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HomeMy WebLinkAboutResolutions - 2005.07.28 - 27861) MISCELLANEOUS RESOLUTION #05135 July 28, 2005 BY: General Government Committee, William R. Patterson, Chairperson RE: BOARD OF COMMISSIONERS - AREA AGENCY ON AGING 1-B FISCAL YEAR 2006 ANNUAL IMPLEMENTATION PLAN FOR SERVICES TO OLDER ADULTS To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS in Michigan, the Older Michiganians Act (P.A. 180 of 1981) authorizes the Michigan Office of Services to the Aging to serve as the State unit on aging and specifies the powers and duties of the State's designated area agencies on aging; and WHEREAS the Agency on Aging 1-B (AAA1-B) is a private nonprofit organization responsible for planning, coordinating, and funding older adult services in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Counties; and WHEREAS, the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974; and WHEREAS, the Area Agency on Aging 1-B has assessed the needs of older county residents and developed a plan to provide assistance that addresses identified needs; and WHEREAS, the proposed plan has been submitted for review by the public, and has been subjected to a public hearing; and WHEREAS, the comments at the public hearings on the proposed plan were mostly favorable, and constructive changes in the plan were made as a result of some comments; and WHEREAS, the Oakland County Board of Commissioners appoints two representatives to the AAA 1-B Board of Directors, a County Commissioner and a county resident who is at least 60 years of age; and WHEREAS, the Michigan Office of Services requires that county Boards of Commissioners be given the opportunity to review and approve area agency on aging multi-year area plans and annual implementation plans; and WHEREAS, the Oakland County Board of Commissioners has already taken action to approve the Area Agency on Aging 1-B's Multi-Year Area Plan for FY 2004-2006. The FY 2006 Annual Implementation Plan represents an annual update to the approved three-year Area Plan. NOW THEREFORE BE IT RESOLVED, that the Oakland County Board of Commissioners hereby approves the FY 2006 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 Aging 1-B. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE General Government Committee Vote: Motion carried unanimously on a roll call vote. Advocacy • Action • Answers on Aging www.aaa lb.com Area Agency on FAIMAging I-B Area Agency on Aging 1-B FY 2006 Annual Implementation Plan for services to older adults in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties Area Agency on Aging 1-B* 29100 Northwestern Highway, Suite 400 * Southfield, Michigan 48034 Area Vgeney on A ‘Aging " FY 2006 Annual Implementation Plan TABLE OF CONTENTS I. EXECUTIVE SUMMARY A. Narrative 1-1 B. Fiscal Year 2006 Services Summary 1-3 II. BUDGET AND ORGANIZATIONAL CHART A. Area Plan Grant Budget and Services Detail 11-1 C. Organizational Chart 11-4 III. REVISIONS/ADDITIONS/DELETIONS A. Program Development III-1 IV, APPENDICES A. Public Hearings IV-1 B. Board Membership IV-4 C. Council Membership 1V-6 E. Planned Entrepreneurial Activities IV-8 H. FY 2005 Nutritionist Budget IV-9 J. Administration of Direct Services 1. Care Management IV-10 2. Information & Assistance 1V-13 3. Health Benefit Education IV-17 V. ASSURANCES AND CERTIFICATIONS A. Assurances and Certifications V-1 B. Assurance of Compliance with Title VI of the Civil Rights Act of 1964 V-3 C. Glossary of Acronyms in Aging V-5 A Area MAgency on F/4" Aging " FY 2006 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 435,000 persons age 60 and older residing in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. The AAA 1-B is dedicated to: 1) advocating on issues of concern to older persons; 2) allocating federal and state funds for social and nutrition services; 3) developing new older adult service programs; 4) coordinating activities with other public and private organizations; and 5) assessing the needs of disabled older persons and linking them with needed community-based long term care services. The AAA 1-B prioritizes activities that allow older persons to maintain their independence with dignity and places a special emphasis on assistance to frail, low-income, disadvantaged, and minority elders. The AAA 1-B was created in 1974 in response to the 1973 amendments to the Older Americans Act (OAA), which called for the development of regional planning and allocation agencies to bring some structure to the delivery of social and nutritional services to older adults. The OAA and the Michigan Legislature provide funding to the Michigan Office of Services to the Aging and area agencies on aging that can be, either through contract awards or purchase of services, allocated to provider organizations in accordance with an Area Agency on Aging's approved Annual Implementation Plan. This Annual Implementation Plan proposes to support the following array of services that allow older persons to maintain their independence with dignity, and provide access to needed supports: Adult Day Service Hearing Assistance Medication Management Unmet Needs Care Management Home Delivered Meals National Family Caregiver Support Program Chore Home Injury Control Out-of Home Respite 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 I - 1 ; Area ‘Ageney on Ak lAging " FY 2006 Annual Implementation Plan The AAA 1-B has developed 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 force many older persons to add their names to wait lists, go without needed help, experience avoidable health problems, and seek assistance through more costly and less desirable alternatives such as presenting at hospital emergency rooms or placement into a nursing home. 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 in fiscal year 2006. 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. ,k7 Services Summary Fiscal Year 2006 Percent of Method of Provision2 Service the Total' Purchased 1 Contract Direct - ACCESS SERVICES 13.81% ,.. ._,. Care Management* 8.54% X X • • Case Coordination & Support : . : Disaster Advocay & Outreach Program Information & Assistance 1.19% X Resource Advocacy/Access 3.81% I X X Transportation, 0.27% IN-HOME SERVICES 58.88% Chore 2.41% .• Home Care Assistance • Home Injury/Health Ben.R1 0.90% X X • „ Homemaking/LTC 4.38% X .• : Home Delivered Meals 38,15% X i• X X Home Health Aide i Medication Management 0.27% X Personal Care/LTC 6.40% X . • • Personal Emergency Response System i . : Respite Care/LTC 6.37% X _ Friendly Reassurance COMMUNITY SERVICES 22.61% .• Adult Day Care . . _ - Dementia Adult Day Care 5.03% X X Congregate Meals 12.19% i X i X - Nutrition Counseling , • Nutrition Education . • • Disease Prevention/Health Promotion : - Health Screening Assistance to the Hearing Impaired & Deaf 0.33% X - Home Repair Legal Assistance 1.28%, X Long Term Care Ombudsman/Advocacy_ 0.64% X Senior Center Operations : Senior Center Staffing 1.60% X Vision Services 0.31% i X I , Elder AbusePrevention 0.27% X Counseling Services 0.80% X Specialized Respite Care • • Caregiver Supplemental Services : . . Kinship Respite Care 0.16% i X I Caregiver Education, Support, & Training REGION-SPECIFIC 4,71% :. Reg. I FVC/Refugee 0.68% X Reg. Resp/NFCSP 1.15% X i Program Development 2.88% X TOTAL PERCENT 100% 14,01% 72.06% 13.93% TOTAL FUNDING 15,651,977 2,193,376 I 11,278,764 I 2,179,837 * Includes $66,438 for DSP Services 1-3 Explanation of Services Summary Fiscal Year 2006 The Services Summary form, which lists all services that will be supported with state and federal Older Americans Act funding in FY 2006, was developed by the Michigan Office of Services to the Aging (OSA) for Area Agencies on Aging to use in preparing the Annual Implementation Plan. The following information is intended to assist the reader to understand and interpret the information provided on the Services Summary page. 1 The proposed FY 2006 funding allocation among the various service categories is based on the amount of funding the AAA 1-B has allocated for FY 2005, and a maintenance of FY 2005 effort in funding, number of clients, and number of units is planned. 