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Home My WebLink AboutResolutions - 2007.07.19 - 28428MISCELLANEOUS RESOLUTION #07 162 July 19, 2007 BY: General Government Committee, Christine Long, Chairperson IN RE: BOARD OF COMMISSIONERS - AREA AGENCY ON AGING 1-B FISCAL YEAR 2008 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 (Public Act 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 an area agency on aging's multi-year area plan and annual implementation plan; 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 2007-2009 with the adoption of Miscellaneous Resolution #06141. The FY 2008 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 Fiscal Year 2008 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 forwards 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. Area Agency on Aging 1-B FY 2008 Annual Implementation Plan for services to older adults in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties Are a Agency on A\ Aging 1-B Advocacy • Action • Answers on Aging www.aaalb.com Area Agency on Aging 1-B * 29100 Northwestern Highway, Suite 400 ' Southfield, Michigan 48034 Area Agency on ‘Agingq-B • la Aduocacy • Amon • Aeon,,,,, Aging FY 2008 Annual Implementation Plan TABLE OF CONTENTS I. EXECUTIVE SUMMARY A. Narrative 1-1 B. Fiscal Year 2008 Services Summary 1-5 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 111-1 IV. APPENDICES A. Public Hearing IV-1 B. Board Membership IV-8 C. Council Membership IV-10 E. Planned Entrepreneurial Activities IV-13 H. Nutritionist Budget IV-14 J. Administration of Direct Services 1. Care Management IV-15 2. Information & Assistance IV-19 3. Health Benefit Education IV-22 V. ASSURANCES & CERTIFICATIONS A. Assurance & Certifications V-1 B. Assurance of compliance with Title VI of Civil Rights Act 1964 V-3 C. Signature Page V-5 D. Glossary of Acronyms V-6 Area Agency on Agi11.1'B FY 2008 Annual Implementation Plan EXECUTIVE SUMMARY A. NARRATIVE: The Area Agency on Aging 1-B (AAA 1-B) is a non-profit 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 persons who are disabled or older and/or their caregivers linking them to a network of 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 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 is allocated to provider organizations in accordance with an Area Agency on Aging's approved Annual Implementation Plan. In 2006, the OAA was reauthorized and amended by adding language specifically directing that an area agency on aging's Area Plan shall: 1. provide that the area agency on aging shall, consistent with this section, facilitate the area-wide development and implementation of a comprehensive, coordinated system for providing long-term care in home and community- based settings, in a manner responsive to the needs and preferences of older individuals and their family caregivers, by— a, collaborating, coordinating, and consulting with other local public and private agencies and organizations responsible for administering programs, benefits, and services related to providing long-term care; b. conducting analyses, making recommendations, and implementing programs with respect to strategies for modifying the local system of long- term care to better— (1) respond to the needs and preferences of older individuals and family caregivers; (2) facilitate the provision, through service providers, of long-term care in home and community-based settings; and 411 4 Area Agency on Aging 1"B FY 2008 Annual Implementation Plan Health Benefits Education Access Hearing Assistance Services Home-Delivered Meals Home Injury Control Homemaking In-Home Respite Care Information & Assistance Interfaith Volunteer Caregivers Legal Services Long Term Care Ombudsman Medication Management Out of Home Respite Personal Care Resource Advocacy Transportation Unmet Needs Vision Assistance Services 30,009 29,540 3,547 1,695 2,031,555 11,029 4,425 1,547 246,550 720 186,019 592 70,394 20,202 26,072 355 18,781 6,513 5,473 5,190 4,528 62 1,541 89 229,443 781 41,112 11,966 52,664 269 14,078 477 1,162 762 The development of a comprehensive and coordinated service delivery system is facilitated by the AAA 1-B 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 most services. This disparity is unfortunate and harmful because of the preventive nature of many AAA 1-B funded services. Thus, insufficiently funded 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 nursing home care. The poor local economy and liberal lending policies have put an increasing number of older home owners at risk of mortgage foreclosure, and pending reductions in Medicare home care benefits will likely result in more Medicare home care patients seeking in-home assistance quicker and sicker. 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, including disability organizations and advocates for adults with a disability. In order to expand and enhance older adult services in the areas of health, housing, transportation, social and nutritional services, and long term care the AAA 1-B seeks to develop collaborative partnerships that will result in additional resources and increased sensitivity of other service delivery systems toward the unique needs of older adults. Medicaid long term care policies which promote the principles of "Money Follows the Person" will also facilitate greater choice for consumers. Additional efforts will focus on improving access to needed community resources for targeted populations by working more closely with senior centers, local g ri Ng" Area ney 0 14"Aging" FY 2008 Annual Implementation Plan governments, naturally occurring retirement communities and LGBT (lesbian, gay, bi-sexual, and transgender), religious, cultural, ethnic, and minority organizations. While access and in-home services are a high priority, we also work to enhance opportunities to strengthen other community services, including senior centers to engage in wellness and prevention activities. Greater attention to older adult quality of life issues such as civic engagement, end of life issues, and elder friendly communities will also be addressed. The Michigan Department of Community Health is committed to implementing recommendations of the Governor's Medicaid Long Term Care Task Force (June, 2005), which call for systems change through policies that will facilitate consumer choice, rebalancing, money follows the person, and person-centered planning. The AAA 1-B's role in long-term care is to serve as an impartial, service-neutral access point by providing information, assessing needs, and distributing funds to support direct services to consumers. We accomplish this goal by serving as a MI Choice Waiver Agent, and providing Community Care Management and Information and Assistance. We also provide leadership in supporting an Aging Network of provider agencies that serve older adults and adults with disabilities. State plans to develop Single Points of Entry for long term care present further opportunities and challenges for the Aging Network. We shall work to strengthen the capacity to deliver services that are responsive to consumer needs, and improve coordination with other health and long term care systems. The AAA 1-B is positioned to serve as the Single Point of Entry for the region's six counties, and will continue to provide leadership for the Aging Network in developing high quality, consumer-friendly community-based programs and services. A detailed description of the AAA 1-B goals and objectives for 2008 are described in Section III. * B. FY 2008 Planned Services Summary Page Method of Provision Service Percent of the Total Purchased Contract Direct ACCESS SERVICES 14.07% Care Management 8.62% Case Coordination & Support* Disaster Advocacy & Outreach Program Information & Assistance 1.33% X Resource Advocacy/Access 3.85% X I X Transportation 0.28% X IN-HOME SERVICES 59-58% 1.11111111111 Chore 2.46% X Home Care Assistance , Home Injury/Health Ben. Ed 0.92% X I X Homemaking/LTC 5.68% X Home Delivered Meals 38.41% X X X Home Health Aide Medication Management 0.27% X Personal Care/LTC 6.50% X Personal Emergency Response System Respite Care/LTC 5.33% , X Friendly Reassurance COMMUNITY SERVICES 21.28% Adult Day Care Dementia Adult Day Care 5.01% X X Congregate Meals 13.23% X X Nutrition Counseling Nutrition Education Disease Prevention/Health Promotion Health Screening Assistance to the Hearing Impaired & Deaf 0.34% X Home Repair Legal Assistance 1.08% X Long Term Care Ombudsman/Advocacy 0.86% X Senior Center Operations Senior Center Staffing Vision Services 0.32% X ' Programs for Prevention of Elder Abuse, Neglect, & Exploitation 0.28% X Counseling Services Specialized Respite Care i Caregiver Supplemental Services Kinship Respite Care 0.16% X Caregiver Education, Support, & Training REGION-SPECIFIC 5.06% Reg. IFVC 0.69% Reg. Resp/NFCSP 1.47% X Program Development 2.90% X TOTAL PERCENT 100% 18.83% 67.17% 14.00% TOTAL FUNDING 15,308,293 2,881,787 10,283,801 2,142,705 * Includes $90,000 for DSP Services Agency: Area Agency on Aging 1B PSA: 1-B SERVICES SUMMARY ADMINISTRATION 2,219,968 1,545,989 98,834 2,222,755 2,477,048 164,606 Merit Award Trust Administration ToTal 1,152,734 39,335 210,159 692,542 832,078 1,011,161 73,036 816,234 1,760,244 232,670 953,255 1,560,358 3,241,038 21,179,384 Signature Title Date FY 2008 AREA PLAN GRANT BUDGET Budget Period: 10/01/07 to 09/30/08 Date: 03/14/07 Rev. No.: 00 Rev. 4/2007 Page 1 of 3 SUPPORTIVE SERVICES 2,219,968 164,606 1,028,074 FUND SOURCE 1. Federal Title 111-B Services 2. Fed. Title III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) 5. State Home Delivered Meals 8. Fed Title 111-D (Prey. Health) 9. Federal Title III-E (NFCSP) 10 Federal Title VII-A NUTRITION I SERVICES I TOTAL 1,545,989 98,834 2,222,755 2,477,048 1,028,074 20. TISIP 1,560,358 21. Program Income 13. State Alternative Care 14. State Care Management 16. State N.H. Ombudsman 17. Local Match a. Cash 19. Merit Award Trust Fund 12 State In-Home 18. State Respite Care (Escheat) to Federal title VITEAP 11 State Access b. In-Kind 101AL 9,953,747 39,335 210,159 692,542 832,078 1,011,161 73,036 816,234 1,055,286 232,670 953,255 625,343 I 2,615,695 MIME 11,225,637 704,958 'includes C1/C2 40% allowable transfer of $1,030,659 Expenditures FTEs 1. Salaries/Wages .ft -, 2. Fringe Benefits -:- 3. Office Operations Total: , 1,152,734 I I -- - ' Cash Match Detail In-Kind Match Detail Source Amount Source Amount gems_ no° - • .