70,789 0 154,036
Fringe Benefits 150,435 103,908 11,477 10,320 0 24,730
Travel 19,815 16,625 0 0 0 3,190
Training 0 0_ 0 0 0 0
Supplies 15,969 12,469 0 0 0 3,500,
Occupancy 99,7261 73,936 0 906 10,000 14,884
Communications 36,386 19,742 0 0, 10,000 6,644
Equipment 59,498 31,172 0 9,691 3,689 14,946
Administration 0 0 0 0 0
Other/Contractual/Legal 29,176 18,703 0 2,000 0 8,473
Direct Service Purchase 94,971 76,731 0 0 0 18,240
Totals 1,449,257 1,039,0771 44,142, 93,706 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 program.
V111-27
FY 2004 CARE MANAGEMENT PROGRAM
SCHEDULE OF MATCH & OTHER RESOURCES
BUDGET FORM (B)
MATCH
VALUE
SOURCE OF FUNDS Cash In-Kind Planned Usage
Oakland County Funds 70,789 Salaries/Rent
Eldercare 2,906 Salaries/Rent
Information and Assistance 23,689 Rent/Communications/
Equipment
Program Income 9,691 Travel
Family Caring Network 10,320 Salaries/Rent
,Total Match 93,706 23,689
OTHER RESOURCES
VALUE
SOURCE OF FUNDS Cash In-Kind Planned Usage
Title III-B Funds for Access Center Development 97,771 Salaries/Fringe/Travel!
Rent/Insurance
Title V 9,908 Salaries - Macomb
Probate Court 20,000 Salaries - Biller and CMs
AAA 1-B Administrative Funds 16,360 CCS Director Salary
United Way Oakland County 4,214 Care Manager Salary
Title III/State HDM, ADS, Trans. Funds 18,240 Services
Title III/State LTC Funds 82,150 Salaries/Fringe/Rent/Ins.
Total Other Resources 238,735 9,908
VIII-28
Agency: Area Agency on 1-B Aain
a noyon FY 2004-6 Multi-Year Area Plan
A Aging 143 FY 2004 Annual Implementation Plan Aa..7 • Mi.n • *WM. 41,41
APPENDIX J
WAIVER FOR DIRECT PROVISION OF SERVICE
Fiscal Years: 2004 - 2006
Service: Information and Assistance
Please see Work Plan and funded services pages.
Syjna—ture, Authorized Area Agency Official 7) D,
0 5
Approved
Denied
Signature, OSA Director
VIII-29
Date
AAI
A Agaency on FY 2004-6 Multi-Year Area Plan
Aging 1B FY 2004 Annual Implementation Plan
. ..
DIRECT PROVISION OF SERVICES -
WO RK . PLAN
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Project Period
Service to be Provided: .
0 FY 04-06 FY 04 only
Information and Assistance
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
_ must be developed for each direct service provided. ._
Goals and Activities . Planned Time Frame Accomplishments
, .
Goal # 1
To provide 13,000 units of service to 10,000 9/30/2004 In FY2003 this service provided resources for
older adults and their caregivers residing in callers on the following services:
Livingston, Macomb, Monroe, Oakland, St. Clair, Personal care
Washtenaw counties by phone and/or in person. Prescription expense assistance
Homemaking
Direct provision of this service is required to Home delivered meals
assist callers who need to locate age-related Assisted living
services in the counties of Livingston, Macomb, Care management
Monroe, Oakland, St. Clair, and Washtenaw. Senior centers
Persons can call the Area Agency on Aging and Home health agencies
have their questions personally answered by an Adult day services
information and referral specialist. The computer Chore services
database contains information on nearly 2,000 Support groups
service providers and 5,000 older adult services Legal assistance
in southeast Michigan. Emergency needs and more
The scope of the program's resources will
continue to evolve to meet the needs of seniors
and their caregivers throughout FY2004.
VIII-30
A4ney OR FY 2004-6 Multi-Year Area Plan A Aging " FY 2004 Annual Implementation Plan
IRECT PROVISION OF SERVICES
WORK PLAN
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Project Period
Service to be Provided:
•El FY 04-06 FY 04 only
Information and Assistance
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
,..._
Goals and Activities •Planned Time Frame . Accomplishments . ,.