2 The AAA 1-B will utilize three methods for the expenditure of funds for services under this plan: A Purchased — For purchased services, the AAA 1-B has established a pool of vendor agencies that can be called upon to provide services that are specified under an individual's care plan. Each vendor meets AAA 1-B service standards and agrees to deliver services at a pre-determined rate. A Contract — For contract services, the AAA 1-B issues a request for proposals seeking applicants that can provide specified services within a geographic area. Most services are provided under three-year awards, while a few are annual contracts. A Direct — Area Agencies on Aging are authorized by OSA to provide certain access and educational services directly. In addition, Area Agencies on Aging are required to retain the services of a nutritionist to provide management, technical assistance, and menu approval for the congregate and home delivered meal programs. 1-4 AREA PLAN GRANT BUDGET Budget Period: Date: 06/06/05 TOTAL 2,250,440 1,470,367 98,836 2,299,950 2,476,853 165,739 1,021,118 39,309 213,086 702,155 843,584 1,025,221 73,036 249,997 873,552 1,736,239 330,676 953,255 1,533,681 3,152,072 21,509,166 Federal Administration State Administration State Tobacco Respite Administration Other Total: Agency: Area Agency on Aging 1-B PSA: 1-B SERVICES SUMMARY FUND SOURCE 1. Federal Title III-B Services 2. Fed Title III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (1-IOM) 5. State Home Delivered Meals 8. Fed Title 111-D (Prey. Health) 9. Federal Title III-E (NFCSP) 10. Federal Title 11I-EAP 11. State Access 12. State in-Home 13, State Alternative Care 14. State Care Management 15. State Ombudsman =Fr'. 663.943 1,533,681 2 488,129 T1-1-/fAilL 10,436,239T 11,072,928 SUPPORTIVE SERVICES NUTRITION SERVICES 2250,440 73,036 16. State Senior Center Staff 17. Local Match 705,112 a. Cash b. In-Kind 873,552 1,031,128 18. State Respite Care (Escheat) 19. State Tobacco Respite Care* 20. NSIP 21. Program Income 1,470,367 98,836 2,299,950 2,476,853 165,739 1,021,118 39,309 213,086 702,155 843,584 1,025,221 330,676 953,255 10101105 to Rev. No.: Rev. 11/2002 09/30/06 00 Page 1of 3 ADMINISTRATION Local Cash 1 Local In-Kind 800,847 136,943 95,326 1,033,116 112,755 112,755 17,251 17,251 Total 930,853 136,943 95,326 1,163 122 Expenditures FTEs 1 Cash Match Detail 11 In-Kind Match Detail Source , Amount Source Amount Interest Income 7,200 Board/Advisory 10,000 County Funds 105,555 Caregivers 7,251 Total: 112,755 Total: 17,251 , . 709,793 170,170 283.159 1. Salaries/Wages 2. Fringe Benefits 3. Office Ooerations 19.00 Executive Director 06/06/05 Revenues *Includes $95,326 C1/02 Transfer $1,105,621 I certify that I am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plan. Adequate documentation and records will be maintained to support required program expenditures. 11-1 AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAIL Agency: kma Agency on Aging I-6 Budget Period: 10/01/05 to 09/30/06 Rev. 11/02 PSA: 1.-B Date: 06106105 Rev. No.: 00 page 2 of 3 , Title VU-A State State St. Alt. State Care Other St. Escheat St. Tobacco Program Cash in-Kind SERVICE CATEGORY Title ill-B Title III-D Title III-EAP Title Ill - E Access In-Home Care Mgmt State Funds Respite Income Match Match TOTAL 1. Access , „ _mow; 516..41%ft-MTAlrx-11 WM& T-:..ii,,„.,,,, ,....,,•.:- ' ,.1..3,.'--iiiIM- :. :=AfkA:-. liIi.g2:',-i..:4 - -3:iftW: _ a. Care Management 97,771 i ..,...e ,; 41.:: _.n., ., 213,086 , 1,025221 ' ., f„.;*.;;I4'11,R i.Wrg-1--i-;i-.0;:a 4,209 41511 292 209 1,674,298 b. Case Coord/supp 747 Cf* c. Disaster Advocacy ,,31;;;, = : '''. ' .., .-"•!...; ''' ' ''''" ..-,4.,14-3 f...t:,11,1;i;'.R.'" d. Information & Assis ZO,"::$'2z,,,it ; 186 277 '-', „ixrzu: kr41-wa' 7,53-4;`,:i'R - :i:,:;,7-,*.T.r>, 17252 28517 232546 e. Res.AdvfAccess 405,653 ' .1tit - 190500 ,AaNW5..itti2MC:F-02-.-Wi ' i'-'z'i '- 89480 59,433 748,996 1. Transportation . a'-' .:`-'T, . .16.;VM 42 109 .42-, ,,... •-:-Ma1"ellfi; .W4=', r- 5500 - 1052, , , 57536 2. In Home r-MA,FX-11:4'3....t...,. ..... : l',.... '-'t . 4. Wgillif :;.:',.;:fi,c;','I:4±",-i.; ?it4r7if; V---..7A.f,:kf . Pr'V'X :',..tt=i11.4'--...e: S.T.-10 :Ti,4_01K-Mt7:, a. Chore 376501 ' • ' ''''''' :r. :"!:4 Mkfg ,e L-,.., 7 Vir,.11.:i ir-74-A- - ' fr.I.VfN ' ".4:.' '-='-'r ' .143,e..71:NI-•.' 78269 82525 12,126 549,121 b. Home Care Assis Jr4011-1 OOM ASitlal .-1M1t, k.::.7.-ii _ ', go - C. Home Inj/Hm Health 141241 'ii'.,,,T•ils:';-:4z, 4:M11 -; ''-' . . 4".- ;47,'MrC r: :-...„ :,:i1v$4 13,105 26,211 9599 189556 g4NA.W7 269241 357,153 ';`'WV.-..r„g;,-,, i''.54-:=2-',",', ==',Vg,.f. , .killali 25,000 40,000 131A73 882,365 1- d. Homemaking/LTC 58 79B- . . , - _ e. Home Heafth Aide ,,-,'- „: '''' ..... - Terafa. t4-0,§ gW..4,-,tP , "Wil-Mri - f. Medication Mgt 42574,41' .T4k1 '7W0,7A,4 1,-tax% FAN 7595 3,424 52,593 g. Personal Care/LTC 96,574 SMfge 2414% 4V:;•::::', 0:: fa.?_t" -.4 432,214 472,585 ,.;„:-S1 s',,. :•";..-1,1.-•;;;;-...7,.N.:..; ' e. 4 ','.41,-!;:r .2 83400 50500 200,343 1535,316 h. PEAS ' , '.:`;.;:::"...:'::F.-.3. - " '..li; 1,, ; ' .-.-?F- ,..-- i. Respite Care/LTC 186,272 ,-; 1.; 112583 , 7.:-• 13546:e•-,-K.'6-21,i: fF,;:.'!."-F-.-:,',.N77? 259227 426,032 53,450 140,021 103344 1200,275 .. I . Friendly Reassure l'-ali:, .,..'t ''' .lVt :-, 'n' , -'-'. Wi.";0..":.4,;: , a41.10.'r a Legal Assistance 201550 ,_.„,,i,,,,.2,:f --„_,.5:;!'t. - „ t-M.P.KV. -.-t-P41 "...q.:310i,'---;•-„- 23,800 43 536 - 6,727 275,113 4. Community Services i'.0 , ' _.„, , -: ',-4"4. Ok- Ift0P!'i...-1Z .,,;1-i'-ii!:•:'4 ' 7 ••:.;rrs';'1,:,1; Z.,..7.!::J.R.,Vgr-4:::='; ,'':''J. ,-.4a 'f ;•.•:',W:1•.: a. Adult Day Care 4.' .- Y "CtrtilatiV , . , , ; c; - - , , : . . . JAI. b. Dementia ADC 13,932"11:17. *Wet 285,186 • - V 16,44,-.'4* 55519 431597 276,992 168595 27,764 1260285 c. Disease Prevent , • -i?'.._ ; IS d. Health Screening at . 1'.: " V.7,1' -44 WiliMMI Ai ,..4'- e. Assist to Deaf 51556 - Vr „ ,, WPM -4'...V. ti,)p ,1 ---...=-:, 400 9,723 3,241 65220 I . Home Repair 1101.1,Wilits2,.. - *Sim =.,=::-.7: , -,w, _ 'LiNi.:.i.,-4 al?nit g, g. LTC Ombudsman 27518•-, .,-1.• ', ,,,,k•.,- •-• ,:, '4$ , A 73,036 :va wog - 500 25,014 125,568 -- , h. Sr GU Operations • -,i,..:,*.1,-,f9-4%-::: MO '26 i. Sr Ctr Staffing , 7 4- 4.. _ _ .'gnTi-eg, 249,997 .1",-;!!-:::1,..:;:.73:flit . = --4:P3'11' 3,610 15,733 12,043 281283 , j. Vision Services 29,100 20500 :.:`04-•,7,..4.-7i.74.A.± II-MR0, %AM :* .,.. Ie::::?41,-, 2,455 12,275 63830 k. Elder Abuse Prevnt 3495 i-- iT.: 39,309 -ill ....' , .,:i7.4 .'it:, lkft:ji.'.':i'.00 ::*:;.'!..:.' :Q":k1f.i:: 893 10,223 478 - 54598 I, Counseling 14,991 103565 ir.t. 5,836 - • ' -.WI V, a."M" Kt P.--f.,-c0: . '7, , 1.-1;..,.,V 1 51509 29,433 1590 206524 _ m. Spec Respite Care .' Minn .' -a '-' -4-„,.---ii,,,7,,-;,- . -..,,,,...sAt.5..=!. ..- _ - n. Caregiver Supplml -4.; - ..,:-.44Vef,„.- „ . ' , ' Wagt -.40i.V7kA - • o. Kinship Respite ht...,,..TA:31:-.: --; .1WW.O., 25,000 - Sz•.•-` .. IrWia - t.<1,:tt :•,g,g! it"- 525 - 2578 200 28,303 q. Caregiver E,S,T f.,.,0,..t"--';',ADt a Program Develop 450588 g'V't - 4,- ..,.,, .., MigtrT ,,. atli*', rt" =gm 30500 62,522 562510 6. Region Specific ,. •',-:::.';',;•'.. a.Reg.IFVC/Refugee 96,000 10,000 3,350 20,359 5,941 , 135,650 - b.Fleg.RespiNFCSP , 164527 15,630 33,255 11,188 33,927 258,827 -1 - c. Si. Tobac. Resp. Adm. . 95,326 95,326 o [ SUPPRT SERV TOTALI 2,250,440 r 165,739 I 39,309 I 1,021,118 I 213,986 I 702,155 I 843,584 I 1,025,221 1 323,033 I 330,6761 953,255j 663,943,1 873,5521 1531,12811 10,436,2391 11-2 AREA PLAN GRANT BUDGET-NUTRITION SERVICES DETAIL Rev, 11/2002 d Rev. Number: o page 3 of 3 In-Kind Match 174,356 8,195,413 0 0 0 1 705,112 1 11,072,928 530,756 Cash Match Agency: Area Agency on Aging 1-B PSA: 1-B Budget Period: Date: 10/01/05 to 06/06/05 09/30/06 3. Nutrition Counseling 4. Nutrition Education 5. Regional Nutrition Services Total 1,470,367) 2,299,9501 98,836 I 2,476,853) 1,533,681 I 2,488,129 TOTAL 2,877,515 SERVICE CATEGORY Title III C-1 Title III C-2 State Congregate State HDM Program Income NSIP 6. Nutrition Services 1. Congregate Meals 2. Home Delivered Meals 2,299,950 2,476,853 339,524 1,194,157 794,432 1,693,697 1,470,367 98,836 G:Dept/M5int/OrgCharr/OrgChart2005 Revised June 6, 2005 Area Agency on Aging 1-B I Advisory Council Area Agency on Aging 1-B Board of Directors Judith Wahlberg Chief Fiscal Officer Finance and Administration Kathleen Kirschenheiter Associate Director Community Care Services Angelina Michelini Director Information Technology Mary Burch Database Developer 11 Dan Hannon PC Technician Melissa Peha Human Resources Manager Meta Lothman Fiscal Analyst" Sandra Carter Fiscal Manager Social Services Erin George Assistant Director Finance and Administration Richard lson Fiscal/Accounting Supervisor Judith Beatty Accounting/Payroll Administrator Charlene Thompson Senior Accounting Clerk Vacant --I Fiscal Manager NutritionServices j Mellissa Christ Secretary II Vacant Secretary Carrie Shea MMAP Coordinator Brenda Beiter Coord./Refugee Asst. SDA Program n•n•- Tanya Kurtz L.