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Resolutions - 2021.07.22 - 34724
MISCELLANEOUS RESOLUTION #21295 July 22, 2021 BY: Commissioner Penny Luebs, Chairperson, Public Health and Safety Committee IN RE: BOARD OF COMMISSIONERS — AREA AGENCY ON AGING 1-B — FY 2022 ANNUAL IMPLEMENTATION PLAN To the Oakland County Board of Commissioners 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 need; 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 Aging and Adult Services Agency requires that county boards of commissioners are given the opportunity to review and approve an area agency on aging's annual implementation plan. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves the Area Agency on Aging 1-B Fiscal Year 2022 Annual Implementation Plan for the purpose of conveying such support to the Area Agency on Aging 1-B and the Michigan Aging and Adult Services Agency. BE IT FURTHER RESOLVED that a budget amendment is not required. Chairperson, on behalf of the Public Health and Safety Committee, I move the adoption of the foregoing resolution. Commissi n r Penny Luebs, District #16 Chairperson, Public Health and Safety Committee PUBLIC HEALTH AND SAFETY COMMITTEE VOTE: Motion carried unanimously on a roll call vote. AA: 20LOONorthwestern Highway �����On sui<<: qoo Southfield, N41 48034 600.852.7795 Fax: 248.0.1-8.0601 Adiweacy - Action • Answers on Aging www.aaa I b.com July 6, 2021 Commissioner David T. Woodward, Chairperson Oakland County Board of Commissioners 1200 N. Telegraph Rd. Pontiac, MI 48341 Dear Commissioner Woodward: Enclosed please find the Area Agency on Aging 1-13 (AAA 1-B) FY 2022 Annual Implementation Plan (AIP). The FY 2022 AIP was adopted by action of the AAA 1-B Board of Directors on June 25, 2021, and has been submitted to the Michigan Aging & Adult Services Agency for approval. The AAA 1-B Board of Directors' review and approval process involves two appointees from each Region 1-B county Board of Commissioners, a member commissioner and an older adult representative. As you may know, the AAA 1-B Board of Directors consists of a majority of county commission appointees. The plan has also been reviewed and approved by the AAA 1-13 Advisory Council, and has been the subject of a public hearing, where favorable comments on the plan were received. This document is being sent to you in accordance with a directive from the Michigan Aging & Adult Services Agency, which allows each county Board of Commissioners to adopt a resolution of approval for the plan. A model resolution is enclosed for your convenience. State policy stipulates that if a county chooses to take such action, it must be completed by July 31, 2021. Please forward any adopted resolution, or minutes of the meeting where such action is taken, to the AAA 1-B, Attention: Pamela Moffitt or send by email to cmoffitta-aaa1b.orQ by July 30, 2021. Thank you for your consideration of this request. If you have questions or require assistance relative to the plan, please contact Jim McGuire, Director of Research, Policy and Advocacy at (248) 262-9216. Sincerely, Michael Karson Chief Executive Officer Enclosures c: Oakland County Commissioner Penny Luebs, member, AAA 1-B Board of Directors Ron Borngesser, member, AAA 1-13 Board of Director 2020-2022 Multi Year Plan FY 2022 ANNUAL IMPLEMENTATION PLAN AREA AGENCY ON AGING 1-B Livingston Oakland 4)hshtenaw Planning and Service Area Livingston, Macomb, Monroe, Oakland, St. Clair. Washtenaw Area Agency on Aging 1-13 29100 Northwestern Hwy. Suite 400 Southfield, MI 48034 248-357-2255 •1-800-852-7795 248-948-9691 (fax) Michael Karson, CEO & President www.aaalb.com Field Representative Cindy Albrecht albrechtc@michigan.gov 517-284-0162 Printed On: 6/28/2021 Page 1 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B Table of Contents Executive Summary County/Local Unit of Government Review Public Hearings Regional Service Definitions Access Services Direct Service Request Regional Direct Service Request Approved MYP Program Development Objectives 2022 Program Development Objectives Supplemental Documents FY 2022 Annual Implementation Plan FY 2022 Printed On: 6/28/2021 Page 2 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B Executive Summary FY 2022 Annual Implementation Plan FY 2022 include a brief description of the planning and service area and any significant changes to the current area plan: (A) Any significant new priorities, plans or objectives set by the area agency for the use of Older Americans Act (OAA) and state funding during FY 2022. If there are no new activities or changes, note that in your response. (B) Include changes, if any, to the access, in -home and community -based services and supports provided within the plan. (C) Address the agency's response to the COVID-19 pandemic emergency, including a description of the challenges and continuing needs brought on by this emergency. (D) Current information about contingency planning for potential reduced federal funding (if plans include the pursuit of alternative funding, identify specific funding sources). (E) A description of progress made through advocacy efforts to date and focus of advocacy efforts in FY 2022. PSA Description The Area Agency on Aging 1-B (AAA 1-13) is a non-profit organization that is responsible for planning and coordinating a network of services to approximately 29% of the state's adults who are older and/or disabled. About 780,000 persons age 60 and older reside in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties (SEMCOG 2045 Regional Forecast). It is the mission of the AAA 1-13 to enhance the lives of older adults and adults with disabilities in the communities we serve. Our vision is independence and well-being for those we serve. We are dedicated to: 1) ensuring access to a network of long-term care services; 2) allocating federal and state funds for social and nutrition services; 3) advocating on issues of concern; 4) developing new older adult and independent living services, 5) coordinating activities with other public and private organizations; and 6) assessing needs of communities as well as older adults and adults with disabilities, creating connections with home and community -based long term care services. We prioritize activities that allow people to maintain their independence with dignity and place a special emphasis on assistance to frail, low income, disadvantaged, cultural/minority elders and adults with disabilities. Plan Changes The AAA 1-13 anticipates that it will be necessary to focus significant resources to continue responding to the COVID-19 pandemic outbreak and recovery in FY 2022. The AAA 1-13 is adding a new program development goal to review AAA 1-B service standards with input from contractors in preparation for the FY 2023-2025 Request for Proposals (RFP) in response to feedback at the public hearing. The AAA 1-13 plans to expand program offerings for Caregiver Education, Support and Training to include the Caregiver Coaching Program. An update to the AAA 1-B direct service waiver has been provided to include this program. Contingency Planning for Potential Funding Reduction In the event any circumstance where authorization to spend is reduced or suspended, the AAA 1-B shall focus on ensuring that the health and welfare of the most vulnerable adults is protected. The following considerations are made: 1.Services will be reduced or eliminated based on the 2019 Service Prioritization survey, which is based on a stakeholder opinion survey. Priority services are: Home Delivered Meals, Community Living Program Services (in -home personal care, homemaking, and respite), Information and Assistance and Home Injury Control. Services with waitlists, recent funding increases or decreases or with alternative funding sources will be taken Printed On: 6/28/2021 Page 3 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan into consideration prior to determining any reductions. Operationally, AAA 1-B shall retain a workforce that ensures critical operations are delivered. Discretionary spending will be prioritized based on need to maintain critical operations. FY 2022 Advocacy Efforts The AAA 1-13 advocacy efforts to extend the premium pay increase for direct care workers were successful. In March 2021 the direct care worker premium pay rate increase was extended until the end of FY 2021 and increased by $.25 per hour. Congress approved increased funds for Older Americans Act services provided by the aging network to support emergency response to the COVID-19 pandemic in a December 2020 COIVD-19 supplemental appropriation and the 2021 American Rescue Plan. The AAA 1-B created a Legislative Platform for the 2021-2022 legislative session with input from the AAA 1-B Advisory Council and Board of Directors. The platform includes information about fourteen priority advocacy issues for the agency. In FY 2022 the AAA 1-B will continue to provide leadership to the statewide Silver Key Coalition, advocate in support of the MI Choice Medicaid Waiver Program, and work to address the direct care workforce shortage by advancing policies that attract and retain workers. COVID-19 Region 1-B continues to be highly impacted by COVID-19. The AAA 1-B worked with local service providers to help ensure older adults throughout Region 1-B had access to food and essential items throughout the pandemic. The aging network response to COVID-19 in Region 1-B was successful thanks to the strong service providers that work with and alongside the AAA 1-B. A summary of key challenges and AAA 1-B operational changes, including ongoing needs, is provided below. ONGOING NEEDS VACCINATIONS- The AAA 1-B has worked to connect older adults, caregivers, and direct care workers with information about the COVID-19 vaccine. Vaccination information is updated daily and is available from the AAA 1-B Resource Center, website, and social media platforms. All AAA 1-B in -home service participants were contacted to provide support to register for vaccine appointments. The AAA 1-B is collaborating with all six county health departments in the region to ensure homebound older adults have access to in -home vaccinations. If vaccination boosters are reccomended, additional outreach and public education will be required. DIRECT CARE WORKFORCE- Region 1-B continues to experience severe shortages in the direct care workforce due to COVID-19. Fear of contracting COVID-19, lack of childcare options, and the ability to earn more collecting unemployment than if they continued to work led to a shortage of workers. Premium pay was implemented for direct care workers providing approved services from March 2020 through September 2021. SOCIAL ISOLATION- Social isolation has been a challenge throughout the COVID-19 pandemic as older adults have followed quarantine and social distancing guidelines and reduced contact with people outside of their households. Social distancing requirements necessitated the closure of many programs that seniors rely on, including adult day centers, congregate meal sites, and senior centers. In addition to these closures, many other facilities, including assisted living facilities, licensed care facilities, and nursing homes prohibited outside visitors, further limiting socialization. Social isolation has many negative health implications and can be especially difficult for individuals with dementia. Printed On: 6/28/2021 Page 4 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 Social Isolation in congregate living settings is being addressed through several initiatives: -Use ofAASA No Wrong Door grant funds to provide devices that address social isolation to select residents in 29 targeted nursing homes, and MI Choice and Community Living Program participants. The devices include Amazon ECHO Shows, Super Ear sound augmentation devices, robotic pets, Simple Music Players, and comfort dolls. A private/public partnership with Oakland County, Amazon and American House Senior Living Residences to connect quarantined residents virtually with family and friends utilizing ECHO Show devices. TAX PREPARATION — The AAA 1-B identified an unmet need for tax preparation assistance during the 2021 tax season. Providers that typically offer tax preparation programs were operating at a reduced capacity due to COVID-19 restrictions and a shortage of volunteers. Demand for tax preparation was high, with some seniors needing to file if they had an issue receiving federal stimulus payments and others who rely on filing the Michigan home heating credit to receive enhanced food benefits. The AAA 1-13 advocated with federal and state officials to extend the tax deadline and increase awareness of the need for tax preparation assistance. DIGITAL DIVIDE- Difficulty using and obtaining technology is a significant challenge for older adults during the pandemic. Seniors without internet access face added difficulties signing up for vaccines, obtaining health care, and had fewer outlets to combat isolation during quarantine. ACCESS TO CARE/CARE REFUSAL- In Region 1-B, some older adults have declined to seek care and canceled appointments out of fear of contracting the virus. This placed some older adults at risk who otherwise depend on in -home services. This issue was especially prevalent in the early phases of the pandemic; the agency has seen requests from participants to reinstate services that they had previously cancelled. SHARING INFORMATION- The AAA 1-13 staff continue to provide virtual presentations on agency programs and services for seniors and family caregivers. In early 2021 the AAA 1-13 hosted four successful webinars reaching over 1,000 caregivers and older adults. Topics have included a caregiver services panel discussion, elder care coordination, COVID-19 vaccine, and effective communication strategies for individuals with Alzheimer's. The AAA 1-13 has earned several successful media placements, including articles and television coverage on social isolation, alternatives to nursing home care, and distribution of food boxes and masks. OPERATIONAL UPDATES PARTNERSHIPS- The AAA 1-13 secured grant funding from United Way for Southeastern Michigan to stabilize older adult households in Macomb and Oakland counties. In partnership with Interfaith Volunteer Caregivers, Lakeshore Legal Aid, and OLHSA, older adults in Macomb and Oakland counties were provided food and housing assistance for needs related to COVID-19 induced hardships. TELEPHONIC SERVICES- The AAA 1-13 Supports Coordination and Caseworker staff continue to conduct assessments via telephonic model to maintain the safety of staff and participants. These activities include assessments, care plan development and revisions, service level determination, and ongoing participant monitoring. Participants who lost their services because of an adult day center closure were offered in -home personal care and homemaking services. The AAA 1-13 clinical staff continue to perform increased wellness checks for program participants ensuring their health and safety, connecting with local resources, and often serving as a source of friendly reassurance and socialization. With increased social isolation among older adults during the COVID-19 pandemic, resources were offered during regular reassessments and provided in Printed On: 6/28/2021 Page 5 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 a March letter to participants addressing social isolation. Case coordination and support for participants are offered in a monthly friendly call from the AAA 1-13 staff. Many AAA 1-8 contracted service providers have transitioned to telephonic models, including Grandparents Raising Grandchildren, Elder Abuse and Prevention, and Community Liaison programs. MONITORING COVID-19 EXPOSURE- The AAA 1-B developed a COVID-19 protocol for monitoring participants who tested positive or were exposed to COVID-19. The AAA 1-B staff monitor participants who have tested positive for COVID-19, as well as those with potential and confirmed exposure. Participants being monitored receive weekly wellness checks, are offered resources and education, and are connected with other health care professionals such as physicians, hospitals, and discharge planners. The AAA 1-B also monitors direct care workers. In the event a direct care worker was exposed or tested positive, the COVID-19 Task Force performs tracing to see if the direct care worker had been in contact with other participants within the last 14 days. If there had been contact, those participants were notified and added to the monitoring list for the task force. RETURN TO COMMUNITY PREPARATION — The AAA 1-B is preparing protocols in anticipation of returning to face-to-face assessment. Protocol development is being guided by "A Phased Approach Resuming Standard Operations" provided by Michigan Department of Health and Human Services (MDHHS). Examples of current preparation efforts include a hybrid model approach, Personal Protective Equipment (PPE) training, PPE distribution protocol, and COVID-19 symptom screening for participants and staff. ADVOCACY- The AAA 1-B successfully advocated for increased federal funding to support pandemic response, premium pay for direct care workers, and