• • --q.,. -1-,111W." --- --- . -..---. - -...,,,j. ---=__:7.1 ,.:`--7.7 - 73 L . -k-"'"' ._‘,_. -I --v- -v-4-.- Et7:44-7-77._-___= Total: 123,550 Total: IIIIIIIIIIIIMN 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. I I - 1 Agency: Area Agency on Aging 1B PSA: I-B Budget Period: Date: la&a,1" to SiitS Rev. No.: ark: Title III-B State Access Title VII Title III - E Title III-0 State In-Home St. Alt. Care State Care Mgmt Merit Award Trust Fund Medicaid Match State NHO St. Respite (Escheat) In-Kind Match Cash Match Program Income 3ERVICE CATEGORY Access Care Management 97,771 ). Case Coordisupp : Disaster Advocacy I. Information & Assis Res.Adv/Access 4."0,124 405,653 MIA transportation/ LTC I hr-Home . Chore 376,601 . Home Care Assis . Horne Int Cntrli hlth MEM 141,241 263840 rtk f lomemaking/ LTC Home Health Aide tyledication Mgt 41,975 "eisonal Care/ LTC PERS 90,201 .ijgbd 99,000 Respite Care/ LTC Friendly Reassure Legal Assistance Community Services 139,99.# . TtS bob 39,982 164,893 Adult Day Care 51,021 ,i,4 10:142 Dementia ADC Disease Prevent I lealth Screening Assist to Deaf Home Repair LTC Ombudsman St Cti Operations Si Cif Staffing Vision Services Elder Abuse Prevnt Aunseling Ak-4k, 27,019 - 3,468 Spec Respite Care Caregiver Supplmt Kinship Support Caregiver E,S,T ; ogr am Develop egion Specific fleg.IFVC/ Refugee 554,993 811,4 443,994 • iYgit 74,325 39,959 136,601 21,675. 168.922 313,889 flegiOutHrnRespite leg/Other UPP111 SERV ToTALI 2,219,968 32,218 1 625,343 1 784,016 I 1,055,286 1 9,867,9541 39,335 164,606 I 1,028,074 210,159 I 692,542 1 832,078 1 1,011,161 73,036 232,670 1 867,462 11-2 Rev. 4/2007 Page 2 of 3 TOTAL 1,653,864 255,150 743,111 57,636 560,373 192,401 1,112,500 52,469 1,327,349 1,072,868 229,716 1,234,370 65,220 157,787 63,875 54,404 29,378 FY 2008 AREA PLAN GRANT BUDGET- NUTRITION SERVICES DETAIL Rev. 4/2007 Agency' Area Agency on Aging 1B , Budget Period: 10/01/07 to 09/30/08 Rev. Number: 00 _ PSA: 1 -B Date: 03/14/07 Page 3 of 3 SERVICE CATEGORY Title III C-1 Title III C-2 State State HDM NSIP Program Cash In-Kind TOTAL Congregate Income Match Match Nutrition Services _ - -,---,-- 2,887,581 1. Congregate Meals NWT- - -.- ---- 8,338,056 2. Home Delivered Meals - _;-,-,1- -----,i ,- ,..-...C-4,_ --.-7 7".:;- - 0 3. Nutrition Counseling ,- -.,_;--m-,.....c.- _ .;---:- - -- _ 4. Nutrition Education - _ ,---,- vs 0,- , -,- — -- -,,, ..,,-- .4T_...-- . - -.--, -_-2,.; -,:f21- ..-,.., -..,- .,.., 5. Regional ,_--, --,-- - 0 Nutrition Services Total 1,545,989 2,222,755 98,834 2,477,048 1,560,358 2,615,695 o 704,958 11,225,637 I FY 2008 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL I SERVICE CATEGORY Title III-B Title VII-A Title VII-EAP State NHO Medicaid Program Cash In-Kind TOTAL Match Income Match Match - -- LTC Ombudsman Services 1. LTC Ombudsman -., '-L=i- - .. 157,787 2. Elder Abuse Prevention _ .-A-7.4---. E-..-- - _ 54,404 3 Region Specific ,,.,'-''..7Z.,4=-M,.., , _ __, _ 0 LTC Ombudsman Ser. Total 30,487 0 39,335 73,036 32,218 1,400 I 33,040 I 2,675 212,191 I FY 2008 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL I _ SERVICES PROVIDED AS A Title III-B Title III-E State Alt Care State State In-Home Merit Award Program Cash/In-Kind TOTAL FORM OF RESPITE CARE Escheats Trust Fund Income Match _ 1. Chore -7.-.0.0,. -' ..k ---, t --...--- r ___,---,---„,, ,.:..t, iri--1.-- 1.-..----..,--,. -,---_ --7-_.=Lk _ _.-..-q1 560,373 2. Homemaking 2 ;184.0 , = == - -,k---WW-1 _ ---,-&--Itr.---1 ---T1L1 1,112,500 ,:,---,---:.---,-.7-,,,,- 3 Home Care Assistance ---_, 4 Respite 7_ a ME .=. _ 1,297,579 - --,.--- ---: 5. Meal Preparation/HDM -_---qa-L-.---7-1, -,,._7. -‘ 6. Personal Care ----; - " 'il W._ -.';'17 1 ..--.'r-- ---'`'51 -- - . t _ ',41fil 1,327,349 IRespite Service Total I 810,583 I 308,9181 832,0781 211,6161 692,5421 426,4681 251,2221 764,374 1 4,297,8011 11-3 May Burch Database Developer Sandra Carter --Fiscal Manager Social Services Paula Howard __. Fiscal Manager Nutrition Services tvleta Lothman Fiscal Analyst * Melissa Maxwell ---FNCPS Clerical Assistant Melissa Pena HR Manager ect tAyei iuy iy I -ID Organizational Chart Revised 0410512007 Tina Abbate Marzolf Chief Executive Officer Erin George Chief Fiscal Officer Finance and Administration LRichard !son Accounting Supervisor Kimberly Northern [—Billing Clerk 1 Sonal Parikh L—Billing Clerk ' Michelle Shehan -Payroll/Accounting Clerk I Karol Southerland [—Billing Team Leader Charlene Thompson i—Senior Accounting Clerk Joel Gottsacker Director Contract and Purchased Services Cathy Backos i---DSP Contract Respite Manager Kathy Bogl —Vendor Qlty. Assurance Mgr. * Karen Jackson —Nutrition Contracts Manager Maryanne Moore DSP Manager Amy Mills 1,--Social Services Contracts Manager Deanna Mitchell Director Support Services Melissa Christ Secretary II Sara Ferguson Clerical Assistant Leslie Lemanski Secretary I LLinda Myers Secretary I James McGuire Director Planning and Advocacy Amy Smyth Community Planner/ Advocacy Coordinator Tom Wyllie Community Planner Kathleen Kueppers Director Community Care Services (See Page 2) LBecki Tyler LJennifer Houghton Call Center Supervisor MMAP Coordinator 1 Angela Lippard 1 Resource Specialist Kelly McGrath Resource Specialist Vikki Rochester Resource Specialist Sandra Smith Resource Specialist L_Kristin Wilson I Resource Specialist Jenny Jarvis Director Communications and Fund Development Louanne Bakk Director Access and Benefits Assistance ISallie Jus ice PR Coordinator* Area Agency on Aging 1-B Advisory Council Vacant Associate Director Area Agency on Aging 1-B Board of Directors LVacant Resource Specialist ' Part Time Position 11-4 Marie Mihaltart RN Care Manager Karen RanaIla RN Care Manager Vacant RN Care Manager Vacant I SW Care Manager Vacant _I Denise Parker SW Care Manager Program Assistant Kevin Valenti SW Care Manager Christine Wagner RN Care Manager n Area 'Agency on Aging 1-B Organizational Chart Page 2 Kathleen Kueppers Director Community Care Services Shavon Walton Oakland Regional Supervisor 1 Barb Lavery Macomb/St. Clair Regional Supervisor Vacant Clinical Quality Assurance Manager Gerilyn Powers Monroe Regional Supervisor Kathy Sarb Livingston/Washtenaw Regional Supervisor Lawrence Bassin SW Care Manager Crystal Bolos Program Assistant Elizabeth Gamboa RN Care Manager Susan Hearshen SW Care Manager LJulie Karbginsky 1 SW Care Manager Barbara Leasia RN Care Manager Cheryl Collins Program Assistant Kathleen Dettloff RN Care Manager Kathleen Fee RN Care Manager Anne Flood SW Care Manager Charna Latosz SW Care Manager Samuel Love SW Care Manager Sara Burzynski SW Care Manager Joyce Kukuk RN Care Manager Louanne Marks Program Assistant Dawn Nasr RN Care Manager Patricia Pencak RN Care Manager Linda Watson Russell RN Care Manager Geralyn Beard RN Care Manager Nancy Hoffman 1—RN Care Manager Carlen Fields Program Assistant ' Sarah Jacobs SW Care Manager Shara Pollou RN Care Manager Margie Rushlow RN Care Manager Rhonda Barrie ___I_Pamela Burke RN Care Manager I RN Care Manager Margaret Hart Christine Gannon RN Care Manager RN Care Manager Cynthia Kuehn Elizabeth Kelly RN Care Manager RN Care Manager Kathy Poland Rebecca Knorp RN Care Manager SW Care Manager Nancy Wedell Carrie Lengyel SW Care Manager SW Care Manager Vacant Kathleen Ochmanski RN Care Manager SW Care Manager Carol Paul RN Care Manager Barbara Sims RN Care Manager Nancy Thompson OHR Coordinator * Janice Wolf RN Care Manager Amy Wood , RN Care Manager Maria Riley SW Care Manager Audrey Smith RN Care Manager Vacant RN Care Manager Vacant RN Care Manager I Vacant I RN Care Manager Vacant SW Care Manager LVacant RN Care Manager Vacant SW Care Manager !Vacant RN Care Manager Vacant SW Care Manager Vacant RN Care Manager Vacant RN Care Manager Vacant SW Care Manager 11-5 