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Home My WebLink AboutTRI - County office on aging OPR TrimCount Office on, Agingy .A Consortium q, `C"hrton, Eaton & Inghmn. Counties, and the C"tics o 'Lansing July 14, 2014 co 4f,V Lansing City Council co 1 W" Floor City Hall ° ,y Lansing, MI 48933 Dear Lansing City Council: Enclosed is a copy of Tri-County Office on Aging's (TCOA) Fiscal Year 2015 Annual Implementation Plan. This planning document is required under the Older Americans Act and Older Michiganians Act. The Michigan Office of Services to the Aging (OSA), Department of Community Health requires TCOA to ask major cities and county commissions to approve the plan. We are asking this plan be approved by July 31, 2014. A resolution endorsing the plan would be appreciated. If the Lansing City Council does not respond by the above date TCOA will consider passive approval of the plan. The City of Lansing, along with Clinton, Eaton and Ingham counties and the City of East Lansing, is a member of the Tri-County Aging Consortium. The Consortium members appoint representatives to serve on TCOA's Administrative Board, which has the responsibilities of agency operations, and must endorse and recommend approval of the Plan to OSA. Jody Washington, A'Lynne Robinson, Joan Jackson-Johnson and Chris Swope represent the City of Lansing on the Administrative Board. The Board endorsed the plan on June M, 2014. Three older adults, Regina Allen, Mary Estes and Penny Gardner, appointed by the City of Lansing also serve on the Advisory Council that reviewed and recommended approval to the Consortium Administrative Board. The plan and sample resolution are enclosed in this mailing. If you.have further questions, please feel free to contact me. I can be reached at 517-887-1382. Thank you for your attention to this issue. Sincerely, LeeAnna Olson Community Relations and Grants Specialist Enclosure Robinson 5:3d3::3 S. t°<°ctar►treat, Suite 1,Larisi g, aN1148911-3800—`.I'clephorie (5 17) 887-1440 or(800) 405-9141 Fax (517) 887-8071 — www.tcoo.org i II RESOLUTION Lansing City Council July 2014 WHEREAS, the Tri-County Aging Consortium, known as Tri-County Office on Aging, produced the Fiscal Year 2015 Annual Implementation Plan as required by the Older Americans Act and the Older Michiganians Act; and WHEREAS, Lansing City Council has reviewed the Tri-County Office on Aging's Fiscal Year 2015 Annual Implementation Plan; and now therefore, be it RESOLVED; that the Lansing City Council approves said document as presented. osa Ayln f IMPLEMENTATION 2016 ANNUAL TIT-COUNTY OFFICE ON AGING G wd Areas Served Clinton,Eaton, Ingham Q01intdes 6303 S. Cedar Street, Suite 1 Lansing, Mi 48911-3800 617-887-1440 1-800-406-9141 617-887-8071 (Fax) Marion Owen, Executive Director www.tcoa.org Field Represerltative Steve Betterl.y,517.373.4089 betterlys(�'li miclugan.gov Printed Om 6/2412 0 1 4 'NNUAL & MULTI YEAR IMPLEMENTATION PLANS %osa 2014-2016 cbftxcu afi 6arry ah ea ti1Qr kWOO ». �-xxm.«�u �.��+nwm��m wwu. wwrro .auw•vw+crmrar»...✓�eran�.a�w.w Tri-County Office on Aging FY; 2015 Table of Contents County/Local Unit of Government Review Plan Highlights Public Hearings Scope of Services Planned Service Array ;w Targeting I Regional Service Definitions ' Access Services Direct Service Request Regional Service Request is Program Development Objectives r Advocacy Strategy Leveraged Partnerships i Community Focal Points l Other Grants and Initiatives Appendices I: i I I i i i i Printed On;6124/2014 JtNNUAL & MULTI YEAR IMPLEMENTATION PL1S osa - 2014-2016 of?Eto of td LheP Agdllo WMIhWWY.� KKMYFnAWn++M+uM�++�b#'MS1'aiWA+Y.YSY�gbWMM.VttWaAtifAYYAmomvrbaMNYeNYIbYuvlwhYtq'/.a.Ww Trl•County Office on Aging FY; 2016 County/Local Unit of Govt. Review The AAA must send a letter requesting approval of the final AIP by no'later than June$0, 2014,with . delivery and signature confirmation, to the chairperson of each County Board of Commissioners within the PSA requesting approval by August 1,2014.:For a PSA comprised of a`single county or portion of the county,approval of the AIP Is to be requested from each local unit of government within the PSA,if the AAA does not receive a response from the county or local unit of government . by August 4,2014,the AIP is deemed passively approved.The AAA must notify their OSA field representative by August 5, 2014 whether their counties or local units of government fornally approved, passively approved, or disapproved the AIP. The AAA may-useeiectronlc corrtrriuriioatic ri, ln' 166ing e-ii7ail and webs�t+�based documents,as an option for acquiring local government review and approval of the Area Plan.To employ this option, the AAA must, —Send a letter through the US Mail,with delivery and signature confirmation,to the chief elected official of each appropriate local government advising them of the availability of the final draft AIP/MYP on the area agency's website. Instructions for how to view and print the document must be included. --Offer to provide a printed copy of the AIP/MYP via US Mail or an electronic copy,Via e-mail, if requested. --Be available to discuss the AIP/MYP with local goVernm6fit offlelais, if requested, --Request e-mail notification from the local unit of government of their approval of the AIP/MYP,'or their related concerns. Describe the efforts made to distribute the AIP to and,gain support,from the appropriate county and/or local units of government, AAA Response, The Tri-County Office on Aging Administrative Board (Tri-County Aging Consortium) is made up of representatives from five local units of government: Clinton, Paton and Ingham Counties,and the cities of Lansing and East Lansing, TCOA Advisory Council older adult members are appointed by their respective local units of government, Both the Advisory Council and Board review, recommend approval and approve all Multi-Year Plans (MYP) and Annual Implementation Plans (AIP). TCOA will send a latter and a copy of the fiscal year 2015 MIP to local units of government via certified mail and signature conflmation requesting approval of the AIP no later then July 29, 2014. The letter will state that if approval is not received withing 10 business days of this due date then it will be considered passively approved. Printed On:6/24/2014 ANNUAL & MULTI YEAR IMIPLEMENTATION PLANS os, a - 2014-2016 Tri-County Office on Aging FY: 2015 Plan Highlights The purpose of the Plan Highlights Is to provide a succinct description of the priorities being set by the Area Agency for the use of OAA and State funding during FY 2016, The Plan Highlights must include: --A brief history of the Area Agency and respective PSA that prorrldes a.:contextfor the AIP; --A summary of services to be provided under the pla which Includes identification of the five service categories receiving the most funds and the five service categories with the greatest number- of antleflpatad participants.- --Highlights of planned program development objectives. I •A description of planned special projects and partnerships. .-A description of specific management initiatives the Area Agency plans to undertake to achieve j Increased efficiency in service delivery. f --A description of how the Area Agency's strategy for developing non-formula resources, Inc ludIn g utilization of volunteers, will support Implementation of the AIP, l Please note there are separate text boxes for response to each bullet Item, 1.A brief history of the area agency and respective PSA that provides a context for the AIP. Tri-County Aging Consortium (better known as Tri-County Office on Aging or TCOA)was founded in 1974 as the Area Agency on Aging serving Clinton, Eaton and Ingham Counties In mid-Michigan. TCOA is unique from other AAA's in that it is legally a consortium comprised of the three counties it serves as well as the cities of Lansing and Fast Lansing, Due to this format, TCOA's Administrative Board consists entirely of elected officials representing these five local units of government. Board members are appointed by their respective units of government and are charged with oversight of all aspects of the agency. Additionally, TCOA's Advisory Council is comprised of one-half local seniors who are residents of the five local units of government. These senior representatives must be at least 60 years old and are appointed by their local unit of government. The remaining half of the Advisory Council members represent local service providers from throughout the tri-county area, TCOA is also in a unique situation compared to many other Area Agencies an Aging in the state of Michigan in regard to population demographics, Between the 2000 national census and the 2010 national census the three counties that make up TCOA's service area have seen a significant increase in the 60 and older population. In 2000 the triµcounty population of adults age 60 ! and older was 69,807, In 2010 this population had grown to 79,408. This is an Increase of nearly 20,000 seniors, Additionally, the older adult Hispanic population in the service area nearly doubled during this time period. i i Printed On:6/24/2014 I I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS - 2014-2016 Tri-County Office on Aging FY: 2015 2.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. Five Service Categories Receiving the Most Funds: 1, Home Delivered Meals (Meals on Wheels) 2. Congregate Meals (Senior Dining Sites) 3, Respite Care 4. Care Management 5. Homemaker FfvP,.S.9rvIcf Categories with the Greqta,�iLNumber of Anticipated Parbcip,-,:sn'L$: . 1. Outreach 2, Home Delivered Meals (Meals on Wheels) 3, Congregate Meals (Senior Dining Sites) 4, Information and Assistance 5. Legal Assistance 3. Highlights of planned program development objectives. *Work with a local service provider to research receiving Medicare reimbursement for evidence based diabetes self-management programs. * Explore establishing a wellness program in the innercity Lansing area, *Seek alternatives to current Meals on Wheels supply vendors to save money and improve the quality of ingredients purchased, * Research establishing a frozen meal pantry for Meals on Wheels clients. * Explore establishing an adult day services program in a rural area outside the city of Lansing, *Work with local adult day services providers and the Alzheimer's Association to examine expanding adult day services programming options for individuals with middle and late stage Alzheimer's disease and dementia, * Continue with the Coordinated Community Response program after the expiration of the federal grant funding, *Continue to advocate for the passage of elder abuse prevention bills by the Michigan legislature, * Have local seniors represent the tri-county area on the Michigan Senior Advocates Council to advocate for older adults and persons with disabilities, ' Tri-County Office on Aging's Advisory Council advocacy committee will work with community organizations to Increase TCOA's communication and outreach network. * Continue to have Tri-County Office on Aging staff representation on the planning committee for Older Michiganians day, * Provide cultural competency training on diversity Issues and concerns to a minimum of twenty TCOA staff members, *Work to add Lesbian, Gay, Bisexual and Transgender inclusive language in TCOA created forms, documents and client materials, * Utilize the social media and the TCOA website to counter negative stereotypes associated with aging, * Explore partnering with community organizations to expand kinship care services in the tri-county area as a means to expand the program, Printed On:6124/2014 ANNUAL MU LITI YEAR IMPLEMENTATION PLAUtttca NS of s�ia 2014-2016 Tri-County Office on Aging FY: 2015 4. A description of planned special projects and partnerships. *Capital Area Collaborative for Care Transitions: Attend meetings with this cross-provider collaborative to reduce unnecessary hospital readmissions. Work with CMS, local hospitals and community providers on the Capital Area Community-Based Care Transitions Program to reduce hospital readmissions for high-risk Medicare beneficiaries by 20%. -Work to expand the Capital Area Community-Based Care Transitions Program to include payers other than CMS, Ingham County Health Department-Continue to partner with the Ingham County Health Department on the Michigan Pathways to Better Health innovations gra%through the Centers for Medicare and Medicaid Services to use Community Health Workers to work with high-usage Medicare beneficiaries in Ingham County to,improve enrollees' heaIth,Jncre.R6e UtIIIZatIQ0 of primary care services and decrease the cost of health care. ADRC Capital Area Partnership and the Long Term Care Collaborative-Work with the ADRC-Capltal Area Partnership to implement the policies and procedures that have been created for the local ADRC and outreach to community members about the ADRC-Capital Area Partnership. Medicare/Medicaid Assistance Program—Continue to partner with Capital Area Community Services to provide MMAP services In the tri-county area. Recruit and train new MMAP volunteers including using social media and outreach to obtain new volunteers to keep up with growing demand from the changing health care system, 5.A desdription of specific management Initiatives the area agency plans to undertake to achieve Increased efficiency in service delivery. TCOA Is continually searching out methods to improve efficiency and save money. Some ways the agency Is working on Improving efficiency Include: • Careful shopping of all agency purchases and holding off on non-essential purchases • Negotiating better contract with vendors • Researching alternative vendors TCOA also has recently completed a change In financial institutions that has resulted In a significant savings in service charges and has the benefit of improved services that have increased staff efficiency, The new banking institution has also proven to be a valuable community partner by donating services at agency activities, providing volunteers to deliver meals for the Meals on Wheels program and to serve on several event planning committees. 6.A description of how the area agency's strategy for developing non-formula resources, including utilization of volunteers,will support Implementation of the AIR, Each year over 1,900 Individuals volunteer with TCOA and contribute over 59,000 hours of service,These hours are the equivalent of over 28 full time employees, TCOA's Meals on Wheels program could not run t without the generosity of these volunteers. The local Medicare/Medicaid Assistance Program also is a beneficiary of many of these service hours and was able to assist over 1,900 tri-county residents last year because of this support, Finally, TCOA supplements its state and local funding with grant writing and fundraising activities throughout the year. These activities help to pay for additional client services and office supplies and equipment that the agency could not otherwise afford, Printed On:6/24/2014 ANNUAL MULTI YEAR IMPLEMENTATION T: ` ION PLAN osa 2014-2016 otttco o$s1wRof,as the Ag ma Trl-County Office on Aging FY: 2015 Public Hearings In order to gather information regarding the needs of older adults In the PSA,the Area Agency must employ a strategy for gaining Input directly from older persons throughout the PSA,The strategy should involve multiple methods and may Include a series of Input sessions,.use of social media, on-line surveys,etc. .. At least one public hearing on the FY 2016 AID'must be held In the PSA.The heairlhd must'be held In an accessible facility. Persons need not be present at the hearing in order to provide testimony; e-mail and written testimony must be accepted for at least a thirty (30) day period beginning when the summary of the AIP is made available. The public hearlrig notice sh94ld.b_.e available afleast ;.' . 4hirty`(30) hearing.This notice must indicate the availability of a summary of the AIP at least fifteen(16)days prior to the hearing,and Information on how to obtain the summary. Persons who should be notified of the public hearing Include,elected officials,service providers, older adults, Native Americans both on and off reservation, and the general public. All components of the AIP should be available for the public hearings. Complete the chart below regarding your public hearings. include the date;time;;'number of attendees and the location and accessibility of each public hearing..Please scan any written testimony as a PDF and upload on this tab.A narrative description of the public Inpuf strategy aiid :.