maintenance of OlderAmericans Act and AASA funding. SUPPORTING EMPLOYEES- The AAA 1-13 employees reported increased stress, difficulty maintaining work -life balance while working at home, and increased anxiety as a result of the COVID-19 pandemic. The AAA 1-13 has provided resources for employees including those available through agency sponsored benefit programs (COVID-19 testing/coverage, increased telehealth services and mental health/work-life resources), training sessions for managers to provide tools for mitigating operational challenges, and opportunities for remote employee engagement. The Agency has provided employees and family members with a new Employee Assistance Plan (EAP) provider through Ulliance. REMOTE WORKFORCE- The AAA 1-B moved all agency operations to remote -based, providing necessary equipment to all staff. SAFETY PROTOCOLS- The AAA 1-B developed and implemented pandemic protocols to safeguard the health and safety of employees and participants, incorporating directives and guidance from the state and federal governments, CDC, OSHA and COL. NUTRITION- Access to nutrition was identified as a key challenge for seniors during the pandemic. The AAA 1-B nutrition providers continue to ensure participants receive meals through home delivery as well as pick up from congregate sites that transitioned to curbside grab 'n go programs. Nutrition providers are delivering meals to all home delivered meal recipients despite losing volunteers and staff out of fear of being exposed to the virus. Region 1-B does not have any nutrition providers with an active waitlist. The AAA 1-B staff and volunteers delivered over 15,000 quarantine (Q) boxes and produce boxes to seniors who had limited to no Printed On: 6/28/2021 Page 6 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 access to food. In partnership with AASA, the AAA 1-B was able to feed thousands of seniors by providing over 364,000 pounds of food. PPE- The AAA 1-13 staff assisted with PPE distribution to its vendor network, equipping essential workers with PPE to safely deliver services to older adults. WELLNESS PROGRAMS- While many AAA 1-B wellness workshops can be offered virtually, it has been a challenge to train older adults on the use of virtual platforms, such as GoToMeeting, and several AAA 1-13 trainers have expressed that they do not feel confident to instruct classes using this format. There has been a statewide collaboration among Evidence Based Program Coordinators to provide technology training to wellness program facilitators and program participants to host successful virtual workshops. Several of the Evidence Based Programs offered by the AAA 1-B have been approved to be offered virtually by the program developers, including Diabetes PATH, Chronic Pain PATH, Aging Mastery Program, and Powerful Tools for Caregivers. A Matter of Balance will be offered virtually in late spring of 2021. The National Kidney Foundation of Michigan recently hosted a virtual PATH workshop and has plans to offer more workshops from the PATH suite of classes (diabetes PATH, chronic pain, etc.). They will also offer Walk with Ease and Enhance Fitness programs virtually until in -person programs can be resumed safely. ADULT DAY SERVICES: Adult Day Service and Dementia Adult Day Care programs have been following MDHHS Epidemic Orders including capacity limitations and following the mask mandate. COVID-19 safety and sanitation policies and processes are also in place. One-on-one activities have continued to be provided, as well as a meal, according to AASA programming standards. The Adult Day Services and Dementia Adult Day Care programs have continued to provide support to caregivers through virtual support groups, education, and ongoing wellness checks. If the adult day center must close, virtual programming is an option. SOCIAL SERVICES: 3,000 Essential Care Kits funded through an AASA grant were distributed across Region 1-B. GAP FILLING- The AAA 1-B has "gap -filling" funds to cover COVID-19 related needs such as grocery delivery fees, medication delivery, and others to support older adults during this crisis. LEGAL SERVICES- Funding was secured from a local foundation for an AAA 1-B legal services contractor to address housing problems that were exacerbated by the pandemic. Housing stabilization services including mortgage foreclosure, tax foreclosure, and eviction or landlord/tenant issues were provided. 178 individuals were served by the program, with 110 individuals receiving legal advice and 68 individuals receiving attorney -led advocacy to negotiate resolution of housing issues. MMAP- The MMAP team assisted over 4,000 Medicare beneficiaries during Medicare Open Enrollment using virtual appointments through Zoom. MMAP volunteers were equipped with the necessary technology including laptops, Zoom licenses, phones and information on how to set up a google phone to ensure a successful open enrollment program. MMAP continues to provide information on COVID-19 vaccination scams and other scams related to the pandemic through volunteer education and community outreach. Printed On: 6/28/2021 Page 7 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 County/Local Unit of Government Review The Area Agency on Aging must send a request to the chairperson of each County Board of Commissioners within the Planning and Service Area (PSA), for approval of the final AIP by August 2, 2021. Notification can be sent via US mail or by electronic means, with delivery and signature confirmation, by no later than June 30, 2021. Describe the efforts made to distribute the AIP to, and gain support from, the appropriate county and/or local units of government. In early June, the AAA 1-B contacts each Region 1-B county Board of Commissioners (BOC) to determine their July meeting date and deadlines for submission of materials. The AAA 1-13 Advisory Council and Board of Directors approve the Annual Implementation Plan (AIP) during their June meetings. Upon Board of Directors approval, the AAA 1-B emails with delivery and read receipt, a copy of the AIP and a draft resolution to the chairperson of each county BOC, with a letter requesting BOC action prior to July 31. A copy of the materials is also emailed to each of the BOC's clerk/administrative assistant who is asked to ensure approval of the AIP is placed on the July meeting agenda . A county commissioner serving as the designated Board member of AAA 1-B and the AAA 1-B staff member attends each BOC's July meeting to answer any questions and encourage approval of the AIP. In the past all six county boards of commissioners have approved the plans. No action by a BOC is considered passive approval. The AAA 1-B notifies AASA by August 1 of the status of county level action on the AIP. Printed On: 6/28/2021 Page 8 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B Public Hearings FY 2022 Annual Implementation Plan FY 2022 Complete the chart below regarding your public hearing(s). Include the date, time, number of attendees and the location and accessibility of each public hearing. Please scan any written testimony (including emails received) as a PDF and upload on this tab. A narrative description of the public input strategy and hearing(s) is also required. Please describe the strategy/approach employed to encourage public attendance and testimony on the AIP. Describe all methods used to gain public input and the resultant impact on the AIP. Indicate whether the meeting complied with the Michigan Open Meetings Act. (See Transmittal Letter 2021-448.) Date Location Time Barrier Free? No. of Attendees 05/13/2021 Virtual- Microsoft Teams 01:00 PM Yes 41 The AAA 1-B held a public hearing on May 13 via Microsoft Teams, at which 41 members of the public were in attendance. The public hearing complied with the Open Meetings Act and was held virtually due to an emergency order in effect in City of Southfield. The AAA 1-B provided an overview of the FY 2022 Annual Implementation Plan (AIP) and encouraged feedback from participants. Attendance at the public hearing was encouraged through emails to AAA 1-B contractors, vendors, and interested parties; postings on social media and the AAA 1-B website; press releases to area news outlets, including a paid public notice in the Detroit Free Press and Detroit News on April 12, 2021. As of April 27, the draft Annual Implementation Plan was available on the AAA 1-B website at https://aaal b.org/about-us/key-data-and-policies/. Written comments on the FY 2022 AIP were received in writing from five individuals: two emails and three letters (attached). Four individuals provided written comments related to the importance of the kinship care program. Another written comment shared that the AAA 1-B can do more to interact with service providers and concerns about the changes to "allowable tasks/jobs' for chore and home injury control services. Feedback from attendees during the public hearing included the need for flexibility with service definitions and support for chore services, home injury control services, and kinship care programs. Several attendees stressed the importance of the grandparents raising grandchildren program and the need for increased funding for the program. An attendee shared their appreciation for the food they received from a grant funded initiative through which the AAA 1-B partnered with OLHSA to support the COVID-19 related nutritional needs of Grandparents Raising Grandchildren program participants. The AAA 1-B was asked what options were available for funding a friendly caller program. It was stated that the program is in high demand and funding to support it is limited. Two attendees indicated they found the AAA 1-B's changes in service standards for chore services restrictive. Printed On: 6/28/2021 Page 9 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 The attendees reported that the programs were not meeting the needs of the community due to the changes. The AAA 1-B was asked for more flexibility with service standards and for advocacy if the changes are out of the AAA 1-B's control. This was also addressed in a written comment received by the AAA 1-B. Three attendees shared appreciation with the AAA 1-B for flexibility regarding home delivered and congregate meal programs throughout the COVID-19 pandemic. It was noted that the AAA 1-B should acknowledge the hard work of the provider network during the COVID-19 pandemic in the executive summary of the Annual Implementation Plan. The AAA 1-B was successful in serving older adults because of its community partners. Based on comments provided at the public hearing, the following edits to the draft plan were made: -Added acknowledgement of the actions by the local provider network in the COVID-19 section. -Added a new program development goal to review AAA 1-B service standards with input from contractors in preparation for the FY 2023-2025 Request for Proposals (RFP). The AAA 1-B will also work in partnership with AASA to determine if any flexibility can be provided to chore service providers in FY 2022 to meet community need. Printed On: 6/28/2021 Page 10 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Regional Service Definitions If the area agency is proposing to fund a new (not previously approved in this multi -year planning cycle) service category that is not included in the Operating Standards for Service Programs, then information about the proposed service category must be included in this section. Enter new regional service name, identify the service category and fund source, include unit or service, minimum standards and why activities cannot be funded under an existing service definition. Service Name/Definition Rationale (Explain why activities cannot be funded under an existing service definition.) Service Category Fund Source Access Title III PartB Title III PartD In -Home Title VI State Alternative Care Community State In -home State Respite Other Minimum Standards Unit of Service Title III PartE State Access Printed On: 6/28/2021 Page 11 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B Access Services FY 2022 Annual Implementation Plan FY 2022 Select from the list of access services those services the area agency plans to provide directly during FY 2022, and provide the information requested. Specify, in the appropriate text box for each service category, the planned goals and activities that will be undertaken to provide the service. The Area Plan Grant Budget that is uploaded and saved in AMPS must include each access service to be provided directly in the Direct Service Budget details tab. The funding identified in this tab should correspond to the funding (federal OAA Title III or VII and state funds) identified in the Area Plan Grant Budget's Support Services Detail tab. The method of provision must be specified in the Service Summary tab. Care Management Startino Date 10/01/2021 Ending Date 09/30/2022 Total of Federal Dollars $184,078.00 Total of State Dollars $30,000.00 Geographic area to be served Region 1-B Specify the planned goals and activities that will be undertaken to provide the service. Oblective1: Continue to utilize the Service Coordination Continuum to move participants from Case Coordination and Support or the in -home service waitlist into the Care Management program as they are determined to need this level of services and supports coordination. Provide Care Management services to MI Choice participants whose Medicaid becomes temporarily inactive. Exoected Outcome 1: Older adults at the greatest risk for unnecessary nursing home placement or hospitalization will receive Aging and Adult Services Aging (AASA) funded Care Management services. Objective 2: Conduct at least four trainings for Care Management Supports Coordinators on topics such as new technology, current practice guidelines, elder abuse, and caregiver resources. All new staff will complete person -centered thinking online training within their first year of hire. Expected Outcome 2: Care Management supports coordinators will keep their knowledge and skill levels current to the agency and state priorities and models of provision of care to participants. Number of client pre -screenings: Current Year: 49 Planned Next Year: 50 Number of initial client assesments: Current Year: 39 Planned Next Year: 40 Number of initial client care plans: Current Year: 39 Planned Next Year: 40 Total number of clients (carry over Current Year: 74 Planned Next Year: 79 plus new): Staff to client ratio (Active and Current Year: 1:12 Planned Next Year: 1:25 maintenance per Full time care Case Coordination and Support Startino Date 10/01/2021 Endino Date 09/30/2022 Printed On: 6/28/2021 Page 12 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B Total of Federal Dollars $492,624.00 Geographic area to be served Region 1-B FY 2022 Annual Implementation Plan Total of State Dollars $1,301,263.00 Specify the planned goals and activities that will be undertaken to provide the service. WdIl Obiective 1: Conduct at least four trainings for Case Coordination & Supports Caseworkers and Supports Coordinators on topics such as new technology, current practice guidelines, elder abuse, and caregiver resources. All new staff will complete person -centered thinking online training within their first year of hire. Expected Outcome 1: Care Management supports coordinators will keep their knowledge and skill levels current to the agency and state priorities and models of provision of care to participants. Objective 2: Reduce the number of participants reporting social isolation through targeted efforts by the AAA 1-13 Case Workers and Supports Coordinators. Expected Outcome 2: Participants with reduced social isolation will experience improved health status, increased self-esteem, and reduced feelings of loneliness. Information and Assistance Startina Date 10/01 /2021 Total of Federal Dollars $718,000.00 Geographic area to be served Region 1-B Ending Date 09/30/2022 Total of State Dollars $0.00 Specify the planned goals and activities that will be undertaken to provide the service. Objective: Increase the presence of Information & Assistance (I&A) within the communities we serve. Expected Outcome: Increased awareness of I&A services, improved relationship building with community agencies for resource development, and increased access to I&A for a more person -centered approach. Objective: Provide more enhanced Information & Assistance and support by helping with accessing resources at the first point of contact. Expected Outcome: More older adults and family caregivers receive needed resources. Outreach Startina Date 10/01 /2021 Total of Federal Dollars $679,965.00 Geographic area to be served Region 1-B Ending Date 09/30/2022 Total of State Dollars $10,000.00 Specify the planned goals and activities that will be undertaken to provide the service. Objective: Enhance the digital presence of the AAA 1-B to increase awareness of the agencies and meet individuals at their point of need. Expected Outcome: Increase the number of older adults and family caregivers who access the AAA 1-13 for information and assistance. Objective: Continue to develop relationships with local companies to reach working