- Older Wkr. Employment Coord. H Vikki Rochester Resource Specialist Vacant - I Resource Specialist 1-1 H (t)Temporary Position - * Part-Time Position Kathryn Dickinson Older Wkr. Procimin Asst(t1 Vacant Fiscal DSP lvtanager L — AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART Sandra K. Rerninga Executive Director Melissa Maxwell FACPS Assistant Tina Abbate-Marzolf Director Contracted & OSP Services* Cathy Backos DSP Contract Respite Manager , Amy Mills — Social Services Contracts Manager Karen Jackson Nutrition Contracts Manager Roberta Habowski SDA Program CoordiRefugee Asst. Program Dowd.* (I)_ Deanna Mitchell Director Support Services Renee Dobrzelawski Secretary I H Linda Myers Clerical Assistant Jenny Jarvis Director Communications and Fund Development Sallie Justice PR Coordinator* James McGuire Director Planning and Advocacy r Vacant -1 Community Planner, I HousingTransp. gecialist* 1 Vacant Community Planner, I Health Specialist -J Sharon Miler Advocacy Coordinator' Louanne Bakk Director ACCGSS & Benefits Assistance Becki Tyler Resource Specialist Team Leader Catherine Cook Resource Specialist Sandra Smith Resource Specialist I Kelly McGrath Resource Specialist Jill Walker Resource Specialist hi- Maryanne Moore DSP Manager See page 2 Nancy Thompson Kathy Bogl DHR Coordinator*(0 Vendor Quality Assurance Mgr.' II-4 The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer Joel Gottsacker OAKLAND REGIONAL SUPERVISOR r cal — Social Worker L Care Manager j Kathleen Fee RN Care Manager Vacant 1 L RN Care Manager — -1 Kim Dante/ski Nutrition Assessor - Karen Ranella Elizabeth Wouters — RN Care Manager RN Care Manager , r Vacant Social Worker I Care Manager j — Kathleen Dettloff RN Care Manager Joyce Hart RN Care Manager Susan Hearshen Social Worker Care Manaoer Lawrence Bassin Social Worker Care Manaoer Marilyn Demaray Social Worker Care Manaoer 3 vacant -1 I Social Worker I- L Care Manager 3 — cTEC Social Worker F- L Care Manager j Tonya Slanks-Phillips Program Assistant Karol Southerland Biting Team Leader Shanita Lee Billing Clerk Kim Northern Billing Clerk Marie Mihaltan RN Care Manager Barbara Leasia RN Care Manager Barbara Sims RN Care Manager Elizabeth Czaplicki RN Care Manager Janice Wolf RN Care Manager Kathleen Jurick RN Care Manager Charlene Southern RN Care Manager Elizabeth Gamboa RN Care Manager Amy DeMeyere RN Care Manager Lr — —Vacant — fiN L Care Manager - J ••n•., Kathleen Kueppers CLINICAL QUALITY ASSURANCE MGR. r — Vacant L RN Care Manager - - -I Barb Lavery MACOMB REGIONAL SUPERVISOR MACOMB COMMUNITY CARE MANAGEMENT Audrey Smith RN Care Manager Rosemary Bray(t) Nutrition Assessor Lesa McCann Nutrition Support Cleric Cheryl Collins Program Assistant [-- Judith Paige Social Worker Care Manager Charna Latosz Social Worker Care Manager Ann Marie Post Social Worker Care Manager LIVINGSTON COMMUNITY CARE MANAGEMENT .1 Kathy Poland — RN Care Manager LI Peggy Had RN Care Manager Cindy Kuehn RN Care Manager Nancy Wedell Social Worker Care Manager Rhonda Barrie -- RN Care Manager Social Worker I LI: reliarrailnitager AREA AGENCY ON AGING 1-B ORGANIZATIONAL CHART 1 Page 2 Kathleen KirSchenheiter Associate Director Community Care Services r — — — Vacant ST. CLAIR REGIONAL SUPERVISOR ST. CLAIR COMMUNITY CARE MANAGEMENT Patricia Pencak -- AN Care Manager Dawn Nasr RN Care Manager Linda Russell RN Care Manager Joyce Kukuk RN Care Manager Sara Burzynski Social Worker Care Manager Louann Marks Program Assistant Kathleen Sarb WASHTENAW/UVINGSTON REGIONAL SUPERVISOR WASHTENAW COMMUNITY CARE MANAGEMENT Elizabeth Kelly RN Care Manager Christine Wagner RN Care Manager Li Christine Gannon RN Care Manager Pamela Burke RN Care Manager Vacant L RN Care Manager . — r Vacant — RN Care Manager L - J Carrie Lengyel Social Worker Care Manager Rebecca Knorp — Social Worker Care Manager Kathleen Ochmanski — Social Worker Care Manager Kevin Valenti Social Worker Care Manager Denise Parker Program Assistant r — — — Vacant MONROE REGIONAL SUPERVISOR L r_ - -J _ 1 I Margaret Rushlow RN Care Manager Shara Pullou RN Care Manager Debbra Lush RN Care Manager Gerilyn Powers — RN Care Manager Nancy Hoffman — RN Care Manager Sarah Jacobs Social Worker Care Manager Martha Eades Social Worker Care Manager Carlene Fields Program Assistant 1 MONROE COMMUNITY CARE MANAGEMENT (I) Temporary Position ' Part-Time Position 11-5 The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer Area ney ou afAVAging " FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date 1. Refugee Assistance Program A minimum of 600 older Older adult refugees will Promote the language line, translation September 30, adults from the former experience less social isolation pool, and translation print services to 2006 Soviet Union and middle and greater access to and Resource Advocates, Care Managers, eastern, African, Asian, and utilization of social and aging and other aging network providers. eastern European countries network services. shall receive assistance Establish a computer/English as a through the AAA 1-B Second Language program for Iraqi Refugee Assistance refugees. Program. Extend aging network resources to Russian refugees participating in the Naturally Occurring Retirement Community project in Oakland County. Increase participation in limong monthly nutrition site and educational outreach • meetings by 10%. 2. Senior Driving Awareness Program (SDAP) At least 800 older drivers Older drivers and family Submit a minimum of 4 grant requests September 30, and family members will members will engage in safer to secure at least $20,000 for 2006 receive education and mobility activities and plan for continuation of the program. support from continuation future mobility needs. III-1 AAre a Aglk ithVgeney on 5/21311Aging " FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date and expansion of the You Initiate efforts to educate law Decide: Senior Driving enforcement/judicial officials about the Awareness Program SDAP. (SDAP). Advocate with state officials to secure support for state line item funding for program continuation and expansion. 3. Information & Assistance The number of AAA 1-B Older persons, family Conduct outreach and educational September 30, Information and Assistance caregivers, younger adults with presentations designed to enhance and 2006 customers immediately disabilities, and professionals promote the understanding of the public receiving resource will have their calls taken that the AAA 1-B Call Center is the information will increase by promptly. The Call Center single 1-800 toll free number needed to at least 20% over FY 2005 Resource Specialists will gain knowledge and assistance in levels, serving a total of provide callers with answers accessing the appropriate programs, 18,000 callers, and information that can resources, and services. empower consumers to access a full range of Engage in various public relations and services/programs that are advertising strategies that will situate responsive to their needs. the AAA 1-B call center and its 1-800 toll free number before the public as a single place to call when in need of supportive services and programs for older adults, caregivers, and younger 111-2 Area lxitZoli"2B FY 2006 Annual Implementation Plan A. III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date persons with disabilities. Establish formal linkages with 211 programs through Memorandum of Understanding, which recognizes the AAA 1-B as the Aging and Disabilities Specialist Organization. Develop and maintain continuous skill set training program for AAA 1-B Resource Specialists that strengthens their knowledge of the needs of callers, and enables them to respond and assist all callers as efficiently, skillfully, and professionally as possible. Maintain quality assurance All callers to the AAA 1-B Call Annually survey a 10% sampling of the September 30, in every aspect of the AAA Center will be satisfied with the callers to the AAA 1-B Call Center to 2006 1-B Call Center Resource depth and breadth of ascertain their satisfaction with the Specialists' interaction and information they receive, find Resource Specialists, accuracy and assistance in provision of the Call Center directly helpfulness of the information given, information provided to responsive to their needs and and whether they would contact the every caller, issues, and acknowledge that AAA 1-B in the future for additional the AAA 1-B is the single information and recommend the AAA resource to call in the future. 