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HomeMy WebLinkAboutTRI - County office on Anging Annual Implementation 2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan TRI-COUNTY OFFICE ON AGING 6 Clinton Eaton Ingham Planning and Service Area Clinton, Eaton, Ingham Tri-County Office on Aging 5303 S. Cedar Street, Suite 1 Lansing, MI 48911-3800 517-887-1440 (phone) 800-405-9141 (toll free) 517-887-8071 (fax) Marion Owen, Executive Director www.tcoa.org Field Representative Becky Payne payner4@michigan.gov 517-284-0163 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Table of Contents Executive Summary 3 County/Local Unit of Government Review 6 2021 Plan Highlights 7 Public Hearings 8 Regional Service Definitions 10 Access Services 11 Direct Service Request 14 Regional Direct Service Request 15 Approved MYP Program Development Objectives 16 2021 Program Development Objectives 19 Supplemental Documents 20 Approved Multi-Year Plan Highlights 21 Attachments Printed On: 6/5/2020 002 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Executive Summary Tri-County Office on Aging (TCOA) is the Area Agency on Aging for Region 6 serving Clinton, Eaton and Ingham Counties. TCOA was established as a Consortium of Clinton, Eaton and Ingham Counties and the cities of Lansing and East Lansing in 1974 through a regional cooperative agreement under the Michigan Urban Cooperation Act of 1967. TCOA was designated the Area Agency on Aging through the Michigan Aging and Adult Services Agency(formerly Older Adult Services) as a response to the 1973 amendments of the federal Older Americans Act. TCOA's mission is to promote and preserve the independence and dignity of the aging population. This mission is at the core of all programs and services the agency provides in its service area and the foundation of the agency's area plans. This plan was created using the input of local seniors and persons with disabilities, caregivers, staff members and members of the agency's Advisory Council and Consortium Board. Between the 2010 National Census and the 2018 American Community Survey, the three counties that make up TCOA's service area have seen a significant increase in the 60 and older population. In 2010, the tri-county population of adults age 60 and older was 79,408. In 2018, this population was estimated to have grown to 105,991. That is a 34% increase and represents 22% of the total tri-county population in 2018. TCOA has continued prioritizing services to focus on serving individuals considered high risk and needing the most assistance. In the TCOA service area, 80% of residents are White, 9% Black, 5% Asian, less than 1% Alaska Native, less than 1% Native Hawaiian/Pacific Islander, and 1% identified as some other race, not specified. Additionally, 7% of the total PSA are Hispanic or Latino (of any race). TCOA has provided over 45 years of service delivery to both Medicaid and non-Medicaid eligible participants. Agency strengths include being a leader in advocacy at the local and state/regional levels, participating as a pilot for new programs, longevity of leadership, and maintaining low administrative costs. TCOA also prides itself on person-centeredness being embedded in the fabric of our culture with deeply rooted relationships in the community. Additionally, TCOA recently received a 3-year accreditation through National Committee for Quality Assurance (NCQA) in FY 2019. Areas for improvement include enhancing reach to underserved populations, including non-English speaking, LGBTQ+, and homeless populations, expanded caregiver supports/services, and strengthening relationships with health systems. Community awareness of available services through agencies like TCOA and other organizations could also improve. Although wait list numbers have decreased, the continued existence of wait lists for specific programs and services is a concern. Agency opportunities include exploration and possible creation of Caregiver Specialist and Housing Specialist positions, improving outcome reports, and expanding conversations about Senior Millages beyond current Ingham County efforts. TCOA recognizes that seniors want to be more Printed On: 6/5/2020 003 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 involved in health and wellness activities. TCOA continues to work with the Area Agencies on Aging Association of Michigan (4AM) on the development of a statewide Management Services Organization (MSO). TCOA will continuously prioritize and reprioritize efforts throughout the year around current events and the needs of the community being served, but there will be some interests that will receive focused attention during Fiscal Year 2021. This will include continued examination of social determinants of health and brainstorming ways to assist the previously mentioned underserved populations gain access to services through community collaboration, and interactions with the new Community Resource Navigator. Another goal and focus of the agency for FY 2021 is to support formal and informal caregivers in the community, including the direct care workforce. Plans include working with community partners to promote and advance workshops and information sharing, and to increase the availability of Building Training Building Quality (BTBQ) modules. TCOA would also like to revisit the discussions around the regionalization of transportation options throughout the tri-county service area. Emergency preparedness efforts will continue to be a priority in FY 2021. Activities may include reviewing and updating Emergency Plans focused toward severe weather and communicable diseases, as well as utilizing and continuing to update the Everbridge communication system. Although we have been very successful in what we have done to deal with COVID-19 as an agency, we do feel a need to improve our Emergency Preparedness Plan specific to health crisis/pandemics/epidemics. Partnerships and collaboration with the Public Health Departments have greatly improved during the health crisis and efforts to maintain those relationships will continue. Challenges presented thus far include confusion in directives and keeping up with changing information, processes, procedures, recommendations and guidelines, and the ability to continue elder abuse education and outreach, among other initiatives and programs. Changes to agency and program operations have included closing the main office to the public with limited onsite staff who are undergoing a strict screening process before entering the building. The remainder of staff have been working remotely, and calls are being forwarded. The main agency phone number has an automated recording and updated phone tree with new options. As always, if a client or member of the public reaches a voicemail, they are asked to leave a message. Calls and correspondence are being returned promptly. TCOA is still accepting applications for volunteers and has had an overwhelming response. Tasks and assignments may vary for a period of time, but all background checks and screening protocols are still in place. Congregate Senior Dining sites were closed effective March 16, 2020. Arrangements were made to Printed On: 6/5/2020 004 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 provide food to clients. A drive-up distribution process launched on March 18th at designated locations to expand the reach. Meals must be reserved. Meals on Wheels home delivered meals clients have seen a change in the delivery process but are not experiencing a decrease in the number of meals. Generally, clients are receiving one week's worth of frozen and/or shelf stable meals delivered at one time, rather than the typical Monday-Friday delivery. Clients (and/or their emergency contacts) were contacted directly with information about these changes. Safety precautions are being taken by volunteers to minimize personal contact with clients. MI Choice, Care Management and Case Coordination services are ongoing, and TCOA Supports Coordinators and Access Specialist maintain regular phone contact with clients. Clients with higher needs are contacted more frequently. Clients are still receiving in-home services and supports through TCOA's network of local providers. Client referrals are being tracked and contacted. New intake assessments were temporarily put on hold, but on April 20th staff began remote assessments for potential MI Choice clients. Those assessments that were previously postponed due to the health crisis have been rescheduled either telephonically or by video. New assessments are being scheduled telephonically or by video, if the applicant desires, by the chronological date on the waiting list. As always, there is a 24/365 after hours answering service available to clients and public. The MMAP Regional Coordinator and volunteers are working remotely and are monitoring calls to the program. No in person consultations are occurring. The AARP Tax Assistance program, sponsored by the AARP Tax Aide Foundation with a location at TCOA, has been suspended nationally. It is not known at this time whether tax-aide services will again be available this spring or summer. TCOA staff remain available to provide general information and assistance about local programs and services of benefit to older adults, their families and caregivers. Phone calls are being transferred to appropriate staff. If callers have to leave messages, they are contacted within one business day. TCOA temporarily suspended in person evidence-based health and wellness programs through at least May; however, TCOA is planning to offer Diabetes PATH, Chronic Pain PATH and/or Powerful Tools for Caregivers virtually, with two workshops scheduled to start in June. Unfortunately, offering Matter of Balance virtually is not an option. Education presentations (census, elder abuse prevention, Medicaid/Medicare, etc.) are suspended. TCOA has launched its own internal "friendly reassurance" calls to clients to augment other local efforts to mitigate social isolation concerns. Continuing needs include the need for flexibility and stable funding.With the influx of clients during the health crisis, some as a result of eligibility changes, there will need to be some form of transition back to previous eligibility standards and not just a hard stop, as some have come to rely on the services they are now receiving. Continued funding at the newly increased levels or more is also crucial to support the community. The health crisis has expanded the local knowledge of the agency and, therefore, people who weren't connected to the agency before are now or will be clients. Printed On: 6/5/2020 005 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 County/Local Unit of Government Review The Tri-County Office on Aging Administrative Board (Tri-County Aging Consortium) is made up of representatives from five local units of government: Clinton, Eaton & Ingham counties, and the cities of Lansing & East Lansing. TCOAAdvisory Council older adult members are appointed by their respective local units of government. Both the Advisory Council and Board review, recommend approval of and approve the Multi-Year Plan (MYP). Because of the COVID-19 crisis, AASA will request the Commission on Services to the Aging's (CSA) support for simplified FY 2021 AIPs. FY 2021 AIP updates are substantive amendments