family caregivers with Printed On: 6/28/2021 Page 13 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 information on the AAA 1-B and our programs and services. Expected Outcome: Increase the awareness of working family caregivers of the AAA 1-B and the various programs and services available through the agency. Objective: Strengthen the position of the AAA 1-B as the source of information on aging through active outreach to local and state media. Expected Outcome: Increase the awareness of the AAA 1-B among all individuals with a focus on increasing awareness of the agency for older adults and family caregivers. Objective: Increase the number of community presentations to older adults and family caregivers on agency services. Expected Outcome: To increase the awareness of the AAA 1-B among older adults and family caregivers. Options Counseling Startina Date 10/01/2021 Total of Federal Dollars $52,000.00 Geographic area to be served Region 1-B Ending Date Total of State Dollars 09/30/2022 Specify the planned goals and activities that will be undertaken to provide the service. Objective: To provide options counseling to older adults and family caregivers at first point of contact through the AAA 1-B Information & Assistance department. Expected Outcome: An increase in the understanding of and access to the programs and services by older adults and/or family caregivers. Printed On: 6/28/2021 Page 14 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Direct Service Request Select the service from the list and enter the information requested pertaining to basis, justification and public hearing discussion for any new Direct Service Request for FY 2022. Specify in the appropriate text box for each service category the planned goals and activities that will be undertaken to provide the service. Include any COVID-19 policy waiver -approved direct provision of service that is continuing into FY 2022. Direct service budget details for FY 2022 are to be included under the Direct Service Budget tab in the Area Plan Grant Budget. The funding identified in this tab should correspond to the funding (Federal OAA Title III or VII and State funds) identified on the Support Services Detail page. Please skip this section if the area agency is not submitting a new request to provide an in -home, community, or nutrition service directly during FY 2022. Caregiver Education, Support and Training Total of Federal Dollars Total of State Dollars GeooraohicArea Served Region 1-13 Planned goals, objectives, and activities that will be undertaken to provide the service in the appropriate text box for each service category. The AAA 1-B has an approved Direct Service Request to provide Caregiver Education, Support and Training for the Fiscal year 2020-2022 multi -year plan period. In FY 2022, the AAA 1-B requests approval to add the Caregiver Coaching program to our Caregiver program offerings. Trualta The AAA 1-B requests approval to continue to provide Trualta as a direct service. Trualta is an innovative eLearning program for family caregivers of a care recipient with dementia that the AAA 1-13 began providing in FY 2019. This program offers skill -based training delivered through an online learning system built specifically for the family caregiver audience. Each family caregiver receives a personalized learning journey based on the caregiving topics that are most relevant to their care situation. Family caregivers will gain practical knowledge of the basics of personal care (e.g., tips for showering and toileting), dementia care for managing difficult situations (e.g,, wandering and agitation), safety and injury prevention, and caregiver wellness (e.g., balancing work and caregiving) from the comfort of their home. The AAA 1-B provides regional leadership for the Trualta program by providing at least 100 caregivers a year access to this program, either through the Community Living Program staff or through sign-up by the AAA 1-13 staff at Caregiver Trainings in the community. The AAA 1-B staff will add increased access as demand warrants and funding allows, ensuring that 100 family caregivers who live throughout the region will have access to this program in FY 2022. This program will be provided in partnership with Trualta. Dementia Friends The AAA 1-13 will continue to provide Dementia Friends as a direct service. The goal of the Dementia Friends informational session is to help community members understand dementia and the small things they can do to make a difference for people living with dementia throughout our networks and communities in Region 1-13 in Southeastern Michigan. Printed On: 6/28/2021 Page 15 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Careaiver Coaching The AAA 1-13 will provide Caregiver Coaching as a direct service. The Caregiver Coaching Program is based on a curriculum developed by the Westchester County Department of Senior Programs and Services (WCDSPS) and Fordham University Ravazzin Center on Aging. Caregiver Coaches are volunteers who are required to make a one-year commitment to the program. The volunteer coaches are trained on the Caregiver Coaching curriculum, which includes a 12-hour training that covers caregiver challenges, the aging process, and coaching techniques. Once trained, Caregiver Coaches are matched with a family caregiver in need of support. After coaches and caregivers are matched, there is no specific length of time for the coaching relationship. In some instances, it will be a longer -term relationship spanning months or possibly years, while other times it will be only a couple of contacts while the caregiver is needing assistance with something that is time limited. Coaches act as mentors, referral sources, and valuable resources for caregivers with whom they work. Caregiver Coaches work with AAA 1-B employees, including Project Manager and Caregiver Resource Specialist, to receive ongoing education and support. Caregiver Coaches report to the AAA 1-B on their contacts with caregivers to track hours spent supporting caregivers and the types of support provided. Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or more of the three provisions described below. Please select the basis for the direct service provision request (more than one may be selected). (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. (B) Such services are directly related to the Area Agency's administrative functions. (C) Such services can be provided more economically and with comparable quality by the Area Agency. (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. Provide a detailed justification for the direct service provision request. The justification should address pertinent factors that may include: a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services. If the service is considered part of administrative activity, describe the rationale and authority for such a determination. Trualta The AAA 1-B is the first area agency on aging in Michigan to use Trualta on-line training for family caregivers. Costs include access to the software platform for the AAA 1-B staff trainings, creation of 100 unique user profiles, data analytics, printed manuals, and platform maintenance/assistance. Dementia Friends The AAA 1-13 is the only organization in Region 1-13 to provide Dementia Friends informational sessions for families, colleagues, and the wider community. The AAA 1-B has several employees who are master trained Dementia Friends Champions, who can train other Dementia Friends Champions and conduct Dementia Printed On: 6/28/2021 Page 16 of 82 STATE of MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Friends informational sessions. Costs include purchase of handouts and administrative costs for coordination of the program. Careaiver Coachina The AAA 1-13 is the only organization in Michigan to provide the Caregiver Coaching program. The AAA 1-B piloted the program through grant funding in Livingston, Macomb, Oakland, and Washtenaw counties and the successful pilot led the AAA 1-13 to plan for expansion of the program throughout Region 1-B in FY 2022. The program is a cost-effective program that serves family caregivers using a one-on-one method that utilizes volunteers and serves as a next step for caregivers after attending traditional support groups and caregiver trainings and workshops. Costs include training volunteer Caregiver Coaches, volunteer management, staffing for the Program Manager, and administrative costs for coordination of the program. Describe the discussion, if any, at the public hearings related to this request. Include the date of the hearing(s). There were no comments related to Caregiver Education, Support and Training at the AAA 1-13 public hearing. Printed On: 6/28/2021 Page 17 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Regional Direct Service Request Area agencies that have a new reauest to provide a regional service directly must complete this tab for each service category. Enter the regional service name in the box and click "Add." The regional service name will appear in the dialog box on left after screen refresh. Select the link for the newly added regional direct service and enter the information requested pertaining to basis, justification and public hearing discussion for any new regional direct service request for FY 2022. Also specify in the appropriate text box for each service category the planned goals and activities that will be undertaken to provide the service. Include any COVID-19 policy waiver -approved regional direct provision of service that is continuing into FY 2022. Address any discussion at the public hearing related to each new regional direct service provision request. Regional Direct Service Budget details for FY 2022 are to be included under the appropriate tab in the Area Plan Grant Budget. The funding identified in this tab should correspond to the funding (federal OAA Title III or VII and state funds) identified in the Area Plan Grant Budget, Support Services Detail page. Total of Federal Dollars GeoaraphicArea Served Total of State Dollars Planned goals and activities that will be undertaken to provide the service in the appropriate text box for each service category. Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or more of the three provisions described below. Please select the basis for the direct service provision request (more than one may be selected). (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. (B) Such services are directly related to the Area Agency's administrative functions. (C) Such services can be provided more economically and with comparable quality by the Area Agency. Provide a detailed justification for the direct service provision request. The justification should address pertinent factors that may include: a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services. If the service is considered part of administrative activity, describe the rationale and authority for such a determination. Printed On: 612812021 Page 18 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-13 FY 2022 Annual Implementation Plan FY 2022 Describe the discussion, if any, at the public hearings related to this request. Include the date of the hearing(s). Printed On: 6/28/2021 Page 19 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Approved MYP Program Development Objectives Program development goals and objectives previously set by the area agency and approved by the CSA in this multi -year planning cycle are included as read-only. For each of these established program development objectives, a text box is included for the area agency to provide information on progress toward the objectives to date. This text box is editable. Please provide information on progress to date for each established objective under the section tab entitled "Progress." For the Diversity, Equity and Inclusion (DEI) objective, include progress on trainings for staff and subcontractors in DEI and unconscious bias. Discuss efforts to ensure that programming and outreach is culturally sensitive and welcoming to all participants, including non-English speaking persons. Discuss efforts to ensure that providers are trained to adapt to diverse cultural needs. Area Agency on Aging Goal A. Implement the AAA 1-B Advocacy Strategy to secure increased state, federal, and/or local support for older adult services Obiectives 1. Implement the AAA 1-B Advocacy Strategy to secure increased state, federal, and/or local support for older adult services. Timeline: 10/01/2019 to 09/30/2022 Progress The AAA 1-B created a Legislative Platform for the 2021-2022 legislative session with input from the AAA 1-B Advisory Council and Board of Directors. The platform includes information about fourteen priority advocacy issues for the agency, including rebalancing Michigan's long term care spending, support for AASA in -home services, and support for the direct care workforce. The AAA 1-B created Contact your Legislator Guides for each of Region 1-B's six counties. The guides provide information about effective methods for grassroots advocates to contact their legislators, along with contact information for federal, state and county elected officials. The AAA 1-B advocacy efforts to extend the premium pay increase for direct care workers were successful. In March 2021, the direct care worker premium pay rate increase was extended until the end of FY 2021 and increased by $.25 per hour. Congress approved increased funds for Older Americans Act services provided by the aging network to support emergency response to the COVID-19 pandemic in a December 2020 COIVD-19 supplemental appropriation and the 2021 American Rescue Plan. The AAA 1-B has worked with all six county health departments in Region 1-B to advocate for in -home vaccinations to be provided to homebound individuals. Printed On: 6/28/2021 Page 20 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 The AAA 1-B has continued to provide leadership to the statewide Silver Key Coalition, which is focused on addressing unmet needs for AASA in -home services. The Coalition is requesting a $6.375 million increase for senior in -home services and a $1 million increase for Home Delivered Meals in the Aging and Adult Services Agency (AASA) FY 2022 budget. On May 14th, the AAA 1-B hosted a virtual legislative town hall for senior advocates featuring a panel of four legislators in recognition of Older Michiganians Day Senior Action Week. 2. Secure increased support for regional transportation and expansion of the Michigan Department of Transportation Specialized Services program, which provides operating support for small bus service targeted to older adults and adults with a disability. Timeline: 10/01/2019 to 09/30/2020 Progress The timeline set for this objective ended on 9/30/20. An update on this objective was provided in the FY 21 Annual Implementation Plan. B. Develop additional resources for caregivers which will improve their confidence and ability to care for their loved one Objectives 1. Develop additional resources for caregivers which will improve their confidence and ability to care for their loved one. Timeline: 10/01/2019 to 09/30/2022 Progress Many community -based programs provided by the AAA 1-B have been put on hold due to the COVID-19 outbreak. Some programs have been offered virtually, including legal presentations for caregivers and the Powerful Tools for Caregivers program. The Trualta e-learning platform continues to be promoted and utilized by caregivers throughout the AAA 1-B region. The AAA 1-B launched a new grant funded pilot program, Caregiver Coaching, in 2020. Volunteer Caregiver Coaches are matched with an informal family caregiver to provide information, support, resources, and to be a listening ear. Caregiver Coaches in the program undergo a 2-day training and attend monthly meetings to discuss problems that informal caregivers face. The Caregiver Coaching program is currently operating in Washtenaw and Livingston Counties with plans to expand the program throughout Region 1-B in FY 2022. 