1-B to others as a valuable resource. III-3 SAg on Aegingan" 1-B Advocacy • Asti. • Aostrers. Aging FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-8 PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date Through the utilization of the new Call Center technology, continuously evaluate the reporting and real time capabilities that enable monitoring of callers' queue time, number of abandoned calls, Resource Specialist productivity levels, AAA 1-B service level, hold count, and types of calls received for the purposes of implementing further refinements to the system, thereby strengthening the AAA 1-B Call Center and its ability to serve callers. Develop and implement quality assurance protocol, designed to enable the AAA 1-B to electronically monitor the quality and accuracy of information provided by Call Center Resource Specialists to callers, and provide feedback to continuously enhance the quality of service Resource Specialists give to callers. III-4 AeAgeAgingan"" Advocacy • Action • .Ansrers on Aging FY 2006 Annual Implementation Plan HI AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date Evaluate current inclusion and exclusion criteria for the AAA 1-B Call Center Database to insure sufficient resources are available to support the needs of callers. Develop and implement protocol for identification of out of database referrals and unmet needs, and establish procedure for insuring inclusion of resource information. Develop and implement policies and procedures to continuously improve the quality of the service provided by insuring a follow up call is initiated to a minimum of 10% of callers and enhanced information and assistance is provided for callers whose ability to accesses needed services and resources is compromised. 4. Injury Prevention Work with Home Injury Assistive devices that prevent Convene a workgroup of HIC providers September 30, Control (HIC) providers to falls/injuries to older adults in to develop a research plan for HIC 2006 revise the service definition the home will be available services. and identify at least one throughout Region 1-B. 111-5 Area AAgeney on dOO C O " FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date potential partnership for Survey HIC providers, clients, hospital expansion of this program. rehab specialists, resource advocates, and other aging network providers to determine the greatest area of need for HIC devices. Revise the HIC service definition (which will be included in the FY 2007 Area Plan), to incorporate the results of the workgroup activity. Explore partnership opportunities with local for-profit agencies that sell/distribute assistive devices and secure at least one partner for program expansion. 5. Community-Based Initiatives Develop at least three local More isolated older adults will Identify geographic areas or social September 30, community-based initiatives learn about and have access to enclaves for targeted local initiatives. 2006 or special events that community resources. address the needs of at Work with local organizations and least 100 isolated older officials to plan and implement local adults. initiatives. 111-6 Area Agency on rAki°4figing " FY 2006 Annual Implementation Plan HI. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date Identified local initiatives will include, but will not be limited to, collaboration with the Washtenaw County Blueprint for Aging systems change planning project, Unadilla Township Senior Help Day resource fair, and an effort to help develop specialized housing for deaf and hearing impaired older adults. 6. Aging Professional Development Provide at least three Aging professionals, advocates Survey training needs of providers, September 30, training sessions for at and lay leaders will be more advocates and lay leaders. 2006 least 120 aging knowledgeable about how to professionals, advocates advocate for and implement Conduct a series of Aging Matters and lay leaders on topics quality services in a manner training sessions that will address related to their training that is sensitive to the needs of identified needs. needs, older persons. 7. Transportation Secure additional Older adults will be able to get Assist local transportation providers, September 30, resources to support the to places they need to go. including the North Oakland 2006 preservation and expansion Transportation Authority, Troy Medi-Go of public transportation and others, to secure federal, state, services for older persons, and/or local funding that will support the /A rea A n a o n FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date in collaboration with public maintenance and expansion of transit transit authorities and local services. transit service providers. Advocate in collaboration with public transit authorities for resources to support the preservation and expansion of public transit service for older adults. 8. Domestic Violence Assess the incidence of Older adults who are victims of Convene a work group of aging and September 30, domestic violence affecting domestic violence will have domestic violence providers, advocates, 2006 older adults and the access to domestic violence and other stakeholders to assess the capacity of Region 1-B supports that are sensitive to incidence of older adult domestic domestic violence service their unique needs, and violence and the capacity of provider providers to respond to the protection from abusive organizations. needs of older adults who individuals. are victims of domestic Conduct a survey of Region 1-B violence, domestic violence providers to • document the incidence and nature of domestic violence involving older adults. Identify actions that the AAA 1-B and domestic violence providers should take • to assure that older persons who are victims of domestic violence will have III-8 Area A Agency on A4411g 1-B FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date access to needed supports. 9. Advocacy Increase the effectiveness Elected officials and decision Convene at least 6 meetings of the September 30, of the AAA 1-B Senior makers will hear from senior Senior Advocacy Network for advocacy 2006 Advocacy Network advocates more frequently and training, education on aging public members to engage in give greater consideration to• policy issues, and to advocate directly visible advocacy on behalf the needs and preferences of with decision makers. of the needs of older adults older adults in public policy and by increasing their funding decisions. Establish at least one new county-level knowledge of advocacy advocacy coalition by working with local techniques and organizations such as AARP, Grey understanding of aging Panthers, retiree groups, and others. public policy issues. 10. Health Promotion and Wellness Create and implement a Senior centers will have access Convene a workgroup of senior centers, September 30, resource development to financial resources that can AAA 1-B representatives, and wellness 2006 campaign to identify support the development of and fitness stakeholders to develop a sources of funding and senior center wellness, fitness, resource development strategy. donations to support and health prevention development of senior programs. Establish a Senior Center Wellness and centers' health promotion Fitness Fund to serve as a recipient of and wellness infrastructure, contributions, and to make grants to III-9 ArAgencya on ir"Aging 143 FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date senior centers. Submit requests to at least 10 individuals and/or organizations that might contribute funds to a Senior _ Center Wellness and Fitness Fund. 11. Single Point of Entry Determine the feasibility, Older adults, family caregivers, The AAA 1-B will assess its capacity to September 30, cost, and appropriate and persons with a disability serve as a Single Point of Entry that 2006 organizational structure who are in need of long term features care management, a consume necessary for the MA 1-B care will turn to the AAA 1-B for call center, eligibility determination, to serve as the regional information, assistance, enrollment assistance, and triage for Single Point of Entry for enrollment, care management persons who are at risk. Long Term Care, and care planning, facilitation of person centered planning, and Assess community support for the AAA self-directed care. 1-B serving as a Single Point of Entry. Develop capacity in the region to offer services that are ancillary to a Single Point of Entry, such as person centered planning and nursing home transition services. Identify and secure funding from III-10 Area mAgency on rallAging " FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date potential sources of support for the Single Point of Entry. Implement the program components of a fully functioning Single Point of Entry in an incremental manner, as resources will allow. 