to a previous CSA approved FY 2020 AIP and do not require local unit of government approval. Printed On: 6/5/2020 006 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 2021 Plan Highlights -Outside of the required plan objective for AlP 2021 from AASA, TCOA has no new priorities, plans or objectives set by the area agency for the use of Older Americans Act (OAA) and state funding during FY 2021. -Contingency plans are continually reviewed and revised as new challenges and opportunities arise throughout the year. Strategic planning and prioritizing are essential in continuing to provide quality person-centered programs and services in an efficient and effective way. All strategies to reduce administrative/operational expenditures would be explored first in order to avoid possible reduction of services. A reduction in funding could result in shifting funds from one program to another, where allowable, and ultimately could result in wait lists. -Two of the three delegate seats that represent the tri-county area on the Michigan Senior Advocates Council to advocate for older Michiganians are filled and TCOA Community Relations Director provides staff supports. The TCOA Community Relations Director, Nutrition Director and Executive Director participate in the planning of Older Michiganians Day at the State Capital and the TCOA Planner is assisting on the Communications Committee. TCOA makes significant effort to keep the Advisory Council members and other local advocates informed of local and state issues. They are also encouraged to meet with local state legislators to advocate on issues impacting older adults and persons with disabilities as identified in the Older Michiganians Day Platform. TCOA continues to advocate with the Silver Key Coalition, IMPART Alliance and other advocacy organizations. TCOA Community Relations Director participated in the MI Caring Majority training in December 2019 and testified in front of the House Appropriations Committee with the Silver Key Coalition regarding the FY 2021 Aging and Adult Services Agency budget. Advocacy plans for FY 2021 will continue the above efforts with a focus on funding and the direct care workforce. Printed On: 6/5/2020 007 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Public Hearings Date Location Time Barrier Free? No. of Attendees 05/14/2020 Tri-County Office on Aqinq 01:00 PM Yes 25 A public hearing was held on May 14, 2020 to solicit input on the Annual Plan for FY 21. The public hearing was announced at TCONs Advisory Council and Administrative Board April meetings, and posted on TCONs website, Facebook page, and shared in the agency e-newsletter that has over 1,200 subscribers. The notice was also posted in a paid notice in the Lansing State Journal, and shared with various partner groups and councils. Additionally, the notice was shared on The New Citizen Press's social media pages as their publishing has been put on hold due to closure of their delivery sites during the health crisis. The New Citizens Press is a multicultural community newspaper started in February 2002. The Public Hearing date, location and attendee count is listed above. Due to COVID-19 and per Executive Order 2020-48, the Tri-County Office on Aging's Public Hearing covering the Fiscal Year 2021 Annual Implementation Plan was a tele-conference call. The 2020 Public Hearing on May 14th had 25 attendees. After an overview of the Annual Implementation Plan, discussion ensued around regional transportation, increased wages for Direct Care Workers, TCONs response to COVID 19 and Volunteers. Members of the public were very supportive of the plan and were grateful for all the agency does in the community through direct services and partnerships. An e-mailed public comment from a community partner is attached. TCOA initiated a needs assessment process in February, and through a series of community forums and surveys has gathered information on how the agency can better serve older adults in the community. Dates, times and locations of the community forums were communicated with community partners, dining site locations and other local organizations, as well as posted on our website and social media. A needs assessment survey focusing on older adults, adults with disabilities, and caregivers was distributed during February and March of 2019. Over 130 responses to this survey were received. In addition to conducting two needs assessment surveys, 16 Community Forums were held across the tri-county area; 9 in Ingham County, including one in Spanish, 2 in Clinton County and 4 in Eaton County. Reviewing the results of the Needs Assessment it was clear that the 2020-2022 Multi-Year Plan needed to focus on a few key areas. The data from the Needs Assessment Surveys and forum discussions showed respondents are most concerned about housing, in-home care, unbiased help with Medicare and Medicaid, nutrition, and community engagement. Barriers to programs and services as expressed by needs assessment participants included transportation, cost, wait lists and lack of information or not knowing where to find information. The Tri-County Office on Aging also dedicated a significant portion of the needs assessment to caregiving. The organization understands that non-professional caregivers caring for family and friends play a very important role in keeping individuals safe and happy in the community. These individuals also can give a unique perspective on what they need to continue caregiving and what the person they are caring for needs. Thirty-two (32) caregivers completed the needs assessment survey. The data showed the vast majority of respondents are providing daily care. Caregivers were often responsible for shopping/errands, appointments, companionship/social activities, housekeeping, transportation and/or meal preparation. Respondents expressed the desire for Printed On: 6/5/2020 008 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 housekeeping/homemaker services, chore services, access to information and resources, senior centers, home modification or repair, friendly visiting and/or respite services. Printed On: 6/5/2020 009 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Regional Service Definitions If the area agency is proposing to fund a new (not previously approved in this multi-year planning cycle) service category that is not included in the Operating Standards for Service Programs, then information about the proposed service category must be included in this section. There are no new Regional Service Definitions for Fiscal Year 2021. For approved Regional Service Definitions, please see the TCOA Multi-Year Plan 2020-2022. Printed On: 6/5/2020 010 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Access Services Care Management Starting Date 10/01/2020 Ending Date 09/30/2021 Total of Federal Dollars Total of State Dollars $215,913.00 Geographic area to be served Clinton, Eaton and Ingham Counties Specify the planned goals and activities that will be undertaken to provide the service. Provide Care Management services to a minimum of 75 clients in Region 6 (Clinton, Eaton and Ingham Counties). Conduct a minimum of 375 initial assessments. Develop a minimum of 75 care plans. After the initial assessment, conduct a 90-day assessment, then visit the participant every 180 days for a Person-Centered Service Plan review and/or assessment. Arrange and monitor services as needed. Transition eligible Care Management clients to the MI Choice program as funding allows. Comply with all minimum standards and quality assurances, submitting the Quality Outcome Measures report twice a year by the assigned deadlines. Expected Outcome: A minimum of 75 individuals will be able to remain in their own home. Individuals not eligible for Home and Community Based Waiver (MI Choice) will have services to assist them in remaining in the community, if funding allows. There will be a seamless system for older adults going from Case Coordination and Support to Care Management/ Project Choices. Number of client pre-screenings: Current Year: 650 Planned Next Year: 650 Number of initial client assesments: Current Year: 375 Planned Next Year: 375 Number of initial client care plans: Current Year: 75 Planned Next Year: 75 Total number of clients (carry over Current Year: 75 Planned Next Year: 75 plus new): Staff to client ratio (Active and Current Year: 1:35 Planned Next Year: 1:35 maintenance per Full time care Case Coordination and Support Starting Date 10/01/2020 Ending Date 09/30/2021 Total of Federal Dollars $4,500.00 Total of State Dollars $16,500.00 Geographic area to be served Clinton, Eaton and Ingham Counties Specify the planned goals and activities that will be undertaken to provide the service. Provide Case Coordination and Support services to a minimum of 100 clients in Region 6. Printed On: 6/5/2020 Oil STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Conduct assessments for all new clients and reassessments every 6 months for a minimum of 100 clients. Secure and monitor appropriate in-home services. Refer clients to other services as needed. Adhere to all minimum standards and quality assurances, submitting the Quality Outcome Measures report twice a year by the assigned deadlines. Expected Outcome: Individuals not eligible for Home and Community Based Waiver (MI Choice) will have services to assist them in remaining in the community, if funding allows. There will be a seamless system for older adults going from Case Coordination and Support to Care Management/ Project Choices. Information and Assistance Starting Date 10/01/2020 Ending Date 09/30/2021 Total of Federal Dollars $40,290.00 Total of State Dollars $27,090.00 Geographic area to be served Clinton, Eaton and Ingham Counties Specify the planned goals and activities that will be undertaken to provide the service. Provide I&A services to a minimum of 3,200 older adults, family members or community members. Secure signed contracts for general I&A services that were selected through a Request for Proposal process. Monitor I&A contracts with service providers for compliance, including person-centered thinking, annually. Monitor the number of individuals assisted through I&A, including individuals who are considered minority, each quarter. Provide Caregiver I&A services to a minimum of 400 caregivers. Refer caregivers to identified services through a person-centered process. Adhere to all AASA minimum standards. Expected Outcome: There will be a more informed population through Information and Assistance services available in Clinton, Eaton and Ingham counties. Caregivers will seek needed assistance to reduce the stress associated with their caregiving role. Outreach Starting Date 10/01/2020 Ending Date 09/30/2021 Total of Federal Dollars $33,500.00 Total of State Dollars $27,953.00 Geographic area to be served Clinton, Eaton and Ingham Counties Specify the planned goals and activities that will be undertaken to provide the service. Provide outreach services to a minimum of 15,000 individuals sixty years of age and older and family members/caregivers living in Clinton, Eaton and Ingham counties. Provide a minimum of 36 presentations to senior, caregiver or community groups regarding agency services. Participate in a minimum of 10 health and information fairs in the community. Printed On: 6/5/2020 012 