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HomeMy WebLinkAboutResolutions - 2022.06.23 - 37424v BOARD OF COMMISSIONERS June 23, 2022 MISCELLANEOUS RESOLUTION #22-227 Sponsored By: Penny Luebs Board of Commissioners - Resolution Approving Area Agency on Aging 1-B FY 2023-2025 Multi Year Plan Chairperson and Members of the Board: WHEREAS the Area Agency on Aging 1-B has been supporting services to Oakland County residents since 1974: and WFIERE AS the Area Agency oil Aging 1-B has assessed the needs of older county residents and developed a plan to provide assistance that addresses identified needs; and WHEREAS the proposed plan has been submitted for review by the public, and has been subjected to a public hearing; and WHEREAS the continents 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 Bureau of Aging and Community Living Supports requires that county Boards of Commissioners be 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 FY 2023-2025 Multi Year Plan of the Area Agency on Aging 1-B, for the purpose of conveying such support to the Area Agency on Aging 1-B and the Michigan Bureau of Aging and Community Living Supports, BE IT FURTHER RESOLVED that no budget amendments are recouunended as this resolution is to approve the overall Area Agency on Aging 1-B action plan. Chairperson, the following Commissioners are sponsoring the foregoing Resolution: Penny Luebs, 6z j Date: June 27, 2022 David Woodward, Commissioner Date: June 29, 2022 David Coulter, Oakland County Executive Date: June 30. 2022 Lisa Brown, County Clerk / Register of Deeds COMMITTEE TRACKING 2022-06-14 Public Health R Safety - recommend to Board 2022-06-23 Full Board VOTE TRACKING Motioned by Commissioner Charles Cavell seconded by Commissioner Michael Gingell to adopt the attached Resolution: Approving Area Agency on Aging 1-B FY 2023-2025 Multi Year Plan. Yes: David Woodward, Michael Gingell, Karen Joliat. Kristen Nelson, Eileen Kowall, Angela Powell. Thomas Kuhn, Cluck Moss, Marcia Gershenson. William Miller III, Yolanda Smith Charles, Charles Cavell, Penny Luebs, Janet Jackson, Gary McGillivray, Robert Hoffrnan, Adam Kochenderfer (17) No: Christine Long, Philip Weipert (2) Abstain: None (0) Absent: (0) Passed ATTACHMENTS 1. AAA 1-B FY 2023-2025 MYP 5-26-2022 2. Cover letter- Oakland 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 June 23. 2022, 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 on Thursday. June 23, 2022, Lisa Broww, Oakland Courts Clerk 'Register ofDeeds 2023-2025 Multi Year Plan if 20ANNUAL IMPLEMENTATION PLAN AREA AGENCY ON AGING 1-B 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: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation 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 Program Development Objectives Supplemental Documents Scope of Services Planned Service Array Planned Service Array Narrative Strategic Planning Advocacy Strategy Leveraged Partnerships Community Focal Points Other Grants and Initiatives FY 2023 Page 2 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Executive Summary The executive summary provides a succinct description of the priorities set by the area agency for the use of Older Americans Act (OAA) and state funding during FY 2023.2025. Please include a summary of your agency that touches on each of the items listed below. 1. A brief history of the area agency and respective PSA that provides a context for the MYP/AIP. It is appropriate to include the area agency's vision and/or mission statements and a brief description of the PSA. Include information on the service population, agency strengths, challenges, opportunities, and primary focus for the upcoming three-year period. 2. A description of planned special projects and partnerships. 3. A description of specific management initiatives the area agency plans to undertake to achieve increased efficiency in service delivery, including any relevant certifications or accreditations the area agency has received or is pursuing. 4. Address the agency's response to the COVID-19 pandemic emergency, including a description of the challenges and continuing needs due to this emergency. 5. Any significant new priorities, plans or objectives set by the area agency for the use of OAA and state funding during the MYP. If there are no new activities or changes, note that in your response. 6. A description of the area agency's assessment of the needs of their service population. See Operating Standard for AAAs C-2, 4. 1. The Area Agency on Aging 1-13 (AAA 1-13) is a nonprofit 501(c)3 organization with a rich history of supporting older adults, people with disabilities and family caregivers in southeast Michigan. More than 29% of the state's older adult population resides in Region 1-13, with SEMCOG estimating that in 2022, 800,000 persons age 60 and older are living in our six -county region that includes Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. (SEMCOG 2045 Regional Forecast). The mission of the AAA 1-13 is 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 older adults and adults with disabilities and linking them 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. The AAA 1-13's strengths include our staff's knowledge, skill sets and commitment to our agency mission, high customer satisfaction, and partnerships with local organizations. Weaknesses include our heavy reliance on state and federal funding.ln the next three years, the AAA 1-13 will focus on opportunities to expand on business Page 3 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B development opportunities with healthcare entities to diversify our funding. FY 2023 2. The AAA 1-B is involved in a variety of collaborations and development activities aimed at achieving its mission, identifying opportunities for increased efficiencies, diversifying funding sources, reducing wait lists, and filling the gaps resulting from the aging of the population without commensurate increases in funding. The AAA 1-B plans to strengthen exiting partnerships with MI Health Link health plans, Veterans Administration, the region's transit authorities to support the myride2 program, and other key partnerships in the healthcare industry, including McLaren and Priority Health. By collaborating with our network of aging services providers and contractors, we plan to increase participation in social services, nutrition, and adult day programs. The pandemic highlighted key gaps in aging services including family caregiver strain, health promotion, disease prevention, and disease management. We are focusing on family caregivers by providing training, education, and resources through a caregiver training & resource portal, caregiver coaching, and other supports. We are expanding the reach of health and wellness workshops to promote health and disease prevention, which will be achieved by offering in -person and virtual programming. The AAA 1-B will continue to provide leadership to the Silver Key Coalition, resulting in significant increases in state funding to support the highest priority services: in -home care and home delivered meals. The development of entrepreneurial activities that generate resources for services provided by AAA 1-B vendors and contractors will incorporate input from service provider agencies. 3. Management initiatives the agency plans to undertake to achieve increased efficiency in service delivery include: - The AAA 1-B will work with its provider network to identify service delivery techniques to minimize waitlists. - Implementation of a new electronic medical record system (EMR) will increase efficiency in service delivery. - The AAA 1-B will maintain National Committee for Quality Assurance (NCQA) accreditation. - The AAA 1-13 will maintain Alliance of Information and Referral Systems (AIRS) certification for all Resource Center staff who provide Information and Assistance services. - The AAA 1-B will work to continuously identify ways to optimize impact and efficiency through service delivery. 4. COVID-19 continues to have an impact on Region 1-B. At the start of the COVID-19 pandemic, the AAA 1-B quickly implemented a virtual work environment by providing current employees with additional equipment and adjusted processes to maintain operations. We also worked on several initiatives centered around employee engagement and reminded employees of our Employee Assistance Program (EAP) support services. We are now facing considerable staff turnover due to the COVID-19 pandemic. To sustain personnel numbers, the AAA 1-B has developed additional recruiting strategies and is working on engagement and retention initiatives. Throughout the pandemic, the AAA 1-13 collaborated with local service providers to ensure older adults throughout Region 1-13 had access to food and other necessities. 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 1-13 operational changes, including challenges and ongoing needs, is provided below. VACCINATIONS- In partnership with county health departments and local community organizations, the AAA 1-B connected older adults, caregivers, and direct care workers with information about the COVID-19 vaccine, including how to access in -home vaccination. Community partners offered targeted COVID-19 vaccine Page 4 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 outreach to the various communities they serve. Vaccination information is updated regularly and is available from the AAA 1-B Resource Center, website, and social media platforms. The AAA 1-13 clinical team contacted all of its in -home service participants and residents at adult foster care and homes for the aged in Region 1-13 to provide support to register for vaccine and booster appointments and assistance in arranging transportation to and from vaccination sites. Outreach efforts attempt to address challenges related to misinformation about the COVID-19 vaccine and reaching individuals who are hesitant to receive the COVID-19 vaccine. DIRECT CARE WORKFORCE- Region 1-13 continues to experience severe shortages in the direct care workforce due to COVID-19. Several factors, including fear of contracting COVID-19, lack of childcare options, and low wages, led to a shortage of workers. Premium pay was implemented for direct care workers providing approved services through September 2022. The AAA 1-B is working with colleagues across Michigan to address the challenges related to the direct care workforce. 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 thapllt seniors rely on, including adult day centers, congregate meal sites, and senior centers. Many programs shifted to online formats, which posed additional issues for older adults who may not have access to technology or reliable internet connectivity. In addition to program closures and shift to online formats, 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. The AAA 1-13 is evaluating the impact of technology to lessen social isolation among older adults through a grant from Michigan Health Endowment Fund and 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. DIGITAL DIVIDE- Difficulty using and obtaining technology is a significant challenge for older adults during the pandemic. Older adults without internet access face added difficulties registering for COVID-19 vaccines, obtaining health care services, and have fewer outlets to combat isolation during quarantine. ACCESS TO CARE/CARE REFUSAL- In Region 1-13, 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. RISING COSTS- Service providers have reported that increasing costs due to inflation have made it more difficult to provide services on a fixed budget. Increased food costs, gas prices and labor costs have created difficulties for aging network service providers. 5. 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 2023 and beyond. The AAA 1-B will prioritize developing new business opportunities to diversify our revenue to support our mission. The AAA 1-B plans to shift funding for contracted Outreach services, which is known locally as Community Liaison, to American Rescue Plan Act Page 5 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B funding for FY 2023. FY 2023 Annual Implementation Plan FY 2023 6. The AAA 1-B hosted virtual listening sessions in November 2021 to obtain feedback from service providers and community members on their top priorities and needs of older adults, caregivers, and service providers. Participants identified additional priorities for seniors and caregivers in the community such as prevention of elder abuse and financial exploitation, kinship care support, housing, mental health and social isolation, and transportation. The AAA 1-B developed and administered a service prioritization survey which is used to develop our service priority ranking. Respondents identified installation of home safety devices, minor home repair, public education about resources, and transportation for in -home service participants as top priorities. Page 6 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B County/Local Unit of Government Review FY 2023 Area Agencies on Aging must send a letter, with delivery and signature confirmation, requesting approval of the final MYP/AIP by no later than June 24, 2022, to the chairperson of each County Board of Commissioners within the Planning and Service Area (PSA), requesting their approval by July 12, 2022. For a PSA comprised of a single county or portion of the county, approval of the MYPIAIP is to be requested from each local unit of government within the PSA. If the area agency does not receive a response from the county or local unit of government by July 14, 2022, the MYP/AIP is deemed passively approved. The area agency must notify their Bureau of Aging and Community Living Supports (ACLS Bureau) field representative by July 18, 2022, whether their counties or local units of government formally approved, passively approved, or disapproved the MYP/AIP. The area agency may use electronic communication, including email and website-based documents, as an option for acquiring local government review and approval of the MYP/AIP. To employ this option, the area agency must: Send a letter through the US Mail with delivery and signature confirmation or an email requiring a response confirming receipt to the chief elected official of each appropriate local government advising them of the availability of the final draft MYPIAIP on the area agency's website. Instructions for how to view and print the document must be included. Offer to provide a printed copy of the MYPIAIP via US Mail or an electronic copy via email, if requested. Be available to discuss the MYPIAIP with local government officials, if requested. Request email notification from the local unit of government of their approval of the MYPIAIP, or their related concerns. Please describe the efforts, including the use of electronic communication, made to distribute the MYP/AIP and to gain support from the appropriate county and/or local units of government. In May, the AAA 1-13 contacts each Region 1-B county Board of Commissioners (BOC) to determine their June and July meeting dates and deadlines for submission of materials. The AAA 1-B Advisory Council and Board of Directors approve the Multi Year Plan (MYP) during their June meetings. Upon Board of Directors approval, the AAA 1-B mails with delivery receipt, a copy of the final draft MYP and a draft resolution to the chairperson of each county BOC, with a letter requesting BOC action prior to July 14. 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 MYP is placed on the meeting agenda. To accomodate the July 14, 2022 approval deadline, counties were provided with a draft MYP for review and approval, and then are sent the final MYP after the AAA 1-B Board of Directors final approval on June 24. No action by a BOC is considered passive approval. The AAA 1-B notifies AASA by July 18 of the status of county level action on the MYP. Page 7 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 Public Hearings The area agency must employ a strategy for gaining MYP/AIP input directly from the planned service population of older adults, caregivers, and persons with disabilities, along with elected officials, partners, providers and the general public, throughout the PSA. The strategy should involve multiple methods and may include a series of input sessions, use of social media, on-line surveys, etc. At least two public hearings on the FY 2023-2025 MYP/AIP must be held in the PSA. In -person hearings are preferred, but virtual hearings are acceptable if they follow Michigan's Open Meetings Act and the requirements of the area agency's governing authorities. The hearings must be accessible. When deciding between online and in -person meetings, consider limitations to internet access and other accessibility issues with the relevant populations in your region. In person, e-mail, and written testimony must also be accepted for at least thirty days beginning when the summary of the MYP/AIP is made available. The area agency must post a notice of the public hearing(s) in a manner that can reasonably be expected to inform the public about the hearing(s). Acceptable posting methods include but are not limited to: paid notice in at least one newspaper or newsletter with broad circulation throughout the PSA, as well as news sources geared toward communities of color, people who are lesbian, gay, bisexual, transgender queer or other (LGBTQ+), immigrant communities and/or other underrepresented groups; presentation on the area agency's website, along with communication via email and social media referring to the notice; press releases and public service announcements; and a mailed notice to area agency partners, service provider agencies, Native American organizations, older adult organizations and local units of government. See Operating Standards forArea Agencies on Aging, Section B-2 #3. The public hearing notice should be available at least thirty days before the scheduled hearing. This notice must indicate the availability of a summary of the MYP/AIP at least fourteen days prior to the hearing, and information on how to obtain the summary. All components of the MYP/AIP should be available for the public hearings. 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 hearings and the public input strategy is also required. Please describe the strategy/approach employed to encourage public attendance and testimony on the MYP/AIP. Tell us the strategy used specifically to inform communities of color, LGBTQ+, immigrant communities and/or other underrepresented groups. Describe all methods used to gain public input and the resultant impact on the MYP/AIP. Indicate whether the meeting(s) complied with the Michigan Open Meetings Act. Date Location Time Barrier Free? No. of Attendees 05/05/2022 Virtual- Zoom 1 11:00 AM Yes 19 Page 8 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B 05/06/2022 128600 W Eleven Mile Rd, Farr 102:00 PM FY 2023 Annual Implementation Plan Yes FY 2023 41 The AAA 1-B held two virtual listening sessions in November 2021 at which over 66 members of the public provided testimony on priorities for the AAA 1-13 to focus on over the next three years. In addition to the in -person listening sessions, the AAA 1-B encouraged the public to complete a service prioritization survey, which was provided through a link during the virtual listening sessions and distributed online throughout each of the six counties in Region 1-B. The service prioritization survey received 277 responses. Testimony at listening sessions and results from service prioritization surveys were used to inform the development of the AAA 1-B FY 2023-2025 Multi -Year Plan. Listening sessions and completion of the service prioritization survey were promoted on social media, the AAA 1-B website, by email through community partners, and through The Advocate newsletter. Attached are the 2022 services priority ranking and summaries of the two listening sessions. The AAA 1-B held public hearings on May 5, 2022, virtually hosted through Zoom, at which 19 members of the public were in attendance, and May 6, 2022, at the Costick Center in Farmington Hills with 4 members of the public in attendance. The public hearings complied with the Open Meetings Act. The AAA 1-B provided a draft of the FY 2023-2025 Multi -Year Plan and a one -page snapshot of the plan information prior to both meetings. The AAA 1-B encouraged feedback from participants by directly calling upon them at the hearings to request they provide comments on areas in which they had particular interest or concern. The AAA 1-B also encouraged those who couldn't attend the hearings to email comments. The AAA 1-B encouraged participation by placing notices in a variety of resources including the Michigan Chronicle, which has a large African American readership; Pridesource, a publication targeted to LGBTQ+ audience; and La Presna, a local paper serving the Hispanic community. Emails were distributed to minority -serving organizations including SAGE Metro Detroit, Association of Chinese Americans, Asian Center Southeast Michigan, Centro Multicultural La Familia, and Chaldean American Ladies of Charity. Hearing notices were also shared through the AAA 1-13 social media platforms and website and advertised to community partners through email and a press release. Notices were sent to Region 1-B contractors and shared through The Advocate newsletter. Two changes were made to the plan in response to comments provided by the public at the hearings .The rising costs of service provision, especially related to food costs was brought up as a concern by community members.This challenge was added to the MYP as a continuing need due to the COVID-19 emergency. Several Kinship caregivers discussed the challenges they face when caring for both minor children and their aging parents.To better support this population, we added a recommendation to explore the expansion of the caregiver coaching program to kinship caregivers as part of our program development objectives. Page 9 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Regional Service Definitions FY 2023 If the area agency is proposing to fund a service category that is not included in the Operating Standards for Service Programs, then information about the proposed service category must be included under this section. Enter the service name, identify the service category and fund source, unit of service, minimum standards, and rationale for 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 Title III PartE State Access Unit of Service Page 10 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-13 Access Services FY 2023 Annual Implementation Plan FY 2023 Access services may be provided to older adults directly by the area agency without a Direct Service Provision Request. Approved access services are Care Management, Case Coordination and Support, Options Counseling, Disaster Advocacy and Outreach Programs, Information and Assistance, Outreach, and Merit Award Trust Fund (MATF)/State-Caregiver-Support-Program-funded Transportation with specific attention to outreach with underserved populations. If the area agency is planning to provide any access services directly during FY 2023-2025, complete this section. Select from the list of all access services the ones the area agency plans to provide directly during FY 2023-2025, 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. Direct service budget details for FY 2023 are to be included under the aoorooriate tab in the Area Plan Grant Budaet. 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, Direct Service Budget details. Care Management Startina Date 10/01/2022 Total of Federal Dollars $563,063.00 Geographic area to be served Region 1-B Ending Date Total of State Dollars 09/30/2023 $370,000.00 Specify the planned goals and activities that will be undertaken to provide the service. Objective: Utilize the Service Coordination Continuum to move participants from the Community Living Program or the Community Living Program 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. EXDected Outcome: Older adults at the greatest risk for unnecessary nursing home placement or hospitalization will receive Aging, Community Living and Supports (ACLS) funded Care Management services. Obiective: Review the wait list prioritization processes, advocating with the state, to assure wait list best practices align with the state's objectives. Exoected Outcome: Older adults with the highest level of need who are requesting in -home and other ACLS Bureau -funded services will receive them faster. Objective: Conduct at least four trainings for Care Management supports coordinators on topics such as diversity, equity, Page 11 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 and inclusion (DEI), 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: 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: Number of initial client assessments Number of initial client care plans: Total number of clients (carry over plus new): Staff to client ratio (Active and maintenance per Full time care Case Coordination and Support Starting Date 10/01/2022 Total of Federal Dollars $463,258.00 Geographic area to be served .. Current Year: 11 Current Year: 10 Current Year: 10 Current Year: 41 Current Year: 1:14 Endino Date Total of State Dollars Planned Next Year: 72 Planned Next Year: 60 Planned Next Year: 60 Planned Next Year: 200 Planned Next Year: 1:50 09/30/2023 $759,653.00 Specify the planned goals and activities that will be undertaken to provide the service. Objective: Review the wait list prioritization processes, advocating with the state, to assure wait list best practices align with the state's objectives. Expected Outcome: Older adults with the highest level of need who are requesting in -home and other ACLS Bureau -funded services will receive them faster. Objective: Conduct at least four trainings for Community Living Program supports coordinators on topics such as diversity, equity, and inclusion (DEI), 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: Community Living Program supports coordinators will keep their knowledge and skill levels current to the agency and state priorities and models of provision of care to participants Information and Assistance Startino Date 10/01/2022 Endinq Date 09/30/2023 Total of Federal Dollars $702,107.00 Total of State Dollars $45,000.00 Geographic area to be served Region 1-B Page 12 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Specify the planned goals and activities that will be undertaken to provide the service. Goal: Reduce the barriers to accessing programs and services by providing additional support to and follow up with higher -risk older adults and family caregivers. Activities: 1. Establish a baseline of the percentage of higher -risk older adults and family caregivers who have not connected with referrals provided by the Information and Assistance department. 2. Implement strategies to help higher -risk older adults and family caregivers connect with local programs and services. 3. Track the percentage of higher risk older adults and family caregivers who connect with the referral and compare to the baseline data. Expected Outcomes: An increase in the percentage of higher risk older adults and family caregivers who connect with local programs and services. Activities: 1. Establish a baseline of the percentage of higher -risk older adults and family caregivers who have not connected with referrals provided by the Information and Assistance department. 2. Implement strategies to help higher -risk older adults and family caregivers connect with local programs and services. 3. Track the percentage of higher risk older adults and family caregivers who connect with the referral and compare to the baseline data. Expected Outcomes: An increase in the percentage of higher risk older adults and family caregivers who connect with local programs and services. Outreach Starting Date 10/01 /2022 Total of Federal Dollars $540,739.00 Geographic area to be served Region 1-B Endino Date 09/30/2023 Total of State Dollars $15,000.00 Specify the planned goals and activities that will be undertaken to provide the service. Goal: Increase the awareness of first responders on how the Area Agency on Aging 1-B can help older adults and family caregivers. Activities: Provide an in -person or video presentation to first responders about the Agency and how we help older adults and family caregivers. Expected Outcome: To increase the number of referrals made by first responders to older adults and /or family members to the Agency. Page 13 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Options Counseling Startino Date 10/01/2022 Endino Date 09/30/2023 Total of Federal Dollars $60,000.00 Total of State Dollars $0.00 Geographic area to be served Region 1-B Specify the planned goals and activities that will be undertaken to provide the service. Goal: Increase the number of older adults and family caregivers receiving unbiased, person -centered Options Counseling. Activities: 1. Through staff training and new EMIR efficiencies grow the number of older adults and family caregivers who receive Options Counseling. Expected Outcomes: A 5% annual increase, year or year, for three years of the number of older adults and family caregivers who receive Options Counseling through the AAA 1-B. Page 14 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B Direct Service Request FY 2023 Annual Implementation Plan FY 2023 It is expected that in -home, community, and nutrition services will be provided under contracts with community -based service providers. However, when appropriate, area agencies may ask to provide these services directly, Direct Service Provision Requests must be approved by the Commission on Services to the Aging (CSA). Direct service provision by the area agency may be appropriate when, in the judgment of the ACLS Bureau: A) provision is necessary to ensure an adequate supply; B) the service is directly related to the area agency's administrative functions; or C) a service can be provided by the area agency more economically than any available contractor and with comparable quality. Area agencies requesting approval to provide an in -home, community, and/or a nutrition service must complete the section below for each service category, Select the service from the list and enter the information requested pertaining to basis, justification, and public hearing discussion for any Direct Service Provision Request for FY 2023-2025. Specify in the appropriate text box for each service category the planned goals and activities that will be undertaken to provide the service. Direct service budget details for FY 2023 are to be included under the Services Summary tab and Direct Service Budget tabs in the Area Plan Grant Budget. The funding identified should correspond to the funding (Federal OAA Title III or VII and state funds) identified in the Area Plan Grant Budget. Skip this section if the area agency is not planning on orovidina anv in -home. communitv, or nutrition services directly during FY 2023. Disease Prevention/Health Promotion Total of Federal Dollars $101,380.00 Total of State Dollars $0.00 GeograohicArea Served Region 1-B 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 requests approval to continue providing direct services in the category of Disease Prevention/Health Promotion. The AAA 1-B will provide regional leadership for these programs, add new programs as demand and health trends warrant, train subcontractors, and ensure that older adults and caregivers who live throughout the region have access to these programs when they not provided locally by one of our subcontracted partners. The AAA 1-13 plans to deliver either direct training to older adults or trainer training to leaders or staff and in partner organizations. The programs include: PATH, Diabetes PATH, Chronic Pain, A Matter of Balance, Aging Mastery, and Powerful Tools for Caregivers. AAA 1-B is exploring the opportunity of adding two additional programs, including PEARLS (Reduce symptoms of depression and improve health -related quality of life) and Eat Smart, Move More, Weigh Less (Weight Loss, Weight Management, Healthy Eating, Physical Activity, Wellness, Social Engagement.). Page 15 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 The AAA 1-B has over 30 permanent and contingent staff members trained in one or more of these programs. ACLS funding will be used to pay contingent staff trainers for workshop facilitation, purchase supplies and materials needed to conduct workshops, coordinate all trainings delivered directly, and pay mileage expenses for travel to workshop locations. The AAA 1-13 also maintains a pool of Master Trainers who provide program fidelity assessments on trainers and facilitate workshops themselves to maintain certification in the programs they deliver. Funding will be used to pay these Master Trainers. The AAA 1-B commits one staff person to lead the wellness training program operations. The manager will supervise all contingent staff trainers, is also certified to provide leader/coach training in several of the programs and will provide technical assistance to subcontractors who provide these services as well. The AAA 1-B plans to supplement public funding for direct DP/HP services through grants, corporate sponsorships, Medicare, and private pay. 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. Increasingly, public sentiment, state and federal authorities, and health care systems all point to the economic necessity of consumers guiding and managing their own behaviors to maintain or improve their health outcomes. Evidence -based programs approved by CMS and CDC provide consumers the tools to effectively self -manage, and the AAA 1-B has the capacity and capability to offer a wide variety of programs delivered by certified trainers. Contract providers deliver some programs, but do not have the infrastructure to meet the growing demand that will result as health care providers make referrals for their patients. Each subcontractor may provide one out of twenty plus programs allowable under this service definition and have its separate coordination and administrative costs. The AAA 1-13 will provide regional leadership for these programs, add new programs as demand and health trends warrant, train subcontractors, and will ensure that older adults and caregivers who live throughout the region have access to these programs when they not provided locally by one of our subcontracted partners. Page 16 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Heatth & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Describe the discussion, if any, at the public hearings related to this request. Include the date of the hearing(s). There was no discussion of this service at the public hearings. Long Term Care Ombudsman Total of Federal Dollars $156,612.00 Total of State Dollars $100,343.00 GeoaraDh!c Area Served Region 1-B Planned goals, objectives, and activities that will be undertaken to provide the service in the appropriate text box for each service category. Certified long-term care ombudsman will provide assistance, advocacy and complaint resolution to individuals in long-term care facilities. Program staff will maintain participant confidentiality as required by the state long-term care ombudsman. Trained long-term care ombudsman will make visits to long-term care facilities throughout the region quarterly, or more frequently as necessary. AAA 1-B will work closely with and make referrals to legal service providers, elder abuse prevention providers and the Medicare Medicaid Assistance Program (MMAP) as necessary to assist individuals with accessing services. Designated program staff will be trained and participate in ongoing continuing education /training as required by the State Long Term Care Ombudsman and AAA 1-B. Staff will complete and submit all reports, including but not limited to, activity reports, through the state electronic OmbudsManager database and any other required reporting platform for compliance. 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&C Page 17 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 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. AAA 1-B is requesting a direct service waiver for tong -term care Ombudsman due to notification of termination of service from the previous Ombudsman contractor effective September 30, 2020. AAA 1-B recognizes the importance of this service and successfully transitioned the program to AAA 1-B beginning on October 1, 2020 and has retained all program staff. The agency has made the decision to continue directly providing the Ombudsman program to ensure continuity of services and staffing. LTC Ombudsman staff must be certified by the State to provide services and participate in ongoing training as required. Describe the discussion, if any, at the public hearings related to this request. Include the date of the hearing(s). There was no discussion of this service at the public hearings. Caregiver Education, Support and Training Total of Federal Dollars $90,000.00 Total of State Dollars $0.00 Gecoraohic Area Served Region 1-B 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 requests approval to continue to provide Care Academy as a direct service. Care Academy is an innovative el -earning program for professional direct care workers and family caregivers of a care recipient with dementia or older adult. This program offers skill -based training delivered through an online learning system built specifically for a direct care worker and family caregiver audience. Each caregiver receives a personalized learning journey based on the caregiving topics that are most relevant to their care situation. 