AreAgaency on /AIX Aging Advocacy • Action • Answers on API?, FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 State Goal 1: Work to improve the health and nutrition of older adults _ Objective Desired Outcome Activities Completion Date Increase resources for the Senior centers will have access Identify and submit requests to at least September 30, Senior Wellness Fund by to financial resources that can five individuals and/or organizations that 2008 submitting funding requests support the development of might contribute funds to the Senior to at least five sources of senior center wellness, fitness, Wellness Fund. funding and donations to and health prevention support development of programs. senior centers' health promotion and wellness infrastructure. Develop a strategy to Older adults who are a member Collaborate with a third party broker and September 30, pursue a private business of a health care plan will have other area agencies on aging to develop 2008 relationship with a health access to the AAA 1 -B home a business model for conducting care plan that enables the and community based supports business with a Medicare Advantage AAA 1-B to provide home that are paid by the health plan. Organization (MAO). and community based supports for selected Develop a fee-for-service package of enrollees. home and community-based services to offer MA0s. Assess Region 1-B provider network assets and develop capacity-building plan. III-1 Area IVgency on Aging FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 Collaborate with RLMI to market services package to MA0s. Improve older adult health Older adults will feel more Convene a community coalition to September 30, literacy by increasing the confident and comfortable develop a health literacy community 2008 effectiveness of patient- asking questions of their health education campaign. Conduct a health provider communication, care providers, literacy community-education campaign Better communication between utilizing the information, resources and older adults and their health practical tools developed by the care providers will result in Partnership for Clear Health improved health outcomes. Communication (PCHP). The PCHP is a national, non-profit coalition of organizations devoted to building awareness and advancing solutions to improve health literacy and positively impact health outcomes. Among the tools to be used is "Ask me 3", a solution-basted initiative designed to improve health communication between patients and providers. State Goal 2: Improve access to information and services to older adults and their caregivers Objective Desired Outcome I Activities Completion Date AeAgaency on /AN, Aging 1-13 Ad.., • Act,. • Ans.., . ARIng FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 Increase the capacity of the Call Center customers seeking Identify Call Center training needs September 30, AAA 1-B Call Center to information on housing options, related to housing options, disease- 2008 respond to caller needs in resources related to specific specific resources, transportation four specialty areas: diseases, transportation options, and financial abuse and housing options, disease- options, or exploitation will exploitation. specific resources, receive more thorough transportation, and financial counseling and access to a Continue to expand housing, chronic abuse and exploitation, more comprehensive array of diseases, transportation, and financial resources. abuse and exploitation resources in the AAA 1-B Information and Assistance database. Provide training to Call Center Resource Specialists on older adult housing, disease specific needs, transportation identification, and financial exploitation. Increase the number of Medicare and Medicaid Continue to build relationships with September 30, racial/ethnic/cultural beneficiaries from diverse organizations representing diverse 2008 volunteers to provide health racial/ethnic/cultural racial/ethnic/cultural groups and identify benefits education to at backgrounds seeking health needs within various communities. least two diverse groups. benefits education, counseling and assistance will have Collaborate with representatives from access to a culturally and/or within identified ethnic/cultural linguistically competent communities to develop and implement III-3 AArea A Agency on Aging " FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 volunteer within their volunteer recruitment plan. community. Continue to identify sites for culturally and/or linguistically competent volunteer placement. Provide training to interested volunteers on all aspects of Medicare and Medicaid, and work with new volunteers and volunteer placement site to ensure adequate support is available and provided. 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 2008 preservation and expansion Transportation Authority, Troy Medi-Go of public transportation Plus and others, to secure federal, services for older persons, state, and/or local funding that will in collaboration with public support the maintenance and expansion transit authorities and local of transit 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. State Goal 3: Protect older adults from abuse, neglect, or exploitation III-4 Area A Agency on 11A'Aging " FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 Ob ective Desired Outcome Activities Completion Date _ Enhance the capacity of Clients and caregivers will Form an internal workgroup to develop September 30, AAA 1-B home and increase their awareness of educational materials and a training 2008 community-based long elder abuse, neglect and outline for use with clients and term care consumers to exploitation, and increase their caregivers, and a timeline for identify and prevent elder knowledge of abuse prevention completion of the initial outreach. abuse, neglect, and strategies to reduce caregiver exploitation. stress. Educate care managers on presenting the training to clients and caregivers. Care managers will provide initial and ongoing education and dialogue to AAA 1-B long term care consumers and caregivers on elder abuse and caregiver support. Promote utilization of the 'Do Not Call' registry and strategies to protect oneself from being victimized by unscrupulous telemarketers. Implement a multi-faceted Vulnerable older adults will be Issue press releases to local print, September 30, vulnerable older adult better prepared to protect radio, and television media that contain 2008 community education themselves from becoming strategies for use by vulnerable older campaign, in coordination financially abused or exploited, adults to protect themselves from being with state-level educational financially abused or exploited. III-5 Area eney on Aging " FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 efforts, which would provide older adults with Provide "ready-made" articles strategies for protecting containing financial abuse and themselves against exploitation prevention strategies to financial and exploitative senior centers and other stakeholder crimes, agencies for use in their newsletters. Provide flyers/pamphlets and a Senior Fraud Victim Assistance Guide to libraries and homebound elderly that contain strategies for protecting against financial abuse and exploitation. Enhance the capacity Home care agency direct care The AAA 1-B will provide training to September 30, ofAAA 1-B funded home workers will increase their home care agency owners/managers on 2008 care agencies to identify awareness of elder abuse, elder abuse, neglect, and exploitation and prevent elder abuse, neglect and exploitation, that will equip them with the knowledge, neglect, and exploitation, increase their ability to tools, and materials needed to train their recognize the signs and direct care staff on recognizing the symptoms of elder abuse, and signs and symptoms of elder abuse, know how to properly report it. and on proper reporting procedures. State Goal 4: Ensure that older adults have a choice in where they live Objective Desired Outcome Activities Completion Date Implement the business The Deaf community, Expand participation in the Deaf Senior September 30, plan for creation of a advocates, and housing Housing Coalition and committees for 2008 III-6 Area by on Aging" FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 specialized housing officials will know the housing design, financing, and publicity. development for Deaf and requirements and be involved Charge each committee with hard of hearing older in taking steps to create a Deaf implementing related components of the adults. Senior Housing development, business plan. Maintain the long term care Older adults and persons with a Continue outreach to Region 1-B September 30, transition initiative that will disability who need a nursing nursing homes to identify persons who 2008 assist at least 75 home level of care will have are interested in transitioning to consumers to transition access to assistance in community living. between nursing homes planning to change their long and community based term care setting. Conduct outreach to