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Participate in a minimum of 10 planning meetings regarding disaster preparedness. Provide meals, limited transportation, and senior companionship to 50 older adults living with HIV within the service area. Expected Outcome: Greater community awareness of TCOA resources for older adults, their family members and agencies that assist older adults and persons with disabilities. Older adults with utility or prescription crises will have access to assistance with paying utility bills by hearing about the Crisis Services for the Elderly program. Kinship caregivers will be better equipped to handle caregiving responsibilities because of access to self-care resources and information on avoiding burnout. TCOA will be more prepared to assist the community in case of emergency and/or disaster and will maintain partner relationships for ease of collaboration during a disaster. Older adults with HIV will receive peer support to promote socialization, increased access to community resources, and improved nutritional access. Options Counseling Starting Date 10/01/2020 Ending Date 09/30/2021 Total of Federal Dollars $7,500.00 Total of State Dollars Geographic area to be served Clinton, Eaton and Ingham Counties Specify the planned goals and activities that will be undertaken to provide the service. Provide Options Counseling services to a minimum of 100 participants, including family members and caregivers. Monitor the number of individuals assisted through Options Counseling, each quarter. Refer to appropriate services through a person-centered process. Adhere to all AASA minimum standards. Expected Outcome: Options Counseling participants will feel more informed and empowered to make choices about long-term supports and services. Printed On: 6/5/2020 013 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Direct Service Request This section applies only if the area agency 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. There are no new Direct Service Requests for Fiscal Year 2021. For approved Direct Service Requests, please see the TCOA Multi-Year Plan 2020-2022. Printed On: 6/5/2020 014 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Regional Direct Service Request This section applies only if the area agency is submitting a new request to provide a regional service directly that was not previously approved in this multi-year planning cycle. There are no new Regional Direct Service Requests for Fiscal Year 2021. For approved Regional Direct Service Requests, please see the TCOA Multi-Year Plan 2020-2022. Printed On: 6/5/2020 015 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Approved MYP Program Development Objectives Area Agency on Aging Goal A. At least one community in the Planning and Service Area will complete an aging-friendly community assessment and receive recognition as a Community For a Lifetime (CFL) by 9/30/2020. Objectives 1. Work to secure at least one community in the Region 6 PSA as a recognized CFL by September 2020. Timeline: 10/01/2019 to 09/30/2022 Progress B. Ensure older adults have access to information and services to improve their ability to make informed decisions regarding their independence. Objectives 1. Work with Area Agencies on Aging Association of Michigan (4AM) on development of Management Services Organization (MSO) to prepare for the demands of managed care and multiple healthcare contractual opportunities. Timeline: 10/01/2019 to 09/30/2022 Progress 2. Improve access to programs and services for under served populations. Timeline: 10/01/2019 to 09/30/2022 Progress 3. Expand housing assistance to increase access to community housing options. Timeline: 10/01/2019 to 09/30/2022 Progress 4. Provide information about benefits and help people solve problems with health benefit programs and related insurance products. Timeline: 10/01/2019 to 09/30/2022 Progress Printed On: 6/5/2020 016 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 5. Improve transportation partnerships focusing on TCONs consumer demographic needs. Timeline: 10/01/2019 to 09/30/2022 Progress 6. Increase access to kinship care services in the tri-county area. Timeline: 10/01/2019 to 09/30/2022 Progress 7. Work to advance community integration and outreach efforts. Timeline: 10/01/2019 to 09/30/2022 Progress 8. Work to advance advocacy efforts in the tri-county area. Timeline: 10/01/2019 to 09/30/2022 Progress C. Improve access to health, wellness and nutrition supports. Objectives 1. Continue to expand access to evidence-based disease prevention programs in the tri-county area. Timeline: 10/01/2019 to 09/30/2022 Progress 2. Provide access to healthy and affordable meals to nutritionally at-risk older adults. Timeline: 10/01/2019 to 09/30/2022 Progress 3. Expand care transition efforts to improve communication and consumer experience and reduce unnecessary admittance and re-admittance to hospitals and emergency rooms. Timeline: 10/01/2019 to 09/30/2022 Progress 4. Explore the opportunity to assist tri-county community members in securing a Senior Millage for vital unmet needs. Printed On: 6/5/2020 017 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Timeline: 10/01/2019 to 09/30/2022 Progress D. Protect older adults from abuse and exploitation. Objectives 1. Raise awareness of domestic abuse, physical and sexual abuse and financial exploitation occurring in the older adult population and how to better respond to these situations. Timeline: 10/01/2019 to 09/30/2022 Progress E. Support formal and informal caregivers in the community, including direct care workforce. Objectives 1. Continue to expand access to caregiver supports and education. Timeline: 10/01/2019 to 09/30/2022 Progress 2. Work to expand access to programs and services addressing dementia. Timeline: 10/01/2019 to 09/30/2022 Progress Printed On: 6/5/2020 018 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 2021 Program Development Objectives Area Agency on Aging Goal A. Improve the accessibility of services to Michigan's communities and people of color, immigrants and LGBTQ+ individuals State Goal Match: 1, 2 Narrative TCOA holds the independence and dignity of the aging population to high regard and hopes to improve the ability for local residents to access information, including people of color, immigrants, and LGBTQ+ individuals. The focus of the agency relating to this goal will be from the training perspective. By prioritizing staff and subcontractors training in diversity, equity and inclusion and to adapt to diverse cultural needs, local communities and people of color, immigrants and LGBTQ+ individuals will have greater access to services due to a greater understanding of equity from providers, and feel less isolated and stigmatized. Objectives 1. Ensure that AAA staff and subcontractors are offered training in diversity, equity and inclusion. Timeline: 10/01/2020 to 09/30/2021 Activities -Offer diversity, equity and inclusion in-service trainings to all staff at least twice a year. -Offer diversity, equity and inclusion in-service training materials to all subcontractors and request they perform the trainings at least twice a year. -Share additional materials and resources as necessary. Expected Outcome AAA staff and subcontractors are regularly trained in diversity, equity and inclusion to improve accessibility of services to communities and people of color and underserved populations. 2. Ensure that programming and outreach are culturally sensitive. Timeline: 10/01/2020 to 09/30/2021 Activities -Outreach and Communications Committees, and Community Resource Navigator will review materials to ensure they are culturally sensitive and available in languages other than English based on service area need. -Participate in the annual Lansing Latino Health Fair, LGBTQ+ events, and other culturally specific events. -Strengthen partnerships with minority, immigrant and LGBTQ+ specific groups and counsels to ensure an understanding of how to remain relevantly culturally sensitive. Expected Outcome Programming and outreach is culturally sensitive and welcoming to all. Underserved populations and persons of color are adequately informed of available resources and services. Printed On: 6/5/2020 019 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Supplemental Documents A. Policy Board Membership—not required for the FY 2021 AIP B. Advisory Council Membership—not required for the FY 2021 AIP C. Proposal Selection Criteria - should only be completed if there are new or changed criteria for selecting providers There is no change to the criteria for selecting providers and no new criteria. D. Cash-In-Lieu-Of-Commodity Agreement- should be completed if applicable to the area agency's 2021 AIP Not applicable to the TCOA 2021 AIP. E. Waiver of Minimum Percentage of a Priority Service Category - should be completed if applicable to the area agency's 2021 AIP Not applicable to the TCOA 2021 AIP. F. Request to Transfer Funds - should be completed if applicable to the area agency's 2021 AIP Not applicable to the TCOA 2021 AIP. G. 2021 Evidence Based Programs Document- required to be completed for each Title 111-D funded EBDP program and uploaded into AMPS 2021 Evidence Based Programs Document is attached. Printed On: 6/5/2020 020 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 Approved Multi-Year Plan Highlights 1. A brief history of the area agency and respective PSA that provides a context for the MYP. It is appropriate to include the area agency's vision and/or mission statements in this section. Tri-County Office on Aging (TCOA) is the Area Agency on Aging for Region 6 serving Clinton, Eaton and Ingham Counties. The Consortium is a regional Administrative Board governing TCOA and consists of elected officials representing the three counties and the cities of Lansing and East Lansing. The Consortium was established in 1974 through a regional cooperative agreement under the Michigan Urban Cooperation Act of 1967. TCOA was designated the Area Agency on Aging through the Michigan Aging and Adult Services Agency as a response to the 1973 amendments of the federal Older Americans Act. TCOA's mission is to promote and preserve the independence and dignity of the aging population. This mission is at the core of all programs and services the agency provides in its service area and the foundation of the agency's 2020-2022 Multi-Year Plan. This plan was created using the input of local seniors and persons with disabilities, caregivers, staff members and members of the agency's Advisory Council and Administrative Board. 