HomeMy WebLinkAboutReports - 2023.07.20 - 40271
AGENDA ITEM: FY 2024 Annual Implementation Plan
DEPARTMENT: Board of Commissioners
MEETING: Board of Commissioners
DATE: Thursday, July 20, 2023 8:35 PM - Click to View Agenda
ITEM SUMMARY SHEET
COMMITTEE REPORT TO BOARD
Resolution #2023-3140
Motion to approve the attached FY 2024 Annual Implementation Plan of the Area Agency on Aging
1-B, for the purpose of conveying such support to the Area Agency on Aging 1-B and the Michigan
Bureau of Aging and Community Living Supports.
ITEM CATEGORY SPONSORED BY
Other Action Penny Luebs
INTRODUCTION AND BACKGROUND
The Area Agency on Aging 1-B (AAA 1-B) has been supporting services to Oakland County
residents since 1974. The AAA 1-B has assessed the needs of older county residents and
developed a plan to provide assistance that addresses identified needs. The proposed plan has
been submitted for review by the public, and has been subjected to a public hearing. The comments
at the public hearings on the proposed plan were mostly favorable, and constructive changes to the
plan were made as a result of some comments. 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. 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.
BUDGET AMENDMENT REQUIRED: No
Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at
248.425.5572 or andrewsmb@oakgov.com, or the department contact persons listed for additional
information.
CONTACT
Katie Wendel
ITEM REVIEW TRACKING
Aaron Snover, Board of Commissioners Created/Initiated - 7/20/2023
AGENDA DEADLINE: 07/30/2023 8:35 PM
ATTACHMENTS
1. AAA 1-B FY 2024 AIP Final Draft
COMMITTEE TRACKING
2023-07-11 Public Health & Safety - Recommend to Board
2023-07-20 Full Board - Adopt
Motioned by: Commissioner Robert Hoffman
Seconded by: Commissioner Angela Powell
Yes: David Woodward, Michael Spisz, Michael Gingell, Penny Luebs, Karen Joliat, Kristen
Nelson, Christine Long, Robert Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Marcia
Gershenson, Janet Jackson, Charles Cavell, Brendan Johnson, Ajay Raman (16)
No: None (0)
Abstain: None (0)
Absent: Gary McGillivray, William Miller III, Yolanda Smith Charles (3)
Passed
6/16/2023Printed On:1
Area Agency On Aging 1-B FY 2024
Table of Contents
Executive Summary
County/Local Unit of Government Review
Public Hearings
Regional Service Definitions
Access Services
Direct Service Request
Regional Direct Service Request
Approved MYP Program Development Objectives
2024 Program Development Objectives
Supplemental Documents
6/16/2023Printed On:2
Area Agency On Aging 1-B FY 2024
Executive Summary
Include a summary that describes the AAA and the implementation plan including a brief description
of the PSA (to include older adults in greatest economic need, minority, and/or non-English speaking),
the AAA’s mission, and primary focus for FY 2024.
Instructions
Please include in the Executive Summary a brief description of the following: The PSA and any
significant changes to the current area plan.
A.) Any significant new priorities, plans or objectives set by the AAA for the use of (OAA) and state
funding during FY 2024. If there are no new activities or changes, note that in your response.
B.) Any permanent changes to the AAA’s operations based on the COVID-19 pandemic. In addition,
please describe how the AAA is utilizing its American Rescue Plan Act (ARPA) funding.
C.) Current information about contingency planning for potential reduced federal funding (if plans
include the pursuit of alternative funding, identify specific funding sources).
D.) A description of progress made through advocacy efforts to date and focus of advocacy efforts in
FY 2024.
E.) A brief description of AAA’s successes over the past year and any anticipated challenges for FY
2024.
PSA
The Area Agency on Aging 1-B (AAA 1-B) is a non-profit organization that is responsible for planning and
coordinating services to approximately 30% of the state’s adults who are older and/or disabled. According
to the 2021 American Community Survey (ACS), individuals aged 60 and older make up 24% of Region
1-B’s population, with 721,104 older adults; 8.6% of older adults in Region 1-B are 85+. In Region 1-B,
13.2% (95,097) of older adults live at or below 150% of poverty. 15.5% (112,046) identify as a minority,
which is 27% of Michigan’s total older adult minority population. Of the 60+ population in Region 1-B,
34,687 individuals identify as limited English proficient meaning they speak English less than very well.
It is the mission of the AAA 1-B to enhance the lives of older adults and adults with disabilities in the
communities we serve. Our vision is independence and well-being for those we serve. We are dedicated to:
1) ensuring access to a network of long-term care services; 2) allocating federal and state funds for social
and nutrition services; 3) advocating on issues of concern; 4) developing new older adult and independent
living services; 5) coordinating activities with other public and private organizations; and 6) assessing needs
of communities as well as older adults and adults with disabilities, creating connections with home and
community-based long term care services. We prioritize activities that allow people to maintain their
independence with dignity and place a special emphasis on assistance to frail, low income, disadvantaged,
cultural/minority elders and adults with disabilities.
A.) Any significant new priorities, plans or objectives set by the AAA for the use of (OAA) and state
funding during FY 2024. If there are no new activities or changes, note that in your response.
6/16/2023Printed On:3
Area Agency On Aging 1-B FY 2024
In FY 2024 the AAA 1-B does not plan to make any significant changes to Older Americans Act funded
services in the region. The AAA 1-B is planning to complete a rebranding of our agency in FY 2024 which
will involve significant community outreach to publicize the agency’s new name and logo.
B.) Any permanent changes to the AAA’s operations based on the COVID-19 pandemic. In addition,
please describe how the AAA is utilizing its American Rescue Plan Act (ARPA) funding.
The AAA 1-B has utilized increased flexibility in ACLS Bureau service standards during the COVID-19
pandemic. AAA 1-B staff are participating in ACLS Bureau working groups discussing operating standards
to make positive, long-term changes to services.
Due to the COVID-19 Pandemic the AAA 1-B has adapted a hybrid work model, with many staff working
from home. Microsoft Teams has become the main platform used when conducting virtual meetings
internally and externally. Information and Assistance (I&A) staff have been shifted to fully remote work
based on data showing an increase in total calls managed, higher engagement and reduced absenteeism
compared to when the department was office based.
Disease Prevention and Health Promotion Programs, along with caregiver trainings, are now being
conducted both in-person and virtually which has helped to increase access to services.
The AAA 1-B has formed a work group of staff specifically focused on identifying opportunities to utilize
ARPA funding. ARPA funds are being allocated to contract services providers to purchase new equipment
and materials to support program growth. AAA 1-B is accepting “wish lists” from the contract providers and
working with ACLS Bureau to submit waivers for equipment purchases over $5,000. The AAA 1-B is also
using ARPA funding to support contracted Outreach services, which is known locally as Community
Liaison. The AAA 1-B is utilizing ARPA funds to support the development of the agency’s new Electronic
Medical Record system (EMR) and the agency’s rebranding project.
C.) Current information about contingency planning for potential reduced federal funding (if plans
include the pursuit of alternative funding, identify specific funding sources).
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
including grant funding will be considered before 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).
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.
D.) A description of progress made through advocacy efforts to date and focus of advocacy efforts
in FY 2024.
The AAA 1-B created a Legislative Platform for the 2023-2024 legislative session with input from the AAA
6/16/2023Printed On:4
Area Agency On Aging 1-B FY 2024
1-B Advisory Council and Board of Directors. The platform includes information about sixteen priority
advocacy issues for the agency. The AAA 1-B also created “Contact your Legislator Guides” for each of
Region 1- B’s six counties which include information about effective methods for grassroots advocates to
contact their legislators, along with contact information for federal, state and county elected officials.
The AAA 1-B identified a need for increased funding to support the Long-Term Care Ombudsman program.
The AAA 1-B is working with advocates from other AAAs, as well as the State Long-Term Care
Ombudsman, AARP and the Alzheimer’s Association to address the needs of this program. An advocacy
request has been developed to increase the number of Ombudsman staff statewide by 33 full-time
employees, for a total increased cost of $3 million annually.
In FY 2024, the AAA 1-B will continue to provide leadership to the statewide Silver Key Coalition, advocate
in support of the MI Choice Medicaid Waiver Program, work to address the direct care workforce shortage
by advancing policies that attract and retain workers, support the development and implementation of a
Caregiver Resource Center model to support family and informal caregivers, and advocate for additional
funding to properly staff the Long-Term Care Ombudsman program.
E.) A brief description of AAA’s successes over the past year and any anticipated challenges for FY
2024.
AAA 1-B successes include:
- The AAA 1-B secured a $327,000 grant from the Michigan Health Endowment Fund and the Ralph C.
Wilson, Jr. Foundation to create a Family Caregiver Respite Voucher program in Region 1-B.
- The AAA 1-B was able to successfully conduct the 3-year Request For Proposals (RFP) and contract
process for contracted services though virtual platforms. The department implemented a new contract
database for applicants to submit applications and for AAA 1-B to review, score, and award contracts.
- Advocacy efforts were successful in including a $1.50 increase for Direct Care Workers (DCW) working in
state funded programs in the Executive’s proposed FY 2024 Budget.
- The return to in-person outreach events and presentations has been successful. In the last year AAA 1-B
staff participated in over 90 events reaching over 8,000 older adults and family caregivers.
- The AAA 1-B has shifted most staff to a hybrid workforce model, increasing operational efficiency.
Ongoing challenges faced by the agency include:
- The agency’s new Electronic Medical Record (EMR) launched on December 5th, 2023. The AAA 1-B is
continuing to work with the EMR vendor to resolve technical concerns that impact AAA 1-B workflows.
- The largest challenge impacting AAA 1-B programs continues to be the DCW shortage.
- As the AAA 1-B staff begin conducting in-person annual assessments for the first time in nearly 3 years,
and the public health emergency begins to wind down, it is anticipated that AAA 1-B staff are going to have
to closely monitor and provide on-going support to our contracted service providers to ensure they adhere
to the service standards. Waivers have allowed for flexibility within the standards but may not be allowable
moving forward.
6/16/2023Printed On:5
Area Agency On Aging 1-B FY 2024
County/Local Unit of Government Review
COUNTY/LOCAL UNIT OF GOVERNMENT REVIEW
The Area Agency on Aging (AAA) must send a request to the chairperson of each County Board of
Commissioners. Notification can be sent via U.S. Mail or by electronic means, with delivery and
signature confirmation, no later than June 30, 2023. For a Planning and Service Area (PSA) comprised
of a single county or portion of the county, approval of the AIP is to be requested from each local unit
of government. If the AAA does not receive a response from the county and/or local unit of government
by July 20, 2023, the AIP is deemed passively approved. The AAA must notify their Bureau of Aging,
Community Living, and Supports (ACLS Bureau) Field Representative by July 21, 2023, whether their
counties and/or local units of government formally approved, passively approved, or disapproved the
AIP.
The AAA may use electronic communication, including email and website-based documents, as an
option for acquiring local government review and approval of the AIP. To employ this option, the AAA
must do the following:
A.) Send a letter through the U.S. 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 AIP on the AAA’s website. Instructions for how to
view and print the document must be included.
B.) Offer to provide a printed copy of the AIP via U.S. Mail, or an electronic copy via email, if requested.
C.) Be available to discuss the AIP with local government officials, if requested.
D.) Request email notification from the local unit of government of their approval of the AIP or their
related concerns.
Instructions
Describe the AAA’s efforts, including use of electronic communication, to distribute the AIP to the
appropriate county and/or local units of government to gain support.
TRIBAL NOTIFICATION
The Michigan Department of Health and Human Services (MDHHS) has an established relationship of
working directly with the Federally Recognized Sovereign Indian Tribes of Michigan (Tribes). As part of
this work, MDHHS recognizes the importance of Tribal notification including consultation of the
complete AIP for each AAA within their PSA to encourage and foster collaboration between Title III and
Title VI programming as outlined in the Older Americans Act (OAA).