Goal #2
Maintain and strengthen the REFER 2000 9/30/2004 Completed the final inclusion/exclusion policy
database utilizing appropriate inclusion/exclusion approved for use in FY2003; continual updating
criteria developed in FY2003. and monitoring of 100% of all database resources
is on target with scheduled plan, in accordance
with Association of Information and Referral
Services guidelines
Goal #3
Work closely with the IT Department to develop 9/30/2004 Enhancements made to reports available in the
and obtain the necessary queries/reports for the REFER database system in FY2003 will be REFER 2000 database software with enhanced continually analyzed and enhanced throughout
ability to glean from the database the data the remainder of FY2003 and through FY2004. A
detailing referral sources and unmet needs new version of the taxonomy for the REFER
database is being purchased. The Unmet Needs
report is in development, as is the referral
component of the current report.
;
VIII-31
Project Period
ArAeiteney on FY 2004-6 Multi-Year Area Plan
'Ilk Aging " FY 2004 Annual Implementation Plan
OAK PLA
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034
Service to be Provided:
information and Assistance
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
Goals and Activitlét Accomplishments
9/30/2004
Goal #4:
AAA 1-B's role in the 2-1-1 initiative has been
defined; AAA 1-B as a specialized participant
continues to develop with 2-1-1 and other local
county 18tA plans/initiatives.
Participation in the 2-1-1 collaboration is
continuing to develop throughout the year.
Meetings with key groups is on target with
expectations
VIII-32
LINE ITEM
Wages/Salaries
Fringe Benefits
Travel
Training
Supplies
Occupancy
Communications
Equipment
Other (e.g., Raw Food Costs):
Postage
Volunteer Recognition
Maint Contracts/ Ins.
Totals
SERVICE AREA:
Federal OAA
Title III Funds
Other Fed Funds
(non-Title III)
State
Funds
45,000 141,2771 60,334
40,000
5,000
31,577
7,309
1,338
831
2,300
4,261
3,300
6900
1,017
1,000
501
92,796
25,543
1,299
4,288
8,100
5,793
0
372
2,146
9401
3,300
57
268
0
957
54,952
Match
Cash
200
500
500
200
Program
Income In-Kind
6,501
1,461
962
168
2,900
10,523
7,200
29,000
6,670
1,500
0
2,002
7,298
3,900
2,600
1,250
0
985
1,5001 39,000
100 4450
Total
Budgeted
206,886
47,809
6,092
999
13,128
31,681
29,357
5,900
11,879
5,481
1,600
3,592
22,3411 364,404
Other
Resources
6,812
1,826
993
0
1,138
999
8,964
0
0
800
600
209
Lç
N rie
=xecutive Director
rifle
yzi ArS 5/12/03
Da
FY 2004-2006 Multi-Year & Annual Implementation Plan
Appendix J - Direct Service Budget
AAA: Area Agency on Aging 1-B FISCAL YEAR: 2004
SERVICE: Information & Assistance
(List by County/City if service area is not entire PSA)
I certify that I am authorized to sign on behalf of this agency.
The budgeted amounts represent necessary and proper costs for implementing the program.
ignature, Authorized Area Agency Official
&Area A Agency on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan .14secory • Usk. • AfiAl
APPENDIX J
WAIVER FOR DIRECT PROVISION OF SERVICE
Fiscal Years: 2004 — 2006
Agency: Area Agency on Aging 1-B
Service: Health Benefits Education
Please see Work Plan and funded services pages.