2. A summary of the area agency's service population evaluation from the Scope of Services section. In 2004, the Tri-Counting Aging Consortium Charter was amended to include adults with disabilities in addition to older adults as a target population. Although the funds through the Older Americans Act and the Older Michiganians Act are directed to persons over age 60, TCOA has administered the Michigan Medicaid Home and Community Based Services Waiver to the Aged and Disabled since 1992 and was one of the first three pioneer agencies for the Waiver. TCOA tries to focus on older individuals who are the most vulnerable in the community. Some are at risk of nursing facility placement or may have a social or economic need. Some examples include those who are low-income or live in a rural area, minorities and non-English speaking populations, as well as individuals with middle and late stage Alzheimer's disease and dementia and their non-professional caregivers. The nutrition program targets those who are in need based on the completion of an "nutritionally at-risk" assessment conducted on all Meals on Wheels clients. Between the 2010 National Census and the 2017 American Community Survey, the three counties that make up TCONs service area have seen a significant increase in the 60 and older population. In 2010, the tri-county population of adults age 60 and older was 79,408. In 2017, this population was estimated to have grown to 94,495. That is a 19% increase and represents 20% of the total tri-county population in 2017. TCOA has continued prioritizing services to focus on serving individuals considered high risk and needing the most assistance. 3. A summary of services to be provided under the plan which includes identification of the five service categories receiving the most funds and the five service categories with the greatest number of anticipated participants. Proposed services to be provided under the area plan include Supportive Services, Congregate Meals, Home Delivered Meals, Caregiver Supports, Preventative Health, Elder Abuse Prevention, Access Services, In-Home Services, Respite Care and Ombudsman Services in the tri-county area. The priorities identified in this Plan were developed with input from consumers, Board Members, Advisory Council and a team of staff members including directors from various departments. The Multi-Year Plan proposes to provide a blueprint for what TCOA intends to accomplish over the next three years. Five Service Categories Receiving the Most Funds: Printed On: 6/5/2020 021 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 1. Home Delivered Meals (Meals on Wheels) 2. Congregate Meals (Senior Dining Sites) 3. Homemaking 4. Care Management 5. Adult Day Services Five Service Categories with the Greatest Number of Anticipated Participants: 1. Outreach 2. Information and Assistance 3. Elder Abuse Prevention 4. Home Delivered Meals (Meals on Wheels) 5. Congregate Meals (Senior Dining Sites) 4. Highlights of planned Program Development Objectives. With the hopes that more communities will conduct an aging-friendly community assessment and apply for recognition to Aging and Adult Services Agency as a Communities For a Lifetime (CFL) by September 2020, TCOA will continue to explore or revisit CFL recognition with communities in the tri-county area that may be willing to align their efforts with the qualifications and requirements to become a CFL. In order to ensure older adults have access to information and services to improve their ability to make informed decisions regarding their independence, TCOA looks forward to working with the Area Agencies on Aging Association of Michigan (4AM) on the development of the Management Services Organization (MSO) to prepare for the demands of managed care and multiple healthcare contractual opportunities. Additionally, TCOA hopes to improve access to programs and services for underserved populations, expand housing assistance to increase access to community housing options, provide information about benefits and help people solve problems with health benefit programs and related insurance products, improve transportation partnerships, focusing on TCONs consumer demographic needs, increase access to kinship care services in the tri-county area and work to advance community integration, outreach and advocacy efforts. By continuing to expand access to evidence-based disease prevention programs in the tri-county area, providing access to healthy and affordable meals to nutritionally at-risk older adults, expanding care transition efforts to improve communication and consumer experience, and reduce unnecessary admittance and readmittance to hospitals and emergency rooms, and exploring the opportunity to assist community members in securing a Senior Millage for vital unmet needs, TCOA is hoping to improve access to health, wellness and nutrition supports. Raising awareness of domestic abuse, physical and sexual abuse and financial exploitation occurring in the older adult population and how to better respond to these situations will help the community and TCOA to protect older adults from abuse and exploitation. With the hopes to better support formal and informal caregivers in the community, including the direct care workforce, TCOA would like to continue to expand access to caregiver supports and education, and programs and services addressing dementia. 5. A description of planned special projects and partnerships. *Medicare/Medicaid Assistance Program —Continue to partner with Capital Area Community Services and Disability Network Capital Area to provide MMAP services in the tri-county area. Utilize traditional and social Printed On: 6/5/2020 022 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 media to share information and recruit and train new MMAP volunteers to keep up with the growing demand from the ever-changing health care system. *Evidence-based programs— Strengthen partnerships with health plans, physician groups and community organizations to expand implementation of evidence-based programs. *Advocacy-Advocate with Silver Key Coalition and other advocacy organizations to increase state and federal funding for in-home services and promote higher reimbursement rates, resulting in increased wages and training for direct care workers. Support exploration and possible formation of a committee for county senior millage(s). *Accreditation - TCOA recently obtained a 3-year accreditation through the National Committee for Quality Assurance (NCQA). NCQA uses the most up to date evidence based-practices to determine quality indicators. One benefit to accreditation is that potential entities that may want to partner with TCOA will recognize the agency's dedication to quality and know that specific minimum standards have already been met. Currently, TCOA is only accredited in relation to the MI Choice Waiver, though opportunities remain for the agency to bring multiple programs forward in the future, such as Care Management or Case Coordination. 6. A description of specific management initiatives the area agency plans to undertake to achieve increased efficiency in service delivery, including any relevant certifications or accreditations the area agency has received or is pursuing. TCOA is continually searching out methods to improve efficiency and save money. Some ways the agency is working on improving efficiency include: - Implement emergency preparedness communication tool (Everbridge) - Research technology upgrades - Explore more comprehensive and integrated software, database and reporting options (including I&A, Finance, etc.) The National Committee for Quality Assurance (NCQA) is a private, 501(c)(3) not-for-profit organization that develops standards and accreditation processes aimed at improving health care quality. The Long-Term Services and Supports (LTSS) accreditation targets community-based organizations (CBOs) that provide case management services and/or coordinate LTSS for participants. TCOA actively pursued accreditation during the 2018 and 2019 fiscal years and made great strides to align agency policies and processes with the most current evidence-based practices. TCOA recently received a 3-year accreditation in FY 2019. NCQA LTSS Accreditation would be a benefit to TCOA because NCQA is one of the largest, nationally recognized quality accrediting bodies and thus, uses the most up to date evidence based-practices to determine quality indicators. Accreditation through NCQA would further legitimize the TCOA Waiver program on a national level. The national accreditation seal would reiterate to potential entities that may want to partner with TCOA the agency's dedication to quality and that specific minimum standards have already been met. Currently, TCOA is only accredited in relation to the MI Choice Waiver program. However, this provides an opportunity for the agency to bring multiple programs, such as Care Management or Case Coordination, forward in the future. Printed On: 6/5/2020 023 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan Tri-County Office on Aging FY 2021 7. A description of how the area agency's strategy for developing non-formula resources, including utilization of volunteers, will support implementation of the MYP and help address the increased service demand. Last year, over 1,800 individuals volunteered with TCOA and contributed over 60,000 hours of service. These hours are the equivalent of over 31 full time employees. TCOA's Meals on Wheels program could not execute service without the generosity of these volunteers. The local Medicare/Medicaid Assistance Program also is a beneficiary of many of these service hours. Finally, TCOA supplements its state and local funding with grant writing and fundraising activities throughout the year. Fund development staff will build on the success of FY 2019 by continuing to identify and explore additional funding opportunities. These activities help to pay for additional client services and office supplies and equipment that the agency could not otherwise afford. 8. Highlights of strategic planning activities. Strategic planning and prioritizing is essential in continuing to provide quality person-centered programs and services in an efficient and effective way. Contingency plans are continually reviewed and revised as new challenges and opportunities arise throughout the year. TCOA conducts a SWOT analysis with each area plan cycle to review and identify its internal strengths and weaknesses, as well as its external opportunities and threats. The possible statewide expansion of the Medicare/Medicaid integrated health system, MI Health Link, could potentially cause a huge reduction in services for the agency due to the loss of the Waiver. Health plans could theoretically buy services through the agency which would allow TCOA to develop a relationship with MI Health Link and contractors. The AAA association is working on enhancing collaboration and contractual arrangments with integrated care organizations, including efforts to form a statewide Managed Service Organization. TCOA actively pursued accreditation through the National Committee for Quality Assurance's (NCQA) Long-Term Supports and Services (LTSS) designation in FY 2018 and FY 2019. TCOA recently received a 3-year accreditation status in FY 2019. As of right now, TCOA is only accredited in relation to the MI Choice Waiver program. However, this provides an opportunity for the agency to bring multiple programs forward, such as Care Management or Case Coordination, in the future. TCOA is continually searching out methods to improve efficiency and save money. Some ways the agency is working on improving efficiency include implementing an emergency preparedness communication tool (Everbridge), researching technology upgrades, exploring more comprehensive and integrated software, database and reporting options (including I&A, Finance, etc.) and implement Connect 2 Care for interconnected communication for sharing information on client admissions, discharges and care transitions from one setting to another. The agency hopes to always