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 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 Care Academy program by providing at least 100 caregivers a year access to this program, either through current programs offered or through sign-up by AAA 1-B staff at Caregiver Trainings in the community. AAA 1-13 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 2023. This program will be provided in partnership with Care Academy. Dementia Friends The AAA 1-13 will continue to provide Dementia Friends as a direct service. The Dementia Friends informational session aims 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. Page 18 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan Area Agency On Aging 1-B Caregiver Coachino Program FY 2023 Annual Implementation Plan FY 2023 The AAA 1-B 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 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 needs assistance with something 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&C 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. Care Academv The AAA 1-13 is the first area agency on aging in Michigan to use Care Academy online training for family caregivers. Costs include access to the software platform for 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 one of only four area agencies on aging in Michigan, and 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 Friends informational sessions. Costs include purchase Page 19 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B of handouts and admin costs for coordination of the program. Caregiver Coachino Proaram FY 2023 Annual Implementation Plan FY 2023 The AAA 1-13 is the only area agency on aging in Michigan to provide the Caregiver Coaching program. One other organization recently launched the program in northern Michigan. Following a successful pilot in select Region 1-13 counties, the AAA 1-13 expanded the program throughout Region 1-13 in FY 2022. Caregiver Coaching is a cost-effective program that serves family caregivers using a one-on-one method that utilizes volunteers and serves as the 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 expenses 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 was no discussion of this service at the public hearings. Nutrition Education Total of Federal Dollars $164,835.00 Total of State Dollars $0.00 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. Throughout the COVID-19 pandemic, proper nutrition was a highlighted need among older adults. The AAA 1-B met the need by increasing its home -delivered meals, established grab-n-go meals, and delivered shelf -stable foods in food boxes to older adults' homes as well as at pop-up distribution sites. An additional service gap observed during this time was the need for nutrition education which is vital to maintaining health. The need for nutrition education was also noted during public listening sessions. AAA 1-13 requests the approval to provide Nutrition Education services to older adults residing in our six (6) county service region. Nutrition Education is a learning program which promotes better health by providing culturally sensitive nutrition information (which may also address physical fitness and related health issues) and instruction to older adults, and/or caregivers, in group or individual settings. AAA 1-B plans to directly employ 1-2 Registered Dieticians who will perform nutrition education in our communities. The nutrition education program will be focused at locations such as congregate meal sites, senior centers, churches, and local health departments. AAA 1-B's goal is to host at least one nutrition education per county to offer older adults the comfort of attending based on the county in which they reside. The agency hopes to expand its nutritional program in years two and three of the multi -year plan. Page 20 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 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. C 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. According to the National Council on Aging, 80% of older adults have at least one chronic condition, and 68% have 2 or more chronic conditions. Of the top 10 chronic conditions hypertension (58%), high cholesterol (47%), and diabetes (27%) all ranked within the top 5. All three (3) of these chronic conditions mentioned can be prevented or self -managed through proper nutrition, and proper nutrition begins with nutrition education. By providing nutritional education to the growing population of older adults, seniors can benefit from better health and proper self -management activities to reduce the occurrence of unnecessary exacerbations as well as prevent the progression of their chronic disease. This in turn, also reduces health care costs for the senior as well as cost savings in healthcare. Describe the discussion, if any, at the public hearings related to this request. Include the date of the hearing(s). A brief discussion was held during the May 5th public hearing session related to the need of additional nutrition services for older adults, especially as the older adult population continues to rise at a rapid rate in southeast Michigan. Page 21 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Regional Direct Service Request It is expected that regionally defined services will be provided under contracts with community -based service providers, but when appropriate, a provision to provide such regional services directly by the area agency may be approved by the CSA. Regional direct -service provision by the area agency may be appropriate when, in the judgment of the ACLS Bureau: A) provision is necessary to ensure an adequate supply; B) the service is directly related to the area agency's administrative functions; or C) a service can be provided by the area agency more economically than any available contractor, and with comparable quality. Area agencies requesting permission 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 the left after a screen refresh. Select the link for the newly added regional service and enter the requested information pertaining to basis, justification and public hearing discussion for any regional direct service request for FY 2023-2025. Also specify in the appropriate text box for each service category the planned goals and activities that will be undertaken to provide the service. Since regional service definitions expire with the end of each multi -year plan period, please include any previously approved regional services the agency expects to continue providing directly, including COVID-19 policy -waiver -approved services. Address any discussion at the public hearing related to each regional direct service provision request. Reaional Direct Service Budaet details for FY 2023-2025 are to be included under the Direct Service Budget tab and the Support Services Detail 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. Please skip this section if the area agency is not planning on providing any regional services directly as of now. Total of Federal Dollars Geoaraohic Area 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. Page 22 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 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. Describe the discussion, if any, at the public hearings related to this request. Include the date of the hearing(s). Page 23 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Program Development Objectives Please provide information for all program development goals and objectives that will be actively addressed for this multi -year period, including the diversity, equity and inclusion goal outlined here. Diversity, Equity, and Inclusion Goal Aging and Community Living Services Bureau (ACLS) Operating Standards for Area Agencies on Aging have long required that preference be given to serving older persons in greatest social or economic need with particular attention to low-income minority elderly. Please refer to Operating Standards for Area Agencies on Aging sections C-2 and C4. With increased awareness of the effects of racial and ethnic disparities on the health, well-being, and lifespans of individuals, the State Plan on Aging for FY 2023-2025 has implemented goals that relate to identifying and increasing services to black, indigenous and people of color as well as LGBTQ+ adults over age 60. Please assess and summarize how well the area agency is currently addressing accessibility of services for the groups listed above and complete the objective(s), strategies and activities that are Indicated for quality improvement in this area. Include planned efforts to: 1. Increase services provided to black, indigenous and people of color and the (LGBTQ+) communities. 2. Increase the number of area agency staff, providers and caregivers trained in implicit bias, cultural competencies, and root causes of racism. 3. Increase availability of linguistic translation services and communications based on the cultural needs in the region in which you serve. Goal: Improve the Accessibility of Services to Michigan's Communities and People of Color, Immigrants and LGBTQ+ Individuals. The area agency must enter each program development goal in the appropriate text box. It is acceptable, though not required, that some of the area agency's program development goals correspond to the ACLS Bureau's State Plan Goals (listed in the Documents Library). 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. There are also text boxes for the timeline, planned activities and expected outcomes for each objective. Additional instructions on completing the Program Development section can be found in the Documents Library. Area Agency on Aging Goal Page 24 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan Area Agency On Aging 1-B A. Develop resources to support aging service program growth. State Goal Match: 3, 4 FY 2023 Annual Implementation Plan FY 2023 Narrative Narrative: The AAA 1-13 provides leadership on advocacy issues within the region and state by directly influencing decision makers through the provision of information and analysis of older adult needs, researching the impact of programs and policies, and facilitating the direct involvement of older adults in advocacy on their own behalf. Advocacy efforts relating to funding services will focus on expanding resources needed to satisfy the demand for services. Advocacy efforts relative to other priority services will emphasize effecting policy and systems change to make these services more responsive to the needs of older persons. Program development priorities will receive advocacy attention emphasizing support for research, demonstration projects, and development of innovative partnerships. Public resources to support the independence and quality of life of older adults are inadequate as evidenced by wait times for key services and gaps in the service delivery system. The projected annual growth in the Region 1-13 older adult population implies that current public resources will not be able to match the population growth. The AAA 1-13 is committed to diversifying and growing funding for older adult programs to support the needs of older adults. Grant -based contributions present opportunities to support needed innovations in service delivery that improve program performance and participant outcomes. Objectives Increase AAA 1-13 capacity to secure additional funding resources. Timeline: 10/01/2022 to 09/30/2025 Activities 1.i. Enhance AAA 1-13 fundraising strategy to grow the agency donor base and increase the annual amount of donated funds. ii. Increase AAA 1-13 grant -seeking activities to support program innovation and enhancement. Expected Outcome The AAA 1-13 will expend increased amounts of donated funds for older adult services. 2. Implement the AAA 1-13 Advocacy Strategy to secure increased state, federal, and/or local support for older adult services, including support for the direct care workforce. Timeline: 10/01/2022 to 09/30/2025 Activities 1.i. Educate advocacy stakeholders about policy solutions for issues impacting older adults, caregivers and direct care workers. ii. Produce and promote tools that support older adult advocacy efforts including monthly editions of The Advocate, the AAA 1-13 Legislative Advocacy Platform, Legislative Analysis, and written Calls to Action. iii. Engage in direct communications with elected officials about older adult issues through face-to-face contacts and written communications. iv. Support collaborative advocacy efforts with state and local partners. Page 25 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 Expected Outcome Increased appropriations and new policies and programs will be realized, which will enhance the lives of older adults, adults with disabilities and their family caregivers. B. Expand access to and awareness of aging services. State Goal Match: 1, 2 Narrative The Region 1-13 population over the age of sixty is projected to grow by nearly 30% by the year 2045, while the population over the age of eighty is projected to almost triple by the year 2045. Concurrently, the number of residents who are of caregiving age who can serve as a family caregiver is decreasing. In 2015 there were 7.2 AAA 1-13 residents of caregiving age for every AAA 1-13 senior age 80 and older. By 2040 there will only be 2.3 AAA 1-B residents of caregiver age for every AAA 1-13 resident age 80 and older, accounting for a 68% ratio decline. Expanding the reach of, awareness of, and access to aging services is critical to adequately provide support to the growing number of older adults and their informal caregivers. Obiectives 1. Increase the awareness of first responders on how the Area Agency on Aging 1-B can help older adults and family caregivers. Timeline: 10/01/2022 to 09/30/2025 Activities 1.Provide presentations and educational opportunities to first responders about the Agency and how we help older adults and family caregivers. Expected Outcome 136 increase the number of referrals made by first responders to older adults and/or family members to the Agency. 2. Develop additional resources for caregivers which will improve their confidence and ability to care for their loved one Timeline: 10/01/2022 to 09/30/2025 Activities 1.i. Provide caregivers with access to the Care Academy el -earning program to provide skill -based training ii. Encourage communities to take the Caregiver Friendly Community Self -Assessment and enact improvements to their caregiver support resources. iii. Reduce the barriers to accessing programs and services by providing additional support to and follow up with higher risk older family caregivers using our information and referral service. iv. Explore opportunities to expand the caregiver coaching program to kinship caregivers. Page 26 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 Expected Outcome 1.i. Caregivers will gain practical knowledge that increases their capacity to provide quality care and prevent burnout. ii. Communities will enact systems change that supports family caregivers. iii. An increase in the percentage of higher risk older adults and family caregivers who connect with local programs and services. C. Modernize programs and services to enable older adults to age in place. State Goal Match: 4 Narrative Narrative: The AAA 1-13 is committed to data driven advocacy and policy development that is based on evidence of the cost-effective approaches of aging programs and their preventive effect on negative quality of life, health outcomes, and avoidable health expenditures. The AAA 1-B is committed to work with its contractors and ACLS Bureau to evaluate services offered and service standards to ensure services are meeting the needs of older adults in their homes and the community. By focusing on modernization of systems and procedures, the AAA 1-B will ensure older adults have access to services to enable them to age in place, while the AAA 1-B and its network of contractors and vendors will gain efficiencies in their ability to deliver services. Obiectives 1. Ensure high risk older adults have access to supportive services Timeline: 10/01/2022 to 09/30/2025 Activities 1.i. Review the wait list prioritization processes to assure highest -need individuals receive services ii. Collaborate with contracted service providers to share best practices to address social isolation iii. Establish new network communication to facilitate collaboration between AAA 1-B and our vendor network. Expected Outcome 11 Older adults with the highest level of need who are requesting in -home and other ACLS Bureau -funded services will receive them faster. ii. Older adults and caregivers experiencing social isolation will receive increased support, resulting in lower levels of social isolation. 2. Implement IT System improvements to increase efficiency in providing programs and services. Timeline: 10/01/2022 to 09/30/2025 Activities 1.Transition to a new Electronic Medical Record (EMR) software for aging service programs. Page 27 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 Expected Outcome 1.i. Improve the quality and quantity of data collection and extraction to anticipate current and future resource needs. ii. Improve the quality and accuracy of assessment documentation captured to improve participant health outcomes. iii. Improve staff efficiency in providing ACLS Bureau services. D. Improve the Accessibility of Services to Michigan's Communities and People of Color, Immigrants and LGBTQ+ Individuals. State Goal Match: 1 Narrative Michigan's communities and people of color, immigrants, and LGBTQ+ individuals experience a disproportionate amount of negative health impacts. The AAA 1-B is committed to serving individuals in these communities, providing culturally competent services that address social determinants of health. The AAA 1-B requires contractors to complete targeting plans to reach eligible persons with greatest social and/or economic need with attention to low-income minority individuals, and/or individuals with limited English proficiency. The AAA 1-B additionally recommends targeting of Hispanics and/or Lesbian, Gay, Bi-Sexual, Transgender and Queer (LGBTQ) older adults. "Substantial Emphasis" is regarded as an effort to serve a greater percentage of older persons with economic and/or social needs than their relative percentage to the total elderly population within the geographic service area. AAA 1-B direct service The AAA 1-B is committed to providing training on an ongoing basis to all employees, thereby maintaining relevant and current diversity, equity & inclusion, and implicit bias knowledge and skillsets. Through an interactive virtual workshop, participants engage in discussions and exercises around understanding the origin of biases and how they may impact decisions, perceptions, and interactions in the context of diversity, equity & inclusion, and implicit biases. The AAA 1-B general agency information for Outreach purposes is available in Spanish, Simplified Chinese, Arabic, and Russian. The AAA 1-B website contains translated pages, in those same languages that provide information on how we help older adults and family caregivers. In FY 2021, the AAA 1-B assisted 209 callers using the Language Line. The largest percentage of minorities assisted were Arabic (57%), Somali (9%), Spanish (7%), Albanian (6%), and Mandarin/Cantonese (5%). Other minority -speaking individuals supported included Bengali, Chaldean, Macedonian, Russian, and Hindi. Obiectives 1. Ensure staff at the AAA 1-B and subcontracting agencies is knowledgeable about DE and unconscious bias. Timeline: 10/01/2022 to 09/30/2025 Page 28 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Activities 1.i. Provide all AAA 1-B employees with diversity, equity & inclusion (DEI) training annually. ii. Provide a live online training with interactive discussions and learning to its subcontracting agencies including diversity, equity, and inclusion. Expected Outcome 1.Increased utilization of both direct and contracted services by minority caregivers /older adults. 2. Provide outreach and education to minority and underserved populations to increase access to understanding what services and programs are available through the AAA 1-B. Timeline: 10/01/2022 to 09/30/2025 Activities 1.1. Continue to build on existing relationships with local organizations serving minority populations to provide information and education to their community. ii. Review and implement, where feasible, translation services for on-line presentations including education and public hearings. Expected Outcome 1.Continue growth in the number of minority older adults and/or family caregivers who contact the AAA 1-B for information and assistance services. Page 29 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Supplemental Documents The Supplemental Documents listed below must be included if marked "Required" or if they are applicable to your area agency. Fillable copies of documents A through F can be found in the list on the left below. Select the applicable document(s) from the list and provide all requested information for each. Note that older versions of these documents will not be accepted and should not be uploaded as separate documents. Membership Documents A. Policy Board Membership - Required B. Advisory Council Membership - Required Documents Requiring Special Approval by the CSA C. Proposal Selection Criteria - only include if there are new or changed criteria for selecting providers. D. Cash -In -Lieu -Of -Commodity Agreement - only include if applicable E. Waiver of Minimum Percentage of a Priority Service Category - only include if the area agency is requesting to use local resources to meet part of the minimum required expenditure for a priority service category F. Request to Transfer Funds - only include if applicable Page 30 of 195 Printed On: 5/26/2022 STATE OF MIOHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 SUPPLEMENTAL DOCUMENT A Board of Directors Membership Native Persons= Asian/Pacific African Hispanic n/ with =- Islander America American Origin Alaskan - Disabilities Membership 2 1 0 Demographics Aged 60 and Over 1 1 0 - Board Member Name Geographic Area - - Commissioner Dawn Asper Monroe County Ron Borngesser Oakland County (Jeff Change Howard Collens Kelli Dobner (Sandra Hann Macomb County Michelle Hodges (Commissioner Penny Luebs Oakland County Kathy Lyall Commissioner Julie Matuza Macomb County (Tom Miree Washtenaw County (Commissioner Wes Nakagiri Livingston County Hamza Osto (Sue -Anne Sweeney (Barbara Turner Monroe County 0 0 0 0 Affiliation County Board of Commissioners County Older Adult Representative Business/Information Technology Legal Philanthropy County Older Adult Representative Finance County Board of Commissioners Healthcare/Health Insurance County Board of Commissioners County Older Adult Representative County Board of Commissioners Medical/Telehealth Gerontology/Geriatrics County Older Adult Representative Female Total Membership 9 16 6 9 _Membership Status Elected Official Appointed Community Representative 1 Community Representative 1 Community Representative 1 Appointed 1 Community Representative Elected Official Community Representative1 Elected Official 1 Appointed Elected Official Community Representative Community Representative Appointed Page 31 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-13 Marc Zwick Finance FY 2023 Annual Implementation Plan FY 2023 (Community Representative Page 32 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 SUPPLEMENTAL DOCUMENT B Advisory Board Membership Asian! African Native - , Persons Hispanic Female with TotalMembershi Pacific American/A- American Origin p Islander - - - - _ - - laskan Disabilities_ Membership 0 2 0 0 1 9 16 Demographics Aged 60 and Over 0 2 0 0 1 6 12 Geographic Area Board Member Nam® Geo Affiliation Ruth Dunkle Education/Gerontology GloriaEdwardsWashtenaw County Older Adult Representative (Steve Faine Oakland County Older Adult Representative (Jim Forrer Nonprofit/Charity IJyme Hager Title 1116 Nutrition Provider Catherine Martin UAW Retirees Floreine Mentel Monroe County Older Adult Representative Vanessa Matti DSP Provider Christina Murray Veteran's Administration Daniel Sier Macomb County Older Adult Representative David Soltis Local Government Official (Joseph Sucher Oakland County Older Adult Representative Mark Swanson Livingston County Older Adult Representative Carol Thompson DSP Provider Carol Weidenbach Macomb County Older Adult Representative Tom Zaremba Washtenaw County Older Adult Representative Page 33 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan SUPPLEMENTAL DOCUMENT D Agreement for Receipt of Supplemental Cash -In -Lieu of Commodity Payments for the Nutrition Program for the Elderly FY 2023 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: I2,500,000 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. Page 34 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Scope of Services FY 2023 The COVID pandemic has highlighted the importance of the aging service network. People over age 65 comprised 75 percent of COVID deaths in the US, or one in 100 people in that age group by the end of 2021. Fear of contracting the virus has caused long-term social isolation, resulting in serious physical and emotional health effects. The growing availability of supports delivered remotely has been of great assistance. Maintaining adequate services for those who are homebound and their caregivers will continue to be essential. Burdens on family caregivers have increased due to the closure of some in -person services because of the pandemic as well as because of the direct care worker shortage. Most people with dementia live at home, supported by family and friends. Evidence -based interventions are effective methods for supporting both the person living with dementia and their caregivers. Aging service providers can provide services and support to maintain independence with referrals to healthcare professionals as appropriate. Though we have long known that racial and ethnic minorities, the LGBTQ+ community and other disadvantaged groups have higher rates of disease and early death, the factors that lead to discrimination have not been fully explored. Growing determination to address diversity, equity and inclusion are leading us to look wholistically at discrimination concerns with an eye toward eliminating disparities and micro -aggressions. Constantly changing service demand challenges make it essential that the area agency carefully evaluate the potential, priority, targeted, and unmet needs of its service population(s) to form the basis for an effective PSA Scope of Services and Planned Services Array strategy. Provide a response to the following service population evaluation questions to document service population(s) needs as a basis for the area agency's strategy for its regional Scope of Services. 1. Describe key changes and current demographic trends since the last MYP to provide a picture of the potentially eligible service population using census, elder -economic indexes or other relevant sources of information. According to the 2020 American Community Survey, individuals aged 60 and older make up 24% of the 1-B Region's population, with 705,743 older adults living in Region 1-B. This represents a 5% population increase from the 669,351 older adults in the region at the start of the last MYP. The 60 and older population is up 29% from the 2010 census. SEMCOG estimates that the Region 1-B older adult population will reach 982,609 by 2045. During this MYP, Region 1-B's 65+ population is predicted to grow by 154,402 seniors, an average of approximately 141 seniors per day. 2.2% of the older adult population is 85 and older. The population of people 60 and older in Region 1-B is racially diverse. According to the 2020 American Community Survey, the minority population in Region 1-8 increased from 13.7% in the previous MYP to 15.2% of the 60+ population. The largest non -white older adult populations in Region 1-8 are Black or African -American (8.3%), Asian (3.2%), and Hispanic/Latinx* (1.4%). Page 35 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Region 1-B has the largest population of Limited English Proficient older adults compared to other areas of the state. Region 1-13's 65+ Limited English Proficient (LEP) population is 5.3% (25,538), whereas there are 53,297 LEP older adults statewide. The 2020 American Community Survey reveals that the poverty rate for the age 60 and over population in Region 1-B has remained consistent since the previous MYP, with 7.2% of older adults living below the poverty line, and 13.0% living below 150% of the poverty line. By 2045, the population of people over the age of eighty in Region 1-B is projected to nearly triple, while concurrently the number of residents of caregiving age (ages 45-64) who can serve as a family caregiver are projected to decrease. By 2030 there will only be 3.6 AAA 1-B residents of caregiver age for every AAA 1-13 resident age 80 and older. Additional notable demographic statistics are that currently 28% of Region 1-B's older adult population has a disability, and nearly 26% of individuals aged 60+ live alone. `We use the term Latinx because it is gender neutral. 2. Describe identified eligible service population(s) characteristics in terms of identified needs, conditions, health care coverage, preferences, trends, etc. Include older persons as well as caregivers and persons with disabilities in your discussion. Participants at AAA 1-B's November 2021 listening sessions identified top priorities and needs for older adults, caregivers, and service providers in the community. The 66 participants at the two listening sessions identified many areas of need, such as prevention of elder abuse and financial exploitation, kinship care support, housing, mental health and social isolation, and transportation as additional priorities for older adults and caregivers in the community. The AAA 1-13 requested feedback via a survey of listening session participants, as well as service providers and community members who did not attend the listening sessions. 277 individuals completed the survey, which is used to develop our service priority ranking. In addition to the needs stated above, respondents identified installation of home safety devices, minor home repair, public education about resources, and transportation for in -home service participants as top priorities. When asked to identify key areas to focus on to serve older adults, the top themes were in -home services, homemaking, respite, and chore services. A 2021 report from the Center for Health and Research Information (CHRT) estimates that 23% of adults in Michigan (1.7 million) provide unpaid care to another adult. AARP estimates there are approximately 377,000 family caregivers in Region 1-B. A 2019 Needs Assessment conducted by AAA 1-B found that approximately 27% of all respondents in Region 1-B provided unpaid care to an adult relative or friend. AAA 1-B continues to recognize the need to support and provide training to the growing caregiver community that extends throughout our six -county region. There are approximately 1.4 million persons with disabilities in Michigan and in Region 1-B alone there are 370,014. This is 26% of the total Michigan disabled population. Of the 60+ population in Region 1-13, 28% are a person with a disability. Page 36 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Diabetes is a prevalent chronic health condition within the 1-B Region. The MDHHS' 2020 Behavioral Risk Factor Survey reports that state diabetes rates are higher than the national median rate, with an estimated 12.3% of adults and more than 23.9% of adults age 75 and older receiving a diabetes diagnosis. AARP's 2018 Disrupting Disparities Report found that two-thirds of Michigan older adults say they have one or more health conditions. The most common health conditions were high blood pressure, diabetes, heart disease, and mental health issues such as depression. Twelve percent of these individuals reported having gone without necessary care due to cost, lack of transportation, or lack of available timely appointments. These findings suggest a need for increased health and wellness programming focused on healthy eating and physical activity. The 2017 American Community Survey shows high levels of health insurance coverage for those over age 65; only 0.4% of Region 1 B's 65+ population is uninsured. A continuing concern identified during both the listening sessions and the service prioritization survey is the direct care workforce shortage and inability to meet the demands of the rapidly growing older adult population in the region. Older adults are concerned about their ability to find and keep well -trained in -home care workers when they need them. These concerns reinforce the need for the AAA 1-B to work with partners, maximize efficiency and continue advocating for solutions to this problem. 3. Describe the area agency's Targeting Strategy (eligible persons with greatest social and/or economic need with particular attention to low-income minority individuals) for the MYP cycle including planned outreach efforts with underserved populations and indicate how specific targeting expectations are developed for service contracts. The AAA 1-B is privileged to serve a racially, ethnically, religiously, and otherwise diverse older adult community in our six -county region. While the AAA 1-B and the aging network serve all older individuals, the AAA 1-13 emphasizes outreach and service to traditionally underserved low-income minority populations. Over the next three years, the AAA 1-13 will continue improving and expanding services to low-income, racial/ethnic minority, limited English proficient, and LGBTQ older adults a priority. Contracted service providers are expected to analyze the demographic composition of the areas they serve, select one underserved/priority population group for focused outreach, and develop tactics to serve this population. The provider network is also encouraged to target outreach and services to the LGBTQ older adult and caregiver population, who traditionally are underserved and isolated. 4. Describe the agency's past practices, current activities and plans for addressing the needs of people living with dementia and their caregivers. The AAA 1-B has several protocols in place to identify and meet the needs of persons living with dementia and their caregivers. When individuals or caregivers contact the AAA 1-B information and assistance resource center seeking dementia -specific resources, they are provided relevant services and resources from the AAA 1-13's resource database. The resource database contains hundreds of dementia -specific resources that meet the AIRS criteria. Page 37 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 If an individual enrolled in the AAA 1-B Community Living Program has cognitive challenges noted during enrollment or follow-up assessments, the participant and their caregiver may be provided with dementia -specific resources, as needed. The AAA 1-B's clinical staff (supports coordinators and case workers) receive quarterly trainings on various topics for professional development, which at least annually include dementia -related topics. The AAA 1-13 provides several education and support programs for caregivers of persons living with dementia. The Caregiver Coaching program provided one-on-one peer support for family and informal caregivers, several of whom are dementia caregivers. The volunteer caregiver coaches are regularly provided information on supporting dementia caregivers. The AAA 1-13 offers an on-line training and education platform with several dementia -specific resources. The AAA 1-B provides Dementia Friends information sessions to its staff and community. Dementia Friends is an informational program that aims to increase awareness of dementia and encourage community members to work toward the creation of a dementia -friendly community, 5. When a customer desires services not funded under the MYP or available where they live, describe the options the area agency offers. Any older adult or caregiver seeking services through the AAA 1-13 generally accesses services by speaking with an AAA 1-6 Resource Specialist in the call center or working through a partner agency. Resource Specialists assess what programs or services a person may need or is eligible to receive. While AAA 1-13 is fortunate to offer a wide variety of services through ACLS bureau funds, local match, senior millages, grants, and other fund sources in the area, in circumstances where the person needs an unfunded service then all attempts are made to provide the person with a list of options. The AAA 1-B's Resource Center database contains thousands of resources to help older adults and caregivers obtain the services they need, The AAA 1-13's data system also tracks unmet needs and we use this data as part of our program development activities. Individuals on the waiting list for the Community Living Program are contacted annually and offered the options counseling service to identify needs and develop strategies to meet these needs using any available community resources. Individuals currently enrolled in the Community Living Program who need additional resources work with community health workers and/or supports coordinators to identify options. 