2. Increase family caregiver eLearning usage through a partnership with Trualta for caregiver education, support and training through the delivery of online education as a direct service. Timeline: 10/01/2019 to 09/30/2020 Progress The timeline set for this objective ended on 9/30/20, An update on this objective was provided in the FY 21 Annual Implementation Plan. C. Expand wellness programming throughout Region 1-B. Printed On: 6/28/2021 Page 21 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B Objectives Expand wellness programming throughout Region 1-13 Timeline: 10/01/2019 to 09/30/2022 FY 2022 Annual Implementation Plan FY 2022 Progress Evidence -Based Health and Wellness Programs continue to be offered virtually throughout the AAA 1-B region, using the GoToMeeting virtual platform. Workshop participation is less than in previous years, as many older adults are not able to access or do not have the knowledge to access virtual platforms; however, the AAA 1-13 continues to promote programming around the region and across the state offering technical assistance as needed. Evidence -Based programs that have been offered virtually include: Chronic Pain PATH, Diabetes PATH, Aging Mastery Program, and Powerful Tools for Caregivers. A Matter of Balance will begin to be offered virtually in late spring of 2021. D. Expand Medical Nutrition Therapy (MNT) throughout Region 1-B to Medicare recipients Objectives 1. Expand Medical Nutrition Therapy (MNT) throughout Region 1-B to Medicare recipients. Timeline: 10/01/2019 to 09/30/2020 Progress The timeline set for this objective ended on 9/30/20. An update on this objective was provided in the FY 21 Annual Implementation Plan. E. Incentivize communities to conduct a Caregiver Friendly Community Self -Assessment and enact improvements to their caregiver support resources. Objectives 1. Incentivize communities to conduct a Caregiver Friendly Community Self -Assessment and enact improvements to their caregiver support resources. Timeline: 10/01/2019 to 09/30/2022 Progress The AAA 1-B publicly launched the Caregiver Friendly Communities Assessment in April 2021. Leading up to public launch, 21 cities and counties across Michigan completed the Caregiver Friendly Communities Assessment and provided valuable feedback for the final product. Public launch included outreach to older adult service providers, and community planners across Michigan, encouraging them to conduct the assessment for their community. Public launch marketing efforts included information on the shrinking ratio of informal caregivers to older adults and encouraged communities to use the Caregiver Friendly Communities Assessment as a planning tool to identify supports to improve their community in readiness for this trend. After taking the Assessment and receiving a community -specific report detailing strengths and weaknesses, assessment takers have access to a resource website with best practices and recommendations to improve their community's support of caregivers and older adults. Printed On: 6/28/2021 Page 22 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 On April 13, the AAA 1-6 presented the Caregiver Friendly Communities Assessment at the American Society on Aging's annual conference. F. Increase AAA 1-B capacity to secure additional funding resources. Objectives 1. Increase AAA 1-B fundraising capacity to secure additional financial resources that support agency services, operations, and older adult unmet needs Timeline: 10/01f2019 to 09/30/2022 Progress As of May 31, 2021, the AAA 1-B philanthropy efforts in FY 2021 have resulted in $33,307 for the agency's unrestricted annual fund and $52,412 for the Holiday Meals on Wheels program. The AAA 1-B has additional fundraising campaigns and several grant solicitations planned for the remainder of FY 2021. It is projected that the AAA 1-B will slightly exceed the total amount raised in FY20. 2. Increase AAA 1-B grant seeking activities to support program innovation and enhancement. Timeline: 10/01/2019 to 09/30/2022 Progress Through March 2021, the AAA 1-B increased grant seeking activities to secure grants that supported innovation, systems change, and program enhancement for older adults and family caregivers. The AAA 1-B secured new and increased grant funding totaling $701,103 for four grants. Two additional grants are currently pending decision. Grants secured include the following: - Reimagine Caregiving: awarded the Ralph C. Wilson, Jr., Foundation Caregiver Prize through the Vital Seniors Initiative at Ann ArborArea Community Foundation for activities in Washtenaw County. Reimagine Caregiving is aimed at changing mental models at the individual, community, and organizational levels to affect systems change, which will result in better support to caregivers and increased quality of life for caregivers and older adults. - Older Adult Refugee Assistance: funded by Office of Global Michigan in the Michigan Department of Labor and Economic Opportunity to provide services to older adult refugees in Oakland and Macomb counties. This program received increased funding in FY 2021 and services are subcontracted to Chaldean American Ladies of Charity. - COVID-19 No Wrong Door System: funded by the Aging and Adult Services Agency (AASA), provides services and supports to ensure older adults and adults with disabilities throughout NWD Region 7 (AAA Region 1-B) have access to services and technological solutions to address the increased prevalence of social isolation due to COVID-19. To implement this initiative to older adults and adults with disabilities, the AAA 1-B is partnering with Ann Arbor Center for Independent Living, Blue Water Center for Independent Living, and Disability Network Oakland and Macomb. - Winter Crisis Relief: funded by United Way for Southeastern Michigan to stabilize older adult households in Macomb and Oakland counties. The AAA 1-B contracted with three organizations to provide services through this Printed On: 6/28/2021 Page 23 of 82 STATE of MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan grant: Interfaith Volunteer Caregivers, Lakeshore Legal Aid, and OLHSA. FY 2022 - Livingston County Resource Directory: funding by United Way of Livingston County and Livingston County Board of Commissioners will allow the Livingston County Leadership Council on Aging to provide a printed resource directory of services available for older adults in Livingston County. G. Undertake basic research and demonstration projects that provide evidence for data -driven decision making for program advocacy and management. Objectives 1. Undertake basic research and demonstration projects that provide evidence for data -driven decision making for program advocacy and management. Timeline: 10/01/2019 to 09/30/2022 Progress Actions and outcomes in FY 2020 that were influenced by the solutionary reports and presentations include: • Advocacy and collaboration with county health departments to develop strategies to vaccinate homebound older adults and adults with disabilities. • Establishment of a grant funded out -of -home extended respite service in Washtenaw county. • Integration of a Smart Question strategy into ongoing MI Choice participant monitoring that predicts elevated risk of hospitalization and prompts a clinical intervention to address factors associated with the risk of hospitalization. • Documented the outcomes of a public/private project to address social isolation in senior congregate living facilities involving Oakland County, Amazon, and American House Senior Living Residences. • Developed a project with the Oakland County Board of Commissioners to undertake a senior needs and solutions study and produce a Blueprint for Aging Master Plan. 2. Identify additional resources and advocate for policy solutions to increase support to grandparents raising grandchildren, including understanding and addressing the respite needs of grandparents raising grandchildren. Timeline: 10/01/2019 to 09/30/2020 Progress The timeline set for this objective ended on 9/30/20. An update on this objective was provided in the FY 21 Annual Implementation Plan. 3. Initiate the identification, measurement, and reporting of outcomes for contracted services in collaboration with the aging network. Timeline: 10/01/2019 to 09/30/2022 Progress An outline for a white paper on Older Americans Act funded home and community -based service outcomes measurement has been created and drafting of the report has begun. Services are being identified to begin the data collection process. The team will continue to meet to develop a plan of work. The AAA 1-B staff will meet with the contracted service providers identified for evaluation to discuss the data collection and outcomes. Printed On: 6/28/2021 Page 24 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-13 FY 2022 Annual Implementation Plan FY 2022 Ensure that AAA 1-B services are accessible to Michigan's communities and people of color, immigrants and LGBTQ+ individuals Obiectives Establish outreach partnerships with key local organizations to understand the caregiver cultural needs within each minority population. Timeline: 10/01/2020 to 09/30/2021 Progress The AAA 1-B is partnering with Asian Center Southeast Michigan to provide support to Chinese American family caregivers. Through the partnership, Asian Center Southeast Michigan will provide a nine -month support and education series to Chinese American family caregivers in their native language. The AAA 1-B is establishing partnerships with the Association of Chinese Americans and the Michigan Asian Pacific American Affairs Counsel for outreach to Asian Pacific family caregivers. The AAA 1-B is working to establish partnerships with Centro Multicultural La Familia and the Michigan Hispanic Chamber of Commerce for outreach to Hispanic family caregivers. The Diverse Elders Resource Hub is a non-profit organization is specifically focused on identifying barriers and challenges for family caregivers within minority populations. The AAA 1-B will utilize this resource to address barriers with local minority organizations. In FY 2021 the AAA 1-B has seen a 40% increase, compared to first two quarters of FY 2020, in LGB and/or T identified callers. The Area Agency on Aging 1-B has a strong relationship with SAGE Metro Detroit to assist with increasing those referrals. An agency staff member serves on the SAGE Metro Detroit Board, The Information and Assistance Manager has also met with the SAGE Friendly Caller Coordinator to ensure the coordinator is familiar with agency services and has multiple avenues for referring SAGE Friendly Caller participants. The AAA 1-B uses a Language Line to provide telephonic translation services when talking with an individual who speaks a language other than English. The AAA 1-13 is on track to serve more people using the Language Line service in FY 2021 than in FY 2020. As of March 31, 2021, the AAA 9-B has used the Language Line service for 93 calls with 56% of those calls for Arabic speaking individuals, 12% Somali, and 8.6% Mandarin. In FY 2020, the agency supported 108 total callers with 65% of the calls for Arabic translation, 9% Spanish, and 6.5% Russian. Through the COVID-19 Immunization Support grant from AASA, the AAA 1-B is partnering with local service providers that work with minority and harder -to -reach older adult populations to provide COVID-19 vaccine outreach and support. The project increases awareness of and access to the COVID-19 vaccine amongst minority populations and strengthens partnerships with organizations serving elders in these communities. AAA 1-B is partnering with the following organizations: SAGE to serve LGBTQ+ older adults; Chaldean American Ladies of Charity to serve Chaldean and Arabic older adults; Association of Chinese Americans to serve Chinese and Asian Pacific older adults; and Centro Multicultural La Familia to serve Latinx and African American older adults. In addition to the minority -focused organizations, the AAA 1-B is partnering with Monroe County Opportunity Program and Council on Aging, serving St. Clair County to reach rural populations. Printed On: 6/28/2021 Page 25 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-B FY 2022 Annual Implementation Plan FY 2022 2. Ensure culturally relevant outreach materials targeted at the family members providing care for older loved ones are available in Region 1 B. Timeline: 10/01/2020 to 09/30/2021 Progress The AAA 1-B has translated updated agency brochures into Spanish (attached in appendix) and is working to translate brochures to Mandarin to address the language access barrier for materials and information. 3. Ensure family caregivers from diverse communities are aware of available programs and services. Timeline: 10/01/2020 to 09/30/2021 Progress The AAA 1-B will distribute translated brochures through local partnerships to reach minority family caregivers. Once in -person presentations can be provided again, the AAA 1-B will work with local partnering organizations to host presentations, with translators, to provide information on programs and services available for family caregivers and their older loved ones. 4. Ensure that contracted organizations and AAA 1-B staff receive annual diversity, equity, and inclusion training, including education on recognizing and addressing unconscious bias. Timeline: 10/01/2020 to 09/30/2021 Progress In November 2020, the AAA 1-B staff participated in a 90-minute interactive Implicit Bias and Diversity, Equity and Inclusion Workshop. Through the interactive virtual workshop, participants engaged in discussions and exercises around understanding the origin of biases and how they may impact decisions, perceptions, and interactions in the context of diversity and inclusion. The AAA 1-B will provide diversity, equity and inclusion training during quarterly trainings for contracted providers, which have been tentatively scheduled for June and September 2021. In FY 2021, seven AAA 1-B staff responsible for clinical program intake completed the SAGE (Services and Advocacy for GLBT Elders) Metro Detroit ARC (Act, Reflect, Commit) training, and eighteen staff members attended the 2-hour virtual training, "LGBT Older Adults: A Step Forward in Understanding', with SAGE Metro Detroit. Clinical staff that did not participate in the SAGE Metro Detroit Training participated (or are scheduled to participate) in either a SAGE National Webinar or a Relias LGBTQ on-line training. The Area Agency on Aging 1-B has maintained our Bronze SAGECare Credential for 2021; the SAGECare Credential confirms that at least 25% of agency staff have completed LGBT cultural competency training. Printed On: 6/28/2021 Page 26 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-13 FY 2022 2022 Program Development Objectives The area agency must enter each new program development goal in the appropriate text box. It is acceptable, though not required, if some of the area agency's program development goals correspond to AASA's State Plan Goals. There is an entry box to identify which, if any, State Plan Goals correlate with the entered goal. A narrative for each program development goal should be entered in the appropriate text box. Enter objectives related to each program development goal in the appropriate text box. Complete the information in the text boxes for the timeline, planned activities and expected outcomes for each objective. (See Document Library for additional instructions on completing the Program Development section.) Area Agency on Aging Goal A. Evaluate AAA 1-13 services offered and service standards for FY 2023-20215 Request for Proposals cycle. State Goal Match: 4 Narrative 1.The AAA 1-13 will work with its contractors and AASA to evaluate services offered and service standards to ensure services are meeting the needs of older adults in their homes and the community. Identified improvements to service options and standards will be incorporated into the FY 2023-2025 Request for Proposals. Obiectives 1. With input from AAA 1-13 contractors and AASA, the AAA 1-B will review and potentially update its services offered and the standards to improve services at the community level in anticipation of COVID-19 reopening and the FY 2023-2025 Request for Proposals (RFP) cycle. Timeline: 10/01/2021 to 09/30/2022 Activities The AAA 1-13 will seek feedback from contracted service providers and other stakeholders regarding community needs through provider meetings and surveys. The AAA 1-B will work collaboratively with AASA to determine how AAA 1-B service standards can be modified to reflect community needs. Expected Outcome 1.Service options and standards will be reviewed and updated, as allowable, for the FY 2023-2025 Request for Proposals cycle. Printed On: 6/28/2021 Page 27 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 Supplemental Documents This year, the completion of the Quality Outcome Measures Reporting Form (six-month report) and the Emergency Management and Preparedness document are required and may be found in the Document Library. Supplemental Documents A through F are presented in the list below. Select the applicable supplemental document(s) from the list on the left. Provide all requested information for each selected document. Note that older versions of these documents will not be accepted and should not be uploaded as separate documents. A. Policy Board Membership - Required B. Advisory Council Membership - Required C. Proposal Selection Criteria - should only be completed if there are new or changed criteria D. Cash -In -Lieu -Of -Commodity Agreement -should only be completed if there are new or changed criteria E. Waiver of Minimum Percentage of a Priority Service Category - should only be completed if there are new or changed criteria F. Request to Transfer Funds -should only be completed if there are new or chanqed criteria Printed On: 6/28/2021 Page 28 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B SUPPLEMENTAL DOCUMENT A Board of Directors Membership FY 2022 Native Persons Asian/Pacific African Hispanic Total American/ with Female Islander American Origin Membership Alaskan Disabilities Membership 1 1 0 0 0 11 19 Demographics Aged 60 and Over 0 1 0 0 0 6 9 Board Member Name Geographic Area Comm. Lisa Beedon St. Clair County Ronald Borngesser Oakland County