12. Medicare Medicaid Assistance Program Implementation Develop a plan for Older adults, family caregivers, Implement strategies that promote September 30, consumer education as a and persons with a disability informed utilization of Medicare benefits 2006 result of implementation of who depend on Medicare and and choice of MMA prescription drug the Medicare Medicaid programs will be plan. Modernization Act (MMA) knowledgeable about new of 2003. Medicare programs and Conduct outreach and education benefits. activities designed to enhance consumer education and service programs under MMA. Convene local MMA beneficiary assistance activities by deploying trained volunteers to county level aging organizations. Arrange and conduct Medicare beneficiaries will Invite county local organizations to work rSeptember 30, III-1 1 Area MAgeney on 51rAllAging 1-B FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date 1 organized Medicare receive the assistance they with the AAA 1-B as co-sponsors in 2006 Modernization Act (MMA) need to choose a MMA hosting "prescription drug plan prescription drug plan prescription drug plan best information and enrollment" day(s) at information and enrollment suited to their prescription drug convenient locations in their county activities for older adults in needs. where masses of older adults can be easily accessible locations informed and enrolled in the most in each county of Region beneficial drug plan. 1-B. County local organizations that agree to co-sponsor the enrollment day(s) with the AAA 1-B will be asked to make available as many of their employees as possible whom the AAA 1-B will pre- train to assist thousands of older adults on enrollment day(s). Prior to scheduled enrollment day(s), extensive publicity will be conducted in each county by publicizing event(s) in newspapers, flyers, senior citizen newsletters, radio, and all other opportunities necessary to notify beneficiaries of date, time and location of enrollment day(s), and information needed for assistance with enrollment III-12 Area noy on irk"Aging " FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date process. Continuously recruit and train computer literate older adults as Prescription Assistance Counselors (PACs) qualified to assist beneficiaries at enrollment day location(s) throughout Region 1-B. 13. Health Care Plan Partnership Determine feasibility, and Older adults who are a member Establish an internal workgroup to September 30, appropriate organizational of a health care plan will have assess the AAA 1-B capacity to 2006 structure necessary, in access to the AAA 1-B home establish a private business relationship pursuing a private business and community based supports for the provision of home and relationship with a health that are paid by the health plan. community based supports. care plan that enables the AAA 1-B to provide home Identify a local health plan that is and community based interested in offering home and supports for selected community based supports as part of its enrollees, health promotion and prevention programming for older adults and persons with chronic disease. Develop a proposal to pilot the provision of community based supports through III-13 Area frAVAlicirgoll'IB FY 2006 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2006 Objective Desired Outcome Activities Completion Date the health care plan. . 14. Private Foundation Support for Aging Educate foundations about More southeast Michigan Work with members of Michigan September 30, aging issues and trends, foundations will make more Grantmakers in Aging to plan 2006 and encourage them to grants for programs that educational briefing sessions targeted consider elevating the address the needs of older toward foundations that have ranking of older adult adults. professional staff, as well as smaller programs in their funding family foundations. priorities. Conduct a briefing session for southeast Michigan foundation staff representatives on aging issues and potential foundation funding roles. Conduct a briefing session for southeast Michigan family foundation trustees on aging issues and potential foundation funding roles. AArea Agency on FY 2006 Annual Implementation Plan IV. APPENDIX A - PUBLIC HEARINGS Fiscal Years: 2006 Area Agency: Area Aaencv on Aaina 1-B BARRIER FREE NUMBER OF DATE LOCATION TIME el or N) ATTENDEES June 1,2005 Older Person's Commission 10:00 a.m. Y 41 Narrative: The Area Agency on Aging 1-B (AAA 1-B) conducted a public hearing on its Proposed FY 2006 Annual Implementation Plan on June 1 in Rochester. Older adults, service providers, elected officials, and other interested parties were invited to attend the hearing, and provide the AAA 1-B Board of Directors with feedback on the proposed Plan. Forty-two individuals attended the hearing, including fifteen older persons. Comments provided at the hearing, and one additional written comment, could be categorized into two general areas; support for very specific aspects of the plans, and discussion of needed advocacy and program development to expand services for older persons and family caregivers. As a result of the comments received at the public hearings, the following change was recommended for the proposed Plan: The planned activities under Program Development Objective 3 on Information and Assistance, was amended to include the following activity: "Establish formal linkages with 211 programs through Memorandum of Understanding, which recognizes the AAA 1-B as the Aging and Disabilities Specialist Organization." Area Vgeney on A IAging " FY 2006 Annual Implementation Plan PUBLIC HEARING TESTIMONY SUMMARY The following is a summary of testimony provided by service providers and older adults, and elected officials in attendance at the public hearing on the Area Agency on Aging 1-B's Proposed FY 2006 Annual Implementation Plan: In-Home Services Elected official testimony questioned the capacity of the Aging Network service delivery system to deliver quality in-home services if there is a rebalancing of long term care and a dramatic increase in utilization of community-based options. Service provider testimony responded that there is sufficient capacity, but there would be challenges in growing the direct care workforce, especially if the economy improves. Additional service provider testimony indicated that despite providing over 26,000 hours of in- home services annually to assist older adults to remain in their homes and out of institutional care, they are barely addressing the overall need. Rebalancing Long Term Care Service provider testimony expressed concerns about the political influence of the nursing home lobby, and the barrier that they will pose to efforts to rebalance long term care and emphasize community-based options. Additional testimony supported the concept of money following the person, so that individuals can receive services in the setting of their choice. Medicare Prescription Drug Benefit Service provider testimony expressed support for AAA 1-B plans to conduct Medicare Prescription Drug outreach and enrollment days, and pledged support in co-sponsoring events and donating staff time to help counsel and enroll older adults. Additional testimony expressed support for plans to collaborate with the Social Security Administration and the Michigan Department of Human Services in planning outreach and enrollment activities. Transportation Service provider testimony indicated there are many older persons who do not participate in community activities and senior centers because they do not have access to transportation. Elected official testimony called for greater use of transportation grants from public transit agencies and community development block grant funds to expand transportation services. Senior Centers Service provider testimony expressed concern that the proposed plan does not demonstrate greater involvement with senior centers. Senior centers need to be more active in filling gaps in services through the recruitment and training of volunteers. Testimony called for the development of pilot programs using volunteers to address IV-2 Area Agency on r "ing" FY 2006 Annual Implementation Plan older adult needs. Additional testimony expressed support for AAA 1-B plans for a resource development campaign to identify funding for senior center health