AAAs, please send an official notification of your complete AIP for any Tribe(s) within your PSA for
their review and consultation. If there are no Tribes within the PSA, please indicate that in your
response and if a Tribe crosses more than one PSA, each AAA is still expected to send their AIP.
Notification can be sent via U.S. Mail or by electronic means, with delivery and signature confirmation,
6/16/2023Printed On:6
Area Agency On Aging 1-B FY 2024
no later than June 30, 2023. The AAA will notify their ACLS Field Representative by July 21, 2023, of
any comments or feedback received from their Tribe(s). If no comments or feedback received, please
indicate that in your response.
The AAA may use electronic communication, including email and website-based documents, as an
option for Tribe notification and consultation of the AIP. To employ this option, the AAA must do the
following:
A.) Send a letter through the U.S. Mail, with delivery and signature confirmation, or an email requiring
a response confirming receipt to the Chairperson of the Tribal Council advising them of the availability
of the final draft AIP on the AAA’s website. Instructions for how to view and print the document must
be included.
B.) Offer to provide a printed copy of the AIP via U.S. Mail, or an electronic copy via email, if requested.
C.) Be available to discuss the AIP with Tribal elders and/or Tribal officials, if requested.
D.) Request email notification from the Tribe of their comments and feedback of the AIP or their related
concerns.
Instructions
Describe the AAA’s efforts, including use of electronic communication, to distribute the AIP to the
appropriate Tribe(s) within your PSA for notification and consultation. Describe any current and future
collaborative efforts with Tribe(s) within your PSA. If no collaborative efforts planned, note that in your
response.
County/Local Unit of Government Review
In May, the AAA 1-B contacted 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 Annual Implementation Plan (AIP) during their June
meetings. Upon Board of Directors approval, the AAA 1-B mails with delivery receipt, a copy of the final
draft AIP and a draft resolution to the chairperson of each county BOC, with a letter requesting BOC
action prior to July 20, 2023. A copy of the materials is also emailed to each of the BOC's
clerk/administrative assistant who is asked to ensure approval of the AIP is placed on the meeting
agenda. To accommodate the July 20, 2023, approval deadline, counties were provided with a draft AIP
for review and approval, and then are sent the final AIP 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 ACLS by
July 21, 2023 of the status of county level action on the AIP.
Tribal Notification
The AAA 1-B does not have any Federally Recognized Tribes in our region.
The AAA 1-B contacted Southeastern Michigan Indian Inc, a non-profit local leader and Urban Indian
center providing human services for American Indians & others eligible for services and provided
6/16/2023Printed On:7
Area Agency On Aging 1-B FY 2024
information for the FY 2023 AIP Public Hearing.
6/16/2023Printed On:8
Area Agency On Aging 1-B FY 2024
Public Hearings
At least one public hearing on the FY 2024 AIP must be held in the PSA. Hearing(s) must be made
accessible to all. Persons need not be present at the hearing(s) to provide testimony. E-mail and
written testimony must be accepted for at least a 30-day period beginning when the summary of the
AIP is made available.
The AAA 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, tribal, Lesbian, Gay, Bisexual, Transgender,
and Queer (LGBTQ+), immigrant communities and/or other underrepresented groups; presentation on
the AAA’s website, along with communication via email and social media referring to the notice; press
releases and public service announcements; and a notice to AAA partners, service provider agencies,
older adult organizations, and local units of government. See Operating Standards for AAAs, Section
B-2 #3. The public hearing notice should be available at least 30 days in advance of the scheduled
hearing. This notice must indicate the availability of a summary of the AIP at least 14 days prior to the
hearing, along with information on how to obtain the summary. All components of the AIP should be
available for the public hearing(s).
Instructions
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.
In addition, the AAA should also upload into AMPS a copy of your official notice and/or press
release(s) for a public hearing. Please describe the strategy/approach employed to encourage public
attendance and testimony on the AIP. Describe all methods used to gain public input and any impacts
on the AIP. Describe how the AAA factored the accessibility issues of the service population and
others in choosing the format of the meeting.
Date Location Time Barrier Free?No. of Attendees
05/11/2023 Virtual - Zoom 01:00 PM Yes 34
Public Hearing
The AAA 1-B hosted one virtual public hearing on May 11th, 2023 which was attended by 34 members of
the public. Email and written testimony on the FY 2024 AIP were accepted from April 21 to May 21, but no
comments were received. The AAA 1-B provided a draft of the FY 2024 Annual Implementation Plan on
the agency website prior to the beginning of the public comment period.
The AAA 1-B chose to host the public hearing virtually to enable participation from individuals throughout
all 6 counties in Region 1-B. In 2022 83% of public hearing participants chose to participate virtually. To
6/16/2023Printed On:9
Area Agency On Aging 1-B FY 2024
ensure access by individuals who do not use the internet, a phone in-option was provided. The public
hearing flyer included a statement in Arabic and Spanish encouraging individuals to utilize the AAA 1-B
language line to review the Annual Implementation Plan in another language, but no requests for
translation were received. The AAA 1-B encouraged feedback from participants by directly calling upon
them at the hearing to request they provide comments on areas in which they had particular interest or
concern. The AAA 1-B encouraged those who could not attend the hearings to email, call or mail written
comments.
The AAA 1-B promoted the hearing by placing notices in a variety of resources including the AAA 1-B social
media platforms and website and advertised to community partners through email and a press release.
This was released to Michigan Chronicle, Public Notice Section of the Detroit News/Detroit Free Press (for
print and digital editions), Monroe Evening News, La Presa, Port Huron Times Herald, Livingston Daily,
C&G News, Oakland Press, Macomb Daily, MLive, All About Ann Arbor (WDIV web property) and Detroit
Jewish News. Notices were sent to Region 1-B contractors and shared through The Advocate newsletter.
Notices were emailed to MiGen, LGBTQ+ Elders Network, Transgender Michigan, East Meets West,
Barrier Busters and Livingston Google Group.
Notes from the oral testimony provided at the public hearing are included as an attachment to the AIP.
Themes noted in the public hearing included the need for affordable housing for older adults, the need for
additional funding to support community programs including Grandparents Raising Grandchildren, Adult
Day Care and Home Delivered Meals, and the need for senior mental health services. As a result of the
public hearing comments, information about a collaboration to support housing and information about the
service standard working groups were added to the program development section of this plan.
6/16/2023Printed On:10
Area Agency On Aging 1-B FY 2024
Regional Service Definitions
If the AAA is proposing to fund a new (not previously approved in this multi-year planning cycle)
service category that is not included in the Operating Standards for Service Programs, then
information about the proposed service category must be included in this section.
Instructions
Enter the new regional service name, identify the service category, and fund source, include unit of
service, minimum standards and why activities cannot be funded under an existing service
definition.
Service Name/Definition
Rationale (Explain why activities cannot be funded under an existing service definition.)
Other
Community State In-home State Respite
In-Home Title VII State Alternative Care State Access
Access Title III PartB Title III PartD Title III PartE
Service Category Fund Source Unit of Service
Minimum Standards
6/16/2023Printed On:11
Area Agency On Aging 1-B FY 2024
Access Services
Access services may be provided to older adults directly through the AAA without a direct service
provision request. These services include Care Transition Coordination & Support; Care Management;
Case Coordination and Support; Options Counseling; Disaster Advocacy and Outreach Programs;
Information and Assistance; Outreach, with specific attention to outreach with underserved
populations, and Merit Award Trust Fund/State Caregiver Support-funded transportation. If the AAA is
planning to provide any of the above noted access services directly during FY 2024, complete this
section.
Instructions
Select from the list of access services those services the AAA plans to provide directly during FY 2024,
and provide the information requested. Specify, in the appropriate text box for each service category,
the planned goals and activities that will be undertaken to provide the service.
The Area Plan Grant Budget that is uploaded and saved in AMPS must include each access service to
be provided directly in the Direct Service Budget details tab. The funding identified in this tab should
correspond to the funding (Federal OAA Title III or VII and state funds) identified in the Area Plan Grant
Budget’s Support Services Detail tab. The method of provision must be specified in the Service
Summary tab.
Care Management
10/01/2023Starting Date
$488,151.00Total of Federal Dollars
09/30/2024Ending Date
$380,000.00Total of State Dollars
1-B Region
Geographic area to be served
Specify the planned goals and activities that will be undertaken to provide the service.
Goal: 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 to MI
Choice participants whose Medicaid becomes temporarily inactive.
Expected 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.
Goal: Conduct at least four trainings for Care Management supports coordinators on topics such as
diversity, equity, and inclusion (DEI), current practice guidelines, elder abuse, and available community
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:Current Year:Planned Next Year: 138 100
6/16/2023Printed On:12
Area Agency On Aging 1-B FY 2024
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
Current Year:
Current Year:
Current Year:
Current Year:
Planned Next Year:
Planned Next Year:
Planned Next Year:
Planned Next Year:
144 100
144 100
110 200
1:35 1:50
Case Coordination and Support
10/01/2023Starting Date
$370,039.00Total of Federal Dollars
09/30/2024Ending Date
$739,653.00Total of State Dollars
1-B Region
Geographic area to be served
Specify the planned goals and activities that will be undertaken to provide the service.
Goal: 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.
Goal: 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 community
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
10/01/2023Starting Date
$813,219.00Total of Federal Dollars
09/30/2024Ending Date
$65,000.00Total of State Dollars
1-B Region
Geographic area to be served
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.
Expected outcomes: An increase in the percentage of higher risk older adults and family caregivers who
connect with local programs and services.
Outreach
10/01/2023Starting Date
$427,045.00Total of Federal Dollars
09/30/2024Ending Date
$146,610.00Total of State Dollars
1-B Region
Geographic area to be served
6/16/2023Printed On:13
Area Agency On Aging 1-B FY 2024
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.
Expected outcomes: To increase the number of referrals made by first responders to older adults and /or
family members to the Agency.
Options Counseling
10/01/2023Starting Date
$50,000.00Total of Federal Dollars
09/30/2024Ending Date
$10,000.00Total of State Dollars
1-B Region
Geographic area to be served
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.
Expected Outcomes: A 5% annual increase of the number of older adults and family caregivers who
receive Options Counseling through the AAA 1-B.
6/16/2023Printed On:14
Area Agency On Aging 1-B FY 2024
Direct Service Request
This section applies only if the AAA is submitting a new request to provide an in-home, community, or
nutrition service directly that was not previously approved in this multi-year planning cycle.
It is expected that in-home, community, and nutrition services will be provided under contracts
with community-based service providers, but when appropriate, AAAs can request to provide these
services directly. Direct service provision requests must be approved by the Commission on Services
to the Aging (CSA). Direct service provision is defined as “providing a service directly to a senior, such
as preparing meals, doing chore services, or working with seniors in an adult day setting.” Remember
direct service provision by the AAA 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 AAA’s administrative functions.
C.) A service can be provided by the AAA more economically than any available contractor, and with
comparable quality.
Instructions
Select the service from the list and enter the information requested pertaining to basis, justification,
and public hearing discussion for any new Direct Service Request for FY 2024. 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 2024 are to be included under the Direct Service Budget tab in the
Area Plan Grant Budget. The funding identified in this tab should correspond to the funding (Federal
OAA Title III or VII and state funds) identified on the Support Services Detail page.
Please skip this section if the AAA is not submitting a new request to provide an in-home, community,
or nutrition service directly during FY 2024.
Total of Federal Dollars Total of State Dollars
Planned goals, objectives, and activities that will be undertaken to provide the service in the
appropriate text box for each service category.
Geographic Area Served
6/16/2023Printed On:15
Area Agency On Aging 1-B FY 2024
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).
6/16/2023Printed On:16
Area Agency On Aging 1-B FY 2024
Regional Direct Service Request
This section applies only if the AAA is submitting a new request to provide a regional service
directly that was not previously approved in the multi-year planning cycle.
It is expected that regionally defined services, as identified in the category above, will be provided
under contract with community-based service providers, but when appropriate, a regional service
provision request may be approved by the CSA to be provided directly. The basis for requesting
direct provision of a regional direct service by the AAA would be if, in the judgment of ACLS Bureau:
A.) Provision is necessary to assure an adequate supply.