- hearings Is also required, Please describe the strategy/approach employed.to encourage public attendance and testimony'on the Area Plan. Describe all methods used to gain public Input and the resultant impact on the Area Plan. Gate Location Time Is Barrier Free No of Attendees 06/12/2014 Tri-County Office on Aginq, 63 01M PM Yes 26 Narrative: This section will be completed following the public hearing on June 12, 2014 at 1 PM, Printed On:6/24/2014 i i rl6VNNUAL & MULTI YEAR IMPLEMENTATION PLAN osa 2014-2016 0 0 fat SOWL10 co the AQ1410 Tri-County Office on Aging FY: 2016 Scope of Services Describe changes from the approved FY 2014-2016 MYP, If any,to the AAAs priorities for addressing identified unmet needs within the PSA for FY 2016. When a customer desires services not funded under the AiP/MYP or available where they,live,describe the options the Area A enc offers. 1. Describe changes from the approved FY 2014-2016 MYP, if any,to the AAAs priorities for addressing Identified unmet needs within the PSA for FY 2016. -... Priorities have not changed sine the FY 2014-2016 MYP' 2.When a customer desires services not funded under the AIP/MYP or available Where they live, describe the options the area agency offers. Every request that is made to TCOA is addressed using a person-centered process. Staff members work with individuals to ascertain their needs and wants and work to find a way to fulfill there. Not every service needed or requested can be funded or provided by TCOA. In order to better assist individuals, TCOA has an active Information and Assistance program and Community Resource Directory that can help connect individuals with the programs and services requested. Additionally,TCOA staff work closely with staff members in other organizations and agencies to more efficiently utilize resources and cross-refer between programs. Finally,when a person Is looking for more in-depth assistance, TCOA employs an Options Counselor that is available to work with the individual, and the support persons of their choice, to create a person-centered plan. Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa - 2014-2016 Drrta of SONT00f.W t,a Aroma Tri•County Office on Aging FY; 2016 Planned Service Array Complete the FY 2016 Planned Services Array form for your PSA.Indicate the appropriate placement for each OSA adopted service category and proposed Regional Service Definition(s).: Unless noted otherwise,services are understood to be available PSA wide. Access In-Home Community Provided by Area Agency •Care Management •Home Delivered Meals •Congregate Meals •Case.Coordination and •Disease Prevention/Health Support Promotion Information and-Asslstanc?.. Caregiver Educationf,Support= Outreach and Training Contracted by Area Agen •information and Assistance •Chore •Adult Day Services •Transportation •Home Care Assistance •Disease Prevention/Health •Home Injury Control Promotion •Homemaking •Homo Repair •Home Health Aide •Legal Assistance Medication Management •Long-term Care •Personal Care Ombudsman/Advocacy •Assisitive Devices& •Programs for Prevention of Technologies Elder Abuse,Neglect,and •Respite Care Exploitation •Counseling Services •Kinship Support Services Participant Private Pay •Transportation •Chore •Adult Day Services •Home Care Assistance •Nutrition Counseling •Home Injury Control •Nutrition Education •Homemaking •Health Screening •Home Health Aide •Assistance to the Hearing •Medication Management Impaired and Deaf •Personal Care •Home Repair •Assisitive Devices& •Legal Assistance Technologies •Vision.Services Respite Care Funded by Other Source •Disaster Advocacy and • Friendly Reassurance •Disease Prevention/Health Outreach Program Promotion •Assistance to the Hearing Impaired and Dear •Home Repair •Legal Assistance •Senior Center Operations •Senior Center Staffing •Programs for Prevention of Elder Abuse,Neglect,and Exploitation •Klnsh.ip Support Services *not PSA-wide Printed On:6/24/2014 AO' NNUAL & MULTI YEAR IMPLEMENTATION PLANS lto- osa - 2014-2016 O t o U1 SaY+ tad&ca XKO R gtiyq �xsaa�rwrma+xw�mn+mn.ne�x�m,�,«w.n,. ,.�maaar.,man„+�,�rv�...waxe�n.ww�w..ru.+,an:rawna, Tri-County Office on Aging FY: 2016 Targeting Describe changes for FY 2016,If any,to the Area Adency`s targeting strategy for the MYP cycle, . including planned outreach efforts with underserved populations. if none;mark'NA' in the provided dialog box. If there are changes, indicate in the provided dialog box,how specific goals or targets will be addressed In FY 2016. 1. Describe the Area Agency's targeting strategy,for services to be provided under the Area Plan for the MYP cycle Including planned outreach effortsJor underserved populations. in the Region 6..plar>tfing and service area.(Clinton., Eaton:and Ingham Counti0s.).s �rarai.populctions.have y been identified as being underserved. These populations include racial minorities, non-English speaking individuals, and caregivers caring for individuals with Aizheimer's disease or dementia. In order to better serve racial minorities and non-English speaking individuals, TCOA conducted a Request for Proposal process in early Fiscal Year 2013 to contribute toward the start-up costs for a new adult day services and wellness program for minority individuals and non-English speaking individuals, The program selected is located in central Lansing, is minority owned and employs staff members who speak multiple languages. In Fiscal Year 2014, this program became an annual contractor with TCOA. During Fiscal Years 2015 and 2016, TCOA plans to work with this new program to expand its community presence and the services it provides. Additionally, TCOA has a longstanding history of partnering with.Cristo Rey Community Center to provide Spanish speaking Information o&Assistance services to the Local Hispanic i Community. In order to better serve nonprofessional caregivers who are caring for loved ones with Alzheimer's Disease and dementia, TCOA would like to work with local adult day services programs to expand the ability to provide respite services for individuals with these diagnoses. Currently, there are no adult day services programs in the tri-county area that serve individuals with middle to late stage Alzheimer's Disease. During Fiscal Years 2015.2016, TCOA would like to work with current providers to help them access further resources and training on Alzheimer's Disease and dementia for their program staff, With the proper training and resources, these organizations may be able to expand their programs to serve these Individuals and provide respite to families with limited resources. 2. Identify the specific goals oir targets that have been developed for service contracts for the MYP cycle. The Request for Proposal Process for the 2014-2016 MYP was updated from previous planning cycles. Applicants were required to include information on how they will target providing services and programs to underserved populations, They also were required to answer whether they provide serves in multiple languages. Another addition was a section that gave applicants the opportunity to explain additional certifications and trainings their staff have received to improve their quality of service. These efforts have resulted in TCOA contracting with more organizations that have bilingual and minority staff members. Printed On:6/24=14 i i ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 OfftCr Of Sa"ry M to 014 AW14 Tri•County Office on Aging FY: 2015 Regional Service Definitions If the Area Agency is proposing to fund a service category that is not included in the Operating Standards for Service Programs or the approved FY 2014.2016 MYP,information about the proposed service category must be included under this tab. If a Regional Service Definition has been 2reviously a roved, enterthe sarvlce name aril hid cake : .. whether the service is Access, In-home, or Community, Please include the wards"previously a j2r�ojvyepdy" in the d,lalog box provided for minimum standards. . , 7'�i .'f C Acc ss ( Title lti F' t tB" 0 Title iti F'arfi7' 0' Title 111 PsrtE Comprehensive 0 In-Home 0 Title VII 0 State Alternative Care 0 State Access Community Support 0 Community 0 Services-Per 15 State In-home 0 State Respite minutes 0 Other Service Definition Community Living Supports -Community Living Supports facilitate an individuals independence and promote reasonable participation in the community. Community Living Supports can be provided in the participant's residence or in community settings as necessary in order to meet support and services needed sufficient to meet nursing facility level of care needs, (Previously approved in the 2014-2016 Multi-Year Plan Minimum Standards Minimum Standards for Traditional Service Delivery 1. Each direct service provider must have written policies and procedures compatible with the"General Operating Standards for Waiver Agents and Contracted Direct Service Providers,"and minimally, Section A of the"General Operating Standards for M►Choice Waiver Service Providers," 2, Community Living Supports (CLS) include: a. Assisting, reminding, cueing, observing, guiding and/or training in the following.activities: (i) meal preparation; (11) laundry; (III) routine, seasonal, and heavy household care and maintenance; (iv) activities of daily living such as bathing, eating, dressing and personal hygiene and, (v) shopping for food and other necessities of daily living. b. Assistance, support, and/or guidance with such activities as: (1) money management; (ii) non-medical care (not requiring nursing of physician intervention); (Ili) social participation, relationship maintenance, and building community connections to reduce personal Isolation; (iv) transportation (excluding to and from medical appointments)from the participant's residence to community activities, among community activities, and from community activities back to the participant's residence; (v)participation in regular community activities incidental to meeting the individual's community living preferences; (vi) attendance at medical appointments and, (vii) acquiring or procuring goods and services necessary for home and community living., c, Reminding, cueing, observing and/or monitoring of medication administration. d. Staff assistance with preserving the health and safety of the individual in order that he/she may reside and be supported In the most integrated independent community setting. 3. When transportation Incidental to the provision of CLS is included, the Area Agency on Aging shall Printed Can:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 WIWO.0t SOMCCIs to tho Aging Tri-County Office on Aging FY: 2016 not also authorize it as a separate service for the participant.The Medicaid state plan covers transportation to medical appointments through the Department of Human Services and the Area Agency on Aging shall not authorize the same as a component of CLS. 4. CLS does not include the costs associated with room and board, G.The Area Agency on Aging shall authorize CLS when necessary to prevent the Institutionalization of the participant served, 6. The Area Agency on Aging cannot provide CLS in circumstances where the service duplicates services available under the Medicaid state plan, through the MI Choice waiver, or elsewhere. When more than one service Is included in the participant's plan of care, the Area Agency on Aging must clearly distinguish services by unique hours and units approved. 7. Individuals providing CLS must be at least 18 years of"age, have the ability to communicate effectively.bojh-orally.and In wrItIngjripd .[low instructions...fq 8. Members of a participant's family may provide CLS to the participant. However;4Area Agency on Aging shall not directly authorize CLS funds to pay for services furnished to a participant by that person' 8 spouse 9. Family members who provide CLS must meet the same standards as providers who are unrelated to the individual. 10, The Area Agency on Aging and/or provider agency must train each worker to properly perform each task required for each participant the worker serves before delivering the service to that participant. The supervisor must assure that each worker can competently and confidently perform every task assigned for each participant served. 11. When the CLS services provided to the participant include tasks specified In 2.aJ, 2.a,li, 2.a,lil, 2.a.v, 2.b.i, Zb,ili,2.b.v, 2,b.vi, 2.b.vil, or 2.d above, the individual furnishing CLS must have previous relevant experience or training and skills in housekeeping, household management, good health practices, observation, reporting, and recording information. Additionally, skills, knowledge, and/or. experience with food preparation, safe food handling procedures, and reporting and identifying abuse and neglect are highly desirable. 12. When the CLS services provided to the participant Include tasks specified in 2.a.iv, 2.b.0, 2,0 and 2.d above, the direct service providers furnishing CLS must also: a. Be supervised by a registered nurse(RN) licensed to practice nursing In the State of Michigan, At the state's discretion, other qualified Individuals may supervise CLS providers. The direct care worker's supervisor shall be available to the worker at all times the worker is furnishing CLS services. b, Develop in-service training plans and assure all workers providing CLS services are confident and competent In the following areas before delivering CLS services to program participants, as applicable to the needs of that participant: safety, body mechanics, and food preparation Including safe and sanitary food handling procedures, c, Provide an RN to Individually train and supervise CLS workers who perform high.-level, non-Invasive tasks such as maintenance of catheters and feeding tubes, minor dressing changes, and wound care for each participant who requires such care, The supervising RN must assure each workers confidence and competence In the performance of each task required, d. Be trained in first aid and cardio-pulmonery resuscitation. e, It Is strongly recommended that each worker delivering CLS services complete a certified nursing assistance training course. 13, Each direct service provider who chooses to allow staff to assist participants with self-medication, as described in 2,c above, shall establish written procedures that govern the assistance given by staff to Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa Qn1"*V4K"WW1rA%%9W=XMV*1WA==M, - 201.4-2016 00(co rat sovktA to tho AV41 0 .r+wwua warwwu�aauw aw.wrwnwwrmran ,Qawaemwmuarm�auawvmwewwxrt�muaamuumusmw,mnrrwa� Tri-County Office on Aging FY; 2015 participants with self-medication. 'These procedures shall be reviewed by a consulting pharmacist, physician, or RN and shall include, at a minimum; a. The provider staff authorized to assist participants with taking their own prescription or over-the-counter medications and under what conditions such assistance may take place. This must include a review of the type of medication the participant takes and its Impact upon the participant. b. Verification of prescription medications and their dosages. The participant shall maintain all medications In their original, labeled containers. c. Instructions for entering medication information in participant files. d. A clear statement of the participant's and partipant's family's responsibility regarding medications taken by the participant and the provision for informing the participant and the participant's family for the provider's procedures and responsibilities regarding assisted self-administration of medications 14.. When the CLS services provided to the participant include transportation described,)n-2.b.iv and 3 . above, the follbWing stand'ards`«ipi lly a. Area Agency on Aging may not use funding to purchase or lease vehicles for providing transportation services to participants. b. The Secretary of State must appropriately license and inspect aill drivers and vehicles used for transportation supported all or In part by CLS funds. The provider must cover all vehicles used with liability insurance, c. All paid drivers for transportation providers supported entirely or in part by CLS funds shall be physically capable and willing to assist persons requiring help to and from and to get in and out of vehicles. The provider shall offer such assistance unless expressly prohibited by either a labor contract or insurance policy. d, The provider shall train all paid drivers for transportation programs supported entirely to In part by CLS funds to cope with medical emergencies, unless expressly prohibited by a labor contract or insurance policy. e. Each provider shall operate in compliance with P.A. 1 of 1985 regarding seat belt usage. Minimum Standards for Self-determination Service Delivery 1. When authorizing Community Living Supports(CLS)for participants choosing the self-determination option, Area Agencies on Aging must comply with items 2.6 of the Minimum Standards for Traditional Service Delivery specifed above. 