be relevant and timely with technology upgrades and implementations. Printed On: 6/5/2020 024 STATE OF MICHIGAN Michigan Department of Health & Human Services AGING AND ADULT SERVICES AGENCY FY 2020-2022 Multi Year Plan FY 2021 Annual Implementation Plan SIGNATURES This document covers Fiscal Year 2021. This document becomes valid upon approval by the Michigan Commission on Services to the Aging. It may be conditionally approved subject to all general and/or special conditions established by the Commission on Services to the Aging. This signature page may substitute for required signatures on documents within the documents if those documents are specifically referenced on this signature page. The signatories below acknowledge that they have reviewed the entire document including all budgets, assurances, and appendices and they commit to all provisions and requirements of this Annual Implementation Plan. Signature of Chairperson,Board of Directors Date Print Name Ken Mitchell Signature of Area Agency on Aging Director Date Print Name Marion Owen Area Agency on Aging Documents referenced by the signature page: • FY 2021 Area Plan Grant Budget • FY 2021 Direct Service Budgets • Request to Transfer Funds • Waiver for Direct Service Provision • Assurances and Certifications • Assurance of Compliance with Title VI of Civil Rights Act of 1964 • Regional Service Definitions • Agreement for Receipt of Supplemental Cash-in-Lieu of Commodity Payments for the Nutrition Program for the Elderly • Waiver of Minimum Percentage for a Priority Service Category Area Agency on Aging Annual&Multi Year Implementation Plan 2020-2022 EVIDENCE-BASED PROGRAMS PLANNED FOR FY 2021 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 2020. If funding has been allocated as a single amount for all Title III-D programs for a provider, enter on first line under"Funding Amount for This Service. Anticipated No. Funding Program Name Provider Name of Participants Amount for Service Example Example: List each provider of programs on a single line as shown below. Example: Total Example: 1) Forest City Senior League Program participants for Funding total for Arthritis Exercise Program 2)Grove Township Senior Services all providers all providers 3) Friendly Avenue Services 80 $14,000 Senior Fitness YMCA of Metropolitan Lansing 330 $30,967 EMERGENCY MANAGEMENT AND PREPAREDNESS Minimum Elements for Area Agencies on Aging FY 2020 Annual Implementation Plan After each general and nutrition minimum element for emergency preparedness, provide a brief description regarding how the AAA Emergency Preparedness Plan for FY 2020 will address the element. Area Agency on Aging A. General Emergency Preparedness Minimum Elements (required by the Older American's Act). 1. Anticipated expectations during a State or locally declared emergency/disaster. Include having a staff person (the area agency director or their designee) available for communication with AASA staff to provide real time information about service continuity (status of aging network service provider's ability to provide services). Assess the situation and pull whatever resources are necessary to meet client needs. Utilize community partners such as Emergency Operation Centers, Food Banks, etc. The Executive Director or designee,will notify supervisors who will then notify staff with direction on business operations and notifying clients. Region 6 Safety Committee and other staff will help as needed. Executive Director or designee to communicate with AASA regarding updates or needs. Create an Ad Hoc Committee for the response efforts. 2. Being prepared to identify and report on unmet needs of older individuals. Reach out to local Emergency Managers and communicate with community partners and local media outlets to identify location affected by the emergency. Run reports to identify affected clients based on location and contact affected clients. Staff to report any identified unmet needs to Executive Director or designee. 3. Being able to provide information about the number and location of vulnerable older persons receiving services from the area agency residing in geographic area(s) affected by the emergency/disaster. Utilize an emergency preparedness application/communication tool, applicable database or spreadsheet to generate reports on the number and location of vulnerable older persons receiving services in the geographic area affected. 4. Being able to contact such affected older persons to determine their well-being. Utilize an emergency preparedness application/communication tool or traditional communication methods to communicate with vulnerable older persons receiving services in the geographic area affected. Depending on the type of emergency or disaster, agency may need to utilize local law enforcement or other emergency management sanctioned personnel to do well checks on affected clients if communications are down. 5. Anticipated minimum expectations during a State or locally organized preparedness drill include being available to establish communication between AASA staff and area agency staff and being able to provide information upon request to both state and local emergency operation centers regarding the number and location of vulnerable older individuals residing in geographic areas affected by the drill. Reach out to local Emergency Managers and communicate with community partners and local media outlets to identify location affected by the emergency. Run reports to identify affected clients based on location and contact affected clients. Staff to report any identified unmet needs to Executive Director or designee. B. Nutrition providers shall work with the respective area agency to develop a written emergency plan. The emergency plan shall address, but not be limited to the following elements: 1. Uninterrupted delivery of meals to home-delivered meals participants, including, but not limited to use of families and friends, volunteers, shelf-stable meals and informal support systems. Participants are offered a shelf stable meal box which contains shelf stable food equal to three meals which meet menu standards. Volunteers have proven resilient in serving the community and often deliver multiple routes in order to assure that participants receive meals as needed. Emergency contact on file as additional support. Modify program operations as necessary to adapt to emergency or disaster. 2. Provision of at least two, and preferably more, shelf-stable meals and instructions on how to use for home- delivered meal participants. Every effort should be made to assure that the emergency shelf-stable meals meet the nutrition guidelines. If it is not possible, shelf-stable meals will not be required to adhere to the guidelines. Participants are offered a shelf stable meal box which contains three meals which meet nutrition guidelines. Reserve boxes on hand at all times to replenish meals as needed. These boxes are replaced routinely based on product expiration dates. 3. Backup plan for food preparation if usual kitchen facility is unavailable. The agency has 2 licensed locations(Clinton County and Rural Ingham County). Each of these locations can accommodate cold menu meal preparation safely with the utilization of a refrigerated truck at each location for PHF storage before and after preparation. Our primary food vendor GFS has refrigerated trucks that can be leased short term for this.The cold menu program would become the menu served to all participants once shelf stable meals are exhausted. If necessary, the program may purchase meals or meal components to assemble and deliver or utilize contracted providers to deliver frozen meals to client homes. 4. Agreements in place with volunteer agencies, individual volunteers, hospitals, long-term care facilities, other nutrition providers, or other agencies/groups that could be on standby to assist with food acquisition, meal preparation, and delivery. Volunteer drivers and kitchen helpers are on hand and available to assist with additional route delivery as needed. TCOA has an agreement with JA Foods to provide at a minimum 900 shelf stable meal boxes each containing 5 meals within 48 hours of request. Waiver clients can easily be switched to frozen delivery through Mom's Meals. 5. Communications system to alert congregate and home-delivered meals participants of changes in meal site/delivery. Access has been secured with local television media WLNS and WILX. Facebook and Webpage are Internet media resources. AASA on-line reporting is accessed as soon as possible. Participants in the Home Delivered meal program are communicated with via telephone or emergency response communication tool. 6. The plan shall cover all the sites and home-delivered meals participants for each nutrition provider, including sub-contractors of the AAA nutrition provider. This plan covers all required elements. 7. The plan shall be reviewed and approved by the respective area agency and submitted electronically to AASA for review. As part of the area plan cycle, the emergency plan is reviewed and approved by the TCOA Executive Director or designee. Nutrition Director to forward the plan to TCOA's AASA Field Representative for review. FY 2020-2022 Multi-Year Plan Quality Outcome Measures Reporting Form (6 Month Report Due April 15, 2020 and Annual Final Report Due November 15, 2020) 1. Participant Satisfaction Level Measure: The percentage of the total participant satisfaction survey question responses that are positive; negative; or neutral for: Care Management Positive 94.4z % Negative 0 % Neutral 5.6 Case Coordination & Support Positive 77.6�1 % Negative 10.5% Neutral 11.8 2. Participant Quality of Life Satisfaction Level Before and After Receiving Services Measure: The percentage of the total participant satisfaction survey question responses about quality of life before and after receiving services that are positive; negative; or neutral (based on these two questions to be added to the area agency survey): A. My quality of life prior to receiving services was: Care Management Positive 40 % Negative 30 % Neutral 30 Case Coordination & Support Positive 29.41 % Negative 41.1 % Neutral 29.41 B. My quality of life after receiving services is: Care Management Positive 80 % Negative 0 % Neutral 20 Case Coordination & Support Positive 81.21, % Negative 6.25% Neutral 12.5 3. Prevalence of Social Isolation Measure: The percentage of all participants who are alone for long periods of time or always AND who also report feeling lonely-OR- Participants who are distressed by declining social activity, 90 days prior to assessment/reassessment (or since last assessment if less than 90 days) for: Care Managemeni 14.8 % Case Coordination & Support: 20 4. Prevalence of Emergency Room Visits and Hospital Stays Measure: The percentage of all participants who have had one or more hospitalizations or emergency room visits during the last 90 days before the assessment/reassessment (or since last assessment if less than 90 days) for: Care Management: 26.5 % Case Coordination & Support: 16 5. Prevalence of Inadequate Meals and Dehydration Measure: The percentage of all participants who in at least 4 of last 7 days prior to assessment/reassessment ate one or fewer meals for: Care Management: 0 % Case Coordination & Support: 0 Measure: The percentage of all participants who in the last 3 days prior to assessment/reassessment had fluid intake less than 1,000 cc per day (less than four 8 oz. cups/day) for: Care Management: 0 % Case Coordination & Support: 4.8 December 2019 Tri-County Aging Consortium .