other key settings. stakeholders (Citizens for Better Care, hospitals, discharge planners) to educate them on the transition program and how to make referrals. Coordinate with other area agencies on aging for smooth transfers of transitioned persons between our regions. Engage in person-centered planning for long term care supports and services with identified consumers. Link consumers who are ready for transition to desired community based III-7 AArea A Agency on Aging " FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 resources or long term care facilities. Establish a Senior Adult & Difficult issues surrounding The AAA 1-B will convene quarterly September 30, Disability Housing Coalition housing for senior adults and meetings for stakeholders in which 2008 to increase communication, persons with disabilities will be housing issues are identified. problem solving, and identified and addressed. collaboration with senior Housing Coalition will develop strategy housing stakeholders. to address and resolve issues. State Goal 5: Improve the effectiveness, efficiency and quality of services provided through the Michigan Aging Network and its partners Objective Desired Outcome Activities Completion Date Provide at least six training Aging professionals, advocates Survey training needs of providers, September 30, sessions for at least 120 and lay leaders will be more advocates and lay leaders. 2008 aging professionals, knowledgeable about how to advocates and lay leaders implement quality programs Conduct a series of Aging Matters on topics related to their and services in a manner that training sessions that will address training needs, is sensitive to the needs of identified needs. older persons. Implement a web-based The AAA 1-B and its business Configure Harmony IS for the AAA 1-B September 30, system for data collection partners will be able to collect information and assistance database, 2008 and communications with data, communicate information, Community Care Services assessment AAA 1-B partners. and share outcomes in a fast, and care planning, contract secure, reliable, and management, and vendor management. economical manner. III-8 AArea geney on "Aaging " FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 Develop and implement protocols for electronic billing options for vendor pool. Develop user manual and train staff. Develop and implement protocols for data transmission to financial software. Increase the civic Communities will become more Collaborate with community strategic September 30, engagement of older adults elder friendly by taking better planning and needs assessment 2008 by facilitating greater advantage of the resources, projects underway in Livingston, involvement in the creation skills, and talents of older adult Monroe, and Washtenaw counties to of elder friendly residents, engage older adults in the communities, implementation of recommended community and systems change. Assist in the recruitment, orientation, and training of older adults for a meaningful role in implementation of specific strategic planning initiatives and recommendations. Assess the success in engaging older adults in community change. Create a Blueprint for Older adult advocates will be Draft Blueprint for Advocacy in September 30, Advocacy in Region 1-B empowered to speak out on collaboration with Senior Advocacy 2008 III-9 Ana A Agency on AyAcAoAq Agbig " FY 2008 Annual Implementation Plan III. AREA AGENCY ON AGING 1-B PROGRAM DEVELOPMENT Fiscal Year: 2008 which identifies the issues and influence policy and Network and other aging network structure, and objectives, priorities on the local, state and stakeholders. and deliverables for federal levels. advocacy based on the Secure AAA 1-B Board approval. two-year legislative cycle. Implement Blueprint for Advocacy activities scheduled for FY 2008. Area Agency on Aging 1-B Advocacy • &non • Answers on Avong FY 2008 Annual Implementation Plan IV. APPENDIX A A. INPUT FORUMS & PUBLIC HEARINGS Fiscal Years: 2008 Area Agency: Area Agency on Aging 1-B DATE LOCATION TIME BARRIER FREE NUMBER of (Y or N) ATTENDEES June 1, 2007 Southfield 9:30 Y 33 Narrative: CHANGES TO PROPOSED 2008 AIP BASED ON PUBLIC HEARING TESTIMONY Comments from the community as part of the public hearing process were provided as follows: 1) at the June 1, 2007 hearing, 2) by mail and e-mail, and 3) during a live call-in radio show. The comments can be categorized into two general areas: 1) support for very specific aspects of the plan, and 2) discussion of needed advocacy, funding, 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 changes were made to the proposed 2008 AIP: In the I. Executive Summary Narrative section, the statement describing regional needs and issues was amended to include the following sentence: "The poor local economy and liberal lending policies have put an increasing number of older home owners at risk of mortgage foreclosure, and pending reductions in Medicare home care benefits will likely result in more Medicare home care patients seeking in-home assistance quicker and sicker." In the I. Executive Summary Narrative section, the following two statements describing strategies to address identified needs were added: "Medicaid long term care policies which promote the principles of Money Follows the IV-1 &Area A Agency on Aging " FY 2008 Annual Implementation Plan Person will also facilitate greater choice for consumers." "Greater attention to older adult quality of life issues such as civic engagement, end of life issues, and elder friendly communities will also be addressed." In the I. Executive Summary Narrative section, LGBT (lesbian, gay, bi-sexual, and transgender) organizations were added to the list of organizations targeted for improvement in consumer access to services. In the I. Executive Summary Narrative section, disability organizations and advocates for adults with a disability were added to the list of entities the AAA 1-B plans to collaborate with for advocacy and problem solving initiatives. In addition, the following Program Development objectives were added: Objective Desired Outcome Activities Completion Date Increase the civic Communities will become more Collaborate with community strategic September 30, engagement of older adults elder friendly by taking better planning and needs assessment 2008 by facilitating greater advantage of the resources, projects underway in Livingston, involvement in the creation skills, and talents of older adult Monroe, and Washtenaw counties to of elder friendly residents. engage older adults in the communities. implementation of recommended community and systems change. Assist in the recruitment, orientation, and training of older adults for a meaningful role in implementation of specific strategic planning initiatives and recommendations. Assess the success in engaging older adults in community change. Enhance the capacity of Home care agency direct care The AAA 1-B will provide training to September 30, AAA 1-B funded home care workers will increase their home care agency owners/managers on 2008 agencies to identify and awareness of elder abuse, elder abuse, neglect, and exploitation _ IV-2 Agency on gAa 1-13 Advocacy • Action • Aanser, on Arai FY 2008 Annual Implementation Plan prevent elder abuse, neglect and exploitation, that will equip them with the knowledge, neglect, and exploitation, increase their ability to tools, and materials needed to train their recognize the signs and direct care staff on recognizing the symptoms of elder abuse, and signs and symptoms of elder abuse, know how to properly report it. and on proper reporting procedures. Create a Blueprint for Older adult advocates will be Draft Blueprint for Advocacy in September 30, Advocacy in Region 1-B empowered to speak out on collaboration with Senior Advocacy 2008 which identifies the issues and influence policy and Network and other aging network structure, and objectives, priorities on the local, state and stakeholders. and deliverables for federal levels. Secure AAA 1-B Advisory Council and advocacy based on the Board approval. two-year legislative cycle. Implement Blueprint for Advocacy activities scheduled for FY 2008. Establish a Senior Adult & Difficult issues surrounding The AAA 1-B will convene quarterly September 30, Disability Housing Coalition housing for senior adults and meetings for stakeholders in which 2008 to increase communication, persons with disabilities will be housing issues are identified. problem solving, and identified and addressed. Housing Coalition will develop strategy collaboration with senior to address and resolve issues. housing stakeholders. Narrative: SUMMARY OF PUBLIC HEARING TESTIMONY The following is a summary of the comments provided at the Area Agency on Aging 1-B (AAA 1-B) June 1, 2007 public hearing on the proposed FY 2008 Annual Implementation Plan: ArAea gency on Ad 4 gIAVAging " FY 2008 Annual Implementation Plan Access • Older adult testimony discussed the need for increasing in-home assistance because she is on the AAA 1-B wait list for in-home services, and due to