B.) The service is directly related to the AAA’s administrative functions.
C.) A service can be provided by the AAA more economically than any available contractor, and with
comparable quality.
Instructions
AAAs that have a new request 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 the screen refreshes. Select the link for the newly
added regional direct service and enter the information requested pertaining to basis, justification,
and public hearing discussion for any new regional direct service request for FY 2024. Also specify
in the appropriate text box for each service category the planned goals and activities that will be
undertaken to provide the service.
Regional Direct Service Budget details for FY 2024 are to be included under the appropriate tab in
the Area Plan Grant Budget. The funding identified in this tab should correspond to the funding
(Federal OAA Title III or VII and state funds) identified in the Area Plan Grant Budget, Support
Services Detail page.
Total of Federal Dollars 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.
Geographic Area Served
6/16/2023Printed On:17
Area Agency On Aging 1-B FY 2024
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).
6/16/2023Printed On:18
Area Agency On Aging 1-B FY 2024
Approved MYP Program Development Objectives
Program development goals and objectives previously set by the AAA and approved by the CSA in this
multi-year planning cycle are included as read-only. For each of these established program
development objectives, a text box is included for the AAA to provide information on progress toward
the objectives to date. This text box is editable.
Instructions
Please provide information on progress to date for each established objective under the section tab
entitled “Progress.”
For the Diversity, Equity, and Inclusion (DEI), the ACLS Bureau Operating Standards for AAAs 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 AAAs sections C-2 and C-4 along with the Document Library
for the ACLS Bureau training completed on Embedding Diversity, Equity & Inclusion (DEI) within Aging
Services across Michigan for the MYP 2023-2025 Cycle.
Within the progress tab, ensure to address, at a minimum, the below DEI Program Development
Objectives that correlate to the MYP DEI Goal:
Improve the Accessibility of Services to Michigan’s Communities and People of Color, Immigrants and
LGBTQ+ Individuals.
Objective 1- Increase services provided to Black, Indigenous (tribal) and People of Color (BIPOC) and
LGBTQ+ seniors served in your region. Please include how the AAA is measuring this progress
including how you will ensure that programming and outreach is culturally sensitive and welcoming to
all.
Objective 2- Increase the number of AAA staff, providers, caregivers, and volunteers trained in implicit
bias, cultural competencies, and root causes of racism. Please include a brief description of how the
AAA tracks to ensure the number of individuals trained has increased.
Objective 3- Increase availability of linguistic translation services and communications based on the
cultural needs in the region in which you serve. Please include the top 3 requested linguistic
translation services for your PSA. How does the AAA ensure that linguistic translation services are
meeting the needs of the older adults within their PSA?
See Document Library for training PPT and recording of ACLS DEI training completed for the
2023-2025 MYP Cycle.
Area Agency on Aging Goal
A. Develop resources to support aging service program growth.
6/16/2023Printed On:19
Area Agency On Aging 1-B FY 2024
Objectives
Implement the AAA 1-B Advocacy Strategy to secure increased state, federal, and/or local support for older
adult services, including support for the direct care workforce.
1.
09/30/2025Timeline:to10/01/2022
Progress
The AAA 1-B created a Legislative Platform for the 2023-2024 legislative session with input from the AAA 1-B
Advisory Council and Board of Directors. The platform included information about sixteen priority advocacy
issues for the agency, including rebalancing Michigan’s long-term care spending, support for ACLS Bureau
in-home services, and support for the direct care workforce.
The AAA 1-B created Contact your Legislator Guides for each of Region 1- B’s six counties. The guides
provide information about effective methods for grassroots advocates to contact their legislators, along with
contact information for federal, state and county elected officials.
At the end of FY 22, the AAA 1-B Advisory Council Ad Hoc Committee developed documents to be used to
educate new legislators including a data toolkit, which outlined county specific data for 60+ older adults, and a
series of one page advocacy tools on AAAs, Caregivers, Information & Assistance, the Older Americans Act,
and Transportation.
The AAA 1-B continues to publish a monthly advocacy newsletter, The Advocate, which provides information
to subscribers about local, state, and federal advocacy including analysis of proposed bills, such as the repeal
of the Retirement Tax.
The AAA 1-B identified a need for increased funding to support the Long-Term Care Ombudsman program.
The AAA 1-B is working with advocates from other AAAs, as well as the State Long Term Care Ombudsman,
AARP and the Alzheimer’s Association to address the needs of this program. An advocacy request has been
developed to increase the number of ombudsman staff statewide by 33 full-time employees, for a total
increased cost of $3 million annually.
The AAA 1-B continues to provide leadership to the statewide Silver Key Coalition, which is focused on
addressing unmet needs for Bureau of Aging, Community Living, and Supports (ACLS) in-home services. The
Coalition is requesting a $9 million increase for senior in- home services and a $1 million increase for
Home-Delivered Meals in the ACLS Bureau FY 2024 budget.
The AAA 1-B, working alongside the Area Agencies on Aging Association of Michigan, is continuing to discuss
the importance of including Caregiver Resource Centers in the FY 24 state budget or supplemental.
The AAA 1-B continues to advocate for a wage increase of $4 an hour for direct care works as recommended
by the DCW Wage and Training Workgroup.
So far in FY 23, AAA 1-B staff have met with 26 State Representatives and 10 State Senators from 1-B’s PSA
to introduce them to the Area Agencies on Aging and AAA 1-B’s advocacy priorities .
Increase AAA 1-B capacity to secure additional funding resources.2.
6/16/2023Printed On:20
Area Agency On Aging 1-B FY 2024
09/30/2025Timeline:to10/01/2022
Progress
In FY 2023 the AAA 1-B has been awarded the following grants:
The AAA 1-B received $327,783 from The Michigan Health Endowment Fund and Ralph C. Wilson, Jr.
Foundation to create a Family Caregiver Respite Voucher Program. This program will provide access to
short-term respite care for informal and family caregivers of older adults. Family caregivers in this program will
be able to purchase respite care from someone in their known network using a respite voucher. This program
is expected to launch in late 2023.
The AAA 1-B has been awarded two grants funded by the Office of Global Michigan to address the needs of
Older Refugees. The AAA 1-B partners with United Community Family Services; also known as Chaldean
American Ladies of Charity, to provide access to community services and resources for older refugees.
The 2023 Safety Net Services Grant from the United Way for Southeastern Michigan is being utilized to
support enhanced Medicare and Medicaid Assistance Program (MMAP) outreach and service to targeted
communities in Oakland and Macomb Counties.
AAA 1-B was awarded two grants from Michigan Department of Health and Human Services to provide access
to and information for COVID-19 vaccinations in FY 2023.
The AAA 1-B continues work on grants awarded prior to FY 2023 including the Reimagine Caregiving Grant
funded by the Ann Arbor Community Foundation, the Oakland County Healthy Aging Blueprint from the
Community Foundation for Southeast Michigan, and the Oakland Together Social Isolation Lifeline project
funded by the Michigan Health Endowment Fund.
A change was made to the AAA 1-B fundraising strategy in the third quarter of FY 2022, after the MYP was
submitted. For FY 2023 the agency will only raise funds to support the Holiday Meals on Wheels program.
B. Expand access to and awareness of aging services.
Objectives
Increase the awareness of first responders on how the Area Agency on Aging 1-B can help older adults
and family caregivers.
1.
09/30/2025Timeline:to10/01/2022
Progress
The Communications team has identified and assigned a project lead and developed a project schedule
including budget and timelines. The lead staff person has formally interviewed several first responders to
understand the interactions they have with older adults, and the type of training, such as videos, virtual or
in-person training that would meet the needs of their teams.
Develop additional resources for caregivers which will improve their confidence and ability to care for their
loved one
2.
09/30/2025Timeline:to10/01/2022
6/16/2023Printed On:21
Area Agency On Aging 1-B FY 2024
Progress
The AAA 1-B was awarded a grant of $327,783 from The Michigan Health Endowment Fund and Ralph C.
Wilson, Jr. Foundation to create a Family Caregiver Respite Voucher Program. The program will be modeled
after successful Lifespan Respite Care Programs in other states through which caregivers are provided
voucher funds to purchase respite care for their loved ones, allowing caregivers to take a needed break from
their caregiving duties. The program's short-term aim is to develop an inclusive, caregiver-directed respite
program that provides informal and family caregivers with access to affordable and high-quality respite care,
reduces caregiver stress, and improves caregiver quality of life. When caregivers receive the support needed
to meet their basic physical, mental, and social needs, the older adults for whom they provide care will receive
higher quality care due to the lower levels of caregiver stress and overwhelm. Long-term aims of the program
include improved caregiver connection to community resources, reduced strain on the home health care
industry, and the ability for older adults to continue living in the community setting of their choice.
The AAA 1-B Caregiver Coaching Program matches people caring for an aging or disabled loved one with a
compassionate, trained volunteer who provides them with one-on-one support. Currently the Program has 12
volunteers serving 23 caregivers. Expansion into kinship caregiving is being explored and volunteers continue
to be recruited to support program growth. The AAA 1-B was provided with a donation from the Shared
Mission Foundation which is being utilized to support the Caregiver Coaching program by providing Diversity
Equity and Inclusion training to program volunteers.
The AAA 1-B promoted the Care Academy platform through various outlets, including a presentation to all
staff, direct mailings of flyers to informal caregivers throughout the 1-B region, distribution of flyers at
community events, social media, and promotion through other caregiver specific programs and workshops.
Caregivers using the Care Academy platform were provided with skill-based training with the goal to gain
practical knowledge that increased their capacity to provide quality care and prevent burnout. Forty-five
caregivers utilized the Care Academy Platform. Caregivers reported that Care Academy helped to reduce
stress and to improve their knowledge to manage their own self-care. Caregivers also reported an increased
knowledge in how to provide personal care activities effectively. Additional courses on home safety, including
prevention of falls in the home were reported helpful by caregivers surveyed.
While the platform was beneficial to caregivers, the AAA 1-B was unable to renew the contract with Care
Academy for a second year due to confidentiality and HIPAA concerns. The AAA 1-B will explore the
opportunity to identify another care platform to utilize.
C. Modernize programs and services to enable older adults to age in place.
Objectives
Ensure high risk older adults have access to supportive services1.
09/30/2025Timeline:to10/01/2022
Progress
AAA 1-B has a prioritized waitlist which allows older adults with the highest level of need to receive services
faster. The agency continues to plan to review the wait list process to ensure alignment with state objectives.
During the programmatic assessment of contracted providers this spring, discussions for promoting the senior
6/16/2023Printed On:22
Area Agency On Aging 1-B FY 2024
congregate dining programs will be directed to increase participation of returning and new participants to aid in
the prevention of social isolation. ACL offered a training for increasing participation in congregate programs,
“Power Up You Congregate Meal Program – Tips to Keep Those we Serve on the Table”. This opportunity
was shared with the nutrition providers in our region.
Discussions are also occurring with contractors regarding how to further support caregivers and capture
program outcomes through caregiver surveys. In addition, social services and caregiver contractors are being
encouraged to collaborate in creative ways to promote services, through offering respite services to AAA 1-B
wellness program participants, presenting more educational presentations within the community, and sharing
resources and engage with clients at community events and health fairs. Virtual programming for some
services such as wellness and caregiver education continue to support and engage individuals who are not
able to leave their homes.
In FY 2023 the AAA 1-B Vendor network management team will survey providers to gather information about
preferred communication methods and types of information they want to receive as an AAA 1-B partner
organization to facilitate collaboration
The AAA 1-B is part of the core planning team of the Increasing Health & Housing Outcomes for Older Adults
in Oakland County project to promote greater housing stability among older adults.
AAA 1-B staff are participating in ACLS Bureau working groups discussing operating standards to make
positive, long-term changes to services. The AAA 1-B supports the expansion of this work to include more
service standards, including the Chore service standard.
Implement IT System improvements to increase efficiency in providing programs and services.2.