6. Describe the area agency's priorities for addressing identified unmet needs within the PSA for FY 2020-2022 MYP. The AAA 1-B uses a variety of means to determine unmet needs, including but not limited to: advisory council input, community listening sessions, stakeholder surveys with advocates and providers, satisfaction surveys with participants, regular feedback from service providers, Ad Hoc study committees, waitlist data, information and assistance caller needs data, Census data, SEMCOG population trend and projection data, as well as national, regional, and local research and other data sources. Many of these data sources are available on the AAA 1-B website for public review. The AAA 1-13 recognizes that unmet needs exist within the region, and takes the following actions to address Page 38 of 195 Printed On: 5I26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 them: 1) Maintains relationships with service providers who may be able to meet the needs, and makes appropriate referrals; 2) Works with contract and direct purchase providers to encourage innovation in delivery and programs to meet these needs; 3) Allocates program development dollars to implement pilot projects that ultimately will meet these needs; 4) Uses leveraged partnerships and grants to meet these needs The AAA 1-B is committed to funding nutritious meals to individuals eligible for the older adult nutrition program. Older Americans Act funding for nutrition services is allocated to home -delivered and congregate meal programs. Each year, as allowed by the Older Americans Act, the AAA 1-B requests and receives approval from ACLS Bureau to transfer congregate meal funds to the home -delivered program to avoid creating a wait list for this most vital of services. The AAA 1-B hosted two community listening sessions and issued a survey in November 2021 to collect feedback and input on community needs and service prioritization for the FY 2023-2025 Multi -Year Plan. Installation of home safety devices, minor home repairs, public education about resources, and transportation were ranked as top priorities in the survey. The most cited unmet needs and priority service areas mentioned at the community listening sessions were social isolation and mental health, transportation, support for grandparents raising grandchildren, affordable and accessible housing, and help preventing and reporting elder abuse and financial exploitation. Funded services are informed by the community listening sessions and priority survey when there is additional funding to allocate toward services or when funding cuts are required. This information is used by the AAA 1-B when planning for grant -funded pilot programs. In some cases, there is insufficient funding available to address the unmet need. Transportation is a persistent unmet need and satisfying all the transportation demands within the AAA 1-B's broad geographic serving area would deplete much of the AAA 1-B's public funding. At this time, the AAA 1-B funds limited transportation for eligible Community Living Program participants, subject to the ACLS Bureau transportation service definition. To address this unmet need, the AAA 1-B devotes considerable leveraged resources to advocate for transportation options for those who cannot or do not drive. Individuals are also directed to the AAA 1-B's myride2 mobility management service. Mobility specialists are able to identify low-cost options and assist callers with making transportation arrangements. 7. Where program resources are insufficient to meet the demand for services, reference how your service system plans to prioritize clients waiting to receive services, based on social, functional and economic needs. Due to the inability to meet the demand for in -home services offered through its Community Living Program (CLP), the AAA 1-B has implemented a prioritization strategy using a star ranking system that is based on social, functional, and economic needs. Individuals enrolled in CLP are assigned stars depending on their individual circumstances and need. The fewer the stars, the higher they rank on the queue to be served. The ACLS Bureau services plan is included below. ACLS Bureau Services Tarqetinq Plan Per the ACLS Bureau Operating Standards for Service Programs, "Where program resources are insufficient to meet the demand for services, each service program shall establish and utilize written Page 39 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 procedures for prioritizing clients waiting to receive services, based on social, functional and economic needs." Definitions per the Operating Standards - Social Need: isolation, living alone, age 75+, minority, non-English speaker - Functional Need: handicap per Americans with Disabilities Act (ADA), activities of daily living (ADL) limitation, mental/physical inability to perform specific tasks, acute or chronic health conditions - Economic Need: eligible for income assistance programs, self -declared income below 125% of poverty If a participant meets the following criteria, they will automatically receive the highest priority for service: Active Adult Protective Services (APS) case, Hospice, Regional Transfers, Caregiver Burnout. In AAA 1-B contracted service programs, when program resources are insufficient to meet the demand for services, each service program must establish and utilize written procedures for prioritizing participants wanting to receive services, based on social, functional and economic needs. Indicating factors are included for: - Social Need — isolation, living alone, age 75 or over, minority group member, non-English speaking, etc. - Functional Need — disabled (as defined by the Rehabilitation Act of 1973 or the Americans with Disabilities Act), limitations in activities of daily living, mental or physical inability to perform specific tasks, acute and/or chronic health conditions, etc. - Economic Need — eligibility for low-income assistance programs, self -declared income at or below 125% of the poverty threshold, etc. 8. Summarize the area agency Advisory Council input or recommendations (if any) on service population priorities, unmet needs priorities and strategies to address service needs. The AAA 1-B Advisory Council reviewed feedback from AAA 1-B MYP Community Listening Sessions and the FY 2023-2025 Service Prioritization survey results during their February 2022 meeting.Advisory Council members emphasized the importance of the Home Delivered Meal program as a core service provided by aging network providers in Region 1-B.Personal Care services were also identified as an essential service providing care and connection for older adults. Unmet needs identified by Advisory Council members included the need for additional information about the value of Hospice care in the community.For the Home Delivered Meal program, rising food costs were identified as a concern for providers.Social Isolation was identified as an ongoing need in the community, with concern for senior mental health and suicide rates during the COVID-19 pandemic. Council members recommended utilizing Home Delivered Meal volunteers to identify individuals at risk for social isolation. Training for Home Delivered Meal drivers could include information about identifying signs of social isolation. Future opportunities could include partnerships with local food banks to provide additional food for older adults. Strategies to address social isolation and suicide among older adults could include providing information about proper prescription drug disposal and connecting older adults socially through technology. Page 40 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 9. Summarize how the area agency utilizes information, education, and prevention to help limit and delay penetration of eligible target populations into the service system and maximize judicious use of available funded resources. Through, the AAA 1-B Resource Specialists provide comprehensive information and assistance, which consists of person -centered referrals to help support older adults, and/or their family caregivers, to remain living as independently as possible. The Resource Specialists encourage individuals to call back if their needs change and they may benefit from additional services.For callers that would benefit from additional support provided by referral organizations, a Resource Specialist will, with permission of the individual, initiate a warm transfer call to ensure the older adult or caregiver connects with a key referral. The Resource Specialists will make follow-up calls to older adults or family caregivers who they feel may be at risk for not following through on the information provided. The AAA 1-B offers several evidence -based wellness programs that provide health education and prevention strategies. Programs include A Matter of Balance, on strategies for fall prevention, Aging Mastery Program, PATH (Personal Action Toward Health), Diabetes PATH, and Chronic Pain PATH self -management workshops. Educational wellness programs increase self -efficacy and can delay participants' need for further services. The AAA 1-B provides several trainings for family and informal caregivers, including the Aging Mastery Program for Caregivers, Powerful Tools for Caregivers, Caregiving Survival seminar(s) with Jill Gafner, and a new on-line training and education platform for caregivers. The Caregiver Coaching program provides caregivers with one-on-one peer support from trained, vetted volunteers. The AAA 1-B is also providing Dementia Friends for staff and the community to bring more awareness to the needs of persons with dementia living in our communities. To increase the effectiveness of funding, the AAA 1-B systematically prioritizes services that encourage independence and aging in place including: home delivered meals, community living program (in -home services), information & assistance, home injury control, elder abuse prevention, and adult day health services (including dementia adult day care). Prioritization is determined by a combination of assessed community needs and input from our community members. The AAA 1-B prioritizes service delivery to best reach participants most in need of assistance, maximizing services to low-income participants, participants age 75 and over, participants that need assistance with multiple activities of daily living (ADLs), and participants in other circumstances that make them, especially in need of services. These dual prioritization systems allow us to maximize the impact of our limited funds. The agency focuses on various aspects of outreach including community and workplace presentations, event participation, building and maintaining a comprehensive website, social media, public and media relations, in addition to a monthly newsletter, producing a bi-annual resource guide and targeted emails and direct mail campaigns. Building awareness of the agency and the services we directly provide and fund in the community is vital to helping family caregivers and older adults learn and access these programs and services when the need is identified. We are focused on eliminating the phrase " I wish I had known about your agency when...". Page 41 of 195 Printed On: 5/26/2022 STATE OF MIGHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 10. Identify the five service categories receiving the most funds and the five service categories with the greatest number of anticipated participants. Service Categories Receiving Most Funds: Case Coordination & Support Congregate Meals Home Delivered Meals Homemaking Respite Service Categories with Greatest Anticipated Participants: Congregate Meals Home Delivered Meals Information & Assistance Long -Term Care Ombudsman Outreach 11. Describe the area agency's efforts to ensure diversity, equity, and inclusion, including how the agency ensures that staff at their agency and subcontracting agencies is diverse, equitable, inclusive and knowledgeable of the harms of implicit bias? All AAA 1-B employees receive diversity, equity & inclusion (DEI), and Implicit Bias (IB) training in addition to various topics annually for professional development. Diversity, Equity & Inclusion, and Implicit Bias trainings are provided biennially for non -clinical employees, and annually for clinical employees ( next all Agency DEI & IB training to be conducted approximately Q2 2023). New Hires will be enrolled in our LGBTQIA training within the first 6 months of employment.Attending employees will receive continuing education credits for their attendance (if available), and/or a certificate of completion. AAA 1-B will provide live online training with interactive discussions and learning to its subcontracting agencies, which will include diversity, equity, and inclusion and knowledge of the harms of implicit bias. Page 42 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Planned Service Array FY 2023 Complete the FY 2023-2025 MYP/AIP Planned Service Array form for your PSA. Indicate the appropriate placement for each ACLS Bureau service category and regional service definition. Unless noted otherwise, services are understood to be available PSA-wide. Contracted by Area Agency Local Millage Funded Participant Private Pay Access • Outreach • Transportation • Care Management' • Outreach * • Transportation • Options Counseling " Care Management Transportation In -Home • Chore • Home Care Assistance • Home Injury Control • Homemaking • Home Delivered Meals • Medication Management • Personal Care • Assistive Devices & Technologies • Respite Care • Chore * • Home Care Assistance * • Home Injury Control • Homemaking * • Home Delivered Meals * • Personal Care • Respite Care * • Friendly Reassurance • Chore • Home Care Assistance • Home Injury Control • Homemaking • Home Delivered Meals • Home Health Aide • Medication Management • Personal Care • Assistive Devices & Technologies • Respite Care • Friendly Reassurance Community • Adult Day Services • Dementia Adult Day Care • Congregate Meals • Disease Prevention/Health Promotion • Assistance to the Hearing Impaired and Deaf • Legal Assistance • Programs for Prevention of Elder Abuse, Neglect, and Exploitation • Caregiver Supplemental Services • Caregiver Education, Support and Training • Adult Day Services * • Dementia Adult Day Care • Congregate Meals • Nutrition Education • Assistance to the Hearing Impaired and Deaf ` • Home Repair * • Legal Assistance * • Senior Center Operations • Senior Center Staffing • Counseling Services * • Kinship Support Services " • Adult Day Services • Dementia Adult Day Care • Nutrition Counseling • Nutrition Education • Disease Prevention/Health Promotion • Health Screening • Assistance to the Hearing Impaired and Deaf • Home Repair • Legal Assistance • Vision Services • Counseling Services Page 43 of 195 Printed On: 5/26J2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Provided by Area • Care Management Agency - Case Coordination and Support • Information and Assistance • Outreach • Options Counseling Not PSA-wide FY 2023 • Nutrition Education • Disease Prevention/Health Promotion • Long-term Care Ombudsman/Advocacy • Caregiver Education, Support and Training Page 44 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Planned Service Array Narrative Describe the area agency's rationaleistrategy for selecting the services funded under the MYP/AIP in contrast to services funded by other resources within the PSA, especially for services not available PSA-wide. Instructions Use the provided text box to present the Planned Service Array narrative. The AAA 1-B determines the services funded by analyzing: 1) input from local and regional stakeholders, including AAA 1-B program participants, service providers, Board of Directors members, Advisory Council members, advocacy groups, county commissioners, and human service collaborative bodies; 2) program participants' demand for services; 3) call center data; 4) regional, state and national data on aging services, program needs, and waitlists; 5) impact of services on health and medical outcomes; 6) availability of services throughout the region; and 7) direct feedback from community members at local community listening sessions and through an online service prioritization survey. Two out of six counties and several municipalities in Region 1-B have a senior millage that support services in their area, allowing a more comprehensive array of services available in the areas supported by senior millage funding. We work closely with our partners at the local level to ensure the funding is utilized to provide the highest priority services. Page 45 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2026 Multi Year Plan Area Agency On Aging 1-B Strategic Planning FY 2023 Annual Implementation Plan FY 2023 Strategic planning is essential to the success of any area agency on aging to carry out its mission, remain viable and capable of being customer sensitive, demonstrate positive outcomes for persons served, and meet programmatic and financial requirements of the ACLS Bureau. Agencies must be proactive in establishing safeguards in case of internet failure, hacking, or other connectivity issues. The increasing frequency of climate -related disruptions make emergency planning a priority. All area agencies are engaged in some level of strategic planning, especially given the changing and competitive environment that is emerging in the aging and long -term -care services network. Provide responses below to the following strategic planning considerations for the area agency's MYP. 1. Describe your process to analyze your agency's strengths, weaknesses, opportunities and threats. The AAA 1-13 leadership team conducted an environmental analysis and engaged in several discussions to develop the SWOT analysis below. Strengths - Staff knowledge, skill sets and commitment to the mission - Strong financial position and grant performance - Quality focused resulting in high customer satisfaction - Competency in developing key partnerships with local organizations Weaknesses - Heavy reliance on state and federal funding - Technology challenges that reduce efficiency - Clinical staff retention - Competitive vendor rate payments Opportunities - Expand current business opportunities with healthcare entities - Investigate opportunities within behavioral health services and older adults - Leverage the focus on social determinants of health by the healthcare industry - Advocacy to increase state and federal funding of older adult services Threats - Changes to the structure of the MI Choice Medicaid Waiver Program - Increased industry demand for nurses and social workers - Potential federal funding reductions - Direct care worker shortage impacting service delivery Page 46 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 2. Describe how a potentially greater or lesser future role for the area agency with the Home and Community Based Services (HCBS) Waiver and/or managed health care could impact the organization. The AAA 1-B budget is comprised of state and federal funding for Older Americans Act programs, private donations, county match dollars, and revenue from MI Health Link, MI Choice, and other grants, contracts, and partnerships. To maintain the practice of allocating 97% of agency revenues to services, we leverage administrative and overhead expenses among non-OAA programs. The AAA 1-B strategic plan for FY 2023-25 will continue to focus on the growth of non-public sources of revenue, through contracted services delivered to entities in the health care space: health plans, hospital -based health systems, senior living communities, foundations, and other businesses that would benefit from AAA 1-13 expertise and breadth of long term supports and services. Exploratory investigations will be undertaken to consider new and strengthened partnerships with managed health care organizations and other lines of new business. Revenue from these opportunities may be reinvested into the agency's core OlderAmericans Act programs which will support the agency mission. Reduced roles with health systems will produce the opposite outcomes and further fragment the region's service delivery system. 3. Describe what the area agency would plan to do if there was a ten percent reduction in funding from the ACLS Bureau. In the event of 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 are protected. The following considerations are made: 1. Service utilization, waitlists, recent funding increases or decreases, and/or alternative funding sources will be considered before to determining any reductions. 2. Services will be reduced or eliminated based on our FY 2023-2025 Service Prioritization survey, based on a community survey conducted in November 2021. Priority services are: Home Safety (Home Injury Control), Public Education about Resources, and In -home Services (Transportation, Personal Emergency Response, In -home Respite and Homemaking). The full AAA 1-B Services Priority Ranking can be found in the Public Hearings section of this document. 3. Operationally, AAA 1-B shall retain a workforce that ensures critical operations are delivered. Discretionary spending will be prioritized based on the need to maintain critical operations. The AAA 1-B is prioritizing one-time investments with temporary covid-related funding, so service programs do not experience major disruptions when funding ceases. 4. Describe what direction the area agency is planning to go in the future with respect to pursuing, achieving or maintaining accreditation(s) such as National Center for Quality Assurance (NCQA), Commission on Accreditation of Rehabilitation Facilities (CARF), Joint Commission on Accreditation of Hospitals (JCAH), or other accrediting body, or pursuing additional accreditations The AAA 1-B has secured and will maintain NCQA accreditation for Case Management for Long Term Supports and Services.This direction was chosen because NCQA is the most recognized health care accrediting agency, and our strategic direction will emphasize partnerships with other healthcare entities. Page 47 of 195 Printed On: 5/26/2022 STATE OF Mic IFIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 5. Describe in what ways the area agency is planning to use technology to support efficient operations, effective service delivery and performance, and quality improvement. Technology helps drive business efficiencies in all areas including service delivery, performance, and quality improvement. Key AAA 1-13 focus areas that are driving outcomes through the support of technology include analysis and adoption of: 1. Investigate opportunities to use new technology to provide one-on-one contact with participants or family caregivers remotely to provide information, improve health outcomes and reduce hospital utilization. 2. Implementation of a Contract Management Software System. 3. Continue to leverage technology to create reports that drive quality measures and outcomes, including the utilization of expensive acute care services, Emergency Department visits, hospitalizations, falls etc. 4. Continue to use Infographics to communicate key messages on agency outcomes. 5. Continue to use online training technologies for staff and provider training. 6. Explore the utilization of predictive technologies to anticipate and prevent acute care events that lead to emergency room and hospital use. 7. Transitioning to a new Electronic Medical Record (EMR) software will bring efficiency to operations, effective service delivery and performance, and enhance quality improvements. 8. Utilization of software for scheduling assessments in clinical programs to drive efficiency in staff time and reduce travel costs by bundling appointments in geographic area. 9. Continue to provide virtual programming, such as webinars, virtual Caregiver Coaching, and virtual Medicare and Medicaid Assistance Program counseling, to reach a wider audience and to provide services that are accessible to the needs of the participants. 6. Describe your agency's emergency planning system, how planning is updated and whether back-up systems are adequate to maintain services during potential disruptions. Area Agency on Aging 1-13 (AAA 1-13) has an Emergency Preparedness Plan (EPP). The EPP was last reviewed and updated on July 2021 and sent to ACLS Field Representative. EPP is currently under review for further revisions, May 2022 and will submit the updated EPP to ACLS Field Representative upon completion. The AAA 1-B has established an emergency preparedness committee. All individuals on the AAA 1-13 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 have access to 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. The report includes high -risk homebound individuals, sorted by county, who would need assistance through first responders and/or the AAA 1-13 in the event of emergency situations. AAA 1-B Supports Coordinators will conduct outreach to program participants to ensure health and safety, services are received, and coordinate resource needed. AAA 1-13 will work collaboratively with its service contractors and provider network to ensure critical services are delivered to program participants. All nutrition providers send out emergency meals packs with a minimum of six shelf -stable meals and instructions on using such meals. They are replenished as necessary. Emergency meals are distributed to Page 48 of 195 Printed on: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 each new participant and are replaced as used within a reasonable time period. Nutrition Providers also 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 home delivered meals or congregate programs should the kitchen become unavailable. Page 49 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Advocacy Strategy Describe the area agency's comprehensive advocacy strategy for FY 2023-2025. Describe how the area agency's advocacy efforts will improve the quality of life of older adults within the PSA. Also give an update on current advocacy efforts. See Operating Standards for Area Agencies on Aging section C-6. Include initiatives, if any, the area agency is pursuing regarding recruitment, training, wages, diversity and inclusion, credentialing, etc. related to the direct care workforce shortage. Also identify area agency best or promising practices, if any, that could possibly be used in other areas of the state. Enter your advocacy strategy in the dialogue box. The AAA 1-B advocacy efforts will focus on issues identified as priorities in the AAA 1-B Advocacy Platform and emerging issues identified during the planning period. Advocacy efforts relating to service funding will focus on expanding resources to satisfy the demand for services. Advocacy efforts relative to other priority services will emphasize effecting policy and systems change to make these services more responsive to the needs of older persons. Program development priorities will receive advocacy attention emphasizing support for research, demonstration projects, and the development of innovative partnerships. The AAA 1-B advocacy priorities and objectives are determined by the actions of the AAA 1-B Advisory Council and Board of Directors. The Advisory Council recommends policy positions to the Board of Directors through the work of its ad hoc study committees and review of issues at Advisory Council meetings. In addition, advocacy priorities will be influenced by the platform for Older Michiganians Day. Advocacy issue identification will also stem from the AAA 1-B Consumer Advisory Team, input from our collaborative partners, and in response to legislative or regulatory activity at the federal, state, or local levels. A specific emphasis will be placed on advocating for systems change, policies, and resources that will foster the rebalancing of Michigan's Medicaid long-term care services system and supporting the direct care workforce. The AAA 1-B will continue to prioritize providing leadership to the Silver Key Coalition, working towards the goal of making Michigan a no wait state by increasing allocations of state funds to address unmet need for in -home services funded through the ACLS Bureau. The AAA 1-B continues to advocate for a permanent direct care worker (DCW) wage increase and supports the professional ization of the workforce. Support for the direct care workforce was included in the AAA 1-B Legislative platform and has also been included in other advocacy efforts that have been supported by AAA 1-B, such as the Older Michiganian's Day Platform. Advocacy efforts towards supporting the direct care workforce also include advocating for a MI Choice capitation rate increase to incentivize individuals to join and remain in the direct care workforce. Region 1-B continues to work with advocacy groups in Michigan focused on improving the direct care workforce recruitment and retention to serve older adults. All advocacy activities are undertaken with special consideration given to the needs of targeted populations to assure that policies and programs are responsive to the needs of vulnerable, socially, and economically disadvantaged older persons. Page 50 of 195 Printed On: 5/26/2022 STATE OF MtGHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 The AAA 1-B strives to provide leadership on advocacy issues within Region 1-B and the state; directly influencing decision makers through the provision of information and analysis of older adult needs and facilitating the direct involvement of older adults in advocacy on their own behalf. The AAA 1-B Advocacy Blueprint describes the elements of the advocacy strategy that the AAA 1-B, through the efforts of senior advocates, Board and Council volunteer leadership, staff, and other interested parties, will undertake to fulfill the mission to advocate for the needs of older adults: SENIOR ADVOCATES Senior Advocacv Network (SAN) The SAN is a network of individuals and organizations committed to following public policy issues that affect older adults and speaking out on behalf of the needs of older persons. Members of the SAN receive informational mailings on various issues from the AAA 1-B; call, write, and speak with elected officials and other key decision makers; attend public information sessions; and provide leadership in urging others to be active senior advocates. Michioan Senior Advocates Council (MSAC) The AAA 1-B appoints representatives to the MSAC. These representatives also sit on the AAA 1-B Advisory Council. MSAC members meet monthly in Lansing when the legislature is in session. They review introduced bills of importance to older persons, formulate positions on these bills, provide testimony before legislative committees, and regularly meet with their elected representatives to advocate on a wide range of issues. AAA 1-B Advisory Council and Board of Directors The AAA 1-8 Advisory Council and Board of Directors are charged with the responsibility to aggressively advocate on behalf of older adults in their region. They accomplish this by arriving at positions relative to bills introduced at the state and federal levels, commenting on proposed policies and regulations, and by providing testimony at various hearings, forums, and meetings. AAA 1-B Staff As part of the AAA 1-B, staff are charged with advocating on behalf of older adults consistent with the agency's mission, and advocacy permeates the agency. Staff at the AAA 1-B coordinate advocacy efforts, serve as "front line" advocates (i.e., care managers), and educate others about the needs and unmet needs of older adults in the region (e.g., family caregivers, the aging network, other stakeholders). MI Choice Consumer Advisory Team The MI Choice Consumer Advisory Team (CAT) is a group of MI Choice Medicaid Waiver consumers and caregivers whose purpose is to advise the AAA 1-8 on matters related to MI Choice and to serve as a voice and advocate for current and potential MI Choice participants. Advocacy is a standing agenda item during the CAT's quarterly meetings. The CAT has taken positions on legislative issues and advocated on behalf of MI Choice participants through letter writing and meeting with key administrative and elected officials. ADVOCACY TOOLS The Advocate The AAA 1-B produces the The Advocate newsletter monthly to educate advocates about current issues of concern. The Advocate is distributed electronically and as a paper copy. Through The Advocate, senior advocates can track pending and passed legislation on the local, state and federal levels, learn about Page 51 of 195 Printed On: 5/2612022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-13 FY 2023 Annual Implementation Plan upcoming advocacy events, and get tips for advocating more effectively. Leaislative Analvses FY 2023 In addition to The Advocate, the AAA 1-B provides an analysis of legislation pertinent to older adults. The legislative analyses are provided to the AAA 1-B Advisory Council and Board of Directors to facilitate their decision making of whether to advocate for or against a particular bill. Upon approval of the Board, the appropriate persons (staff, volunteers, senior advocates) use the analysis to educate elected officials regarding the pros or cons of the bills and the potential effect on older adults. AAA 1-B Advocacv Platform The AAA 1-B sets advocacy issue priorities in conjunction with the Board of Directors and Advisory Council by publishing a Legislative Platform. The platform is established on a biannual basis, coinciding with the start of each new legislative session. The platform outlines key issues impacting older adults and the AAA 1-B's position on each issue. AAA 1-B staff can respond quickly to policy issues outlined in the platform, as the agency's position has been established. The platform is shared with advocates and elected officials and is published on the AAA 1-B website. Advocacv Website Oftentimes advocacy action is needed quickly. Therefore, the AAA 1-B utilizes the advocacy portion of the AAA 1-B website to keep advocates informed on the most recent developments and expedite advocacy action when needed. ADVOCACY ACTIVITIES Legislative Visits Regular face-to-face and virtual contact with elected officials and their staff is a key component of the AAA 1-B Advocacy Blueprint. The AAA 1-B plans regular visits or virtual meetings with the legislators from Region 1-B. Older Michiaanians Day The statewide Older Michiganians Day offers opportunities for advocates to gather and hear about local issues of importance and to advocate on behalf of the statewide OMD legislative platform. Direct Testimonv The AAA 1-B, in collaboration with older adults, advocates, and service providers, will testify before elected and appointed officials on issues of concern to older adults, as opportunities arise. Research AAA 1-B advocacy is data -driven, and the agency regularly undertakes research to quantify unmet needs, develop solutions, and educate decision makers about public policy issues. State Commission on Services to the Aqina Prioritv Areas Each of the Commission's four priority areas, Transportation, Support for the Direct Care Worker shortage, Elder Abuse Prevention, and Eliminating Wait Lists by expanding access to ACLS Bureau in -home services, are included in the AAA 1-13's biannual advocacy platform, which is included as an attachment in the appendix. This sets these four areas as priorities for our advocacy efforts, enabling advocacy staff to respond quickly to new developments in these policy areas using the tactics described above. Page 52 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan Area Agency On Aging 1-B FY 2023 Annual Implementation Plan FY 2023 Best Practices The AAA 1-B has provided leadership to the statewide Silver Key Coalition, advancing advocacy to make Michigan a no -wait list state, successfully securing increased appropriations towards this goal. Page 53 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 Leveraged Partnerships Describe the area agency's strategy for FY 2023.2025 to partner with providers of services funded by other resources, as indicated in the PSA Planned Service Array. 