2. Each chosen provider must minimally comply with Section C of the"General Operating Standards for MIChoice Waiver Service Providers." 3, Each chosen provider furnishing transportation as a component of this service must have a valid Michigan driver's license. 4. When the CLS services provided to the participant include tasks specified in 2.a.i, 2,a.ii, 2.a.iii, 2.a,v, 2.b,iii, 2.b.v, 2.b.vi, 2.b.vil, or 2,d above, the individual furnishing CLS must have previous relevant experience or training and skills in housekeeping, household management, good health practices observation, reporting,and recording information. Additionally, skills knowledge, and/or experience with food preparation, safe food handling procedures, and reporting and Identifying abuse and neglect are highly desirable. 5, When the CLS services provided to the participant include tasks specified in 2,a.iv, 2.b.11, 2.c and 2,d l above, the individual furnishing CLS must also be trained in cardiopulmonary resuscitation. This training i may be waived when the provider is furnishing services to a participant who has a"Do Not Resuscitate" order, t x i t Printed nn; 6/24/2014 t t ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 OM4 0 Of BWXmNW 10 thn A3141Y9 Tri-County Office on Aging FY; 2016 Rationale(explain why activities cannot be funded under an existing service definition) This service provision will facilitate the seamless delivery of supports and services to clients regardless of the Rayment source being used. 1Y 44 M�� .+* 4 r ... .�t:x3..._.,a 9 .tr:; _ n .1: 11:*: ❑ Access ❑ Title ill PartB ❑ Title 111 PartQ ❑ Title III PartE Each Unit Equals ❑ In-Home ❑ Title V►I ❑ State Alternative Care ❑ State Access One individual ❑' Community ❑ State In-home 0 State Respite Served ❑ Other .3—erv.ice Definition,: Crisis Services for the Elderly-Assistance paying for a utility bill or emergency prescription assistance with a maximum of$200 spent per unduplicated client each fiscal year. (Previously Approved in the 2014-2016 Multi-Year Plan Minimum Standards 1. This service will provide assistance to individuals sixty years of age and older living in Clinton, Eaton or Ingham counties. 2. Program staff shall assess each request for assistance through the Crisis Services for the Elderly process by obtaining name, address, phone number, utility bill information and other resources the individual has approached for assistance. 3, The program shall maintain linkages with Information and Assistance programs, utility companies, local Department of Human Services and other local agencies that provide assistance for utilities. 4. The program shall develop a network of community resources to refer individuals to when other needs are identified. 6. Program staff shall be knowledgeable of community resources and have the ability to share Information in a manner which empowers individuals and/or their family. Rationale(explain why activities cannot be funded under an existing service definition) This program Is designed to assist individuals in facing non-medical emergencies, specifically prescription and utility crises. Assistance is limited to a maximum of$200 per person per year and Individuals never directly receive money. This program serves a vital role in helping to keep Individuals living in the community and does not:fit with any current OSA service definitions. Curing the 2012 FY over 500 individuals were serveddb r this program Printed On:6/24/2014 NN AL & MULTIYEAR IMPLEMENTATION PLAN' Osa - 2014-2016 C,dt►tao of 9,H'dk"to tho fthw .arnvrnera+arwnnrnwnmaronr.�w.�uxiwwrouns+ � Tri-County Office on Aging FY: 2016 Access Services Some Access Services may be provided to older adults directly through the Area Agency without a service provision request. These services Include; Care Management, Case Coordination and Support, Disaster Advocacy and Outreach Program, Information and Assistance, Outreach,and MATE Transportation. If the Area Agency is planning to provide any of the above noted access servlcds directly during.FY 2015,complete this tab. place a checkmark in the box next to the name of,each service the Area Agency plans to provide directly during 2016 and provide the Information requested.Also specify the planned goals and activities that will be undertaken to provide the service In the appropriate.text box for ea tt ei ioe-cbtegor , 'A twoMpage D edt'aervide Budget Delta I for FYY 2015(found Ih the Document Library) must be completed for each access service to be provided and,:uploeded,under the Budget and Other Documents tab. Case Coordination and Support Starting Date 10/01/2014 Ending Date 09/30/2015 Total of Federal Dollars $4.086.00 Total of State Dollars $15,000.00 Geogr@phicarea to be served; Case coordination and support will be provided in Clinton, Eaton and Ingham counties Specify Sppcify the pignned goal§and activities that will be a dertaken to prgy1de t e service. 1. Provide Case Coordination and Support services to a minimum of 56 clients in Region 6 from 10/01/14 through 9/30/16, 2. Conduct assessments for all new clients and reassessments every 6 months for a minimum of 55 clients from 10/01/14 through 9/30/15. 3. Secure and monitor appropriate in-home services from 10/01/14 through 9/30/16, 4, Refer clients to other services as needed from 10/01/14 through 9/30/15. 5, Adhere to all minimum standards from 10/01/14 through 9/30/15. Expected Outcome: Individuals not eligible for Horne and Community Based Waiver(Project Choices)will have assessments and services to assist them In remaining in the home of their choice, 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 10/01/2014 Ending Date 09/30/2015 Total of Federal Dollars $15.687.00 Total.of State Dollars $0.00 Geo ra hic are@ to be se gd: Information and Assistance will be provided in Clinton, Eaton and Ingham counties. Printed On;6/24/2014 � f { JAWNNUAL & MULTI YEAR IMPLEME NTATION PLANS osa — 2014-2016 ff Ytt�aknifto Tri-County Office on Aging FY: 2015 Soeclfv the planned ggals and,gctivi-tie )rovIde the service, .-a.1hat.Vill tp un�ertaken to p 1. Provide I&A services to a minimum of 2,000 older adults, family members or community members each fiscal year. 2. Secure signed contracts for general I&A services that were selected through a Request for Proposal process by 9/30/2016, 3. Monitor I&A contracts with service providers for compliance, including person centered thinking, annually. 4, Monitor th n.p u m her of individuals assisted.through.I&A, including individuals whp pre considered minority, each quarter. 6. Provide Caregiver I&A services to a minimum of 100 caregivers each fiscal year. 6. Refer caregivers to identified services through a person centered process during FY 2015-2016, 7, Adhere to all O$A minimum standards. f Expected Outcomes: 1, There will be a more Informed population through Information and Assistance services available In Clinton, Eaton and Ingham counties, 2.Caregivers will seek needed assistance to reduce the stress associated with their caregiving role. Outreach Starting Date 10/01/2014 Ending Datp 09/30/2016 Total of Federal Dollars $8.696-00 Total of State Dollars $24,952.00 Geoc graphic area to be served: Outreach will be provided In Clinton, Eaton and Ingham counties. Specify the planned goals and activities that will be undertaken to pEpvide the service. 1. Provide outreach services to a minimum of 600 Individuals sixty years of age and older living In Clinton, Eaton and Ingham counties each fiscal year, 2, Provide a minimum of 16 presentations to senior, caregiver or community groups regarding agency services each fiscal year. 3. Participate in a minimum of 10 planning meetings regarding disaster preparedness each fiscal year, 4. Participate in a minimum of 6 health and information fairs in the community each fiscal year, Expected Outcomes: 1. Greater community awareness of TCOA resources for older adults, their family members and agencies Printed On:6/24/2014 A NNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 WACO Of SVYk,20 to thO NOMA Tri-County Office on Aging FY: 2015 that assist older adults and persons with disabilities, 2. TCOA will be more prepared to assist the community in case of emergency and/or disaster, $. Older adults with utility or prescription crises will have access to assistance with paying utility bills through the Crisis Services for the Elderly program. . 4, Kinship caregivers will be better equipped to handle caregiving responsibilities by alleviating caregiver burn out, Care Management ic 09/30/201-b" IN ndIr, -L M Total of Federal Dollars $0.00 Total of State Dollars $215,913.00 Geograghic area to be served: Care Management will be provided in Clinton, Eaton and Ingham counties, S pec'fyr the p1pon ed q oal§ and activities that II be n e entQ,p. rovide the sgrvlcp,, 1, Provide Care Management services to a minimum of 160 clients In Region 6 from 10101114 through 9/30/15. 2. Conduct a minimum of 100 initial assessments from 10/01/14 through 9/30/16. 3, Develop a minimum of 80 care plans from 10/01/14 through 9/30/16. 4. Conduct reassessments every 3 months on all active clients or every 6 months if a client is on maintenance from 10/01/14 through 9/30/15. 5, Arrange and monitor services as needed from 10101114 through 9/30/15, 6.Transition eligible Care Management clients to the MI Choice program as funding allows from 10/01/14 through 9/30/15, 7.Comply with all minimum standards and quality assurances from 10101114 through 9/30/15, Expected Outcome: A minimum of 160 Individuals will be able to remain in their own home. There will be a seamless system for older adults going from Case Coordination and Support to Care Management, Number of client pre-screenings: Current Year: 500 Planned Next Year, 500 Number of Initial client assesments: Current Year: 100 Planned Next Year: 100 Number of initial client care plans,. Current Year: 80 Planned Next Year-, 80 Total number of clients (carry over Current Year: 160 Planned Next Year: 160 plus new): Staff to client ratio(Active and Current Year: 38 Planned Next Year: 38 maintenance per Full time care Printed On-,6/24/2014 AN N UAL & MULTI LTI YEAR IMPLEMENTATION PLANS osa 2014-2016 pfi e lad saNIM to the AVing rx»+n..wr.MxmrunrM..a w�n+�.'+w+' ermumava.nw+»wwo«vma.amuarcw,.xv ,�„ Tri-County Office on Aging FY: 2015 Direct Service Request It is expected that in.-home services, community services and nutrition services will be provided . under contracts with community-based service providers. However,when appropriate,a service provision request may be approved by the State Commission on Services to the'Aging. .Service . provision is defined as "providing a service directly to a senior,such as preparing meals, doling chore services,or working with seniors in an adult day setting". :Service.provision by the area agency may be appropriate when In the judgment of OSA: (1) provision Is necessary to assure an adequate supply; (2)the service Is directly rotated to-,the area agency's administrative funotldrrs (3)a service can be provided by the area agency more economically than any available contractor, ` A arid" thv6mpaeabie quality:- AsA4', t-request to provide an ln�hom,v service;community serv!c and/or a nutrition service must complete the section below for each service category. Please place a mark in the box next to the appropriate service name and enter the 16forrnation requested pertaining to basis,justification,.and public hearing discussion for any new(not already approved with the FY 2014-2016 MYP) Direct Service Request for FY 2016. A Work Plan and two page Budget Detail for FY 2016 are required to be completed for each service provided directly,even If already approved with the FY 2014.2016 MYP.Work Plan and budget forms to be completed are located In the Document library and are to be uploaded under the Budget and Other Documents tab. I Please skip this flab if the Area Agency does not plan to provide any In-home,community;or. nutrition services directly during FY 2016, Caregiver Education, Support and Training I: Total of Federal Dollars $7,686.00 Total of State [dollars $0.00 i Geographic area to be served: Region 6, Clinton, Eaton and Ingham Counties Section 307(a)(8)of the Older Americans Act provides that services will not be provided directly by i. an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request(more than one may be selected), (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. i (B)Such services are directly related to the Area Agency's administrative functions. (C) Such services can be provided more economically and with comparable quality by the Area Agency. i The Creating Confident Caregivers curriculum is one of the most popular evidence based disease prevention programs in the planning and service area. This program meets the needs of a population of caregivers that no other evidence based disease prevention program in the area does. The direct provision Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Tri-County Office on Aging FY: 2016 of this service is necessary to assure that there is an adequate supply of this program in PSA 8 during FY 2015. Provide a detailed justification for the service provision request.The justification should address pertinent factors that may Include: a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services, or a description of the area agency's efforts to develop additional capacity among existing providers of such services. If the service is considered part of administrative activity,describe the rationale and authority for such a determination. Region 6 AAA has been providing Creating Confident CaregIvers classes under a statewide grant since 2008. Currently, the agency has three Creating Confident Caregivers Trainers capable of teaching classes. One of these trainers is,also working.pri achieving hQr.Mp%p-r.Tralner gertlftcatloni-.Slooe tbo-s-tatewide epte' d Ike to-grant expired on'$ mber 30, 2012)* TCOA would continue to provide these classes using Title IIIE funding in FY 2015. Describe the diseveslon, If any,at the public hearings related to this request. Include the date of the hearing(s). This direct provision was granted last year during the 2014-2016 MYP, The direct provision of Caregiver Education, Support and Training by providing Creating Confident Caregivers/SAVVY Caregiver classes was included in each of the two public hearings discussing the FY2014-2016 Multi-Year Plan as well as the public hearing for the FY 2015 Alin. Congregate Meals Total of Federal Dollars $498,198,00 Total of State Dollars $7,909.00 Geographic area to be served; Region 6: Clinton, Eaton and Ingham Counties Section 307(a)(8)of the Older Americans Act provides that services will not be provided directly by an Area Agency on Aging unless, In the judgment of the State agency, It Is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request(more than one may be selected). (A) Provision of such services by the Area Agency Is necessary to assure an adequate supply of such services. (B) Such services are directly related to the Area Agency's administrative functions. (C)Such services can be provided more economically and with comparable quality by the Area Agency. This provision is necessary to assure an adequate supply of congregate meals in Region 6. Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION' '�(�P �.''yiIS osa �� r r..wua n '" 2014-2016 Tri-County Office on Aging FY: 2016 Provide a detailed Justification for the service provision request.The Justification should address pertinent factors that may include: a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services. If the service Is considered part of administrative activity,describe the rationale and authority for such a determination. Tri-County Office on Aging has actively sought other providers to administer the Congregate Nutrition Program by putting out a Request for Proposal for providing this service every three years and no one has answered the requests. Michigan Office of Services for- p Aging asked TCOA to assume the Congregate Nutrition Program, therefore, TCOA has assumed the role. D6scribe-th6 disci stilbn 4f�any, at the public hearli ijis-r-aiuted.to.this-request. Inel6do the:date of the hearing(s). During the public hearings an overview of the Multi-Year Plan was presented to attendees. It was stated I that a Request for Proposal process coincides with the multi-year plan and which programs would be part of the Request for Proposal. This included stating that the Congregate Meal Program was included in this, E No questions or comments were made by attendees regarding this topic. During the Request for Proposal process no organization submitted an application to provide Congregate Meals. Home Delivered Meals Total of Federal Doilars $325.111.00 Total of State Dollars $286A58.00 i Geographic area to be served: P Region 6: Clinton, Eaton and Ingham Counties I' Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by r an Area Agency on Aging unless, In the judgment of the State agency, it is necessary due to one or more of the three provisions described below.Please select the basis for the services provision request(more than one may be selected). (A) Provision of such services by the Area Agency is necessary to assure an adequate supply of such services, (8) Such services are directly related to the Area Agency's administrative functions. I (0) Such services can be provided more economically and with comparable quality by the Area Agency. l I This provision Is necessary to assure an adequate supply of home delivered meals in Region 6. j I I i i i i i i Printed On:6/24/2014 I I I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 ONO*1 SOVtOt 00 thh AMU Tri-County Office on Aging FY: 2016 Provide a detailed justification for the service provision request. The justification should address pertinent factors that may include: a cost analysis, needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area agency's efforts to develop additional capacity among existing providers of such services, It the service is considered part of administrative activity,describe the rationale and authority for such a determination. TCOA has been providing Home Delivered Meals since 1976. To date, Home Delivered Meals has never had a waiting list, we receive local donations and other In-kind supports to help maintain this program. TCOA has actively sought out other providers by putting out a Request for Proposal for this program every three years and no one has answered the request. Michigan Office of Services to the Aging has asked TCOA to as y c�.trY Horne-Delivered.Meaka:pa grarr,�, therefore, TCOA hay assurned the role; - Describe the discussion, if any,at the public hearings related to this request.include the date of the hearing(s), During the public hearings an overview of the Multi-Year Man was presented to attendees. It was stated that a Request for Proposal process coincides with the multi-year plan and which programs would be part of the Request for Proposal, This Included stating that the Home Delivered Meals program was included in this. No questions or comments were made by attendees regarding this topic. During the Request for Proposal process no organization submitted an application to provide Home Delivered Meals. l i i Printed on:6/24/2014 a ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa - 2014-2016 OfCt o of s rvtcma ea tha A�tYfp Tri-County Office on Aging FY: 2016 Regional Service Request It Is expected that regionally defined services will be provided under contracts with community-based service providers. However,when appropriate,a Regional Service Provision request may be approved by the Michigan Commission on Services to the Aging, Regional service provision by the area agency may be appropriate when in the judgment of OSA,,(1) provision Is . necessary to assure an adequate supply; (2)the service is directly related tii'ih:' area agency's administrative functions; or,(3)a service can be provided by the area agency.more'®aoriarnicaily than any available contractor and with comparable qual". Area agencies that request Us_provide a . regional service must complete this tab for each service category. Please place a mark In'the box next to the appropriate service name and'i6rA6Vthdjf forrrtat�dni requested pertaining to basis;justification and public hearing discussion for any"new(not already' approved with the FY 2014.2016 MYP)regional service request for FY 2016. i A Work Plan and two-page budget detall for FY 2016 are required to be completed for each regional service provided directly, even if already approved with the FY 2014.2016 MYP. The Work Plan and budget forms to be completed are located In the Document library and are to be uploaded under the Budget and Other Documents tab. i Please skip this tab if the Area Agency is not planning on providing any regional services directly.. :.: LdU ring FY 2016. Crisis Services For The Elderly Total of Federal Dollars $14,324,00 Total of State Dollars $4,041.00 Geographic area to be served: Region S; Clinton, Eaton and Ingham Counties Section 307(a)(8)of the alder Americans Act provides that services will not be provided directly'by an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or more of the three provisions described below. Please select the basis for the services provision request(more than one may be selected). (A)Provision of such services by the Area Agency Is necessary to assure an adequate supply of such services. (B)Such services are directly related to the Area Agency's administrative functions, (C)Such services can be provided more economically and with comparable quality by the Area Agency. Crisis Services for the Elderly is a twenty-four hour hotline for seniors with non-medical emergencies designed to help older adults resolve problems in times of crisis, For this program, a crisis is defined as a situation an older adult encounters that needs an immediate response for which the client sees no clear or obvious resolution. CSE is available to older adults in the planning and service area age sixty or older. There is also an energy assistance component to the Crisis program which serves seniors in all of Clinton, Printed On:6124/2014 i ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Tri-County Office on Aging PY; 2016 Eaton and Ingham counties who have received a utility shut-off notice, or who heat their homes with deliverable fuel and in a crisis situation. For the last several fiscal years this program has served over 400 seniors In crisis annually. It Is projected that this program will continue to grow and serve more seniors as the need grows, Additionally, as more assistance season restrictions are being placed on government agencies, Crisis Services for the Elderly has seen increased demand In individuals seeking help with no other agency resources available. In order to assist the number of individuals with these urgent needs, the Area Agency needs to continue to provide this service. Provide a detailed justification for the service provision request.The justification should address pertinent factors that may Include:a cost analysis; needs assessment; a description of the area agency's efforts to secure services from an available provider of such services; or a description of the area qgpcy's efforts to dev-q!pp capacity arriqngodsting providers of such - services.1f the service is considered part of administrative activity,describe the rationale and authority for such a determination. A-Provision of such services by the Area Agency is necessary to assure an adequate supply of such services. Describe the discussion, If any, at the public hearings related to this request. Include the date of the hearing(s). This service provision was granted at part of the 2014-2016 MYR it was discussed as part of the Multl-Year Plan public hearings. Additionally, it was discussed as part of the public hearing held for the 2015 AIP on June 12, 2014. Printed On:6/24/2014 ANNUAL & MULTIYEAR IMPLEMENTATION PLANS osa 2014-2016 OMCO&"IV104 00 tha ASlalrg . ..m.Nmmv�rw+.nMu+.a�.wowa,u.,.rsnoun. �, Tri-County Office on Aging FY: 2016 Program Development Objectives For FY 2016, please provide Information for all program development objectives that will be Actively addressed during the fiscal year.This may include objectives previously presented in the MYP for fiscal years 2016 and/or 2016 as well as any new objectives, or activities, proposed by the Area Agency, Please identify for each objective the following: 1. The State Plan goal, If appropriate, that the objective relates to. 2. Staff positions and time to be allocated to the objective(expressed as total Fri°s'per 6bjoetive):--- 3. The desired outcome. I Program Development Objectives related to either state or red lonal goals are to'be included under this tab..A separate,cumulative program development narrative is no longer required. However, a .: narrative for each oWective is expected. State Plan Goal: Goal 1 --Work to improve the health and nutrition of older adults AAA Response: i Improve the quality of food provided through Meals on Wheels while maintaining low meal costs. C. Duonodono -Nutrition Director-80 hours-$2640 from Nutrition funding. Timeline: FY 2016-2016 l c#ivities: -Seek alternatives to current supply vendors to save money and improve the quality of ingredients i purchased, - Research the possibility of establishing a frozen meal pantry for Meals on Wheels clients. Expected Outcome: Clients will have access to a variety of high-quality meals through the Meals on Wheels program while the program maintains a low cost per meal. ar ative It Is important to regularly assess both client satisfaction with the quality of food being served through Meals on Wheels and the cost of preparing those meals, This is especially true as the cost of food and supplies continues to rise as the economy shifts, j State Plan Goal: Goal 2 i --Ensure that older adults have a choice in where they live through increased access to information and Printed On:6/24/2014 i I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 6hMO 4f WYkOx Cry the AfJ1119 Tri-County Office on Aging FY: 2016 services AAA Response: Qb'ec ive: Work with the ADRC-Capital Area Partnership to outreach to local seniors, persons with disabilities and care providers about the ADRC-Capital Area, I and A Speoiallst-50 hours-$1050 from State Aging Network funding Timeline, FY 2016-2016 - Include ADRC-Capital Area Partnership updates at quarterly Joint Providers meetings, - Include an ADRC-Capital Area Partnership update during at least one quarterly TCOA all-staff meeting. - Include Al'ORC-Capital Area Partnership outreach materials when TCOA attends health fairs and other community outreach events, Expggteq_0wt9Qm% Tri-County residents will have greater access to available information and services. Narrative The ADRC-Capital Area Partnership received its Emerging Status from the Michigan Office of Services to the Aging n April 2012, The Partnership has continued to meet monthly and expects to receive Its Fully Functional status by September 20, 2014. Following becoming Fully Functional the partnership looks forward to beginning outreach for the partnership. AAA Response; Obj C� tlye; Improve access to adult day services programming for underserved populations In the tri-county area. L. Olson - Community Relations and Grants Specialist-40 Hours -$550 from Program Development funding, Timeline; FY 2016-2016 j } Activities; - Explore establishing an adult day services program in a rural area outside the city of Lansing, -Work with local adult day services providers and the Alzheimer's Association to examine expanding adult day services programming options for Individuals with middle and late stage Alzheimer's disease and dementia, { Expected Outcome., x There will be a decreased rate of caregiver burn-out in the tri-county area } r i i (printed On:6/24/2014 ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa, 2014-2016 OMO*f SWiVkQ*V)111,0 AWN TrI.County Office on Aging FY: 2015 Narrative The 2013 needs assessment and public hearings Indicated Interest In expanding adult day services programming in the tri-county area, State Plan Goal: Goal 3 --Protect older adults from abuse and exploitation AAA Response-, Strive to maintpin.a.vQ,jqnteer pool of qt least 6 Medicare/Medicaid Assistance Program (MMAP) bor V I olunteers. Stacey Humphrey, Regional MMAP Coo4in'_ 104,t kours. A total of$2,450rom M MAP funds, Timelin@: !r FY 2015-16 r. Activities: -Recruits and train new MMAP volunteers -Utilize social media and outreach to obtain new volunteers Expected Outcome: Beneficiaries in the community will be able to access information and assistance to better help with making an Informed decision regarding Medicare, Medicaid, Prescription Drug Coverage, Supplemental Insurance, Long Term Care Insurance and Waste, Fraud, Abuse and Exploitation. Narrative MMAP is one of the most sought after programs in the tri-county area. Maintaining a consistent volunteer pool Is necessary to keep up with community demand. AAA Response: Oblootlyg: Improve advocacy on behalf of older adults and persons with disabilities In the tri-county area. L. Olson Community Relations and Grants Specialist-40 Hours-$960 from Program Development funding, Jimeling FY 2016-2016 Activities: -Have local seniors represent the tri-county area on the Michigan Senior Advocates Council and State Advisory Council to advocate for older Michiganians, -Tri-County Office on Aging's Advisory Council outreach committee will work with local community organizations to increase TCOA's communication and outreach network. Continue to have Tri-County Office on Aging staff member representation on the planning committee for Printed On:6/24/2014 ktFitit ANNUAL & MULTI YEAR. IMPLEMENTATION PLANS osa ---- 2014-2016 atlko,w 5"V1,C01 to IN:Autoo Tri-County Office on Aging FY* 2016 Older Michiganians Day, g�pected Outcome: Community members and legislators will have Increased awareness of Tri-County Office on Aging.and Issues Impacting local seniors and persons with disabilities. Nar[g Advocacy is a major component of TCOA's mission to"promote and preserve the independence and dignity of the aging population." Expanding advocacy In the service area is always considered.a priority to the agency, rz. State Plan_q.,qat:Goad 4 --Improve the effectiveness, efficiencies, and quality of services provided through the Michigan aging network and its partners AAA Response: Oblective: Work with a cross-provider collaborative to improve the quality of care for high risk older adults and persons with disabilities, C. Nogle-Project Choices Director- 100 Hours-$352 from Care Management funding, Timeline: FY 2015 &c_%v A—ige s: Attend meetings with a cross-provider collaborative to work on reducing unnecessary hospital readmissions. -Work with CMS, local hospitals and community providers on the Capital Area Community Based Care Transitions Program to reduce hospital readmissions for high-risk Medicare beneficiaries by 20%, -Work to expand the Capital Area Community Based Care Transitions Program to include payers other than CMS Expected OutcL)03@: Individuals who are at high-risk for hospital readmission will be less likely to return to the hospital, Narr,gtlye_ The cross-provider collaborative, currently known as the Capital Area Collaborative for Care Transitions, has been actively partnering with TCOA to work on Improving the quality of care for individuals leaving hospitals in the service area, This partnership offers the opportunity to positively impact the health of some of the most vulnerable residents in the tri-county area AAA Response: Obleptive: Work with the Ingham County Health Department to improve the health of high-usage Medicare beneficiaries In the tri-county area. 8, Alkman -Assistant Director- 100 Hours-$4400 from Administration Printed On: 6124/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa - 2014-2016 Tri-Cnunty Office nnAging FY: 2015 funding. FY2015 - Continue to partner with the Ingham County Health Department on Michigan Pathwaysio Better Health innovations grant through the Centers for Medicare and Medicaid Services to use Community Hau|ih Workers to work with high-usage Medicare beneficiaries In Ingham County to improve enrollees' health, Increase enrollees' utilization of primary care services and decrease the cost of enrollees' health care, - Serve at least 86 high-risk individuals through the Community Health Worker