� Tri-County Aging Consortium Administrative Board �. Friends for Independence Coordinating Council Consortium Advisory Council EXECUTIVE DIRECTOR Marion Owen , FTE NUTRITION DIRECTOR* ACCESS MANAGER COMMUNITY WAIVER DIRECTOR/COMPLIANCE OFFICER COMMUNITY SVCS COORD. FHR MANAGER FINANCE DIRECTOR OFFICE MANAGERCarlBuonodono 1 FTE Dori Branson 1 FTE RELATIONS DIRECTOR Kirsten Laing 1 FTE Ruth Pell 1 FTE drea Radel 1 FTE Joe Reeves 1 FTE Andria Platte 1 FTE Tammy Lemmer I FTE OPTIONS COUNSELOR I ACCOUNTING SUPV TWO RECEPTIONISTS Barb Mannino 1 FTE ACCESS SVCS SUPERVISOR SOCIAL WORK NURSE Richard Child Jill Moulton,FTE SUPERVISOR SUPERVISOR MANAGER MANAGER 1 FTE 1 FTE total PLANNER Alesha Judy Wernert Heidi Dadow Tom Smith TRANSITION NAVIGATOR Kate Long 1 FTE Ca 1 FTEgh 1 FTE 1 FTE ,FTE PROJECT CHOICES Vacant 1 FTE INTAKE&OUTREACH SPEC. BILLING SPECIALISTS Annette Merrill .5 FTE 2 FTE total ADMINISTRATIVE ASSISTANT QUALITY STAFF FINANCIAL EVIDENCE BASED Gina Cleven 1 FTE ASSISTANT ACCOUNTANT ASSISTANT PROJECT CHOICES INTAKE&OUTREACH SPEC. PROGRAM MGR/ Beverly Turner Robin Webb Tammie Estill SUPPORT ASSISTANT Jennifer Fritz 1 FTE DIETICIAN 1 FTE ,FTE 5 FTE Heather Hager Christine Histed 1 FTE INFORMATION&RESOURCE 1FTE SOCIAL WORK NURSE SPECIALIST CARE MANAGERS CARE MANAGERS LRS SPECIALIST Anna Franklin,FTE 12.75 FTEs 12.75 FTEs Linda Davis 1 FTE FUNDRAISING& REIMBURSEMENT MANAGER VOLUNTEER ACCESS SPECIALIST Jim Brandell SPECIALIST Julie Robb 1 FTE Casey Cooper 1 FTE 1 FTE MMAP COORDINATOR ELIGIBILITY SUPERVISOR Ashley Ellsworth 1 FTE Ashley Martinez 1 FTE ELIGIBILITY SPECIALIST Constance Phifer 1 FTE ::� ELIGIBILITY SPECIALIST Celene Swagler 1 FTE ELIGIBILITY SPECIALIST Shelagh Kosinski.6 FTE ThCountv- y Office on Aging *See Nutrition Organization Chart for further detail on TCOA's Nutrition Program staffing April 2020 Tri-County Office on Aging - Nutrition Program X X X Thff1Con ounty Executive Director Marion T.Owen 1FTE Nutrition Admin Support Director Kristina Sellek Carl Buonodono 1 FTE 1 FTE IIL Community Nutrition Food Production CC MOW EC MOW GL MOW RI MOW Manager Manager Supervisor Supervisor Supervisor Supervisor Tasha Stetler Antoine Johnson Carrie Hartenburg Alicia Davis Jennifer Fritz Melisa Lamb 1 FTE 1 FTE 1 FTE 1 FTE J 1 FTE 1 FTE r 10 Dining Site Food Production Prep Cook Office Assistant Office Assistant Vicki Watson Coordinators Supervisors Stock MOW Support Salah Ahmed Patricia Stewart LOffice Assistant Molly Brunette 2.26 FTE Rachel Whetstone Gene Oliveras .5 FTE Clare Messner 5 FTE Heather Craig 1 FTE 1 FTE .5 FTE Neca Regan 2 FTE L 2 FTE Kitchen Kitchen Coordinator 1 Coordinator Senior Cook Vacant Marcy Mentink Van Drivers Vacant Cooks Kitchen Porters .5 FTE .5 FTE 4.75 FTE 1 FTE 1.5 FTE 4.75 FTE January 2020 F77M-AREA PLAN GRANT BUDGET Rev.03/13/202 Agency: Tri-County Office on Aging Budget Period: 10/01/20 to 09/30/21 PSA: 6 Date: 05/11/20 Rev. No.: Original Page 1of 3 Revenues Local CashLocal In-Km ota FUND SOURCE SERVICES SERVICES TOTAL Federal Administration 1.Federal Title III-B Services 405,344 405,344 State Administration 26,877 26,877 2.Fed.Title III-Cl (Congregate) 527,855 527,855 MATF Administration 11,562 - 11,562 3.State Congregate Nutrition 9,365 9,365 St.CG Support Administration - - - 4.Federal Title III-C2(HDM) 268,122 268,122 Other Admin 1 11 - 5.State Home Delivered Meals 468,072 468,072 o a min: 8.Fed.Title III-D(Prev.Health) 30,967 30,967 9.Federal Title III-E(NFCSP) 189,643 189,643 10.Federal Title VII-A 7,760 7,760 ExpendituFes 10.Federal Title VII-EAP 6,343 6,343 FTEs 11.State Access 27,953 27,953 1.Salaries/Wages 2.50 148,542 12.State In-Home 498,375 498,375 2.Fringe Benefits 46,536 13.State Alternative Care 110,099 110,099 3.Office Operations 23,883 14.State Care Management 215,913 215,913 H I ota: 15.St.ANS 43,590 43,590 16.St.N ursing Home Ombs(NHO) 18,678 18,678 17.Local Match as a c e ai n- in a c e ai a.Cash 23,990 - 23,990 Source Amount Source Amount b.In-Kind 166,702 127,000 293,702 Clinton County 3,880 18.State Respite Care(Escheat) 50,395 50,395 Eaton County 5,980 19.MATF 116,910 116,910 Ingham County 7,200 19.St.CG Support 15,851 15,851 City of Lansing 7,840 20.TCM/Medicaid&MSO 9,485 9,485 City of East Lansing 100 21.NSIP 309,947 309,947 22.Program Income 3,450 270,000 273,450 TOTAL: 1,941,448 1,980,361 3, Total: 25,000 Total: I certify that I am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plan. Adequate documentation and records will be maintained to support required program expenditures. Signature Title Date 0 FY2021 AREA AGENCY GRANT FUNDS-SUPPORT SERVICES DETAIL Agency: Tri-County Office on Aging Budget Period: 10/112020 to 0• Original SERVICE CATEGORY 51 0Access Services Disaster Advocacy&Outreach Program Options CounselingPrevnt of Elder Abuse,Neglect,Exploitation CounselingHome injury Cntrl Personal Care Legal Assistance Community Services Disease Prevent/Health Promtion Health Screening LTC Ombudsman Sr Ctr Operations ---------i•-4 �� ■-----� FY 2021 NUTRITION /OMBUDSMAN/RESPITE/KINSHIP -PROGRAM BUDGET DETAIL 11 Rev.03/13/2020 Agency: Tri-County Office on Aging Budget Period: 10/01/20 to 9/30/21 PSA: 6 Date: 05/11/20 Rev.Number Original page 3 of 3 FY 2021 AREA PLAN GRANT BUDGET-TITLE III-C NUTRITION SERVICES DETAIL Op SERVICE CATEGORY Title III C-1 Title III C-2 State State HDM NSIP Program Cash In-Kind TOTAL Std Congregate Income Match Match Nutrition Services C-3 Congregate Meals 527,855 9,365 61,989 108,000 39,500 746,709 B-5 Home Delivered Meals 1 1 268,122 468,072 247,958 162,000 87,500 1,233,652 C4 Nutrition Counseling C-5 Nutrition Education AAA RD/Nutritionist' Nutrition Services Total 1 527,855 1 268,122 1 9,365 1 468,072 1 309,947 1 270,000 1 127,000 1,980,361 'Registered Dietitian,Nutritionist or individual with comparable certification,as approved by AASA. FY 2021 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL Op SERVICE CATEGORY Title III-B Title VII-A Title VII-EAP State NHO MSO Fund Program Cash In-Kind TOTAL Std Income Match Match LTC Ombudsman Ser C-11 LTC Ombudsman 4,185 7,760 - 18,678 9,485 4,456 44,564 C-15 Elder Abuse Prevention 6,343 705 7,048 Region Specific LTC Ombudsman Ser Total 4,185 1 7,760 1 6,343 1 18,678 1 9,485 1 5,161 51,612 FY 2021 AREA PLAN GRANT BUDGET-RESPITE SERVICE DETAIL Op SERVICES PROVIDED AS A Title III-B Title III-E State Alt Care State State In-Home Merit Award Program Cash/In-Kind TOTAL Std FORM OF RESPITE CARE Escheats Trust Fund Income Match B-1 Chore B-4 Homemaking B-2 Home Care Assistance B-6 Home Health Aide B-10 Meal Preparation/HDM B-8 Personal Care Respite Service Total FY 2021 AREA PLAN GRANT BUDGET-TITLE E-KINSHIP SERVICES DETAIL Op SERVICE CATEGORY Title III-B Title III-E Program Cash In-Kind TOTAL Std Income Match Match Kinship Ser.Amounts Only C-18 Caregiver Sup.Services - - C-19 Kinship Support Services 10,000 1,111 11,111 MiKinship Caregiver E,S,T - - Services Total 1 10,000 1 1 1 1 1 1 1,111 11,111 Planned Services Summary Page for FY 2021 PSA: 6 Budgeted Percent Method of Provision of the Service Funds Total Purchased Contract Direct ACCESS SERVICES Care Management $ 239,903 6.10% x Case Coordination&Support $ 23,333 0.59% x Disaster Advocacy&Outreach Program - 0.00% Information&Assistance $ 163,755 4.16% x x Outreach $ 68,281 1.74% x Transportation $ 5,278 0.13% x Option Counseling $ 8,333 0.21% x IN-HOME SERVICES Chore $ 1,111 0.03% x Home Care Assistance $ - 0.00% Home Injury Control $ - 0.00% Homemaking $ 726,082 18.46% x Home Delivered Meals $ 1,233,652 31.36% x x Home Health Aide $ - 0.00% Medication Management $ - 0.00% Personal Care $ 66,933 1.70% x Personal Emergency Response System $ - 0.00% Respite Care $ 105,846 2.69% x Friendly Reassurance $ 2,222 0.06% x COMMUNITY SERVICES Adult Day Services $ 133,772 3.40% x Dementia Adult Day Care $ - 0.00% Congregate Meals $ 746,709 18.98% x Nutrition Counseling $ - 0.00% Nutrition Education $ - 0.00% Disease Prevention/Health Promotion $ 76,074 1.93% x x Health Screening $ - 0.00% Assistance to the Hearing Impaired &Deaf $ - 0.00% Home Repair $ - 0.00% Legal Assistance $ 34,946 0.89% x Long Term Care Ombudsman/Advocacy $ 44,564 1.13% x Senior Center Operations $ - 0.00% Senior Center Staffing $ - 0.00% Vision Services $ - 0.00% Programs for Prevention of Elder Abuse, $ 7,048 0.18% x Counseling Services $ - 0.00% Creating Confident Caregivers®(CCC) $ 8,333 0.21% x Caregiver Supplemental Services $ - 0.00% Kinship Support Services $ 11,111 0.28% x Caregiver Education, Support, &Training $ - 0.00% AAA RD/Nutritionist - 0.00% PROGRAM DEVELOPMENT 90,076 2.29% REGION-SPECIFIC Crisis Services $ 57,222 1.45% x CLS $ 59,281 1.51% x x Care Transitions $ 1,111 0.03% x d. $ - 0.00% CLP/ADRC SERVICES $ 6,833 0.17% x SUBTOTAL SERVICES $ 3,921,809 MATF&ST CG ADMINSTRATION $ 11,562 0.29% x TOTAL PERCENT 1 100.00%1 18.64% 13.46% 67.89% TOTAL FUNDING $ 3,933,371 $733,180 $529,769 $2,670,422 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. FY 2021 BUDGET REVIEW SPREADSHEET Rev.031131202011 Agency: Tri-County Office 6 Fiscal Year: FY 2021 Date of SGA: SGA No. Date Reviewed by AASA: Date of Budget: 05/11/20 Revision No. Original Initials of Field Rep A rovin SGA CATEGORY SGA AWARD UNSPENT AMT TOTAL AAA COMMENTS Title III Administration $ 155,492 $ 155,492 State Administration $ 26,877 $ 26,877 Title III-B Services $ 405,344 $ 405,344 Title III-C-1 Services $ 527,855 $ 527,855 Title III-C-2 Services $ 268,122 $ 268,122 Federal Title III-D(Prev.Health) $ 30,967 $ 30,967 Title III-E Services(NFCSP) $ 189,643 $ 189,643 Title VII/A Services(LTC ombuds) $ 7,760 $ 7,760 Title VII/EAP Services $ 6,343 $ 6,343 St.Access $ 27,953 $ 27,953 St.In Home $ 498,375 $ 498,375 St.Congregate Meals $ 9,365 $ 9,365 St.Home Delivered Meals $ 468,072 $ 468,072 AASA COMMENTS St.Alternative Care $ 110,099 $ 110,099 St.Aging Network Srv.(St.ANS) $ 43,590 $ 43,590 St.Respite Care(Escheats) $ 50,395 $ 50,395 Merit Award Trust Fund(MATF) $ 128,472 $ 128,472 St.Caregiver Support(St.CG Sup.) $ 15,851 $ 15,851 St.Nursing Home Ombuds(NHO) $ 18,678 $ 18,678 MSO Fund-LTC Ombudsman $ 9,485 $ 9,485 St.Care Mgt. $ 215,913 $ 215,913 NSIP $ 309,947 $ 309,947 SGA TOTALS: $ 3,524,598 $ $ 3,524,598 Administrative Match Requirements ADMINISTRATION BUDGET ISGA IDIFFERENCE Minimum federal administration match amount $51,830 Federal Administration $ 155,492 $ 155,492 $ Administration match expended(State Adm.+Local Match) $51,877 State Administration $ 26,877 $ 26,877 $ Is the federal administration matched at a minimum 25%? Yes Does federal administration budget equal SGA? Yes Sub-Total: $ 182,369 $ 182,369 $ Does state administration budget equal SGA? Yes MATF $ 11,562 ST CG Su $ - Local Administrative Match Merit Award Trust Admin.&St.Caregiver Support Admin must be expended at or below 9%of Local Cash Match 7$ 7A1_PT0T 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: Amount of MATF Funds budgeted on Adult Da Care $ 90,000 Other Admin ADMIN DIFFERENCE Is at least 50%of MATF budgeted on Adult Da Care services? 