1. Include, at a minimum, plans to leverage resources with organizations in the following categories: a. Commissions Councils and Departments on Aging. b. Health Care Organizations/Systems (e.g. hospitals, health plans, Federally Qualified Health Centers) c. Public Health. d. Mental Health. e. Community Action Agencies. f. Centers for Independent Living. g. Other The AAA 1-B is involved in various collaborations and development activities designed to enhance our ability to fulfill our mission, identify opportunities to achieve greater efficiencies, diversify our funding, reduce waitlists, and fill the gaps resulting from the aging of the population without commensurate increases in funding. Listed below are various activities the AAA 1-8 is engaged in to help ensure success in meeting strategic objectives: MI Health Link The AAA 1-B remains committed to participation in the MI Health Link Integrated Care Pilot in Macomb County. The AAA 1-8 contracts as a provider with three integrated care organizations to offer one or more of the following services to the dually -eligible population residing in Macomb County: service coordination, provider network management, case assessments, and other long-term care coordination services. This program leverages our assessment and service delivery expertise for disabled and aging adults. Enhanced customer service and quality improvement strategies are being implemented using lean principles for cost containment. Veterans Administration The AAA 1-B continues to be committed to participate and contracting with our local Veteran Administrations to provide Veteran Directed Home and Community Based Services (VD-HCBS). VD-HCBS is a long-term care option for veterans who are eligible for long-term care, regardless of age. The VA contracts with the AAA 1-B for care coordination that supports veterans' ability to receive long-term supports and services to stay in their home setting of their preference while maintaining safety and independence. Care Coordination includes options counseling to a comprehensive assessment of the veteran's strengths and areas of need to develop a veteran directed plan of care. This program aims allow veterans to remain living in their preferred setting with proper supports and services in place to remain safe and independent and avoid long term nursing home placement. McLaren Health Plan McLaren Health Plan has contracted with the AAA 1-B to provide Community Health Worker services to its Medicaid members upon transition from hospitalization back to their home setting. The contract is designed to use CHWs to conduct home visits to assess barriers to healthy living and accessing health care. The model is designed to reduce hospital readmissions by providing education, coordinating services, and ensuring discharge instructions are followed. The Community Health Worker, provided through AAA 1-8, works with McLaren Care Managers to support successful transition by assessing barriers, linking and coordinating Page 54 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation plan Area Agency On Aging 1-B FY 2023 needed services, providing self -management skills, and ensuring proper discharge instruction follow through. Prioritv Health Priority Health has contracted with the AAA 1-B to provide a Registered Nurse (RN) to service its members diagnosed with Chronic Obstructive Pulmonary Disease (COPD) upon transition from hospitalization back to their home setting or those newly diagnosed. The contract is designed to use a nurse to conduct home visits and telephonic follow-up to assess for COPD education, medication management, and ensure follow through on hospital discharge instructions. The model is designed to reduce hospital readmissions for members with COPD by providing education, medication management, coordination with other health professionals, coordination of services, and ensuring discharge instructions are followed. The nurse, provided through AAA 1-B, works with Priority Health Telephonic Care Managers to support successful transition through COPD education, medication management, and coordination with health professionals and services as identified. AAA 1-13 oarticioates in the following orcanizations and committees: - Ascension Health Community Advisory Committee - Evidence Based Program Coordinators - Livingston County Consortium on Aging - Livingston Human Services Collaborative Body - Livingston Leadership Council on Aging - Macomb County Senior Advisory Committee - Macomb County Senior Nutrition Advisory Committee - Michigan AIRS (Alliance of Information and Referral Systems) Board of Directors - Michigan Dementia Coalition - Michigan Elder Abuse Task Force - Michigan Mobility Leaders - MMAP, Inc. Board of Directors - Monroe Aging Services Directors - Monroe County Aging Consortium - OLHSA Older Adult Advisory Council - Oakland County Senior Advisory Council - Professional Partners in Healthcare - Safe Drivers Smart Options Operating Committee - SAGE of Metro Detroit (Services and Advocacy for GLBT Elders) - SCAN (Senior Coordinating Aging Network) Macomb - SCAN (Senior Coordinating Aging Network) Oakland - Senior Mobility & Safety Action Team Page 55 of 195 Printed On: 5/26/2022 STATE or MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B - Senior Regional Collaborative (Oakland, Macomb, Washtenaw, and Wayne counties) - Southeast Michigan Council of Governments (SEMCOG) Executive Committee - SEMCOG Transportation Choices - Southeast Michigan Partners on PATH - St. Clair County Community Service Coordinating Body - St. Clair County Consortium on Aging - United Way Partner Network - Vital Seniors Initiative - Washtenaw County Healthy Aging Collaborative - Washtenaw County Mobility Leadership Circle - Washtenaw Health Initiative - WXYZ Community Advisory Board FY 2023 AAA 1-B works closely with commissions on aging in the Monroe, St. Clair, and Washtenaw counties, community action agencies, the two centers for independent living in our region, senior centers, and public health and mental health professionals in a variety of ways, including supporting planning efforts and advocating for programs. Several AAA 1-B subcontractors include Community Action Agencies and senior centers. The AAA 1-B is working to grow relationships with mental and public health professionals. 2. Describe the area agency's strategy for developing, sustaining, and building capacity for Evidence -Based Disease Prevention (EBDP) programs including the area agency's provider network EBDP capacity. The AAA 1-B will continue to provide evidence -based disease prevention (EBDP) programs directly and under contract in the community. The AAA 1-B will work closely with contractors to avoid duplication of services and identify unmet needs in the communities served. The AAA 1-B plans to continue providing the option of in -person and virtual classes to expand its reach to individuals with difficulties leaving home. The AAA 1-B will continue to explore the opportunity to offer new programs and expand its current EBDP programs to caregivers and older adults. The AAA 1-B will work over the next three years to identify grants and more sustainable revenue sources to help support programs, including the opportunity to work with insurance providers. 3. Describe the agency's strategy for developing non -formula resources and use of volunteers to support implementation of the MYP and increased service demand. The AAA 1-8 employs a multi -pronged approach to develop non -formula resources that include fundraising, grants to support new and existing programs, public/private partnerships for programs, and advocacy and support of the development of and/or expansion of local senior and alternative transportation millages. This strategy builds upon the AAA 1-13's programs, such as the myride2 mobility management program, and provides funding for Holiday Meals on Wheels. The AAA 1-B uses volunteers to support its Caregiver Coaching program as coaches to the caregiver participants. Using volunteers allows the program to be implemented at a lower cost than it would be if the coaches were paid employees. It provides volunteers with a meaningful way to give back to their community and share their skills. The growing needs of caregivers can be addressed on a one-on-one basis, which could not be easily achieved without a corps of dedicated volunteers. Page 56 of 195 Printed On: 5/26/2022 STATE of MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Community Focal Points Community Focal Points are visible and accessible points within communities where participants learn about and gain access to available services. Communit Focal Points are defined by region. Please review and update the listing of Community Focal Points for your PSA below and edit, make corrections and/or update as necessary. Please specifically note if updates have been made. Describe the rationale and method used to assess the ability to be a community focal point, including the definition of community. Explain the process by which community focal points are selected. The AAA 1-13 defines community focal points as locations within Region 1-13 where older adults and informal caregivers can access long-term support programs, services, social activities, and/or resources in their community. Community is defined as a place in which a person feels a sense of belonging, due to factors such as a shared geographic region, culture, and/or interests. The AAA 1-13 selected community focal points based on their status as active senior centers, cultural organizations, and community action agencies in Region 1-B. Community focal points are included in the AAA 1-13's information and assistance resource database and records are updated annually through a resource update request sent to the organizations. Services provided include: A. Chore Services B. Computer Classes C. Congregate Meals D. Driving Classes E. Education/Lifelong Learning F. Food Commodity Distribution G. Friendly Reassurance H. Health Screenings/Fairs I. Home Delivered meals J. Intergenerational Activities K. Legal Assistance L. Medicare/Medicaid Assistance M. Mobile Library N. Outreach (Home visits) O. Physical Fitness/Exercise P. Support Groups Q. Tax Filing Assistance R. Transportation S. Travel Programs T. Vision Services U. Hearing Impaired Services V. Volunteer Opportunities W. Other: SPECIFY Page 57 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Provide the following information for each focal point within the PSA. List all designated community focal points with name, address, telephone number, website, and contact person. This list should also include the services offered, geographic areas served and the approximate number of older persons in those areas. List your Community Focal Points in this format. Name: American Lung Association of Michigan Address: 1475 East 12 Mile Road, Madison Heights, MI 48071 Website: www.alam.org Telephone Number: (248)784-2000 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups Name: American Parkinson Disease Association Address: 135 Parkinson Avenue, Staten Island, NY 10305 Website: www.apdaparkinson.org Telephone Number: (718)981-8001 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups IParkinson's Disease Name: Angela Hospice Home Care Address: 14100 Newburgh Road, Livonia, MI 48154 Website: www.angelahospice.net Telephone Number: (734)464-7810 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Ann Arbor Community Center Address: 625 North Main, Ann Arbor, MI 48104 Website: www.annarbor-communitycenter.org/ Telephone Number: (734)662-3128 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Page 58 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Services Provided: Tax Preparation Assistance; Food; Tax Prep; Holiday Baskets Name: Ann Arbor District Library Address: 343 South Fifth Avenue, Ann Arbor, MI 48104 Website: www.aadl.org Telephone Number: (734)327-4200 Contact Person: Service Boundaries: Ann Arbor No. of persons within boundarv: Services Provided: Home Library Services Name: Ann Arbor District Library -Mallets Creek Branch Address: 3090 East Eisenhower Parkway, Ann Arbor, MI 48108 Website: www.aadl.org Telephone Number: (734)327-4200 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Home Library Services Name: Ann Arbor District Library -Pittsfield Branch Address: 2359 Oak Valley Drive, Ann Arbor, MI 48103 Website: www.aadl.org Telephone Number: (734)327-4200 Contact Person: Service Boundaries: Washtenaw No. of persons within boundarv: Services Provided: Home Library Services Name: Ann Arbor District Library-Traverwood Branch Address: 3333 Traverwood Drive, Ann Arbor, MI 48105 Website: www.aadl.org Telephone Number: (734)327-4200 Contact Person: Service Boundaries: Washtenaw No, of persons within boundary: Services Provided: Home Library Services Name: Ann Arbor District Library -West Branch FY 2023 Page 59 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Address: 2503 Jackson Road, Ann Arbor, Mli 48103 Website: www,aadl.org Telephone Number: (734)327-4200 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Home Library Services Name: Ann Arbor Senior Center Address: 1320 Baldwin, Ann Arbor, Ml 48104 Website: www.a2gov.org/senior Telephone Number: (734)794-6250 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Exercise Classes/Groups Name: Arab -American And Chaldean Council (ACC) Address: 363 West Big Beaver Rd., Suite 300Troy, MI 48084 Website: www.myacc.org Telephone Number: (248)559-1990 Contact Person: Service Boundaries: Macomb, Oakland No. of persons within boundary: Services Provided: Advocacy Name: Arden Courts of Bingham Farms Address: 24005 West 13 Mile Road, Bingham Farms, MI 48025 Website: www.hcr-manorcare.com Telephone Number: (248)644-8100 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Caregiver/Care Receiver Support Groups Name: Arden Courts of Sterling Heights Address: 11095 14 Mile Road, Sterling Heights, MI 48312 Website: www.hcr-manorcare.com Page 60 of 195 Printed On: 5/2612022 FY 2023 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 Telephone Number: (586)795-0998 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsjAlzheimer's Disease Name: Armada Township Senior Center Address: 75400 North Avenue, Armada, MI 48005 Website: http://www.armadatwp.org/ Telephone Number: (586)784-8050 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Arthritis Foundation of Michigan Address: 888 West Big Beaver, Suite 305, Troy, MI 48084 Website: www,arthritis.org/chapters/michigan Telephone Number: (248)649-2891 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Exercise Classes/GroupsjArthritis Name: Ascension Brighton Center for Recovery Address: 12851 Grand River Road, Brighton, MI 48116 Website: www.brightonhospital.org Telephone Number: (810)227-1211 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Alcohol Use Disorder Support Groups Name: Ascension Macomb -Oakland Hospital Address: 11800 East Twelve Mile Road, Warren, MI 48093 Website: https://healthcare.ascension.org Telephone Number: (586)573-5000 Contact Person: FY 2023 Page 61 of 195 Printed On: 512612022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Ascension Providence Hospital Address: 16001 West Nine Mile Road, Southfield, MI 48075 Website: www.stjohn.org/Providence/ Telephone Number: (248)849-3000 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups Name: Ascension Providence Rochester Hospital Address: 1101 West University Drive, Rochester, MI 48307 Website: https://healthcare.ascension.org Telephone Number: (248)652-5269 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups Name: First Step Address: 44567 Pinetree Drive, Plymouth, MI 48170 Website: www.firststep-mi.org Telephone Number: (734)722-6800 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Sexual Assault/Incest Support Groups Name: Focus Hope Address: 1300 Oakman Boulevard, Detroit, MI 48238 Website: www.FocusHope.edu Telephone Number: (313)494-4600 Contact Person: Service Boundaries: Macomb, Oakland, Washtenaw No. of persons within boundary: Services Provided: Commodity Supplemental Food Program Page 62 of 195 Printed On: 5/26/2022 FY 2023 STATE OF MICHIGAN BUREAU Michigan n�(Department goof ,Health &p Human +Services SUPPORTS +' 1 p �+ BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation plan Area Agency On Aging 1-B FY 2023 Name: Fowlerville Senior Center Address: 203 North Collins Road, Fowlerville, MI 48836 Website: Telephone Number: (517)223-3929 Contact Person: Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Legal Counseling; Health Screening; Computer Classes Name: Fraser Aquatics Address: 34270 Garfield, Door ##24, Fraser, MI Website: https://www.fraseraquatics.com/ Telephone Number: (586)439-7259 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Aquarobics/Aquatic Exercise Name: Fraser Senior Activity Center Address: 34935 Hidden Pine Drive, Fraser, MI 48026 Website: www.micityoffraser.com Telephone Number: (586)296-8483 Contact Person: Service Boundaries: Fraser No. of persons within boundary: Services Provided: Transportation; Exercise Classes; Senior Center; Travel Club Name: Frenchtown Senior Citizens Address: 2786 Vivian Road, Monroe, MI 48162 Website: www.frenchtownsenior.com Telephone Number: (734)243-6210 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Health EducationlAlzheimer's Disease; Support Groups; legal Counseling; Travel Clubs Name: Fresh Hope for Mental Health Page 63 of 195 Printed On: 5/26/2022 STATE OF MtCHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Address: 5421 N 103RD Street, Suite 100, Omaha, MI 68134 Website: https://freshhope.us Telephone Number: (888)815-4673 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Internet Support Groups Name: G. Lynn Campbell Branch Library Address: 1955 North Allen Road, Kimball, MI48074 Website: http://www.stclaircountylibrary.org Telephone Number: (810)982-9171 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Home Library Services Name: Gerry Kulick Community Center Address: 1201 Livernois, Ferndale, MI 48220 Website: http://www.ferndalemi.gov/parks-recreation Telephone Number: (248)544-6767 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Volunteer Opportunities IOlder Adults; Congregate Meals; Transportation; Tax Prep; Exercise Classes; Senior Center Name: Gilda's Club Metro Detroit Address: 3517 Rochester Road, Royal Oak, MI 48073 Website: www.glidasclubdetroit.org Telephone Number: (248)577-0800 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Great Lakes Caring Address: 30400 Telegraph, Suite 334, Bingham Farms, MI 48025 Website: Page 64 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Telephone Number: (248)530-3720 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Greater Detroit Agency For The Blind And Visually Impaired Address: 16625 Grand River Avenue, Detroit, MI 48227 Website: www.GDABVI.org Telephone Number: Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslBlindness Name: Gregory Senior Center Address: 128 Webb Street, Gregory, MI 48137 Nyma i Telephone Number: (517)851-8881 Contact Person: Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Hamburg Senior Center Address: 10407 Merrill, Hamburg Township, MI 48139 Website: www.hamburg.mi.us/senior Telephone Number: (810)222-1140 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Health Screenings; Exercise Classes; Computer Classes; Travel Clubs Name: Harrison Township Dial -A -Ride Address: 26980 Ballard, Harrison Township, MI 48045 Website: www.harrison-township.org Telephone Number: (586)466-1497 Contact Person: Page 65 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundarv: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Harrison Twp Non -Emergency Medical Transportation Hartland Senior Center 9525 Highland Road, Howell, MI 48843 www.hartlandseniorcenter.org (810)626-2135 Livingston Congregate Meals/Nutrition Sites; home Delivered meals; Transportation; Tax Prep; Health Screening; MMAP; Friendly Reassurance; Exercise Classes; Travel Club HAVEN 801 Vanguard, Pontiac, MI 48341 www.haven-oakiand.org (248)334-1284 Michigan Domestic Violence Support Groups Ascension St. John Hospital 22101 Moross, Detroit, MI 48236 https://healthcare.ascension.org (313)343-4000 Michigan Support Groups Name: Assistive Technology of Michigan Address: 43000 West 9 Mile Road, Suite 113, Novi, MI 48375 Website: www.atofmich.com Telephone Number: (248)348-7161 Contact Person: Service Boundaries: Michigan FY 2023 Page 66 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B No. of persons within boundary: Services Provided: Low Vision Aids Name: Lake Erie Transit (LET) Address: 1105 West Seventh Street, Monroe, MI 48161 Website: www,lakeerietransit.com Telephone Number: (734)242-6766 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: Lakeshore Legal Aid- Macomb Address: 30500 Van Dyke Avenue, Suite 601, Warren, MI 48093 Website: http://www.lakeshorelegalaid.org Telephone Number: (888)783-8190 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Legal Counseling Name: Lakeshore Legal Aid- Oakland Address: 16250 Northland Drive, Suite 363, Southfield, MI 48075 Website: http://www.takeshorelegalaid.org Telephone Number: (888)783-8190 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Legal Counseling Name: Lakeshore Legal Aid- St. Clair Address: 803 10th Avenue, Suite C, Port Huron, MI 48060 Website: www.lakeshorelegalaid.org Telephone Number: (888)783-8190 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: General Legal Aid FY 2023 Page 67 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Name: Lakeside Towers Address: 15000 Shoreline Drive, Sterling Heights, MI 48313 Website: www.ncr.org Telephone Number: (586)247-7411 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Legal Services of South Central Michigan Address: 3490 Belle Chase Way, Suite 50, Lansing, MI 48911 Website: https://Isscm.org Telephone Number: (888)783-8190 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: General Legal Aid Name: Lenox Township Senior Center Address: 63775 Gratiot, Lenox, MI 48050 Website: www.LenoxTwp.org Telephone Number: (586)727-2085 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Health Screening/Diagnostic Services; Exercise Classes Name: Lewy Body Dementia Association Address: 912 Killian Hill Road SW, Lilburn, GA 30047 Website: www.lbda.org Telephone Number: (800)539-9767 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslAlzheimer's Disease Name: Lighthouse Emergency Services Address: 46156 Woodward Avenue, Pontiac, MI 48342 FY 2023 Page 68 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual implementation Plan Area Agency On Aging 1-B Website: www.lighthouseoakiand.org Telephone Number: (248)920-6000 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Food Pantries; Tax Prep; Friendly Reassurance; Chore Name: Lighthouse Emergency Services -Clarkston Address: 5850 Dixie Highway, Clarkston, MI 48346 Website: www.lighthouseoakland.com Telephone Number: (248)920-6000 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Commodity Supplemental Food Program Name: Lighthouse Guild Address: 250 West 64th Street, New York, NY 10023 Website: www.fighthousegui[d.org Telephone Number: (800)284-4422 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslVisual Impairments Name: Lighthouse Outreach Center Address: 28571 Gratiot, Roseville, MI 48066 Website: http://Iighthousefoodbank.org/ Telephone Number: (586)776-1230 Contact Person: Service Boundaries: Macomb, Oakland No. of persons within boundary: Services Provided: Commodity Supplemental Food Program Name: Lincoln Senior Citizens Center Address: 8970 Whittaker, Ypsilanti, MI 48197 Website: http://www.lincolnkl2.org Telephone Number: (734)483-8366 FY 2023 Page 69 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Contact Person: Service Boundaries: Washtenaw No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Tax Prep; Health Screening; Exercise Classes; Computer Classes; Travel Club Name: Living Independence For Everyone Address: 2307 North Monroe, PO Box 646, Monroe, MI 48162 Website: www.lifemeals.org Telephone Number: (734)242-6800 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Home Delivered Meals Name: Livingston County Catholic Charities Address: 2020 East Grand River, Suite 104, Howell, MI 48843 Website: http://www.livingstoncatholiccharities.org/ Telephone Number: (517)545-5944 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation; MMAP; Friendly Reassurance; Support Groups Name: Livingston County Senior Nutrition Program Address: 9525 East Highland Road, Howell, MI 48843 Website: www.Icsnp.org Telephone Number: (810)632-2155 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: Home Delivered Meals Name: Hazel Park Senior Center Address: 620 West Woodward Heights Boulevard, Hazel Park, MI 48030 Website: www.hazelpark.org Telephone Number: (248)546-4093 Contact Person: Page 70 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Service Boundaries: Oakland No, of persons within boundarv: Services Provided: Volunteer Opportunities 1OlderAdults; Congregate Meals; Transportation; Health Screening; Vision Screening; Travel Clubs, Senior Center Name: Henry Ford Hospice Address: 33464 Schoenherr, Suite 140, Sterling Heights, MI 48312 Website: www.henryfbrd.com Telephone Number: (586)276-9500 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Henry Ford Medical Center Address: 6777 West Maple, West Bloomfield, MI 48322 Website: www.henryford.com Telephone Number: (248)325-1000 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups Name: Heritage Church Pantry Ministry Address: 44625 Schoenherr, Sterling Heights, MI 48313 Website: www.heritagechurch.com Telephone Number: (586)997-9490 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Bereavement Support Groups Name: Highland Activity Center Address: 209 North John Street, Highland, MI 48357 Website: www.highlandtwp.com Telephone Number: (248)887-1707 Contact Person: Service Boundaries: Highland, Milford, White lake No. of persons within boundarv: Page 71 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Volunteer OpportunitiesIOlder Adults; Congregate Meals; Transportation; Tax Preparation Assistance; Legal Counseling; Health Screenings; Exercise Classes; Travel Club; Senior Center; Home Library Services Name: Highland Township Public Library Address: 444 Beach Farm Circle, Highland, MI 48357 Website: https:/lhighlandlibrary.info/ Telephone Number: (248)887-2218 Contact Person: Service Boundaries: Highland Twp No. of persons within boundary: Services Provided: Home Library Services Name: Holly Area Transportation Address: 201 Elm Street, Holly, MI 48442 Website: Telephone Number: (248)634-9571 Contact Person: Service Boundaries: Holly, Holly Township, Groveland Township or Rose. No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: Hospice of Michigan Address: 2366 Oak Valley Drive, Ann Arbor, MI 48103 Website: www.hom.org Telephone Number: (734)662-5999 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Hospice of Michigan- Bloomfield Hills Address: 43097 Woodward, 102, Bloomfield Hills, MI 48302 Website: www.hom.org Telephone Number: (248)334-1310 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Page 72 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Name: Hospice of Michigan- Clinton Township Address: 39531 Garfield Road, Clinton Township, MI 48038 Website: www.hom.org Telephone Number: (586)263-8854 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Hospice of Michigan- Dearborn/Monroe Address: 3200 Greenfield Road, 250, Dearborn, MI 48120 Website: www.hom.org Telephone Number: (313)578-5080 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Livingston County United Way Address: 2980 Dorr Road, Brighton, MI 48816 Website: www.Icunitedway.org Telephone Number: (810)494-3000 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: Volunteer Recruitment/Placement Name: Livingston Essential Transportation Service Address: 3950 West Grand River, Howell, MI 48855 Website: www.livgov.com/lets Telephone Number: (517)546-6600 Contact Person: Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: LogistiCare Address: 26877 Northwestern Highway, Suite 211, Southfield, MI 48037 FY 2023 Page 73 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Website: https://www.logisticare.com/ Telephone Number: (866)569-1902 Contact Person: Service Boundaries: Oakland, Macomb No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: Macomb Community Action Center North Address: 30375 Clark Street, New Haven, MI 48048 Website: www.mca.macombgov.org Telephone Number: (586)749-5416 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Chore Name: Macomb Community Action Center South Address: 11370 Hupp Avenue, Warren, MI 48089 Website: www.mca.macombgov.org Telephone Number: (586)759-9150 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Chore Name: Macomb Community College (Center Campus) Address: 44575 Garfield Road, Clinton Township, MI 48038 Website: www.macomb.edu Telephone Number: (586)498-4000 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Computer Literacy Training Programs Name: Macomb Community College (South Campus) Address: 14500 East Twelve Mile Road, Warren, MI 48088 Website: www.macomb.edu Telephone Number: (586)498-4000 FY 2023 Page 74 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Computer Literacy Training Programs Name: Macomb Community College -Center For Health Careers Address: 14500 East Twelve Mile Road, Warren, MI 48088 Website: www.macomb.edu Telephone Number: (586)4984000 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Computer Literacy Training Programs Name: Macomb County Crisis Center Address: Location Confidential, Mt. Clemens, MI 48043 Website: http://www.mcspc.org/CrisisCenter.html Telephone Number: (586)307-9100 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Support Groups Name: Macomb County Michigan Ostomy Association Address: 8207 East 9 Mile Road, Warren, MI 48089 Website: www.ostomysupport-macomb.org Telephone Number: (877)849-2075 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Support Groups Name: Macomb County Office of Senior Services Address: 21885 Dunham Road, Suite 10, Clinton Township, MI 48036 Website: wvvw.mca.macombgov.org Telephone Number: (586)469-5228 Contact Person: Service Boundaries: Macomb FY 2023 Page 75 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundarv: Services Provided: Home delivered Meals; Tax Prep; MMAP; Chore; Friendly Reassurance Name: Macomb Library For The Blind And Print Disabled Address: 40900 Romeo Plank Road, Clinton Township, MI 48038 Website: www.empl.org/mlbpd Telephone Number: (586)286-1580 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Home Library Services Name: Association of Chinese Americans Address: 32585 Concord Drive, Madison Heights, MI 48071 Website: www.acadetroit.org Telephone Number: (248)585-9343 Contact Person: Service Boundaries: Oakland, Macomb No. of persons within boundary: Services Provided: Outreach ProgramsjChinese Community Name: Auburn Hills Department of Senior Services Address: 1827 North Squirrel, Auburn Hills, MI 48326 Website: www.auburnhills.org Telephone Number: (248)370-9353 Contact Person: Service Boundaries: Auburn Hills No. of persons within boundary: Services Provided: Support Groups; Transportation; Tax Prep; Legal Counseling; MMAP; Computer Classes; Travel Club; Senior Center; Health Screenings; Chore Name: Baldwin Public Library Address: 300 West Merrill Street, Birmingham, MI 48009 Website: www.baldwinlib.org Telephone Number: (248)647-1700 Contact Person: Service Boundaries: Beverly Hills, Birmingham, Bloomfield Hills and Bingham Farms. No. of persons within boundarv: Page 76 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Computer Literacy Training Programs; Home Library Services Name: Beaumont Health Center Address: 4949 Coolidge Highway, Royal Oak, MI 48073 Website: Telephone Number: (248)655-5800 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Driving Evaluation Name: Beaumont Hospital- Farmington Hills Address: 28050 Grand River, Farmington Hills, MI 48336 Website: www.botsford.org Telephone Number: (248)471-8000 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Exercise Classes/Groups Name: Bedford Senior Center Address: 1653 Samaria Road, Temperance, MI 48182 Website: Telephone Number: (734)856-3330 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites' Home delivered Meals; Transportation; Legal Counseling; Health Screening; MMAP; exercise classes Name: Berkley Public Library Address: 3155 Coolidge Highway, Berkley, MI 48072 Website: www.berkley.lib.mi.us Telephone Number: (248)658-3440 Contact Person: Service Boundaries: Berkley No. of persons within boundary: Services Provided: Home Library Services Name: Berkley Recreation Department Page 77 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Address: 2400 Robina, Berkley, MI 48072 Website: www.berkleymich.org Telephone Number: (248)658-3470 Contact Person: Service Boundaries: Berkley No. of persons within boundary: Services Provided: Transportation; Tax Prep; Friendly Reassurance; Exercise Classes; Travel Club; Senior Center Name: Blair Memorial Library Address: 416 North Main, Clawson, MI 48017 Website: www.clawson.lib.mi.us Telephone Number: (248)588-5500 Contact Person: Service Boundaries: Clawson No. of persons within boundary: Services Provided: Home Library Services Name: Bloomfield Township Public Library Address: 1099 Lone Pine Road, Bloomfield Township, MI 48302 Website: www.btpi.org Telephone Number: (248)642-5800 Contact Person: Service Boundaries: Bloomfield Twp No. of persons within boundary: Services Provided: Home Library Services Name: Maximum Living Consultants Address: 3604 Clarkston Road, Suite 102, Clarkston, MI 48348 Website: wvvw.maximumlivingconsult.com Telephone Number: (248)814-0706 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Bereavement Support Groups Name: McLaren Macomb Address: 1000 Harrington Boulevard, Mt. Clemens, MI 48043 Website: http://www.melaren.org Page 78 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Telephone Number: Contact Person: Service Boundaries: No. of persons within boundarv: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundarv: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: (586)493-8000 Michigan Support Group MDA of Metro Detroit 161 North Clark Street, Suite 3550, Chicago, IL 60601 www.mda.org (734)416-7076 Michigan Support GroupslMuscular Dystrophy Messias Temple Church 200 Harriet Street, Ypsilanti, MI 48197 hftps://www.messiastemple.org/ (734)483-8092 Washtenaw Congregate Meals/Nutrition Sites Name: Michigan Alzheimer's Disease Center Address: 2101 Commonwealth Boulevard, Suite D, Ann Arbor, MI 48105 Website: https://alzheimers.med.umich.edu/ Telephone Number: (734)936-8803 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslDementia Name: Michigan Department of State- Driver Assessment Section Address: PO Box 30810, Lansing, MI 48909 Website: www.michigan.gov/sos Telephone Number: (517)335-7051 Contact Person: FY 2023 Page 79 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Service Boundaries: Michigan No. of persons within boundary: Services Provided: Driving Evaluation Name: Michigan Lupus Foundation Address: 29433 Southfield Road, Suite 210, Southfield, MI 48076 Website: www.milupus.org Telephone Number: (800)705-6677 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsiLupus Erythematosus Name: Blue Water Area Transportation Address: 2021 Lapeer Avenue, Port Huron, MI 48060 Website: www.bwbus.com or www.bwatc.com Telephone Number: (810)987-7373 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: Blue Water Community Action Address: 3403 Lapeer Road, Port Huron, MI 48060 Website: www.bwcaa.org Telephone Number: (810)982-8541 Contact Person: Service Boundaries: St Clair No. of persons within boundary: Services Provided: Commodity Supplemental Food Program Name: Bowens Senior Center Address: 52 Bagley Street, Pontiac, M148341 Website: http://www.bowenseniorcenter.org/ Telephone Number: (248)758-3240 Contact Person: Service Boundaries: Oakland No. of persons within boundary: FY 2023 Page 80 of 195 Printed on: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Volunteer Opportunities IOlder Adults; Congregate Meals; Health Screenings; Exercise Classes; Travel Clubs; Senior Center Name: Braille and Talking Book Library Address: 702 West Kalamazoo, PO BOX 30007, Lansing, MI 48909 Website: www.michigan.gov/leo Telephone Number: (800)992-9012 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Home Library Services Name: Brain Injury Association of Michigan Address: 7305 Grand River, Suite 100, Brighton, MI 48114 Website: www.biami.org Telephone Number: (810)229-5880 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsIBrain Injuries Name: Brandon Township Library Address: 304 South Street, Ortonville, MI 48462 Website: www.brandonlibrary.org Telephone Number: (248)627-1460 Contact Person: Service Boundaries: Brandon Township, Ortonville No. of persons within boundary: Services Provided: Home Library Services Name: Brighton District Library Address: 100 Library Drive, Brighton, MI 48116 Website: www.brightonlibrary.info Telephone Number: (810)229-6571 Contact Person: Service Boundaries: Brighton No. of persons within boundarv: Services Provided: Home Library Services Name: Brighton Senior Center Page 81 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Address: 850 Spencer, Brighton, MI 48116 Website: https://brightonschools.digitalsignup.com/ Telephone Number: (810)299-3817 Contact Person: Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Transportation; Tax Prep; Health Screening; Exercise Classes; Computer Classes; Name: Brookdale Farmington Hills North Address: 27950 