Co/ t /63
Dat
Approved
Denied
Signature, OSA Director Date
VIII-34
Area
,AAgeneY on FY 2004-6 Multi-Year Area Plan
oÁvkAgingl.B FY 2004 Annual Implementation Plan
DIRECT PROVISION OF SERVICES'
WORK PLAN
-
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Project Period
Service to be Provided:
1111 FY 04-06 m FY 04 only
Health Benefits Education
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
Goals and Activities Planned Time Frame Accomplishments
Goal # 1
To provide assistance to 3,500 Medicare and Through 9/30/2004 Medicare Medicaid Assistance Program (MMAP)
older adult Medicaid Beneficiaries residing in presentations are currently on target with more
Livingston, Macomb, Monroe, Oakland, St. Clair, than the minimum number of presentations
Washtenaw counties by phone and/or in person. having been conducted throughout FY2003, and
no change in this level of community outreach is
Direct provision of this service is required to anticipated through FY2004.
educate, assist and advocate for Medicare and
Medicaid beneficiaries so that they are able to
access the benefits to which they are entitled.
Often, older adults are confused and frustrated
about their benefits, and working with someone
personally who can advocate on their behalf
lowers their anxiety and greatly affects their well-
being.
• A minimum of 6 (six) community education
seminars and small counseling groups is
conducted in the community each quarter
at a variety of facilities to diverse targeted
audiences, from senior centers to -
corporate groups. 1
VIII-35
de/SLIZMOT Oil FY 2004-6 Multi-Year Area Plan
Aki, Aging " FY 2004 Annual Implementation Plan
DIRECT PROVISION OF SERVICES ,.-
WORK PLAN
Area Agency on Aging 1-B
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 . Project Period
Service to be Provided:
El FY 04-06 FY 04 only
Health Benefits Education
El
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
Goals and Activities Planned Time Frame Accomplishments •
_
Goal #2
Public outreach will be expanded by MMAP Through 9/30/2004 Two (2) senior centers began to conduct monthly
volunteer participation in health fairs and other MMAP meetings, South Lyon Senior Center, and
appropriate venues (i.e., Project Healthy Living, Independence Township Senior Center in
the Monroe County Fair in FY2003). Oakland County. Participation in Project Healthy
• Living Health Fairs will occur throughout the
region in FY2004.
Goal #3
One (1) new volunteer training for potential Through 9/30/2004 MMAP volunteer training is being scheduled for
MMAP volunteers recruited in FY2003 will be spring 2004 after successful recruitment
held in the spring of 2004, with ongoing training throughout FY 2003, with two (2) trainers from
opportunities for new and current volunteers MMAP Central; no delay is anticipated.
offered at this training.
VIII-36
AA A;enoy on FY 2004-6 Multi-Year Area Plan
• Al& Aging 1-B FY 2004 Annual Implementation Plan
DIRECT PROVISION OF SERVICES
WORK PLAN, . , .
Area Agency on Aging 1-8 .
29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Project Period
Service to be Provided: .
• FY 04-06 m FY 04 only
Health Benefits Education
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan
must be developed for each direct service provided.
Goals and Activities Planned Time Frame Accomplishments ,
Goal #4
A minimum of one (1) in-service training will be Through 9/30/2004 Quarterly refresher trainings and networking
conducted for Medicare Medicaid Assistance meetings are held for all current MMAP
Program (MMAP) volunteers each quarter in volunteers in addition to an initial period of
addition to on-going technical assistance as individual one-on-one training at the Southfield
needed. This training ensures that accurate and office. Periodic training as needed is offered
comprehensive information can be provided at all throughout the year. We continue to remain on
times to those who need to understand their target with our training schedule and anticipate
rights regarding public benefits and insurance no change in FY2004.
programs.
Goal #5
Public outreach efforts will continue to be Through 9/30/2004 Completed placement of two (2) volunteers in the expanded through MMAP volunteer placement at Auburn Hills Senior Center and a new hospital
senior centers and hospitals site, Huron Valley Hospital in Oakland County, in
FY2003. Will continue to work towards additional
placements in FY2004.