promotion and wellness programs. Single Point of Entry for Long Term Care Elected official testimony expressed support for the AAA 1-B to serve as the Single Point of Entry for long term care services in Region 1-B, indicating that it is an appropriate role for the AAA 1-B to be directing consumers to the right resources. Service provider testimony speculated that a single point of entry will function similar to the 911 emergency telephone service, taking calls and assessing the consumer's needs, then engaging the needed help from other organizations. Refugee Assistance Service provider testimony expressed support for AAA 1-B plans to assist older refugees, and requested that providers also be able to utilize the purchased language line translation service. Older adult testimony indicated that most refugee populations prefer to isolate themselves from the mainstream population, and recognized the challenges in reaching out to refugee populations. Media Service provider testimony expressed concern that proposed strategies do not incorporate greater use of the media, indicating that the Aging Network needs to do more to educate the public about older adult needs and available community resources. Medicare Health Plans Service provider testimony expressed support for AAA 1-B plans to pursue private business relationships with health care plans that will increase home and community- based supports for their enrollees. Elder Abuse Elected official testimony supported the need to be more active in addressing elder abuse issues, and described the activities of a county-level elder abuse task force. Foundations Service provider testimony supported plans to educate foundations about aging issues and trends, and to encourage them to consider elevating the ranking of older adult programs in their funding priorities. Information and Assistance Service provider testimony expressed support for AAA 1-B plans to expand its Information and Assistance services and capacity, and requested that the AAA 1-B plan to establish linkages with developing 211 telephone information systems as they develop throughout the region. Agency: Area Agency on Aging 1-B As of: May, 2005 Area A Agency on IYAI Aging " FY 2006 Annual Implementation Plan IV. APPENDIX B MEMBERSHIP OF THE BOARD OF DIRECTORS Fiscal Year: 2006 DEMOGRAPHICS Asian/ Pacific African Native Hispanic Persons with Female Total Island American American/Alaskan Origin Disabilities Total 0 2 1 0 3 12 18 Membership Age 60 or 0 2 0 0 3 7 12 Over I NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate AFFILIATION MEMBER AREA Elected Official Appointed Community Rep Maggie Jones Livingston County Commissioner X X Bob Gibson Macomb County Commissioner X Floreine Mentel Monroe County Commissioner X X Greg Jamian Oakland County Commissioner X X Pam Wail St. Clair County Commissioner X X Barbara Levin Bergman Washtenaw County Commissioner X Vurn Bartley, Jr. Regional , Banking (Retired) X A,,AreAgea nay on AM Aging la Adoocoey • Acfian • Antren on Asir! FY 2006 Annual Implementation Plan NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate AFFILIATION MEMBER AREA Elected Official Appointed Community Rep Public Mae Derdarian Regional Relations/Media X cRetired) _ Jan Getty Regional Health Care Corporate/Business Chris Gustafson Regional Corp X (Retired) Robert McMahon Regional SEMCOG Mary Schieve Regional Legal Sandra Schiff Regional Gerontology X Clara White Oakland Social Work (Retired) X Walter Ernst Livingston Older Adult Rep Jerry DeMaire Macomb Older Adult Rep X Nancie Disher Monroe Older Adult Rep Jan Dolan Oakland Older Adult Rep Jeanne Criger St. Clair Older Adult Rep X Tom Miree Washtenaw Older Adult Rep X _ Agency: Area Agency on Aging 1-B As of: May, 2005 Area A Agency on Aging FY 2006 Annual Implementation Plan IV. APPENDIX C MEMBERSHIP OF THE ADVISORY COUNCIL Fiscal Year: 2006 DEMOGRAPHICS ' Asian/ Pacific African Native Hispanic - Persons with Female Total Island American American/Alaskan Origin Disabilities _ Total 0 3 0 1 3 12 19 Membership Age 60 or Over 0 2 0 1 3 6 12 NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER Margaret Belton Private Sector Representative Huron Valley Hospital - Retired Pam Marron Private Sector Representative American House Kay Miller Private Sector Representative Presbyterian Village Obioma Nwachukwu Private Sector Representative Friman Home Care Agency Vacant Private Sector Representative (disability community) Ted Westmeier Livingston County Livingston County Health Department Peter Lichtenberg Regional Wayne State University Institute of Gerontology Maria Vanacker Oakland Social Security Administration IV-6 Area 1-B Adoacof y • Action • Alum, on Agmg FY 2006 Annual Implementation Plan NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER Citizens for Better Care Nida Donar Regional (Title III Service Provider) , Tom Leyden Regional MPRO Mary DiManno Oakland City of Farmington Hills (Title III Nutrition Provider) . Robert Hull Regional (Oakland) Michigan Senior Advocate Jean Robinson Regional (Washtenaw) Michigan Senior Advocate Donald Ziemer Regional (Oakland) Michigan Senior Advocate John LaBelle Livingston County Older Adult Services Representative Dennis Giardina 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 Marilyn Dunn St. Clair County Older Adult Services Representative Vacant St. Clair County Older Adult Services Representative Shirley Lockery Washtenaw County Older Adult Services Representative Area Vgeney on A ‘Agthig " FY 2006 Annual Implementation Plan IV. APPENDIX E PLANNED ENTREPRENEURIAL ACTIVITIES Fiscal Year: 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 AAA 1-B will continue to explore opportunities to work with public and private health care providers to ensure that comprehensive long term care options are available for older adults. The Administration on Aging is encouraging Area Agencies on Aging to collaborate with Medicare Advantage Health Plans to expand in-home and preventive services. The AAA 1-B will explore possible business relationships to increase resources for supportive and preventive services. In an effort to enhance our commitment to older adults and caregivers, the MA 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 address 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, caregiver fairs in Monroe and St. Clair counties, 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. APPENDIX H NUTRITIONIST BUDGET (If Applicable) Fiscal Year 2006 Agency: AREA AGENCY ON AGING 1-B Congregate Home Delivered , FTE: 1 Local Match Total Federal State Federal I State Salary/Wages $ 22,908 $ 18,530 , $ 41,438 Fringe Benefits $ 7,637 $ 5,175 $ 12,812 Travel $ 400 $ 300 $ 700 Conferences $ 300 $ 600 $ 900 Office 1,800 1,200 $ 3,000 Utilities 100 $ 50 $ 150 - Equipment $ - Audit $ - - Other (Specify): $ a. In-kind Match $ 6,556 $ 6,556 b. $ - C. $ - TOTAL I $ 33,145 1 I $ 25,855 I I A AAA $ 65,556 Area Agency on Aging: Area Aaencv on Aaina 1 -B Service to be Provided: Care Manaaement &Area A Agency on Aging" FY 2006 Annual implementation Plan 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. Conduct four trainings for care management staff in both clinical and technical areas of knowledge. 2. Develop and implement new measures of productivity for community based care management. 3. Measure client satisfaction with care management and direct care workers by conducting and reporting on a telephone survey of clients and caregivers. By September 30, 2006 By November 30, 2005 By June 30, 2006 PROGRAM OBJECTIVES Current Year Planned FY 2006 1. Number of Client Screenings 2. Number of Initial Client Assessments 3. Number of Initial Client Care Plans 4. Total Number of Clients Carry- Over plus New 926 904 895 850 2,006 1,800 5. Staff to Client Ratio (Active & Maintenance per full time Care Manager) 45 50 V- 10 June 6, 2005 Date Executive Director Title FY 2006 CARE MANAGEMENT PROGRAM - Area Agency on Aging 1-B PROGRAM SUMMARY BUDGET FORM (A) TOTAL OSA CM TCM MATCH OTHER LINE ITEM BUDGETED FUNDS FUNDS CASH IN-KIND RESOURCES Wages/Salaries 905,943 671,935 32,665 67,307 0 134,036 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 _ Supplies 15,969 12,469 0 0 0 3,500 Occupancy 99,726 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 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. f Totals I 1,411,9191 1,025,2211 44,1421 90,2241 23,6891 228,643 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. 