Drake Road, Farmington Hills, MI 48331 Website: https://www.brookdale.com Telephone Number: (248)489-9362 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslAlzheimer's Disease Name: Brown Chapel A M E Church Address: 1043 West Michigan Avenue, Ypsilanti, MI 48197 Website: www.bcamecy.org Telephone Number: (734)482-7050 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Hospice of Michigan- Southfield Address: 400 Galleria Officentre , Suite 400, Southfield, MI 48034 Website: www.hom.org Telephone Number: (248)353-2070 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Bereavement Support Groups Name: Howell Senior Center Address: 1661 North Latson Road, Howell, MI 48843 Website: www.howellrecreation.org Page 82 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Telephone Number: (517)545-0219 Contact Person: Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Tax Preparation Assistance Name: Huntington Woods Gillham Recreation Center Address: 26325 Scotia Road, Huntington Woods, MI 48070 Website: www.recreation.hwmi.org Telephone Number: (248)541-3030 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Huntington Woods Public Library Address: 26415 Scotia, Huntington Woods, MI 48070 Website: https://huntingtonwoodslib.org/ Telephone Number: (248)543-9720 Contact Person: Service Boundaries: Huntington Woods, Pleasant Ridge No. of persons within boundarv: Services Provided: Home Library Services Name: Huntington's Disease Society of America Address: 505 Eighth Avenue, Suite 902, New York, NY 10018 Website: www.hdsa.org Telephone Number: (212)242-1968 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support GroupslHuntington's Disease Name: Huntington's Disease Society of America -Michigan Chapter Address: 1221 Bowers Street, PO Box 1091, Birmingham, MI 48012-9998 Website: www.michigan.hdsa.org Telephone Number: (989)832-4170 Contact Person: Page 83 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslHuntington's Disease Name: Independence Township Senior Community Center Address: 6000 Clarkston Road, Clarkston, MI 48348 Website: Telephone Number: (248)625-8231 Contact Person: Service Boundaries: Michigan No, of persons within boundary: Services Provided: Support GroupsiVisual Impairments; Volunter Opportunities; Congregate Meals; Transportation; Tax Preparation; Legal Counseling; MMAP; Exercise Classes; Travel Classes; Bereavement Support Groups Name: Independence Village of Brighton Valley Address: 7700 Nemco Way, Brighton, MI 48116 Website: www.independencevillages.com Telephone Number: (810)227-7666 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsjAlzheimer's Disease Name: Interfaith Volunteer Caregivers Address: 8075 Ritter, Center Line, MI 48015 Website: www.mcivc.org Telephone Number: (586)757-5551 Contact Person: Service Boundaries: Macomb, Oakland No. of persons within boundary: Services Provided: Chore; Transportation; Friendly Reassurance Name: IRS Taxpayer Assistance Center Address: 500 Woodward Avenue, Detroit, MI 48226 Website: www.irs.gov Telephone Number: (313)628-3722 Contact Person: Service Boundaries: Michigan Page 84 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundarv: Services Provided: Tax Preparation Assistance Name: Italian American Cultural Society Address: 43843 Romeo Plank Road, Clinton Township, MI 48038 Website: www.iacsonline.com Telephone Number: (586)226-2597 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Health Screening/Diagnostic Services Name: Bureau of Services for Blind Persons Address: 702 West Kalamazoo Street, PO BOX 30652, Lansing, MI 48909 Website: https://www.michigan.gov/bsbp Telephone Number: (800)292-4200 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Low Vision Aids Name: Cancer Care Address: 275 Seventh Avenue, New York, NY 10001 Website: www.cancercare.org Telephone Number: (800)813-4673 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslCancer Name: Carriage Circle Apartments Address: 255 Carriage Circle, Pontiac, MI 48342 tkyiyffi:ffi Telephone Number: (248)332-8345 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Page 85 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023J Name: Catholic Charities of SE Michigan Adult Day Service- St. Clair Shores Address: 23401 Jefferson Avenue, St. Clair Shores, MI 48080 Website: http://ccsem.org/ Telephone Number: (586)412-8494 Contact Person: Service Boundaries: Macomb No, of persons within boundary: Services Provided: Adult Day Health Programs Name: Catholic Charities of Southeast Michigan Address: 1424 East 11 Mile Road, Royal Oak, MI 48067 Website: http://ccsem.org/ Telephone Number: (248)548-4044 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Substance Use Disorder Counseling Name: Macomb Township Address: 54111 Broughton Road, Macomb, MI 48042 Website: www.macomb-mi.gov Telephone Number: (586)992-0710 Contact Person: Service Boundaries: Macomb Twp No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: Madison Heights Active Adult Center Address: 29448 John R, Madison Heights, MI 48071 Website: www.ci.madison-heights,mi.us Telephone Number: (248)545-3464 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Volunteer Opportunities 1OlderAdults; Congregate Meals; Transportation; Chore; Exercise Classes; Computer Classes; Travel Club; Senior Center Name: Madison Heights Public Library Address: 240 West 13 Mile Road, Madison Heights, MI 48071 Page 86 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary FY 2023 www, mad ison-heights.org/library (248)588-7763 Madison Heights Home library Services Manchester Area Senior Citizens Council PO Box 31, Manchester, MI 48158 hftp://blueprintforaging.org/ (517)456-4962 Washtenaw Congregate Meals/Nutrition Sites, Home delivered meals Manchester Family Service PO Box 471, Manchester, MI 48158 www.manchester-mi.org (734)428-7183 Bridgewater, Freedom, Manchester or Sharon Townships or the Manchester school district. Services Provided: Commodity Supplemental Food Program Name: Maplegrove Center Address: 6773 West Maple Road, West Bloomfield, MI 48322 Website: www.henryford.com Telephone Number: Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Alcohol Use Disorder Support Groups Name: Marvin Blank Senior Center Address: 51210 Alma Drive, Macomb, MI 48042 Website: Telephone Number: (586)992-2900 Page 87 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Travel Clubs Name: City of Huntington Woods Community Center Address: 26325 Scotia, Huntington Woods, MI 48070 Website: http://www.hwmi.org/ Telephone Number: (248)541-3030 Contact Person: Service Boundaries: Huntington Woods No. of persons within boundarv: Services Provided: Transportation; Health Screenings; Friendly Reassurance; Senior Center Name: City of Novi Older Adult Services Address: 45175 Ten Mile Road, Novi, MI 48375 Website: www.cityofnovi.org Telephone Number: (248)347-0414 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Outreach Programs lChinese Community; Volunteer Opportunities; Food Commodities; Congregate Meals; Tax Prep; Transportation; Health Screenings; MMAP; Friendly Reassurance; Exercise Classes, Senior Center; Travel Club Name: City of Richmond -Parks and Recreation Department Address: 36164 Festival Drive, Richmond, MI 48062 Website: www.cityofrichmond.net Telephone Number: (586)727-3064 Contact Person: Service Boundaries: Richmond No. of persons within boundarv: Services Provided: Travel Clubs Name: City of St. Clair Address: 547 North Carney, St. Clair, MI 48079 Website: www.cityofstclair.com Telephone Number: (810)329-7121 Page 88 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 Contact Person: Service Boundaries: City of St. Clair No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: Clarkston Independence District Library Address: 6495 Clarkston Road, Clarkston, MI 48346 Website: www.cidlibrary.org Telephone Number: (248)625-2212 Contact Person: Service Boundaries: Independence Twp., Clarkston. No. of persons within boundarv: Services Provided: Home Library Services Name: Clawson Senior Center Address: 509 Fisher Court, Clawson, MI 48017 Website: www.cityofclawson.com Telephone Number: (248)583-6700 Contact Person: Service Boundaries: Clawson No. of persons within boundarv: Services Provided: Volunteer Opportunities 1OlderAdults; Congregate Meals; Home Delivered Meals; Transportation; Tax Preparation Assistance; Chore; Senior Center Name: Clinton Place Address: 147 North River Court, Mt. Clemens, MI 48043 Website: https://www.clintonplaceapts.com/ Telephone Number: (586)468-8415 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Clinton Township Senior Citizen Activity Center Address: 40730 Romeo Plank Road, Clinton Township, MI 48038 Website: www.clintontownship-mi.gov Telephone Number: (586)286-9333 Contact Person: Page 89 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Service Boundaries: Clinton Township Senior Citizen Activity Center No. of persons within boundary: Services Provided: Volunteer OpportunitiesIOlder Adults; Transportation; Health Screenings; MMAP; Exercise Classes; Travel Club; Senior center Name: Common Ground Address: 1410 South Telegraph, Bloomfield Hills, MI 48302 Website: www.commongroundhelps.org Telephone Number: (248)456-8150 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Legal Counseling; Support Groups; Volunteer Opportunities Name: Conrad Community Center Address: 585 North Main Street, Capac, MI 48014 Website: http://www.thecouncilonaging.org/ Telephone Number: (810)395-7889 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation; Health Screening; Tax Prep; Hearing Screening; Chore; Travel Club; Friendly Reassurance Name: Council On Aging, Serving St. Clair County Address: 600 Grand River Avenue, Port Huron, MI 48060 Website: wvvw.thecouncilonaging.org Telephone Number: (810)987-8811 Contact Person: Service Boundaries: St Clair No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Home Delivered Meals; MMAP; Foster Grandparent Program Name: Crohn's & Colitis Foundation of America Address: 25882 Orchard Lake Road, Suite 102, Farmington Hills, MI 48336 Website: www.ccfa.org Telephone Number: Contact Person: Service Boundaries: Michigan Page 90 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B No. of persons within boundarv: Services Provided: Support GroupsICrohn's DiseaselColitis Name: Cromaine District Library Address: 3688 North Hartland Road, Hartland, MI 48353 Website: www.cromaine.org Telephone Number: (810)632-5200 Contact Person: Service Boundaries: Hartland No. of persons within boundary: Services Provided: Computer Literacy Training Programs Name: Deaf & Hearing Impaired Services Address: 25882 Orchard Lake Road, Civic Center Office Plaza, Suite 100,Farmington Hills, MI 48336 Website: www.dhisonline.org Telephone Number: (248)473-1888 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support GroupslHearing Loss Name: Deaf CAN Address: 2111 Orchard Lake Road, Suite 101, Sylvan Lake, MI 48320 Website: www.deafcan.org Telephone Number: (248)332-3331 Contact Person: Service Boundaries: Macomb, Oakland No. of persons within boundarv: Services Provided: Information and Referral IHearing Loss Name: Dexter Senior Center Address: 7720 Ann Arbor Street, Dexter, MI 48130 Website: http://www.dexterseniors.org/ Telephone Number: (734)426-7737 Contact Person: Service Boundaries: Washtenaw No. of persons within boundarv: FY 2023 Page 91 Of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Volunteer Opportunities IOlder Adults; Congregate Meals; Home delivered Meals; Exercise Classes Name: Disability Network Eastern Michigan Address: 1709 John R. Road, Troy, MI 48083 Website: www.dnom.org Telephone Number: (586)268-4160 Contact Person: Service Boundaries: Macomb. Oakland, St. Clair No. of persons within boundarv: Services Provided: MMAP Name: DMC Huron Valley -Sinai Hospital Address: 1 William Carls Drive, Commerce, MI 48382 Website: www.dmc.org Telephone Number: (248)937-3300 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups Name: DOROT Address: 171 West 85th Street, New York, NY 10024 Website: http://www.dorotusa.org Telephone Number: (877)819-9147 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Lifelong Learning Programs; support groups Name: Dr. Robert Mathog Lions Hearing Centers Address: 4201 St. Antoine, 5E - LIHC, Detroit, MI 48201 Website: www.lhcmi.org Telephone Number: (517)887-6640 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Hearing Aids Name: Dublin Community Senior Center Page 92 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Address: 685 Union Lake Road, White Lake, MI 48386 Website: http://www.whitelaketwp.com/DublinCenter.asp Telephone Number: (248)698-2394 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Commodity Supplemental Food Program; Congregate meals; Transportation; MMAP; Exercise Classes; Travel Club Name: Dundee Area Senior Citizens Center Address: 284 Monroe Street, Dundee, MI 48131 Website: http://monroe.lib.mi.us Telephone Number: (734)529-2401 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Home Delivered Meals; Legal Counseling; Health Screening; Exercise Classes; Travel Club Name: Edna Burton Senior Center Address: 345 Ball Street, PO Box 929, Ortonville, MI 48462 Website: www.brandontownship.us Telephone Number: (248)627-6447 Contact Person: Service Boundaries: Ortonville No. of persons within boundarv: Services Provided: Volunteer Opportunities 10lderAdults; Congregate Meals; Transportation; Exercise Classes; Senior Center Name: Elizabeth Lee Doles Manor Address: 42700 Colchester, Clinton Township, MI 48036 Website: www.eldolesmanor.com Telephone Number: (586)463-0500 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Emmanuel Lutheran Church Address: 201 North River, Ypsilanti, MI 48198 Page 93 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Website: www.emmanuelypsi.org Telephone Number: (734)482-7121 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Epilepsy Foundation of Michigan Address: 25200 Telegraph Road, Suite 110, Southfield, MI 48033 Website: www.epilepsymichigan.org Telephone Number: (248)351-7979 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslEpilepsy Name: Farmington Community Library Address: 32737 West 12 Mile Road, Farmington Hills, MI 48334 Website: www,farmlib.org Telephone Number: (248)553-0300 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Home Library Services Name: Ferndale Public Library Address: 222 East Nine Mile Road, Ferndale, MI 48220 Website: www.ferndalepubliclibrary.org Telephone Number: (248)546-2504 Contact Person: Service Boundaries: Ferndale No. of persons within boundarv: Services Provided: Home Library Services Name: First Congregational Church of Rochester Address: 1315 North Pine Street, Rochester, MI 48307 Website: www.fccrochester.org Telephone Number: (248)651-6225 FY 2023 Page 94 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Contact Person Service Boundaries: Michigan No. of persons within boundary: Services Provided: Families/Friends of Individuals With an Alcohol Use Disorder Support Groups Name: Michigan Parkinson Foundation Address: 30400 Telegraph, Suite 150, Bingham Farms, MI 48025 Website: www.parkinsonsmi.org Telephone Number: (248)433-1011 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsiParkinson's Disease Name: Milan Seniors for Healthy Living Address: 45 Neckel Court, Milan, MI 48160 Website: www.mitanseniors.org Telephone Number: (734)508-6229 Contact Person: Service Boundaries: Monroe, Washtenaw No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Home Delivered Meals; Transportation; Health Screening; Exercise Classes Name: Milford Public Library Address: 330 Family Drive, Milford, MI 48381 Website: www.milfordlibrary.info Telephone Number: (248)684-0845 Contact Person: Service Boundaries: Milford No. of persons within boundary: Services Provided: Home Library Services Name: Milford Senior Center Address: 1050 Atlantic Street, Milford, MI 48381 Website: www.milfordtownship.com Telephone Number: (248)685-9008 Contact Person: Page 95 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Service Boundaries: Oakland No. of persons within boundary: Services Provided: Volunteer Opportunities IOlder Adults; Congregate Meals; Transportation; Legal; Exercise Classes; Travel Clubs; Senior Center Name: Monroe Center For Healthy Aging Address: 15275 South Dixie Highway, Monroe, MI 48161 Website: www.monroectr.org Telephone Number: (734)241-0404 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Transportation; Legal Counseling; MMAP; Friendly Reassurance; Exercise Classes Name: Monroe County Opportunity Program Address: 1140 South Telegraph Road, Monroe, MI 48161 Website: www.monroecountyop.org Telephone Number: (734)241-2775 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Commodity Supplemental Food Program; Transportation; Chore; Friendly Reassurance; MMAP; Chore Name: Monroe County Senior Legal Services Address: 1126 South Telegraph Road, Monroe, MI 48161 Website Telephone Number: (734)241-7644 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Legal Counseling Name: Mount Clemens Connector Address: 97 Eldredge, Mt. Clemens, MI 48043 Website: https://www.cityofmountclemens.com/dialaride Telephone Number: (586)469-7433 Contact Person: Service Boundaries: Macomb Page 96 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: Shelby Senior Center Address: 14975 21 Mile Road, Shelby Township, MI 48315 Website: www.shelbytwp.org Telephone Number: (586)739-7540 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsIVisual Impairments; Congregate Meals; Legal Counseling; Health Screening; Hearing Screening; Legal Counseling; Exercise Classes; Computer Classes; Travel Clubs; senior Center Name: Significant Others Support Group Address: 8650 Canal Road, Sterling Heights, MI 48314 Website: Telephone Number: (248)882-4301 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupslMultiple Sclerosis Name: SMART Address: 535 Griswold St, Suite 600, Detroit, MI 48226 Website: www.smartbus.org Telephone Number: (866)962-5515 Contact Person: Service Boundaries: Macomb, Oakland No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: Solberg Activity Center Address: 27783 Dequindre Road, Madison Heights, MI 48071 Website: Telephone Number: (248)542-6720 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Page 97 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Congregate Meals/Nutrition Sites; Exercise Classes; Senior Center Name: South Eastern Michigan Indians Address: 26641 Lawrence, Center Line, MI 48015 Website: Telephone Number: (586)756-1350 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Food Pantries; MMAP; Congregate Meals Name: South Lyon Center For Active Adults Address: 1000 North Lafayette, South Lyon, MI 48178 Website: http://www.slcs.us Telephone Number: (248)573-8175 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support GroupsjObesity; Volunteer Opportunities; Tax Preparation Assistance; Health Screenings; Exercise Classes; Travel Clubs; Computer Literacy Training Programs; Senior Center Name: Southfield Adult Recreation Center Address: 26000 Evergreen, Southfield, MI 48076 Website: www.cityofsouthfield.com Telephone Number: (248)796-4650 Contact Person: Service Boundaries: Southfield No. of persons within boundary: Services Provided: Volunteer Opportunities IOlder Adults; Transportation; Tax Prep; Exercise Classes; Senior Center Name: Southfield Human Services Department Address: 26000 Evergreen Road, Southfield, MI 48076 Website: www.cityofsouthfie[d.com Telephone Number: (248)796-4540 Contact Person: Service Boundaries: Southfield No. of persons within boundary: Services Provided: Commodity Supplemental Food Program; Legal Counseling Page 98 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Name: Southfield Public Library Address: 26300 Evergreen Road, Southfield, MI 48076 Website: www.southfieldlibrary.org Telephone Number: (248)796-4200 Contact Person: Service Boundaries: Southfield No. of persons within boundary: Services Provided: Computer Literacy Training Programs Name: Springfield Township Parks & Recreation Address: 12000 Davisburg Road, Davisburg, MI 48350 Website: www.springfield-twp.us Telephone Number: (248)846-6558 Contact Person: Service Boundaries: Springfield, Independence Townships No. of persons within boundary: Services Provided: Transportation; Tax Prep Name: St. Andrew's Episcopal Church Address: 306 North Division Street, Ann Arbor, MI 48104 Website: www.standrewsaa.org Telephone Number: (734)663-0518 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: St. Clair County Library Address: 210 McMorran Boulevard, Port Huron, MI 48060 Website: https://stclaircountylibrary.org/ Telephone Number: (810)987-7323 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Home Library Services Name: St. Clair Shores Housing Commission Address: 1000 Blossom Heath Boulevard, St. Clair Shores, MI 48080 FY 2023 Page 99 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Website: www.scshc.org Telephone Number: (586)773-9200 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: St. George Tower Address: 42250 Hayes Road, Clinton Township, MI 48038 Website: Telephone Number: (586)286-7212 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: St. Joseph Mercy Ann Arbor Hospital Address: 5301 East Huron River Drive, Ann Arbor, MI 48106 Website: http://www.stjoeshealth.org/ Telephone Number: (734)712-3456 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Health Insurance Information/Counseling Name: St. Joseph Mercy -Oakland Address: 44405 Woodward Avenue, Pontiac, MI 48341 Website: http://www,stjoesoakland.org/oakland Telephone Number: (248)858-3000 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Driving Evaluation Name: Starpath Adult Day Care Address: 600 Grand River Avenue, Port Huron, MI 48060 Website: www.thecouncilonaging.org Telephone Number: (810)984-8970 FY 2023 Page 100 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Sterling Heights Housing Commission Address: 37500 Schoenherr Road, Suite A, Sterling Heights, MI 48312 Website: www.schoenherrtowers.com Telephone Number: (586)264-6410 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Stilwell Manor Drop -In Center Address: 26600 Burg Road, Warren, MI 48089 Website: Telephone Number: (586)758-1300 Contact Person: Service Boundaries: Macomb No. of persons within boundarv: Services Provided: Support GroupslStroke Name: Stilwell Manor/Joseph Coach Manor Address: 26600 Burg Road, Warren, Mi 48089 Website: www.cityofwarren.org Telephone Number: (586)758-1310 Contact Person: Service Boundaries: Macomb No, of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Sullivan Senior Center Address: 13613 Tuttlehill Road, Milan, MI 48160 Website: Telephone Number: (734)242-6800 Contact Person: Service Boundaries: Monroe FY 2023 Page 101 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Legal Counseling Name: Temple Israel Address: 5725 Walnut Lake Road, West Bloomfield, MI 48323 Website: www.temple-israel.org Telephone Number: (248)661-5700 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups Name: The Arc of Livingston Address: 2980 Dorr Road, Brighton, MI 48816 Website: http:/Iwww.arclivingston.org/ Telephone Number: (517)546-1228 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: Parent Support Groups Name: The Association for Frontotemporal Degeneration Address: 2700 Horizon Dr., Suite 120, King of Prussia, PA 19406 Website: http://www.theaftd.org/ Telephone Number: (866)507-7222 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Telephone Support Groups Name: The Baldwin Center Address: 212 Baldwin Avenue, Pontiac, MI 48342 Website: www.baldwincenter.org Telephone Number: (248)332-6101 Contact Person: Service Boundaries: Pontiac No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Food Commodities; holiday Baskets Page 102 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundarv: Services Provided: Name: Address: Website: Telephone Number: Contact Person: FY 2023 The Park At Franklin 28301 Franklin Road, Southfield, MI 48034 http://franklin.watermarkcommunities.com/ (248)274-6972 Oakland Support GroupslAlzheimer's Disease The Recreation Authority of Eastpointe & Roseville Senior Center 18185 Sycamore Street, Roseville, MI 48066 www.rare-mi.org (586)777-7177 Roseville or Eastpointe. Transportation; Congregate meals; Tax Prep; Exercise Classes; Travel Club; Senior Center The Salvation Army 469 MLK Jr. Boulevard South, Pontiac , MI 48342 (248)334-2407 Service Boundaries: Auburn Hills, Bloomfield Hills, Clarkston, Davisburg, Highland, Lake Orion, Leonard, Oxford, Pontiac, Rochester, Walled Lake, Waterford, West Bloomfield, White Lake No. of persons within boundary: Services Provided: Commodity Supplemental Food Program Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: The Village of Holly Woodlands 3325 Grange Hall Road, Holly, MI 48442 www,pvm.org/locations/holly-woodlands/ (248)634-0592 Holly Congregate Meals/Nutrition Sites Name: The Village of Peace Manor Page 103 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annuaf implementation Plan Area Agency On Aging 1-B FY 2023 Address: 17275 Fifteen Mile Road, Clinton Township, MI 48035 Website: www.pvm.org/locations/peace-manor/ Telephone Number: (586)790-4500 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: The Village of Warren Glenn Address: 2950 East 12 Mile Road, Warren, MI 48092 Website: www.pvm.org/locations/warren-glenn/ Telephone Number: (586)751-5090 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Jewish Apartments And Services-Prentis Apartments Phases I & II Address: 15000 West 10 Mile Road, Oak Park, M148237 Website: www.jasmi.org Telephone Number: (248)967-4240 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Support Groups lAlzheimer's Disease Name: Jewish Community Center Address: 2935 Birch Hollow Drive, Ann Arbor, MI 48108 Website: www.jccannarbor.org Telephone Number: (734)971-0990 Contact Person: Service Boundaries: No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Jewish Community Center of Metropolitan Detroit Address: 6600 West Maple Road, West Bloomfield, MI 48322 Website: http://www.jccdet.org/ Page 104 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Telephone Number: (248)661-1000 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: LGBTQ2+ Support Groups Name: Jewish Family Service Address: 6555 West Maple, West Bloomfield, MI 48322 Website: www.jfsdetroit.org Telephone Number: (248)592-2313 Contact Person: Service Boundaries: Southfield, Oak Park, Farmington Hills and West Bloomfield No. of persons within boundary: Services Provided: Home Delivered Meals; Transportation; MMAP Name: Jewish Senior Life Address: 6710 West Maple Road, West Bloomfield Township, MI 48322 Website: www.jslmi.org Telephone Number: (248)661-2999 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Caregiver/Care Receiver Support Groups Name: Jim Toy Community Center Address: 319 Braun Court, Ann Arbor, MI 48104 Website: http://www.jimtoycenter.org/ Telephone Number: (734)995-9867 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups Name: JVS Address: 29699 Southfield Road, Southfield, MI 48076 Website: https://www.jvshumanservices.org/ Telephone Number: (248)559-5000 Contact Person: FY 2023 Page 105 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups; Volunteer Opportunities; Name: Kinship Care Resource Center Address: 655 Auditorium Road Room 254, Baker Hall, MSU School of Social Work, East Lansing, MI 48824 Website: www.kinship.msu.edu Telephone Number: (517)355-9600 Contact Person: Service Boundaries: Michigan No, of persons within boundarv: Services Provided: Support GroupslGrandparents Name: Kirk in the Hills Address: 1340 West Long Lake Road,Bloomfield Hills, MI 48302 Website: https://www.kirkinthehills.org/ Telephone Number: (248)626-2515 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: L'anse Creuse Community Education Address: 24076 F.V. Pankow Boulevard, Clinton Township, MI 48036 Website: www.ic-ps.org Telephone Number: (586)783-6330 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Travel Clubs Name: La Amistad Senior Center Address: 990 Joslyn Avenue, Pontiac, MI 48340 Website: Telephone Number: (248)858-2307 Contact Person: Service Boundaries: Pontiac No. of persons within boundarv: Page 106 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Outreach Programs) Hispanic/Latino Community; Congregate Meals; Health Screenings; Friendly Reassurance; Senior Center Name: LACASA Address: 2895 West Grand River Avenue, Howell, MI 48843 Website: www.facasacenter.org Telephone Number: (517)548-1350 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Domestic Violence Support Groups Name: William Beaumont Hospital -Royal Oak Address: 3601 West Thirteen Mile Road, Royal Oak, MI 48073 Website: www.beaumonthospitals.com Telephone Number: (248)898-5000 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsiBreast Cancer Name: William Beaumont Hospital -Troy Address: 44201 Dequindre Road, Troy, MI 48085 Website: www.beaumont.org Telephone Number: (248)964-5000 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups Name: Woodland Heights Address: 120 North Edith Street, Pontiac, MI 48342 Website: Telephone Number: (248)334-3505 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Yale Branch Library Page 107 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: FY 2023 2 Jones Street, Yale, MI 48097 www.sccl.lib.mi us (810)387-2940 St. Clair Computer Literacy Training Programs Yale Senior Center 3 First Street, Yale, MI 48097 www.thecouncilonaging.org (810)387-3720 St. Clair Congregate Meals; Transportation; Tax Prep; Health Screening; Vision Screening; Hearing Screening; Exercise Classes; Friendly Reassurance; Chore Ypsilanti District Library 5577 Whittaker Road, Ypsilanti, MI 48197 www.ypsilibrary.org (734)482-4110 Ypsilanti Computer Literacy Training Programs Ypsilanti Meals On Wheels 1110 West Cross Street, Ypsilanti, MI 48197 www.ymow.org (734)487-9669 Augusta Township, Superior Township, City of Ypsilanti, Ypsilanti Township, and parts of Pittsfield ,York and Salem Townships. Home Delivered Meals Ypsilanti Senior Recreation Center Page 108 of 195 Printed On: 5/2612022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Address: 1015 Congress, Ypsilanti, MI 48197 Website: http://ypsiseniorcenter.org/ Telephone Number: (734)483-5014 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Tax Prep; Health Screening; Exercise Classes; Support groups Name: Ypsilanti Township Senior Center Address: 2025 East Clark Road, Ypsilanti, MI 48198 Website: www.twp.ypsilanti.mi.us Telephone Number: (734)544-3838 Contact Person: Service Boundaries: Ypsilanti No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites;Food; Hearing Screening; Computer Classes; Travel Club Name: Pearl Wright Senior Center Address: 21131 Garden Lane, Ferndale, MI 48220 Website: Telephone Number: (248)547-9800 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Volunteer OpportunitiesjOlder Adults; Exercise Classes; Senior Center Name: Pine Shores Golf Course Address: 515 Fred Moore Highway, St. Clair, MI 48079 Website: https://pineshoresgolf.cam/ Telephone Number: (810)329-4294 Contact Person: Service Boundaries: St. Clair No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Pittsfield Senior Center Address: 701 West Ellsworth Road, Ann Arbor, MI 48108 Page 109 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Website: www.pittsfield-mi.gov Telephone Number: (734)822-2117 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; MMAP; Exercise Classes; Computer Classes; Travel Clubs Name: Pontiac General Hospital Address: 461 West Huron, Pontiac, MI 48341 Website: http://www.pontiacgeneral.com/ Telephone Number: (248)857-7200 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Volunteer Opportunities Name: Pontiac Meals On Wheels Address: 248 South Telegraph Road, Pontiac, MI 48341 Website: Telephone Number: (248)738-9393 Contact Person: Service Boundaries: Pontiac No. of persons within boundary: Services Provided: Home Delivered Meals Name: Pontiac Public Library Address: 60 East Pike, Pontiac, MI 48342 Website: www.pontiac.lib.mi.us Telephone Number: (248)758-3942 Contact Person: Service Boundaries: Pontiac No. of persons within boundary: Services Provided: Computer Literacy Training Programs Name: Port Huron Senior Center Address: 600 Grand River Avenue, Port Huron, MI 48060 Website: www.thecouncilonaging.org Telephone Number: (810)984-5061 Page 110 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Contact Person: Service Boundaries: St. Clair No. of persons within boundarv: Services Provided: Congregate Meals; Transportation; Tax Prep; Health Screening; Vision Screening; Hearing Screening; Exercise Classes; Friendly Reassurance; Chore Name: Potere-Modetz Funeral Home Address: 339 Walnut Boulevard, Rochester, MI 48307 Website: www,modetzfuneralhomes.com Telephone Number: (248)651-8137 Contact Person: Service Boundaries: Michigan No, of persons within boundary: Services Provided: Bereavement Support Groups Name: ProMedica Monroe Cancer Connection Address: 800 Stewart Road, Monroe, MI 48162 Website: www.monroectr.org Telephone Number: (734)240-5400 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Health Insurance Information/Counseling Name: ProMedica Monroe Regional Hospital Address: 718 North Macomb Street, Monroe, MI 48162 Website: www.promedica.org Telephone Number: (734)240-8400 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Putnam Township Senior Center Address: 350 Mower, Pinckney, MI 48169 Website: www.putnamtwp.us Telephone Number: (734)878-1810 Contact Person: Page 111 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Health Screening/Diagnostic Services; Exercise Classes; Name: Reinvestment Center Address: 3013 24th Street, Port Huron, MI 48060 Website: http://www.phhousing.org Telephone Number: (810)984-3173 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Renaissance Unity Address: 11200 East 11 Mile Road, Warren, MI 48089 Website: www.renaissanceunity.org Telephone Number: (586)353-2300 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Richardson Senior Center Address: 1485 East Oakley Park Road, Commerce Township, MI 48390 Website: www.commercetwp.com Telephone Number: (248)926-0063 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Volunteer Opportunities IOlder Adults; Congregate Meals; Health Screenings; Exercise Classes; Computer Classes; Travel Clubs; Senior Centers Name: Richmond Township Senior Center Address: 34505 32 Mile Road, Richmond, MI 48062 Website: Telephone Number: (586)727-2184 Contact Person: Service Boundaries: Macomb, St Clair Page 112 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundarv: Services Provided: Senior Centers Name: River Park Plaza Apartments Address: 20 North Roessler Street, Monroe, MI 48162 Website: Telephone Number: (734)242-5880 Contact Person: Service Boundaries: Monroe No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites Name: Rochester Area Neighborhood House Address: 1720 South Livernois, Rochester Hills, MI 48307 Website: www.ranh.org Telephone Number: (248)651-5836 Contact Person: Service Boundaries: Rochester, Rochester Hills, Oakland Township, Addison Township, Leonard, Auburn Hills. No. of persons within boundary: Services Provided: Commodity Supplemental Food Program; Transportation; Holiday Baskets Name: Rochester Hills Public Library Address: 500 Olde Towne Road, Rochester, MI 48307 Website: www.rhpi.org Telephone Number: (248)656-2900 Contact Person: Service Boundaries: Rochester, Rochester Hills and Oakland Township. No. of persons within boundarv: Services Provided: Home Library Services Name: Romeo, Washington, Bruce Parks & Recreation Address: 361 Morton, Romeo, MI 48065 Website: www.rwbparksrec.org/Senior.htm Telephone Number: (586)752-9601 Contact Person: Service Boundaries: Romeo, Washington No. of persons within boundary: Page 113 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Congregate Meals/Nutrition Sites; Transportation; Tax Prep; Health Screening; Exercise Classes; Friendly Reassurance; Exercise Classes; Computer Classes; Travel Club Name: Royal Oak Public Library Address: 222 East 11 Mile Road, Royal Oak, MI 48068 Website: www.ropl.org Telephone Number: (248)246-3700 Contact Person: Service Boundaries: Royal Oak No. of persons within boundarv: Services Provided: Home Library Services Name: Royal Oak Senior/Community Center Address: 3500 Marais Avenue, Royal Oak, MI 48073 Website: www.ci.royal-oak.mi.us/senior/senior1.html Telephone Number: (248)246-3900 Contact Person: Service Boundaries: Royal Oak No. of persons within boundarv: Services Provided: Support Groups; Congregate meals; Transportation; Tax Prep; MMAP; Chore; Exercise Classes; Computer Classes; Travel Club; Senior Center Name: Ruth Peterson Senior Center Address: 990 Joslyn Avenue, Pontiac, MI 48340 Website: https://www.pontiac,mi.us Telephone Number: (248)758-3277 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Health Screening; Exercise Classes; Name: Sage Metro Detroit Address: 290 West Nine Mile Road, Ferndale, MI 48224 Website: sagemetrodetroit.com Telephone Number: (734)681-0854 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Volunteer Opportunities; Support Groups Page 114 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-13 FY 2023 Name: Saint Andrews Church Address: 306 North