4Yes Total Administration: $ 218,931 $ 218,931 $ Title III•E Kinship Services Program Requirements SERVICES: BUDGET SGA %BUDGETED Are kinship services budgeted at>5%of the AAA's Title III-E funding? Yes Federal Title III-B Services $ 405,344 $ 405,344 100.0000% Are kinship services budgeted at<10%of the AAA's Title III-E funding? Yes Fed.Title III C-1(Congregate) $ 527,855 $ 527,855 100.0000% [note: see TL#369&TL#2007-141] State Congregate Nutrition $ 9,365 $ 9,365 100.0000% For Agencies required to budget a minimum of$25,000 of Title III-E requirement met? NIA Federal C-2(HDM) $ 268122 $ 268,122 100.0000% Title III-B Long Term Care Ombudsman Maintenance of Effort Requirements State Home Delivered Meals $ 468,072 $ 468,072 100.0000% Amount required from Transmittal Letter#428. see cell L 42 $4.086 Federal Title III-D(Prev.Health) $ 30,967 $ 30,967 100.0000% Budgeted amount Title III-B for LTC Ombudsman. $4,185 Federal Title III-E(NFCSP) 4$ 498,3751$ $ 189,643 100.0000% Is required maintenance of effort met? Yes St.Access $ 27,953 100.0000% St.In Home 498,375 100.0000% St.Alternative Care $ 110,099 100.0000% Service Match Requirements St.Care Mgt. $ 215,913 100.0000% Minimum service match amount re uired $315,321 State Nursing Home Ombs(NHO) $ 18,678 100.0000% Service matched budgeted:(Local Cash+In-Kind) $317,692 St ANS $ 43,590 100.0000% Is the service allotment matched at a minimum 10%? Yes Sub-Total: $ 2,813,976 $ 2,813,976 100.0000% Local Service Match Miscellaneous Budget Requirements I Constraints Local Cash Match $ 23,990 Amounts budgeted for OAA/AASA Priority Services: Local In-Kind Match $ 293,702 Access: $96,750 In-Home: $138,240 Legal: $31,451 Sub-Total: $ 317,692 Total Budgeted for Priority Services: $266,441 Title VII/A Services(LTC ombuds) $ 7,760 $ 7,760 100.0000% Are Access Services budgeted at minimum 10%of Original ACL Title III-B Yes Title VII/EAP Services $ 6,343 $ 6,343 100.0000% Are In Home Services budgeted at minimum 10%of Original ACL Title III-B Yes NSIP $ 309,947 $ 309,947 100.0000% Are Legal Services budgeted at minimum 6.5%of Original ACL Title III-B Yes St.Respite Care(Escheats) $ 50,395 $ 50,395 100.0000% (Actual%of Legal) 7.76% MATF 1 116,910 $ 116,910 100.0000% St.CG Support $ 15,851 $ 15,851 100.0000% Title III-B award w/o carryover or Transfers in current SGA $405,344 MSO Fund-LTC Ombudsman $ 9,485 $ 9,485 100.0000% Amount budgeted for Program Development: $81,068 TCM-Medicaid/CM $ - %of Title III-B Program Development(must be 20%or less): 19.0% Program Income $ 273,450 Is Program Development budgeted at 20%or less? Yes Title III-D allotment with carryover: $30,967 Total Services: $ 3,921,809 Amount budgeted for EBDP Activities,per TL#2012-244: $30,967 Grand Total:Ser.+Admin. T 4 440 740 Is 100%of Title III-D budgeted on APPROVED EBDP? Yes PRIORITY SERVICE SECTION Access Services III-B Budget Amount a.Care Management 0 b.Case Coordlsupp c.Disaster Advocacy d.Information&Assis e.Outreach f.Transportation 4,750 g.Options Counceling $7,500 (AAA Regional Access Service) Access Total: $96,750 In Home Services III-B Budget Amount a.Chore b.Home Care Assis 0 c.Home Injury Cntrl d.Homemaking e.Home Health Aide 0 f. Medication Mgt g.Personal Care $60,240 h.Assistive Device&Tech 0 i.Respite Care 0 j.Friendly Reassure $2,000 (AAA Regional In-Home Service) (AAA Regional In-Home Service) In Home Services Total:I $138,240 Kinship Services Budget moun 1.Caregiver Supplmt-Kinship Amount Only 2.Kinship Support $10,000 3.Caregiver E,S,T-Kinship Amount Only 0 0 0 (Other Title III-E Kinship Service) (Other Title III-E Kinship Service) Kinship Services Total: 10,000 itle III-B I rans ers reflected in SGA Title Ill-B Award (Use ONLY If SGA Reflects Transfers) Title III-B award w/o carryover in SGA 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 AwardTotal: NOTE:AoA Title III Part B award for the current FY means total award from AoA without carryover or transfers. FY 2021 Annual Implementation Plan Direct Service Budget Detail #1 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Care Management Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 111,455 111,455 Fringe Benefits 33,150 33,150 Travel 4,000 4,000 Training 300 300 Supplies 1,300 1,300 Occupancy 19,157 19,157 Communications 2,500 2,500 Equipment 0 Other: 9,025 9,025 Service Costs 11,146 11,146 Purchased Services(CM only) 23,880 23,990 47,870 0 Totals 0 0 215,913 0 23,990 01 0 239,903 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH &OTHER RESOURCES#1 FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind Fundraising Program 23,990 Totals 123,9901 01 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #2 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Crisis Services Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 0 Fringe Benefits 0 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 21,500 30,000 5,722 57,222 Service Costs 0 Purchased Services(CM only) 0 0 Totals 1 21,5001 01 30,0001 01 01 5,7221 01 57,222 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: Explanation for Other Expenses: SCHEDULE OF MATCH & OTHER RESOURCES #2 FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 5,722 Totals OF 5,7221 01 0 rgency funds for client needs such as utility bills an Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #3 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Case Coordination and Support Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 3,288 10,560 1,539 15,387 Fringe Benefits 1,212 5,940 795 7,947 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 4,500 0 16,500 0 0 2,334 0 23,334 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #3 FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 2,334 Totals 101 2,3341 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #4 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Outreach Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 23,453 19,885 4,815 48,153 Fringe Benefits 10,047 8,068 2,013 20,128 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 33,500 0 27,953 0 0 6,828 0 68,281 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #4 FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 6,828 Totals 101 6,8281 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #5 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Information and Assistance Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 28,200 18,965 5,241 52,406 Fringe Benefits 12,090 8,125 2,246 22,461 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 40,290 0 27,090 0 0 7,487 0 74,867 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #5 FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 7,487 Totals 101 7,4871 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #6 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Congregate Meals Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 330,075 330,075 Fringe Benefits 146,624 146,624 Travel 25,875 25,875 Training 0 Supplies 8,536 8,536 Occupancy 39,500 39,500 Communications 9,365 9,365 Equipment 0 Other:Food 16,745 61,989 108,000 186,734 Service Costs 0 Purchased Services(CM only) 0 0 Totals 1 527,8551 61,9891 9,3651 108,0001 01 39,5001 01 746,709 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES #6 FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 39,500 Totals OF 39,5001 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #7 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Home Delivered Meals Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 184,933 264,790 449,723 Fringe Benefits 79,257 113,374 192,631 Travel 87,500 87,500 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: Food 3,932 247,958 89,908 162,000 503,798 Service Costs 0 Purchased Services(CM only) 0 0 Totals 1 268,1221 247,9581 468,0721 162,0001 01 87,5001 01 1,233,652 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 87,500 Totals OF 87,5001 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #8 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: SAVVY, Creating Confident Caregivers Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 5,252 584 5,836 Fringe Benefits 2,248 250 2,498 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 7,500 0 0 0 0 834 0 8,334 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 834 Totals 1 01 8341 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #9 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: CLP/ADRC Services Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 4,034 448 4,482 Fringe Benefits 2,116 235 2,351 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 6,150 0 0 0 0 683 0 6,833 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 683 Totals 101 6831 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #10 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Disease Prevention/Health Promotion Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 33,750 3,750 37,500 Fringe Benefits 3,750 417 4,167 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 37,500 0 0 0 0 4,167 0 41,667 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 4,167 Totals 101 4,1671 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #11 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Care Transitions Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 700 78 778 Fringe Benefits 300 33 333 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 1,000 0 0 0 0 111 0 1,111 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes X No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind TCOA 111 Totals 101 1111 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #12 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 0 Fringe Benefits 0 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 0 0 0 0 0 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes _No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind Totals 101 01 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #13 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 0 Fringe Benefits 0 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 0 0 0 0 0 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes _No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind Totals 101 01 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #14 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 0 Fringe Benefits 0 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 0 0 0 0 0 0 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP? _Yes _No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind Totals 101 01 01 0 Difference 0 0 0 OK OK OK FY 2021 Annual Implementation Plan Direct Service Budget Detail #15 AAA: Tri-County Office on Aging FISCAL YEAR: FY 2021 SERVICE: Federal OAA Other Fed Funds State Program Match Other Total LINE ITEM Title III Funds (non-Title lll) Funds Income Cash In-Kind Resources Budgeted Wages/Salaries 0 Fringe Benefits 0 Travel 0 Training 0 Supplies 0 Occupancy 0 Communications 0 Equipment 0 Other: 0 Service Costs 0 Purchased Services(CM only) 0 0 Totals 0 0 0 0 0 01 0 0 SERVICE AREA: (List by County/City if service area is not entire PSA) Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AIP? _Yes _No If yes, please describe: SCHEDULE OF MATCH & OTHER RESOURCES FY 2021 MATCH OTHER RESOURCES Explanation for Other Expenses: VALUE VALUE SOURCE OF FUNDS Cash In-Kind Cash In-Kind Totals 101 01 01 0 Difference 0 0 0 OK OK OK Fundable Services Matrix -Updated attachment toTL#2019-384 Attachment ACCESS SERVICES Federal Funds State Funds Title VIIA St.Respite St.Merit St. St.Aging