5/13/2005 FY 2006 CARE MANAGEMENT PROGRAM - Area Agency on Aging 1-B SCHEDULE OF MATCH & OTHER RESOURCES BUDGET FORM (B) 5/13/2005 MATCH VALUE SOURCE OF FUNDS Cash In-Kind Planned Usage - Oakland County Funds 70,789 Salaries/Rent Eldercare 2,906 Unmet Needs Information and Assistance 23,689 Rent/Communications/ Equipment Program Income 6,209 Travel Family Caring Network 10,320 Salaries/Rent Total Match 90,224 23,689 113,913 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 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 218,735 9,908 228,643 Area Agency on Aging: AreaAgency on A_ging -B Service to be Provided: Inforrnation and Assistance Proaram Agency eY n iirA‘Aging " FY 2006 Annual Implementation Plan Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be deve4ed for each direct service provided. WAIN September 30, 2006 September 30, 2006 September 30, 2006 September 30, 2006 Goal #1 A minimum of 18,000 older adults will immediately receive resource information and learn where to access services. Activity #1 Conduct outreach and educational presentations to increase visibility to call center Activity #2 Enhance protocols and scripts for the dissemination of and response to calls. Activity #3 Develop and maintain continuous skill set training program for resource specialists. Activity #4 Engage in public relations and advertising strategies to situate the AAA 1-8 call center as the single resource to call when in need of services and programs. Empowers consumers to access services/programs that are responsive to their needs. Improves callers access to resources and supportive options. Allows specialist to effectively respond to specific and complex needs of callers. Increases older adults, caregivers, and persons with disabilities knowledge of programs/services that are available. Akrea n AAg' on e ATANAging" FY 2006 Annual Implementation Plan , , - ' --- . ,. , . - , . I-•,, kr v. c ..z-' DI - el - ' -OV S '0 , 1 R VI ES ' .54 I 1:' D. t' '. , . Area Agency on Aging: . .. „. p-J ' Ojept " nod Area Agency on Aging 1 -B -4 ,. Service to be Provided: - - _ Y . _Information and Assistance Pro. ram 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. . h '44.it " . r•P' 1 1 11. '", .0 a van °pities 17", a Re i reime Goal #2 Maintain quality assurance in every aspect of AAA 1-B Call Center Activity #1 Annually survey a minimum of 10% of callers to ascertain their satisfaction with call center. September 30, 2006 Improves quality of service provided to callers. Activity #2 Through call center technology, continuously September 30, 2006 Enhances resource specialists' ability to respond to evaluate reporting and real time capabilities of inquiries for services/programs. system. Activity #3 Develop quality assurance protocol. September 30, 2006 Improves the quality and accuracy of information provided to callers. Activity #4 Evaluate current inclusion and exclusion criteria. September 30, 2006 Expands the quality and quantity of resources contained in database. IV-14 Adoocenty • Action • Anosert on Aping FY 2006 Annual Implementation Plan o S ... l - : , .,.,,, .... , . . , n-r-- Area Agency on Aging: .. - p' jct l, 0 Area Agency on Aging 1-B '4 ._ , Service to be Provided: *00 trnj Information and Assistance Pros ram , 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. . .- :i §Siskaii- t iViti s - ,,,, anne ime ra tcom . lis etas - Activity #5 Develop policies and procedures that insure follow September 30, 2006 Increases resource specialists ability to respond to up to a minimum of 10% of callers, callers current and future needs. Activity #6 Develop protocol that insures enhanced September 30, 2006 Improves the quality of service provided to callers, information and assistance is provided for callers and increases the likelihood that callers will receive whose ability to access resources is the services/resources needed. compromised. IV-15 Ct 05° Nde Executive Director Date:/ , FY 2006 Multi-Year & Annual Implementation Plan , Appendix J - Direct Service Budget AAA: Area Agency on Aging 1-B FISCAL YEAR: 2006 SERVICE: Information & Assistance Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title III) Funds Income Cash In-Kind Resources Budgeted Wages/Sa1aries 83,447 113,877 44,745 1,834 21,702 27,629 5,472 298,706 Fringe Benefits 19,193 26,192 10,291 422 4,991 6,355 1,259 68,702 Travel 1,253 1,710 672 28 326 415 82 4,485 Training 1,212 1,655- 650 27 315 401 80 4,340 Supplies 3,233 4,412 1,734 71 841 1,070 212 11,573 Occupancy 10,837 14,789 5,811 238 2,818 3,588 711 38,793 Communications 6,547 8,935 3,511 144 1,703 2,168 429 23,436 Equipment 1,778 2,427 - 954 39 462 589 117 6,365 Other (e.g., Raw Food Costs): 1,563 2,133 838 34 406 517 102 5,594 Administration 5,227 7,133 2,803 115 1,359 1,731 343 18,711 Contract 1,670 2,279 896 37 434 553 110 5,979 Volunteer Recognition 539 735 289 12 - 1401 178 35 1,929 Totals 1 136,5001 186,2771 73,193, 3,0001 35,500 45,1941 8,951 488,614 SERVICE AREA: Region 1-B (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 AdVOS94y • AC dan • Anstreri on Aging FY 2006 Annual Implementation Plan ,.. EeTRo i'46 9 r fgn ... SI Fe , -5, ..-. i-, .!- 'il , .i, ...£ ..,- . Area Agency on Aging: ' 0 eel t*ti Area A.enc on As ins 1-B Pt, iOl Service to be Provided 4r , , o ly , Health Benefits Education — -5- .. .0.,,, 5..., Please specify the planned goals and activities that will be undertaken to provide the service identified above. A separate work plan must be deve!oped for each direct service provided. ,• - ___ 5, _ - 5 ,,,,, t_ , t ,55.i ' - . , , z'- oa s4an A. I" 'ti Ian e rdriN o its_ ,tinientsk, ' , , . — , , , - _, .. Goal #1 A minimum of 3,500 Medicare and older adult Medicaid beneficiaries will receive benefits' assistance by phone and/or in person. Activity #1 Allows beneficiaries to understand and obtain benefits Continue to conduct community presentations on September 30, 2006 available. Medicare. Activity #2 Continue and expand MMAP outreach efforts September 30, 2006 Allows beneficiaries to easily access Medicare and through volunteer placements at senior centers Medicaid benefit information within their community. and hospitals Activity #3 A minimum of one in-service training will be September 30, 2006 Ensures that accurate and comprehensive information conducted each quarter for Medicare Medicaid is provided to beneficiaries. Assistance Program volunteers. IV-17 ,Nge " doVrea fak‘Aging " FY 2006 Annual Implementation Plan A at. '-',. i •*. ';*-1.5. m , ,..., ' , _ . . J‘ IT _ . -,- a A124 4 , 4 Area Agency on Aging: , --F' 'or e Per od i , Area A•enc on Asin. 1-B i Service to be Provided: .,.. 06 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. --4., -F ,_., , --f.4 5. ',.,. . d Acti titi:Si: I nne inie Fram - c 011913 efitv . — swfr Goal #2 Develop a Medicare Modernization Act (MMA) consumer education plan. Activity #1 Implement strategies to conduct outreach and September 30, 2006 Improves beneficiaries' knowledge of MMA. education on MMA. Activity #2 Develop and conduct activities to enroll September 30, 2006 Increases beneficiaries' ability to choose a drug beneficiaries in a MMA drug plan. benefit suited to their needs. Activity #3 Convene local MMA beneficiary assistance September 30, 2006 Allows beneficiaries to receive assistance in choosing activities by deploying trained volunteers to county a MMA drug plan. level aging organizations. IV-18 Area Agency on r ‘Aging 11 FY 2006 Annual Implementation Plan , • ., , N. t yf Area Agency on Aging: .. , tojec D I 6 Area Agency on Aging 1-B , - - . Service to be Provided: - * ,lJFY0on y ,1 - - , . - • - Health Benefits Education m _ 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. Tr {, n4 .4 „ „ I' ' V, s,- ' tti lees afifie ilne . . Ac isii • , e r• ' A Goal #3 Arrange and conduct MMA prescription drug plan information and enrollment activities in each Region 1-B county. Activity #1 Invite county local organizations to co-sponsor September 30, 2006 Increase beneficiaries' ability to receive information "prescription drug plan" enrollment day(s). and enroll in MMA drug plan. Activity #2 Conduct publicity related to enrollment day(s). September 30, 2006 Improves beneficiaries' ability to access needed• information on and assistance with MMA plan choice. Activity #3 Continuously recruit and train volunteer September 30, 2006 Volunteer force is expanded and beneficiaries' access counselors, to benefits information is enhanced. IV-19 ecutive Director Title Da e Dare FY 2006 Multi-Year & Annual Implementation Plan • Appendix J - Direct Service Budget AAA: Area Agency on Aging 1-B FISCAL YEAR: 2006 SERVICE: Health Benefits Education _ Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title HI) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 14,672 14,672 Fringe Benefits 3,375 3,375 Travel 220 220 Training 213 213 Supplies 568 568 Occupancy 1,905 1,905 Communications 1,151 1,151 Equipment 316 313 Other (e.g , Raw Food Costs): 275 6000 6,275 Administration 919 919 Purchased Services 294 294 _ Volunteer Recognition 95 95 Totals I 24,0001 01 of 01 01 6,000[ of 30,000 SERVICE AREA: Region 1-B (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. Area Agency on fAVAging" FY 2006 Annual Implementation Plan V. ASSURANCES & CERTIFICATIONS The undersigned agency, designated by the Michigan Commission on Services to the Aging to act as the Area Agency on Aging within a given planning and service area, agrees to the following: 1. That the Annual Implementation Plan shall cover the period October 1, 2005 through September 30, 2006. 