09/30/2025Timeline:to10/01/2022
Progress
The Area Agency on Aging 1-B launched a new Electronic Medical Record (EMR) system on December 5th,
2022. Following the launch, functional issues were identified that required modification. The AAA 1-B is
continuously working with the EMR vendor to update the system.
D. Improve the Accessibility of Services to Michigan’s Communities and People of Color, Immigrants
and LGBTQ+ Individuals.
Objectives
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.
1.
09/30/2025Timeline:to10/01/2022
Progress
The AAA 1-B is continuing partnerships with key local organizations and media outlets serving minority older
adults. Media partnerships include Michigan Chronicle, a publication focused on reaching the Black
community and LaPrensa, a newspaper for the Hispanic community.
The agency has a strong partnership with MiGen, an organization dedicated to supporting the LGBTQ
6/16/2023Printed On:23
Area Agency On Aging 1-B FY 2024
community. Through our MMAP program we are working on recruiting minority individuals to become MMAP
certified counselors including counselors who speak Cantonese and Spanish, in addition to recruiting a
LGBTQ counselor through MiGen.
The agency continues to prioritize outreach to lower income areas, and in FY 2023 hosted events in Wixom
and Keego Harbor targeted for low-income seniors. Both communities have been identified as lower income
communities where over 40% of the households are below 150% of poverty.
The Older Adult Refugee grant, which primarily serves Iraqi and Syrian individuals residing in Oakland and
Macomb Counties, was expanded in FY 2023 to include a second grant focused on supporting Afghan
refugees.
AAA 1-B staff facilitated a connection between ACLS staff and the Association of Chinese Americans to host a
translated Community Listening Session for the State Plan on Aging. AAA 1-B’s myride2 program coordinated
and paid for transportation services for Chinese older adults attending the session.
The agency reviews American Community Survey Data to identify Limited English Proficient populations in
Region 1-B. Using that information, key outreach materials, primarily the agency general rack card, are
translated into appropriate languages. 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.
The AAA 1-B is exploring opportunities to offer translation services on public zoom meetings.
The AAA 1-B utilizes a Language line service that provides translation to facilitate communication with
non-English speaking community members and program participants. In FY 2022, the AAA 1-B assisted 375
callers using the Language Line translation service, an 80% increase in callers over FY 2021 levels. The
languages translated were Arabic (61%), Bengali (14%), Gujarati (6%), Mandarin (6%), Russian (5%),
Albanian (5%), and Spanish (3%).
Ensure staff at the AAA 1-B and subcontracting agencies is knowledgeable about DEI and unconscious
bias.
2.
09/30/2025Timeline:to10/01/2022
Progress
AAA 1-B is partnering with the Diverse Elders Coalition to offer training to staff and Caregiver Coaching
Program Volunteers. Staff can participate in any of the 7 trainings designed to better serve diverse family
caregivers and older adults. DEI training will highlight experiences of caregivers from the following
communities: American Indian & Alaska Native, Hispanic & Latino, African American & Black, Chinese
American & Korean, Southeast Asian American, and Lesbian, Gay, Bisexual, Queer, & Transgender
Caregivers.
Mandatory annual DEI training was held for all Agency employees on May 16, 2023. In this training
participants will explore the science of bias, prejudice, and xenophobia to become more aware of its influence
on behavior and examine strategies to become more adaptable. Increasing a workforce’s capacity for diversity
and inclusion can create a healthy and productive workplace, while also reducing an organization’s risk of
fostering tension amongst different intersections. Human Resources staff monitor the completion of staff
training requirements. Providers are required to register for DEI training, and AAA 1-B staff review the list of
6/16/2023Printed On:24
Area Agency On Aging 1-B FY 2024
registered users to track completion of requirements. Completing DEI training is also a requirement in the
provider contract.
AAA 1-B is reviewing programming to potentially offer to caregivers in the 1-B region called “CarePartners
Passage Through Dementia (CPTD).” CPTD is a positive psychology approach to caregiving that honors both
the care recipient and the caregiver. This culturally sensitive program focuses on the unique needs of each
caregiver with a special emphasis on African American caregivers and the importance of being culturally
sensitive to concerns in communities of color. Outcomes from this program show that this program helps to
address the mistrust that exists in African American communities toward medical systems and research. If
feasible, AAA 1-B will plan to begin offering program to caregivers within our service region in late
spring/summer of 2023.
Contracted service providers are required to identify and target at least one underserved/target population to
be served each fiscal year. Targeting plan documents are submitted annually and reviewed/approved by AAA
1-B staff. Providers have the ability and are encouraged to assist participants from different cultural, language,
and religious backgrounds to access and provide services in a way that respects these diverse backgrounds.
Providers are required to report targeting data quarterly to AAA 1-B for review and to ensure targeting goals
are being met and/or identify if technical assistance is needed. AAA 1-B share opportunities for DEI training
with contracted service providers. AAA 1-B staff monitor targeting plans and quarterly reporting forms to
measure progress towards this goal. The percentage of minority seniors served through Information and
Assistance is tracked through our Wellskye software.
6/16/2023Printed On:25
Area Agency On Aging 1-B FY 2024
2024 Program Development Objectives
FY 2024 AIP PROGRAM DEVELOPMENT OBJECTIVES
Please provide information for any new program development goals and objectives that are
proposed by the AAA during FY 2024.
Instructions
The AAA must enter each new program development goal in the appropriate text box. It is
acceptable, though not required, if some of the AAA’s program development goals correspond to
ACLS Bureau’s State Plan Goals. There is an entry box to identify which, if any, State Plan Goals
correlate with the entered goal.
A narrative for each program development goal should be entered in the appropriate text box. Enter
objectives related to each program development goal in the appropriate text box. Complete the
information in the text boxes for the timeline, planned activities and expected outcomes for each
objective (see Document Library for additional instructions on completing the Program Development
section).
Area Agency on Aging Goal
A.
State Goal Match:
Narrative
Objectives
1.
toTimeline:
Activities
Expected Outcome
6/16/2023Printed On:26
Area Agency On Aging 1-B FY 2024
Supplemental Documents
Document A: Policy Board Membership (Required).
Document B: Advisory Council Membership (Required).
SUPPLEMENTAL DOCUMENTS FOR SPECIAL APPROVAL
Select the supplemental document(s) from the list below only if applicable to the AAA’s FY 2024 AIP.
Provide all requested information for each selected document. Note that older versions of these
documents will not be accepted and should not be uploaded as separate documents.
Document C: Proposal Selection Criteria - should only be completed if there are new or changed
criteria for selecting providers (only if applicable).
Document D: Cash-In-Lieu-Of-Commodity Agreement (only if applicable).
Document E: Waiver of Minimum Percentage of a Priority Service Category (only if applicable).
Document F: Request to Transfer Funds (only if applicable).
6/16/2023Printed On:27
Area Agency On Aging 1-B FY 2024
SUPPLEMENTAL DOCUMENT A
Board of Directors Membership
2 1 0 0 0 8 17
1 1 0 0 0 4 8
Membership
Demographics
Aged 60 and Over
Asian/Pacific
Islander
African
American
Native
American/
Alaskan
Hispanic
Origin
Persons
with
Disabilities
Female Total
Membership
AffiliationGeographic AreaBoard Member Name Membership Status
Business/Information
Technology
Jeff Chang Community Representative
County Older Adult
Representative
Macomb CountySandra Hann Appointed
County Older Adult
Representative
Oakland CountyRon Borngesser Appointed
PhilanthropyKelli Dobner Community Representative
Elected OfficialMonroe CountyCommissioner Dawn Asper Elected Official
LegalHoward Collens Community Representative
FinanceMichelle Hodges Community Representative
Elected OfficialOakland CountyComm. Charlie Cavell Elected Official
Healthcare/Health insuranceKathy Lyall Community Representative
Elected OfficialMacomb CountyComm. Don VanSyckell Elected Official
County Older Adult
Representative
Washtenaw CountyTom Miree Appointed
Elected OfficialLivingston CountyCommissioner Wes Nakagiri Elected Official
Medical/TelehealthHamza Osto Community Representative
Gerontology/GeriatricsSue-Anne Sweeney Community Representative
County Older Adult
Representative
Monroe CountyBarbara Turner Appointed
FinanceMarc Zwick Community Representative
6/16/2023Printed On:28
Area Agency On Aging 1-B FY 2024
Elected OfficialSt. Clair CountyComm. Jorja Baldwin Elected Official
6/16/2023Printed On:29
Area Agency On Aging 1-B FY 2024
SUPPLEMENTAL DOCUMENT B
Advisory Board Membership
Total
MembershipFemale
Persons
with
Disabilities
Hispanic
Origin
Native
American/
Alaskan
African
American
Asian/
Pacific
Islander
0 1 0 0 0 8 14
0 1 0 0 0 4 10
Membership
Demographics
Aged 60 and Over
Board Member Name Geographic Area Affiliation
Daniel Sier Macomb County Older Adult Representative
Dr. Ruth Dunkle Education/Gerontology
Gloria Edwards Washtenaw County Older Adult Representative
Steve Faine Oakland County Older Adult Representative
Jyme Hager Title III-B Nutrition Provider
Catherine Martin UAW Retirees
Christina Murray Veteran's Administration
Dr. Joseph Sucher Oakland County Older Adult Representative
Mark Swanson Livingston County Older Adult Representative
Carol Weidenbach Macomb County Older Adult Representative
Tom Zaremba Washtenaw County Older Adult Representative
Ray Cruse Healthcare
Vanessa Metti Home Health Care
Carol Thompson Home Health Care
6/16/2023Printed On:30
31
32
33
Comments from Public Hearing for FY 24 AIP; May 11th, 2023
- Livingston County Catholic Charities – Participant shared concerns about the impact of the end
of the public health emergency for long-term care facility residents who may no longer qualify
for Medicaid. Livingston County does not have affordable housing options for these individuals
and does not have a homeless shelter, which may force some residents to other counties to
receive support. The participant also shared that it is difficult for older adults to access in-home
services from the AAA 1-B’s Community Living Program due to long waiting lists, and that there
is an unmet need for in-home support in the community.
- Participant Resource Share: One solution for the housing shortage is to explore options for
Shared Housing. Shared Housing can be a popular remedy for increasing access to housing. Ann
Arbor had a program where a student would live with an older adult. Silver Nest, Single Ladies
living Together (Canada), and SeniorSharedHousing.com are resources for understanding this
model.
- A participant asked a clarifying question regarding the priority of services and services that
would be cut in the event of a funding reduction. The response was that home-delivered meals
was not included based on the results of a community prioritization survey completed for the
Multi Year Plan.
- Caregiver of Nursing Facility Resident – The caregiver expressed concern with the treatment of
her loved one in a Macomb skilled care facility. She reported concerns with the quality of food
provided to residents, especially those with chronic medical conditions that require diet
modifications, and the general conditions in the facility. She expressed interest in home and
community-based service options, including PACE.
- Grandparents Raising Grandchildren Program: OLHSA – Participant shared that increased
funding for Kinship Care services would be beneficial. - they would like to expand their reach.
OLHSA’s Grandparents Raising Grandchildren program currently serves Oakland, Macomb, and
Livingston Counties. She expressed excitement for the proposed expansion of the Caregiver
Coaching program to Kinship Caregivers. The participant expressed the hope that the grant-
funded Caregiver Respite Vouchers would be available to Kinship Caregivers as well.
- Community Service Provider – The provider asked a question about continuing premium pay
and/or increasing reimbursement rates for home-based services to combat the continued
caregiver shortages.
- Participant - Manchester Seniors are new to AAA 1-B services and have met with AAA 1-B staff
to discuss the nutrition program. How can I make sure that we do whatever is necessary to
ensure we are included in the next budget year?
- Catholic Charities Adult Day Center in Auburn Hills –Participant expressed concerns about a
significant funding cut they received from the agency. The participant advocated for increased
funding for all senior services, especially Adult Day Centers specializing in Dementia.