lack of funding, it will be about a year before she will receive assistance. Testimony advocated that funding be transferred from other programs into in-home services so that older adults on the wait list can receive needed assistance. • Service provider testimony speculated that new Medicare home care program changes effective January 1, 2008 will reduce the amount of home care services provided, and result in more patients discharged from home care quicker and sicker. This may place greater demands on AAA 1-B funded in-home services, and other supportive services. Testimony stressed the importance of advocates knowing the rights of Medicare beneficiaries to challenge "early discharges" from home health care agencies, and assist beneficiaries to assert their rights. • Older adult testimony expressed support for elder friendly communities. Many older adults are isolated due to how their communities are structured (i.e. lack of infrastructure that accommodates the needs of older adults). Testimony indicated that senior centers could serve as the focal point of an elder friendly community. • Older adult testimony expressed concern over the bureaucracy involved in securing long term care services. Testimony indicated a desire to streamline the screening/intake/enrollment process. Advocacy • Service provider testimony expressed concern that specific advocacy activities that fully address the needs of older adults were not included in the Plan. There is a great need for advocacy on behalf of and with older adults to help them secure the services they need to meet their unique needs. Civic Engagement • Senior Center Testimony expressed concern about the Plan's lack of attention to civic engagement of older adults. Older adults are a great untapped resource and there will be many benefits to individuals and the community that would come from a greater level of civic engagement among older adults. Area Agency AA goina Advocacy • Action • Ancor., on Avog FY 2008 Annual Implementation Plan Collaboration • Service provider testimony strongly agreed with the Plan's proposal to educate decision makers about the importance and need for older adult services and the need to identify opportunities for partnerships with other public and private resources. Such collaborative partnerships will result in additional resources and increased sensitivity of other service delivery systems toward the unique needs of older adults. Elder Abuse • Service provider testimony supported allocation of funding for elder abuse education and prevention activities included in the Plan. Testimony also recommended advocating for national and state Elder Justice legislation to strengthen laws against financial exploitation and other forms of elder abuse. End-of-Life Care • Older adult written testimony expressed concern about the need for a more humane and dignified method of dying for individuals with terminal disease or physical conditions causing immobility. Testimony stated that individuals should have a right to a compassionate form of dying, and indicated that there is overwhelming support in the older adult community for this issue. The right to a humane and dignified way to die would represent achievement of an individual's final civil right. Funding • Service provider testimony stated that since FY 2008 will be a year of significant state funding uncertainty and possible hardship, the AAA 1-B should focus on maintaining funding for existing service programs, and not work to establish new programs that would require public funding. • Service provider testimony recommended forging collaborative partnerships to advocate for new revenue solutions to the state's budget problems that maximize resources and allow for the achievement of common goals. General • Service provider testimony expressed support for improving access to information and services, improving transportation, preventing elder abuse, and training network staff on critical aging issues as addressed in the Plan. IV-5 Area Agency on i/ANNAging " FY 2008 Annual Implementation Plan Health & Wellness • Service provider testimony indicated a need for mental health counseling for older adults. Medicare requires a 50% co-pay, which makes mental health counseling unaffordable for many older adults. Consequently, there is a gap in service for older adults in need of these services. Testimony also indicated a need to advocate for insurance coverage parity so that mental health conditions and physical health conditions are covered equally. • Service provider testimony stated a desire for the AAA 1-B to fund provision of evidence-based health promotion programming. Demographic projections indicating a dramatic increase in the older adult population support the need for evidence-based programs to forestall the disease and disability often associated with aging. At a time when fiscal resources are strained, it makes sense to fund programs aimed at promoting healthy lifestyles, which have the potential to save millions of dollars in health care and nursing home costs. • Service provider testimony advocated for recognizing the importance of wellness activities offered by senior centers and other aging service providers that help older adults make healthy lifestyle changes and allow them to better manage their health care. • Service provider testimony expressed support for increasing resources for the Senior Wellness Fund so that local senior centers can receive funds to develop senior wellness, fitness, and health prevention programs. Housing • Service provider testimony indicated that mortgage foreclosure is a growing problem affecting many older adults. Testimony indicated that many troubled individuals are in their redemption time period and possibly headed toward foreclosure, so the extent of the problem is difficult to document. Estimates are that in Washtenaw County they will see about one older adult foreclosure per week. Solutions recommended to address this problem included increasing mortgage rescue funds, training more HUD housing counselors, passing legislation banning predatory lending, and working with lending institutions to convert improper predatory loans to realistic fixed rate loans with tax and insurance escrows. • Service provider testimony indicated a need for improved housing education for older adults that addresses fair housing laws, financing options, predatory lending practices, and tenant rights. IV-6 Area A Agency on ZAX Aging " FY 2008 Annual Implementation Plan Long Term Care • Older adult testimony expressed concern over the quality of nursing home care, in particular the care provided to dementia patients. Testimony indicated inadequate training for nursing home staff on care for dementia patients. Concern was also expressed regarding insufficient staffing levels. • Service provider testimony expressed support for helping older adults remain in their homes as long as possible. Affordable home repair is critical to achieving this goal. Affordable and accessible transportation is also essential as it allows older adults to shop, socialize, attend health care appointments, and remain independent. • Service provider testimony recommended emphasizing "Money Follows the Person" in the Plan, which allows publicly funded long-term care recipients to receive care in the setting of their choice. The money allocated for care, therefore, is tied to the person and not to the location where service is provided. Senior Center Support • Senior Center testimony expressed support for the Plan's proposal to engage in collaborative activities to strengthen senior centers, and advocated that the AAA 1-B role be expanded to include restoration of AAA 1-B funding for senior centers. Efforts should emphasize maintenance of health and well-being for those who do not currently need supportive services. Senior centers are well positioned to play a lead role in this effort and serve as a focal point for providing services, information, and assistance at the local level. • Senior center testimony expressed concern that funding for senior centers was not included in the Plan. Senior centers play a vital role in helping older adults stay active and remain healthy, which ultimately reduces the demand/need for long-term care services such as those typically funded by the Plan. Special Populations • Service provider testimony advocated for educating health care providers on the use of deaf and hearing impaired interpreters as an accommodation under the Americans with Disabilities Act. Critical to effective and efficient communication in a medical setting for hearing impaired older adults is the use of qualified/certified interpreters. Area Agency on Acl g Aging " FY 2008 Annual Implementation Plan • Service provider testimony advocated for home and community-based services specifically designed to address the unique needs of deaf/hearing impaired older adults. Presently there are limited supportive services that would assure them the right to remain in their own homes. Access to these services would decrease dependence on entitlement programs, provide a barrier to poverty, and