Jeff Chang Howard Collens Kelli Dobner Sandra Hann Macomb County (Michelle Hodges Comm. was Nakagiri Livingston County (Comm. Penny Luebs Oakland County Kathy LyalI Comm. Jason Maciejewski Washtenaw County Martha Vurich St. Clair County ITomMiree Washtenaw County IHamza Osto Comm. Julie Matuzak Macomb County Affiliation Membership Status St. Clair County Board of Elected Official Commissioners Business/ Information Technology Legal Philanthropy Finance Livingston County Board of Commissioners Oakland County Board of Commissioners Healthcare/Health Insurance Washtenaw County Board of Commissioners Medical/Telehealth Macomb County Board of Commissioners Appointed Community Representative Community Representative Community Representative Appointed Elected Official Elected Official Community Representative Elected Official Appointed Appointed Community Representative Elected Official Printed On: 6/28/2021 Page 29 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan Area Agency On Aging 1-13 Sue -Anne Sweeney Barbara Turner Monroe County Comm. Dawn Asper Monroe County Marc Zwick FY 2022 Annual Implementation Plan Gerontology/Geriatric s Monroe County Board of Commissioners Finance FY 2022 Community Representative Appointed Elected Official Community Representative Printed On: 6/28/2021 Page 30 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B SUPPLEMENTAL DOCUMENT B Advisory Board Membership FY 2022 Asian/ Native African Hispanic Persons Total Pacific American/A American Origin with Female Membership Islander laskan Disabilities Membership 1 2 0 0 1 9 17 Demographics Aged 60 and Over 0 2 0 0 1 5 11 Board Member Name Geographic Area Affiliation Ruth Dunkle Public Sector: Education/Gerontology Gloria Edwards Washtenaw County Older Adult Representative Steve Faine Oakland County Older Adult Representative Jim Forrer Private Sector: Nonprofit/Charity Jyme Hager Private Sector: Title 11113 Nutrition Provider Catherine Martin Private Sector: UAW Retirees Floreine Mental Monroe County Older Adult Representative Vanessa Metti Private Sector: DSP Provider Christina Murray Public Sector: Veterans Administration Dan Sier Macomb County Older Adult Representative (Joseph Sucher Oakland County Older Adult Representative Mark Swanson Livingston County Older Adult Representative Carol Thompson Private Sector: Home Care Provider Tom Zaremba Washtenaw County Older Adult Representative David Soltis Private Sector: Elected Official Carol Weidenbach Macomb County Older Adult Representative Jeff Chang Ex Officio Printed On: 6/28/2021 Page 31 of 82 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2022 Annual Implementation Plan Area Agency On Aging 1-B FY 2022 SUPPLEMENTAL DOCUMENT D Agreement for Receipt of Supplemental Cash -In -Lieu of Commodity Payments for the Nutrition Program for the Elderly The above identified agency, (hereinafter referred to as the GRANTEE), under contract with the Aging and Adult Services Agency (AASA), affirms that its contractor(s) have secured local funding for additional meals for senior citizens which is not included in the current fiscal year (see above) application and contract as approved by the GRANTEE. Estimated number of meals these funds will be used to produce is: 1,049,000 These meals are administered by the contractor(s) as part of the Nutrition Program for the Elderly, and the meals served are in compliance with all State and Federal requirements applicable to Title III, Part C of the Older Americans Act of 1965, as amended. Therefore, the GRANTEE agrees to report monthly on a separate AASA Financial Status Report the number of meals served utilizing the local funds, and in consideration of these meals will receive separate reimbursement at the authorized per meal level cash -in -lieu of United States Department of Agriculture commodities, to the extent that these funds are available to AASA. The GRANTEE also affirms that the cash -in -lieu reimbursement will be used exclusively to purchase domestic agricultural products, and will provide separate accounting for receipt of these funds. Printed On: 6/28/2021 Page 32 of 82 La edad es solo un numeroe Llamanos de todos modose Area Agency on Aging1-B es una organizacidn sin fines de lucro que conecta a adultos mayores y cuidadores familiares con servicios y programas en el sureste de Michigan. Los amables especialistas en recursos que trabajan en nuestra linea telefdnica de Informacion y Asistencia to ayudaran a conectarse con los recursos y las referencias que necesita. Llamenos a nosotros primero. 800-852-7795 www.aaalb.org AI servldo de los condados de Livingston- M a co m b-M o n ro a-O a k l a n d-St. C l a i r- W ashte n a w Solicite un traductor, si to necesita, cuando un ri especialista en recursos conteste su Ilamada. Page 33 of 82 A,kj.lanumbi_PSJndd I W1812021 5:30:44 PM 11 fflm■mm1■� Conectamos a personas mayores y cuidadores familiares con: • Meals on Wheels • Alivio pare el cuidador • Comedores • Educacion para el cuidador comunitarios • Consejeria de Medicare • Cuidado en el hogar • Opciones de transporte • Referencias de vivienda • Clases de salud y bienestar • Programas diurnos 800-852-7795 www.aaalb.org Al servicio de los condados de Livingston- Macomb-Monroe-Oakland-St.Clair-Washtenaw Page 34 of 82 Age k just a numberPS.mdd 2 5/18/2071 5:30:51 PM ADMINISTRATION OFFICE 600 Grand River Avenue Port Huron, MI 48060 Phone: (810)987-8811 DISTRICT OFFICES: PORT HURON SENIOR CENTER 600 Grand River Avenue Port Huron, MI 48060-3898 Phone: (810) 984-5061 WASHINGTON LIFE CENTER 403 N. Mary Street Marine City, MI 48039 Phone: (810) 765-3523 YALE SENIOR CENTER 3 First Street Yale, MI 48097 Phone: (810) 387-3720 CONRAD COMMUNITY CENTER 585 N. Main Street Capac, MI 48014 Phone: (810) 395-7889 The Council on Aging, Inc., serving St. Clair County www.thecouncilonaging.org May 13, 2021 Area Agency on Aging 1-B Attn: Amanda Sears 29100 Northwestern Hwy., Suite 400 Southfield, MI48034-1091 Dear Amanda and Implementation Plan Drafters, After reading through AAA 1-B's Implementation Plan for FY 2022 there is very little mention of how AAA 1-B plans to interact, communicate, and engage with their service providers. Discussions with AAA 1-B contract vendors specifically related to contracted and DSP service needs, definitions, and allowed tasks/jobs needs to occur as AAA 1-B staff prepare for the next three-year funding cycle during FY2022. In order for seniors to continue living safely and independently in their own homes in this region items that were removed from the "allowable tasks/jobs listing" for the current three-year cycle, that are requested by seniors need to be reinstated. For the current three-year funding cycle changes made to the list of "allowable tasks/job" removed tasks which for years have been on the listing to allow us to keep the seniors, and their living environment, safe and healthy. During the Covid Pandemic the shortened allowable task lists restricted we providers in what we could do for seniors under contracts. With seniors limiting access to their homes as they isolated themselves, outside jobs or emergency needs assistance were all that could be done and counted towards contracts given the state's executive orders, which resulted in reduced client and unit numbers. There was no option available per the RFP for contract managers to be able to authorize deviations to the allowable jobs/tasks listing which could have increased reported units of service. Having been involved in the definitions and allowable tasks development during the past 35 years that I have been involved in senior services, we providers had worked together at meetings with the AAA 1-B staff to compile more comprehensive listings for many of the services than what is now in place. We providers were able to provide the rationale for the items that had embellished the basic listing put forth by OSA/ASAA allowing AAA 1-B's staff to get state approval and the addition of those jobs to the list in the RFP for Region 1-B. The following are examples of the types of work we are no longer allowed to do for our seniors under the current RFP listings. The removal of gutter cleaning services leaves the seniors' homes vulnerable to water damage inside their homes due to clogged eve troughs backing water up under shingles in a heavy rain that quickly can become a "black mold" health issue. In St. Clair County we had 194 seniors in FY 2019 we M h Ag y� 51 LI 1 C fy Page 35 of 82 provided this service for. But in FY 2020172 seniors requested this service and six months into FY2021 we had another 89 requests which we could not do under our Chore contract with AAA 1B. For FY2020 that, at a minimum, would have been over 300 additional Chore units we could have done under contract. • The removal of "carpentry repairs to steps, floorboards and railings" leaves seniors at risk of falls themselves, as well as their visitors or delivery people. Injuries caused by these repairs being neglected can result in citations and possible costly litigation for our seniors. We had 52 request in FY2020, and another 18 in the first six months of FY2021 that could not be done and counted towards our Chore contract with AAA 1B. Again, a loss of several hundred units for AAA 1-B. • Another item removed from the listing puts seniors' lives at risk if emergency services cannot locate a clearly displayed address number on a home or if they are missing a numbered mailbox. Minutes matter on calls for help and if emergency personnel have to search for an address it could cost someone their life. • Also removed from the tasks list was the replacement of batteries in smoke and CO detectors. Having our staff climbing ladders to do this work is much safer than having the seniors attempt it. It is a task that needs to be done periodically to ensure the devices work to notify the residents of dangerous situations. In FY 2019 Council on Aging had 20 senior homes where we did this for seniors. In FY 2020 we had 27 seniors requesting this service and in the first six months of FY 2021 another 10. Not a difficult task for our crews, but a necessity for safety. • AAA 1-13's revised listing has us able to trim overhanging tree branches, but you removed the trimming of shrubs, which can be more of a safety issue, especially if the overgrown shrubs infringe on walkways and home entrances. Not only do they increase the chance of falls, but they also become homes to wild animals and hornets, bees, and wasps which become aggressive when disturbed. We had 80 requests for shrubs to be trimmed in FY 2020 and have had 37 request in the first six months of FY 2021. Again, amounting to several hundred units not countable under the current Chore description. • In St. Clair County there are a number of large mobile home parks which have regulations their residents must follow, or they face fines, or in severe situations removal from the park. Most require the mobile homes to be skirted to reduce the chances of racoons, opossums and other vermin from taking up residency and spreading filth and disease. Repairing or replacing the skirting isn't a task most of the seniors living in these communities can do on their own, so they have turned to us for assistance in the past, which we cannot do under the revised definition for Chore. • The item that was removed from the Home Injury Control list that really doesn't make sense was the handheld shower. If you allow for shower chairs/benches, but do not allow for the installation of a handheld shower along with it you are risking falls that could be easily prevented. No one stands in the constant stream of a fixed placement shower head. You move in and out of the water stream to suds and rinse and to catch your breath. if you are seated on a shower bench you cannot direct the flow of water is on your own. For personal care workers assisting seniors seated on a chair in a shower with a fixed shower head it is back wrenching work to get the senior lathered and rinsed. The safer solution is to install a handheld shower so the flow of the water can be better directed on the senior. It also reduces the chances of water getting onto the floor outside of the tub where falls could then occur. In FY2019 we installed 10 handheld showers under HIC. In FY 2020 we had requests for 16 handheld showers, and in the first six months of FY 2021 had 11 more, none of which could be done under Home Injury Control. • Being stuck in a home or apartment that does not have air conditioning and/or that has limited air flow during the hottest part of the summer can prove deadly for some seniors. Air conditioner units and box fans were added to the allowable HIC list years ago to help those who Page 36 of 82 have difficulty breathing in high temperatures when high humidity is present. We have 23 air conditioning units we install in those seniors' residencies at the beginning of the summer and then we return in the fall to remove them and store them until they are needed the next year. Prior to them coming off of the "allowable listing" we had funds available to replace worn out/broken machines. We are still putting in the air conditioners and box fans we have in stock that were purchased with HIC funds, but since FY 2020 we cannot count them in the HIC units for AAA 1-13 any longer. • The inflexibility of limiting us to only the specific items on the "allowed lists" shortchanges the units reported to AAA 1-13 and doesn't allow for assistance to be provided to the seniors to meet their needs. The installation of the air conditioners is a perfect example. We cannot count the installation of an air conditioning unit (which a few years ago was paid for from HIC dollars) as a unit for our current HIC contract. However, the time our Home Repair crews spend installing the devices we have, nor those of seniors who have their own, can count for Chore units, since only screen installation is allowed to help reduce the heat in seniors' homes during the summer. The listings need to have an option that the contract manager can authorize common sense tasks/jobs not appearing on the lists, but that can meet the requests for assistance and help keep seniors safe and healthy in our communities. We service providers are on the front lines to assist the seniors in our service area. We hear from the seniors each and every day. This past thirteen and half months have challenged our staff in ways we never imagined. They have put themselves at risk each and every day to see that our seniors were fed, and their personal care needs met. We have done what we could under ever -changing mandates and orders. It has been stressful but rewarding knowing we were making a difference in a crazy time in our country's history. It has also been heart -wrenching to see so many of our seniors' names in the local obituaries and seeing how the imposed isolation to avoid Covid has diminished the vitality, and cognitive abilities of those we still serve. We deserve a chance to discuss as groups of service specific providers with the AAA 1-B staff how service deliveries should progress in this region based on what we have each experienced this past year. Open communication has to happen for us all to succeed. Sincerely�n n ) 611i7i(o� Mary Taylor, I.B.S. Assistant Director Page 37 of 82 02 9/ ©[� tJo s��wes7� e �...r %t y s'cu �e 5z CZ) �ai-- f/n e Qti-!{J i ��rr�-„�:�j�G/c rU � ,e<2�s�-✓� r%cA//C J �ae/C-- �esr/7ei/o�sr� �J 7hes O/C) CLJ' IfJ .I / /N�cer/oif�°//`//' e�T Dh/UE'r' yl'c1.�.e�fOcen/`e.v�a ��-Li s�--may' c2. f Win../`�O�G h �! O� c-c�vd�G's" -G,Li� •_..� ca,v c/ �Y i'e�i/c s�--� eP�c�� C/j�,�S, U3e �J Page 38 of 82 Goai'e - O�/ j�tj P/� �, r�d..�U� �/t✓i'r'..