- Community Service Provider – Participant has been working with State Standard Workgroups for
Adult Day Centers and Nutrition Programs. Reported an outstanding need to update the service
34
standard for chore programs because the service definition is limited. The Chore definition
appears to be a random list of tasks, and these tasks do not completely meet the needs of the
those in the community. The participant requested that a workgroup be created to review the
service definition.
- An individual from Neighborhood House was interested in hearing what other groups are doing
about older adult mental health needs. In general, they have been finding all clients are coming
in with Mental Illnesses. They have needed to call Adult Protective Services a few times and
would like to be able to initiate more resources.
- Participant shared that SAC has a recent report on isolation that might be a good resource.
- Macomb Office of Senior Services participant noted that there is a service gap for homebound
mental health services, resulting in homebound older adults being seriously under treated.
Community Mental Health does not have programs specifically tailored to the needs of
homebound individuals. Treatment in the home is critical for seniors, as telehealth is not always
feasible. The surgeon general announced recently that social isolation is a significant health risk.
Macomb County has a new program that was arranged by Community Mental Health and local
law enforcement to utilize a referral form for senior services and Community Mental Health, but
it is an unfunded program.
- MiGen Training and Education Administrator asked about the implementation of DEI training for
staff and professionals. The participant asked if post surveys were ever used to assess if
individuals from targeted demographics found services provided to be affirming or
approachable.
- Home-Delivered Meal Program Provider reported seeing an increasing number of participants
with food allergies and more culturally responsive meal needs in our home-delivered meal
program, but these menus are very difficult to get approved by AAA 1-B, which decreases our
ability to sustain these meal options. The provider inquired about any plans to better support
organizations in providing more inclusive meals options for communities. The provider has been
looking into partnerships, but without a dietician on staff, it is hard to ensure that meals would
meet dietary requirements. Some examples of highly requested meal options include an Asian
meal option, gluten free, and lactose free meals. The cost of Kosher meals or Halal meats are
higher, so it is difficult to offer these options.
35
Michigan spends only 43% of Medicaid long-term supports
and services funds on Home and Community-Based
Services (HCBS), far below the national average of HCBS
spending of 59%. The AAA 1-B supports efforts to
rebalance Michigan’s long-term spending to support HCBS.
REBALANCE MICHIGAN LONG-
TERM CARE SPENDING
Area Agency on Aging 1-B
Legislative
Platform
2023-2024
MI CHOICE MEDICAID WAIVER
PROGRAM
The AAA 1-B advocates for increased funding for the MI-
Choice Medicaid Waiver Program to ensure that program
rates reflect the increased costs of providing care. The MI
Choice program should be maintained and strengthened as
a key component of Michigan’s long-term supports and
services (LTSS) system.
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.
SILVER KEY IN-HOME SERVICES
The AAA 1-B supports the Silver Key Coalition in
advocating for increased state resources to address
unmet needs for non-Medicaid in-home services and home
delivered meals funded by the Bureau of Aging,
Community Living, and Supports.
SUPPORT UNPAID FAMILY AND
KINSHIP CAREGIVERS
The AAA 1-B supports policies that provide family
caregivers and kinship caregivers with financial security
and other resources needed to continue providing care to
their loved ones, including the development of Caregiver
Resource Centers in Area Agencies on Aging across the
state.
MEDICAID LONG-TERM CARE
SYSTEM TRANSFORMATION
The AAA 1-B advocates that plans, demonstration
programs and future pilot programs for the delivery of
managed long-term supports and services (LTSS) build on
the success of Area Agencies on Aging and include Area
Agencies on Aging as a required partner in the provision of
LTSS.
SUPPORT AND STRENGTHEN
INFORMATION AND ASSISTANCE
PROGRAMS
The AAA 1-B advocates for initiatives that support and
strengthen Information and Assistance Programs provided
by local Area Agencies on Aging (AAA). Options Counseling
initiatives should build on the expertise of Area Agencies
on Aging.
LONG-TERM CARE OMBUDSMAN
The AAA 1-B advocates for increased funding for the Long-
Term Care Ombudsman program. The AAA 1-B supports
policies that address the needs of long-term care facility
residents served by AAA 1-B Ombudsman.
36
The Area Agency on Aging 1-B is a nonprofit agency serving and advocating on behalf of 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
independence by administering home and community based services.
Each year the Area Agency on Aging 1-B develops a set of legislative priorities for the upcoming fiscal
year to guide advocacy efforts to support older adults in Michigan. Advocacy efforts are both legislative
and administrative and are targeted toward local, state, and federal legislators representing the more
than 800,000 older adults in our 6-county region.
For more information contact Stephanie Hall, Research & Advocacy Manager, shall@aaa1b.org or by
phone at (248) 915-6065
OLDER AMERICANS ACT (OAA)
The AAA 1-B supports USAging’s recommendation to
double all OAA program funding. OAA regulations should
continue to be modernized, ensuring local flexibility to
best meet the needs of Older Americans.
PRESERVE MEDICARE AND SOCIAL
SECURITY
The AAA 1-B 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 to traditionally
underserved low-income minority communities including
racial/ethnic minority, LGBT, socially isolated, and
immigrant/refugee populations.
ELDER ABUSE PREVENTION
The AAA 1-B advocates for policies that prevent physical,
psychological, and financial abuse and neglect of
vulnerable older adults and adults with disabilities.
HOUSING AFFORDABILITY AND
ACCESSIBILITY
The AAA 1-B 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.REDUCE HEALTHCARE COSTS
The AAA 1-B 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.
TRANSPORTATION
The AAA 1-B supports policies that provide adequate and
sustainable funding for public transportation and mobility
management services.
SOCIAL ISOLATION REDUCTION
The AAA 1-B supports programs and policies that reduce
social isolation in older adults and provide technology
access and training to all older adults.
37
The Long-Term Care (LTC) Ombudsmen are a neutral third party who work with
residents of licensed long-term care facilities with a goal of improving care and
quality for residents and advocating for the resident's wishes. Ombudsmen advocate
on behalf of residents of licensed long-term care facilities such as nursing homes (NH),
home for the aged (HFA), and adult foster care (AFC) homes. Ombudsmen promote high
quality of care and quality of life, explain resident rights to residents and families, empower
residents to communicate concerns, assist residents in resolving their concerns, provide
education on long term care issues, promote use of best practices, advocate for residents and
their families, and inform systemic change through state and federal advocacy.
per 5,150 beds whereas nationally, the recommended minimum ombudsman-staff-to-bed ratio is one
ombudsman to every 2,000 long-term care beds. In order to achieve the minimum staff to bed ratio,
Michigan needs to add 33 more full-time Ombudsman which would increase our ranking to 29th. Along
with the needed increase in the number of Ombudsman, the funding formula used to distribute
Ombudsman funding has not been updated since 1987. This funding formula should be updated to
include current data.
LONG-TERM
CARE
OMBUDSMAN
www.reallygreatsite.com
ACTION:
ACTION:
The Area Agency on Aging 1-B is a nonprofit agency serving and advocating on behalf of 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 independence by administering home and
community based services
For more information contact Stephanie Hall, Research & Advocacy Manager, shall@aaa1b.org or by phone at (248)
915-6065
Adequately staff Michigan’s Long Term Care Ombudsman Program by adding 33
new Ombudsman at an estimated total cost of $3 million.
Direct the Commission on Services to the Aging to update the Ombudsman Funding
Formula to distribute increased funds more adequately.
# Paid Program
Staff # Facilities # Resident
Beds
# Complaints
Investigated
Staff to Bed
Ratio
20 4,784 102,999 3,372 1:5150
Michigan's Long-Term Care Ombudsman Program (FY22)
With an increase in funding, Michigan's Ombudsman would be able to increase facility visits, support the
recruitment of additional volunteers necessary to serve the population, and allow Ombudsman to be
more proactive in addressing resident concerns.
There are only 20 designated ombudsmen in Michigan who are responsible for serving all facility
residents. Michigan is ranked 44th among states in the ratio of staff-to-bed equaling one ombudsman
38
Annual & Multi Year Implementation Plan 2023-2025 EVIDENCE-BASED PROGRAMS PLANNED FOR FY 2024 Funded Under Disease Prevention Health Promotion Service Definition Provide the information requested below for Evidence-Based Programs (EBDP) to be funded under Title III-D. Title III-D funds can only be used on health promotion programs that meet the highest-level criteria as determined by the Administration for Community Living (ACL) Administration on Aging (AoA). Please see the “List of Approved EBDP Programs for Title III-D Funds” in the Document Library. Only programs from this list will be approved beginning in FY 2024. If funding has been allocated as a single amount for all Title III-D programs for a provider, enter on first line under “Funding Amount for This Service”. Program Name Provider Name Anticipated No. of Participants Funding Amount for Service Example Arthritis Exercise Program Example: List each provider offering programs on a single line as shown below. 1) Forest City Senior League Program 2) Grove Township Senior Services 3) Friendly Avenue Services Example: Total participants for all providers Example: Funding total for all providers Aging Mastery Program AAA 1-B 80 $22,340 Powerful Tools for Caregivers AAA 1-B 100 $25,370 Personal Action Toward Health AAA 1-B 48 $11,204 Diabetes PATH AAA 1-B 32 $8,403 Chronic Pain PATH AAA 1-B 32 $8,403 A Matter of Balance AAA 1-B 100 $34,250 Aging Mastery Program for Caregivers AAA 1-B 30 $10,508 Personal Action Toward Health National Kidney Foundation of Michigan 79 $22,853 A Matter of Balance National Kidney Foundation of Michigan 52 $14,018 Enhance Fitness National Kidney Foundation of Michigan 130 $39,487 Walk With Ease National Kidney Foundation of Michigan 24 $4,043 Health Coaches for Hypertension Control National Kidney Foundation of Michigan 16 $5,183 Area Agency on Aging 39
Emergency Management and Preparedness
Minimum Elements for Area Agencies on Aging
FY 2024 Annual Implementation Plan
General Emergency Preparedness Minimum Elements (required by the Older American’s Act)
1. Does your agency have an Emergency Preparedness Plan? If so when was the latest update
and was it sent to ACLS? If not, please send 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. We are currently
working to review and update the EPP and will submit 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?
AAA 1-B is willing to work with local emergency management teams. AAA 1-B has contact
information for each county/local EOCs throughout AAA 1-B's 6-county region. The AAA 1-B
emergency response plan may become active when directly contacted by a local/county/state
EOC. AAA 1-B staff may contact program participants/caregivers, as well as service providers, to
prepare them for the emergency. In some cases, the county or state EOC may contact the AAA
1-B following an emergency and request assistance.
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 provider’s ability to provide services). Please provide ACLS with any update contact
information on staff listed as the emergency contact. Including drills.
Updated contact information is provided separately. The AAA 1-B Emergency Coordinators are
identified below in contact order:
• CEO
• Assistant Director, Community Health and Aging Services
• Chief Clinical Officer (CCO)
• Program Manager, Nutrition Services
• Chief Communications and Strategy Officer
• Director, Technology & Analytics
A FERMI drill was activated by the state on September 20, 2022. AAA 1-B provided the number
of participants served in the area to the county as requested.
4. Being able to provide information about the number and location of vulnerable older persons
receiving services from the area agency.
AAA 1-B is able to provide information regarding the number and location of vulnerable older
persons receiving services from the area agency. Information is obtained through our internal
database and provided to the appropriate community partners as required. AAA 1-B will be
exploring the opportunity to maintain this information outside of the electronic platform in the
event there is a power and/or system outage.
40
5. What barriers have you had with emergency/disaster drills or with man-made or natural
disaster such as flooding, pandemic, flu, and extreme 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 not conducted emergency/disaster drills in the office due to staff working
predominantly from home. However, there are staff working in the office and new staff who
have been hired that need to know the procedures in the event of an emergency. AAA 1-B will
discuss providing this information to all staff within the fiscal year. We will also explore the
opportunity to have a drill for staff who are in the office on a specific day.