VIII-37
5/12/03
NannyExec tive Director
FY 2004-2006 Multi-Year & Annual Implementation Plan
Appendix J - Direct Service Budget
AAA: Area Agency on Aging 1-B FISCAL YEAR:• 2004
SERVICE: Home Health Benefits
Other Fed Funds State Program Match Other Total
LINE ITEM (non-Title III) Funds Income Cash In-Kind Resources Budgeted
Wages/Salaries 9,006
Fringe Benefits 1,846
Travel 100
Training 11111 500
Supplies 1,832
Occupancy 4,500
Communications 3,000
Equipment 724
Other (e.g., Raw Food Costs): 6000 6,100
Postage 1,392
Payroll Processing 400
Maint Contracts/ Ins. 600
Totals 24,000 0 0 0 0 6,000 0 30,000
SERVICE AREA:
(List by County/City if service area is not entire PSA)
I certify that I am authorized to sign on behalf of this agency.
The budgeted amounts represent necessary and proper costs for Implementing the program.
Title
ibnature, Authorized Area Agency Official nature, Authorize
Area
gencyon FY 2004-6 Multi-Year Area Plan
Agiug l"B FY 2004 Annual Implementation Plan
APPENDIX J
WAIVER FOR DIRECT PROVISION OF SERVICE
Fiscal Years: 2004 — 2006
Agency: Area Agency on Aging_1-B
Service: Refugee Assistance Program
II Approved
Denied
Signature, OSA Director Date
'AA
dIZ:eneyon FY 2004-6 Multi-Year Area Plan n
Aging " FY 2004 Annual Implementation Plan
DIRECT PROVISION,OF SERVICES
, WORK PLAN
-
Area Agency on Aging: .
Project Period
Area Agency on Aging 1-B
Service to be Provided:
• FY 04-06 FY 04 only
Refugee Assistance Program
Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be
developed for each direct service provided.
' Goals and Activities Planned Time Pram Accomplishments - -
1. Distribute the Area Agency on Aging 1-B By September 30, 2004 Recommended in Refugee Assistance Program
Cultural and Ethnic Minority Directory in (RAP) Planning Group.
Region 1-B.
2. Cultural sensitivity presentations to key aging By September 30, 2004 Recommended by Refugee Assistance Program
network groups including: Care Managers, Planning Group.
Social/Nutrition Contractors, DSP Vendors,
Senior Centers, Resource Advocates, MMAP
volunteers and other interested groups.
3. Continue subscription to SBC Language Line. Through September 30, 2004 Allows for easy communication with non-English
speaking persons.
4. Participate in 1-2 Resource Fairs with local Through September 30, 2004 Educate refugees about aging network resources.
refugee resettlement and cultural/ethnic
community groups.
5. Translate/reprint key materials requested Through September 30, 2004 Educate refugees about aging network resources.
through Refugee Assistance Program
Planning Group.
6. Identify key location for ongoing distribution of Through September 30, 2004 Educate refugees about aging network resources
translated materials, program beyond project funding period. I
VIII-40
'ecutive Director
itle
FY 2004-2006 Multi-Year & Annual Implementation Plan
Appendix J - Direct Service Budget
AAA: Area Agency on Aging 1-B FISCAL YEAR: 2004
SERVICE: Refugee Assistance Program
Federal OAA other Fed Funds State Program Match Other Total
LINE ITEM Title III Funds (non-Title 110 Funds Income Cash In-Kind Resources Budgeted
Wages/Salaries 13,308 13,308, ,
Fringe Benefits 1 1995 1 1995
Travel 500 500 _.
Training 6,000 6,000
Supplies 3,000 3,000
Occupancy 1,400 1,400
Communications 10,447 10,447 _
Equipment 0
Other (e.g., Raw Food Costs): 6850 6,850 _
LTC 13,000 13,000
_ _
lvliniGrants 25,000 25,000
Printing 6,000 6,000
Totals 1 87,5001 01 01 01 01 0 87,500
SERVICE AREA:
List by County/City if service area is not entire PSA)
I certify that I am authorized to sign on behalf of this agency.
The budgeted amounts represent necessary and proper costs for implementing the program.