� c..c�nrf�a� �� he4S �e 10 QP `Se 1Lsz �5�3 �zs Zs o3 CaN.f! de✓c3/7 �-� Page 39 of 82 From: Gasoarel To: Amanda Seais Subject: GPRG-Thank you Date: Thursday, May 13, 2021 1:38:14 PM May 13, 2021 Reference: Grandparents raising Grandchildren Dear Ms. Lisa Grodski, In these difficult times of our lives and the fear of worse happening, we rely even more in all the help from Grandparents raising Grandchildren. The sacrifice is not in vein but in peace, happiness and hope for our Grandchildren to achieve more in life, to have good jobs, credibility, and the ability to have the proper Nutrition, Schooling, Socializing as well as the love that bonds Families together. Healthy contented and - loving Grandparent(s) endear their Grandchildren with the continued Support of GPRG, with these programs, meetings and Support Groups our lives are enriched, that's why we plead and thank you for even more continued meetings to obtain more knowledge to prosper in our lives raising our Grandchildren. The future is theirs, we have to guide them when they are young, GPRG project us to enhance what is necessary to inform their lives as well as our lives. Please continue funding for the services we are so Thankful for everything in our lives & we know more funding is always needed as we grow in community with these hard times, we hope these funds can be allowed and created the the coming 2022 year. Thank you for everything you do to unite our lives and help in so many ways. Sincerely, The Bommarito Family Shelby Township, Michigan 48315 Page 40 of 82 From: tweeter To: Amanda Seais Subject: grg program Date: Thursday, May 13, 2021 9:58:05 PM Hello, I was unable to make the meeting today but just wanted you to know how much this program has helped our quality of life.... the resources that grg offers is amazing.... I have been raising my grandson for almost 8 years now.. (since birth) and the road has been rough.... I can only hope that funding is increased for this program.... As grandparents we never thought we would be spending our ss checks on raising another child. We thought our job was done, but sadly it was not... so know we cut corners to try and figure out how to care for this extra mouth to feed, and maybe once in awhile have some fun with our grandkids, but things are so expensive and we never "planned" to be raising children this late in our lives..... Any extra help and support is much appreciated.. Heather Brown Page 41 of 82 CAMP CA YELL 19cons¢rvancy May 12, 2021 To Whom It May Concern: Camp Cavell Conservancy 3335 Lakeshore Road Lexington, Michigan 48450 (810)359-2267 Rebecca@campcavell.org I am writing to you on behalf of Camp Cavell Conservancy, a 501(c)3 non-profit organization committed to providing stewardship of our property while continuing to provide life -changing camp experiences, and our partnership with Oakland Livingston Human Services Agency's (OLHSA) Grandparents Raising Grandchildren program. As a community organization ourselves, we see the importance of providing resources and opportunities to people of all ages. In 2019, OLHSA brought grandparents and grandkids together for an overnight weekend experience at Camp Cavell. Both grandparents and grandkids were able to step out of their comfort zones to try new things with the guidance of camp and OLSHA staff. They did everything from swimming and kayaking to basket weaving and learning about the Great Lakes. Everyone enjoyed the comforts of camp, while expanding their knowledge of nature and each other. The experience was unforgettable and deeply touched the hearts of all who attended. Camp has a way of bonding people, even with their own family members, that is unlike anything else. The Grandparents Raising Grandchildren program is so important in so many ways, which we saw firsthand at Camp Cavell. The focus on providing support and resources, while creating lasting memories is seamless. We hope to continue this special retreat annually. Unfortunately, we have not been able to do so with the emergence of COVID-19. Now more than ever, safe, local retreats for families are needed. People need to get outside, enjoytogether, and explore their surroundings. With continued funding and support, we look forward to this program rising again and make the positive, powerful impact that it had just two years ago. Thank you for your support of OLHSA and Camp Cavell Conservancy. Seniors and theirfamilies need wonderful people like you to care for and enrich their lives every day. With much appreciation, Rebecca Nielsen Associate Director, Camp Cavell Conservancy Page 42 of 82 From To: Amanda Sears Cc: Ernest Cawvev; Steve Schuster; Julie Matuzak Subject: MCA Public Hearing Input for AAA 1B Annual Implementation Plan Date: Friday, May 28, 202110:53:48 AM Good Morning Amanda, Please find below comments from Macomb Community Action's Community Services Division as it pertains to the request for comments during the recent Public Hearing/Town Hall regarding the Annual Implementation Plan for the Program Year 2021/22. In response to the request for comments as part of the recent Area Agency on Aging 1B (AAA 113) Public Hearing on the Annual Implementation Plan for the Program Year 2021/2022, Macomb Community Action's (MCA) Community Service Division would like to offer the following comments. First, let us preface that these comments pertain only to the Home Injury Control (HIC) program and are in no way indicative of the thoughts or opinions of MCA's Office of Senior Services and the Meals on Wheels, Congregate Dining, CHORE, or Adult Day programs. Several years ago, the HIC program was moved to MCA's Community Services Division and integrated with other housing services programs. These programs include Minor Home Repair, Housing Rehabilitation, Weatherization, Accessibility, and the Grass and Snow program. Since that time, through cross -program referral and assessment, the HIC program has seen tremendous growth. MCA's Community Services Division has worked tirelessly to implement a thorough process of assessing residents' needs and developing programs that have lasting impact on their housing situation. Through that process, we have built a successful model of introducing residents to programs that, in many cases, they did not know existed. Our portfolio of diverse and helpful programs, affords us the ability to ensure that Macomb County seniors remain safe and independent in their homes. By supplementing and leveraging the modest allocation received from AAA 1B with grants from organizations like United Way and COVID- CARES, the HIC program now boasts an inventory of more than 65 temporary modular ramps that are placed out in the community, up from 15 just a few years ago. Demand for the program has never been higher, leading to a robust waiting list for services. As the senior population continues to increase rapidly in Macomb County, it is important that MCA be prepared to respond with services that are in demand. Part of that preparation is securing adequate funding. While one time grants and other funding opportunities are beneficial, they do not create an environment for longevity. We must ensure that these valuable and needed programs are funded at a sustainable level. That being said, we would like to request that AAA 113 consider a further, robust investment in the HIC program in Macomb County in order to maintain and further the reach of these services. The more dollars that can be secured, the more homes we can service. This will also create additional referrals to the great programs in our Office of Senior Services mentioned earlier. The mission statement of MCA is "persistent action to diminish poverty and promote independence". We feel that the HIC program helps meet our mission of promoting independence and keeping seniors safe and in their homes. We have the agency capacity and we have the demand. We simply need the means by which to help us meet that mission. We thank you for your consideration. Page 43 of 82 Joseph H. Cooke, MPA Division Director -Community Services Macomb Community Action 21885 Dunham Road, Suite 10 Clinton Township, MI 48036 mca.macomhpov.oro Phone: (586) 469-6277 Fax:(586) 469-5530 Office Hours: Monday -Friday 7:30 am - 4:00 pm "Persistent Action to Diminish Poverty and Promote Independence" Like us on Faeebookl Follow us on Twitter! PRIVACY NOTICE: This message is intended only for the individual or entity to which it is addressed. It may contain privileged, confidential information that is exempt from disclosure under applicable laws. If you are not the intended recipient, please note that you are strictly prohibited from disseminating or distributing this information (other than to the intended recipient) or copying this information. If you have received this communication in error, please notify me immediately by e-mail or by telephone at (586)469.6277. Page 44 of 82 IArea Agency on Aging 1-13 EVIDENCE -BASED PROGRAMS PLANNED FOR FY 2022 Funded Under Disease Prevention Health Promotion Service Definition Annual 8 Multi Year Implementation Plan 2020-2022 Provide the information requested below for Evidence -Based Programs (EBDP) to be funded under Title III-D. Title III-D funds can only be used on health promotion programs that meet the highest -level criteria as determined by the Administration for Community Living (ACL) Administration on Aging (AoA). Please see the "List of Approved EBDP Programs for Title III-D Funds" in the Document Library. Only programs from this list will be approved beginning in FY 2020. If funding has been allocated as a single amount for all Title III-D programs for a provider, enter on first line under "Funding Amount for This Service. Program Name Provider Name Anticipated No. of Funding Amount Participants for Service E,iamEmmple: List each provider offeringprograms on a single line as shoum below. Example: Tom( Arthritis 1) Forest City Senior League Program particip me jor oll fo ajo,.11vMing ARhriES Exercise Program providers lot¢lfor al/providers 2) Grove Township Senior Services p 3) Friendly Avenue Services So $14,000 Diabetes PATH AAA 1-B 48 $8,403 Chronic Pain PATH AAA 1-B 48 $8,403 A Matter ofBalance: Managing Concerns About Falls AAA 1-B 224 $47,950 Powerful Tools for Caregivers AAA 1-B 144 $28,272 Aging Mastery Program AAA I-B 80 $22260 Aging Mastery Program for Caregivers AAA 1-B 20 $5,355 Diabetes Prevention Program National Kidney Foundation of Michigan 15 S1584 Page 45 of 82 PATH National Kidney Foundation of Michigan 85 $22 714 A Matter of Balance Managing Concems About Falls (14) Walk With Ease Enhance Fitness Tan Chi National Kidnev Foundation of Michigan National Kidnev Foundation of Michigan National Kidnev Foundation of Michigan National Kidney Foundation of Michigan 46 $11.779 58 $5 569 210 $35.755 18 $6,183 Page 46 of 82 AAA 1-B FY 2020-2022 Multi -Year Plan Quality Outcome Measures Reporting Form Submitted April 13, 2021 1. Participant Satisfaction Level Measure: The percentage of the total participant satisfaction survey question responses that are positive; negative; or neutral for: Care Management Positive Negative Neutral 69% 9% 22% Case Coordination & Support Positive Negative Neutral 73 % 9% 18% 2. Participant Quality of Life Satisfaction Level Before and After Receiving Services Measure: The percentage of the total participant satisfaction survey question responses about quality of life before and after receiving services that are positive; negative; or neutral (based on these two questions to be added to the area agency survey): A. My quality of life prior to receiving services was Care Management Positive Negative Neutral 25% 25% 50% Case Coordination & Support Positive Negative Neutral 23% 35% 42% B. My quality of life after receiving services is: Care Management Positive Negative Neutral 92% 8% 0% Case Coordination & Support Positive Negative Neutral 76% 3% 21% 3. Prevalence of Social Isolation Measure: The percentage of all participants who are alone for long periods of time or always AND who also report feeling lonely -OR- Participants who are distressed by declining social activity, 90 days prior to assessment/reassessment (or since last assessment if less than 90 days) for: Care Management: 16% Case Coordination & Support: 28% 4. Prevalence of Emergency Room Visits and Hospital Stays Measure: The percentage of all participants who have had one or more hospitalizations or emergency room visits during the last 90 days before the assessment/reassessment (or since last assessment if less than 90 days) for: Care Management: 17% Case Coordination & Support: 21% 5. Prevalence of Inadequate Meals and Dehydration Measure: The percentage of all participants who in at least 4 of last 7 days prior to assessment/reassessment ate one or fewer meals for: Care Management: 2% Case Coordination & Support: 5% Measure: The percentage of all participants who in the last 3 days prior to assessment/reassessment had fluid intake less than 1,000 cc per day (less than four 8 oz. cups/day) for: Care Management: 2% Case Coordination & Support: 7% Page 47 of 82 EMERGENCY MANAGEMENT AND PREPAREDNESS Minimum Elements for Area Agencies on Aging FY 2022 Annual Implementation Plan After each general and nutrition minimum element for emergency preparedness, provide a brief description regarding how the AAA Emergency Preparedness Plan for FY 2022 will address the element. Area Agency on Aging 1 B A. General Emergency Preparedness Minimum Elements (required by the Older American's Act). 1. Anticipated expectations during a State or locally declared emergency/disaster. Include having a staff person (the area agency director or their designee) available for communication with AASA staff to provide real time information about service continuity (status of aging network service provider's ability to provide services). The current Emergency Preparedness Plan for the Area Agency on Aging 1-13 (AAA 1-B) has one primary designee, Director of Clinical Operations, AASA, as the organization contact for communications with AASA staff on current status of emergency situations. 2. Being prepared to identify and report on unmet needs of older individuals. Unmet needs are currently collected by the AAA 1-13 Resource Center. A report can be generated that identifies unmet needs of older adults that cannot be met by current programs and services available through the agency and community partners. 3. Being able to provide information about the number and location of vulnerable older persons receiving services from the area agency residing in geographic area(s) affected by the emergency/disaster. The AAA I-B generates a quarterly report of all high -risk homebound individuals, sorted by county, who would need assistance through first responders and/or the AAA 1-B in the event of emergency situations. 4. Being able to contact such affected older persons to determine their well-being. The AAA 1-13 report above includes name, address, primary contact information of either the older adult or designated representative and indicates the service need level. 5. Anticipated minimum expectations during a State or locally organized preparedness drill include being available to establish communication between AASA staff and area agency staff and being able to provide information upon request to both state and local emergency operation centers regarding the number and location of vulnerable older individuals residing in geographic areas affected by the drill. All individuals on the AAA 1-B emergency preparedness committee are provided with laptops and car chargers for laptop to ensure the ability to charge the computer if there is a power outage. All emergency preparedness committee members also receive an electronic copy of the high -risk individuals and are required to copy this list to a secure flash drive. The information can then be sent to the state or other first responders, if needed, through a secure email. Pnoe 48 of 82 B. Nutrition providers shall work with the respective area agency to develop a written emergency plan. The emergency plan shall address, but not be limited to the following elements: 1. Uninterrupted delivery of meals to home -delivered meals participants, including, but not limited to use of families and friends, volunteers, shelf -stable meals and informal support systems. Also included in the emergency plan are: -A backup plan for food preparation if usual kitchen facility Is unavailable. -Agreements in place with volunteer organizations, individual volunteers, hospitals, LTC facilities, and/or other nutrition providers. -Communications system to alert congregate and home delivered meals participants of changes in meal site/delivery. 2. Provision of at least two, and preferably more, shelf -stable meals and instructions on how to use for home - delivered meal participants. Every effort should be made to assure that the emergency shelf -stable meals meet the nutrition guidelines. If it is not possible, shelf -stable meals will not be required to adhere to the guidelines. All nutrition providers send out emergency meals packs with a mimmum of six shelf -stable meals and instructions on how to use such meals. They are replenished as necessary. Emergency meals are distributed to each new participant and are replaced as used within a reasonable time period. MI Choice participants receive emergency meals at the same time. 13. Backup plan for food preparation if usual kitchen facility is unavailable. Nutrition Providers have agreements with different agencies and organizations to assist with meal prep and delivery in the event a kitchen facility becomes unavailable. They also utilize satellite kitchens within their organization to relocate 1]DM or congregate programs should the kitchen become unavailable. 4. Agreements in place with volunteer agencies, individual volunteers, hospitals, long-term care facilities, other nutrition providers, or other agencies/groups that could be on standby to assist with food acquisition, meal preparation, and delivery. Nutrition Providers utilize these agreements should an emergency arise if usual kitchen facility is unavailable. 5. Communications system to alert congregate and home -delivered meals participants of changes in meal site/delivery. Nutrition Providers alert participants of changes in meal site/delivery via television, radio, social media, and the organization's website. 6. The plan shall cover all the sites and home -delivered meals participants for each nutrition provider, including sub -contractors of the AAA nutrition provider. Nutrition Providers are required to submit policies and procedures to the Nutrition Services Program Manager for review and approval. 