41
42
** number in parenthesis indicates page number of department specific chart Version 4/26/2023 p. 1
Area Agency on Aging 1-B Executive Leadership
Michael Karson
Chief Executive Officer
Pamela Moffitt
Director of Operations
& Technology (p.2)
Board of Directors Advisory Council
Chief Compliance &
Quality Officer (p.4)
Vacant
Angela Rutterbush
Chief Human
Resources Officer (p.5)
Aimee Page
Chief Clinical
Officer (p.9)
MI Choice
MI Health Link
Community Living
Program
Care Management
Veteran’s Admin.
Service Coordination
Family Respite Program
Discharge Follow Up
& Readmission
McLaren &
THC: Prevention
Program
Quality
Regulatory
Compliance
Accreditation
Appeals
HIPAA Officer
HCBS
Compliance
Laura Gruczelak
Chief Financial
Officer (p.3)
Finance
Accounting
401K
Audit
Jenny Jarvis
Chief Communications
& Strategy Officer (p.6)
Communication
Marketing
Strategic Plan
MMAP
Resource Center
Research, Policy
Development &
Advocacy
Ombudsman
Vendor & Contractor
Management
Mobility Management
Wellness Training
Social Services
Nutrition
Compensation
Benefits
Payroll
Recruitment
On-boarding
Policy
Maintenance
Employee
Relations
Performance
Management
Executive &
Administrative Services
Facilities Mgmt
Tech & Analytics
43
Version 04/10/2023 p. 2
Area Agency on Aging 1-B Operations & Technology
Pamela Moffitt
Director of Operations &
Technology
Yasa Hill
Administrative
Coordinator
Amber Mack
Executive Assistant
Lori Smith
CSS Executive Assistant
Executive
Administrative Services Technology & Analytics
Brandon Charles
Vendor Contract Analyst
Kim Trudeau
Database Administrator
Rita Liggins
IS/IT Project
Manager/Analyst
Ann McAuley
Receptionist
44
Version 5/02/2023 p. 3
Area Agency on Aging 1-B Finance Department
Carmen Saucedo
Finance Manager
AASA
Simon Bhatti
Accounting
Manager
Finance and
Accounting Manager
Vacant
Laura Gruczelak
Chief Financial Officer
Tuneisha Hedgley
Billing Supervisor
Billing Clerk
Shirley Chow Melissa Maxwell
Accounts Receivable
Analyst
Debra Cohen
Accounts Payable
Analyst
45
Version 4/26/2023 p. 4
Area Agency on Aging 1-B Compliance Department
Chief Compliance and
Quality Officer
Vacant
Sarah Jacobs
Senior Manager Regulatory
Compliance and Quality
Manager Regulatory
Compliance
Vacant
Senior Regulatory
Compliance Analyst
Vacant
Molly Dobrzeniecki
Appeals & Audit Analyst
46
Version 11/29/2021 p. 5
Area Agency on Aging 1-B Human Resources Department
Brock Varner
Senior Human
Resources Manager
Elizabeth Emery
Human Resources
Coordinator
Angie Rutterbush
Chief Human
Resources Officer
Traycee Kue
Human Resources
Specialist
47
Area Agency on Aging 1-B Communications and Strategy Departments
Angela Lippard
Resource Center
Manager (p.7)
Jenny Jarvis
Chief Communications
and Strategy Officer
Kathleen Yanik
Sr. Communications
Manager
2 Communication
Specialists –
Julie Edgar
Vacant
Shari Smith
MMAP Manager
3 Ombudsmen
Elaine Hearns
Mary Katsarelas
Louise Verbeke
3 MMAP Program
Assistants –
Rachelle Carter
Steven Gershman
Vacant
3 MMAP Site
Coordinators -
Beverly Clark
Melissa Devine
Sharron Olateju
Brian Paruch
Provider Network
Manager
Kristin Wilson
Assistant Director
Community Health
& Aging Services (p.8)
4 Contract
Coordinators
Dionna Austin-Smith
Katherine Hart
Nicole Terrell
Vacant
Katie Wendel
Director of Planning &
Advocacy Services (p.8)
48
Version 6/17/2022 p. 7
Area Agency on Aging 1-B Resource Center
6 Resource
Specialists
Chris Considine
Kara Groom
Raylon Leaks-May
Portia Napier
Anna Rowsey
Breshay Warnsley
Angela Lippard
Resource Center
Manager
Karen Frey
Resource Center
Team Lead
Robin Hamilton-Morris
Caregiver Resource
Specialist
Kelly Elswick
Resource Database
Specialist
Brieanna Schofield
Resource
Coordinator
49
** number in parenthesis indicates page number of department specific chart Version 06/05/2023 p. 8
Area Agency on Aging 1-B Advocacy and Community Health and Aging Services
Katie Wendel
Director of Planning & Advocacy
Stephanie Hall
Research & Advocacy Manager
Planning & Grants Specialist
Taylor Clark
Julie Lowenthal
Coordinator of Volunteer &
Caregiver Services
LaVonna Howard
Manager of Mobility
Services
Carie Sherwood
Program Manager Social
& Caregiver Services
Kristin Wilson
Assistant Director
Community Health & Aging Services
AASA Program
Managers
Debra Price-Ryan
Transportation
Project Coordinator
2 Mobility Specialist
Jessica Davey
Katherine Giampino
Angela Patten
Program Manager
Nutrition Services
Jeannine Roach
Manager of Health
Promotion 13 Part-Time
Trainers
Heather Devos
Program Specialist
50
** number in parenthesis indicates page number of department specific chart Version 04/26/2023 p. 9
Area Agency on Aging 1-B Clinical Department
Aimee Page
Chief Clinical Officer
Margaret Ouellette
Director of Clinical
Operations (p.13)
Susan Miller
Director of Programs &
Project Management (p.10)
Melissa Timm
Senior Manager Quality
Quality Specialist
Vacant
Andrew Hamill
Quality Training
Specialist
Rhonda Barrie
Quality Training
Specialist
51
** number in parenthesis indicates page number of department specific chart Version 3/06/2023 p. 10
Area Agency on Aging 1-B Clinical Department – Programs & Project Mgmt.
Susan Miller
Director of Clinical Programs
& Project Management
Kathryn Carbin
Clinical Manager
Community Living
Programs (p.12)
Kathryn Rini
Program Manager Clinical
Operations (p.11)
Robert Amos
Clinical Trainer
52
** number in parenthesis indicates page number of department specific chart Version 2/01/2023 p. 11
Area Agency on Aging 1-B Clinical Department
Keisha Hickman
Service Coordination
Supervisor
Kathryn Rini
Program Manager Clinical
Operation
3 Program
Coordinators –
Cheryl Collins
Krystal Smoger
Azure Wineman
RN Support Coordinators
Elissa Ladzinski
5 Service
Coordinators –
Betty Johnson
Jessica Longuski
Carey Makarski
Kimberly Marshall
Tiandra Wilcher
53
Version 5/29/2023 p. 12
Area Agency on Aging 1-B Clinical Department - CLP
Kathryn Carbin
Clinical Manager
Community Living Programs
7 Caseworkers
Erica Cable
Jessica Hutchinson
Mia Little
Adrian Morang-Lyons
Lisa Pyle
Lisa Rudolph
Tiffany Welton
Program Coordinator
Laura Wilson
Jenny Brunell
CLP Supervisor
3 Registered Nurse
Support Coordinators-
Kathryn Edmondson
Elizabeth Gamboa
Vacant
April Voss
Clinical Team Lead, ACLS
2 Social Work Support
Coordinators –
Carrie Lengyel
Vacant
54
** number in parenthesis indicates page number of department specific chart Version 3/06/2023 p. 13
Area Agency on Aging 1-B Clinical Department – MI Choice
Margaret Ouellette
Director of Clinical
Operations (p.13)
Chelsea Denio
Clinical Manager
MI Choice Clinical
Operations (p.14)
Deborah Nelson
Enrollments (p.15)
55
Version 6/09/2023 p. 14
Area Agency on Aging 1-B Clinical Department - Operations
Kristin Flynn
Supervisor MI Choice
POD #2 WEST/CENTRAL
Laura Schroeder
RN Supervisor MI Choice
NURSE POD
Catherine Bugeja-Jackson
Supervisor MI Choice
POD #1 EAST/CENTRAL
Chelsea DeNio
Clinical Manager
MI Choice Clinical Operations
11 Social Work
Support Coordinators –
Paula Aiello-Grundy
Jennifer Dawson
Lucy Fichter
Michelle Fries
Samantha Oulch
Danielle Soderman
Nicole Sportsman
Tanya Trometer
Caroline Radzwion
Vacant
Vacant
11 Social Work
Support Coordinators –
Jasmine Clark
Kara Fiedler
Julie Harden
Shawn Jones
Alexa Paniccia
Sarah Riesterer
Brittney Shegog
Keyonna Wells
Vacant
Vacant
Vacant
8 RN Support
Coordinators-
Cynthia Parise
Judith Pittenger
Constance Rittenbury
Courtney Semeniuk
Filomena Sexton
Claire Stapleton
Nicole Washington
Susan Williams
56
Version 6/09/2023 p. 15
Area Agency on Aging 1-B Clinical Department - Enrollments
Mallory Montcastle
Supervisor of Enrollment
Deborah Nelson
Clinical Manager
Enrollment
4 Clinical Screeners-
Devon Brookover
Vikki Rochester
Cynthia Williams-Hurt
Vacant
3 Program
Coordinators -
LaTonya Terry
Vacant
Vacant
Chevon Sherman
Eligibility Specialist
Team Lead
2 Eligibility
Specialists –
Shayla Fenn
Andrea Reid
4 Social Work
Support
Coordinators –
Amy Frawley
Nicklaus Kaiser
Robert Miller
Kevin Valenti
4 RN Support
Coordinators-
Janet Belsky
Tracey Meyerhoff
Vacant
Vacant
MI Choice
Scheduler
Kim Smart
Katherine Taylor
Clinical Screener
Team Lead
Hannah Godfrey
Program Coordinator
Team Lead
57