program annually gngcted HIgh-usage Medicare beneficiaries will have improved health in Ingham County. Nglgatkve� This partnership with the Ingham County Health Department is entering its 2nd year, It focuses on empowering individuals to make well-informed, positive health decisions. State Plan Goal: Goal B --Recognize and celebrate the cultural, economic, and social contributions of older adults, and create opportunities for engagement|n their communities AAA Response: ' Work to counteract the negative effects ageism has on the public perception of older adults in the tri`oVunty area. L Olson - Community Relations and Grants Specialist-40 Hours -$SSO from Program Development funding. FY2O15 Agtlylties: -Utilize the social media and the TCOA website to counter negative stereotypes associated with aging, - Include ageism as a topic in public outreach activities Expected OutcoMe: Community members will bm better Informed about the negative Impact of ageism | ( Narrative Tri-County Office on Aging's mission is to"promote and preserve the Independence and dignity of the ( aging popV|aUun". This objective directly ties to the agency's mission, State Plan Goal, Goal ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Oftoot$"*0%to tho AfAvo Tri-County Office on Aging FY, 2016 --Provide a variety of opportunities for older adults to enhance their physical and mental well-being, using evidence-based practices and other innovative programs, AAA Response: Qbioctive: Promote and expand access to evidence based disease prevention programs in the tri-county area, L, Olson -Community Relations and Grants Specialist-40 hours -$960 from Program Development funds, Tlmel(De: FY 2016-2016 at LVI t ifml Work to expand Personal Action Toward Health(PATH)programming in the tri-county area, focusing on serving minority and non-English speaking populations. -Work with a local service provider to research receiving Medicare reimbursement for evidence based diabetes self-management programs, Explore establishing a wellness program in the inner city Lansing area. Expected OgtoprneL Tri-county residents will have Improved health due to greater access to evidence based disease prevention programs, Narrative The needs assessment conducted In early 2013 Indicated a great deal of Interest in fitness and wellness classes in the tri-county area, Evidence based disease prevention programs will help to fill this local need, State Plan Goal: Goal 8 --Provide advocacy, information, training, and services td support the rights of older adults to live free from abuse, neglect, and exploitation, AAA Response: O.Wective: Promote cultural competency on Lesbian, Gay, Bisexual and Transgender issues impacting local seniors and persons with disabilities, L. Tarrant-I &A Specialist-80 Hours-$1680 from State Aging Network funding. TL,cline: FY 2015-2016 Actlyltles: - Provide cultural competency training on Lesbian, Bisexual, Gay and Transgender Issues and concerns to a minimum of twenty TCOA staff members. -Continue to work to add Lesbian, Bisexual, Gay and Transgender inclusive language in TCOA forms and client materials, Printed On:6/24/2014 A 1ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 ofte 0 SWWWot to tho Ailing Tri-County Office on Aging FY: 2015 Expected Outcome: The agency will:have increased competency in working with a diverse group of populations, Narrative It is important to ensure that staff members, agency documents and policies continue to serve the needs of all individuals in a person-centered manner that recognizes the increasing diversity in the service area, State Plan Goal: Goal 9 --Develop and enhance public and private partnerships to better serve older adults, A-AA-Responsa. Qbieptlye: Increase access to Kinship Care services in the tri-county area. L. Olson-Community Relations and Grants Specialist-20 Hours-$480 from Program Development funding. Tia)ellne: FY 2015 I. Activities: Explore expanding partnerships with community organizations to provide kindship care services in the tri-county area as a means to expand the program. Expected Outcome: There will be Increased access to kinship care services in the tri-county area Narrativ Kinship Care services continues to be underutilized In the tri-county area. Focusing on expanding partnerships for this service will, hopefully, increase community awareness of this service. ti Printed On:6124/2014 i i 1ANNUAL MULTI YEAR X POLEME' T TI N PLANS j 2014-2016 osa i :w�wuw,�unra �mwrrw�n»zru��r +mwaue, mrmgww+�rw m, ? Tri•County Office on Aging FY: 2015 Advocacy Strategy Describe the AAA's comprehensive advocacy strategy for FY 2015: Describe how the:agency"s advocacy efforts will Improve the quality of life of older adults within the PSA. Enter your'advocacy strategy in the dialog box. AAA Response: The Tri-County Office on Aging (TCOA)advocates for seniors and persons with disabilities to help assure that they can live as independently as possible. The second goal of TCOA's mission statement, "to promote and preserve the Independence and dignity of the aging population", Is to advocate for adequate resources-,a d sound public policy. - _ , Advocacy Is done on the national, state and local levels. TCOA's membership in the Area Agencies on Aging Association of Michigan (AAAAM) and the National Association of Area Agencies on Aging (N4A) provides timely information on Important issues and bills being discussed and voted on In the National and State Legislatures. Through the AAAAM, TCOA has participated in efforts to promote, reopen and expand the MI Choice Program, locally known as Project Choices, in Region 6 and state-wide. Many agencies, programs and Individuals in Region 6 are also on the statewide coalition In support of MI Choice. The TCOA Advisory Council appoints three representatives to the Michigan Senior Advocates Council (MSAC), The MSAC representatives report to the Advisory Council at their monthly meetings on proposed legislation and issues being worked on. The Advisory Council's opinion Is also sought and at times a resolution is passed.in support of an.issue, Typical concerns of this group are health coverage(Medicare & Medicaid), income (Social Security, Supplemental Security Income and pension security), state funding for senior programs, elder abuse and public utility costs and regulation. One local senior is a representative to the Michigan Office of Service to the Aging Advisory Council as well as a staff member of the local Social Security Administration office who serves on TCOA's Advisory Council, The local State Advisory Council members attend the State Advisory Council meetings and reports to the TCOA Advisory Council. When the TCOA Advisory Council membership has a concern, they seek out more information and may support an issue through a resolution or write a letter expressing their opinion, This information is then shared with the appropriate individual(s)or organizations, Periodically information on how to advocate as an individual is provided, this includes data on current topics, tips on advocacy, pertinent statistics and names and addresses of National and State elected officials, The Advisory Council membership is encouraged to personally express their Ideas and to encourage other groups they are involved with to do the same. During FY 2014 the TCOA Advisory Council membership voiced their support for Michigan elder abuse legislation through written and verbal testimony at committee hearings. Additionally, some Advisory Council members made personal visits to every local Representative and Senator in the Michigan House of Representatives and Senate. The Advisory Council Members plan to increase their advocacy efforts throughout the community including increasing outreach and networking. Seniors are encouraged to let elected officials know their opinion on an issue with tips on advocacy and how to contact elected officials with names, e-mail addresses and phone numbers provided. Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa. 2014-2016 WfWa at SOWC01 05 tho-Affina Tri-County Offloo on Aging FY: 2016 The TCOA Executive Director is a member of the AAAAM Steering Committee that planned the first Older Michiganian's Day In June 2008; and is working on the event again for June 3, 2014, The event is held on the Michigan Capital lawn with elected officials speaking. In 2013, Region 6 had older adults, clients, staff, Advisory Council Members and Board Members attend along with MSAC members. Some visited local elected officials to seek support for the three part advocacy platform: increase senior accessibility to a full range of high quality long term care options, educating on the economic impact Michigan seniors have on the economy and protecting seniors from abuse and financial exploitation, The Tri-County Aging Consortium Board Is kept Informed of national and state issues and also expresses their concern or support on issues. Because they are4l,elected officials or their appointees,these Individuals are advocates at their respective unit of government In support of older adults, f Printed On:6/24/2014 ANNUAL & MULTI YEAR. IMPLEMENTATION FLANS osaw . 2014-2016 t7rftcecnf SaxaECms to the legiltg .WYMtP'aNeW.MYM.UKG'h M/.nt.HHHittgxeMN*mxN� wplW�I�MY 41Wr>kpWmmlpiXWw1MW4NIWMY !`NWYF1'ANANssiWRWMYIAYWYuWMA" Trl-County Office on Aging FY: 2015 Leveraged Partnerships Describe the Area Agency's strategy for FY 2015 to partner with providers of services-116k i 0 resources as Indicated in the PSA Planned Service Array, Include, at a minimum, plans to leverage resources with organizations in the following categories; Community Action Agencies; Public Wealth; Mental Health; Commissions and Councils on Aging; Centers for independent Livina (CILS): other In addition to the ADRC-Capital Area Partnership. TCOA works numerous local partnerships and coliaborat(ves in the area to identify the needs and wants of community members. Many of these groups Include the membership of Community Action Agencies; Clinton Eaton and Ingham Community Mental Health, and CapiaaUkrea:Centerf6r:I n-depe rid e"rit Uvin'g.'Cu'rentiy, two parfhe,s rips the agency is - participating in have resulted in new programs being offered in the service area. Community Health Worker At the beginning of 2013, TCOA began participating in the Michigan Pathways to Better Health (MPBH) initiative. This initiative is funded by the U,S. Department of Health and Human Services Centers for Medicare and Medicaid Services through a Health Care Innovations Grant to the Michigan Public Health Institute. Locally, this program is administered by the Ingham County Health Department and has partners throughout the county serving the needs of high risk populations. The MPBH is based on the Pathways Community HUB Model and will serve adult Medicare and Medicaid beneficiaries with two or more chronic conditions. MPBH goals include: a) improve enrollees' health, b) increase enrollees' utilization of primary care services, and c) decrease the cost of enrollees' health care by decreasing utilization of the Emergency Departments and hospitalizations. The MPBH initiative started on July 1, 2012 and began enrolling and serving clients on January 1,2013. As an agency partner,TCOA currently employs one Community Health Worker through this program to help provide access to coordination of social services and healthcare services. It is hoped that this program will continue to build community connections and provide needed coordination of services in Ingham County throughout its three year grant period, As of April 1,2014 TCOA's Community Health Worker has served 73 clients. Capital Area Collaborative for Care Transitions In 2010, TCOA began attending meetings of the Chronic Disease Management Collaborative (CDMC). This group is a cross-provider collaborative that meets monthly with the goal of collaborating with other organizat(ons/agencies to reduce hospital readmission rates in the tri-county area. Throughout the duration of this collaborative, members have worked on several projects to improve the quality of care for high-risk individuals. In 2012, collaborative members worked to submit a funding request for Community-Based Care Transitions Program (CCTP)to the Centers for Medicare and Medicaid Services under section 3026 of the Affordable Care Act with TCOA as the lead organization and fiduciary for this proposed project.The purpose of this request is to use two evidence based programs,the Bridge Model of Transitional Care and Printed On:6/24/2014 AA NNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 OfIrca 44"mcas to tht,Afling Tri-County Office on Aging FY., 2016 BOOST, to improve care transitions and reduce unnecessary hospital readmissions in high-risk Medicare patients by 20%. In late January 2013, TCOA received notification that the submitted proposal for a CCTP was accepted and the program began to work with participants in April 2013. As of April 2014 the CCTP program has served 867 clients. Describe the area agency's strategy for FY 2016 for ADRC partnerships In the context of the access services system within the planning and service area, The intention of the ADRC-Capital Area Partnership Is to receive Fully Functional status from OSA no later than September 30, 2014. Once the partnership receives Fully Functional status the partnership wlI[have two now goals for the 2015 Fiscal Year, The first goal of the partnership will be.to,actively turn the partnership's business plan into reality. For.tho last several years the partnership has been creating plans and procedures with limited implementation. Fiscal Year 2015 witl be the first time that all of these will be actively used. Throughout the 2015 Fiscal Year partners will continue to meet and work to make the ADRC-Capital Area Partnership an active resource for the community to use. The second goal for Fiscal Year 2015 will be to promote the partnership within the community. Throughout the development process, the partnership has limited its community outreach. The partnership did not want to actively promote the ADRC within the community until It was Fully Functional and able to assist Individuals In need, Local service providers have been given periodic updates on the progress of the local ADRC partnership, but there has not been active outreach to community members. Once the partnership receives fully functional status, partners will begin to outreach to community members and work to gain community recognition. This can be done through presentations, attendance at health fairs and promoting the ADRC -Capital Area Partnership on local radio. Describe how the area agency can support Aging Friendly Community/Community for a Lifetime Initiatives within the PSA, with the following as requested (include any past or present efforts underway). * Community assessments,senior survey results and demographic data that can be shared with community groups to enhance aging friendly assessments. * Information that can be provided to community groups to enhance the quality of their aging friendly community assessment In such areas as;supportive community systems, health care access,transportation,disease preventionthealth promotion,safety, home repair and other relevant areas. # Technical assistance that can be offered to community groups In developing and collaborating on aging friendly community assessments or Improvements. # Please identify the area agency staff contact regarding Aging Friendly Communities/Community for a Lifetime activities within the PSA: TCOA can support Aging Friendly Community/Community for a Lifetime initiatives by: - Making available the results of the 2013 needs assessment to local communities, , Supporting community outreach activities to local seniors. - Provide education on long term care supports and services to community leaders, -Support the establishment of senior advisory councils to local governments throughout the tri-county area. Printed On,6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa . 2014-2016 t�tt[cot�f 3uvwtcas Ga tha d��1Jr3� Tri-County Office on Aging FY: 2016 The TCOA staff contact for Aging Friendly Community/Community for a Lifetime is L.eeAnna Olson, Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 offf-20txP 5wwkaata the E rust raa:m'w..ro +�uw*w.naarmremwmemmaKmmwnamn..arem,.m.