7. The plan shall be reviewed and approved by the respective area agency and submitted electronically to AASA for review. The plan is reviewed and updated as needed, and then is submitted electronically to AASA for review. Page 49 of 82 /"AR��' oWina Kimberly Cope Chief Compliance & Officer ip•4) O,ualitY Regulatory Compliance CtualitY Accreditation Appeals HIPAAOtfic LNCBS Comp1 ante on Aging A_g Executive Leadership Area Agency I Advisory Council 3ard Of Directors-T-- John Krueger Chief Financial Officer (p•3} Finance Accounting Pension 4011< Audit Michael Orson ive Officer Chief Execut I pamela Mofhtt Corporate SecretarY Core Services 1 and Executive Manager 1p.2) 1 r Aimee Page jenny larvls Chief Clinical communications Officer 1p-10) Chie{ Comm i � & 5trategY O�r (p.7) Tony Zolin Sr.TechnologY Manager 1p.9) �IogY & Analyt�cs � 1 � Angela Rutterbush Chief Numan Resources Officer 1 I Mi choice MI Ileakh U L Program Communication Community ing Marketing Veteran'SAdmin• Strategic Plan Lace Management MMAp Svo CAordtQ?tS,Respite Resp Resource Rapid FollowUP 1 I Center Research, ),,chargeIssion and Readm Pgm- Policy Prevention For Mdaren and Development Total Nealth Care MSmt & Advocacy Vendor & Con cor Ornbudsman Mobility Mg'..n Wellness ng Social services Nutrition esis mber of deParCntent specific chart indicates Page nu * number in parenth Version 0511912071 r nsation ts l Recruitment On -boarding policy Maintenance Employee Relations performance Management IathrYn Brennan Director of Philanthropy P Philanthropy Fundraising Events Page 50 of 82 9.1 , i0o!nvs d3sat�Inn• on A9%ng 8 EXecutjv e se{vices Depa�ment Area A9en�y verswon p9�o2�202� Page 5A ofi 82 9-2 i 1.6 Onance Department Area Agency on Agin �$ on A ,i[m . a Lh(i aohn Krue gp�icer jef Rnan6ai Gh Craig geickelman pscounCmg Manager Carmen Saucedo Manager FinancPA5P Ison r Richard d Maell nanCe1 an Melissa F Manager Accounts AcCountmg st Receryable AnaN � edgieY Tuneisha NeNisor gilling5up — version 0512412020 7-g Uerks Shirley C nkQthge V�neetha Ra � Debra Cohen Accounting Clerk page 52 of 82 9.3 � Quality Depa�ment OVA Pg Ong X B CO an Pea P9enuy p_4 Fade y3 of 82 'JQrskonobIl oll ReS011fc S Department a Agency On Aging � FS Nunan pre Area vo5 oa A�A�1$� Rut<erbush Pig e man ReSQurc s pfF�cer B Oocr kver�er Nyman enIOf s Manz ResOOr -es V 0AOn 0910212p20 N b Fe O� es COOrd��a/ p. 5 page 54 of 82 V Asea on �ea rA+pru ? Area P9enoy on \Jerson 10102120,20 P hllarthropv Department e�nan Kat\AW gr o{ OrrecV)' Ph1an_ O pe\Jos Heather Ph1{anthropY Manage p, 6 Page 55 o{ 82 Awlk genng cy1-B A& 1,1-1 . Ad,,, - 1u doing I Kathleen Yanik Communications Manager 2 Communication Specialists - Chiara Clayton Julie Edgar Area Agency on Aging 1-B Communications and Strategy Departments Jenny Jarvis Chief Communications and Strategy officer I Shari Smith MMAP Manager 3 MMAP Program Assistants - Yvonne Bailey Barbara Mahaffey Vacant 3 MMAP Site Coordinators - Beverly Clark Melissa Devine Loretta Mack ** number in parenthesis indicates page number of department specific chart 1 3 ombudsmen Elaine Hearns Mary Katsarelas Louise Verbeke Version 6/18/2021 I Angela Lippard Resource Center Manager (p.8) Jim McGuire Director of Research, Policy Development and Advocacy I Amanda Sears Grant Manager I Ashley Ross Grants Project Coordinator Katie Wendel Senior Manager Advocacy Page 56 of 82 p. 7 aOu AdaoWtP 6 Res° °h P,409 ,Tce Ceatev Pea A9en�`1 version p6�23�2p21 p,8 pa9� 5� o{ 82 � Vs AEeuc+s)R p�¢cr. M Area Agency on Agfng 1'B Technology Anaiytics and �ony Zolin Manager sr. jechnologY - Br n Charles d Vendor Contrail AnalYs Kleen Lang pro lea Manager Ku im TNdea ,,,abase Administrator AASA ®epartments DwHargrove Wna Data Analyst Chart • ates Page number of department specific * number in Parenthesis ind�c Steve sPeth11 Prolect Manager — Njersion 05/19J2021 P. Page 58 of 82 AIM 1B AdP=U - Actin'' A --r oa 3gieg Area Agency on Aging 1-B Margaret Ouellette I Director of Clinical ` Operations (p•11) i Clinical Department Aimee Page Chief Clinical Officer l Kelly Bingham I I Kathryn Rini Clinical Manager MI 11 Program Manager Health link Clinical Operations Vacant Director of Clinical I Operations (P�12) 1 program Coordinator Gretchen Cortese Krystal Smoger 3 Program RN supports I Coordinators — Coordinator ! Cheryl Collins Azure DeLeary Keisha Hickman Julia Springfield Service Coordination Supervisor I 5 Service Coordinators — Dion na Austin -Smith Betty Johnson Jessica Longuski Carey Makarski Tiandra Wilcher p.10 ** number in parenthesis indicates page number of department specific chart Version 5(28/2021 Page 59 of 82 vnqon AJ� Aging 1-B #erecxY -kQiCn knrens on .lama I Kristy Mattingly Clinical Manager Community Living Programs (p.13) Area Agency on Aging 1-B clinical Department Margaret Ouellette Director of Clinical Operations I Valarie Pierson Network Manager I AASA Program Managers I Carrie Sherwood Andrea Lang Program Manager Vendor Caregiver Services Coordinator Nicole Terrell Angela Patten Program Manager Credentialing Nutrition Services Coordinator Kristin Wilson _ Manager of Wellness & Social Services Jeannine Roach Manager of Health I Promotion I 23 Part -Time Trainers I ** number in parenthesis indicates page number of department specific chart Version 1/28/2021 I LaVonna Howard Managerof Mobility services Roberta Habowski Mobility Project Advisor Debra Price -Ryan Transportation Project Coordinator I 3 Mobility Specialist Jessica Davey Katherine Giampino Vacant Page 60 of 82 P.11 Area Agency on Aging ''B Clinical Department Vacant F ctor of Clinical pperations 1IChelsea Del�11 clinical man Nil Choice Clini Operations ISusan miller {tobe(t Amos Clinical manager Clinical Trainer Enrollment(p�15) ecific chart number in P arenthesis indicates page number of depart1°ent sp Version 2/10/2021 Page 61 of 82 p,12 C\\r\�e'\ Dega�ment Prea P9encY ®r P9\ag A 8 a ycg OU Kr stY M na�er m q d3L s 3 Reg"tere amatoh uPP°rt G°°r b°a o6j,aber\h Gam Vacant \aneTmg\e Vernon 6��4�2021 K� SuPe��sor n CMI`�etera/ t°rd\nat°rsp Ott Na°cY Kord\ parr\e �n h Katr\ne stal\w°� `anajr\fianOva 1 PPT.1\VOSi \5°r G`p Enro\\mer' / 1a/WOrkers bXe Vacant �daa De 0nn N\c°\e lasti�ce 6neY N\cKechnre coin a MOOre �argrn Ursa PY\e V\kk�R°fie on Wi\5°n �aUra cl�nat°r pro�rarn boo/ p.13 Page 62 of 82 Area / on W fig 1-B dva::ss� - Raticr, � MsNers cn 3mna. Area Agency on Aging 1-13 Clinical Department Catherine Bugeja-Jackson Supervisor MI Choice Chelsea DeNio Clinical Manager MI Choice Clinical Operations Kristin Flynn Supervisor MI Choice Andrea Sargente Supervisor MI Choice 3 RN Support 9 Social WorkSupport 4 RN Support 7 Social Work Support 3 RN Support 11 Social Work Coordinators- Coordinators— Coordinators- Coordinators— Coordinators- Support Lisa Johnson Vacant Kelley Copp TyAnn Elenich Neva Cafarillia Coordinators— Filomena Sexton Brittany Banks Sherrie Maxwell Lucy Fichter Nicole Toole Paula Aiello -Grundy Brandi Yousif Cortez Brown Tameka Nolton Breann Fielder Vacant Lisa Ball Annmarie Carufel Judith Pittenger Cassidy Groshek Chanel Beckford Carrie Eriksen Danielle Soderman Jennifer Dawson Kara Fiedler Nicole Sportsman Vacant Adriana Hernandez Tanya Trometer Taylor Clark Sarah Rinna Laura Medema Maria Theresa Sabornido Keegan Pabst Saima Rashid Sarah Riesterer Allyson Shaeff Version 6/21/2021 p. 14 Page 63 of 82 Area Area Agency on Aging 1-B AAgiinng 1--B AEee@Lp - Aaim - Art11nx on Ag q Deborah Nelson Supervisor of Enrollment I 5 RN Support 5 Social Work Coordinators- Support Janet Belsky Coordinators — Chase Gibson Amy Frawley Elissa Ladzinski Mallory Montcastle Mary Beth Platt Samantha Oulch Nicole Washington Nicole Smith Kevin Valenti Susan Miller Clinical Manager Enrollment Clinical Department Krystn Hartner Intake & Waitlist Supervisor 2 MI Choice Chevon Sherman 4 Clinical Schedulers- Senior Eligibility Screeners— Vacant Specialist Jessica Mihaij Kim Smart Devon Brookover 2 Eligibility Mary Sexton Specialists— Katherine Taylor Shayla Fenn Alaina Kastl 4 Program Coordinators - Alayna Fiore Hannah Godfrey Maebrina Gray Michelle Keyser-Speth p.15 Version 6/21/2020 Page 64 of 82 Agency: Area Agency on Aging 1-B PSA: 1-B r FUNDSOURCE 1. Federal Title III-B Services 2 Fed. Tltie III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) 5. State Home Delivered Meals 8. Fed. Title III-D (Prev. Health) 9. Federal Tibe III-E (NFCSP) +10. Federal Title VII-A 10. Federal Title VII-EAP 11. State Access 12. State In -Home 13, State Alternative Care 1'14. State Care Management 15. St. ANS 16. St. N ursing Home Ombs (NHO) 17. Local Match a. Cash b. In -Kind 18. State Respite Care (Escheat) 19. MATF 19. St CG Support 20. TCM/Medicaid & MSO K21. NSIP 22. Program Income JtItVIGtd SUMMARY SUPPURIIVh NU I RI I IUN ` SERVICES SERVICES 2,727,915 3,599,095 62,518 1,925,330 3,118,350 IU 1AL:I 205,445 1,297,450 18,728 42,555 186,610 3,327,050 733,492 863,653 291,000 73,035 500,000 - 982,700 940,900 289,228 _ 780,452 96,318 _- 27,308 ._. 702,608 200,000 - 12,642,939 1U,348,80 I 'Y LU" AKeq r L.Ar4 GKA14I [SUUI r I Rev. 312121 Budget Period: 10/01/21 to 09/30/22 Date: 05/27/21 Rev. No.: 0 Page 1of 3 ' AUMINIBI KA I IUN Revenues Local Gas, Local In-Klnb Iotal TOTAL Federal AdIhnlstratlon 7,U83,97b 19u, uuU - 1,213,97b 2,727,915, State Administration 187,331 187,331 3,599,095 MATFAdministrabon 77,200 - - 77,200 62,518 St CG Support Administration 9,500 - - 9,500 1,925,330 Other Admin - -.- - 3,118,350 1Total AlFAdmm: I 1,3bt,94b 1gu,000) 205,445 1,297,450 18,728 I Expenditures 42,555 FTEs - 186,610 1. Salanes/Wages 29.50 1,095,000 3,327,050 ( 2 Fringe BeneSts 248,000 733,492 13. Office Operations 204,946 863,653 1otar. I 1 Tb4t,916 291,000 73,035 (Cash Match Detail lln-Kind Matim Detail _ 500,001Y Source Amount source Amount 1,923,600 County Support 190,000, 289,228 780,452 96,318 27,308 70Z608 200,000' 22,991, r4U Total: 190,000 Total: 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. John Krueger Signature Chief Financial Officer Title 05/27/21 Date Page 65 of 82 'Opemsrg mantlards For PAA's 0p Std SERVICE CATEGORY A Access Services A-1 Care Management A-2 One CooNlsupp A-3 Disaster Advocacy & Outreach Pmgmm A4 Information &Ague A-5 Outreach A-S JTransoortation A=�I Optons counseling B In -Home B-1 Chore B-2 ome Care.Aasis 3-3 Home Injury Gnat Zia Homemaking 6-6 Home Health Aide BJ Madioati0n Mgt B-B Personal Care B-9 Assiaboa Device&Tech B-SC Respite Care s-�Friendly Reassure C-10 Legal Assistance C J Community services ices And Day Services C-2 Dementia ADC 0 -6 Disease PrevenVHealth Proration C9 Health Screening C-8 Assam to Hearing Impa si& Deaf Cram, Home Repair C-11 LTCOmbudsman C-19 Counseling sen4ces C-i> I1macConf cco COC C-18 Caregiver Supphnt Services C-J8 Kinship Suppolt Services C-3GG Caregiver E,$T . .small Develop Region Specific a Gap Flo, d d. y. CLPIADRC Services. 6p cE B. MATF Ad. OpC 1 t up m FY20n AREAAGENCYGRANTFUMS-SUPPORTSERVICESDETAIL Agency: Area Agemcyom Aging)-B BudgetPenod: 10I01121 to 091300 Rev. 3IV21 PSk 1-B DaR: 05/2I121 Rev. No- 0 page 2 of Title IIl-B n4uTB 65276 9m W0 451.5 9,10 d],200 4DD,D3 I 132Soo 3,000 24OD IEOW i0,9DD 1,030 253 ON 3,000 195,0W M6,3W 10,000 1 IRKA--Mt —Sl -R Ad. slate Lars state si Ats tifFmpw'l volt St uisupp � Nmgram Lash In-&md Time 111-0 Time III -E OMB Access In -Home Cate MOW NHD (Escheat) � Income Makh Makh TOTAL 10000 10.000 10.000 10.00 _ I I 21 W���F6F\\ 235,5 3 421,346 166610 - BS Efi 281,00� I 14 sE 79 VVII 2123,232 no000 I - I 11,90) - >89,600 29430 �I 10000 - - I 91, ]90.365 10000 - - I d,Wg 52000f .0. WON4D,DW I s1Do9D 205,45 SUPPRTSERVTOTALI 2,727,9151 Nos 10,2W 13,3 156000 1732.050 310 On I 50,NO 1e50W 210.6 1 2.516142 mow I ]90 2,19 23]90 no ON - - I 5D,000 59,0� 9500 1,lwn '1 150000 I 1s,51e zz,1Do., zmotfi ne6sz _ FSI,oW 32d,646 1e9,22e zSz,OW 45,0001 W,Doo 4ss4z 111,BW,� t,nOpID - _ I EEO 2783001 - - 93,15 l 1n452 11915 6s00 300,4191 I l000m WON 50316 5a65 11,600 75929 16000 W.WD 344,0451 4,7M 51,700 7 t512fli T3,035 I _ A��� 19,100 - I 1e2,171 - I 4,WCI 6655 fi50W 4A00 6,W0 78800 lo5W 118500 OWON I I I I I I 1o.DOD I I I n200 I I n,zpD D]4J 42.. _Y .. 166 , .1,OO2e9 J95W 5I 12I,.ffl 200,0011 WOJ 5u2,700. 5,ED 12129,639 33i.O501 , 33492 , 710. Page 66 of 82 FY 2022 NUTRITION / OMBUDSMAN / REATE / KINSHIP - PROGRAM BUDGET DETAIL Rev. 3/2/21 Agency: Area Agency on Aging 1-B Budget Period: 10/01/21 to 9130/22 PSA: 1-B Date: 05/27/21 Rev. Number 0 page 3 of 3 FY 2022 AREA PLAN GRANT BUDGET - TITLE III-C NUTRITION SERVICES DETAIL Op SERVICE CATEGORY Title III C-1 Title III C-2 State State HDM NSIP Program Cash In -Kind TOTAL Std Congregate Income Match Match Nutrition Services -. C-3 Congregate Meals 3,584,095 62,518 70,000 371,700 4,088,313 B5 Home Delivered Meals - - 1,925,330 3,118,350 632,608 567,700 6,243,988 C4 Nutrition Counseling - C-5 Nutrition Educabon 15,000 1,500 16,500 AAA RDINutritonisP - INutntionServices Total 3,599,0951 1,925,3301 62,518 3,118,350 002,608 - - 940,900 10,348,801 'Registered Dietitian, NuMtionist or individual with comparable certification, as approved by AASA. FY 2022 AREA PLAN GRANT BUDGET -TITLE VII LTC OMBUDSMAN DETAIL Op SERVICE CATEGORY Title III-B Title VII-A Title VII-EAP State NHO MSO Fund Program Cash In -Kind TOTAL Std Income Match Match LTC Ombudsman Ser �C-11 LTC Ombudsman 30,000 18,728 - 73,035 27,308 - - 13,100 162,171 C-15 Elder Abuse Prevention 40,000 - 42,555 - - 4,000 86,555 Region Specific - - - - - - - _TC Ombudsman Ser Total 70,000 18,728 1 42,555 73,035 27,308 - - 17,106 248,726 Op SERVICES PROVIDED ASA Std FORM OF RESPITE CARE B-1 Chore Bd Homemaking B-2 Home Care Assistance B-6 Home Health Aide 8-10 Meal PreparaSonIHDM B-8 Personal Care Respite Service Total r 1 Op SERVICE CATEGORY Sid Kinship Ser. Amounts Only C-18. Caregiver Sup, Services C-19 Kinship Support Services C-20 Caregiver E,S,T (Kinship Services Total FY 2022 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL Title III-B Title III-E State Alt Care State State In -Home Merit Award Program Cash/In-Kind TOTAL Escheats Trust Fund Income Match FY 2022 AREA PLAN GRANT BUDGET -TITLE E- KINSHIP SERVICES DETAIL Title III-B Title III-E Program Cash In -Kind Income Match Match 3,000 65,000 - 4,000 6,800 3,000 65,000 - 4,000 6,800 TOTAL 78,800 D ° of 82 Planned Services Summary Page for FY 2022 Budgeted Percent I Met Service ACCtSS SEHVICt5 Care Management I Case Coordination & Supporf Disaster Advocacy & Outreach Program Information & Assistance Outreach Transportation Option Counseling IIN-HOME SERVICES I Chore Home Care Assistance I Home Injury Control I Homemaking I Home Delivered Meals I Home Health Aide I Medication Management Personal Care I Personal Emergency Response System Respite Care Friendly Reassurance COMMUNITY SERVICES Adult Day Services Dementia Adult Day Care Congregate Meals Nutrition Counseling I Nutrition Education I Disease Prevention/Health Promotion I Health Screening I Assistance to the Hearing Impaired & Deaf Home Repair Legal Assistance I Long Term Care Ombudsman/Advocacy Senior Center Operations Senior Center Staffing Vision Services Programs for Prevention of Elder Abuse, Counseling Services Creating Confident Caregivers® (CCC) Caregiver Supplemental Services Kinship Support Services I Caregiver Education, Support, & Training I AAA HU/Nutritlomst I PROGRAM UEVELUPMENI I REGION -!SPECIFIC I a. Gap filling I b. C. d. I CLP/ADRC SERVICES I SUBTOTAL SERVICES I MATF & ST CG ADMINSTRATION IUTAL PERCENT TOTAL FUNDING of the Funds Total I Purchased $ 235,578 1.02%I $ 2,123,282 9.20°//°I U.00°.�I 789,800 3.42%J $ 790,865 3.43°° $ 20,100 0.09001 X $ 52,000 0.23% $ 510,000 2.21oil $ - 0.000% $ 156,000 0.68%J $ 2,516,142 10.90°J $ 6,243,988 27.06 $ - 0.00% $ 23,290 0.10% x $ 1,154,075 5.00% x $ 258,018 1.12% x $ 1,770,470 $ - 7.67%- 0-00°�I x 300,419 575,829 4,088,313 16,500 244,045 51,700 278,300 162,171 86,555 78,800 118,500 33 i, uuu 10,000 $ 22,991,740 $ 86,700 $ 23,078,440 17.71 1.21 0.7C PSA: iod of Provi: Contract X X X X X 18.83% 60.73% $4,343,602 $14,017,000 lion i I t 1-B Direct A 20.44% $4,717,838 Note: Rounding varlanoes may occur between the Budgeted Funds column total and the Total Funding under the Method of Provision columns due to percentages In the formula. Rounding variances of+ or (-) $1.are not considered material. Page 68 of 82 ggengy: bate of SGA: IDate of Bud//l7ab SGA CATEUIORY Title III Administration State Administration Title III-B Services Title III-C-1 Services Title III-C-2 Services Federal Title 11147 (Pra.Heart Title III-E Services (NFCSP) Title VIVA Services (I omh�ual Title VIIIEAP Services St. Access St In Home St. Congregate Meals St. Home Delivered Meals St. Alternative Care St. Aging Network SN (31. ANS) St. Respite Care (Escheats) Merit Award Trust Fund (MATE) St. Caregiver Support (St. CG Sup.) St. Nursing Home Ombuds INTO) MSO FundLTCOmbudsman St, Care Mgt. NSIP SGA TOTALS: ADMINISTRATION Federal Administration State Administration Sub -Total: MATE ST CG Supp, Local Administrative Match Local Cash Match Local In -Kind Match Sub -Total: (Other Admin Total Administration: 'SERVICES: Federal Title III-B Services Fed. Title III C-1 (Congregate) State Congregate Nutrition Federal C-2 (HDM) Stale Home Delivered Meals Federal Title IIFD (Pre.. H.Ah) Federal Title III-E (NFCSP) SL Access St. In Home St. Alternative Care St. Care Mgt. Slate Nursing Home Ombs (NHO) StANS Sub -Total: Local Service Match Local Cash Match Local ImKlnd Match ISub-Total: Tide VIVA Services (LTC ommtda) Title VIVEAP Services NSIP St. Respite Care (Escheats) MATE St, CG Support MSO Fund -LTC Ombudsman ITCM Medicaid / CM Prorate Income (Total Services: (Grand Total: Ser.