act as a deterrent to mental deterioration thereby encouraging independence with dignity. • Older adult testimony expressed strong support for the proposed Deaf senior housing project. Many Deaf and hearing impaired older adults are isolated within the hearing community. Living in a community that caters to the needs of Deaf and hearing impaired older adults will improve their quality of life. • Geriatric student testimony expressed concern that the needs of older lesbian, gay, bisexual, and transgender (LGBT) adults are not addressed in the Plan. Because same sex partnerships are not federally recognized, older LGBT couples are not afforded the same benefits as married heterosexual couples. Their families of origin also often reject them, thus resulting in specialized needs for LGBT older adults. Testimony recommended recruiting volunteers familiar with LGBT issues to serve as volunteers for the AAA 1-B, specifically for the MMAP program. Transportation • Older adult testimony indicated a need for older adult transportation for all travel and purposes. Older adults need transportation for shopping and socializing, not just for travel to and from healthcare appointments. • Older adult testimony stated support for specialized transportation services for older adults and persons with disabilities. Such services are vital to keeping people employed, healthy, and alive. Area Agency on AOyk g Aging " FY 2008 Annual Implementation Plan IV. APPENDIX B MEMBERSHIP OF THE BOARD OF DIRECTORS Agency: Area Agency on Aging 1-B As of: June, 2007 DEMOGRAPHICS Asian/ Native African Hispanic Persons with Pacific Arab/Chaldean American/ Female Total Am. Origin Disabilities Island Alaskan Total 0 2 0 0 0 3 10 15 Membership Age 60 or 0 2 0 0 0 3 6 11 Over NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate AFFILIATION - MEMBER AREA Elected Official Appointed Community Rep _ Maggie Jones Livingston County Commissioner X X _ Jon Switalski Macomb County Commissioner X X ._ Floreine Mentel Monroe County Commissioner X X _ Helaine Zack Oakland County Commissioner X X Pam Wall St. Clair County Commissioner X X Barbara Levin Bergman Washtenaw County Commissioner X X IV-9 Area Agency olIB FY 2008 Annual Implementation Plan NAME of BOARD GEOGRAPHIC Check Those That Are Appropriate AFFILIATION MEMBER AREA Elected Official Appointed Community Rep Vurn Bartley, Jr. Regional Banking (Retired) Public Mae Derdarian Regional Relations/Media X (Retired) Ron Szumski Regional Corporate/Business Andrew Hetzel Regional Health Care X Reg ional Planning Robert McMahon Regional Reg X (Retired) Mary Schieve Regional Legal X Jim Magyar Regional Long Term Care X Clara White Oakland Social Work (Retired) X Walter Ernst Livingston Older Adult Rep X Jerry DeMaire Macomb Older Adult Rep X Nancie Disher _ Monroe Older Adult Rep X Jan Dolan Oakland Older Adult Rep X _. Vacant St. Clair Older Adult Rep X _ Tom Miree Washtenaw Older Adult Rep X Area gency on /A‘Agilig 1-B FY 2008 Annual Implementation Plan IV. APPENDIX C MEMBERSHIP OF THE ADVISORY COUNCIL Agency: Area Agency on Aging 1-B As of: June, 2007 DEMOGRAPHICS Asian/ Native African Hispanic Persons with Pacific Arab/Chaldean American/ Female Total Am. Origin Disabilities Island Alaskan Total 0 2 0 1 4 10 17 Membership Age 60 or 0 1 0 1 4 6 12 Over NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER Peter Lichtenberg Private Sector Representative Wayne State University Institute of Gerontology. Kay Miller Private Sector Representative Presbyterian Villages of Michigan Dan Sier Private Sector Representative Griswold Special Care (DSP Vendor) Oakland & Macomb Kellie Boyd Private Sector Representative Disability Network Tom Rau Private Sector Representative Nexcare Health Systems, LLC Kathryn Benford Macomb Macomb County Community Services Agency (Title III Nutrition Provider) IV-11 Area A Agency on ./AN. Aging 1-B Advocacy • Action an Aaing FY 2008 Annual Implementation Plan NAME of ADVISORY COUNCIL GEOGRAPHIC AREA AFFILIATION MEMBER Helen Kozlowski-Hicks Regional Citizens for Better Care (Title III Social Services Provider) Sue Burns Regional MPRO Margaret Warner Oakland Department of Human Services Vacant Public Sector Representative Vacant Public Sector Representative 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 SaraMarie Watson Macomb County Older Adult Services Representative James Seegert Monroe County Older Adult Services Representative Ardemis Kalousdian Oakland County Older Adult Services Representative Robert Sanchez Oakland County Older Adult Services Representative Marilyn Dunn St. Clair County Older Adult Services Representative Vacant Older Adult Services Representative Vacant Older Adult Services Representative Vacant Older Adult Services Representative IV-12 Area A Agency on AI Aging " FY 2008 Annual Implementation Plan IV. APPENDIX Cl CURRENT PROVIDERS DEMOGRAPHICS Fiscal Year 2008 Agency: Area Agency on Aging 1-B DEMOGRAPHICS Asian/ Native African Hispanic Persons with Pacific Arab/Chaldean American/ Female Total Am. Origin Disabilities Island Alaskan Total 0 3 0 0 0 0 23 26 Membership Age 60 or 6 149 4 5 24 14 521 723 Over This information will be used in the cultural competency work that is being conducted by the Michigan Office of Services to the Aging. These numbers reflect either the demographics of the owner, such as a "female owned business" or, if a non-profit, the demographics of the board of directors: i.e. if the board make-up is a majority of African American, the contractor would be listed as "African American". Area Agency on FY 2008 Annual Implementation Plan Aging 1-B APPENDIX E PLANNED ENTREPRENEURIAL ACTIVITIES Fiscal Year: 2008 The Area Agency on Aging 1-B engages in four areas of entrepreneurial activity to raise dollars to support the mission of the agency. The first area of entrepreneurial activity is fundraising to raise money in the community to support the Holiday Meals on Wheels program and the Unmet Needs program. Each year the agency raises money for these programs through a combination of direct mail solicitation, corporate donations and small local fundraising events. In 2008, the AAA 1- B is projected to raise $50,000 in revenue to support the continuation of these necessary programs. A second area of entrepreneurial activity assumed by the AAA 1-B is the planning and implementation of three caregiver fairs held in St. Clair, Oakland or Macomb county, and Monroe counties each fiscal year to provide access to information and resources for caregivers of older adults and persons with disabilities. In total, the AAA 1-B raises approximately $100,000 each year to offset the costs of holding these events and projects raising a similar amount for 2008. A third area of entrepreneurial activity undertaken by the AAA 1-B is the garnering of additional financial support for the aging network in Region 1-B through collaborative proposal-writing. The amount raised each fiscal year is dependent on the number of grants specific to initiatives within the aging network and the success of the application. In fiscal year 2006, the AAA 1-B collaborated in the development of eleven proposals that raised approximately $1.16 million, and a similar number of proposals is projected for 2008. Lastly, 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. APPENDIX H NUTRITIONIST BUDGET (If Applicable) Fiscal Year 2008 Agency: AREA AGENCY ON AGING 1-B Congregate Home Delivered FTE: 1 Local Match Total Federal State Federal State Salary/Wages $ 22,908 $ 18,030 $ 40,938 Fringe Benefits $ 7,837 $ 5,075 $ 12,912 Travel $ 900 $ 300 $ 1,200 Conferences $ 500 $ 300 $ 800 Office $ 1,900 $ 1,100 $ 3,000 Utilities $ 100 $ 50 $ 150 Equipment $ - Audit $ 500 $ 500 $ 1,000 Other (Specify): $ - a. $ 6,667 $ 6,667 b. $ - C. $ - TOTAL $ 34,645 $ 25,355 $ 6,667 $ 66,667 Area Agency on Aging 1-B 29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Service to be Provided: Care Management Area A Agency on AI Aging" FY 2008 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. By September 30, 2008 By September 30, 2008 Goal # 1 Conduct four trainings for care management staff in both clinical and technical areas of knowledge. Goal # 2 Measure client satisfaction with care management and direct care workers by conducting and reporting on a telephone survey of clients and caregivers. Five recent care manager trainings addressed: • VA Benefits • Balance & Fall Risk Assessment • Medicare Part D Update • Medicaid Applications • Nursing Facility Transition Processes Most recent completed data shows: An overall 96% satisfaction rate with care management. Area Agency on rinAging 1-B Advocacy • Action • Ante,,,. Aging FY 2008 Annual Implementation Plan Area Agency on Aging 1-B 29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Service to be Provided: Care Management 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. PROGRAM OBJECTIVES Current Planned Year 07 FY 2008 8. Number of Initial Client Care Plans 9. Total Number of Clients arry-over plus New) 10. Staff to Client Ratio (Active & Maintenance per full time Cale Manager 300 275 275 1,500 50 50 The AAA 