Division Street, Ann Arbor, MI 48104 Website: https://standrewsaa.org/ Telephone Number: (734)663-0518 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Salem -South Lyon District Library Address: 9800 Pontiac Trail, South Lyon, MI 48178 Website: www.ssldl.info Telephone Number: (248)437-6431 Contact Person: Service Boundaries: South Lyon, Salem or Green Oak No. of persons within boundary: Services Provided: Home Library Services Name: Saline Area Senior Center Address: 7190 North Maple, Saline, MI 48176 Website: www.salineseniors.org Telephone Number: (734)429-9274 Contact Person: Service Boundaries: Saline No. of persons within boundarv: Services Provided: Home Delivered Meals, Transportation, Health Screening; Exercise Classes, Computer Classes Name: Saline District Library Address: 555 North Maple, Saline, MI 48176 Website: www.salinelibrary.org Telephone Number: (734)429-5450 Contact Person: Service Boundaries: No. of persons within boundarv: Services Provided: Computer Literacy Training Programs Name: Salvation Army of Ypsilanti Address: 9 South Park, Ypsilanti, MI 48198 Page 115 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Website: https://centralusa.salvationarmy.org/washtenaw/ Telephone Number: (734)482-4700 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Samaritan House Address: 62324 Van Dyke, Washington, MI 48094 Website: www.samaritanhousemichigan.org Telephone Number: (586)336-9956 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Tax Preparation Assistance, Food; Holiday Baskets Name: Scleroderma Foundation Michigan Chapter Address: 23999 Telegraph, Southfield, MI 48033 Website: www.scleroderma.org/chapter/michigan Telephone Number: (248)595-8526 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsIScleroderma Name: Myasthenia Gravis Association Address: 1000 John R., Suite 111, Troy, MI 48083 Website: www.mgadetroit-easternmi.org Telephone Number: (248)591-4419 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups IMyasthenia Gravis Name: Narcotics Anonymous Address: 726 Livernois, Ferndale, MI 48220 Website: www.michigan-na.org Telephone Number: (877)338-1188 FY 2023 Page 116 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Contact Person: Service Boundaries: Livingston, Macomb, Oakland, Monroe, St. Clair, Washtenw No. of persons within boundary: Services Provided: Drug Use Disorder Support Groups Name: National Alliance On Mental Illness Metro Address: PO Box 852, Northville, MI 48167 Website: http://www.namimetro.org Telephone Number: (248)773-2296 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Mental Health Related Support Groups Name: National Alliance On Mental Illness of Livingston County Address: PO Box 941, Brighton, MI 48116 Website: www.namilivingston.org Telephone Number: (810)231-6011 Contact Person: Service Boundaries: Livingston No. of persons within boundary: Services Provided: Mental Health Related Support Groups Name: National Council of Jewish Women -Michigan Address: 26400 Lahser Road, Suite 306, Southfield, MI 48033 Website: www.ncjwmi.org Telephone Number: (248)355-3300 Contact Person: Service Boundaries: Macomb, Oakland No. of persons within boundary: Services Provided: Home Delivered Meals Name: National Multiple Sclerosis Society -Michigan Chapter Address: 29777Telegraph Road, Suite 1651, Southfield, MI48076 Website: www,nationalmssociety.org Telephone Number: (248)351-2190 Contact Person: Service Boundaries: Michigan FY 2023 Page 117 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY2023Annual Implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundary: Services Provided: Telephone Reassurance; Support Groups; Volunteer Opportunities; Friendly Reassurance Name: National Organization For Rare Disorders Address: 55 Kenosia Avenue, Danbury, CT 06810 Website: www.rarediseases.org Telephone Number: (800)999-6673 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsjOrphan Diseases Name: New Baltimore Place Address: 51140 Huntley Avenue, New Baltimore, MI 48047 Website: Telephone Number: (586)716-8356 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: NEXT Address: 2121 Midvale, Birmingham, MI 48009 Website: www.BirminghamNext.org Telephone Number: (248)203-5270 Contact Person: Service Boundaries: Birmingham, Franklin No. of persons within boundary: Services Provided: Volunteer OpportunitiesIOlder Adults; Congregate Meals/NutritionSites; Health Screening; Senior Center; Home Delivered Meals; Transportation; Tax Preparation Assistance; Exercise Classes; Travel Club; Chore; Health Insurance Counseling Name: North Oakland Transportation Authority Address: 467 East Jackson Street, Lake Orion, MI 48362 Website: www.ridenota.org Telephone Number: (248)693-7100 Contact Person: Service Boundaries: Oxford, Orion or Addison Page 118 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: Northfield Human Services Address: PO Box 505, Whitmore Lake, MI 48189 Website: http://www.northfieldhumanservices.org/ Telephone Number: (734)449-0110 Contact Person: Service Boundaries: Northfield Township or Whitmore Lake School District. No. of persons within boundary: Services Provided: Food Pantries, Transportation Name: Northfield Township Senior Center Address: 9101 Main Street, Whitmore Lake, MI 48189 Website: www.twp.northfield.mi.us Telephone Number: (734)449-2295 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Tax Preparation Assistance; Congregate Meals; Exercise Classes; Travel Club; Name: Northville Housing Commission Address: 401-A High Street, Northville, MI 48167 Website: https://www.ci.northville.mi.us Telephone Number: (248)349-8030 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Northville Senior Community Center Address: 303 West Main Street, Northville, MI 48167 Website: http:/Iwww.northvilleparksandrec.org Telephone Number: (248)305-2851 Contact Person: Service Boundaries: Northville No. of persons within boundary: Page 119 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Caregiver/Care Receiver Support Groups;Transportation; Tax Prep; Health Screening; Friendly Reassurance; Exercise Classes Name: Oak Park Senior Center Address: 14300 Oak Park Boulevard, Oak Park, M148237 Website: www.ci.oak-park.mi.us Telephone Number: (248)691-7577 Contact Person: Service Boundaries: Oak Park No. of persons within boundary: Services Provided: Volunteer Opportunities 1OlderAdults; Congregate Meals; Transportation; Health Screenings; Chore; Travel Club; Exercise Classes; Senior Center Name: Oakland Livingston Human Service Agency Address: 2300 East Grand River Avenue, Suite 107, Howell, MI 48843 Website: www,olhsa.org Telephone Number: (517)546-8500 Contact Person: Service Boundaries: Livingston No. of persons within boundarv: Services Provided: Commodity Supplemental Food Program; Grandparent Support Group Name: Oakland Meals on Wheels Address: 3179 Livernois, Suite 10, Troy, MI 48083 Website: www.oakfandmow.org Telephone Number: (248)689-0001 Contact Person: Service Boundaries: Berkley, Beverly Hills, Birmingham, Clawson, Ferndale, Franklin, Hazel Park, Huntington Woods, Lathrup Village, Madison Heights, Oak Park, Pleasant Ridge, Royal Oak City & Township, Southfield, and Troy. No. of persons within boundary: Services Provided: Home Delivered Meals Name: Oakland Talking Book Service Address: 500 Olde Town Road, Rochester, MI 48307 Website: www.otbs.rhpi.org Telephone Number: (248)650-7150 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Page 120 of 195 Printed On: 5/2612022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation plan Area Agency On Aging 1-B FY 2023 Services Provided: Home Library Services Name: Oaks Village Address: 942 E 2nd Street, Monroe, MI 48161 Website: https://www.oaksviliage.net/ Telephone Number: (734)244-5444 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Older Persons' Commission Address: 650 Letica Drive, Rochester, MI 48307 Website: www.opcseniorcenter.org Telephone Number: (248)656-1403 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Support Groups; Volunteer Opportunities; Congregate Meals; Exercise Classes; Legal Counseling; MMAP; Senior Center; Transportation; Legal counseling; Health Screening; Chore; Adult Education; Travel Club; home Delivered Meals Name: Opportunity Center at ALCC Address: 120 Eastchester, Monroe, MI 48161 Website: hftp://www,alccmonroe.org/ Telephone Number: (734)2414313 Contact Person: Service Boundaries: Monroe No. of persons within boundarv: Services Provided: Congregate Meals/Nutrition Sites; Health Screening; Exercise Classes; Name: Orion Township Public Library Address: 825 Joslyn Road, Lake Orion, MI 48362 Website: www,orionlibrary.org Telephone Number: (248)693-3000 Contact Person: Service Boundaries: Lake Orion No. of persons within boundary: Page 121 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Services Provided: Computer Literacy Training Programs Name: Orion Township Senior Center Address: 1335 Joslyn Road, Lake Orion, MI 48360 Website: www.oriontownship.org Telephone Number: (248)391-0304 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Volunteer Opportunities I Older Adults; Congregate Meals; Tax Preparation; Legal Counseling; MMAP; Exercise Classes; Computer Classes; Travel Clubs; Senior Center Name: Ostomy Association of Metro Detroit Address: 8207 East Nine Mile Road, Warren, MI 48089Warren, MI 48089 Website: http://www.ostomy.org/ Telephone Number: (877)849-2076 Contact Person: Service Boundaries: Livingston, Macomb, Oakland No. of persons within boundary: Services Provided: Support Groups Name: Oxford Park Towers Address: 2345 Oxford, Berkley, MI 48072 Website: http://www.dhsmgt.com Telephone Number: (248)399-9300 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Oxford Public Library Address: 530 Pontiac Street, Oxford, MI 48371 Website: www.mlopl.org Telephone Number: (248)628-3034 Contact Person: Service Boundaries: Oxford No. of persons within boundarv: Services Provided: Home Library Services Page 122 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Name: Pacific Rim Senior Center Address: 2763 Mackintosh, Bloomfield Hills, MI 48302 Website: Telephone Number: (248)568-6431 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Outreach ProgramsjAsian Community; Exercise Classes; travel Club Name: Palmer Park & Recreation Center Address: 2829 Armour Street, Port Huron, MI 48060 Website: http://porthuronrec.com/ Telephone Number: (810)984-9760 Contact Person: Service Boundaries: St. Clair No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Catholic Social Services of Washtenaw County Address: 4925 Packard Road, Ann Arbor, MI 48108 Website: www.csswashtenaw.org Telephone Number: (734)926-0155 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: General Counseling Services Name: Catholic Social Services of Washtenaw-Older Adult Services Unit Address: 4925 Packard, Ann Arbor, MI 48108 Website: www.csswashtenaw.org/seniors Telephone Number: (734)971-9781 Contact Person: Service Boundaries: Washtenaw No. of persons within boundarv: Services Provided: Information and Referral I Careg iversl Grandparents; Support Groups; Tax prep; Chore Name: Center Line & Warren Senior Transportation Address: 5440 Arden, Warren, MI 48092 Page 123 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Website: www.cityofwarren.org Telephone Number: (586)268-0551 Contact Person: Service Boundaries: Warren, Centerline No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: Center Line Park Towers Address: 8033 East 10 Mile Road, Center Line, MI 48015 Website: Telephone Number: (586)755-2270 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Central United Methodist Church Address: 3882 Highland, Waterford, MI 48328 Website: www.waterfordcumc.org/ Telephone Number: (248)681-0040 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Alcohol Use Disorder Support Groups Name: Charter Township of Chesterfield Senior Center Address: 47275 Sugarbush, Chesterfield Township, MI 48047 Website: http:/Iwww.chesterfieldtwp.org/210/Senior-Center Telephone Number: (586)949-0400 Contact Person: Service Boundaries: Chesterfild Twp No. of persons within boundary: Services Provided: Transportation; Health Screenings; Exercise Classes; Computer Classes: Travel Club Name: Chelsea District Library Address: 221 South Main, Chelsea, MI 48118 Website: http://chelseadistrictlibrary.org/ Telephone Number: (734)475-8732 Page 124 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Contact Person: Service Boundaries: Chelsea No. of persons within boundarv: Services Provided: Home Library Services Name: Church of Christ Assisted Living Address: 23621 15 Mile Road, Clinton Township, MI 48035 Website: www.churchofchristcarecenter.org Telephone Number: (586)791-2470 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support Groups lAlzheimer's Disease Name: Church of Christ Care Center Address: 23575 15 Mile Road, Clinton Township, MI 48035 Website: www.cofccc.org Telephone Number: (586)791-2470 Contact Person: Service Boundaries: Church of Christ Care Center No. of persons within boundary: Services Provided: Support GroupsjAlzheimer's Disease Name: Church of The Holy Spirit Address: 3700 Harvey Lake Road, Highland, MI 48356 Website: https://www.holyspirithighland.com/l/350/index.asp Telephone Number: (248)877-1441 Contact Person: Service Boundaries: Highland No. of persons within boundary: Services Provided: Commodity Supplemental Food Program Name: City of Farmington Hills -Senior Division Address: 28600 11 Mile Road, Farmington Hills, MI 48336 Website: www.fhgov.com Telephone Number: (248)473-1830 Contact Person: Service Boundaries: Farmington, Farmington Hills FY 2023 Page 125 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 No. of persons within boundary: Services Provided: Support GroupsIStroke; Support GroupsjVisual Impairments; Volunteer Opportunities; Food Commodity; Congregate Meals; Home Delivered Meals; Transportation; Tax Preparation Assistance; Legal Counseling; MMAP; Friendly Reassurance; Chore; Exercise Classes; Computer Classes; Caregiver Support Groups Name: Traffic Improvement Association Address: 100 East Big Beaver Road, Troy, MI 48083 Website: http://www.tiasafety.us Telephone Number: (248)334-4971 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Driving Evaluation Name: Troy Parks And Recreation Address: 3179 Livernois, Troy, MI 48083 Website: www.troymi.gov Telephone Number: (248)524-3484 Contact Person: Service Boundaries: Troy No. of persons within boundary; Services Provided: Outreach ProgramsjAsian Community; Volunteer Opportunities; Food Commodities; Congregate Meals; Tax Prep; Chore; Legal Counseling; Health Screenings; MMAP; Exercise Classes;Computer Classes; Senior Center Name: Troy Public Library Address: 510 West Big Beaver Road, Troy, MI 48084 Website: www.troypl.org Telephone Number: (248)524-3545 Contact Person: Service Boundaries: Troy No. of persons within boundary: Services Provided: Home Library Services Name: Troy R.Y.D.E. Address: 3179 Livernois, Troy, MI 48083 Website: https://ree.troymi.gov Page 126 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Telephone Number: (248)457-1100 Contact Person: Service Boundaries: Troy No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: Tucker Senior Center Address: 26980 Ballard, Harrison Township, MI 48045 Website: www.harrison-township.org Telephone Number: (586)466-1497 Contact Person: Service Boundaries: Harrison Twp No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites; Travel Club Name: Turner Geriatric Clinic, University of Michigan Address: 4260 Plymouth Road, Ann Arbor, MI 48103 Website: www.med.umich.edu/geriatrics/patient/turner.htm Telephone Number: (734)764-6831 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups Name: Turner Senior Resource Center Address: 2401 Plymouth Road, Suite C, Ann Arbor, MI 48105 Website: www.med.umich.edu/geriatrics/community/turner.htm Telephone Number: (734)998-9353 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Support Groups; Congragate Meals; Adult Education; MMAP; Exercise Classes; Computer Classes Name: United Cerebral Palsy of Metropolitan Detroit Address: 23077 Greenfield, Suite 205, Southfield, MI 48075 Website: www.ucpdetroit.org Telephone Number: (248)557-5070 Contact Person: Page 127 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Service Boundaries: Macomb, Oakland No. of persons within boundary: Services Provided: Support Groups Name: United Way For Southeastern Michigan Address: 3011 West Grand Boulevard, Suite 500, Detroit, MI 48202 Website: www.uwsem.org Telephone Number: (313)226-9200 Contact Person: Service Boundaries: Macomb, Oakland, Monroe, Washtenaw No. of persons within boundary: Services Provided: Volunteer Recruitment/Placement Name: United Way of Monroe County Address: 216 North Monroe Street, Monroe, MI 48162 Website: www.unitedwaymlc.org Telephone Number: (734)242-1331 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Volunteer Recruitment/Placement Name: United Way of Washtenaw Address: 2305 Platt Road, Ann Arbor, MI 48104 Website: https://www.uwwashtenaw.org/ Telephone Number: (734)971-8200 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Volunteer Recruitment/Placement Name: University of Michigan Health System Address: 1500 East Medical Center Drive, Ann Arbor, MI 48109 Website: www.med.umich.edu Telephone Number: (734)936-4000 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support Groups FY 2023 Page 128 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Name: Utica Senior Housing Address: 7650 Greeley, Utica, MI 48317 Website: Telephone Number: (586)739-1600 Contact Person: Service Boundaries: Utica No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Walled Lake City Library Address: 1499 East West Maple Road, Walled Lake, MI 48390 Website: www.walledlakelibrary.org Telephone Number: (248)624-3772 Contact Person: Service Boundaries: Walled lake No. of persons within boundarv: Services Provided: Home Library Services Name: Waltonwood of Rochester Hills Address: 3250 Walton Boulevard, Rochester Hills, MI 48309 Website: www.waltonwooci.com Telephone Number: (248)375-2500 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Support GroupslAlzheimer's Disease Name: Warren Community Center Address: 5460 Arden, Warren, MI 48092 Website: www.cityofwarren.org Telephone Number: (586)268-8400 Contact Person: Service Boundaries: Macomb No. of persons within boundary: Services Provided: Exercise Classes/GroupsjArthritis; Travel Clubs Name: Washington Life Center Address: 403 North Mary Street, Marine City, MI 48039 FY 2023 Page 129 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging I-B FY 2023 Website: www.thecouncilonaging.org Telephone Number: (810)765-3523 Contact Person: Service Boundaries: St. Clair No. of persons within boundarv: Services Provided: Congregate Meals; Transportation; Tax Prep; Health Screening; Vision Screening; Hearing Screening; Friendly Reassurance; Chore; Exercise Classes Name: Washtenaw County Health Department Address: 555 Towner St., Ypsilanti, MI 48198 Website: www.publichealth.ewashtenaw.org Telephone Number: (734)544-6700 Contact Person: Service Boundaries: Washtenaw No. of persons within boundarv: Services Provided: Health Insurance Information/Counseling Name: Washtenaw County Office of Community & Economic Development Address: 415 West Michigan Avenue, Ypsilanti, MI 48197Suite 2200 Website: www.ewashtenaw.org Telephone Number: (734)544-6748 Contact Person: Service Boundaries: Washtenaw No. of persons within boundarv: Services Provided: Home Delivered Meals, Foster Grandparent Name: Water Tower Park Center Address: 11345 Harold Drive, Luna Pier, MI 48157 Website Telephone Number: (734)242-6800 Contact Person: Service Boundaries: Monroe No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: Waterford Senior Center Address: 3621 Pontiac Lake Road, Waterford, MI 48328 Website: www.waterford.k12.mi.us/seniorcenter/default.htm Page 130 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: Name: Address: Website: Telephone Number: Contact Person: Service Boundaries: No. of persons within boundary: Services Provided: FY 2023 (248)682-9450 Waterford Support Groups; Volunteer Opportunities; Senior Center; Exercise Classes; Transportation; Tax Prep; Legal Counseling; Hearing Screening; MMAP; Computer Classes; Travel Club; Home Delivered Meals; Congregate Meals Waterford Township Public Library 5168 Civic Center Drive, Waterford, MI 48329 https://www.waterfordmi.gov/477/Library (248)674-4831 Waterford Home Library Services Well Connected 881 Turk Street, San Francisco, CA 94102 https://covia.org/services/well-connected/ (877)797-7299 Michigan Lifelong Learning Programs; support groups Well Spouse Association 63 West Main Street, Suite H, Freehold, NJ 07728 www.wellspouse.org (732)577-8899 Michigan Caregiver/Care Receiver Support Groups Name: West Bloomfield Parks And Recreation Address: 4640 Walnut Lake Road, West Bloomfield, MI 48322 Website: www.westbloomfieldparks.org Page 131 of 195 Printed On: 5/26/2022 SIATE OF MtCHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Telephone Number: (248)451-1900 Contact Person: Service Boundaries: West Bloomfield No. of persons within boundary: Services Provided: Transportation; Tax Prep; Health Screening; Driving Evaluation; Travel Club; Senior Center Name: West Bloomfield Township Public Library Address: 4600 Walnut Lake Road, West Bloomfield, MI 48323 Website: www.wblib.org Telephone Number: (248)682-2120 Contact Person: Service Boundaries: West Bloomfield, Orchard Lake Village, Keego Harbor or Sylvan Lake. No. of persons within boundary: Services Provided: Computer Literacy Training Programs Name: Western Oakland Meals On Wheels Address: 9525 East Highland Road, Howell, MI 48843 Website: www.womow.org Telephone Number: Contact Person: Service Boundaries: Commerce, Commerce Township, Davisburg, Groveland Township, Highland Township, Holly, Lyon Township, Milford, New Hudson, Northfield, Novi, Rose, South Lyon, Springfield Township, Union Lake, Walled Lake, West Bloomfield, White Lake, Wixom and the Oakland County portion of Northville. No. of persons within boundary: Services Provided: Home Delivered Meals Name: Western Oakland Transportation Authority Address: 205 West Livingston Road, Highland, MI 48357 Website: https://www.ridewota.org/ Telephone Number: (248)887-4979 Contact Person: Service Boundaries: Highland, Walled Lake, Waterford or White Lake. No. of persons within boundarv: Services Provided: Non -Emergency Medical Transportation Name: Western-Washtenaw Area Value Express (WAVE) Address: PO Box 272, Chelsea, MI 48118 Page 132 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Website: www.ridethewavebus.com Telephone Number: (734)475-9494 Contact Person: Service Boundaries: Washtenaw No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: 920 On The Park Address: 920 John R Road, Troy, MI 48083 Website: www.920onthepark.com Telephone Number: (248)588-7611 Contact Person: Service Boundaries: Oakland No. of persons within boundary: Services Provided: Congregate Meals/Nutrition Sites Name: A J Desmond & Sons Address: 2600 Crooks Road, Troy, MI 48084 Website: www.desmondfuneralhome.com Telephone Number: (248)362-2500 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Bereavement Support Groups Name: Accounting Aid Society Address: 3031 W. Grand River Boulevard, Suite 470, Detroit, MI 48320 Website: www.accountingaidsociety.org Telephone Number: (313)556-1920 Contact Person: Service Boundaries: Livingston, Macomb, Oakland No. of persons within boundary: Services Provided: Tax Preparation Assistance Name: Addison Senior Center Address: 117 N Steer St., Addison, MI 49220 Website: Telephone Number: (517)547-5777 FY 2023 Page 133 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Volunteer Opportunities IOlder Adults; Congregate Meals/NutritionSites; Health Screening; Senior Center Name: Affirmations Community Center Address: 290 West Nine Mile Road, Ferndale, MI 48220 Website: www.goaffirmations.org Telephone Number: (248)398-7105 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: LGBTQ2+ Support Groups Name: Aid In Milan Address: 89 West Main, Milan, MI 48160 Website: www.aidinmifan.org/ Telephone Number: (734)439-8420 Contact Person: Service Boundaries: Milan, Saline, Dundee, and Ypsilanti. No. of persons within boundary: Services Provided: Food Pantries Name: Alcoholics Anonymous of Greater Detroit Address: 380 Hilton Road, Ferndale, MI 48220 Website: https://www.aaferndale.org/ Telephone Number: (248)541-6565 Contact Person: Service Boundaries: Livingston, Macomb, Oakland, St. Clair, Washtenaw No. of persons within boundary: Services Provided: Alcohol Use Disorder Support Groups Name: All Well -Being Services Address: 41800 Hayes, Suite 112, Clinton Township, MI 48038 Website: https://awbs.org/ Telephone Number: (313)924-7860 Contact Person: Service Boundaries: Macomb Page 134 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023.2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B No. of persons within boundary: Services Provided: Caregiver/Care Receiver Support Groups Name: Alliance For The Mentally III of Oakland County Address: 29548 Southfield Road, Southfield, MI 48076 Website: www.amioakland.org Telephone Number: (248)203-1998 Contact Person: Service Boundaries: Oakland No. of persons within boundarv: Services Provided: Mental Health Related Support Groups Name: ALS of Michigan Address: 24359 Northwestern Highway, Suite 100, Southfield, MI 48075 Website: https:/Jalsofmichigan.org/ Telephone Number: (248)354-6100 Contact Person: Service Boundaries: Michigan No, of persons within boundary: Services Provided: Support Groups jAmyotrophic Lateral Sclerosis Name: Alzheimer's Association Michigan Chapter Address: 25200 Telegraph Road, Suite 100, Southfield, MI 48033 Website: www.aiz.org/gmc Telephone Number: (248)351-0280 Contact Person: Service Boundaries: Macomb, Oakland, St. Clair No. of persons within boundarv: Services Provided: Support GroupsIAlzheimer's Disease; Health Education; Field Trips/Excursions; Caregiver/Care Receiver Support Groups Name: Alzheimer's Foundation of America Address: 322 Eighth Avenue, 16th Floor, New York, NY 10001 Website: https://alzfdn.org/ Telephone Number: (866)232-8484 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Telephone Support Groups FY 2023 Page 135 of 195 Printed On: 5/26/2022 SrATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B Name: American Cancer Society Address: PO Box 10069, Detroit, MI 48210 Website: www.cancer.org Telephone Number: (800)227-2345 Contact Person: Service Boundaries: Livingston, Macomb, Oakland, Monroe, Washtenaw, St Clair No. of persons within boundary: Services Provided: Non -Emergency Medical Transportation Name: American Diabetes Association Address: 20700 Civic Center, Suite 100, Southfield, MI 48076 Website: www.diabetes.org Telephone Number: (248)433-3830 Contact Person: Service Boundaries: Michigan No. of persons within boundary: Services Provided: Support GroupsiDiabetes Name: American Heart Association of Michigan Address: 27777 Franklin Road, Suite 1150, Southfield, MI 48034 Website: www.americanheart.org Telephone Number: (248)936-5800 Contact Person: Service Boundaries: Michigan No. of persons within boundarv: Services Provided: Support GroupslHeart Disease Name: American Liver Foundation Address: 39 Broadway, Suite 2700, New York, NY 10006 Website: www.liverfoundation.org/ Telephone Number: (212)668-1000 Contact Person: Service Boundaries: Michigan No, of persons within boundary: Services Provided: Support GroupslLiver Disease FY 2023 Page 136 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Other Grants and Initiatives Use this section to identify other grants and/or initiatives that your area agency is participating in with the ACLS Bureau and/or other partners. Grants and/or initiatives to be included in this section may include, but are not limited to: --Tailored Caregiver and Referral@ (TCARE) --Creating Confident Caregivers@ (CCC) --Evidence Based Disease Prevention (EBDP) Programs (see Doc Library for listing) --Building Training... Building Quality (BTBQ) --Powerful Tools for CaregiversO --PREVNT Grant and other programs for prevention of elder abuse --Programs supporting persons with dementia (such as Developing Dementia Dexterity and Dementia Friends) --Medicare Medicaid Assistance Program (MMAP) --MI Health Link (MHL) --Respite Education & Support Tools (REST) --Care Transitions Proiect 1. Briefly describe other grants and/or initiatives the area agency is participating in with ACLS Bureau or other partners. Careaiver Initiatives The AAA 1-B provides several trainings for family and informal caregivers, including the Aging Mastery Program for Caregivers, Powerful Tools for Caregivers, Caregiving Survival seminar(s) with Jill Gafner, and a new on-line training and education platform for caregivers. The Caregiver Coaching program provides caregivers with one-on-one peer support from trained, vetted volunteers. Dementia Friends The AAA 1-B provides Dementia Friends for staff and the community to bring more awareness to the needs of persons with dementia living in our communities. The goal of Dementia Friends is to increase awareness of dementia and encourage community members to work toward the creation of a dementia -friendly community. Evidence -Based Wellness Programs The AAA 1-13 offers several direct -service evidenced -based wellness programs that provide health education and prevention strategies. These programs include A Matter of Balance, Aging Mastery Program, PATH (Personal Action Toward Health), Diabetes PATH, Chronic Pain PATH self -management, and Powerful Tools for Caregivers. Our educational wellness programs increase self -efficacy by providing support to older individuals and their caregivers with the intent to avoid illness and improve health status. Michigan Medicare and Medicaid Assistance Program (MMAP) The AAA 1-B is committed to meeting the required performance measures for the MMAP program. The AAA 1-B will reach individuals through presentations, events, social media, and other activities. The AAA 1-B will continue recruiting, training, and maintaining a strong cohort of volunteers to support the MMAP program. Page 137 of 195 Printed On: 5/26/2022 STATE OF MICHIGAN Michigan Department of Health & Human Services BUREAU OF AGING, COMMUNITY LIVING, AND SUPPORTS FY2023-2025 Multi Year Plan FY 2023 Annual Implementation Plan Area Agency On Aging 1-B FY 2023 Medicare fraud prevention activities are an integral part of MMAP. The AAA 1-B will provide presentations on Medicare fraud and assist beneficiaries individually with identifying and reporting fraud and abuse. MI Health Link The AAA 1-B remains committed to participation in the MI Health Link Integrated Care Pilot in Macomb County. The AAA 1-13 contracts as a provider with three integrated care organizations to offer one or more of the following services to the dually -eligible population residing in Macomb County: service coordination, provider network management, case assessments, and other long-term care coordination services. This program leverages our assessment and service delivery expertise for disabled and aging adults. Mvride2 Mobilitv Management Myride2 is a one -call, one -click mobility management service provided by the Area Agency on Aging 1-B utilizing 5310 funds awarded by the Regional Transportation Authority of Southeast Michigan (RTA). Services provided include transportation information and options, driver cessation counseling, and travel training. The service areas include Oakland, Macomb, Washtenaw, and Wayne counties. Partners include The Senior Alliance, DAAA, and the Disability Network Eastern Michigan. Refuaee Assistance for Older Refugees The Refugee Assistance for Older Refugees grant is funded by Office of Global Michigan to provide access to community services and resources and reduce social isolation for refugees over age 60, primarily Iraqi and Syrian individuals residing in Oakland and Macomb Counties. Chaldean American Ladies of Charity is subcontracted to provide services for this grant. 2. Briefly describe how these grants and other initiatives will improve the quality of life of older adults within the PSA. These grants and initiatives provide support, education opportunities, access services, and improved service delivery methods to older adults, family caregivers, and adults with disabilities in Region 1-B. Quality of life will be positively affected through the increased level of support and stronger service delivery systems. 