+Admin. FY 2022 BUDGET REVIEW SPREADSHEET Area Aqencv on S 16 GA 05127121 o. Revision No. 8GAAWARD CIOAMOUNT 1,0837915 18-7331 $ 2,727915 1$ 359W095 $ 1�l$30 $ 205, 45 $ 1297,450 18.72 $ 42555 1 Q83 815 27 915 l Rev. 312121 11 Fiscal Year: 1 FY 2022 Date Reviewed by AASA: Initials of Field Rea Anorovina; AAA COMMENTS I I$ 31119,350 AASA CUMMhN fS $ 73IN2 291,000 1 289,2281 - I $ 21,726,086 If - t 21.726,006 nlstrative Match Requirements 1 BUDGET SGA DIFFERENCE Minimum federal administrat�ggq rh point $3%051 1083915J$ �'271.246 8 915 $ - Administrallgn rpalchfxrlendei a�e �dm.+Local Matchl $377,3311 I TI8�33 1 18 ,331 $ Is thefederale mime moon meted at a minimum 25%? Yes I Does federal administration on eta eSGA? Yes 1 $ 1,271.246 $ I $ - Dces state adminls(ration budget equal SGA? Yes 1 $ 77,200 $ 9,500. I I Merit Award TrustAdm n. & St. Caregiver Support Admin must be expended al or below 9 % of $ 190,000 1 (Total Merit Award Trust Fund & St. Caregiver Sup0.0.on Admin, Funds budgeted'. 8% $$ - Its Merit Award Trust Fund &St CG .bulorted at 9%or less? Yes I $ 100,000 mount of MATE Funds bud start on Adult Due Care $ 518,4521 Ads TOT ADMIN DIFFERENCE Ps at least 50% of MATF buy///pl777ated on Adult areservlces? Yes 1 1.547.946 �� 1,547,946 P 1ytl l)$i�rpAll�f AliCBS, Ifr+fr fteQulfeJltents I �IDGET S'A UDGETEO re kinship services buuddoAAte6d� �a�ai'�' SS44 oIf (the AAA's If lljfe 1 flungd�ingl.. Yes I R 2727915 g 7 727,915 100.0000% 1 �9.095 $ 3.599,095 100.0000% [note: see TL#369&TL#2007-1411 I 62.518 $ 62,518 100.0000% For Acenciesm ired to bu eta minimumof.��9� �000of Tillelll-Ere uirement met? Yas 1 1.925.330 $ 1925,330 1000000% Tha Lq��pp 1 n pre�.�j y,�'4911 maintenance o ttort Remglrfl bnta I 3.118,350 6.118,350 100.0000°h Amountreeppu�ra�fort ran�Ita�Leiler#202U-431.Is..s.IIL421 $27100 1 205.445 1 205.445 100.0000% BudgetedamountTitle Ill-B for LTC Ombudsman. $3i1.0001 1 1.297.450 $ 1297450 100.0000% Is reouired maintenance of effort Met? Yes I 1 186.610 $ lW610 100.DOOVm 31327050, $ 3,327,050 1000000"/ I 73Y,49L $ 733,49 100,OOOOr. Service Match Requirements 1 1 863,6R' 863.653 1000000"F Minimum service match amount hired $20593941 1 73,035 73035 100000 Service matched 6ud,��tad: (Looa ash+In-K1ny $2423,600 291000 2J000 If,.!, - Is the service allolmaln muched� minimum iQei 11as 18,412943 18,416943 1 11 JJ��Isce�JJaneous � Ilerements I Constraints $ 500000 gmceohnls budgeted for UAA/AaASAne on S Nh�€�! $1/10fi 1691 $ 1923 600 A� I In -Home: $759,8001 (Label: $210001 2,423.6001 Total Bud[teted for Priodly Services: $2,11(i9691 18,728 $ 18.721 �'IUn OO(, Are Access Services budggqqqqead at in 10% ofOry�Ine ACL Title lll-8 'des I$ 477555 $ 4�.555)100�0000"- Are In Home Servicesbu oktamminlmuml0%of OngnmI ACT Tide III-B yes 1 I$ 702608 $ 702,60)100,0000`5;. Are Lepal Services budgeed at minimum 6.5% of Origlna ACT Title III-B Yes I 28,22 1$ 289226100.0000% (Actual %of Legal) 9.27% $ 786,45' $ 780452 1000000% I $ 9CCyy318 $ 96,318 100.0000% Title III-8 w�rt1 W1 rvovat r Transfers in current SGA $ 727 915 $ 27.308 $ 27,308 100.0000% (Amount budgeledlor l'rhgram UevelopmenD 5306f300 $ - ,. 1%of title 111-B Program Develogmantlmustbe 20%orless): 110% $ 200,000 Its Program Development budge a20%or less? Yes I Title (II-D allotment with canyovec $205445 I$ 2�991I740 Amount budgeted for EBDP Activities, per TL#2012-244: $205,445 y 24,534,116 Its 100%of Tiile ill-Dbuckatedon APPROVED EBDP? Yes Page 69 of 82 PRIORITY SERVICE SECTION I Access Seances III-B Budget amount I I a. Care Management $ 74,0161 1oo,ud D. case coormsupp I C Ulsastef Advocacy $U J. imormaoon 6 ASSIS $JbY,VYU 1 e. Unicorn $4J1,01rt C transportation �U� g Cpllonscmire ling /$9, y47,G'UO I (AAA Regional Access Service) Access Total: $1,1Ue,1ael I in name services fil budget Ahead nj{ I a. Grose $401/,UW I b Home Care Assis �UI c, home injury Gnm y1J2,JUUI I d. homemaking $3,000I a. Home Health Aide V t. Medication Mgt ����2, �0I g. Personal Care U, UUI h, Assislive Oevire&Tech /U,90UI I i. Respite Care 1,0001 t Friendly Reassure $U I I (AAA Regional In -Home Service) I (AAA Regional In -Home Service) I In Home Services Total:l $f5Y,6UUI Kinship services nib budget Amount I I caregiver euppimt-Kul Amount Unity 2, Kinship Suppcn $6d,000 3. Caregiver E,S,T - Kinship Amount Only U l� �u I (Other Title till Kinship Service) I (Other Title 114E Kinship Service) Kinship Services Total: $65,000 1 I vine orb iransrers reneceeo in of vine in-b Award ((Use ONLY If SGA Reflects Transfers) I l lie In b ..'a win catryovann sbA $2, 111,8101 a. Art, Iransterrea into One m-h I(Always Enter Positive Number) I o. Art, sanmarred out at One to-e ((Always Enter Positive Number) AOA fled Inc Awara I Olin: I $4/u,1013 l 4NU I E: AoA I itle III Part H award for the Current IFY means total award from AoA without carryover or transfers. Page 70 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #1 AAA: Area Agency on Aging 1-B FISCAL YEAR: FY 2022 SERVICE: Care Management 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/Salaries 118,522 23,077 14,252 155,850. Fringe Benefits 35,556 6,923 4,248 46,728 Travel 5,000 500 5,500 Training 5,000 500 5,500 Supplies 10,000 1,000 11,000 Occupancy 0 0. Communications 10,000 1,000 11,000 Equipment 0 0. Other: 0 0 Service Costs 0 0 Purchased Services (CM only) 0 0_ 0 Totals 184,078 0 30,000 0 01 21,500 0 235,578. 0 o 0 0 $ SERVICE AREA: _ (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? Yes No _X_ If yes, please describe: _ SCHEDULE OF MATCH & OTHER RESOURCES #1 FY 2022 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 0 Contractors 21,500 Totals of 21,500 01 0 Difference (1 0 0 OK OK OK Page 71 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #2 AAA: Area Agency on Aging 1-B SERVICE: Case Coordination & Support Federal OAA Other Fed Funds State LINE ITEM Title III Funds (non -Title III) Funds WageslSalanes 355,095 977,125 Fringe Benefits 106,529 293,138 Travel 6,000 6,000 Training 5,000 5,000 Supplies 20,000 20,000 Occupancy Communications Equipment Other. Service Costs Purchased Services (CM only) FISCAL YEAR: FY 2022 Program Match Income Cash In -Kind 149,995 133,233 39,967 1,200 1,000 4,000 Totals 492,624 0 1,301,263 0 149,995 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? If yes, please describe: Explanation for Other Expenses: SCHEDULE OF MATCH & OTHER RESOURCES #2 FY 2022 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 149,995 Contractors 179,400 Totals Difference 149,9951 179,400 01 0 0 0 0 OK OK OK 179,400 0 Other Total Resources Budgeted 1,615,449 439,633 13,200 11,000 44,000 0 0 0 0 0 0 0 0 2,123,282 Yes _ No _X_ Explanation for Other Expenses: I Page 72 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #3 AAA: Area Agency on Aging 1-13 SERVICE: Information & Assistance Federal OAA Other Fed Funds State Program FISCAL YEAR: FY 2022 Match LINE ITEM Title III Funds (non.T@le III) Funds Income Cash In -Kind WageslSalaries 530,769 53,077 Fringe Benefits 159,231 15,923 Travel 1,000 100 Training 10,000 1,000 Supplies 2,000 200 Occupancy Communications 15,000 1,500 Equipment Other. Service Costs Purchased Services (CM only) Totals 718,000 0 0 0 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #3 FY 2022 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 0 Contractors 71,800 1 Totals 01 71,800 OJ Difference 0 0 OK OK OK y 71,800 0 Other Total Resources Budgeted 583,846 175,154 1,100 11,000 2,200 0 16,500 0 0 0 0 0 0 789,800 Yes No Explanation for Other Expenses: 1 Page 73 of 82 LINE ITEM (Wages/Salaries Fringe Benefits (Travel Training AAA: Area Agency on Aging 1-13 SERVICE: Outreach Federal OAA Other Fed Funds Title III Funds (non -Title 111) 496,127 148,838 5,000 10,000 15,000, Costs ed Services (CM only) FY 2022 Annual Implementation Plan Direct Service Budget Detail #4 State Funds 10,000 Program 1 Income I Totals 1 679,9651 01 10,0001 01 0 SERVICE AREA: (List by County/City if service area is not entire PSA) FISCAL YEAR: FY 2022 Match Cash In -Kind 49,613 14,884 500 1,000 1,500 Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #4 FY 2022 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 0 Contractors 68,997 1 Totalsl 01 68,997 01 Difference d 0 d OK OK OK OI 0 0 1,500 I 68,9971 0 Other Resources Total Budgeted 545,740 163,722 5,500 11,000 16,500 0 16,500 0 0 0 0 0 01 758,962 Yes _ No _X_ Explanation for Other Expenses: I Page 74 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #5 AAA: Area Agency on Aging 1-13 FISCAL YEAR: FY 2022 SERVICE: Nutrition Education Federal OAA other Fed Funds State Program Match Other LINE ITEM Title III Funds (non -Title III) Funds Income Cash In -Kind Resources Wages/Salaries 15,000 1,500 Fnnge Benefits Travel Training Supplies Occupancy Communications Equipment Other: Service Costs Purchased Services (CM only) Totals 15,000 0 0 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 Al If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #5 FY 2022 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 0 Contractors 1,500 Totals 01 1,500 0 0 Difference 0 0 0 OK OK OK 1,500 0 Total Budgeted 16,500 0 0 0 0 0 0 0 0 0 0 0 0 16,500 Yes _ No Explanation for Other Expenses: I Page 75 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #6 AAA: Area Agency on Aging 1-13 FISCAL YEAR: FY 2022 SERVICE: Disease Prevention/Health Promotion Federal OAA Other Fed Funds State Program Match LINE ITEM Title III Funds (non.T@le III) Funds Income Cash In�Kind Wages/Salaries 57,265 18,000 17,782 Fringe Benefits 17,180 1,718 Travel 1,000 100 Training 5,000 500 Supplies 5,000 500 Occupancy Communications Equipment Other: Service Costs Purchased Services (CM only) Totals 85,445 0 0 0 18,000 20,600 0 T 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? If yes, please describe: SCHEDULE OF MATCH 8r OTHER RESOURCES #6 MATCH VALUE SOURCE OF FUNDS Cash In -Kind County Support 18,000 Contractors 20,600, FY 2022 OTHER RESOURCES VALUE Cash I In -Kind Totals 18,0001 20,600 OJ 0 Difference d OK OK OK Other Total Resources Budgeted 93,047 18,898 1,100 5,500 5,500 0 0 0 0 0 0 0 0 124,045 Yes No Explanation for Other Expenses: Page 76 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #7 AAA: Area Agency on Aging 1-B FISCAL YEAR: FY 2022 SERVICE: Long Term Care Ombudsman/Advocacy Federal OAA other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non -Tile ill) Funds Income Cash In -Kind Resources Budgeted Wages/Salaries 34,406 71,033 8,737 114,176 Fringe Benefits 10, 322,, 21,310 3,163 34,795 Travel 2,000 4,000 600 6,600 Training 0 Supplies 2,000 4,000 600 6,600 Occupancy 0 Communications 0 Equipment 0 Other 0 Service Costs 0 Purchased Services (CM only) - - 0 0 Totals 48,728 0 100,343 0 01 13,100 0 162,171 0 0 0 0 $ SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? Yes _ No _X_ If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2022 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 0 Contractors 13,100 Totals OJ 13,100 0 0 Difference (1 0 0 OK OK OK Page 77 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #8 AAA: Area Agency on Aging 1-13 FISCAL YEAR: FY 2022 SERVICE: Caregiver Education, Support, & Training Federal OAA other Fed Funds State Program Match Other LINE ITEM Title III Funds (non -Tide III) Funds Income Cash In -Kind Resources Wages/Salaries 78,462 3,000 7,846 Fringe Benefits 23,538 2,354 Travel Training Supplies 3,000 Occupancy Communications Equipment Other: Service Casts Purchased Services (CM only) Totals 105,000 0 0 0 3,0001 0 U SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 3,000 Contractors 10,500 1 Totals 3,000 10,500 OJ 0 Difference J(f OK OK OK 300 10,500 0 Total Budgeted 89,308 25,892 0 0 3,300 0 0 0 0 0 0 0 0 118,500 Yes No _X_ Explanation for Other Expenses: I Page 78 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #9 AAA: Area Agency on Aging 1-B SERVICE: PROGRAM DEVELOPMENT Federal OAA Other Fed Funds LINE ITEM Title III Funds (non -rifle III) Wages/Salaries 214,077 Fnnge Benefits 64,223 Travel 10,000 Training 10,000 Supplies 6,000 Occupancy FISCAL YEAR: FY 2022 State Program Match Funds Income Cash In -Kind 21,478 6,422\ 1,000 1,000 600 Communications 2,000 200 Equipment Other. Service Costs Purchased Services (CM only) Totals 306,300 0 0 0 01 30,700 U U 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2022 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind County Support 0 Contractors 30,700 Totals 01 30,700 01 0 Difference 0 0 0 OK OK OK Other Total Resources Budgeted 235,555 70,645 11,000 11,000 6,600 0 2,200 0 0 0 0 0 0 337,000 Yes _ No Explanation for Other Expenses: Page 79 of 82 FY 2022 Annual Implementation Plan Direct Service Budget Detail #10 AAA: Area Agency on Aging 1-B SERVICE: Option Counseling Federal OAA other Fed Funds State Program FISCAL YEAR: FY 2022 Match LINE ITEM Title III Funds (non-Tae III) Funds Income Cash In -Kind Wages/Salaries 40,000 Fringe Benefits 12,000 Travel Training Supplies Occupancy Communications Equipment Other: Service Costs Purchased Services (CM only) - Totals 52,000 0 0 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AIP? If yes, please describe: Other Total Resources Budgeted 40,000 12,000 0 0 0 0 0 0 0 0 0 0 0 52,000 Yes _ No _X_ SCHEDULE OF MATCH & OTHER RESOURCES FY 2022 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Totals 0 0 _ 0 Difference 0 0 0 OK OK OK 0 Page 80 of 82 AREA AGENCY ON AGING —OPERATING BUDGET PSA: Budget Period: 10/01/21 to: 09/30/22 Date of Budget: I Agency: Rev. No.: Page 1 of 2 I+ dperations Proctram �erviceslActivities ProgramII AASA I MI Choice I MI Health I Veterans contract I MMAP I Mobility I Refugee Admin Develop Link dministrato Services Mana ement Grant I TOTAL REVENUES (� Federal Funds 1,083,915 300,000 13,399,994 308,000 15091909 State Funds 274,031 6,668,146 25,700,000 95,000 32737177 Local Cash 190,000 500,000 690000 Local In -Kind 1,923,600 594,000 2517600 Interest Income 65,131 65131 Fund Raising/Other 202,000 200,000 3,265,000 1,600,000 87,000 357,000 5711000 TOTAL 1815077 300000 22691740 257000001 32650001 1600000 870001 9020001 3570001 950001 01 56812817 EXPENDITURES Contractual Services - 13,599,100 18,333,881 2,749,633 1,249,191 89201 36021006 Purchased Services 4,306,431 - 594,000 1 4900431 Wages and Salaries 2233562, 300000 3083194 3897519 261267 112241 18954 212784 172457 7319 0 10299291 Fringe Benefits 713,131 715,737 60,778 2,852 30,035 32,514 928 15559751 Payroll Taxes 298,163 19,987 930 16,279 13,193 286 348838/1 Professional Services 155300 62440 144,000 1300 17000 59700 4397401 Accounting & Audit Services 40000, 400001 Legal Fees 210000 3100 2131001 Occupancy 355600 2500 3581001 Insurance 74000 740001 Office Equipment 873129 21620 35,000 1300 39000 9700491 Equip Maintenance &.Repair 20000 500 205001 Office Supplies 79050 97960 1,600 425 400 9814 6850 852, 1969511 Printing & Publication 17000 77750 1,300 850 3000 999001 Postage 27250 32700 1,000 100 500 500 620501 Telephone 297100 70 2971701 Travel 58400 65590 65,000 1940 2500 2264 2488 2786 2009681 Conferences 79548 51720 7,800 470 3050 2000 1445881 Memberships 56750 8050 648001 Special Events 32000 16800 2700 515001 48000 48000 -3460785 1262785 1,799,000 229000 112000 6000 27000 25000 0 TOTAL 1909035 300000 4786209 b966119 5751671 227241 48000 307370 3570001 9385 01 15485526 Page 81 of 82 PSA: Agency: CLASSIFICATION I I I I I I I I I I I (TOTAL AREA AGENCY ON AGING --WAGES AND SALARIES Budget Period: 10/01/21 to: 09/30/22 Date of Budget: Rev. No.: FTEs )kAdmin 29.5 2,233,562 58.5 2.6 78.3 5.1 3.4 0.4 6.0 5.5 0.1 I I I I 189.10I I I I I I I 2233562( Program AASA MI Choice MI Health IVeterans Develop 0 0 Link Administrate 3,083,194 300,000 3,897,519 261,267 112,241 1 3000001 I I I I I I I I I 30831941 I I I I I I I I I I I 38975161 I 2612671 I I I I I I I I 1121411 Program Services/Activities ConServicct es IMMAP OI 18,954 I I I I I I I I I I I I I 189541 212,784 1 2127841 I I I I I I I I I IjI I 1724571 319 I I I I I I I I I I I I 73191 Page 2 of 2 0 0 TOTAL 2233562 3083194 300000 3897519 261267 112241 co 18954 212784 172457 7319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10299297 Page 82 of 82 Resolution #21295 July 22, 2021 Moved by Gingell seconded by Powell the resolutions on the Consent Agenda be adopted. AYES: Gershenson, Gingell, Hoffman, Jackson, Joliet, Kochenderfer, Kowall, Kuhn, Long, Luebs, Markham, McGillivray, Miller, Moss, Nelson, Powell, Spisz, Weipert, Woodward, Cavell, Charles. (21) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions on the Consent Agenda were adopted. , O'L I HEREBY APPROVE THCOUNTY EXE RESOLUTION CHIEF DEPUTY ACTING PURSUANT TQ MCL 45.559A V) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, 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 22, 2021, 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 Circuit Court at Pontiac, Michigan this 22nd day of July, 2021. Lisa Brown, Oakland County