1-B recently streamlined the MDS Assessment in the Portable Information Collection Kit (PICK), the software used to conduct in-home assessments with laptop computers, to increase efficiency and make the assessment process more user friendly. By September 30, 2008 1. Number of Client Screenings 2. Number of Initial Client Assessments 275 275 1,500 IV-17 FY 2008 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 927,584 680,174 40,665 72,709 0 134,036 Fringe Benefits 172,627 128,340 11,477 8,080 0 24,730 Travel 27,481 16,625 0 7,666 0 3,190 Training 0 0 0 0 0 0 Supplies 15,969 12,469 0 0 0 3,500 Occupancy 110,920 73,936 0 500 _ 1,600 34,884 Communications 56,386 19,742 0 0 0 36,644_ Equipment 46,118 31,172 0 0 0 14,946 Administration 0 0 0 0 0 0 Other/Contractual/Legal , 289,394 18,703 0 0 232,218 38,473_ Direct Service Purchase 75,240 30,000 0 7,000 0 38,240 Totals 1,721,7191 1,011,1611 52,1421 95,9551 233,8181 328,643 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. Chief Executive Officer Nirre Title Dat FY 2008 CARE MANAGEMENT PROGRAM - Area Agency on Aging 1-B SCHEDULE OF MATCH & OTHER RESOURCES BUDGET FORM (B) MATCH VALUE SOURCE OF FUNDS Cash In-Kind Planned Usage Oakland County Funds 80,789 Salaries/Rent Eldercare 7,000 Services Program Income 7,666 Travel Family Caring Network 500 Salaries/Rent In-Kind Care Givers 232,218 Care Giver LTC Guardian Medical 1,600 Contributed Conf. Space Total Match 95,955 233,818 329,773 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 DCH/CMP 109,908 Non Waiver NFT's 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 328,643 0 328,643 Area 1, Agency on fAI Aging " FY 2008 Annual Implementation Plan . . - - -1‘1, , n i _ Area Agency on Aging 1 -B 29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Service to be Provided: Information and 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. -------- -. I -- - ClaiS'dri 6 nil 1 - - Goal # 1 To provide 70,000 units of service to 20,000 older By September 30, 2008 In FY 2006, over 20,000 persons immediately adults and their caregivers residing in Livingston, received assistance through the AAA 1-B Macomb, Monroe, Oakland, St. Clair, Washtenaw Information and Assistance Program, and over counties by phone and/or in person. 70,000 resources were provided to callers. Direct provision of this service is required to The AAA 1 -B Information and Assistance assist callers who need to locate age-related program provided resources for callers on the services in the counties of Livingston, Macomb, following services: Monroe, Oakland, St. Clair, and Washtenaw. • Home Delivered Meals Persons can call the Area Agency on Aging and • State Medicaid Waiver Program have their questions personally answered by an • Housekeeping Assistance information and referral specialist. The • Care Management information and assistance computer database • Friendly Visiting contains information on nearly 2,000 service • Personal Care providers and 5,000 older adult services in • Subsidized Housing southeast Michigan. Area Agency on Aging 1-B 29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Service to be Provided: Information and Assistance Program Goal # 2 Maintain quality assurance in every aspect of AAA 1 -B Call Center Resource Specialists interaction and assistance in provision of information that is provided to callers. By September 30, 2008 Area A Agency on 1A1 Aging " FY 2008 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. Ongoing trainings continue to be conducted to ensure staff possess the knowledge required to proficiently respond to callers' requests. Quality assurance protocol and measurements such as silent monitoring and Coaching for Quality assessments and improvement plans, are consistently utilized; this enables the AAA 1-B to monitor the quality and accuracy of information provided by Resource Specialist to callers. IV-21 SERVICE AREA:: T: (List by County/City if service area is not entire PSA) rgss FY 2008 Multi-Year & Annual Implementation Plan Appendix J - Direct Service Budget AAA: _ , r dAgart0,,li ' FISCAL YEAR: SERVICE: Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds Funds Income Cash In-Kind Resources Budgeted Wages/Salaries MIDMMatift —.. ik r- . r4=-42 --- '''. , gt.."..-=_,..„- ._ ,,,, r r= 466,315 - Fringe Benefits , _ -04$ ,-., ,—.L. -am_ , ,. n. ..-- --. -, 136,675 Travel I 50 Asa it,iimiRvirt , 1-_--- ,. - , ,0-3 _° Trainine ,„.....,..„. 6,009 Su.. lies I 10 t 9,781 — ..:_,.. Occupancy , 80 . . .i.fiaa _ 2 -.,,...-----r---,,,,V::, 7,-1- -, .., --, , 9 62,436 Communications 8o0 , 406 , . .=. '-' -. 2 .43,._--. 'lc 8,785 E ul ment 420 205, 6 . a tt . -,. - ._.— 2,991 Other (e g Fla Food Costs): _2482 0 -,-;= _ 12,972 Administration 6,053 . - ... ._ _ -M11J 20,174 Contract . , T... _,:.: — t 2 I -,--r , ,,,_- 371 ----- — -.-..._—: _ 7,749 Volunteer Recognition ,.: . . .91 ..,„ — --—. _,,,, --- S , „s, _ 4...3„ --T4,..,7-4,.--.A3-- 1,125 Totals I 203,320i 224,000 142,491 4,000 56,602 62,055 51,398 743,866 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. (7;eld;rtik Name Chief Executive Officer Title -61 7 Date fr n Area on Aurocen r • khan • AMT. all Alm Area Agency on Aging 1-B 29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 Service to be Provided: 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. FY 2008 Annual Implementation Plan I_ 14 134 _ Goal # 1 Provide assistance to 5,000 Medicare and older adult Medicaid beneficiaries residing in Livingston, Macomb, Monroe, Oakland, St. Clair, Washtenaw counties by phone and/or in person. By September 30, 2008 Direct provision of this service is required to educate, assist and advocate for Medicare and Medicaid beneficiaries so that they are able to access the benefits to which they are entitled. It is anticipated that the demand on the AAA 1-B will continue to substantially increase because of the need to provide assistance with the new Medicare prescription drug benefit (Part D). In FY 2006, the AAA 1-B Medicare Medicaid Assistance Program (MMAP) assisted 29,540 beneficiaries, exceeding FY 2005's total of service by over 700 percent. This large increase was due to the implementation of Medicare Part D. Beneficiaries turned to the AAA 1-B MMAP for guidance, assistance, and help with the enrollment process. IV-23 Area A Agency on MA Aging " FY 2008 Annual Implementation Plan .- - , --I Ar ea Agency on Aging 1-B _ 29100 Northwestern Hwy., Ste. 400, Southfield, MI 48034 _ Service to be Provided: 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. - G il§:ano - nkt-.11010.- 1 -7,4 Goal # 2 One (1) new volunteer training for potential By September 30, 2008 One MMAP new volunteer training was MMAP volunteers will be facilitated in early FY conducted in early FY 2007. Twenty-nine (29) 2008. Ongoing recruitment activities for new volunteers attended this four -day training, and volunteers will be conducted, were certified as MMAP Counselors. Goal # 3 Public outreach efforts will continue to be By September 30, 2008 Additional MMAP volunteer placement sites have expanded through MMAP volunteer placement at been and will continue to be established. senior centers Goal # 4 A minimum of one (1) in-service training will be By September 30, 2008 Refresher training and networking meetings are conducted for Medicare Medicaid Assistance held for all current MMAP volunteers quarterly. Program (MMAP) volunteers each quarter in Individual training sessions are provided to addition to on-going technical assistance as volunteers by MMAP Coordinator. needed. This training ensures 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. IV-24 (7C-4-6Z Name Chief Executive Officer --712 Date FY 2008 Multi-Year & Annual Implementation Plan Appendix J - Direct Service Budget AAA: _. ., i::0.4A-Of-k:ohMirit) 4:— FISCAL .._ SERVICE: 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 Waies/Salaries : . ::Atifg ----- 1,7XF,1,- ,--&--- -7.5 . -±,,-----: i?..-.---., 10,811 Frin se Benefits 'ISO - za4M-z--12,_, -- — fi-4 9.1 -r,.;::,-;!•'- 5,831 Travel -C.:, -.,, e _..:_,,,. _.,. __,._ '-iT,IN 681 Trainin . q ------1 74 Supplies 20 , - - --,-__. 292 Occupancy 6424 -.., ..7.: ._ . - ..-- 8,260 Communications _ $00 — - —;--:: 670 Equipment 400 - - L...1.i.. : 132 Other (e g Raw Foo , d Costs) : DO6 .:– 1,162 Administration : _2;209 „ _ — 2,941 Purchased Services 0 Volunteer Recoonition ,.._ _ .. ... _,---.4,-._, Tr-..-f: 146 Totals I 24,0001 01 01 1,0001 ol 6,0001 01 31,000 (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 implementin g the program. Title IV-25 Area Vgeney on A ‘Aging 143 FY 2008 Annual Implementation Plan AWoococy Action An..,,,. Asog 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: 2. To administer its Annual Implementation Plan in accordance with the Older Americans Act (OAA), the Older Michiganians Act (OMA), federal and state rules, and policies of the Michigan Commission on Services to the Aging (CSA) as set forth in publications and policy directives issued by the Michigan Office of Services to the Aging (OSA). 3. To make revisions necessitated by changes in any of the documents listed in point two in accordance with directives from the Michigan Office of Services to the Aging. 