3. Briefly describe how these other grants and initiatives reinforce the area agency's planned program development efforts for FY 2023-2025. Each of the grants and initiatives reinforce the AAA 1-B's mission to enhance the lives of older adults, adults with disabilities, and family caregivers through the programs being delivered and coordinated. Page 138 of 195 Printed On: 5/26/2022 Area FY 2023 - FY 2025 Mu Iti Year Plan Agency on Aging1-B Public Hearing Comments Aruuiers you can trust May 5, 2022 at 11am, Virtual via Zoom • Grandparents Raising Grandchildren — the participant says that this program has enhanced her quality of life and has provided activities to these families who cannot typically afford these activities. Through this program, she has grown as a person and as a grandparent raising her grandchildren. She is advocating for more funding to grow the program. The participant says more funding will help the participants already in the program but provide the opportunity to more potential participants. The participant is also taking care of another older adult and having this program has helped take something off her plate. • Grandparents Raising Grandchildren —the participant is advocating for more funds for the program. The participant states that the program is a great resource and if there is a need that is not supported by the program, the directors find the resources. The participant also states that many more in the community need this program but are not aware of it. The program supplies things like food, clothing, shelter, etc if those are the needs of the participants. Being on a fixed income, the participant also appreciates the trips and extra supports with growing children. The participant also is taking care of her mother, so this support helps even with that caregiving. The group is growing and there are not enough funds to take care of all the people joining the group. • Grandparents Raising Grandchildren —the participant is advocating for more funds for the program. The participant is taking care of their mother and grandchildren. The program has provided participants with resources such as Christmas gifts and Easter baskets. There are also resources for food and support groups online that are extremely helpful. The program can point participants to resources to help with their needs. The number of informal caregivers is increasing so funding needs to be increased. • Macomb County Office for Senior Services — COVID has highlighted the need for in -home services. The program has received supplemental funding to meet the demand for home delivered meals. As the extra funds go away, they're concerned about increased costs such as staffing, supplies, etc. Unless additional funds are allocated, there will be an impact to the volume of meals able to be served. • Neighborhood Legal Services Elder Law— Services are free to Wayne County residents and assist legally with Kinship Care and Guardianship. They receive calls from caregivers who are stressed and provided resources. Page 139 of 195 • Macomb County Office for Senior Services —funding for senior programs is very important. Even prior to working at this position, the participant states they would refer individuals to the Office for Senior Services for meals on wheels and the advocacy program. The participant is hopeful for additional Macomb County Office for Senior Services — participant emphasized the importance of the funding received from AAA 1-B, especially for the adult day program. Program participant feedback states the program provides them with much -needed respite from their caregiving responsibilities. There is a need to grow the program and make people more aware of its existence. Grandparents Raising Grandchildren — In the past, funding was increased when the program was expanded. This program is the state's largest kinship caregiver provider in the state —over 2000 sq miles. The group networks and takes advantage of other resources in the community to provide resources to kinship caregivers in the program. Post COVID, there are parents who may not be able to physically care for their children due to lingering effects, so grandparents are now caregiving. The goal is to not have to resort to a waiting list for those who want the services. Additional funding could allow for the ability to serve many more kinship caregivers. Many of the grandparents are typically caring for another older adult along with caring for children. Home Injury Control (HIC) and Chore funding — Participant stated these programs are underfunded and have long waitlists. The focus is on allowing older adults to age in place, so it is important to have funding to support this. Keeping seniors in their homes and communities is much healthier and it is where they want to be. The choice of aging in place needs to be emphasized. In Macomb there is a long waitlist for HIC and Chore services. • Caregiver of an older disabled adult — The participant has been with different care agencies and is having trouble receiving services around the home. The issue the participant is seeing is that agencies do not have the funds to pay direct care workers so they are not able to supply the services. May 6, 2022 at 2pm, In -person at Costick Center in Farmington Hills, Michigan Grandparents Raising Grandchildren — Participant states that in 2018 there were 40 participants and now there are 104 and there is only enough funding for 90. There are also more families coming forward looking for services, but the funds are not there to support. Grandparents Raising Grandchildren has helped with food, clothing, holidays, emergency medical supports. The participant is also caring for a 60-year-old and has received resources from GRG on how to assist with that individual. The GRG group will have to put individuals on a waitlist or make cuts if funding does not increase. The participant is struggling caring for both their granddaughter and the older adult in their household and the resources provided by GRG have been critical. Participant is attending on behalf of a friend who has been in and out of medical placements. The friend is at home but needs resources to remain living at home. Nursing homes are expensive and the hospital and rehab did not offer resources that were helpful. Participant attended the public hearing to receive resources from AAA 1-8 to provide to her friend. • Participant comments there is a direct care worker shortage, and it has been hard to match workers with individuals both in group care homes and in home services. Page 140 of 195 MI Choice Medicaid Waiver Program The AAA 1-B advocates for increased funding for the MI -Choice Medicaid Waiver Program. Plans, demonstration programs and future pilot programs for the delivery of managed long-term supports and services (LTSS) should build on the success of Area Agencies on Aging, maintaining their role in the MI Choice program. Rebalance Michigan Long -Term Care Spending Michigan spends 43% of Medicaid LTSS funds on Home and Community -Based Services (HCBS), far below the national average of HCBS spending of 55%. The AAA 1-B supports efforts to rebalance Michigan's long-term care spending to support HCBS. Aging and Adult Services Agency (RASA) In -Home Services The AAA 1-B supports the Silver Key Coalition positions advocating for increased state resources to address unmet needs for non - Medicaid in -home services and home delivered meals. Support Direct Care Workers The AAA 1-B supports policies that dedicate resources to recruit, train, retain, and provide adequate wages to direct care workers, who are an essential component of providing quality in -home care. Support Family Caregivers and Kinship Caregivers The AAA 1-B supports policies that provide family caregivers and kinship caregivers, such as grandparents raising grandchildren, with financial security and other resources they need to continue providing care to their loved ones. COVI D-19 The COVID-19 pandemic has had a devastating impact on Michigan's older adults, with 89% of deaths occurring in adults over age 60. Michigan's Aging Network has provided essential care during the pandemic. The AAA 1-B supports policies that mitigate the harm caused by COVID-1-9 by providing access to supportive services to older adults and mitigating the threat of COVID-19 including: • Provide older adults with priority access to COVID-19 vaccinations, including homebound individuals • Ensure safety of seniors in congregate living settings, such as nursing homes • Support essential direct care workers by continuing the $2/hour wage pass through • Ensure adequate Personal Protective Equipment (PPE) is available to all service providers • Provide reopening assistance to aging network providers Page 141 of 195 Older Americans Act (OAA) The OAA is the seminal legislation guiding our nation's aging policy and aging services network. The AAA 1-B supports efforts to strengthen the OAA programs, ensuring local flexibility to best meet the needs of older Americans. Preserve Medicare and Social Security The AAA 1-13 supports policies that preserve and strengthen Medicare and Social Security, providing financial security and health to older adults. Diversity, Equity, and Inclusion The AAA 1-B emphasizes outreach and service to traditionally underserved low-income minority communities including racial/ethnic minority, LGBT, socially isolated, and immigrant/refugee populations. Housing Affordability and Accessibility The AAA 1-13 supports the development and preservation of affordable, accessible housing so older adults and people with disabilities can continue to live in their communities as they age. Transportation The AAA 1-B supports policies that provide adequate and sustainable funding for public transportation and mobility management services. Reduce Healthcare Costs The AAA 1-13 supports policies that help older adults mitigate the impact of rising healthcare costs, including efforts to control the cost of prescription drugs, expand access to telehealth, and improve transparency of healthcare costs. Elder Abuse Prevention The internet connects older adults to information, The AAA 1-B advocates for policies that prevent social opportunities, and telehealth. The AAA 1-13 physical, psychological and financial abuse of supports increasing broadband access to ensure vulnerable older adults and adults with older adults have access to a reliable internet disabilities. connection at home. 2,500,000 2,000,000 1,739,815 Children 2,466,446 1,500,000 1,562,173 1,366,422 1,000,000 2010 2015 2020 2025 2030 2035 2040 School Age Children ----Seniors (65+) The Area Agency on Aging 1-8 is a nonprofit agency serving and advocating on behalf of more than 780,000 older adults and adults with disabilities residing in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw Counties. The agency helps these individuals and their family caregivers maintain their health and inde endence b administering home and community based services. Nage 142 ofy195 For more information contact Katie Wendel, Senior Manager of Advocacy kwendel@aaalb.oro (248) 798-0599 ACCESS AND SERVICE COORDINATION CONTINUUM It is essential that each PSA have an effective access and service coordination continuum. This helps participants to get the right service mix and maximizes the use of limited public funding to serve as many persons as possible in a quality way. Instructions The Access and Service Coordination Continuum is found in the Documents Library as a fillable pdf file. (A completed sample is also accessible there). Please enter specific information in each of the boxes below that describes the range of access and service coordination programs in the area agency PSA. Program Participants What Is Provided? Level 1 Information & Assistance All persons inquiring about services and resources for those over the age of 60. Basic information on services available in the community to meet the callers needs Phone Where is the service provided? Pa ge 143 of 195 Level 2 Options Counseliing All persons needing information and guidance with Long -Term Care Options Planning Information on issues of Long -Term Care and consultation/planning Phone Level IndePendent Program Individuals at risk for falls and requesting a Personal Emergency Response System (PERS) only to increase home safety. IndePendent Program Coordinator: *Completes a home safety questionnaire to confirm fall risk and need for PERS. *Completes coordination of PERS installation. *Completion of health & wellness checks upon notification of a fall. *Assists with private pay options after 1 year. Phone Level 4 Community Living Program Individuals who have more than one service need and require assessment and ongoing follow-up. Community Living Program Caseworker: *Role of utilizing existing community services and enhancing informal support systems when feasible. *Assessment and reassessment of individual needs. *Development and monitoring of a service plan *Identification of and communication with appropriate community agencies to arrange services *Evaluation of the effectiveness and benefit of services provided. Community Living Program will have a primary focus of serving individuals who require assistance with homemaking, home safety, and transportation needs. Phone and In Person Level 5 Care Management Individuals who are medically complex with functional and/or cognitive limitations. This includes individuals both at risk of, or in need of, a nursing facility level of care. Care Management Supports Coordinator: *Completion of a comprehensive assessment, person centered service plan development, periodic reassessment, and ongoing coordination and management of in -home and other supportive services. *Services are arranged according to an agreed -upon service plan to assist the participant in maintaining independence. *Follow up, monitoring, and periodic reassessment. Phone and In Person EMERGENCY MANAGEMENT AND PREPAREDNESS Minimum Elements for Area Agencies on Aging FY 2023 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 2023 will address the element. Area Agency on Aging 1-B A. General Emergency Preparedness Minimum Elements (required by the Older Americn's Act). 1. Does your agency have an Emergeny Preparedness Plan? If so when was the latest update and was it sent ACLS? If not, please sent to albrechtc@michigan.gov Area Agency on Aging 1-B (AAA 1-B) has an Emergency Preparedness Plan (EPP). The EPP was last reviewed and updated on July 2021 and sent to ACLS Field Representative. EPP is currently under review for further revisions, May 2022 and will submit the updated EPP to ACLS Field Representative upon completion. 2. Does your agency work with local emergency management? If yes please provide a brief description of how you are working with them. If no Why. Yes, AAA 1-B works with local emergency management teams. AAA 1-B has Emergency Coordinator staff who establish relationships with county/local EOCs throughout AAA 1-13's 6 county region. The AAA 1-B emergency response plan may become active when directly contacted by a local/county/state EOC. In some cases, the county EOC may notify the AAA 1-B in advance of an emergency (e.g., an impending ice storm). In this situation, AAA 1-B staff will have time to contact program participants/caregivers, as well as service providers, to prepare them for the emergency. In some cases, the 3. ACLS does have expectations during a State or locally declared emergency/disaster to have staff person (the area agency director or their designee) available for communication with ACLS staff to provide real time information about service continuity (status of aging network service providers abilitv to privide services). Please provide ACLS with any updated contact information on staff listed as emqerency contact Including drills. Updated Contact Information is provided separately. The AAA 1-B Emergency Coordinators are identified below in contact order: a. CEO b. Chief Clinical Officer (CCO) c. Assistant Director, Community Health and Aging Services 4. Being able to provide information about the number and location of vulneralbe older persons receiving services from the area agency. AAA 1-B has developed a system to prioritize participants in the event an evacuation emergency occurs. Upon a declaration of a state of emergency, AAA 1-13 shares the prioritized list with local EOC's quarterly to ensure up to date information is shared. 5. What barriers have you had with emergency/disaster drills or with man-made or natural disaster such as flooding, pandemic, flu, and extremem weather? What can ACLS do to assist the AAAs with emergency/disasters? Can include funding, communication issues and PPE for example. AAA 1-B has identified barriers of delayed funding to address emergency needs in the communities as well as availability of PPE and other resources needed to address the emergent need. Assistance with additional funding to allow immediate response to emergency events is optimal, with flexibility in funding utilization to allow Area Agencies on Aging to use funding based on specific area needs. Pace 144 of 195 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. All the congregate meal sites and home -delivered meals participants for each nutrition provider, including sub- contractors of the AAA nutrition provider. 2. Have agreements in place with volunteer agencies, individual volunteers, hospitals, long-term care facilities, other nutrition providers, or other agencies/groups. Agreements shall include plans for coordination of services related to food acquisition, meal preparation and delivery of meals. The agreements may include options for contracting meals that includes company name, types of meals, financial agreement, timeline for providing meal service and logistical information. Options for Contracting Meals during COVID-19 (acl.gov) * 3. Short, intermediate, and long-term plans for uninterrupted delivery of meals to home -delivered meals participants: • due to inclement weather, power outages, flooding, etc. • including, but not limited to use of families and friends, volunteers, shelf -stable meals, and informal support systems. Backup plan for food preparation if usual kitchen facility is unavailable. 4. Provision of at least two, 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. 5. A fluid system for shifting from congregate meal site service to alternative methods of delivery and/or pickup, including situations in which participants are unable to access congregate meals due to an emergency (e.g., Grab and Go, Curbside pickup, volunteer delivery, etc.). 6. A plan to ensure appropriate infection control measures, including contactless delivery, social distancing practices, use of personal protective equipment (PPE) and other appropriate measures. 7. Have provisions for an effective communications system to alert congregate and home -delivered meals participants of changes in meal sites/delivery. 8. Be reviewed and approved by the respective area agency and submitted electronically via AMPS document upload. Enter date sent to ACLS Bureau below. Date: Page 145 of 195 Ae a Agency on Agi11 d Ansiuers you can trust Priority Service Rating AAA 1-13 Services Priority Ranking Survey Results Fiscal Years 2023-25 Average Priority Rank 1 Installation ofHomeSafety Devices 4.00 - 2 Minor Home Repair, 3.88 3 PublicEducationabout Resources 3.87 4 Transportation for In -Home Service 3.87 Change from 2019 rating t3 t5 Participants 5 Personal Emergency Response- 3.85 t 12 Button 6 In -Home Respite 3.81 - 7= Homemaking 3.79 8 Volunteer Caregiver Programs 3.78 'I` 5 9 Legal Services 3.75 10 Long Term Care Ombudsman 3.71 'I` 4 11 _ - Personal Care - 3.65 12 Vision Services 3.63 - 13 Services for the Hearing Impaired 3.62 T-8 . 14 Out of Home Respite 3.60 - -15 Medication Management - 3.51 '( 4 16 Money Management/Bill Paying 3.46 - 17 Nutrition Education -- 3.30- 'i 6 18 Home Delivered Meals 3.29 1l 15 19 Chore Services 3.21 _ J• 10 20 AAA 1-13's Information & Assistance 3.14 I. 17 21 Benefits Access 3.11 - 22 Family Caregiver Support 2.99 .(. 10 23 - _ Financial Exploitation Support 2.95 24 Adult Day Service 2.89 .(.18 25 Elder Abuse Prevention 2.88 -- _- __ _ ,( 20 26 Health and Wellness Classes 2.87 1 8 -27 Assistance with Technology 2.86 28 Counseling Services 2.79 .(. 13 29 -' Congregate Meals = _ = 2.76= _ - - _ - y 18 = _ 30 _ Grandparents Raising Grandchildren 2.63 .l• 8 31 Friendly Reassurance - -_ 2.61 = Priorities developed in November 2021 based on Older KEY Adult, Service Provider and Advocate surveys completed i, moved up or down from 2019 rank during 2 online Town Halls and through a distributed - not surveyed in 2019 or didn't move survey link online. Services listed in this priority ranking are non -Medicaid Waiver services. Services included d on this list are traditionally provided to older adults (60+) or caregivers and are funded Page�i'6t oef 'Iy3 ral Older Americans Act and the Michigan Aging & Adult Services Agency. AAr',& ilil on Aging f-B Ad owry - Aamn - dmmnz an ejmC Kimberly Cope Chief Compliance & Quality Officer (p.4) Regulatory Compliance Quality Accreditation Appeals HIPAA Officer HCBS Compliance Area Agency on Aging 1-B Executive Leadership -----� Board of Directors 1-1 Laura Gruczelak Chief Financial Officer (p.3) Finance Accounting Pension 401K Audit Communication Marketing Strategic Plan M MAP Resource Center Research, Policy Development & Advocacy Ombudsman Michael Karson Chief Executive Officer Jenny Jarvis Chief Communications & Strategy Officer(p.7) I MI Choice MI Health Link Community Living Program Veteran's Admin. Care Management Svc. Coordination Rapid Response Respite Discharge Follow Up and Readmission Prevention Pgm. For McLaren and Total Health Care Vendor & Contractor Mgmt. Mobility Mgt. Wellness Training Social Services Nutrition Advisory Council F, Aimee Page Chief Clinical Officer (p.10) **number in parenthesis indicates page number of department specific chart Page 147 of 195 Pamela Moffitt Corporate Secretary and Executive Services Manager (p.2) James Luckey Angela Rutterbush Director of Tech & Chief Human Analytics (p.9) Resources Officer (p.5) Technology & I Compensation Analytics Benefits Payroll Recruitment On -boarding Policy Maintenance Employee Relations Performance Management Version 1/10/2022 Heidi Boyd Director of Philanthropy (p.6) Philanthropy Fundraising Events P. 1 On p.l5nc ncP ..t`I�on Prea Prncv 1 6 e se�`Ges on P9tng Xecaaue Page �4$ 0f 1g5 AR noy on ging t AHaom2'� • Acfim, - A.,.ac on 44mF Area Agency on Aging 1-13 Finance Department ILaura Gruczelak Chief Financial Officer Craig Beickelman Richard Ison Carmen Saucedo {I Accounting Finance and Finance Manager Manager Accounting Manager AASA Debra Cohen 2 Billing Clerks Melissa Maxwell ( Tuneisha Hedgley Shirley Chow Accounts I Accounting Clerk Billing Supervisor Receivable Analyst Vineetha Rankothge p. 3 Version 11/14/2021 Page 149 of 195 and Quality ®epa�ment Area Agency on Aging 1'8 GQmpllanee 9.4 %jeOn page 150 of 195 Area Agency on Aging i-B Human Resources Department AA"Area JIGY 011 ging 4::ro<:cy. Amon . t mmv�, nn.ayrny Angie Rutterbush Chief Human Resources officer Brock Varner Senior Human Resources Manager I Traycee Kue Human Resources Specialist Version 11/29/2021 Page 151 of 195 i--------------- i Elizabeth Emery Human Resources Coordinator p. 5 pre, Agency °n pgfng 1-B Version C)9/211/202 0{ 195 page 152 philanthroPy ®,partment Heidi Boyd Director of Philanthropy stefanie Mitchell I Philanthropy } sPecialtst P. 6 Ana m on t•B 4d... rt, , AlW..„ns¢v, nr. A,yiw Kathleen Yanik Communications Manager 2 Communication Specialists — Heather Devos Julie Edgar Area Agency on Aging 1-13 Communications and Strategy Departments Shari Smith MMAP Manager 3 MMAP Program Assistants - Yvonne Bailey Steven Gershman Barbara Mahaffey 3 MMAP Site Coordinators - Beverly Clark Melissa Devine Loretta Mack Jenny Jarvis Chief Communications and Strategy Officer I 3 Ombudsmen Elaine Hearns Mary Katsarelas Louise Verbeke Angell Lippard Resource Center Manager (p.8) KatieWendel Director of Planning & Advocacy I Amanda Sears I Stephanie Hall Grant Manager IIf Research & Advocacy Specialist I - Julie Lowenthal Coordinator of Volunteer & Caregiver Services p. 7 ** number in parenthesis indicates page number of department specific chart Version 12/17/2021 Page 153 of 195 nrsmers on bSinS Ad��ncas" . Atacn . Area Agen�Y °n Aging 1'g — y Ets�uick Resource patahase Specialist version "10/2A54 °f A95 Page Res°uree Center Ange al 1lppard Resource Center Manager Kren Frey Resource cen2er f eam tee Lan�ur-7ack5On Center Resource Asslksta Rob`�n-Morris Caregiver Resource Specialises 7 Resource SPeciatists Chris Considine Kara Groom RaYton beaks-MM porr-a Nap1er Anna Ro NseY Rrieanna Schofield BreshaY warm p.8 ,�eChnology, p,natyt1° s and ppSA ®epa�ments Ar as Age1Gy °n pgeng ti.6 es 4ucveV xa�o, lam & Anaiytics Director of Technoto� Qro�,��anager Vacant --� Charles vendor Contracw Anaryst IGm Trudeau Databa5e Adminrstr� or \1ersion 03j01 i2022 number 155 of 196ndicates page number of department specif in pic char` Page 9.9 Kell, $ nns,o. G\\n'sca\ ®ament ep ency on pgeng 16 PCea P9 prmeepab {f\cer Ghlei c�C+ntca\ �OpeYat+ons�p.111 \,aca 3 p rogram atof P u e feteav { e d \UUa SPr\n� n R\n+ er program Mer ons H a th n� Gre CO nske E\\ssa tads s RN SUppo or Go°rd+nn Ke o d\na ion sec. \)erv+so f ..-ten Mi\\er `' �M °{ G\\n\ca\ oopeYat Owaagove Data word\natoY proRrama\Sm°Rer Kn'st / 5 Serv\ce C00rd+natoYs \oh�Nsoo gettY ngusk+ \ Carey aar h+a\\ \C+mbeY\y w' er S+ands 4�pn(2p22 �eYs+on ber of department spec f\c chart enthesrs `nd\cates page nUm * numbPage 156 Of 195 Area Agency on Aging I-S An Affil"R �0 1-$ Air^cen•. Radon . n A41,,k Kristy Mattingly Clinical Manager Community Living programs (p-13) Director of Clinical operations Vacant I t I Brian Paruch Network Manager 4 Contract Coordinators Dionna Austin -Smith Katherine Hart Carrie Sherwood Nicole Terrell Clinical Department AASA Program Managers Andrea Lang program Manager Caregiver Services Angela Patten program Manager Nutrition Services I LaVonna Howard Manager of Mobility Services Roberta HabOwsl l I Mobility Project Advisor i Debra Price -Ryan Transportation Project Coordinator Kristin Wilson Manager of Wellness & Social Services Jeannine Roach Manager of Health promotion 1 10 Part -Time ` I Trainers I a ** number in parenthesis indicates page number of department specific chart Version 3(04J2022 page 157 of 195 3 Mobility Specialist Jessica Davey Katherine Giampino Vacant Area Agency on Aging A-B cb i ea OeNio Clinical Manager MI Choice Clinical Operation Clinical ®epartment 'Mer Susan of ginical Oirector Operations Robert Amos clinical Try s age number of department specific chart Hamper in Par { 195ndicate p page Oeb to ah Nelson Enrollment 1p'151 version 8t�8j2p21 p.12 X'R an AdOcat, v' Action ^ pnae wv on Agwp Area Agency on Aging 1-B clinical Department 1 3 Registered Nurse support Coordinators — Taylor Clark Kathryn Edmondson Elizabeth Gamboa version page2159 of 195 Kristy Mattingly Clinical Manager Community Living Programs I I Laura Wilson jenny Brunell `I program Coordinator Kathryn Carbin I CLp Supervisor (1 CM/Veteran Supervisor 1p Caseworkers Erica Cable Work Support Nicole Justice 4 Social Ellen Keils Coordinators— Lengyel Meils le Courtney Carrie April Voss Margina Moore Vacant Lisa Pyle Llsa Rudolph Vacant Tiffany Welton Vacant Vacant n cien`Ca` ®®Payment on wwa 1 B ve�s °n page P.14 ency On P 10S A F PCea Pg $ oA Deborab Ne\son \Manager s �\inica EnrOUrnent / toast\e Ma\\oN M°n CONment SuPeN,sor of gn 5 N u5 p \ CpOrainatos \anet be\sm �aN h?\att Vacant Vacant work 5 SoGa\ SuPP°� cOOrdinators, AmV Frame\ t NioO\e 5ment Kevin Va Vacant Vacant Verson 0411.1207 page AbA 01 195 C\\n\Ca\ o�ment eP Mi Gh°`ce S°beau\e<s" K m Smart V aCan, Na�nuPervisor \stake & W aiiiist S Sherman Soreeners / lyookover GhevOn S< E\fig ibi\\tl' Devon Mary se te5 st SPec er Vikk`ROoh \oC aV Kather`oe� 2 5\ig`b`\\tY SPeC1a\fists ShaV\a Fenn Kast\ //� SPeth S�p °\g�an`�pOrd�oatOt 4 Progra COO dinatorYe A\?� God{ eV Nao M,ba\1 1`a�o�ya-\err! P,15 Annual 8, Multi Year implementanon Plan 2023-2C--5 3 M pLA�{;dED°F®Ritpo�n 2023 p ency on Aging SEp pR®G�afth Promotion rnunity I+ving Area 9 '� revers CE.BA tion H e Under D nistration for Com this list unf �V1®N sease prevention ed under Title VII-D- s from t far Funded fund ned by the Adm Only P ram Funding p n°un rog BDP) t° be deter ent Library- Under Based programs (E Funds, .in the Docum enter on first l+ne and hest -level criteria as a rovider, Fundtn9 Evit idence- meet the hig for Title 111-D Fun P vt for rams for ate No' uested belo yarns that m lil_p pro9 Ant , for sery ice roved EBDP programs information req COMotion PTo9 amount for all Title of part,o'pgOt` E)C(l e i provide the be used on h seee t e "List of APP as a single ds can only has been allocated Name Example: 7otat pending ra a AoA). Pleases provider of beiols' p all p 'pants far all 14, EY5 1I1-D fun on Aging { ding e line as shin' ovtders Title 2p23, If fun n a sing a!t P g14,000 Admimstrdabeginning in F,' ertng programs o 80 apPTpVe each pro°ider off This Service' me Example. Lt$ea r Teague TOgro' $5,602 program Na 1 32 Example Arthritis Fxerc+se Program Ji. Diabetes PATH Chronic Pain PAT" AA Matt B lance. Managing Concerns About Falls Powerful Tools for CareveTs Aging Mastery Program Ag'in9 Mastery Program for Gare9ivers 2 of 195 Page 16 IM, AAA 1-B $5 b02 32 $20,550 i g6 $h 5,222 72 $11,170 40 $12.210 40 1)Forestwnsib $enricee 2) Grove l 3) Friendly Avenue SeN pnnua\ & Mu\t\Year \mP+eK'an�t�or P\an 20<3 2t�25 ,�®(t F`{ 2023 �Ac�l MS P PNN4® e pef\n+t+°n r Unity \vin9 \O ber G P pfomouo cv\a {ta{ton{o am K°mdr9Pm°Unt{o ED pROftoR ea\th Tit1e11\p' the Pdntn+spn\Y P�Ogndef FUn on P9m9 E�iGE 8 please Preve e tUnded Under deteftt�+neQ b�1ent �b of on ftfst\tne FPnnaougce aencY �v`D n d pndef 5 �E pP� tQ b gel ccite<ia �d „ in Oet �Ptovidef, e efidpafed N for seN tQ cfle mic+pan examp°tat (°r ° used pro9ran meet the his (or lit\e i \\ � 9VOTan s {O 2ota1 g,n,di,9 ide s r Eviden to t'Sms that kr a for a\\ Tttie ExamPjeu,tts for art pro n fegUested be\o heath Pf tom stt o Pp a aaa e amount �pVider Name a s,n€tz tine ns SOW" "bet at oiltPYo SQ,s $�q 0�� ofmat\OILI be se onease the \too p PrOvid\i tD {undso'atk 0 9 2023Pt fundtn0 bas been a isr each Pj0 ue p<9rSAAA t5 $3 5g4 ,,der �tt\e istratton 'tn9 rn F Ezampie ntor t ea9r $eNtce P,drntn nn Se enio aPProvedbee. Namg 11Foreves0 t1swvpou $etvices $2�7�4 Tti\s sew programs \y pve ..,Friend n 85 ritisExercisepro9Can' NO .�� Diabetes pieventron pro9ran' pptN Goncerns About Fa\\s nce Manag\n9 /'- AMatte+ o{ ga\a �,ta\k�an Ease nnan6e Fitness E Cat Ch\ Page 163� M ch`9a eY F °UndaC,on °t Nat\ona\ Ktdn el FoUndatron 01t\dit9an Naftonai K\,, K\dneY �OUndatton of �"cn\9an Natrona\ Foundation ofi Pnicrt9an Natrona\ / / FoUndatwn of M oogal\9an MOO NaC\On �/ 'r -- oq Mictit9an National K+dneY FOUndatton Agency: Area Agency on Aging PSA: 1 B FUND SOURCE 1. Federal Title III-B Services 2. Fed. Title III-C1 (Congregate) 3. State Congregate Nutrition 4. Federal Title III-C2 (HDM) 5. State Home Delivered Meals 8. Fed. T8e III-D (Prev. Health) 1 9, Federal Ttle III-E (NFCSP) 110. Federal Title VII-A 10. Federal Title VII-EAP 11. State Access 12. State In -Home 13. State Alternative Care 14. State Care Management 15. St ANS 16 St. N ursing Home Ombs (NHO) 17, Local Match a Cash h. In -Kind 18. State Respite Care (Escheat) 19. MATF 19 St. CG Support 20. TCM/Medicaid & MSO 21. NSIP 22. Program Income bI-RVI(:tS SUMMARY SUI'PURIIvt NU I RI I IUN SERVICES I SERVICES 2,737,827 -' 3,615,534 62,518 1,934,077 3,117,709 206,062 1,302,059 18,728 42,555 186,610 3,327,050 733,341 863,653 291,000 73,035 108,000 I 1,066,121 1,040,90C 358,605 780,464 96,294 27,308 1,677,79i 100,000 I U AL:I 12,31 d,112 1 11,446,b3L r-Y LUL.5 AKIzA I'LAN UKAN I bUUUr I TOTAL 2,737,827 3,615,534 62,518 1,934,077 3,117,709 206,062 1,302,059 18,728 42,555 186,610 3,327.050 733,341 863,653 291,000 73,035 108,000 2,107,021 358,605 780,464 96,294 27,308 1,677,792 100,000 23,1d1,242 Budget Period: Date: 05125/22 10/01/22 to Rev. No.: Rev. 10/8121 09/30/23 1 Page 1of 3 AUNT NIS I RA I IUN Revenues 1 Local Casn I LOMI In-Klno p hederal AnnllNstratlon 1,U68,39b 241,49b Stale Administration 188,123 MATF Administration 77,188 - St. CG Support Administration 9,524 - �I Other Admin I otal All' Admin: 1,3b3,2311 241,4951 - 1 �txpenmtures _ 1 (, FTEs 1. Salahes/Wages 2700 I 1,127,850 1 2. Fringe Benefits" 1 327,077 13. Office Operations( 155,801 1 otal: I 1 1,bl U,121 cash Match Uetail Source County Match 2. Federal Admin 3. Federal Admin MATFF Administration Match St CG Support Match Total: m-Kmd Matcn Uetau Amount Source 247,496 1. Federal Admin 2 Federal Admin 3. Federal Admin - MATF Administration Match - St CG Support Match 247,496 Total: BGP Allocation Amount 22,815,452 1 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. Laura Gruczelak CFO signature I Itle pate 05/25/22 I otal 1,33a,69c 188,123 77,188 9,524 l,b1U,12( Amount Page 164 of 195 'i'opem4ng standards For AAA9 i -OP Sed SERVICE CATEGORY A Access Samos. A-1 Care Management A-2 Case Coordlsupp A-3 Disaster Advocacy& Outreach Program A4 Inforri & Asses A-5 Outreach A-6 TransporlaM1Dn A-] Defend Counseling B mHome B-1 Chore B-2 Home Care Asses B-3 Home Injury Cntd B-4 Homemaking B-6 Home Health Ada B-] Medmahoo Mgt B-8 Personal Care 11 B-9 Aesiehve Device&Tech B-10,Resplte Care B-li,Fnendly Reassure jC-10 Legal Atsrstznce 1 C Community Serviires 1 C-1 Adult Day Services ! C-2 Dementia ADC C-6 Disease Prevengylealth Freestone 1 C-) Health Smarting 1 C-8 Assist to Hearing Impaired &Deaf Cmty ! C-9 Home Repair )C-11 LTC Ombudsman IC-12 SrCt,Operation. IC-13 Sr Ott Staffing C-14 Ysinn Services IC-n, Prevntof Oder Abvse,Neglec[Explortatmn IC-16 Co00seling Services IC-17 C.CConf CGOCCC C-I8, Caregiver Supplmt Services C-19,Knsdp Support Semces I C-20 Caregiver E,S,T I-C-8 'mg.on Develop Region Specific mfoal Uryent great Needs Nursing Semces d. ]. CLPIADRC Semces p Co; B. MATF Arm p0o up m r - -' FY 2023 AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAIL Agency Area Agency on Aging Budget Penod 10101122 to 09130123 Rev.101B121 PSA: IS Data 05125122 Rev No 1 page 2 013 -�- IT9e NIT �--SEnit- -S6'r� � -SCAA� -SERe"spite " rvw I - at 0D aupp I "'^'" mgmm �� n- m Ttle 1148 The Ill-D Title Ill -E OMB Access In -Home Care Mgmt NHO (Escheat) Income Match MatchF TAL 265,7OB 297355 25CW 1211000 68000 35,674.036,7371 150457 312,801 613553 146,000 40,000 95.829 t 1,358,7901 3I8,307 323,W0 - 20,000 25,000 "Co 630,119 203,19 186,000 166,610 _ 61,]49 6llA80' 15,D00 d5,000 - 6.667 66,667 staged ��ID,WO �.. 55,556 565,556 1 W,COC 100,000 119,Wo 41,DOD 18,Wo 1BS,D00 " 2,100,W0 ��,,, I, 50Ao0 253„30 2.483,334 18,000 III 2000 20.W0, ]30,000 20,000 I 40,0W 03,33E s]3,334 6,OW 210,Wo „ 23,809 230,ies 3" 89,050 713,341 338.6W 62,676 84,458 98,581 28d34. 203,3" 245,0OD t0,OW � � ' ' 4]2,]BB 11,036 53,840 SW,4]2 - 20,OW 230,W0 27,]]8 2n,na 206.062 22,896 228.958 47,590 { ' - 5278 52P]fi 1 137,884 7 i0d20 13,035 26 �^ AID 283,426 I i �� •• .) - 4],445 1 , 5,272 95,2721 I 65,23 I _� 1D,OOD 1Do.000 ]R04 ito on WOOD most) 541,520 ) 60,836 600,35fi 1 I ) I I 77.981 5,424 SUPPRTSERVTOTAL 2,I3],02i 206,062 1,W2A59 42,555 1fi,]28 186610 3,321,050 i33,341� 863,653 13.U35 291.000358 fi05 85{fi52 ID5,018 -21,W8 iW,000 iW,000 1,066121 12.40 Page 165 of 195 FY 2023 NUTRITION / OMBUDSMAN / RESPITE / KINSHIP - PROGRAM BUDGET DETAIL Agency: Area Agency on Aging Budget Period. 10/01/22 to 9/30/23 PSA: 1B Date: 05/25/22 Rev. Number 1 FY 2023 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 Std Congregate Income Match Match Nutrition Services 1 C-3 Congregate Meals 3,483,666 62,516 354,700 B5 Home Delivered Meals .' 1,901,110 _ 3,117,709 1,677,792 669,700 CA Nutrition Counseling 75 Nutrition Education 131,868 32,967 16,500 AAA RD/Nutritionist' Nutrition Services Total 3,615,534 1,934,077 62,518 3,117,709 1,677,792 - - 1,040,900 _ 'Registered Dietitian, Nutritionist or individual with comparable certification, as approved by AASA. FY 2023 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 Std Income Match Match LTC Ombudsman Ser C-11 LTC Ombudsman C-15 Elder Abuse Prevention Region Specific LTC Ombudsman Ser Total 0p SERVICES PROVIDED AS Sid FORM OF RESPITE CARE B-1 Chore 814 Homemaking B-2 Home Care Assistance B-6 Home Health Aide B-10 Meal Preparation/HDM B-8 Personal Care Respite Service Total Op SERVICE CATEGORY Std Kinship Ser. Amounts Only C-18 Caregiver Sup. Services C-19 Kinship Support Services C-20 Caregiver E,S,T Kinship Sgry L4hr of 1 qk 137,884 18,728 - 73,035 27,308 - 47,445 42,555 - 185,329 18,728 42,555 73,035 27,308 - FY 2023 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL Title III-B Title III-E State Alt Care State State In -Home Merit Award Escheats Trust Fund 26,470 5,272 31.742 Program Cash/In-Kind Income Match Rev. 10/8/21 page 3 of 3 TOTAL 3,900,884 7,366,311 181,335 11,448,530 TOTAL 283,425 95,272 378,697 TOTAL FY 2023 AREA PLAN GRANT BUDGET -TITLE E- KINSHIP SERVICES DETAIL Title III-B Title III-E Program Cash In -Kind TOTAL Income Match Match - 65,103 - - 7,234 72,337 - 65,103 I - - 7,234 72,337 Planned Services Summary Page for FY 2023 PSA: 1B I Budgeted Percent IMethod of Provision Service Care Management Case Coordination & Support Disaster Advocacy & Outreach Program Information & Assistance Outreach Transportation Option Counseling I IIN-HOME SERVICES Chore Home Care Assistance I Home Injury Control I Homemaking Home Delivered Meals Home Health Aide Medication Management I Personal Care I Personal Emergency Response System I Respite Care Friendly Reassurance I ICOMMUNITY SERVICES I Adult Day Services Dementia Adult Day Care Congregate Meals Nutrition Counseling Nutrition Education I Disease Prevention/Health Promotion I Health Screening Assistance to the Hearing Impaired & Deaf Home Repair I Legal Assistance I Long Term Care Ombudsman/Advocacy Senior Center Operations Senior Center Staffing Vision Services I Programs for Prevention of Elder Abuse, I Counseling Services Creating Confident Caregivers® (CCC) Caregiver Supplemental Services I Kinship Support Services I Caregiver Education, Support, & Training AAA RD/Nutritionist PROGRAM DEVELOPMENT I REGION -SPECIFIC (Critical Urgent Unmet Needs INursing Services Funds $ 1,036,737 $ 1,358,790 $ 830,119 $ 617,488 $ 15,000 $ 66,667 565,556 100,000 185,000 2,483,334 7,366,311 20,000 873,334 238,889 1,387,088 538,472 277,778 3,900,884 181,335 228,958 52,778 283,334 283,425 95,272 72,337 100,000 6U8,3b5 C. m I d. $ I CLP/ADRC SERVICES $ I SUBTOTAL SERVICES $ 23,767,242 MATF & ST CG ADMINSTRATION $ 86,712 I TOTALPERCENT - -- - - TOTAL FUNDING ($ 23,853,954 of the Total I 4.35%I 5.70%I 0.00% 3.48%I 2.59%I 0.06%I 0.28%1 2.37%I 0.42%I 0.78%1 10.41 %I 30.88%I 0.00%I 0.08%I 3.66°/a 1 1.00%) 5.81 0.00%I 2.26%I 1.16%I 16.35%I 0.00%I 0.76%I 0.96% 0.00%I 0.22%I 0.00%I 1.19°/al 1.19%I Purchased Contract Direct X x 1 t X X X X t 1 1 X i X X X X X x 1 X x x j . x 1 x X X X X X X X X 100,00%1 20.13% 57.72% $4,800,978 ; $13,770,703 91 X i I i 1 1 1 22.14% --1 $5,282,273 Note: Rounding variances 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 167 of 195 [Agency: (Date of SGA: (Dale of Budget: ISGA CATEGORY Title III Administration State Administration Title III-B Services Title III-C-I Services Title III-C-2 Services Federal Title IIII (Prev Heauhl Title III-E Services (NFCSP) Title VIVA Services (LTC DmNda) Title VIIIEAP Services St. Access St In Home St, Congregate Meals St. Home Delivered Meals St Alternative Care St Aging Network $is (St ANS) St. Respite Care (Escheats) Merit Award Trust Fund (MATF) St. Caregiver Support (St. CG Sup.) St. Nursing Home Ombuds INTO) I Fund -LTC Ombudsman St. Care Mgt NSIP ISGA TOTALS (ADMINISTRATION Federal Administration State Administration I ISub-Total: MATF ST CG Supp ILocal Administrative Match Ilocal Cash Match Local In -Kind Match tb-Total: Ier Admin Total Administration: ISERVICES: Federal Title III-B Services Fed. Title III C-1 (Congregate) State Congregate Nutrition Federal C-2 (HUM) State Home Delivered Meals Federal Title III-D (Prev. Health) Federal Title III-E (NFCSP) St. Access St. In Home St. Alternative Care St. Care Mgt. State Nursing Home Ombs (NHO) St ANS ISub-Total: ILocal Service Match Local Cash Match Loral In -Kind Match [Sub -Total: Title VI IlA Services (LTC ombuds) Title VIIIEAP Services NSIP St. Respite Care (B,heata) MATF St. CG Support MSO Fund -LTC Ombudsman ITCM-Medicaid I CM [Program Income ITotal Services (Grand Total: Ser.+Admin. FY 2023 BUDGET REVIEW SPREADSHEET Area Agency on A 1 B ISGA No. 05125/22 Revision No. SGA AWARD CIO AMOUNT $ 1,088,396 1 I $ 188,123 1 $ 2,737.827 $ 3 615 534 _ $ 1,934,077 1 $ 206,062 1 $ 1.302,059 1$ 18,728 1 $ 42,555 $ 186,610 . $ 3,327050 $ 62,518 $ 3117,709' $ 333,341 - I $ 291.000 1 $ 358.605 $ 857,652 $ 105818' $ 73,035 $ 27,308 $ 863,653 1$ 1,677792 $ 22,815,452- I $ - �BUDGET SGA DIFFERENCE $ 1,088396 $ 1,088,396 $ - f $ 188,123 $ 186.123 $ - Rev. 1118127 11 Fiscal Year: I FY2D23 I Date Reviewed by AASA: 1 Initials of Field Rep Approving: ' TOTAL AAA COMMEN IS I $ $ 188,123 - _ - $ 2,737S27 $ 3615,534 $ 1,934.077- $ 206.062- $ 1,302,059 _ _ - $ 18 728 $ 42,555 $ 186,610 - .. $ 3,327,050 $ 62,518 $ 3,117,709 AASA COMMENTS $ 733,341 $ 291,000 $ 358,6051 $ 857652 $ 105818 $ 73,035 $ 27,308 $ 863,653 $ 1,677,7921 $ - 1 $ 22815A52 Administrative Match Requirements I (Minimum federal administration match amount $362798I Administration match expended (State Adm. +Local Match) $435:6191 Is the federal administration matched at a minimum 25%9 Yes I Does federal administration budget equal SGA? _Yes $ 1,276,519 $ 1,276,5191$ - Does state administration budget equal SGA? Yes I $ 77188 $ 9,524 I $ 247,496 $ 247,496 11 All , 1 1,610727 $ IBUDGET SE 2.737,827 $ I 3.615.534 $ I l 62,518 $ 1 $ 1.934.077 I $ $ 3,117,709 $ 1 $ 206,062 $ 11 1,302,059 $ IS 186,610 $ 1 $ 3,327.05o $ I $ 733,341 $ 1 q 863,653 $ 1 $ 73,035 $ 21 $ $ 18,450,475 $ $ 108 000 1 - $ 2,107,021 1- $ 2215,021- $ 18,728 1 1 $ 42555 1 1 $ t677792 1 1 $ 358,605 1 1 $ 780A64 1 1 $ 96,294 1 $ 27.308 1 $ 100,000 $ 23,767,2421 $ 25.3A9691 - Merit Award Trust Admin.