FY 2024Rev. 5/4/23Agency: Area Agency on Aging 1-B Budget Period:10/01/23to09/29/24PSA: 0Date: 05/19/23Rev. No.: 0 Page 1of 3SUPPORTIVENUTRITIONLocal CashLocal In-KindTotalFUND SOURCESERVICESSERVICESTOTAL Federal Administration1,191,700 254,921 - 1,446,621 1. Federal Title III-B Services2,849,137 2,849,137 State Administration207,795 207,795 2. Fed. Title III-C1 (Congregate)3,767,445 3,767,445 MATF Administration77,188 - - 77,188 3. State Congregate Nutrition 62,518 62,518 St. CG Support Administration 9,524 - - 9,524 4. Federal Title III-C2 (HDM)2,545,146 2,545,146 Other Admin- 5. State Home Delivered Meals3,101,783 3,101,783 Total AIP Admin:1,486,207 254,921 - 1,741,128 8. Fed. Title III-D (Prev. Health)216,831 216,831 9. Federal Title III-E (NFCSP)1,346,744 1,346,744 10. Federal Title VII-A 18,728 18,728 Expenditures 10. Federal Title VII-EAP42,409 42,409 FTEs 11. State Access186,610 186,610 1. Salaries/Wages27.00 1,161,686 12. State In-Home4,562,449 4,562,449 2. Fringe Benefits348,506 13. State Alternative Care729,595 729,595 3. Office Operations230,936 14. State Care Management863,653 863,653 Total:1,741,128 15. St. ANS291,000 291,000 16. St. N ursing Home Ombs (NHO)73,035 73,035 17. Local MatchCash Match DetailIn-Kind Match Detail a. Cash110,000 - 110,000 SourceAmount Source Amount b. In-Kind1,132,005 1,115,915 2,247,920 1. Federal Admin254,921 1. Federal Admin 18. State Respite Care (Escheat)359,838 359,838 2. Federal Admin- 2. Federal Admin- 19. MATF 780,464 780,464 3. Federal Admin- 3. Federal Admin- 19. St. CG Support96,294 96,294 MATFF Administration Match- MATF Administration Match- 20. TCM/Medicaid & MSO27,308 27,308 St CG Support Match- St CG Support Match- 21. NSIP1,662,346 1,662,346 - - 22. Program Income108,000 - 108,000 - - TOTAL:13,794,100 12,255,153 26,049,253 Total:254,921 Total:- BGP Allocation Amount 25,069,540 I certify that I am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plan. Adequate documentation and records will be maintained to support required program expenditures.Laura GruczelakChief Financial Officer05/19/23SignatureTitleDateSERVICES SUMMARYADMINISTRATIONRevenues AREA PLAN GRANT BUDGET58
FY 2024 AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAILAgency: Area Agency on Aging 1-B Budget Period:10/01/23to09/29/24Rev. 5/4/23PSA: Date: 05/19/23 Rev. No.: page 2 of 3 *Operating Standards For AAA'sOp Title VII AStateStateSt. Alt.State CareState St. ANSSt. RespiteMATFSt. CG SupptTCM-MedicaidProgramCashIn-KindStdSERVICE CATEGORYTitle III-B Title III-D Title III - ETitle VII/EAPOMB Access In-Home Care Mgmt NHO (Escheat)MSO Fund Income Match Match TOTALAAccess ServicesA-1Care Management263,151 225,000 10,000 250,000 120,000 65,000 31,462 964,613 A-2Case Coord/supp179,539 190,500 10,000 603,653 126,000 45,000 78,300 1,232,992 A-3Disaster Advocacy & Outreach Program- A-4Information & Assis421,097 392,122 20,000 45,000 97,580 975,799 A-5Outreach236,923 240,122 146,610 69,295 692,950 A-6Transportation 15,000 1,667 16,667 A-7Options Counseling25,000 25,000 - 10,000 6,667 66,667 A-8Care TransitionCorrdination and SupportBIn-HomeB-1Chore427,140 8,000 47,460 482,600 B-2Home Care Assis- B-3Home Injury Cntrl100,000 89,000 21,000 210,000 B-4Homemaking3,194,195 60,000 253,334 3,507,529 B-6Home Health Aide- B-7Medication Mgt18,000 2,000 20,000 B-8Personal Care1,026,496 20,000 40,000 83,334 1,169,830 B-9Assistive Device&Tech5,000 234,708 23,889 263,597 B-10Respite Care20,000 10,000 89,050 709,595 339,838 62,676 84,458 146,180 1,461,797 B-11Friendly Reassure- C-10Legal Assistance206,467 50,000 28,497 284,964 CCommunity ServicesC-1Adult Day Services92,000 20,000 20,000 702,788 11,836 92,959 939,583 C-2Dementia ADC- - C-6Disease Prevent/Health Promtion216,831 24,093 240,924 C-7Health Screening- C-8Assist to Hearing Impaired & Deaf Cmty49,500 5,278 54,778 C-9Home Repair- C-11LTC Ombudsman158,697 18,728 73,035 27,308 28,783 306,551 C-12Sr Ctr Operations- C-13Sr Ctr Staffing - C-14Vision Services- C-15Prevnt of Elder Abuse,Neglect,Exploitation 49,591 42,409 10,223 102,223 C-16Counseling Services - C-18Caregiver Supplmt Services - C-19Kinship Support Services70,000 7,778 77,778 C-20Caregiver E,S,T60,000 30,000 10,000 100,000 *C-8Program Develop560,032 62,226 622,258 Region Specific Critical Urgent Unmet Needs - Nursing Services - c. - d. - 7. CLP/ADRC Services- - - Sp Co 8. MATF Adm 77,188 77,188 Sp Co 9. St CG Sup Adm 9,524 9,524 SUPPRT SERV TOTAL2,849,137 216,831 1,346,744 42,409 18,728 186,610 4,562,449 729,595 863,653 73,035 291,000 359,838 857,652 105,818 27,308 108,000 110,000 1,132,005 13,880,812 59
FY 2024 NUTRITION / OMBUDSMAN / RESPITE / KINSHIP - PROGRAM BUDGET DETAILRev. 5/4/23Agency: Area Agency on Aging 1-B Budget Period: 10/01/23 to9/29/24 PSA: 0Date: 05/19/23 Rev. Number0page 3 of 3FY 2024 AREA PLAN GRANT BUDGET - TITLE III-C NUTRITION SERVICES DETAILOp SERVICE CATEGORYTitle III C-1 Title III C-2 State State HDM NSIP Title III-E Program Cash In-Kind TOTALStdCongregateIncome Match MatchNutrition ServicesC-3Congregate Meals3,635,577 62,518 664,938 436,400 4,799,433 B-5Home Delivered Meals2,512,179 3,101,783 997,408 661,200 7,272,570 C-4Nutrition Counseling- C-5Nutrition Education131,868 32,967 18,315 183,150 B-12Carry-out Meal (COM)- AAA RD/Nutritionist* - Nutrition Services Total3,767,445 2,545,146 62,518 3,101,783 1,662,346 - - - 1,115,915 12,255,153 *Registered Dietitian, Nutritionist or individual with comparable certification, as approved by AASA.FY 2024 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAILOp SERVICE CATEGORYTitle III-B Title VII-A Title VII-EAP State NHO MSO Fund Program Cash In-Kind TOTALStd Income Match MatchLTC Ombudsman SerC-11LTC Ombudsman158,697 18,728 - 73,035 27,308 - - 28,783 306,551 C-15Elder Abuse Prevention49,591 42,409 - - 10,223 102,223 Region Specific- - - - - - - LTC Ombudsman Ser Total208,288 18,728 42,409 73,035 27,308 - - 39,006 408,774 FY 2024 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAILOp SERVICES PROVIDED AS ATitle III-B Title III-E State Alt Care State State In-Home Merit Award Program Cash/In-Kind TOTALStdFORM OF RESPITE CAREEscheats Trust Fund Income MatchB-1Chore- B-4Homemaking- B-2Home Care Assistance- B-6Home Health Aide- B-10Meal Preparation/HDM- B-8Personal Care- Respite Service Total- - - - - - - - - FY 2024Op SERVICE CATEGORYTitle III-B Title III-E Program Cash In-Kind TOTALStd Income Match MatchKinship Ser. Amounts OnlyC-18Caregiver Sup. Services- - - - C-19Kinship Support Services- 70,000 - - 7,778 77,778 C-20Caregiver E,S,T- - - - - - Kinship Services Total- 70,000 - - 7,778 77,778 AREA PLAN GRANT BUDGET-TITLE E- KINSHIP SERVICES DETAIL60
FY 2024 PSA:0
Budgeted
Funds Purchased Contract Direct
ACCESS SERVICES
Care Management 964,613$ 3.69%X
Case Coordination & Support 1,232,992$ 4.72%X
Disaster Advocacy & Outreach Program -$ 0.00%
Information & Assistance 975,799$ 3.73%X
Outreach 692,950$ 2.65%X X
Transportation 16,667$ 0.06%X
Option Counseling 66,667$ 0.26%X
Care TransitionCorrdination and Support -$ 0.00%
IN-HOME SERVICES
Chore 482,600$ 1.85%X
Home Care Assistance -$ 0.00%
Home Injury Control 210,000$ 0.80%X
Homemaking 3,507,529$ 13.42%X
Home Delivered Meals 7,272,570$ 27.83%X
Home Health Aide -$ 0.00%
Medication Management 20,000$ 0.08%X
Personal Care 1,169,830$ 4.48%X
Personal Emergency Response System 263,597$ 1.01%X
Respite Care 1,461,797$ 5.59%X X
Friendly Reassurance -$ 0.00%
COMMUNITY SERVICES
Adult Day Services 939,583$ 3.59%X
Dementia Adult Day Care -$ 0.00%
Congregate Meals 4,799,433$ 18.36%X
Nutrition Counseling -$ 0.00%
Nutrition Education 183,150$ 0.70%X
Disease Prevention/Health Promotion 240,924$ 0.92%X X
Health Screening -$ 0.00%
Assistance to the Hearing Impaired & Deaf 54,778$ 0.21%X
Home Repair -$ 0.00%
Legal Assistance 284,964$ 1.09%X
Long Term Care Ombudsman/Advocacy 306,551$ 1.17%X
Senior Center Operations -$ 0.00%
Senior Center Staffing -$ 0.00%
Vision Services -$ 0.00%
Programs for Prevention of Elder Abuse, 102,223$ 0.39%X
Counseling Services -$ 0.00%
Carry-Out Meal (COM)-$ 0.00%
Caregiver Supplemental Services -$ 0.00%
Kinship Support Services 77,778$ 0.30%X
Caregiver Education, Support, & Training 100,000$ 0.38%X
AAA RD/Nutritionist -$ 0.00%
PROGRAM DEVELOPMENT 622,258$ 2.38%X
REGION-SPECIFIC
Critical Urgent Unmet Needs -$ 0.00%
Nursing Services -$ 0.00%
c. -$ 0.00%
d. -$ 0.00%
CLP/ADRC SERVICES -$ 0.00%
SUBTOTAL SERVICES 26,049,253$
MATF & ST CG ADMINSTRATION 86,712$ 0.33%X
TOTAL PERCENT 100.00% 23.55% 56.10% 20.34%
TOTAL FUNDING 26,135,965$ $6,154,421 $14,664,484 $5,317,060
Service
Percent
of the
Total
Method of Provision
Planned Services Summary Page for
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 (-) $1 are not considered material.