/11 ts -3 5/12/03
Dat4
AAge
anayon FY 2004-6 Multi-Year Area Plan
Aging." FY 2004 Annual Implementation Plan
VIII. APPENDICES
GLOSSARY OF ACRONYMS IN AGING:
AAA 1-B Area Agency on Aging 1-B
AARP American Association of Retired Persons
AD Alzheimer's Disease
ADA Americans with Disabilities Act
ADC Adult Day Care
ADS Adult Day Service
ADL Activities of Daily Living
AFC Adult Foster Care
AIM Aging in Michigan (OSA Publication)
AIP Annual Implementation Plan
ALF Assisted Living Facility
4AM Area Agencies on Aging Association of Michigan
AoA Administration on Aging
APS Adult Protective Services
BEAM Bringing the Eden Alternative to Michigan
ASA American Society on Aging
CAP Community Action Program
CBC Citizens for Better Care
CM Care Management
CMS Center for Medicare & Medicaid Services (formerly HCFA)
CNS Corporation for National Service
COA Commission on Aging/Council on Aging
CPHA Community Public Health Agency
CR Caregiver Respite (state)
CSA Commission on Services to the Aging
DCH Department of Community Health
nay on FY 2004-6 Multi-Year Area Plan
Ikea Aging " FY 2004 Annual Implementation Plan Adsocecy • Acti“ • Anent • .1sig
DCIS/CIS
DHHS/HHS
DoE
DMB
DoT
DSP
EPIC
ELM
4AM
FGP
FIA
FY
GAO
HB
HCBS/ED
HDM
HMO
HR
HAS
HUD
l&A
IM
loG
LEP
LSP
LTC
MHSCC
MIACoA
MI Choice
Department of Consumer and Industry Services
U.S. Department of Health and Human Services
Department of Education
Department of Management and Budget
Department of Transportation
Direct Service Purchase
Elder Prescription Insurance Coverage
ElderLaw of Michigan
Area Agencies on Aging Association of Michigan
Foster Grandparent Program
Family Independence Agency
Fiscal Year
General Accounting Office
House Bill (state)
Home & Community Based Services for the Elderly and Disabled
Waiver (HCBS/ED) program commonly known as MI Choice
Home Delivered Meals
Health Maintenance Organization
House Bill (federal)
Health Systems Agency
Housing and Urban Development
Information and Assistance
Information Memorandum
Institute of Gerontology
Limited English Proficiency
Legal Services Program
Long-Term Care
Michigan Hispanic Senior Citizens Coalition
Michigan Indian Advisory Council on Aging
Michigan's Medicaid Home and Community-Based Elderly/Disabled
Waiver
VIII-43
Area nay on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
MICIS MI Choice Information System
MIS Management Information System
MLSC Michigan Legal Services Corporation
MMAP Medicare/Medicaid Assistance Program
MSA Medical Services Administration
MSAC Michigan Senior Advocates Council
MSC Michigan Senior Coalition (formerly Senior Power Day)
MSHDA Michigan State Housing Development Authority .
MSG Michigan Society of Gerontology
MYP Multi-Year Plan
N4A National Association of Area Agencies on Aging
NAPIS National Aging Programs Information System
NASUA National Association of State Units on Aging
NCBA National Center on Black Aged
NCOA National Council on Aging
NCSC National Council of Senior Citizens
NFA Notification of Financial Assistance
NFCSP National Family Caregiver Support Program
NIA National Institute on Aging
NISC National Institute of Senior Citizens
NSSC National Senior Service Corps
OAA Older Americans Act
OAVP Older American Volunteer Program
OHDS Office of Human Development Services
OMB Office of Management and Budget (federal)
OSA Office of Services to the Aging
OWL Older Women's League
PA Public Act
PI Program Instruction
PRR Program Revision Request
PSA Planning and Service Area
VIII-44
A &Area Agency
g
on FY 2004-6 Multi-Year Area Plan
Agin " FY 2004 Annual Implementation Plan
RFP
RSVP
SAC
SB
SCP
SCSEP
SEMCOG
SGA
SMART
SMSA
SNF
SR
SS
SSA
SSI
SUA
TA
TCM
Title V
TSR
USDA
VA
WHCoA
Request For Proposal
Retired and Senior Volunteer Program
State Advisory Council •
Senate Bill (state)
Senior Companion Program
Senior Community Service Employment Program
Southeast Michigan Council of Governments
Statement of Grant Award
-- Suburban Mobility Authority for Regional Transportation
Standard Metropolitan Statistical Area
Skilled Nursing Facility
Senate Bill (federal)
Social Security
Social Security Administration
Supplemental Security Income .