�,nrmrxo+n�.aw.yi,,aaa�wrcn�.we,,.ww,.w..xxr.nwmmnmr��arm� �,., Tri-County Office on Aging FY: 2016 Community Focal Points Please review the listing of Community Focal Points for your PSA below and update as necessary. Specifically note whether or not updates have been made. Make any changes or corrections necessa to the listing, Describe the rationale and method used to assess the ability to be a community focal point, including the definition of community, Explain the process by which community focal points are selected. i . The rationale for the selection of the community focal points is to have a central place and/or cultural donter within each community where-svniors go or identify as a pla'00 to access or learn about scivicea Also, each Identified focal paint has a paid staff person who has responsibility to work with seniors. The Tri-County Office on Aging defines a community as a specific geographical location where persons live within a larger society and share a common Interest; or a group of persons sharing a common cultural background. in the Tri-County Area, those living in a designated geographical boundary within an area will be identified as living in the same community. For example, an older person living within the geographical boundaries of St. Johns in Clinton County will share the same community and identify with the Information and Assistance (I&A)offices as well as the Clinton County Senior Citizens Drop-in Center In St. Johns. A (' cultural center in the community where persons of similar heritage congregate and/or access services is also identified as a focal point. E The Tri_County Aging Consortium Administrative Board is made up of County Commissioners from Clinton (2), Eaton (3) and Ingham (3) Counties and Lansing (4) and Bast Lansing (1)City Council members or their designee(See Appendix B). Also, the aforementioned local units of government appoint the senior members of the Advisory Council and this Board approves agency representatives. The Administrative Board is charged with the responsibility of overseeing the functions of the Tri-County Office on Aging and Is responsible for all phases of the Area Man, This includes the identification of Community Focal points 1 in the region, The Advisory Council reviews documents and makes recommendations to the Board. With the consensus of the Administrative Board, Advisory Council, senior citizens and Tri-County Office on Aging staff, community focal points are to be identified as the i&A Offices (senior citizens offices)senior centers in each county, and TCOA. The senior community identifies their local senior centers, senior citizens offices andlor community centers as a place to go to receive information and/or services for senior j. citizens In their respective communities. In the Tri-County Area, there are two focal points identified in Clinton County; four in Baton County; four in Ingham County other than the cities of Lansing and East - Lansing;and three in the City of Lansing and one in the City of East Lansing. In addition to the I&A Offices located In each county and Tri-County Office on Aging, several senior/community centers are identified as focal points. The seniors In the community meet at senior/community centers for various reasons and identify them as a place to go if they need additional services and/or information about senior citizen resources. The agency is particularly sensitive to the needs of minorities in the community and Identified three centers where the majority of participants are from minority ethnic/cultural backgrounds, For those focal points, the definition is an ethnic/cultural boundary where persons sharing similar cultural backgrounds gather. I Printed On:6/24/2014 I ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Tri-County Office on Aging FY: 2016 The rationale used for defining a community is based on the Input from staff and senior citizens in the region, In terms of identifying a community, staff has taken into consideration certain factors such as geographical area; where people go to buy groceries, shop for clothing, receive medical care and attend religious services;and where seniors go to ask for information/assistance. Also, community Includes where seniors of a specific ethnic/cultural background gather and/or go to receive information/assistance, Provide the following Information for each focal point within the PSA, List all designated community focal points with name,address,telephone number,website, and contact person.This list should also include the services offered,geographic areas served and the approximate number Name: Sam Corey Senior Center Center) 166 N' 0"Address, ' r, Holt,'MI 48842 Website: Telephone: (617)268-0096 Contact Person: Mark Jenks Persons: 2400 Service Area: N: Jolly, Willoughby and 1-96, S:Nichols Rd., W: Waverly Rd., E: College Rd. Services: Name: Capital Area Community Services Clinton County Service Center Address: 1001 S, Oakland, St. Johns, MI 48879 Website: www.cacs-ino.org Telephone: (517)224-7998 Contact Person: Pauline Baert Persons: 7516 Service Area: N: Gratiot Rd., 8: Sheridan Rd,,W: Hubbardston Rd. (Lebanon Twp.) (Clintonla Rd., Dallas, Westphalia, Eagle Twpl.), E: Meridian Rd, Services: Name: Capital Area Community Services Eaton County Service Center Address: 1370 N, Clinton, Charlotte, MI 48813 Website: www.cacs-inc,org Telephone: (517) 543-5465 Contact Person: Serenia Beals Persons: 12667 Service Area: N: Eaton Hwy,, S: Baseline Hwy., W: Hager Rd., E: Waverly Rd, Services: Name: Capital Area Community Services Rural Ingham Service Center Address: 218 East Maple Street Mason, MI 48854 Website: www,cacs-inc.org Telephone: 517-676-1081 Contact Person: Marina Poroshin Persons: 13773 Service Area: S: Baseline Rd,, St. State Rd,, W: Waverly Rd,, E: Herrington Rd./Locke Twp, Wallace/LeRoy Twp. Kane (White Oak and Stockbridge (twp) Services'. Printed On;6/24/2014 ANNUAL . MULTIYEAR YEAR IMPLEMENTATION PLANS 0 P*O% off c.0 of SguyWoc 0 tha ADMe xiw ..++.nut+ ro�na.nrcwmvin�um« w.mwr Tri-County Office on Aging FY: 2015 Name: Cristo Rey Comm, Center Address: 1717 N. High St. , Lansing, MI 48906 Website: Telephone: (617)372.4700 Contact Parson: Sally Arias Persons: 902 Service Area: Tri-County Focal for Seniors of Hispanic Origin in Clinton, Eaton&amp; Ingham Co. Services. Name: Delhi Twp. Senior Center Address: 2108 N, Cedar, Halt, MI48842 Website: _ Telephone: ^ Contact Berson: Mark Jenks Persons: 2400 Service Area: N: Jolly, Willoughby and 1-96, S:Nichois Rd., W: Waverly Rd., E: College Rd, Services: Name: Eaton Area Senior Center Address: 804 S. Cochran, Charlotte, MI 48813 Website: Telephone: (517) 541-2934 Contact Person: Cindy Miller Persons: 17751 Service Area: All of Eaton County Services: Name: Letts Community Center Address, 1220 W. Kalamazoo, Lansing, MI 48915 Website: i Telephone: (517)483-4311 j Contact Person: Milton Alston Persons: 18008 Service Area: City of Lansing Services: Name: Prime Time, Bast Lansing Address: 819 Abbott Rd,, P, Lansing, MI 48823 Website: www,cityofeastiansing, com/primetime Telephone: (517) 337-1113 Contact Person: Kelly Arndt Persons: 301.6 F Service Area: N: 2 Miles N. of Lake Lansing Rd., S: Mt, Mope/Forest/Bennett, W: US 127/Collins, E, s AbbotUHagadorn/College Services: Name: Rocking Chair Deserters Senior Center Address, 201 Grand, Baton Rapids, MI48827 Website: Printed On:0/24/2014 F ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa - 2014-2016 ofdefta S wvRPtto ft-AE ng n«rwwwvm,v+ravawwwrsm..sren-.wnwwawm1wM�� wwrumwanxmmm�a�+roam+.tt�p+u�rwmrewnwrvn.eav,•.+w.mawuoN.aay. Tri-County Office on Aging FY: 2016 Telephone: (617)663-2335 Contact Person: Jill Skinner Persons: 4886 Service Area: N: Davis Hwy. /Kinsel Hwy, S. Baseline Hwy., W: Five Point-Curtis, E: Waverly Road Services: Name: Sam Corey Senior Center Address: 2108 N. Cedar, Holt, MI 48842 Website: Telephone: (617)268-0096 Contact Person: Mark Jenks Persons: 2400 Service ArA ,.: N:,Jolly,_Willoughby andA-96;=S:Nichols Rd,, W: WaVorly Rd.,E:College Rd', Services: Name: Tri-County Office on Aging Address: 5303 S. Cedar St., Lansing, MI 48911 Website: www,tooa.org Telephone: (517)887-1440 Contact Person: Deb Arendsen Persons: 59.806 Service Area: Lansing &amp;amp; East Lansing, serves Clinton, Eaton and Ingham Counties for Project Choices Services: Name: Wllliamston Senior Center Address: 201 School St., Williamston, MI 48895 Website: www.wmston.kl2.mi.us/communityseniorcenter Telephone: (517)655-5173 Contact Person: Nancy Williams Persons: 3980 Service Area: N: Milton Rd,, W: Meridian Rd„ E: Wallace Rd Services: Name: Delta 39ers Senior Center Address: 4638 Elizabeth, Lansing, MI 48917 Website: www,deltam1.gov/parks/deltawaverly39sprogram.htm Telephone: (517)484-5600 Contact Person: Tammy Opdyke-Mejla Persons: 3949 Service Area: N: Eaton Hwy, W: Royston Rd, E:Waverley Rd, S: Davis Hwy Services: Printed On:6/24/2014 ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa t�ttf4t��t 5@�'Y{��tp Yll@ A:f,Itfyp ..rs�xn+A„awcw.e�rawwrmma+mnww�.+mv.�arw,wwmr�owaeawnvw.� i+rnvaweuavawawaw«,xvwwwarnwa�im�w. Tri-County Office on Aging FY. 2015 Other Grants and initiatives Use this section to Identify other grants or Initiatives that your AAA is participating in with OSA and other partners. Grants or initiatives to be included in this section may include TCARE0, Savvy Caregiver, Creating Confident Caregivers(CCC),Chronic Disease Self-management Programs (COSMPs)such as PATH,and programs supporting persons with dementia,and MMAP. Describe haw these grants and other initiatives support the'quality of life of'older adults within the PSA. Further,describe how these other,grants and Initiatives reinforce the Area Agency's planned program development efforts for FY 20% 1. Describe^of;her.,.grants andlor Initiatives.the Ares-agency.Is.participating,(n M!ith ©SA and other. partners. TCOA previously partnered with OSA for grant funding for Creating Confident Caregivers and Personal Action Toward Health(PATH) initiatives. Both of these partnerships have expired. TCOA is not currently participating in any applicable grants or initiatives with OSA. F 2. Describe how these grants and other initiatives will improve the quality of life of older adults within the PSA. TCOA is not currently participating in any applicable grants or initiatives with OSA. 3. Describe how these grants and other Initiatives reinforce the area agency's planned program G development efforts for FY 2015. i TCOA is not currently participating in any applicable grants or initiatives with OSA. f I f i i i I i i i i Printed On:0/24/2014 i ANNUAL MULTI YEAR IMPLE E "TATION PLANS osa 2014-20'16 C�PtI�at 5,txvrc�.a xa rn nhoa Tri-County Office on Aging FY: 2018 Appendices Appendices are presented as Individual links. Please provide al requested Information for each required appendix. Please note that older versions of these appendices will not be accepted and should not be uploaded as separate documents.The appendices are: A. Policy Board Membership R Advisory Council Membership C. Proposal Selection Criteria C. Cash-in-lieu of Commodity Agreement .E Walver of Miminum PercariTage.bf a Prlority'Service Category . F. Request to Transfer Funds Printed On;6/24/2014 SAN N UA L MULTI YEAeR. IMPLEMENTATION PLANS 2014-2016 oftica 04 Wf0f,W the A019 .v»,.,m,.�ee�u«iaxw»mxne .,mnnanw...�rana,.,.=..uxwn <r�rnwon,.xm�.w..mne�arn� aunmm. Tri-County Office on Aging FY: 2015 APPENDIX A Board of Directors Membership Membership 0 2 0 1 0 s 13 Demographics Aged 5q and Over 0 0 0-. �. 0 _ 1 =ll I l 4= Chris Swope City of Lansing Lansing City Clerk Yes f Jody Washington City of Lansing Lansing City Council Yes Joan Jaokson-Johnson City of Lansing Director of Human Yes Relations &Community i Services i Tina Houghton City of Lansing Lansing City Council Yes is i Ruth Beier City of East East Lansing City Yes Lansing Council Jane Whitacre Eaton County Caton County Yes Commission Wayne Ridge Eaton County Eaton County Yes Commission i Roger Harris Eaton County Eaton County Yes 1 Commission Kara Hope Ingham County Ingham County Yes Commission i Rebecca Behar-Cook Ingham County Ingham County Yes Commission I Bryan Crenshaw Ingham County Ingham County Yes j Commission i i Eileen Heideman Clinton County Clinton County Yes Commission i i; Printed On:6/24/2014 i i= ANNUAL & MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 Offl a of Set4wes to tho Agme rwwtmw�:army��y,,,� Rrreu�nw.wmmwwrnxwrew�raauuawnwrvawwµ �� Tri-County Office on Aging FY: 2016 Jack Enderie Clinton County Clinton County Yes Commission i G i t i 3 t i F i t3t 3 Printed On:6/24/2014 s F ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 �YrtiCk QG$42Vt,",t7>k K4 YfiR lbeJlii$1 } ' � wnsmr nwm+er uwmwwarv.�,amv F qtq I i Tri-County Office on Aging FY: 2016 t { APPENDIX E i Advisory Board Membership i Membership Q Q q 20 25 ° Demographics ` Aged 60 dnd Over q _..w 2 q 72 ,2, ..:, . -11 .:: 15. f i �. t4i..F"3w' + ;kl i ,• 'LF- I�.L J•A�+it .�..... � '1:..-�. -.TJ Y .•`�9,•�wow, . Bud (Felix) Fiiss East Lansing City of East Lansing Senior Ap ointee Gloria Kovnot Eaton County Eaton County Senior Appointee Martha Yoder Eaton County Eaton County Senior Apeointee LeeTaylor Eaton County Eaton County Senior Appointee Ruth Voisinet Clinton County Clinton County Senior Appointee Anne Hill Clinton County Clinton County Senior Appointee Regina Allen City of Lansing City of Lansing Senior A pointee Penny Gardner City of Lansing City of Lansing Senior A pointee Emly Horne City of Lansing City of Lansing Senior Appointee Mary Estes City of Lansing City of Lansing Senior A2pointee Susann Baker Ingham County Ingham County Senior j Appointee Jane Wallin Ingham County Ingham County Senior A2eointee Robyn Ford Tri-County Social Security Administration j Maxine Rose Tri-County Tri-County Nutrition Council Printed On:6/24/2014 i i I i ANNUAL & MULTI YEA IMPLEMENTATION PLANS osa 2014-2016 GYtttce of Sutv�as:co thtf A�hef� Tri-County Office on Aging FY: 2015 Gary Poliltz Tri-County Senior Alliance For Education (SAFE) Tina Gross/Toby Powell Tri-County Sparrow Specialty Hos ita Karen Truszkowski Tri�-County Sixty Plus Elderlaw Clinic Betsy Scala Tri-County Home Health Care of Sparrow Janet Clark Tri-County Retired Senior Volunteer Program Stacy Fox-Elster Tri-County Community Mental Health Older Adult Services Laurie Parker Tri-County Capital Area Center for Independent Living Kelly Neve Tri-County Clinton/Eaton County Department of Human Services Linda Kellman Tri-County Michigan State University College of Nursin Rudy Wilson Tri-County National Association for the Advancement of Colored Peo le NAACP Chad Johnson . Tri-County Bethlehem Temple Church/The Bread House Printed on:6/24/2014 ANNUAL MULTI YEAR IMPLEMENTATION PLANS osa 2014-2016 OMQF*f 90vk"W t"A941M Tri-County Office on Aging FY: 2015 APPENDIX D Agreement for Receipt of Supplemental Cash-in-Lieu of Commodity Payments for the Nutrition Program for the Elderly The above Identified agency, (hereinafter referred to as the GRANTEE), under contract with the Michigan Office of Services to the Aging(OSA), affirms that its contractor(s) have secured local funding for additional meals for senior citizens which Is not Included in the current fiscal year(see above)application and contract as approved by the GRANTEE. Estimated number of meals these funds will be used tip produce is: 600,000 These meals are administered by the contractor(s) as part of the Nutrition Program for the Elderly, and the meals served are in compliance with all State and Federal requirements applicable to Title III, Part C of the Older Americans Act of 1966, as amended, Therefore, the GRANTEE agrees to report monthly on a separate OSA Financial Status Report the number of meals served utilizing the local funds, and In consideration of these meals will receive separate reimbursement at the authorized per meal level cash-in-lieu of United States Department of Agriculture commodities, to the extent that these funds are available to OSA. The GRANTEE also affirms that the cash-in-lieu reimbursement will be used exclusively to purchase domestic agricultural products, and will provide separate accounting for receipt of these funds. Printed On:6/24/2014 a T�iwCount y Office on Aging rl CrnrKrrrGi,urrt>r'ttirrt�>rr, �rrtan�IrrgArua C:u,nrftr.9 ,rrnd the Ohoq o0 anising arrd Past 7 onshig.Rhine 1974 PUBLIC HEARING For Tri-County Office on Aging 2015 Annual Implemental Plan (AIP) June 12,2014, 1:00 P.M. Tri-County Office on Aging 5303 S.Cedar Street,Building I Lansing, MI 48911 `l'ri-County:Office on Aging's"Publid Hearing beg art at 1,00 PM. The public hearing took place prior to the TCOA Advisory Council Meeting. There were twenty-six(26) individuals