4. That any proposed revisions to the Annual Implementation Plan initiated by the Area Agency on Aging will be made in accordance with procedures established by the Michigan Office of Services to the Aging. 5. That funds received from the Michigan Office of Services to the Aging will only be used to administer and fund programs outlined in the Annual Implementation Plan approved by the Michigan Commission on Services to the Aging. 6. That the Area Agency on Aging will undertake the duties and perform the project responsibilities described in the Annual Implementation Plan in a manner that provides service to older persons in a consistent manner over the entire length of the Annual Implementation Plan and to all parts of the planning and service area. 7. That program development funds will be used to expand and enhance services in accordance with the initiatives and activities set forth in the approved Area Implementation Plan. 8. That all services provided under the Annual Implementation Plan are in agreement with approved service definitions and are in compliance with applicable minimum standards for program operations as approved by the Michigan Commission on Services to the Aging and issued by the Michigan Office of Services to the Aging, including Care Management. 9. That the Area Agency on Aging will comply with all conditions and terms contained in the Statement of Grant Award issued by the Michigan Office of Services to the Aging. 10. That the Area Agency on Aging may appeal actions taken by the Commission on Services to the Aging with regard to the Annual Implementation Plan, or related matters, in accordance with procedures issued by the Michigan Office of Services to the Aging in compliance with the requirements of the Older Michiganians Act and Administrative Rules. V-1 Area Agency on ‘Aging l-B FY 2008 Annual Implementation Plan 11. That the AAA 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 has in place a grievance procedure for eligible individuals who are dissatisfied with or denied services. 13. That the AAA 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 2008 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: C Chairperson, Board of Directors Date Robert 0. McMahon Typed Name Signature: .(24hzelL 'Yr20/1/ - 7- xecutive Director Date Area Agency on Aging 1-B Tina Abbate Marzolf Typed Name Area Agency on r \Aging a Advocacy • Action • Ansonia on Agit,' FY 2008 Annual Implementation Plan ASSURANCE OF COMPLIANCE with TITLE VI of the CIVIL RIGHTS ACT of 1964 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 V-3 Area lAkAgeney on rZAI‘Aging 1-B FY 2008 Annual Implementation Plan with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance. The person whose signature appears below is authorized to sign this assurance, and commit the Applicant to the above provisions. Signature: Name of Authorized Official 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) V -4 Area A Agency on /AX Aging 1-B Adnocery • Aciion • Ansmrs on Aging FY 2008 Annual Implementation Plan ASSURANCE OF COMPLIANCE with the ELLIOT LARSEN CIVIL RIGHTS ACT ASSURANCE OF COMPLIANCE WITH THE ELLIOT LARSEN CIVIL RIGHTS ACT, PA 453 OF 1976 AND THE PERSONS WITH DISABILITIES CIVIL RIGHTS ACT, PA 220 OF 1976. The Applicant provides this assurance in consideration of and for the purpose of obtaining State of Michigan and Federal grants, loans, contracts, property, discounts or other State and Federal financial assistance from the Michigan Office of Services to the Aging. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH: Non-Discrimination: In the performance of any grant, contract, or purchase order resulting herefrom, the Contractor agrees not to discriminate against any employee or applicant for employment or service delivery and access, with respect to their hire, tenure, terms, conditions or privileges of employment, programs and services provided or any matter directly or indirectly related to employment, because of race, color, religion, national origin, ancestry, age, sex, height, weight, marital status, physical or mental disability unrelated to the individual's ability to perform the duties of the particular job or position. The Contractor further agrees that every subcontract entered into for the performance of any grant, contract, or purchase order resulting herefrom will contain a provision requiring non-discrimination in employment, service delivery and access, as herein specified binding upon each subcontractor. This covenant is required pursuant to the Elliot Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2201 et seq, and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended MCL 37.1101 et seq, and any breach thereof may be regarded as a material breach of the grant, contract, or purchase order. 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. Tina Abbate Marzolf c--2;2 /67 Name of Authorized Official Dat Executive Director Title of Authorized Official Area Agency on Acing 1-B Name of Applicant or Recipient Agency 29100 Northwestern Hwy., Suite 400 Street Address Southfield, MI 48034 City/State/Zip Signature: V-5 a Area Agency on Aging 1-B FY 2008 Annual Implementation Plan V. ASSURANCES AND CERTIFICATIONS D. GLOSSARY OF ACRONYMS IN AGING: AAA 1-B AARP AD ADA ADC ADS ADL AFC APP ALF 4AM AoA APS BEAM ASA CAP CBC CM CMS CNS COA CPHA CR CSA DCH DCIS/CIS DHS Area Agency on Aging 1-B American Association of Retired Persons Alzheimer's Disease Americans with Disabilities Act Adult Day Care Adult Day Service Activities of Daily Living Adult Foster Care Annual Implementation Plan Assisted Living Facility Area Agencies on Aging Association of Michigan Administration on Aging Adult Protective Services Bringing the Eden Alternative to Michigan American Society on Aging Community Action Program Citizens for Better Care Care Management Center for Medicare & Medicaid Services (formerly HCFA) Corporation for National Service Commission on Aging/Council on Aging Community Public Health Agency Caregiver Respite (state) Commission on Services to the Aging Department of Community Health Department of Consumer and Industry Services Dept. of Human Services (formerly Family Independence Agency) Advocacy • Amon • Amara an Aging FY 2008 Annual Implementation Plan DHHS/HHS U.S. Department of Health and Human Services DoE Department of Education DMB Department of Management and Budget DoT Department of Transportation DSP Direct Service Purchase EPIC Elder Prescription Insurance Coverage ELM ElderLaw of Michigan 4AM Area Agencies on Aging Association of Michigan FGP Foster Grandparent Program FY Fiscal Year GAO General Accounting Office HB House Bill (state) HCAM Health Care Association of Michigan HCBS/ED Home & Community Based Services for the Elderly and Disabled Waiver (HCBS/ED) program commonly known as MI Choice HDM Home Delivered Meals HIPAA Health Insurance Privacy and Accountability Act HMO Health Maintenance Organization HR House Bill (federal) HSA Health Systems Agency HUD Housing and Urban Development !BEA Information and Assistance IM Information Memorandum loG Institute of Gerontology LEP Limited English Proficiency LSP Legal Services Program LTC Long-Term Care MAHSA Michigan Association of Homes and Services for the Aging MHSCC Michigan Hispanic Senior Citizens Coalition MIACoA Michigan Indian Advisory Council on Aging VAging" FY 2008 Annual Implementation Plan Area Agency on • I, k 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 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 NFA Notification of Financial Assistance NFCSP National Family Caregiver Support Program NIA National Institute on Aging MSC National Institute of Senior Centers 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 Part D Medicare Prescription Drug Assistance program PCP Person-Centered Planning V-8 Area AVgeney on "ASIAging 1-B FY 2008 Annual Implementation Plan PI PRR PSA RCNA RFP RSVP SAC SB SCP SCSEP SEMCOG SGA SMART SMSA SNF SPE SR SS SSA SSI SUA TA TCM Title V TSR USDA VA WHCoA Program Instruction Program Revision Request Planning and Service Area Regional Community Needs Assessment 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 Single Point of Entry 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 uth Johnson, County Clerk 4 • Resolution #07162 July 19, 2007 Moved by Potts supported by Zack the resolutions (with fiscal notes attached) on the amended Consent Agenda, be adopted (with accompanying reports being accepted). AYES: Burns, Crawford, Douglas, Gershenson, Gingell, Gosselin, Gregory, Greimel, Hatchett, Jacobsen, KowaII, Long, Middleton, Nash, Potter, Potts, Rogers, Scott, Spector, Suarez,-Zack, Bullard. (22) NAYS: None. (0) A sufficitnt majority having voted in favor, the resolutions (with fiscal notes attached) on the amended Consent Agenda, were adopted (with accompanying reports being accepted). I HEREBY APPROVE THE FOREGOING RESOLUTION 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 19, 2007, 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 19th day of July, 2007.