State Unit on Aging
Technical Assistance
Targeted Case Management
Senior Employment program of the OAA •
Tobacco Settlement Respite (state)
United States Department of Agriculture
Veterans' Administration
White House Conference on Aging
VIII-45
AAArea
Agency on FY 2004-6 Multi-Year Area Plan
Aging 1-B FY 2004 Annual Implementation Plan Allsonny • AgIna • Amen a Aliq
IX. ASSURANCES AND CERTIFICATIONS
A. AFFIRMATIVE ACTION PLAN:
1. Statement of Policy:
The Area Agency on Aging 1-B (AAA 1-B) will provide equal opportunity
employment to all candidates submitting resumes/applications for
consideration of offer to hire. Further, the AAA 1-B will comply with all
federal and state regulations which prohibit discrimination with respect to
compensation, terms, conditions, or privileges of employment on the basis of
race, religion, economic status, marital status, sexual preference, physical
disability, sex, age or national origin. This affirmation action policy and the
goals outlined herein will govern all AAA 1-B activities relative to
employment, training, promotion, benefits, and termination of employment
This plan is a part of the personnel policies of the AAA 1-B.
2. Notices of Job Vacancies:
Job vacancy notices shall indicate that the AAA 1-B is an equal opportunity
employer. Notices relative to vacant positions shall be posted in easily
accessible areas within the AAA 1-B central office, and in its county offices,
for perusal by employees and the general public. Other means of securing
wider dissemination of notices, such as placement of ads in the classified
sections of major newspapers, and on the AAA 1-B website, will be utilized
beyond that of internal posting, if necessary, to fill positions.
Area
Agency on
WAging 1-B FY 2004-6 Multi-Year Area Plan
Advocacy - Action • Answers on Aging FY 2004 Annual Implemetation Plan
2000 CENSUS DATA
3. Number and Percent of Minority Persons in Region 1-B:
Native
American . Hawaiian Some
Black or Indian and and Other Other Two or . Total
Total• r . Afrida • Alaska Asian Pacific-. Race More Minority Hispanic or
County Population White t mericarv , Native .' , Alone .li -• , Islander Alone Races Population Latino * ,
Livingston 156,951 152,439 722, 682 896 46 503 1,663 4,512 1,953
Macomb 788,149 730,270 21,326_ 2,478 _ 16,843 178 3,106, 13,948 57,879 12,435
Monroe 145,945 139,264 2,766 405 679 13 907 1,911 6,681 3,110 ,
Oakland 1,194,156 988,194 120,720 3,270 49,402 295- 10,064 22,211 205,962 28,999-
St. Clair 164,235 155,962 3,451 829 650 32 1,052 2,259 8,273 3,593'
Washtenaw _ 322,895 249,916 39,697 1,161 20,338 126- 3,364 8,293 72,979 8,839
TOTAL 2,772,331 2,416,045 188,682_ 8,825 88,808 690 18,996 50,285 356,286 58,929-
Total Minority Population in Region 1-B (all ages)
Total Population in Region 1-B (all ages)
Percentage Minority Population of the Total Population
356,286
2,772,331
12.85%
* Hispanic or Latino is consider an ethnicity and not a race by the U.S. Census Bureau. Hispanic or Latino population totals are
included within racial categories.