in attendance;twenty-one(21) from the general public and five(5)TCOA staff members. Of the general public in attendance, thirteen(13)were age sixty(60) or older and two(2) minorities. TCOA publicized the public hearing in the Lansing State Journal and two community newspapers serving the rural areas in the region. Additionally,notice of the hearing was also posted throughout the TCOA building and announced at networking meetings. L.Olson welcomed attendees and thanked them for attending the public hearing. She gave an overview of the Fiscal.Year 2015 (.FY 2015)Annual Implementation flan (AIP)and explained that FY 2015 Is the second year in the 2014.2016 multi-year planning cycle. Due to this,the;=Y 2015 AIP is very similar to the 2014-2016 Multi-Year Plan approved by the State Commission on Aging,Highlighted prograi.n development objectives included researching the establishment of a frozen meal pantry for Meals on Wheels;working to establish a wellness program in inner city Lansing; expanding the kinship care program through partnering with community organizations; and working to add Lesbian,gay,Bisexual and Transgender(LGBT)inclusive language to TCOA forms, documents and outreach materials. Janet Clark thanked TCOA for contracting with and supporting the local Retired and Senior Volunteer program. Penny Gardner inquired if the FY 2015 Al?Included a section addressing LGBT issues. L. Olson indicated that it does and pointed out the sections of the AIP that relate to LGBT issues. Ms. Gardner suggested that Michigan Office of Services to the Aging add a required section to the AIP addressing LGBI'Issues. Anne I-fill inquired whether the FY 2015 AIP addresses Governor Snyder's goals for making Michigan a"no wait state". M. Owen stated that each year the plan addresses limiting waiting lists for in-home services. TCOA's Meals on Wheels program does not have a wait list. Further questions and comments were encouraged and notecards were handed out to participants to allow for ' anonymous responses. There were no other questions or comments made at the hearing and no written responses were received forthis Annual Implementation Plan. The public hearing;adjourned at 1,14 PM. 1 { j i 5303 S. Cedar Street, Suite 1, Lansing, MI 48911-3800 Telephone 517.887.'1440 • Toll Free 1..800.405.9'141 • Fax 517.887.8071 www.tcoa.trrg i EVIDENCE-BASED PROGRAMS PLANNED FOR FY 2015 Funded Under Disease prevention Health Promotion Service Definition Area Agency on Aging Tri-County Office on Aging 1. Programs meeting minimal criteria: • Demonstrated through evaluation to be effective for improving the health and wellbeing or reducing disease, disability and/or injury among older adults; and • Ready for translation, implementation and/or broad dissemination by community-based organizations using appropriately credentialed practitioners, I $ 2. Programs meeting intermediate criteria: 1 • Published in a peer-review journal. • Proven effective with older adult population, using some form of a control condition(e.g, pre,post study, case control design, etc.) w Some basis in translation for implementation by community level organization. $ � M I 3, Programs meeting highest-level criteria: • Undergone experimental or quasi-experimental design. • Level at which full translation has occurred in a community site. • Level at which dissemination products have been developed and are available to the public.- . Enhanced Fitness 17,602 Personal Action Towards Health(PATH) $4000 Matter of Balance $ 3 2000 $ I J J i 1 t I I I. hig�i gffiGe pi Servlcas'to file AS C IRECT PFtC2VIS10N a�`5 1 1/1 5'vU4 Fiscal Year 2015 Area Agency on Aging Tri-County Aging Consortium (Tri-County Office on Aging) i 5orvice to be provided Planned time frame Care Management F'Y 2015 ; Specify'th6 planned gioals and activities that Will,be•landertaken to':provldo.tii;s,service::::;.`<;:::; Goats and Activities GOAL: A minimum of 160 individuals will be able to remain in their own home, There will be a seamless system for older adults going from Case Coordination and Support to Care Management. f ACTIVITIES. a. Provide Care Management services to a minimum of 160 clients in Region 6 from 10/01/14 through 9/30115. b Conduct a minimum of 100 Initial assessments from 10/01/14 through 9/30/15: c. Develop a minimum of 80 care plans from 10101/14 through 9/30/145 d.Conduct reassessments every 3 months on all active clients or every 6 months If a client is on maintenance from 10/01/14 through 9/30/16, e.Arrange and monitor services as needed from, 10/01/14 thro-ugh 9-17. i/15. ransition eligible Care M6negementclients to the MI Choice program as funding allows from 10/01/14 through 9/30/15. g. Comply with all minimum standards and quality assurances from 10/01/14 through 9/30/14, Accomplishments 447 individuals were enrolled in the Care Management program during the 2012 fiscal year. All active clients were reassessed every 3 months and all clients on maintenance were reassessed every 6 months. Ail OSA minimum standards were met. Michigan Office of Services to the Aging DIRECT PROVISION OF SERVICES WORk PLAN .. .: P1scAl Year 2q1g Area Agency on Aging Tri-County Aging Consortium(Tri-County Office on Aging) Service to be provided Planned time frame Case Coordination and Support PY 2015 Specify the planr4ed goals and a'Olvitles that v+ill be undertaken to peovfde;tNo:00`rvlce: Goals and Activities GOAL: Individuals not eligible for Nome and Community Based Waiver(Project Choices)will have assessments and services to assist them in remaining In the home of their choice, There will be a seamless system for older adults going from Case Coordination and Support to Care Management/Project Choices. a, Provide Case Coordination and Support services to a minimum of 55 clients In Region 6 from 10/01/14 through 9/30/15, b, Conduct assessments for all new clients and reassessments every 6 months for a minimum of 55 clients from 10/01/14 through 9/30/15, c. Secure and monitor appropriate In-home services from 10/01/14 through 9/30/16. d. Refer clients to other services as needed from 10/01/14 through" /30/15. e. Adhere to all minimum.standards from 10/01/14 through 9/30/15, i Accomplishments 59 individuals were served by the Case Coordination and Support program during the 2012 fiscal year. Reassessments were conducted for Case Coordination and Support clients every 6 months, All OSA minimum standards were met. i 's i j { j{ T 1' f !Michigan Office of Sevfces to the Aging•, DIRECT PROVISION OF`SERVICES W6k PLAN FlsaM Year 201$ Area Agancy on Aging Trl-County Aging Consortium (Tri-County Office on Aging) Service to be provided Planned time frame Congregate Meals FY 2015 S000ify the planned goals and 60vities that Will ba'rinderka6n•to:prciviti;ttie sorvice. Goals and Activities GOAL: Provide a minimum of 95,000 hot,nutritious meals to a minimum of 2,400 seniors at Senior Dining Sites from 10/01/14 through 9/30/2016, EXPECTED OUTCOME: 1,600 older adults will be provided with 1/3 of their minimum daily nutritional requirements and have an opportunity to socialize with their peers. ACTIVITIES: a, Prepare,distribute, arrange and oversee the serving of Senior Dining Site meals. b. Provide a minimum of 800 congregate meals through the�1,3en.ior.Dine Card progr..amvtargeating low-Income`and rural'oider adu—ifs. c, Conduct a nmirftum f 6 riutrition_courroil meetings. d. Comply with all minimum standards. Accomplishments Over 100,000 congregate meals were provided to over 2,000 seniors at Senior Dining Sites during the 2013 fiscal year. The Senior Dine Card program provided 508 meals to seniors in Clinton, Eaton and Ingham counties during the 2013 fiscal year. Nutrition council meetings were held regularly throughout the 2013 fiscal year, All OSA minimum standards for congregate meals were met. Michigan office of Services to the Aging DIRECT PROVISION OF SERVICES WORK PLAN-:-:-:-::::-' . .Fiscal Year 2015 i Area Agency on Aging ; Tri-County Aging Consortium(Tri-County Office on Aging) i Service to be provided Planned time frame Information&Assistance FY 2015 i Specify the planned opals and activities that Will',be'Wdertaken to provide the Goals and Activities GOAL: Provide Information and Assistance services throughout Clinton, Eaton and Ingham Counties. } ACTIVITIES: a. Provide I&A services to a minimum of 2,000 older adults,family members or community members each fiscal year, b. Monitor I&A contracts with service providers for compliance,including person centered thinking,annually. c. Monitor the number of individuals assisted through I&A,including individuals who are considered minority, each quarter, d. Provide Caregiver I&A services to a minimum of 100 caregivers&oh fiscal year. a. Refer caregivers to identified services through a person centered process during FY 2014-2016. f,Adhere to all OSA minimum standards f I I 1; i I I= I Accomplishments 2,110 received Information and Assistance from Tri-County Office on Aging during the 2012 fiscal year,Including 325 minority individuals. All OSA minimum standards were met. i Mleirtgan bfftce of Services to't'M AS'ing arkEtT 0ft6Visi0N C)F.S`RVICES.W0RK P AN t�tS Area Agency on Aging Tri-County Aging Consortium(Tri-County Office on Aging) Service to be provided Planned time frame Home Delivered Meals FY 2015 Specify the planned goals and activities that wiii be undehtaken to pravfde the service, :.::; . ,, : ::. ...` ::..;::::'::: : ....•.:: . Goals and Activities GOAL: Provide a minimum of 460,000 hot,nutritious meals to a minimum of 1,800 older adults who qualify for Meats on Wheels from 1011/2014 through 9/30/2015. EXPiwCTED OUTCOME: Meals on Wheels participants will receive 1/3 of their daily nutritional minimum requirements and have at least a 76%satisfaction rate with the food. ACTIVITIES; a.Assesstreassess Meals on Wheels participants to assure they qualify for Meals on Wheels. b. Prepare and make a hot meal available 7 days per week, at least a days delivered hot. c. Prepare and make available a cold sack evening meal available 7'days per week,' ' d. Recruit and.maintain a volunteer poo adequate:to deiiver meals throughout the tri-county region. e. 6onducf a minimum of 4 Nutrition Council meetings each fiscal year. f. Comply with all minimum standards, Accomplishments In fiscal year 2013 over 440,000 meals were provided through the Meals on Wheels program. The program is on track to provide approximately 500,000 meals during fiscal year 2014. Meals on Wheels participants were assessed for Initial qualification In the program and reassessed to ensure continued qualification, i Hot meals were made available 7 days per week,with delivery being available 5 days a week. ► Cold evening meals were available to program participants and were delivered with hot noon meals. Nutrition Council meets were held regularly throughout the year during the 2012 and 2018 fiscal years, r t Ali OSA minimum standards for hams delivered meals were met. i t 1 t f f i S i(s i Fk T I. Michigan office of Services to the Aging Oi ITT PROMS ON OF SERMCESWORK PLAN Fiscal Year 2015 .: Area Agency on Aging Tri-County Aging Consortium(Tri-County Office on Aging) Service to be provided Planned time frame Outreach .FY 2015 ..Specify the planned gaals:and activities:thatrtrili 66 undertaken td provid6 tlie'serviCe . .,..,- Goals and Activities GOALS, Provide outreach in the tri-county area to promote greater community awareness of resources for older adults,their family members and agencies that assist older adults and persons with disabilities, ACTIVITIES: a. Provide outreach services to a minimum of 1000 individuals sixty years of age and older living in Clinton, Eaton and Ingham counties each fiscal year. b. Provide a minimum of 15 presentations to senior,caregiver or community groups regarding agency services each fiscal year, c, Participate in a minimum of 10 planning meetings regarding disaster preparedness each fiscal year. d. Participate in a minimum of 5 health and Information fairs in the community each fiscal year. Accomplishments Over 7,000 individuals were reached through outreach activities during the 2012 fiscal year. Activities included presentation,health fairs, mailings, utilization of social media and local radio Interviews. f i 1 4 i i t I. j i MidiidanOflc566f!,%Ncestoifi0ging .•:` bIFE 'PRC MSON 0F' JkC VI0W N::.:.:.: ..::::::.. :' l~isoaf Year 2015 Area Agency on Aging Tr€-County Aging Consortium(Tri-County Office on Aging) Service to be provided Planned tlrne Frame Creating Confident Caregivers/SAVVY Caregiver FY 2016 Specify the iannQd g6als and.activfties that ivhl be unitertaken tq rav"rde the ervicei;' ; Goals and Activities GOAL: Have one AAA staff Creating Confident Caregivers trainer complete Master Trainer certification. ACTIVITIES: One current AAA staff member that is a Creating Confident Caregivers trainer will complete her Master Trainer certification. GOAL: Provide at least 6 Creating Confident Caregivers classes to at least 60 oaregivers in PSA 6 in FY 2015. ACTIVITIES: Staff members will organize, publicize and teach the Creating Confitfeot,Gpregivprk�pla�,ses to:non-professional ri - caregivers in the piannang., nd sery ge:area. Accomplishments The Creating Confident Caregivers curriculum Is one of the most popular evidence based disease prevention programs in the planning and service area. This program meets the needs of a population of caregivers that no other evidence based disease prevention program in the area does, Region 6 AAA has been providing Creating Confident Caregivers classes under a statewide grant since 2008, Currently, our agency has three Creating Confident Caregivers Trainers capable of teaching classes, One of these trainers Is also working on achieving her Master Trainer certification. TCOA received permission to provide this service directly for the 2013 and 2014 fiscal years, =Rev.,04l2Q1�S:, Agency_ TCOA Budget Period: 10101114 to 09130116 PEA 6 Date: 06106114 Rev.No.: 0 Page 1 of 3 DMINISIRMON SERVICES SUMMARY A venues Locai Cash Localn- H FUND SOURCE SERVICES SERVICES TOTAL FederalAdninstration _ b 1.Federal Tide 111-B Serv-ees 337,894 '..,, 337,894 State Administration 21,932 i 4' ? ,{ti` 21,9321 2 Fed.T`6,-J 1-C1(Cotgmgate) r 4 299,648 299,S48 MATF ACIministnattnn SO>777 t a c zt s' 3 110,777 3.State CongregateNutntxon 8,534 81534 Ottier 4.Federal Tide III-C2{HDM) z,• ;r.=.,• 328,985 328,985 0 -\ y 5.State Home Delivered Meals ;; : 31U43 310,243 8.Fed.Title Ili-D(Prev-Heafth) 23421 1 F 23,&.21 9.FedeiiialTiHe 111-E(NFCSP) 142,157 zo 142,1157� Expenditures � 10,Federal Title Vll-A 4,830 A » h ; 4,830 SAC R C3#::C7 1 y�4J 4l FTEs y l 10,Federal Title VII-EAP 5109 5.809 1"Salarie-w4ages t 75 102,500 11"State Access 25,474 Y �,'y � 25,474 2 Fringe Benefits 28,477 12"State hn4iome 83,936 xM 83,938 3.Office Operations x4; a r 47,420 13"State Altemative Care 99,665 was ` 99,665 Total: UP - 178,4911 14.State Care Management 215,913 `r ` 215 913 a 16 St ANS St"NHO 5BA02 i i w":s` " Ly 58,402 FYsTWaTcTMWtI 1pn.Kinda etail 17.Local Match __:,� � �<L�� '� "�Ex�`x�� '� Source Amount Source A r ovmt a"Cash 26,031 25,031 city of Lawing 19,998 t%In-Kmd 84270 105345 189;fi1s p 18.State Respite Care(Escheats 73,220 s 73220 j 19.MedtAwardTnkstFund 119,749 20.TCM/Mediceid 8 CMP 9,485 =3 =° 9,485 21.NSIP 293,168 293,168 22 Prc ram Inarms 1,5001 445,000 446,500 i b Total: 19 998 Total:. I certify that l am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plant. Adequate documentation and records will be maintained to support required grogram expenditures. Finance Director 06106/14 Signature Title Date µ, FY 2015 AREA AGENCY GRANT FUNDS-SUPPORT SERVICES DETAIL Agency MOA BudgetPeiiod: tt3/Cl1114 to 091W15 Rev i341 6:d I PSA: 6 Date: C16 W14 Rev.Nec page 2 of 3 #1 state State St Aft, rutateCate' St<AitIS. 8t_Respitw Met Award :`.`. ..'""�'� Pragcam Cash ( 3YY-Knd SERVICE CATEGORY Tfde MLB Tite 11FD Title ill-E Tiffe Vlt Access in-Home Care Mgmt p,;cheat,;: '€nest Fund Income ha;`ch t Match TOTAL 4toess - � ,, i rr .�`x?. ; "'"s r" :_,. •�L ;:x :7r�'s x ^ '�;:.+.. :i;. :. .`?_'*,.. ... t - s *? - .'t3`r-.r'-' a ..._ 5.zr w -. Cars Management ., Case Coordisupp 4,0B6 'yxs�«-:.rak 121.G 21 t tDtsasterAdvoca information&Assis 8ri738 156 ^r9.rtt�- w. .. ": aW, y :24724 �aa rc� r 4� . ;t,00E.00 14Q054£ Outreachr... 22,469 25$74 ^wtf c> i 4 k -. s.:. : � . a x ? ^. 5,327.00 5$270 Tfanspoffation 4,687 � '�'.r. '£ � -'-�..�,,,�, �4e � +�' � -<' ,; "t. 51 a.�-.r"': ;:� - "s t ' - 52#.00 5,208 1 P`�s...�3 s�:-"".,,`teS�,. .