Title III-D ------- St.Care St.In- Award Caregiver Network Op std Access Services Title III-B ** Title III-E St.Access Care Title VII Management (Escheats) Home Trust Fund Support Services EAP (MATF) (St.CG Sup.) (St.ANS) A-1 Care Management X X X X X A-2 Case Coordination&Support X X X X X A-3 Disaster Advocacy&Outreach Program X A-4 Information&Assistance X X X X A-5 Outreach X X X X Transporatlon(For MATF&St.CG Sup.only)-adult A 6 day service and respite related transport of service X X X X recipients including related medical and shopping assistance is allowed. A-7 Options Counseling X X X X X IN-HOME SERVICES Federal Funds State Funds Title VIIA St.Merit St. St.Aging St. St.Respite Title III-D ------- St.In- Award Caregiver Network Op std In-Home Services Title III-B ** Title III-E Title VI St.Access Alternative Care Home Trust Fund Support Services Care (Escheats) EAP (MATF) (St.CG Sup.) (St.ANS) B-1 Chore X B-2 Home Care Assistance X X X X B-3 Home Injury Control X X B-4 Homemaking X X X X B-6 Home Health Aide X X X X B-7 Medication Management X X X X B-8 Personal Care X X X X B-9 Assistive Devices&Technologies(PERS) X X X X X Respite Care(may also include chore,homemaking, B-10 home care assistance,home health aide,meal X X X X X X X X prep./HDM&personal care serv.as a form of respite care) B-11 I Friendly Reassurance X B-12 Communitv Livina SUDoortS(CLS) COMMUNITY SERVICES Federal Funds State Funds Op Std Community Services Title III-B ** Title III-E C-1 Adult Day Service X X X X X X X C-2 Dementia Adult Day Care X X X X X X X C-6 Disease Prevention/Health Promotion X X X C-7 Health Screening X C-8 Assistance to Hearing Impaired&Deaf X C-9 Home Repair X C-10 Legal Assistance X X C-11 Long Term Care Ombudsman X Title)Vll A X X C-12 Senior Center Operations X C-13 Senior Center Staffing X C-14 Vision Services X reven ion o Elder use, Neglect Title VII A C-15 Fxnlnitntinn X &EAP C-16 Counseling Services X X C-17 Creating Confident Caregivers®(CCC). X X X C-18 Caregiver Supplemental Services X X C-19 Kinship Support Services X X NUTRITION SERVICES Opstd Nutrition Service Title III-E *NSIP establish Fundable Service Cateaories C-3 Congregate Meals X X Replaces:TL 367,2005-102&2007-142 B-5 Home Delivered Meals X X X See TL343&TL2006-111 for guidance re St.MATF C-4 Nutrition Counseling X X X See TL 2012-244 for guidance re Title D C-5 INutrition Education X X X See TL 2012-2S6 for guidance re St.ANS ININIP IIn c— Poona P nY ar IM nnn me c Tnr I P 111 P lol P MY c **Note for Title I I I D—All funds have to be used for Evidence-Based programs. TL#2019-384 Fundable Services Matrix,revised 2/15/2019,replaces TL#2015-301 Full Program Title Name Program Title on SGA Title III Administration Federal Title III Administration State Administration State State Administration Title 1116 Supportive Services Federal Title 11113 Supportive Services Title IIIC-1 Services Congregate Meals Federal Title IIIC-1 Congregate Meals Title IIIC-2 Services Home Delivered Meals Federal Title IIIC-2 Home Delivered Meals Title MD Services(Preventive Health) Federal Title IIID Preventive Health Title IIIE Services(NFCSP) National Family Caregiver Support Federal Title IIIE Natl. Family Caregiver Title VII/A Services(LTC Ombudsman) Federal Title VII/A LTC Ombudsman Title VII/EAP Services Elder Abuse Prevention Federal Title VII/EAP Eld Abuse Prevention State Access Services State State Access Services State In-Home Services State State In-Home Services State Congregate Meals State State Congregate Meals State Home Delivered Meals State State Home Delivered Meals State Alternative Care State State Alternative Care State Aging Network Services(St.ANS) State State Aging Network Services(St.ANS) State Caregiver Support State State Caregiver Support State Respite Care State State Respite Care State Merit Award Trust Fund(MATF) State State Merit Award State Nursing Home Ombs State State Nursing Home Ombs Michigan State Ombudsman (MSO) State Michigan State Ombudsman(MSO) State Care Management State State Care Management Nutrition Services Incentive Program(NSIP) Federal Nutrition Services Incentive Program(NSIP) MATCHING REQUIREMENTS Page 2 Revision date 1/26/2016 Revision to Transmittal Letter#2016-320 FEDERAL ADMINISTRATION TOTAL - MATCH REQUIRED: 25% STATE 15%[2] (AASA) LOCAL 10% (AAAs) FEDERAL & STATE SERVICES TOTAL - MATCH REQUIRED: 15% STATE 5% (AASA) LOCAL 10% (AAAs) Table 1 below describes these requirements by source of funds. Table 1 AAA Local Matching Requirement by Fund Source Funding Source Fund Source Name AAA Local Match Requirement Reference Federal Title III Administration 15% (a) OAA of 1965(d) Federal Title 11113 Supportive Services 10% OAA of 1965 Federal Title IIIC-1 Congregate Meals 10% OAA of 1965 Federal Title IIIC-2 Home Delivered Meals 10% OAA of 1965 Federal Title IIID Preventive Health 10% OAA of 1965 Federal Title IIIE Nat1. Family Caregiver 10% OAA of 1965 Federal Title VII/EAP Eld Abuse Prevention No Match Required ACL CFDA Federal Title VII/A LTC Ombudsman No Match Required AoA Fiscal Guide (b) Federal Nutrition Services Incentive Program No Match Required AoA Fiscal Guide State State Administration No Match Required AASA State State Access Services 10% AASA State State In-Home Services 10% AASA State State Congregate Meals 10% AASA State State Home Delivered Meals 10% AASA State State Nursing Home Ombudsman 10% AASA State State Alternative Care 10% AASA State MI State Ombudsman Funds(MSO) 10% AASA State State Merit Award Trust Fund No Match Required AASA TL#1006 (7/28/09) State State Caregiver Support 10% AASA State State Respite Care No Match Required Public Act 171 of 1990 State State Care Management 10% AASA State State Aging Network Services 10% AASA (a) 15% is an approximate amount and may vary slightly after applying the state match amount. (b)AoA is the acronym for the federal Administration on Aging (c) Michigan Office of Long Term Care Supports and Services (OLTCSS) (d) OAA is the acronym for the Older Americans Act Per AoA requirements, if the required non-federal share is not provided by the completion date of the funded project period, to meet the match percentage, AoA will reduce the Federal dollars awarded when closing out the award, which may result in a requirement to return Federal funds. AASA verifies compliance with local matching requirements based upon a review of AAA FSRs. [2] The exact percentage amount may vary slightly in order to meet the federal requirement. AREA AGENCY ON AGING--OPERATING BUDGET PSA: 6 Budget Period: 10/01/20 to: 09/30/21 Date of Budget: 04/27/20 Agency:Tri-County Office on Aging Rev.No.: Original Page 1 of 2 Operations Program Services/Activities Program Congregate IHome-Deliver ed Care HCBS IMeritAwardI Care Information Case Admin Development Nutrition Nutrition Mgmt Waiver Trust Fund Giver CLP/ADRC Outreach &Assistance Coordination Other TOTAL REVENUES Federal Funds 155,492 81,068 591,825 524,004 20,978,832 12,929 36,760 35,000 45,000 5,596 150,354 22,616,860 State Funds 26,877 9,365 468,072 215,913 128,472 30,911 40,132 21,642 941,384 Local Cash 25,000 17,788 53,634 96,422 Local In-Kind 9,008 1,436 4,084 7,323 9,459 3,027 16,706 51,043 Interest Income 15,000 60,000 75,000 Fund Raising/Other 1 350,0001 1 210,5001 850,5001 25,0001 200,0001 1 1 1 1 1 56,6671 1,692,667 TOTAL 1 572,3691 90,0761 829,4781 1,896,2101 240,9131 21,238,8321 128,4721 14,3651 40,8441 73,2341 94,5911 30,2651 223,7271 25,473,376 EXPENDITURES 11 Contractual Services 0 Purchased Services 1 35,0001 1 1 1 25,0001 17,500,0001 116,9101 1 1 1 1 1 117,676,910 Wages and Salaries 272,633 53,529 193,118 650,953 100,287 2,376,226 11,562 13,000 33,343 49,600 64,065 20,500 158,298 3,997,114 Fringe Benefits 90,943 17,129 87,221 243,146 21,900 621,200 910 5,001 19,840 25,626 8,200 63,319 1,204,435 Payroll Taxes 21,741 4,095 14,989 41,787 5,973 169,415 455 2,500 3,794 4,900 1,565 12,110 283,324 Professional Services 5,480 4,843 18,139 15,220 43,682 Accounting&Audit Services 10,000 12,461 46,677 17,500 86,638 Legal Fees 5251 1 1 1 525 Occupancy 38,000 13,451 50,385 10,680 112,516 Insurance 1,050 725 1,229 5,090 8,094 Office Equipment 2,600 2,600 Equip Maintenance&Repair 315 5,919 19,650 25,884 Office Supplies/Food Supplies 7,900 2,000 33,488 125,439 4,005 172,832 Printing&Publication 3,7001 4,500 1 1 1 8,200 Postage 1,270 1,000 2,270 Telephone 1,050 1,348 11,146 11,033 8,010 32,587 Travel 800 1,250 29,593 47,866 2,503 82,012 Conferences 2,600 2,000 950 5,550 Memberships 21,100 2,500 23,600 Miscellaneous/Reserve 79,100 16,141 37,789 6,675 139,705 Food 405,879 598,256 Contractor Services 47,210 0 0 TOTAL 1 560,8071 90,0761 829,4781 1,896,2101 240,9131 3,166,8411 11,5621 14,3651 40,8441 73,2341 94,5911 30,2651 233,727 6,231,568 AREA AGENCY ON AGING--WAGES AND SALARIES PSA: 6 Budget Period: 10/01/20 to: 09/30/21 Date of Budget: 04/27/20 Agency: Tri-County Office on Aging Rev.No.: Original Page 2 of 2 Operations Program Services/Activities Program Congregate Home-Delivered Care HCBS Merit Award Care Information Case JOB CLASSIFICATION FTEs Admin Development Nutrition Nutrition Mgmt Waiver Trust Fund Giver CLP/ADRC Outreach &Assistance Coordination Other TOTAL Executive Director 1.0000 45,324 13,388 1,029 43,266 103,007 Finance Director 1.0000 28,892 43,333 72,225 Waiver Director 1.0000 5,771 66,371 72,142 Nutrition Director 1.0000 11,116 44,463 55,579 Human Resources Manager 1.0000 26,232 39,347 65,579 Comm Rltns&Grants Manager 1.0000 19,436 30,369 10,932 60,737 Contract Manager 1.0000 51,817 51,817 Planner 1.0000 43,974 4,886 48,860 Nurse Supervisor 1.0000 4,850 55,771 60,621 Social Work Supervisor 1.0000 4,850 55,771 60,621 Care Manager RN 12.7500 33,468 635,888 669,356 Care Manager SW 12.7500 33,265 632,042 665,307 Assessment Support/Specialist 1.0000 26,694 3,444 12,917 43,055 Eligibilty Supervisor 1.0000 48,860 48,860 Eligibility Specialist 2.7500 103,629 20,500 124,129 I&A Specialist/Counselor 4.5000 1,901 103,280 33,343 53,980 192,504 Waiver Accounts Payable Clerk 1.0000 1,734 32,936 34,670 Outreach Specialist 1.0000 24,700 13,000 5,635 43,335 Staff Accountant 1.0000 12,969 24,205 3,1671 40,341 Finance Assistant 0.6250 6,761 12,618 1,651 21,030 Accounting Supervisor 1.0000 27,613 22,904 6,744 57,261 Office/Clerical 9.1250 14,136 14,929 99,913 11,145 130,852 270,975 Community Health Navigator 1.0000 10,085 20.171 10,085 40,341 Access Manager 1.0000 58,939 58,939 Receptionist 1.0000 14,392 6,168 20,560 Food Manager/Food Production Supervisor 3.0000 13,285 88,905 102,190 Cook/Food Production Assistant 3.5000 10,404 69,626 80,030 Porter/Stockperson/Dishwasher 5.7500 15,401 103,067 118,468 Van Driver/Food Transportation 5.7500 18,583 124,366 142,949 Dining Site/Kitchen Coordinator 2.9250 58,077 58,077 MOW Supervisor 4.0000 17,703 118,473 136,176 Registered Dietician/Evidenced Based Prg Mgr 1.0000 535 2,140 50,825 53,500 Community Hnutrition Mgr 1.0000 33,085 4,944 38,029 Reimbursement Manager 1.0000 5,054 2,274 43,214 50,542 MMAP Coordinator 1.0000 4,474 40,263 44,737 Quality Specialist 1.0000 58,939 58,939 Fundraising&Volunteer Specialist 1.0000 27,850 9,772 11,238 48,860 Quality Assistant 1.0000 39,711 39,711 Transition Navigator 1.0000 43,055 43,055 0 11 TOTAL 1 94.42501 272,6331 53,5291 193,1181 650,9531 100,2871 2,376,2261 11,5621 13,0001 33,3431 49,6001 64,0651 20,5001 158,298 3,997,114