IX-2
of Minorities. Women. Older
Agency on Adria 1-B:
has the following compliment
Area
noyou FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan
4. Target Goals for Employment and/or Upgradina
Persons, and Persons with Disabilities by the Area
The Area Agency on Aging 1-B, as of May 1, 2003
of personnel:
Number and Characteristics
of Personnel Percent Professional
117 TOTAL POSITIONS 100% 92
port
25
15%
9%
0%
95%
5%
12%
108 F-T; 9 P-T Employees
17 Minority Employees
10 Older Employees
0 Employees w/Disabilities
111 Female Employees
6 Male Employees
14 Vacant Positions
85 F-T; 7 P-T.
10
8
87
5
14
23 F-T; 2 P-T
7
2
0
24
1
0
The AAA 1-B FY 2004-2006 Affirmative Action Plan, based on 2000 census data,
reaffirms the agency's commitment to maintain its diverse and excellent
assembly of employees. The data delineated above indicates that the AAA 1-B
has achieved a well-balanced and diverse group of employees which meet and
exceeds the total percentage of persons with these characteristics who reside in
the six counties of Region 1-B.
The AAA 1-B 2004-2006 Affirmative Action Plan will concentrate on maintaining
the staffing balance achieved under the agency's previous plans. The AAA 1-B
would prefer to hire a greater number of qualified older persons to fill staffing
vacancies within our core staff. The most common obstacles encountered,
however, when searching for older applicants are: desiring part-time
employment rather than full time; desiring a short driving distance to work; and
often not wanting to drive on agency time to other destinations within the Region
1-B area. Because the AAA 1-B operates the Older American Act, Title V Older
Worker program, we have found that low-income older adults who wish to work
prefer to have us place them in "local provider organizations" close to where they
reside. Under the Title V program, these older adults work only 18.5 hours per
week.
a. Timetable and Action Steps to Achieve Target Goals of Employment:
(1) Hire an Older Worker for a minimum of one position at the AAA 1-B.
(a) Target Goal - September 30, 2004
(b) Work with potential qualified applicants relative to flexible hours.
Area enoyon FY 2004-6 Multi-Year Area Plan
riAllAeing" FY 2004 Annual Implementation Plan
(2) Maintain Current Staffing Balance
(a) Target Goal - September 30, 2006
(b) Should the AAA 1-B experience a loss of minority, women, older
adults, or persons with disabilities, efforts will be made to hire
qualified new employees with comparable characteristics.
The AAA 1-B Executive Director is responsible for implementing the Goals,
Timetables, and Action Steps outlined above.
5. Provisions for Upgrading Staff Skills:
Staff Skills will be upgraded through the following activities:
a. Conducting individual staff conferences;
b. Conducting regularly scheduled department meetings;
c. Attending various national, state, and local conferences (depending upon the
availability of funding);
d. Providing internal training and skill development in such areas as computers
and software applications; and
e. Granting approval for staff to attend university/college classes related to their
jobs when these classes are offered only during working hours.
6. Steps to Eliminate Discriminatory Hiring and Promotion Policies:
a. All current job descriptions are reviewed every three years to determine that
they are up-to-date and are written in compliance with the agency's
Affirmative Action Plan.
b. Methods of announcing job vacancies are continually monitored by the MA
1-B Human Resources Director to ensure compliance with the agency's
policies on position announcements.
7. Process for Affirmative Action Plan Approval and the Bi-Annual Review and
Updating of the Plan:
The AAA 1-B Executive Director shall take the latest AAA 1-B Affirmative Action
Plan to the Board of Directors for their consideration and approval. Following
approval, the Plan will be transmitted to the Michigan Department of Civil Rights
IX-4
J A;enay on FY 2004-6 Multi-Year Area Plan
AI Aging" FY 2004 Annual Implementation Plan
with a request that the Department review its content and issue a letter of
acceptance of the Plan.
The Executive Director will take the Affirmative Action Plan, on a bi-annual basis,
to the Personnel Committee of the Board of Directors where the Plan will be
reviewed for content and progress in achieving stated objectives. Any revisions
required will be made according to the recommendations of the Personnel
Committee, and acceptance by the Board of Directors.
8. Statement on Use of Minority Organizations:
The Area Agency on Aging 1-B will utilize the services, of minority owned
organizations/businesses, when possible, within Region 1-B for the purchase of
supplies and equipment. Further, the AAA 1-B will reach out to find minority
organizations which could be responsive to competitive "Request for Proposals",
or enter into agreements with the AAA 1-B for their organization to be placed in a
"direct services provider" pool.