2. To administer its Annual Implementation Plan in accordance with the Older Americans Act, the Older Michiganians Act, federal and state rules, and policies of the Michigan Commission on Services to the Aging as set forth in publications and policy directives issued by the Michigan Office of Services to the Aging. 3. To make revisions necessitated by changes in any of the documents listed in point two in accordance with directives from the Michigan Office of Services to the Aging. 4. That any proposed revisions to the Annual Implementation Plan initiated by the Area Agency on Aging B will be made in accordance with procedures established by the Michigan Office of Services to the Aging. 5. That funds received from the Michigan Office of Services to the Aging will only be used to administer and fund programs outlined in the Annual Implementation Plan approved by the Michigan Commission on Services to the Aging. That the Area Agency on Aging will undertake the duties and perform the project responsibilities described in the Annual Implementation Plan in a manner that provides service to older persons in a consistent manner over the entire length of the Annual Implementation Plan and to all parts of the planning and service area. 7. That program development funds will be used to expand and enhance services in accordance with the initiatives and activities set forth in the approved Area Implementation Plan. 8. That all services provided under the Annual Implementation Plan are in agreement with approved service definitions and are in compliance with applicable minimum standards for program operations as approved by the Michigan Commission on Services to the Aging and issued by the Michigan Office of Services to the Aging, including Care Management. That the Area Agency on Aging will comply with all conditions and terms contained in the Statement of Grant Award issued by the Michigan Office of Services to the Aging. 10. That the Area Agency on Aging may appeal actions taken by the Commission on Services to the Aging with regard to the Annual Implementation Plan, or related matters, in accordance with procedures issued by the Michigan Office of V-1 Area Agency on rANNAging Athrocary • Ac lion • Answers June 24, 2005 FY 2006 Annual Implementation Plan Services to the Aging in compliance with the requirements of the Older Michiganians Act and Administrative Rules. 11. That the Area Agency on Aging will coordinate planning, identification, assessment of needs, and provision of services for older individuals with disabilities, with particular attention to individuals with severe disabilities, and with agencies that develop or provide services for individuals with disabilities. 12. That the Area Agency on Aging has in place a grievance procedure for eligible individuals who are dissatisfied with or denied services. 13. That the Area Agency on Aging will send copies of the Annual Implementation Plan to all local units of government seeking approval as instructed in the Plan Instructions. 14. That the Area Agency on Aging Governing Board and Advisory Council have reviewed and endorsed the Annual Implementation Plan. The undersigned hereby submit the FY '06 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 Name of Area Agency on Aging Signature: c1-20.-LIT p() -wiM et_ June 24, 2005 Chairperson, Board of Directors Date Robert 0. McMahon Typed Name Signature: Ex6(cutive Director N Date a Agency on Aging 1-B Sandra K. Reminga Typed Name AreA Agency on A Aging " FY 2006 Annual Implementation Plan C) Action AOswnro Oh 4110ff 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, properly, discounts or other Federal financial assistance from the Department of Health and Human Services. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH: 1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80), to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 2. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 3. Title IX of the Educational Amendments of 1972 (Pub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department. 4. The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be V-3 , Area Apney on JOS ‘Aging 141 FY 2006 Annual Implementation Plan 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. Signature: Authorized Official 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) V-4 y (zit) Date Area ilkAgency on MlIo HANIAging 11 FY 2006 Annual Implementation Plan V. GLOSSARY OF ACRONYMS IN AGING 4AM Area Agencies on Aging Association of Michigan 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 AIP Annual Implementation Plan ALF Assisted Living Facility 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 DCIS/CIS Department of Consumer and Industry Services DHHS/HHS U.S. Department of Health and Human Services DoE Department of Education V-5 &r:AglAa Agenoy on A Aging" FY 2006 Annual Implementation Plan DMB Department of Management and Budget DoT Department of Transportation DSP Direct Service Purchase EPIC Elder Prescription Insurance Coverage ELM ElderLaw of Michigan FGP Foster Grandparent Program FIA Family Independence Agency FY Fiscal Year GAO General Accounting Office HB House Bill (state) HCBS/ED Home & Community Based Services for the Elderly and Disabled Waiver (HCBS/ED) program commonly known as MI Choice HDM Home Delivered Meals HMO Health Maintenance Organization HR Hoifse Bill (federal) HSA Health Systems Agency HUD Housing and Urban Development l&A Information and Assistance IM Information Memorandum loG Institute of Gerontology LEP Limited English Proficiency LSP Legal Services Program LTC Long-Term Care MHSCC Michigan Hispanic Senior Citizens Coalition MIACoA Michigan Indian Advisory Council on Aging MI Choice Michigan's Medicaid Home and Community-Based Elderly/Disabled Waiver MICIS MI Choice Information System MIS Management Information System MLSC Michigan Legal Services Corporation MMAP Medicare/Medicaid Assistance Program V-6 Area Agency on Aging 143 Advocacy • Action Ancocrs on Aging 1 1.1 MSA Medical Services Administration MSAC Michigan Senior Advocates Council 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 RFP Request For Proposal RSVP Retired and Senior Volunteer Program SAC State Advisory Council SB Senate Bill (state) SCP Senior Companion Program V-7 FY 2006 Annual Implementation Plan Area Agency on r ‘Aging " FY 2006 Annual Implementation Plan SCSEP Senior Community Service Employment Program SEMCOG Southeast Michigan Council of Governments SGA Statement of Grant Award SMART Suburban Mobility Authority for Regional Transportation SMSA Standard Metropolitan Statistical Area SNF Skilled Nursing Facility SR Senate Bill (federal) SS Social Security SSA Social Security Administration SSI Supplemental Security Income SUA State Unit on Aging TA Technical Assistance TCM Targeted Case Management Title V Senior Employment program of the OAA TSR Tobacco Settlement Respite (state) USDA United States Department of Agriculture VA Veterans' Administration WHCoA White House Conference on Aging Ruth Johnson, County Clerk Resolution #05135 July 28, 2005 Moved by Gregory supported by Molnar the resolutions on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Coleman, Coulter, Crawford, Douglas, Gershenson, Gregory, Hatchett, Jamian, KowaII, Long, Melton, Middleton, Molnar, Moss, Nash, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Woodward, Zack, Bullard. (24) NAYS: None. (0) A sufficient majority having voted therefore, the resolutions on the Consent Agenda were adopted (with accompanying reports being accepted). STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Ruth Johnson, 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 28, 2005 with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 28th day of July, 2005.