61
FY 2024 Rev. 5/4/23
Agency:Area Agency on Aging 1-B1B Fiscal Year:FY 2024
Date of SGA:SGA No. Date Reviewed by AASA:
Date of Budget:05/19/23 Revision No.0 Initials of Field Rep Approving:
SGA CATEGORY SGA AWARD C/O AMOUNT TOTAL
Title III Administration 1,191,700$ 1,191,700$
State Administration 207,795$ 207,795$
Title III-B Services 2,849,137$ 2,849,137$
Title III-C-1 Services 3,767,445$ 3,767,445$
Title III-C-2 Services 2,545,146$ 2,545,146$
Federal Title III-D (Prev. Health)216,831$ 216,831$
Title III-E Services (NFCSP)1,346,744$ 1,346,744$
Title VII/A Services (LTC Ombuds)18,728$ 18,728$
Title VII/EAP Services 42,409$ 42,409$
St. Access 186,610$ 186,610$
St. In Home 4,562,449$ 4,562,449$
St. Congregate Meals 62,518$ 62,518$
St. Home Delivered Meals 3,101,783$ 3,101,783$
St. Alternative Care 729,595$ 729,595$
St. Aging Network Srv. (St. ANS)291,000$ 291,000$
St. Respite Care (Escheats)359,838$ 359,838$
Merit Award Trust Fund (MATF)857,652$ 857,652$
St. Caregiver Support (St. CG Sup.)105,818$ 105,818$
St. Nursing Home Ombuds (NHO)73,035$ 73,035$
MSO Fund-LTC Ombudsman 27,308$ 27,308$
St. Care Mgt.863,653$ 863,653$
NSIP 1,662,346$ 1,662,346$
-$
SGA TOTALS:25,069,540$ -$ 25,069,540$
ADMINISTRATION BUDGET SGA DIFFERENCE Minimum federal administration match amount $397,233
Federal Administration 1,191,700$ 1,191,700$ -$ Administration match expended (State Adm. + Local Match)$462,716
State Administration 207,795$ 207,795$ -$ Is the federal administration matched at a minimum 25%?Yes
Does federal administration budget equal SGA?Yes
Sub-Total:1,399,495$ 1,399,495$ -$ Does state administration budget equal SGA?Yes
MATF 77,188$
ST CG Supp 9,524$
Local Administrative Match
Local Cash Match 254,921$ Total Merit Award Trust Fund & St. Caregiver Support Admin. Funds budgeted:8%
Local In-Kind Match -$ Is Merit Award Trust Fund & St CG Support Admin. budgeted at 9% or less?Yes
Sub-Total:254,921$ Amount of MATF Funds budgeted on Adult Day Care 702,788$
Other Admin -$ AIP TOT ADMIN DIFFERENCE Is at least 50% of MATF budgeted on Adult Day Care services?Yes
Total Administration:1,741,128$ 1,741,128$ -$
SERVICES:BUDGET SGA % BUDGETED Are kinship services budgeted at > 5% of the AAA's Title III-E funding?Yes
Federal Title III-B Services 2,849,137$ 2,849,137$ 100.0000%
Fed. Title III C-1 (Congregate)3,767,445$ 3,767,445$ 100.0000%[note: see TL #369 & TL#2007-141]
State Congregate Nutrition 62,518$ 62,518$ 100.0000%For Agencies required to budget a minimum of $25,000 of Title III-E requirement met?Yes
Federal C-2 (HDM)2,545,146$ 2,545,146$ 100.0000%
State Home Delivered Meals 3,101,783$ 3,101,783$ 100.0000%Amount required from Transmittal Letter #2020-431. (see cell L 42)$27,100
Federal Title III-D (Prev. Health)216,831$ 216,831$ 100.0000%Budgeted amount Title III-B for LTC Ombudsman.$158,697
Federal Title III-E (NFCSP)1,346,744$ 1,346,744$ 100.0000%Is required maintenance of effort met?Yes
St. Access 186,610$ 186,610$ 100.0000%
St. In Home 4,562,449$ 4,562,449$ 100.0000%
St. Alternative Care 729,595$ 729,595$ 100.0000%
St. Care Mgt.863,653$ 863,653$ 100.0000%Minimum service match amount required $2,302,172
State Nursing Home Ombs (NHO)73,035$ 73,035$ 100.0000%Service matched budgeted: (Local Cash + In-Kind)$2,357,920
St ANS 291,000$ 291,000$ 100.0000%Is the service allotment matched at a minimum 10%?Yes
Sub-Total:20,595,946$ 20,595,946$ 100.0000%
Local Service Match
Local Cash Match 110,000$
Local In-Kind Match 2,247,920$ Access:$1,100,710
In-Home:$547,140
Legal:$206,467
Sub-Total:2,357,920$ Total Budgeted for Priority Services:$1,854,317
Title VII/A Services (LTC Ombuds)18,728$ 18,728$ 100.0000%Are Access Services budgeted at minimum 10% of Original ACL Title III-B Yes
Title VII/EAP Services 42,409$ 42,409$ 100.0000%Are In Home Services budgeted at minimum 10% of Original ACL Title III-B Yes
NSIP 1,662,346$ 1,662,346$ 100.0000%Are Legal Services budgeted at minimum 6.5% of Original ACL Title III-B Yes
St. Respite Care (Escheats)359,838$ 359,838$ 100.0000%(Actual % of Legal)7.25%
MATF 780,464$ 780,464$ 100.0000%
St. CG Support 96,294$ 96,294$ 100.0000%Title III-B award w/o carryover or Transfers in current SGA $2,849,137
MSO Fund-LTC Ombudsman 27,308$ 27,308$ 100.0000%Amount budgeted for Program Development: $560,032
TCM-Medicaid / CM -$ % of Title III-B Program Development (must be 20% or less): 19.7%
Program Income 108,000$ Is Program Development budgeted at 20% or less?Yes
Title III-D allotment with carryover:$216,831
Total Services:26,049,253$ Amount budgeted for EBDP Activities, per TL#2012-244:$216,831
Grand Total: Ser.+ Admin.27,790,381$ Is 100% of Title III-D budgeted on APPROVED EBDP?Yes
Administrative Match Requirements
BUDGET REVIEW SPREADSHEET
Merit Award Trust Admin. & St. Caregiver Support Admin must be expended at or below 9% of
Title III-B Long Term Care Ombudsman Maintenance of Effort Requirements
Service Match Requirements
Title III-E Kinship Services Program Requirements
Miscellaneous Budget Requirements / Constraints
Amounts budgeted for OAA / AASA Priority Services:
AAA COMMENTS
AASA COMMENTS
62
Access Services III-B Budget Amount
a. Care Management $263,151
b. Case Coord/supp $179,539
c. Disaster Advocacy $0
d. Information & Assis $421,097
e. Outreach $236,923
f. Transportation $0
(AAA Regional Access Service)
Access Total:$1,100,710
In Home Services III-B Budget Amount
a. Chore $427,140
b. Home Care Assis $0
c. Home Injury Cntrl $100,000
d. Homemaking $0
e. Home Health Aide $0
f. Medication Mgt $0
g. Personal Care $0
h. Assistive Device&Tech $0
i. Respite Care $20,000
j. Friendly Reassure $0
(AAA Regional In-Home Service)
(AAA Regional In-Home Service)
In Home Services Total:$547,140
Kinship Services III-E Budget Amount
1. Caregiver Supplmt - Kinship Amount Only
2. Kinship Support $70,000
3. Caregiver E,S,T - Kinship Amount Only $0
(Other Title III-E Kinship Service)
(Other Title III-E Kinship Service)
Kinship Services Total: $70,000
Title III-B Transfers reflected in SGA Title III-B Award (Use ONLY If SGA Reflects Transfers)
Title III-B award w/o carryover in SGA $2,849,137
a. Amt. Transferred into Title III-B (Always Enter Positive Number)
b. Amt. Transferred out of Title III-B (Always Enter Positive Number)
AoA Title III-B Award Total:$2,849,137
FY means total award from AoA without carryover
or transfers.
PRIORITY SERVICE SECTION
NOTE: AoA Title III Part B award for the current
63
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries488,151380,00065,000 31,462964,613Fringe Benefits0Travel0Training0Supplies0Occupancy0Communications0Equipment0Other: 0Service Costs0Purchased Services (CM only)00Totals488,1510 380,0000 65,000 31,4620 964,613SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCES #1FY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind31,46265,000Totals65,000 31,46200Difference000OKOKOKFY 2024 Annual Implementation PlanDirect Service Budget Detail #1Area Agency on Aging 1-BCare ManagementMatchDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?Volunteer TimeLocal ResourcesSOURCE OF FUNDS64
AAA:FISCAL YEAR:FY 2024SERVICE:Case Coordination & SupportFederal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries280,799545,60845,000 78,300949,707Fringe Benefits84,240163,682247,922Travel2,0006,0008,000Training1,0001,0002,000Supplies0Occupancy0Communications2,0005,0007,000Equipment0Other:18,36318,363Service Costs0Purchased Services (CM only)00Totals370,0390 739,6530 45,000 78,3000 1,232,992SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCES #2FY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind78,30045,000Totals45,000 78,30000Difference000OKOKOKExplanation for Other Expenses:Direct Service Budget Detail #2Area Agency on Aging 1-BMatchDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?FY 2024 Annual Implementation PlanSOURCE OF FUNDSVolunteer TimeLocal Resources65
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries516,47250,00097,580664,052Fringe Benefits154,94215,000169,942Travel0Training0Supplies0Occupancy0Communications0Equipment23,32223,322Other:118,483118,483Service Costs0Purchased Services (CM only)00Totals813,2190 65,00000 97,5800 975,799SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCES #3FY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind97,580Totals0 97,58000Difference000OKOKOKInformation & AssistanceMatchFY 2024 Annual Implementation PlanDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?Direct Service Budget Detail #3Area Agency on Aging 1-BSOURCE OF FUNDSVolunteer TimeLocal Resources66
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries268,63293,54663,739425,917Fringe Benefits77,14928,064105,213Travel10,00010,000Training0Supplies15,00015,000Occupancy0Communications45,00025,00070,000Equipment0Other:11,26411,264Service Costs0Purchased Services (CM only)00Totals427,0450 146,61000 63,7390 637,394SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes __ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCES #4FY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind63,739Totals0 63,73900Difference000OKOKOKDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?FY 2024 Annual Implementation PlanDirect Service Budget Detail #4Area Agency on Aging 1-BOutreachMatchInsuranceSOURCE OF FUNDSVolunteer TimeLocal Resources67
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries38,4627,6926,66752,821Fringe Benefits11,5382,30813,846Travel0Training0Supplies0Occupancy0Communications0Equipment0Other:0Service Costs0Purchased Services (CM only)00Totals50,0000 10,000006,6670 66,667SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCES #5FY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind6,667Totals06,66700Difference000OKOKOKFY 2024 Annual Implementation PlanDirect Service Budget Detail #5Area Agency on Aging 1-BOptions CounselingMatchDoes the Direst Service Budget reflect any changes to the one approved as part of the agency's FY AIP?SOURCE OF FUNDSVolunteer TimeLocal Resources68
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries91,64014,092105,732Fringe Benefits27,49127,491Travel5,0005,000Training1,2001,200Supplies0Occupancy0Communications1,5001,500Equipment0Other:0Service Costs0Purchased Services (CM only)00Totals126,8310000 14,0920 140,923SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCES #6FY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind14,092Totals0 14,09200Difference000OKOKOKDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?FY 2024 Annual Implementation PlanDirect Service Budget Detail #6Area Agency on Aging 1-BDisease Prevention/Health PromotionMatchSOURCE OF FUNDSVolunteer TimeLocal Resources69
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries79,31814,406 77,18728,783199,694Fringe Benefits23,7954,322 23,15651,273Travel38,00038,000Training3,0003,000Supplies6,5846,584Occupancy0Communications8,0008,000Equipment0Other:0Service Costs0Purchased Services (CM only)00Totals158,69718,728 100,34300 28,7830 306,551SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCESFY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind28,783Totals0 28,78300Difference000OKOKOKDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?SOURCE OF FUNDSVolunteer TimeLocal ResourcesFY 2024 Annual Implementation PlanDirect Service Budget Detail #7Area Agency on Aging 1-BLong Term OmbudsmanMatch70
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries60,00010,00070,000Fringe Benefits18,00018,000Travel0Training0Supplies0Occupancy0Communications0Equipment0Other:12,00012,000Service Costs0Purchased Services (CM only)00Totals90,0000000 10,0000 100,000SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCESFY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind10,000Totals0 10,00000Difference000OKOKOKSOURCE OF FUNDSVolunteer TimeLocal ResourcesFY 2024 Annual Implementation PlanDirect Service Budget Detail #8Area Agency on Aging 1-BCaregiver Education, Support & TrainingMatchDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?71
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries409,26062,226471,486Fringe Benefits122,772122,772Travel20,00020,000Training3,0003,000Supplies5,0005,000Occupancy0Communications0Equipment0Other:0Service Costs0Purchased Services (CM only)00Totals560,0320000 62,2260 622,258SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes __ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCESFY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind31,11331,113Totals0 62,22600Difference000OKOKOKVolunteer TimeLocal ResourcesFY 2024 Annual Implementation PlanDirect Service Budget Detail #9Area Agency on Aging 1-BProgram DevelopmentMatchDoes the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?SOURCE OF FUNDS72
AAA:FISCAL YEAR:FY 2024SERVICE:Federal OAAOther Fed Funds State ProgramOtherTotalLINE ITEMTitle III Funds(non-Title III)FundsIncomeCashIn-KindResourcesBudgetedWages/Salaries125,00018,315143,315Fringe Benefits36,00036,000Travel3,0003,000Training0Supplies835835Occupancy0Communications0Equipment0Other:0Service Costs0Purchased Services (CM only)00Totals164,8350000 18,3150 183,150SERVICE AREA:(List by County/City if service area is not entire PSA)___Yes ___ NoIf yes, please describe:SCHEDULE OF MATCH & OTHER RESOURCESFY 2024MATCHOTHER RESOURCESExplanation for Other Expenses:VALUEVALUECashIn-KindCashIn-Kind18,315Totals0 18,31500Difference000OKOKOKLocal ResourcesDoes the Direst Service Budget reflect any changes to the one approved as part of the agency's FY AIP?SOURCE OF FUNDSVolunteer TimeFY 2024 Annual Implementation PlanDirect Service Budget Detail #10Area Agency on Aging 1-BNutrition EducationMatch73