Area
Agency on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan
Complaint of Discrimination
Employee's Name
Employee's Department
Date and Location of Alleged Incident of Discrimination
Persons Involved in the Incident
Description of What Occurred
Signature of Employee Filing:
Date:
Submit to: AAA 1-B Human Resources Director
AAAAnoy on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan Mi.* • Maws
B. ASSURANCES & CERTIFICATIONS
The Area Agency on Aging 1-B (AAA 1-B), 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 Multi-Year Area Implementation Plan shall cover the period October 1,
2003 through September 30, 2006 and that the Annual Implementation Plan shall
cover the period October 1, 2003 through September 30, 2004.
2. To administer its Multi-Year Area Implementation -Plan and 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 Multi-Year Area Implementation Plan and
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 Multi-Year Area
Implementation Plan and Annual Implementation Plan approved by the Michigan
Commission on Services to the Aging.
6. That the AAA 1-B will undertake the duties and perform the project
responsibilities described in Multi-Year Area Implementation Plan and Annual
Implementation Plan in a manner that provides service to older persons in a
consistent manner over the entire length of each Multi-Year Area Implementation
Plan and 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 Multi-Year
Area Implementation Plan and Area Implementation Plan.
AAA;enoy FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan Ad., • klieg • Mown.. OM.
8. That all services provided under the Multi-Year Area Implementation Plan and
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 AAA 1-B 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 AAA 1-B may appeal actions taken by the Commission on Services to
the Aging with regard to the Multi-Year Area Implementation Plan and 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.
11 That the AAA 1-B 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 AAA 1-B has in place a grievance procedure for eligible individuals who
are dissatisfied with or denied services.
13. That the AAA 1-B will send copies of the Multi-Year Area Implementation Plan
and Annual Implementation Plan to all local units of government seeking
approval as instructed in the Multi-Year Plan Instructions.
14. That the AAA 1-B Governing Board and Advisory Council have reviewed and
endorsed the Multi-Year Area Implementation Plan and Annual Implementation
Plan.
e
.gecutive Director
Area Agency on Aging 1-B
cfz Date
J Agency on FY 2004-6 Multi-Year Area Plan
ALring" FY 2004 Annual Implementation Plan Admecy • Aal. • 4.54/7 Attmt
The undersigned hereby submit the FY '04-'06 Multi-Year Plan and FY '04 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.
Area Agency on Aging 1-B
Signature:
Tet,,A9—C 1711 14/
Chairperson, Board of Directors
Robert O. McMahon
Typed Name
Signature:
Sandra K. Reminoa
Typed Name
Area
Amoy on FY 2004-6 Multi-Year Area Plan
Aging" FY 2004 Annual Implementation Plan Ailswecy • Adm. • Ausev ea Apfie
C. 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
IX-10
Area
\ Agency on FY 2004-6 Multi-Year Area Plan
Aging " FY 2004 Annual Implementation Plan Adwory • Mien • MM., 0. 40.1
Signature:
Authorized Official Authorized Official
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.
ry 0 5
Date
Executive Director
Title of Authorized Official
Area Agency on Aging 1-B
Name of Applicant or Recipient Agency
29100 Northwestern Highway, Suite 400
Street Address
Southfield, Michigan 48034
City/State/Zip
Form HHS-690 (05/97)
IX-11
G. William Caddell, County Clerk
Resolution #03182 July 31, 2003
Moved by Webster supported by Crawford the resolution be adopted.
AYES: Douglas, Gregory, Hatchett, Jamian, Knollenberg, KowaII, Law, Long, McMillin,
Middleton, Moffitt, Palmer, Potter, Rogers, Scott, Webster, Wilson, Zack, Bullard, Coleman,
Coulter, Crawford. (22)
NAYS: None. (0)
A sufficient majority having voted, therefore the resolution was adopted.
I NW APPROVE TIE FOREGOING RESOLUTMN
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 31, 2003,
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of th% County of Oakland at
Pontiac, Michigan this 31st day of July, 2003.