& St Caregiver Support Admin must be expended at or below 9%of Total Merit Award Trust Fund & St. Careaiver Support Admin. Funds budgeted. 8 _ Is I Award Trust Fund & St CG Support Admin, budgeted at 9% or less9 Yes I _ - - [Amount of MATF Funds metaled an Adult Day Care $ 702,788 DT ADMIN (DIFFERENCE Is at least 50% of MATF budgeted on Adult Day Care services? Yes t 1,610,727 $ Title III-E Kinshjp Servlces Program Requirements 1 %BUDGETED Are kinship services budoeted at> 5% of the AAA's Up III-E fundino? I Yes 1 2,737.827 100.0000% - 3,615534 100.0000% 62518 100.0000% 1,934,077 100.00001. 3,117,709 100.0000% 206,062 100.0000% 1,302,059 100.0000% 186,610 100,0000% 3.327,050 100.0000% Lnote. see TL #369 & TL#2007-1411 For Aoencies reawred to budget a minimum of ^125,000 of Title III-E requirement met? Yes Title III-B Long Term Care Ombudsman Maintenance of Effort Requirements Amount required from Transmittal Letter#2020-431. fsee cell 1421 $27,100 Budgeted amount Title III-B for LTC Ombudsman. $137,8841 Is required maintenance of effort met? I Yes I 733,341 100,0000% Service Match Requirements 863,653 100,000),'4 Minimum service match amount required 73,035 100.0000% Service matched budgeted (Local Cash + In -Kind) 291,000 100,0000% Is the service allotment matched at a minimum 10%? 18,450.475 100.0000% .I Miscellaneous Budget Requirements i Constraints [Amounts budgeted for OAA I AASA Pnonty Services (Access. In -Home Legal: -- Total Budgeted for Priority Services: 18,728 100,0000% Are Access Services budgeted at minimum 10% of Ordinal ACL Title 111-B 42555 100.0000% Are In Home Services budgeted at minimum 10% of Onginal ACL Title III-B 1,677,792 100,0000% Are Legal Services budgeted at minimum 6.5% of Original ACL Title 111-B 358,605 1&0000% (Actual % of Legal) 780,464 100.0 000% 1 96,294 1100,0000 % (Title III-B award wlo carryover or Transfers in current SGA 27 308 100.0000. Amount budgeted for Program Development - - _ - - / of Title III-B Program Development (must be 20 % or less) - -- Its Program Development budgeted at 20%or less? - - Title III-D allotment with carryover. - _ - - Amount budgeted for EBDP Activities, per TL#2012-244 -- Is 100% of Title III-D budgeted on APPROVED EBDP? 1 1 $2.063.7861 $2,215,0211 Yes $1,012,6011 $619,8771 $245,0001 $1,877,4781 Yes 1 Yes Yes I 8.95 % $2,737,827 $547,520 ts.o% Yes I $20 062 ea Y062 Page 168 of 195 PRIORITY SERVICE SECTION Access Services III.88uogel Amount I a. Care Management $2bb,/Ubl e Case Coordlsupp $1 oU,antl c. Disaster Advocacy col d, mlormatlen 5 Assls gJlb,ovl l e. Uetreacn pzLi ILyl C Transpodauon $U g. Options Ccuncelmg $1 b,000 (AAA Regional Access Service) Access total[ $1,012,bU7 In Home Services III.88udget Amount I a. Chore aouu'v ul It. Home Care Assis $Ut C. Home Injury Until $ I ly,ouul a Homemawng aul e. Home Health Aide $U� 1. Medication Mgt $U g personal Care $U1 h. Assistive Uevme&Tech $Ul I. Respite Care I Friendly Reassure $0� (AAA Regional In -Home Service) (AAA Regional In -Home Service) In Home Services lo[alt $81u,tlll Kinship aernces III-t VUOgi Amount 1. Caregiver eupplmi - Kinship Amount Unly 2. Kinship Support $bb,103 3. Caregiver E,S,T - Kinship Amount Only $U I 0 pit 1 (Other Title III-E Kinship Servme) (Other Title III-E Kinship Service) Kinship Services Total: bhh,703� uae nits trerusrere rerlecl8a mavA uue nl•e Awam ((Use ONLY If SGA Reflects Transfers) hthe III-8award wmcarryovermSGA $2,/C/,ii a. Amt. imovemet into Inie uI-b (Always Enter Positive Number) l b. Amt l mnslerredout orllne nl-H (Always Enter Positive Number) AOA Iale 111.11 AWara total: I izdor,in, I NOTE: AOA Title III Part B award for the current FY means total award from AOA without c_ arrvover or transfers. Page 169 of 195 FY 2023 Annual Implementation Plan Direct Service Budget Detail #1 AAA: Area Agency on Aging FISCAL YEAR: FY 2023 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 407,736 278,393 68,000 35,674 789,803 Fringe Benefits 118,327 80,873 199,200 Travel 15,000 5,000 20,000 Training 6,000 6,000 Supplies 4,000 4,000 Occupancy 0 Communications 12,000 5,734 17,734 Equipment 0. Other: 0. Service Costs 0 Purchased Services (CM only) 0. 0 Totals 563,063 0 370,000 0 68,000 35,674 0 1,036,737 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 If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #1 FY 2023 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Volunteer Time 35,674 . Local Resources 68,000 Totals) 68,000 35,6741_ 01 0 bifference 0 0 0 OK OK OK Page 170 of 195 AAA: Area Agency on Aging SERVICE: Case Coordination & Support Federal OAA Omer Fed Funds LINE ITEM Title III Funds (non -Title III) Wages/Salaries 349,319 Fringe Benefits 101,529 Travel 5,000 Training 1,410 Supplies Occupancy Communications 6,000 Equipment Other: Service Costs Purchased Services (CM only) FY 2023 Annual Implementation Plan Direct Service Budget Detail #2 FISCAL YEAR: FY 2023 State Program Match Funds Income Cash In -Kind 581,608 40,000 95,879 168,955 5,000 1,090 3,000 Totals 463,258 0 759,653 0 40,0001 __95,879 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 2023 (MATCH (OTHER RESOURCES VALUE I VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Volunteer Time 95,879 Local Resources 40,000 Totalsl_ 40,0001 - 95,8791 Difference 0 0 Page 171 of 195 OK OK OK 01 0 0 Other Total Resources Budgeted 1,066,806 270,484 10,000 2,500 0 0 9,000 0 0 0 0 0 0 1,358,790 Yes No Explanation for Other Expenses: t FY 2023 Annual Implementation Plan Direct Service Budget Detail #3 AAA: Area Agency on Aging FISCAL YEAR: FY 2023 SERVICE: Information & Assitance Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Titlelll) Funds Income Cash In -Kind Resources Budgeted Wages/Salaries 517,324 34,870 83,012 635,206 Fringe Benefits 150,283 10,130 160,413 Travel 3,500 3,500 Training 6,000 6,000 Supplies 0 Occupancy 0, Communications 25,000 25,000 Equipment 0. Other: 0 Service Costs 0 Purchased Services (CM only) 0 0 Totals 702,107 0 45,000 0 0 83,012 0 830,119 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 If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #3 FY 2023 MATCH OTHER RESOURCES Explanation for Other Expenses: I VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Volunteer Time 83,012 Local Resources I TotalsL 01 83,0121 0 0 Difference 0 0 0 OK OK OK Page 172 of 195 AAA: Area Agency on Aging SERVICE: Outreach Federal OAA Other Fed Funds LINE ITEM Title III Funds (non -Title III) Wages/Salaries 345,407 Fringe Benefits 100,332 Travel 10,000 Training Supplies 15,000 Occupancy Communications 70,000 Equipment Other Service Costs Purchased Services (CM only) FY 2023 Annual Implementation Plan Direct Service Budget Detail #4 State Program Funds Income 11,623 3,377 FISCAL YEAR: FY 2023 Match Other Cash In -Kind Resources 61,749 Totals 540,739 0 15,000 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 #4 FY 2023 (MATCH OTHER RESOURCES I VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Volunteer Time 61,749, Local Resources Totals) 01 61,7491 _ 01 Difference 0 0 0 Page 173 of 195 OK OK OK 01 61,749 0 Total Budgeted 418,779 103,709 10,000 0 15,000 0 70,000 0 0 0 0 0 0 617,488 Yes No Explanation for Other Expenses: Insurance AAA: Area Agency on Aging SERVICE: Federal OAA Title III Funds LINE ITEM 46,494 WageslSala6e6 13,606 Fringe Benefits Travel Training Supplies Occupancy Communications Fquipment Other. Service Costs Purchased Services lcM only) FY 2023 Annual Implementation Plan Direct Service Budget Detail #5 options Counseling other Fed Funds tnontitte lit) _60,000 Totals -- State Program Cash Funds Income 0 FISCAL YEAR: FY 2023 Match Total Other Budgeted in -Kind Resources 53,161 6,667 13,506 0 0 D D 0 0 0 0 0 0 1 �_- 0 0 6,667 SERVICE AREA: art of the agency Direst 's FY AIP? (List by County/City if service area is not entire PSA) roved as p Service Budget reflect any changes Does the to the one approved If yes, please describe: FY 2023 SCHEDULE OF MATCH & OTHER RESOURCES #5 MATCH VALUE Cash SOURCE OF FUNDS Volunteer Time 'OTHER RESOURCES VALUE Cash In -Kind in -Kind 6,667 Local Resources J _ Totals 0 u OK - 1 -_ �"'r- OK _ T Difference OK Page 174 of 195 Yes _- No Explanation for Other Expenses: Annual ►MP1ee et Qetaii #6 FYY 2023 gudg FtsCAL Qirect Service YEAR: FY 2023 A encY on Aging Match to Kind AAA: Area g th Promotion ventionlHea program Cash 11,2E Disease Pre State Income SERVICE: otherFedrunds Fu�a� �`�f TitlelliFunds ITEM g2,000 ;I,alanes 17,980 ¢ g¢nefds g,000 otats --� art of the agent)(s FY Alp? SERVICE AREA: area is not entire PSA) roved as P City it serlice es to the one approved tList by County ct any ctran9 Direct Service Budget refle Does the Fy 2023 It yes, Please describe: EFt RESOURCES #s 1OTHER RESO� U��� R ��-- OF MATCH & OTH i-1 VALUE to Kind SCiiEQULE MATCH VALt Al eer Time Resources OK Totals 0 OK nitference OK Page 175 Of 195 Other Budgeted R¢sources 73,264 17,90 g,OJ0 0 61 000 z 400 0 FY 2023 Annual Implementation Plan Direct Service Budget Detail #7 AAA: Area Agency on Aging FISCAL YEAR: FY 2023 SERVICE: Long Term Care Ombudsman/Advocacy Federal OAA Other Fed Funds State Program Match Other LINE ITEM Title III Funds (non-Titeup Funds Income Cash In -Kind Resources Wages/Salaries 73,115 14,410 77,187 26,470 Fringe Benefits 21,245 4,318 23,156 Travel 38,524 Training Supplies 5,000 Occupancy Communications Equipment Other. Service Costs Purchased Services (CM only) Totals 137,884 _ 18,728 100,343 _ 0 _ 01 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: Total Budgeted 191,182 48,719 38,524 0 5,000 0 0 0 0 0 0 0 26,470 0 283,425 Yes No SCHEDULE OF MATCH & OTHER RESOURCES FY 2023 !MATCH OTHER RESOURCES Explanation for Other Expenses: SOURCE OF FUNDS Cash VALUE VALUE 9ti In -Kind Cash In -Kind Volunteer Time Local Resources Page 176 of 195 26,470 Totals I 0 26,4701 Difference 0 0 OK OK OK 01 0 0 FY 2023 Annual Implementation Plan Direct Service Budget Detail #8 AAA: Area Agency on Aging FISCAL YEAR: FY 2023 SERVICE: Caregiver Education, Support & Training Federal OAA other red Funds State Program Match Other LINE ITEM Title III Funds (non -Title III) Funds Income Cash In -Kind Resources Wages/Salaries 60,000 10,000 Fringe Benefits 18,000 Travel Training Supplies Occupancy Communications Equipment Other: 12,000 Service Costs Purchased Services (CM only) Totals 90,000 0 0, 0 _ 01 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 agencys FY AIP? If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2023 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Volunteer Time 10,000 Local Resources Totals) 0 10,0001 01 0 Difference 0 0 0 Page 177 of 195 OK OK OK 10,000 0 Yes No Total Budgeted 70,000 18,000 0 0 0 0 0 0 12,000 0 0 0 1 € Explanation for Other Expenses: Training Platform FY 2023 Annual Implementation Plan Direct Service Budget Detail #9 AAA: Area Agency on Aging FISCAL YEAR: FY 2023 SERVICE: Program Development Federal OAA other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non4itle 111) Funds Income Cash In -Kind Resources Budgeted Wages/Salaries 400,000 60,836 460,836 Fringe Benefits 116,200 116,200 Travel 20,000 20,000 Training 3,000 3,000 Supplies 5,000 5,000 Occupancy 0. Communications 3,320 3,320 Equipment 0 Other. 0 Service Costs 0 Purchased Services (CM only) 0 0 Totals 547,520 0 0 0 01 60,836 0 608,356 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 agencys FY AIP? _Yes _ No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2023 MATCH OTHER RESOURCES __ ._ Explanation for Other Expenses: 1 VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind . Volunteer Time 30,418 Local Resources 30,418 . Totals 0 60,836Lr01 _ 0 Difference 0 i 0 0 OK OK OK Page 178 of 195 e Coss on1Yl FY Aip'? used SeN\ces l�M t6A 835 a� of the agenc�s �tals ERVfGE. AR� "' ce area S not enanT changes to the one aPPr��ed as P 2p23 s OM rY t SgN`ee Budget reflect ���si by SpURCES Upes th \ give desonbe: �esoijgGES OCHER RE V Al UE \n ff Yes, P pVLE DF MATCN &' �AYCH V AhUE tn.Klnd Cash So VF Cash Page �79 of 1g5 t'tEM k r', �Y 2�23 #11 FISCA�'(SAR. SeN c on pg'm9 �_ Pee P9en Y State Fed Funds FUndS SERVICE nAA fin_,.,.-Ti tit rased Seances .. � ncV 5 AdN? 0 ^ Q` Doi It Y c Page 18O O{ A95 Resp6�e� AAA: Area Agency on Aging SERVICE: (LINE ITEM WageslSalaries Fringe Benefits (Travel Training Supplies (Occupancy Communications 1(Equipment I Other: Service Costs IPurchased Services (CM only) � I I (Totals FY 2023 Annual Implementation Plan Direct Service Budget Detail #12 FISCAL YEAR: FY 2023 Federal OAA other Fed Funds State Program j Match ( Other Total Title III Funds (non•Titlelll) I Funds Income Cash In -Kind I Resources Budgeted 0 I I I 0 I 0 I I o 0 t f I I I 0 OI OI UI 01 01 01 01 o 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 If yes, please describe: ` SCHEDULE OF MATCH & OTHER RESOURCES FY 2023 MATCH OTHER RESOURCES Explanation for Other Expenses: j VALUE VALUE SOURCE OF FUNDS Cash I In -Kind Cash I In -Kind I I I I I I Totals( of _ of of o Difference 0 0 0 Page 181 of 195 OK OK OK AAA: Area Agency on Aging SERVICE: Federal OAA LINE ITEM Title III Funds WagesiSalaries Fringe Benefits Travel Training Supplies Occupancy Communications Equipment Other: Service Costs Purchased Services (CM only) Totals FY 2023 Annual Implementation Plan Direct Service Budget Detail #13 Omer Fed Funds State Program (non-Tifle III) Funds _ Income _ D �_ - 0— FISCAL YEAR: FY 2023 Match Other Total Cash In -Kind Resources —Budgeted — 0 - 0 0 0 0 0 0 0 0 0 0 0 o- - - -- o SERVICE AREA: (List by County/City if service area is not entire PSA) Yes No 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 2023 _.. MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE Cash In -Kind Cash In -Kind SOURCE OF FUNDS ' _-: -- 0 0 D j D O Di reeff OK D r ce OK OK Page 182 Of 195 FY 2023 Annual Implementation Plan Direct Service Budget Detail #14 FISCAL YEAR: FY 2123 AAA: Area Agency on Aging SERVICE: State Program 01her Fed Funds Funds Income Federal OAA inonT[deN) Title Ill Funds LINE ITEM WageslSalaries Fringe Benefits Travel Training Supplies Occupancy communications Equipment Other: Service Costs - _ - PurchasedServices(CMonly) Totals other Total Match -, Resources Budgeted Cash In -Kind' 0 0 0 0 6 0 0 0 0 0 0 0 0 -0 0 Of::.-, SERVICE AREA: ency's FY AIP? CountylCity if servis not entire PSA} ce area iroved as part of the ag (List by to the one app Does the Direct Service Budget reflect any changes If yes, please describe: FY 2p23 SCHEDULE OF MATCH & OTHER RESOURCES OTHER RESOURCES MATCH VALJE In -Kind Cash In -Kind Cash SOURCE OF FUNDS Totals V Drfference OK 0 0 OK OK Yes No Explanation for Other Expenses: Page 183 of 195 FY 2023 Annual Implementation Plan Direct Service Budget Detail #15 AAA: Area Agency on Aging FISCAL YEAR: FY 2023 SERVICE: 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 Fringe Benefits Travel Training Supplies Occupancy Communications Equipment Other: Service Costs Purchased Services (CM only) Totals 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 AIP? If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2023 MATCH OTHER RESOURCES VALUE VALUE SOURCE OF FUNDS Cash In -Kind Cash In -Kind Page 184 of 195 Totals) 0 01 01 Difference 0 0 0 OK OK OK 0 0 0 Yes _ No Total Budgeted 0 0 0 0 0 0 0 0 0 0 0 0 0 Explanation for Other Expenses: Fundable Services Matrix - Updated attachment toTL#2019-384 Attachment ACCESS SERVICES N Federal Funds I State Funds a Title VIIA St. Merit St. St. Aging Title III-D ------- St. Care St. Respite St. In- Award Trust Caregiver Network Op Stoll Access Services Title III-B Title III-E Title VII St. Access Management Care Home Fund Support Services EAp (Escheats) (MATF) (St. CG Sup.) (St. ANS) A-1 Care Management X X X X X A-2 Case Coordination & Support X X X X X A-3 Disaster Advocacy & Outreach Program X A-4 Information & Assistance X X X X A-5 Outreach X X X X Transporatlon (For MATF & St. CG Sup. only) - adult A 6 dayservice and respite related transport of service X X X X recipients including related medical and shopping assistance is allowed. A-7 Options Counseling X X X X X IN -HOME SERVICES Federal Funds State Funds Title VIIA[[[ St. Merit St. St. Aging Title III - D------- St. St. Respite St. In- Award Trust Caregiver g Network Op std In -Home Services '', Title III-B Title III-E Title VII St. Access Alternative Care Home Fund Support Services EAp Care (Escheats) (MATF) (St. CG Sup.) (St. ANS) B-1 Chore X B-2 Home Care Assistance X X X X B-3 Home Injury Control X X B-4 Homemaking X X X X . B-6 Home Health Aide X X X X . B-7 Medication Management X X X X B-8 Personal Care X X X X B-9 Assistive Devices & Technologies (PERS) X X X X X Respite Care (may also include chore, homemaking, B-10 home care assistance, home health aide, meal X X X X X X X X prep./HDM & personal care sew. as a form of respite care) B-11 Friendly Reassurance X Page 185 of 195 Op srd Community Services C-1 Adult Day Service C-2 Dementia Adult Day Care C-6 Disease Prevention/Health Promotion C-7 Health Screening C-8 Assistance to Hearing Impaired &Deaf C-9 Home Repair COMMUNITY SERVICES Federal Funds Title III-B I ILA Title III-E ' X X X I X X X X X X X I ' State Funds ILie. YIIM JL. Sl. Alhnmoh'IY JL. M1CipIIM II JLd Le JL. IVICIIL it. . L. Agillp X X X a X" JchurnrL X X X X I X X C-10 Legal Assistance I X I I X C-11 Long Term Care Ombudsman + X IMevuA x C-12 Senior Center Operations I X C-13 Senior Center Staffing X C-14 Vision Services X C-15 'i revenuon or ciaer NDuse, Neglect aI X I 1 itle vu A Fvnln'tatinn A PAP C-16 Counseling Services X I I X C-17 Creating Confident CaregiversO (CCC). X X I X C-18 Caregiver Supplemental Services X J X C-19 Kinship Support Services I X I I X NUTRITION SERVICES 04 lop stelNutrition Service I �»,-... L,I .,LOL C-3lCongregateMeals I X� I B-5 (Home Delivered Meals I I X I C-4 (Nutrition Counseling X I X C-5 Nutrition Education I X I X Iu­n innc am nacinnatPn rnr arnmi rnnn InITC rnr. luu I ina II ouvmip Mc. Ic ** Note for Title III D — All funds have to be used for Evidence -Based programs. TL #2019-384 Fundable Services Matrix, revised 2/15/2019, replaces TL #2016-301 X Title III-E I *NSIP rteywleulema au... w 0n uansuutal Icuerc uldi establish Fundable Service Cateaories X Replaces: TL 367. 2005-10282007-142 X X See TU43&TL2006-111 for guidance re 5t MATT X See TL 2012-244 for guidance re Title D X I See TL 2D12-256 for guidance re St. ANS Full ProftPTi1@®IVji4 95 Program Title on SGA Title III Administration Federal Title III Administration State Administration State State Administration Title IIIR Supportive Services Federal Title 11113 Supportive Services Title IIIC-1 Services Congregate Meals Federal Title IIIC-1 Congregate Meals Title IIIC-2 Services Home Delivered Meals Federal Title IIIC-2 Home Delivered Meals Title HID Services (Preventive Health) Federal Title IIID Preventive Health Title IIIE Services (NFCSP) National Family Caregiver Support Federal Title IIIE Natl. Family Caregiver Title VII/A Services (LTC ombudsman) Federal Title VII/A LTC Ombudsman Title VII/EAP Services Elder Abuse Prevention Federal Title VII/EAP Eld Abuse Prevention State Access Services State State Access Services State In -Home Services State State In -Home Services State Congregate Meals State State Congregate Meals State Home Delivered Meals State State Home Delivered Meals State Alternative Care State State Alternative Care State Aging Network Services (St. ANS) State State Aging Network Services (St. ANS) State Caregiver Support State State Caregiver Support State Respite Care State State Respite Care State Merit Award Trust Fund (MATF) State State Merit Award State Nursing Home Ombs State State Nursing Home Ombs Michigan State ombudsman (MSC) State Michigan State Ombudsman (MSO) State Care Management State State Care Management Nutrition Services Incentive Program (NSIP) Federal Nutrition Services Incentive Program (NSIP) Page 187 of 195 MATCHING REQUIREMENTS Revision date 1/26/2016 Page 2 Revision to Transmittal Letter #2016-320 FEDERAL ADMINISTRATION TOTAL - MATCH REQUIRED: 25% STATE 15%[2] (AASA) LOCAL 10% (AAAs) FEDERAL & STATE SERVICES TOTAL - MATCH REQUIRED: 15% STATE 5% (AASA) LOCAL 10% (AAAs) Table 1 below describes these requirements by source of funds Table 1 AAA Local Matching Requirement by Fund S-urce Funding Source Fund Source Name AAA Local Match Requirement Reference Federal Title III Administration 15% (a) OAA of 1965 (d) Federal Title 11113 Supportive Services 10% OAA of 1965 Federal Title IIIC-1 Congregate Meals 10% OAA of 1965 Federal Title IIIC-2 Home Delivered Meals 10% OAA of 1965 Federal Title IIID Preventive Health 10% OAA of 1965 Federal Title IIIE Natl. Family Caregiver 10% OAA of 1965 Federal Title VII/EAP Eld Abuse Prevention No Match Required ACL CFDA Federal Title VII/A LTC Ombudsman No Match Required AoA Fiscal Guide (b) Federal Nutrition Services Incentive Program No Match Required AoA Fiscal Guide State State Administration No Match Required AASA State State Access Services 10% AASA . State State In -Home Services 10% AASA State State Congregate Meals 10% AASA State State Home Delivered Meals 10% AASA State State Nursing Home Ombudsman 10% AASA State State Alternative Care 10% AASA State MI State Ombudsman Funds (MSO) 10% AASA State State Merit Award Trust Fund No Match Required AASA TL #1006 (7/28/09) State State Caregiver Support 10% AASA State State Respite Care No Match Required Public Act 171 of 1990 State State Care Management 10% AASA State State Aging Network Services 10% AASA (a) 15% is an approximate amount and may vary slightly after applying the state match amount. (b) AoA is the acronym for the federal Administration on Aging (c) Michigan Office of Long Term Care Supports and Services (OLTCSS) (d) OAA is the acronym for the Older Americans Act Per AoA requirements, if the required non-federal share is not provided by the completion date of the funded project period, to meet the match percentage, AoA will reduce the Federal dollars awarded when closing out the award, which may result in a requirement to return Federal funds. AASA verifies compliance with local matching requirements based upon a review of AAA FSRs. [2] The exact percentage amount may vary slightly in order to meet the federal requirement. Page 188 of 195 AREA AGENCY ON AGING --OPERATING BUDGET PSA. I Budget Period: 10/01/22 to: 09/30/23 Date of Budget: 05/02/22 IL Rev. No.: Page 1 of 2 Agency: AAA1 B — Operations Program Services/Activities Program HASH MI Choice MI Health Vetrans Contracted Mma Mobil, Refugee p IManagemenl� I (TOTAL Admin Develop Link Admin Services Grant REVENUES Federal Funds 1088396 300000 11234634 3120001 1293503C State Funds 188123 10004299 31413000 120473 41725895 Local Cash 247496 24749E 594000 59400C Local In -Kind Interest Income 5917 5917 Fund Raising/Other 150000 6917000 2150000 550001 370080 964208C TOTAL 16799321 3000001 21238933 314130001 69170001 21500001 550001 9060001 370080 1204731 01 6515041E IIEXPENDITURES ,Contractual Services 125045431 23125915 6134225 1555924 114674 43435281 Purchased Services 4------ 594000 489460E Wages and Salaries 2372138 300000 2400395 4598304 292292 215323 31516 197770 190588 3808 0 10602134. Fringe Benefits 789400 644966 861448 80692 37982 5294 29605 23665 961 2474013 (Payroll Taxes 209112 351779 22361 16471 1569 15130 14580 291 63129-- Professional Services 211850 48000 140000 800 8265 5651 92000 50656E Accounting & Audit Services 45000 18000 6300C Legal Fees 160000 16000C 291708 29170E lOccupancy Insurance 74000 74000 Office Equipment 941610 8000 30000 4454 9636 99370C Equip Maintenance & Repair 13200 500 1370C Office Supplies 66150 30000 4500 400 700 4500 1260 739 108249 Printing & Publication 24550 72000 1000 4000 2204 103754 Postage 29350 15000 3200 80 100 100 6000 220 5405C Telephone 362500 20000 1890 38439C 'Travel 23650 60000 90000 1500 2500 2256 2500 3700 18610E Conferences 97224 40000 7854 650 2000 3500 15122C Memberships 84900 8000 575 9347C Special Events 32000 12000 10000 2152 56152 41371 41371 -3739312 848312, 2199000 484000 151000 3000 28000 26000 0, TOTAL 1921289 300000 44337851 8287085 882775 424076 52000 312000 370080 5799 0 16988889, Page 189 of 195 AREA AGENCY ON AGING --WAGES AND SALARIES PSA: I Budget Period: 10/01/22 to: 09/30/23 Date of Budget: 05/02/22 Agency: AAA1 B Rev_ No.: Page 2 of 2 [Operations Program Services/Activities Program HASA MI Choice MI Health Vetrans Contracted Mmap Mobility Refugee 0 JOB CLASSIFICATION FTEs Admin Develop 0 0 Link Adm_m Services 0 Management Grant 0 TOTAL 28,00 2,372,138 2372138 3.60 300000 300000 60.00 2400395 2400395 78.00 4598304 4598304 5.75 292292 292292 2.80 215323 215323 0.50 31516 31516 6.25 197770 197770 5.50 190588 190588 0.10 3808 3808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c c 0 0 0 0 c c 0 TOTAL 190.50 2372138 300000 2400395 45983041 292292 215323 31516 197770 190588 3808 0 10602134 Page 190 of 195 AAA 1-13 MYP Listening Session November 18 —19, 2021 66 total Participants. 13 staff A. Adult Day Programs a. Individual from Silver Cloud Adult day programs are struggling financially and continuing to lose money. Waitlists are a problem. There is a limited number of spots in the program due to both the staff to client ratios that are required and a decreased number of available spots due to COVID restrictions and social distancing. iii. Prior to COVID, the capacity was 18 at most and post COVID the capacity is capped at 9 or 10. iv. There has been a financial impact due to the several closures. Staff needed to be furloughed to save money. Online classes were offered online when possible. v. The program has lost tens of thousands of dollars. Potentially as high as 50-60K. vi. Not able to increase capacity due to COVID spikes even now. B. Grandparents Raising Grandchildren a. Individual from OLHSA i. Results from a Zoom poll conducted during a Grandparents Raising Grandchildren support meeting on respite needs (13 responses). 1. Most participants said they need respite — only 2 said they didn't. 2. Participants often don't have the finances to acquire respite care. 3. 27%would be interested in summer camp for their child if the funds were available or provided. 4. 20% were interested in activities like sports, camps, etc for their grandchildren. 5. 20% said they need help paying babysitters. 6. 20% said they needed respite but weren't sure what exactly they would need. 7. OLHSA is planning to do further surveys to assess respite. ii. Kinship Caregivers experience a gap in technology and are in need of both devices and training. 1. Virtual telehealth calls are much more common and often kinship caregivers are unsure how to connect with a healthcare provider virtually. 2. Court dates necessary to maintain custody and also submitting forms are often completed online. b. Individuals from the Grandparents Raising Grandchildren program (9) i. Praised the program and is advocating for additional funding to expand the program. ii. There is a need in the community for more assistance to Kinship Caregivers and to make more individuals aware of this resource. iii. Orthodontics is not included in Medicaid for grandchildren which is an unmet need. Page 191 of 195 iv. There is a need for counseling services for both the grandparent and the grandchild. v. The grandparent is often navigating healthcare for both themselves and their grandchild and need assistance. vi. Grandparents are in need of respite care such as house cleaning, chore services, and other assistance around the house. vii. Need assistance in finding vision, hearing, and dental services for older adults. viii. Would like more events specifically for grandparents raising grandchildren to interact with one another. ix. There is difficulty getting a parent the needed facility care. x. Respite care such as assistance with vacations or complimentary dinner would be helpful. c. Chat comments i. "Kinship Caregivers/Grandparents Raising Grandchildren long for in -person support group meetings again. Some will not participate virtually. We are going our best with the virtual experience, with a platform that has a call -in option. We have had curb -side /drive thru events to help with socialization." ii. "We all know what the sandwich generation is .... Raising grandchildren, still parenting young adult children AND caregiving another older adult = the "TRIPLE DECKER" GENERATION" C. Elder Abuse and Financial Exploitation a. Individual from Guaranteed Hearing Inc. I. Older adults often don't have the access to alert authorities or unsure how to report abuse. ii. There are gaps in communication on how workers who come into the homes should be reporting abuse. iii. In home workers are often hesitant to report issues that aren't physical such as yelling or screaming. iv. More training is needed for Meals on Wheels workers in addressing and reporting abuse and neglect. b. Individual from Novi L Also has experienced instances where the Meals on Wheels worker didn't have much training on how to report abuse. ii. Often seeing abandonment and neglect not necessarily physical abuse. iii. Cases of abuse and neglect have been reported, but nothing really happens. Individual from the COA — St. Clair County i. St. Clair County has a funding for a community liaison specifically charged with collecting reports of abuse and neglect from contractors in the community. ii. During COVID, Adult Protective Services were not investigating reports of abuse and neglect in person. iii. St. Clair County has a group of individuals working within this space who meet and develop a plan of care or a plan of service to seniors who are being abused or neglected. 1. The issue is with seniors who do not agree to the assistance. Page 192 of 195 iv. St. Clair County holds strong community connections between the different social service programs in the community. This allows for multiple spots for referrals and multiple sets of eyes on seniors in the community. v. The Human Service Coordinating Body in St. Clair County meet frequently and work together to assist seniors. D. Housing a. Individual from Southeast Oakland i. The Senior Center in Ferndale had a roof failure in the spring and has yet to be repaired by the city. ii. There are also issues with lead in the water in Southeast Oakland. b. Individual from the Housing Bureau for Seniors and Ypsilanti Senior Center i. Affordable housing is an issue for older adults. 13,000 older adults in Washtenaw County are renters and 53% of them are cost burden meaning they spend over 33% of their income on housing. b. Chat comment L "My sister has a mild disability and works full time. She doesn't drive and she is about to lose her apartment. There is no housing near her job. All the affordable near her job is closed lists for years. The rents in the area are exploding. I'm trying to find help for her but keep getting dead ends. The second 8 lists have a 2 year wait list. She makes less than $13 an hour and bounced her rent check 2 in the past 6 months. I let her know a but Cera but I need a good solution for her. She is 48 so doesn't qualify for senior housing which has openings in the area." E. Senior Centers a. Individual from the COA—St. Clair County i. Experiencing hesitancy by seniors to go back out into the community and attend Senior Centers. ii. The community is working on ways to get seniors back into the community and interacting with the available resources but are having issues reengaging. b. Individual from the Washtenaw Commission on Aging I. There is inequality between the different Senior Centers in Washtenaw County. For example the Saline Senior Center is well funded while the Ypsilanti Senior center isn't. c. Individual from Livingston County Catholic Charities i. There is inequality in the Senior centers in Livingston County. Depending on the location of the individual, the services and resources available largely varies. d. Chat comment I. "is there any targeted outreach through cable TV advertising on (ahem) Fox (and other channels targeting seniors)?" F. Suicide/Mental Health a. Individual from the COA—St. Clair County I. Seeing an uptick in suicide in Seniors. Seniors now make up the majority of suicides in St. Clair County. b. Individual from Pontiac Page 193 of 195 i. There are seniors in Pontiac who are struggling with mental health issues and the facilities in the area are not able to address the issues properly. ii. There are not enough programs and facilities in the area to address the issue. G. Social Isolation a. Individual from the Washtenaw Commission on Aging I. Social isolation is an issue in the community and COVID has exacerbated the issue. ii. The ability of older adults to use technology has increased due to COVID which has allowed for more connection in some instances, but many still lack the ability to use technology effectively. 1. Believes one on one tutoring would be a positive edition in helping seniors use technology. iii. Participation in some virtual classes has increased when compared to turn out in person prior to COVID. iv. There is a program at EMU that connects college students with Senior Centers to provide assistance to older adults in how to use technology. b. Chat comment I. "The loss of socialization was devastating- we've seen a huge decline in cognition for our members during the shut down. The caregivers also had such a challenging time, caring for their loved ones all alone. It's so important that these programs (such as adult day, and other programs others are speaking to) continue to stay open/have enough funds to be able to provide services." H. Benefits Access a. Individual from Novi i. Expressed positive regard for the MMAP program being that navigating health insurance is very hard for older adults. Individual from the Kidney Foundation of MI i. Older adults are often uneasy about going to the doctor which forces them to delay receiving care. Older adults need help feeling empowered to manage their own healthcare. ii. The Kidney Foundation of MI has virtual classes for older adults to assist them in managing their own healthcare. ii. The lack of technology or the lack of being able to properly use technology impacts older adults health. Transportation a. Individual from the Washtenaw Commission on Aging i. There is a lack of public transportation in certain areas of Washtenaw County — observing regional gaps in public transportation. ii. There is a lack of door through door transportation. b. Individual from Oakland County i. The lack of transportation inhibits older adults in retaining employment ii. In home COVID testing and vaccinations are needed. J. Housing Repairs/Chore Services a. Individual from the Housing Bureau for Seniors Page 194 of 195 i. There is a huge shortage of housing repair assistance and chore services. b. Individual from Livingston County Catholic Charities I. There is a deficit in chore services and home injury control. ii. The contracts given to LCCC from the AAA 1-13 are not enough to fulfill the needed services, so LCCC provides internal funding as well. K. Senior Millage a. Individual from Livingston County Catholic Charities L. Staffing i. 4 out of the 6 counties in the AAA 1-B region do not have a senior millage even though most of the state does and the lack of a millage largely impacts what services are available. Individual from Livingston County Catholic Charities I. LCCC is having difficulty filling open staff positions and retaining hires. Page 195 of 195 '19I00 Hichn,,o Sonrhhrid, MI �FO,3-1 NO 85'-77�1` Fax: May 31, 2022 Commissioner David Woodward, Chairperson Oakland County Board of Commissioners 1200 N. Telegraph Rd. Pontiac, MI 48341 Dear Commissioner Woodward: Enclosed please find a draft of the Area Agency on Aging 1-B (AAA 1-B) FY 2023-2025 Multi Year Plan (MYP). This draft was adopted by action of the AAA 1-B Board of Directors on April 22nd, 2022. 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 draft plan has also been reviewed and approved by the AAA 1-B 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 Bureau of Aging, Community Living, and Supports, 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 14, 2022. Please forward any adopted resolution, or minutes of the meeting where such action is taken, to the AAA 1-13, Attention: Pam Moffitt or send by email to 1)moffitt(@aaa1 b.orq. The AAA 1-B Board of Directors will approve the final AAA 1-B Multi -Year Plan at their meeting on June 241h, 2022. Because of the short timeframe before the July 141' deadline for County Board of Commission approval, the AAA 1-B has provided the attached draft MYP for your review. Following the approval of the final MYP on June 24th, the AAA 1-B will provide the Board of Commissioners with the final MYP document, with an attachment indicating what additions were made to the MYP since this draft. Thank you for your consideration of this request. If you have questions or require assistance relative to the plan, please contact Katie Wendel, Director of Planning and Advocacy, at (248) 798-0599. Sincerely, Michael Karson Chief Executive Officer Enclosures