�`. ate. tri-t-taFrtH --•• q` � w Chore Home Care AssiS 4f Home lnjuiyCriat ` c a. exi ? k.: r,na3,-F c r ss o a z - Y' uxs T c vy 4rzF "? w r ,�,.,��_ \ r'-� sr :,s. .' _ 99.665 r"}• � y r. ' - - - i�`.72?.{.z`l' 147.t`Y32 Homemalarig 32,898 :Mr k z m_ Y.1: �..4�, .x x ems. Nome Health Aide ,:r}. - Medication Mgt personal Cam 49.366 AssistiveDevice&tech F x ' _ sa+s 60,566 62.668 w` 5,411.00 157,336 Res lit Cage �.ti 4�,.!-a 48,691 c.s,::se'Y--e,a .M-x.s ''s ,�n,��'. .... . .. .... .. "s.z~ �•.. _ z,ssk i*: F° ,y-?- §t'Yr"'�`. r.��.sF�s. .e'.``p N--rr ' y. - T �,,; A>a Friendtyt2eassurH ,.x -egafASslStanCe ,:1 es ze Y y` xaim` s Ixa5 ic�a 3 a ' x` n 1=0 2,48140 25,811 b'i" 'y„. r f: ,, .3;' \'' -•.*r: .%S .. t'w,. 5 -'' .�.sq ammunrty Sernces �. ..`ws�. .... }.;kF :Yc y�..�a. .ur:,.rt'.'�. .w«�•.a. �.L' ..,t<.s Adult Day Cate y a: 34 t �'� - 8,254 KX4 Ym r700. 3.86ZCct #11.670 Dwenfia ADC _G;e. .N•.ia, sf?.._y`ry x .a�,``�..,:e rr{ sa;�. '•• t' '�``'J �3 'w s.xi7'v'ca::: en"t; �.n..:.�: - - 3,ii7°10 36.786 osensePrevent 9,666 2 421 < y^- -t.- .i,c?,.`-t 1.•, ! a < ` '$ ,x!c _.9�ite^.Yw: ,L^"*a3e fi.Yf•%, v.. �1 'c; . Health$GYL'enin9 - �-�kw, ..cf;:� ';��, ,,s'. ;��'� �t��'a„;.�"r.... v � � ..n=_ ->a c � i•r c i':� - - - - Assistto Deaf n�s MIA rYti Home Repair - �,� "`�. .-'��.x•^�`�_,.;`.::� .;�:;� xr��'.� ..-r-� v� Z�,`_+�_'�,° �.,. :+r",-w"„z~ �.��.,,•.$xc .a��,�ur. �, _ yr..,.tit s..r_r.-< � _ _ _ _ LTC Ombudsman 6,547 � � �n;3 3� 4.830 �y � x I� �� x�� : w 4�4-`s4� r a° � Z 803-00 42,343� Sr Ctr QpPSatiCr?S ;��, ;^f c�:�t; �.a�.�^'�,n,��e_ s's�,r.�;_�:`sue a•s,..:�<$`x 2•��< � ._-t. ,r'�'�.��et - "3 >y- .� ?'t e - ., r-:,t• rg<r Sr C t Staffing �� t Kr ,. a ......x � r - Vision Services - ie. Elder Abuse Prevnf Y'... *z'".q'� 5809 A R rF ;. ?v f3,<.�#�. „<a x'.:+,5,.°nos''` `'�:�'..."r".. .� S#' t�.ys_;'+',;H - - 645.00 6.454 ;� an ,sS... ^. �'� ....,�'-e:., f ay.•. _r„fnSSr: . ri.,s,:.'N.-asar*�:y.,�$?cr"..>'�,,�'a�. :.,t el�£"e:f'"ra, ��r..<;..('. 4,4UQ Spec Respite Care Ca hoer mt _ `.��} . t rsr 7,108 :ar .;� ,�.ar.,' 4 -� +� ... �.. t, o- tip:. .-aW "K' .„:. •a..' .t "^''p` ` �C'.`.' '•-' - - 79100 T898 .l�R$tllP S+ar+y..,: - 4_i_K -.a !_T-TiK ^W;e " .2..e..-t:•.-�':i .F..'4Y.,...a� .3a . :'. ..tk... ,#,Js'�"!•+ ':... .`�:`.'. Caregive€E,S,T 6.883 -, r3� • i y z FA Z r` �xt Fr - 75500 7:648 J sa3 v w $ nr 'xt } yCGda - 7.509.00 75,087 ram Develop 6757E � � *�" .�' '` s�>s- ,! .: � �#; an; '�.a� <.��:�-: �: >ti,�. t 91 _.�L<.. .� w''aaL .;...-fsfr .' "+�'�' '� .-. :t ¢ ' ig �S"flt' ,%��;-•'rv'Sh!�+M._...5.'rS_ _ - `n"�q�-. '��3„1;�.s, t�`:q? ... ."�'.,•- :4t 3 � `w��'4. 'yaC Region Specific �°a t°�:�r,�'�`:_.y' ...<.,�.�":"� g�� :,� � .,. � :.+.,_.., ... � :k:'"�' '"� :.4 •. -�,..�� ..�'+ �-a?'�'�`�...' a'� 2;-s::..... mjem funds 14,324 4.041 �;., �t � ��3'.... - - - - - €� .� �iy�.:.a.-r::. 2.041 213,40E XPIADRC Services 3$771 x k 15,3 arr� - s, .> i ` `a z"3w u s r " ,P: �x zi b y - $.458 54,582 11ATF administration \'�'"�`N ..'• r .? Z S"x x , ik ': `:fiU, h..T y : x .'•tC . ?r:. 'c yew . ;0 SUPPRTSERVTOTALI µ337.8941 23,4211 142,157_ 10,63-911 25,4741 nMJ 99.%51 215,9131 58,4021 73.220 1 119,74911 9.485 11 26,031 84,2701 1.311,756 i FY 2015 NUTRITION I OMBUDSMAN I RESPITE I KINSHIP-PROGRAM BUDGET DETAIL Agency.TCOA Budget Period- 10101114 to SMI15 - PSA: 6 Gate: CM6114 Rev.Number 0 page 3 of 3 FY 2015 AREA PLAN GRANT BUDGET-TITLE III-C NUTRITION SERVICES DETAIL SERVICE CATEGORY Title lit G? Title III C-2 Slate State HDM NSIP Program Cash to-Kind TOTAL Congregate Income Maf,,h Match Nutrition.Services -a %s*.: �� -'-_.-:'":^ ;r^ 1.Congregate Meals 298,748 ? _ .' $534 ,t i, ' r: ,� :; 102," 170,000 - 34.245 614.136 2_Home Delivered Meals _ _- ^328.285 - 310,243 190,559 275,000 - 71,100 1,173,187 3_Nutrition Counseling - - - - - 4.Nutrition Education - - - - 5.AAA RDINI.A ition€sr 9001 . 2,7001 Off='°Via' ':-'��' Rlutriti.n Services Total 299,648 1 328,985 1 81534 310,243 293,168 445,000 - 105,3, 1,790,923 -Registered Dietitian,Nutritionist or€ndividual with comparable certification,as approved by OSA FY 2€315 AREA PLAN GRANT BUDGET TITLE VII LTC OMBUDSMAN DETAIL SERVICE CATEGORY Title I€I-B Title VI[-A Title V€€-1 AP State NHO CMP Fund Program Cash In-Kind TOTAL Income Match Match LTC Ombudsman Services _ 3 2� 1_LTC Ombudsman 6,547 4,830 ,y`r ` 18,678 9AS5 - - 2,803 42,343 2.Elder Abuse Prevention - ,' b 809 < ._. 10 645 6.454 3-Region Specific I - I LTC Ombudsman Ser.Total 1 6,5471 4,830 1 5,8091 18,6781 9,485 1 3;448 48,737 FY 2015 AREA PLAN GRANT BUDGET-RESPITE SERVICE DETAIL SERVICES PROVIDED AS A Title lil-B Title III-E State Alt Care State State In-Hoare Merit Award Program Cash/In40W TOTAL FORM OF RESPITE CARE Escheats Trust Fund Incur;a Match 1. Chore - - - - - - - - - 2. Homemaking - - - - - - - - - 3. Home Care Assistance- 4- Home Health Aide - - - - - - - - - 5. Meal Preparation/HDIO - - - - - - - - - 8_ Personal Care - - - - - - - - - 3esp€te Service Total FY 2015 AREA PLAN GRANT BUDGET TITLE E-KINSHIP SERVICES DETAIL ;ERVICE CATEGORY Title II€-B T-rde h4-E Program Cash In-Kind TOTAL Income mat&.... Match .7nsWp Ser_Amounts Only S Y a sti a 4 P r w R ." ' q- 5i�_i�""'`4s.. '4'e+.. x, n,.c? c. 5:�.. 7 xu ",�,. .. c _ 1.Caregiver Sup-Services - 2_Kinship Support Services 790 3.Caregiver E,S,T 4_ - - .` ".'C" n"v-`'' - £y 4 rirt S -'r„`..a,•a whip Services Total 7,108 is z r� Yea 7901 7 898 Planned Services Summary Page for FY 2016 PSA: 6 Budgeted Percent Method of Provision of the .^ Service Funds Total Purchased { Contract = Direct Care Management $ 239,903 7,73% i x Case Coordination &Su port $ 21,207 0.680% I x Disaster Advocac &Outreach Program $ 0.00 o _ Information &Assistance $ 1 0,054 4,61% x x outreach $ E6,'2 70 1,72%° E i x Transportation 08 0,17% x _ I-AO ITAOME 9ERVIE99h a•ffr� k= , ;f :,::. X'.. Chore $ O.00% Home Care Assistance $ w 0,00% Home to ur Control $ 0.00% Homemakin $_.. 147; 9 y: 4;76%-7; x I..: Horn live ed Meals $ 1,173,187 37,81% 3 x Home Health Aide $ 0.00% Medication Mana ement $ 0,0 %n Personal Care $ 143,6 4 -4.63% x I I Personal Emergency Response System $ 0.00% i Respite Care $ 167,336 5,07% x Friendly Reassurance 0,00% CCIMMUNlTY SEWl SS ?III ;-I ;ks Adult Day Services $ 111,670 3,606/o = x i Dementia Adult Day Care $ 0,400 i Con re ate Meals 614,136 19,79/o x x Nutrition Counseling $ - 0.00% Nutrition Education $ - 0.00% Disease Prevention/Health Promotion $ 36,786 1,19% x Health Screenin $ - 0,00% i Assistance to the earing im aired& Deaf $ - 0.00% Home Repair $ - 0,00% ' Le ai Assistance $ 25,811 0.8 3% E x ton Term Care Ombudsman/Advocacy 42,343 1.36°!o x Senior Center o erations $ 0.00% t Senior Center Staffin $ 0.00% Vision Services $ - 0,00°l0 Pro rams for Prevention of Eider Abuse, $ 6,454 0.21 o x , Counseling Services 0,00 Jo Specialized Respite Care $ 4 400 0A4% x are give Supplemental Services $ 0100% Kinship Support Services $ 7,898 0.25% i x = Care River Education, Support, &Training $ 7,648 0.25% x AAA utrn ones o x , PROGRAM L)EVECOPMT ; ,�,„ a ; �c,. p �'#iC ry�+.�.tLw�,1�Y�hi��ii?i'''S C i.F('y... g X Tll 11✓ F' trilri ift {il'k P yl'1.yT �s Fy r,x !'�``x4..uLYary' p r 24 _�! ,�s'r..� Emergency funds $ 20,406 0.66% x b' $ _ C. $ 0,00%n 1.7 o J o = = x 0 0 o r o i TOTAL FUND lNG $ 3,1g2,G79 $468,558 $340,397 i $2,294,113 f _ > S r • s t IF 2015 State Escheats/Careg fiver Related Services Budget Narrative Agency: TCOA PSA: 6 Budget Revision No. 0 i i Please describe the planned use and allocation of State Escheats Respite Program Funds. Include all related caregiver service funding aliocat`�ons in this r"Y Area Plan Grant Budget. Please enter the narrative in the box below. TtiiS is a s(n 1e rner'ed it with.teictwra`; Enter:or.:Cb n (allve`her ; Tt OA'tens io'tiSo:thB;Stat�i' sgiieats#unds fpr:klie fotlo�riny SerVlces :l 0;566 for AM1t-.: 8 9 Ce p ply p ) Ddy Care which:wlll gp to dxisthig servloe Contrabtq'rs 2}$8j;'V4 to cb6tradt but tdP respite i re services 3)$4,400 c6htiact out 6f s00 i respite Gara servlct s , t tf ' l \ f l ........ ...: - I - i I , i I - - I : e T h` t I i i I i i I I FY20116 RQQQET8EYIE)y$RREAQSHEE1' TWA-," Fiscal Years FY205 Date of SGA: SGA No, Date Reviewed by OSA: CATEG PL OR 6/14 kev(S-166 W" Initials of Field Rep Approvtnok SGAA RD ClOAMQUfff_A TOTAL Title III Administration $ 125 790 $ State Administration 21,02 21,932 Title 111-8 Samoa$ $37,894 Title 111-0-1 Services Title III-C-2 Services 326,986 $ 328 985 Federal Title Ill.0(Prey.Heam) 23,421 T_ 23A21 wu Title HI-E SefVjW8(NFCSP) $ 142,157 $ 142157 Title VIVA Services(LTC OrnbudG) 4,830 Title V11111AP Services $ 5,809 $ 6,809 ...... St.Access $I V1 25414 St.In Home 6 St,Congregate Meals $ 8,534 ,9L Home Delivered Meals i0 62 4 $ 310,243 SA O 6, 81,Altemative Care St,Aging Network 8rV,(St.AN$) 39,72.4 St.Respite Care(Eochoslq) $ 73,220 73220 MeritAward Trust Fund 1 9 74 0 119,749 Nursing Home OmOuds $ 18 78 s ti 18,678 CMP Fund-LTC;Ombudsman $ 9465 St.care Mgt. $ V^yIP $ 293, $ 293 $ SGA TOTALS: $ 46881265 $ 2,688,255 ADMINISTRATION BUDGET ISGA 1DIFFERENCE Minimum fedorel administration match amount 0 930 Federal Administration 125,790 Administration match ex pended(State Adm,+LooRW5: :�l 030 21,932 $ 21,W2 1$ Yes INNIE 929,federal admInWralion bu_UUef eq�o[§Q Yes Does Sub-Total; $ 147,722 1$ 147,7221$ a state administration bud et equal BOA? Yes 10,777 TW AdmInIsIRIon Punds must be expended at or below 9%of Local cash Match Total Merit Award Admin,Funds bud clod: Local la-Kind Match Is Merit Award Trust Fund Admin,bLdjefwit 9°/or less! Yes 1.9.998 Amount of rd Tru $ 66304 ub ota: at Fund bud on Adult Day Care oral Administrat On 1784,97 Is atleast 60%of Merit Award budoeted on Adult Day Care services? Yes tit ServicesProgram Re2qIr6moht0,.;1' IERVICER; BUDGET ISGA BUDGETED, Are klashlo services bud eked Yes Title,III.B ServJ7$ Federal T 337.891$ 337,894 100.00% Are kinship services budgeted at<10%of the AAA's Title lll.r funding? Yes Fed,Title III C-1(Congregate) 299448 1$ 299,W 100,00% lq��ZL42007-1411 - - 811r,-W $State Congregate Nutrition A) $ 8,534 100.00% For Anencles tenuired to bud oet a minimum of Q10-no-1 ulrag 10 n Ong 0�01EM Federal C-2(NDM) 3 $ 128,985 1 W.0 VIq on �prm-C are.Omb gslhaWma 41 m, .g Slate Home Delivered Meals 310 24 310,2 100,00% Enter Federal Title 111-13(Prev,Homo) 23,421 100,00% Bud Died amount Title llf-B far LTC Ombudsman. Federal Title III-E(NFCSP) 142,157,1000-0 Is reAulred maintenance Of;_ffod'mel? Yes Title VII/A Services(LTC Ombods) - 4,830 41830 %0,00% Title V;I/EAP Services 6,809 6,809 $I.Access 2.0,474 53936 83,936 100,00% - - $ .101 8t,In Horne Minimum se vice 216 amo unt-M- -1t, St.Alternative Care 665 99,666 100.0p. Service matched Wooled:(Local Cash+in-Kind) St,We Mg(, $ 215,9I $ 2 5,913 100.00% Is the sere co allotment match o at a minimum 10%7 No .............. St.LTC Ombudsman $ 18,678 $ 18,678 100,00 SIANS I 39,724 $ 39,724 100.02% Sub Total: $ 1,944.911 $ 11,944,911 100.00 Local service Match Amass: 9 '511 26 0310,15,MVN'u' In-HGM2:X Local Cash Match $ -Kind Match MEW 1 9 Local In $ 8 616 Total Budgeted for phil taMcas: $199 105 AOL Are Access Le�� Yes Are In Home Services budgeted at Yes 91 AC Sub-Total: _$_216,646 RIP 293.168 S 293,168 1100,00% Are L ai Services bud atad at minimum 6.6%of Or(Qlnal AU Yes _Ma St.Respite Care(esoheois) $ 73,220 100, % (A v 1 0 Ji Merit Award Trust Fund $ 108,972 $ 108,972 1013.00% Title 111-13 award w/o car over or Transfers In current SGA $3371094 CMP fund-LTC Ombudsman $ g 465 $ 9 485_100.60 1?0 Amount budgeted for Program Development: $67,618 TCM4edlvaid/CM V of Title 11-D Pr ram Develooment(must be 20%or Ins); Pr ram Income Is Program Uovelopmenj bud oeted at200%6r less!_ Yes Title III-D allotment with o0ayover, $21421 Total Amount budgeted for EBDP Activities,per TL#2012-2.44: $23421 ran ToWa,!Lhr,+Admin, _Les PRIORITY SERVICE SECTION aeoss ery ces u ga moon a.Care Management D. ass U000supp c. IS-ter VOCacy d,Intorrnallon& Ssis e.oulroaa Trans 8 (AAA Regional Access Servloo) (AAA Regional Access Service) , ccoss o a: , n ome ery ces I I• u gat rnoun a.Chore 10 b.Home Caro Assls c.Home Injury Win d.HomemON Ma e.Homo Ilea,05 1. Med�atlon Mgt g,Personal oare h, sissil4e Usvico&Tech I,Respite Cara J.Friendly Reassure - (AAA Regional In•Hnme Service) (AAA Regionailn•Home Service) . _. n ome ery ces Total, I Ktruiftip Service$ IME BudgetAmount aregver goafffil-Wfishipmount 2.Kinship 5uppon 3,Caregiver E,S,T•Klasn p Amount Ply (Other Thle III•E Kinship Service) (Other Title IIl•E Kinship Service) ns rp ery ces Tata i ;�: .. gs_:. r. x{ (Use ONLY If 5GA Reflects Transfers) title RF1J6WaWW10CarrY0V8flriUA a•Arrit. rarlser nto e - (Always Enter positive Number) m,iran er duo to - (Always Enter Positive Number) ADA 1 e 111.13 a oa: kidl I� - � ! , "t) r 1 t 1 I i I i I 1 1 I 1 I I i i I i I I I f FY 2015 Annual Implementation Plant Direct Service Budget Detail#1 ff AAA: TC3A FISCAL YEAR: FY 2015 t SERVICE: Care Management Federal OAA Q2her Fed Funds State Program Match OEiher Total LINE ITEM rifle[it Funds {non-Tifleih} Funds Income Cash In-Kind Resources Budgeted wageslsaWes 111,455 111,455 Fringe Benefits 33,150 33,150 Travel 4,000 4,000 Training 300 300 Supplies 1,300 1,300 O=pancy 19,157 19,157 Communications 2,500 f: 2,500 Equip;nent 0 Ofher(e g.,raw food costs): 9025 3,025 l Central Service Casts 11,146 11,146 Purchased Services 23,880 23,990 47,870 Q Totals 0 01 215,9131 0 23,99-�3l 0 01 239,903 SERVICE AREA: (Ust 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? No If yes,please describe: I certify that 1 am authorized to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for implementing the program. Dee Lamb 6t6I2014: Name Date Finance Director Title FOR CARE MANAGEMENT DIRECT SER.BUDGET ONLY FY 2015 Annual Implementation Plan SCHEDULE OF MATCH &OTHER RESOURCES Fiscal Year: FY 2015 MATCH VALUE SOURCE OF FUNDS Cash In-Kind Fund Rzisinq Program 23,990 OTHER RESOURCES VALUE SOURCE OF FUNDS Cash In-Kind FY 2015 Annual Implementation Plan Direct Service Budget Detail#2 AAA:TCOA FISCAL YEAR: FY 2015 SERVICE: Case Coordination and Support Federal OAA other Fed Funds State Program match Other Total LIME ITEM ride III Funds {non-Tee HU Funds Income Cash In-Kind Resources Budgeted WagestSalades 2,985 11,700 1,740 16,425 Fringe Benefits 1,101 S,300 381 4,782 Travel 01 Training6 Supp'.ies U Occupancy U Carnmt�nica``'lens Q E uipmeni 0 Other("..raw flood wstsj: 0 Central Service Costs 0 Purchased Services Q 0 Totals 4,086 of 15'00f 01 2,1211 0 21,207 SERVICE AREA: (List by County/City if service area is not entire FSA) Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 All'"? No If yes,please describe: I certify that I am authorized to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for implementing the program. Dee Lamb 6t6=14 Name Date Finance Director Title FY 2015 Annual Implementation Plan _ SCHEDULE OF MATCH &OTHER RESOURCES Fiscal Year: FY 2015 MATCH VALUE SOURCE OF FUNDS Cash In-Kind TCOA 2,121 OTHER RESOURCES VALUE SOURCE OF FUNDS Cash In-Kind FY 2015 Annual Implementation Plan Direct Service Budget Detail#3 AAA: TCOA FISCAL YEAR: FY 2m SERVICE: Infromation and Assistance Federal OAA OtharFedFunds State Program Match Other Total LINE ITEM Title 10 Funds (non-Tee re) Funds Income Cash 109nd Resources Budgeted WageslSalaries IU-10 17,30G 3,135 31,345 Fringe Benefits 4,676 7,424 1,344 13,444 Travel C i Training 0 Supplies 0 occupm 0 Communications # 0 Equipment 0 Other(e.g.,raw:cod cos-# 0 Central Service Costs 0 Purchased SeR'ices 0 0 Totals 15,5861 01 24,7241 0 01 4.4791 01 44,789 SERVICE AREA: (List by CountyfC'rty if service area is not entire PSA) [foes the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AlP? No If yes,please describe: 1 certify that 1 am authorrced to sign on behalf of this agency. The budgeted amounts represent necessary and proper costs for implementing the program. Dee Lamb 6/612014 Name Bate Finance Director Title EY 2015 Annual Implementation Plan SCHEDULE OF MATCH&OTHER RESOURCES Fiscal Year: FY 2015 MATCH VALUE SOURCE OF FUNDS Cash In-Kind TCOA 4,479 OTHER RESOURCES VALUE SOURCE OF FUNDS Cash to-Mnd FY 2015 Annul Implementation Plan Direct Service Budget Mail#4 AAA: TCOA FISCAL YEAR: FY 2015 SERVICE: Outreach Federal DAA Omer Fed Funds State Program Match Other Total LINE ITEM Tie III Funds {nog rme t�} Funds It=me cash In-Kind Resources Budgeted Y esiSalades 15,730 17,83II 3,729 37,2$9 Fd eSenetits 6,739 7,644 1,598 15,981 Travel 0 Trdirfirig 0 Supplies 0 Ocamanc 4 Communicafions 0 Eq€tipment 0 Other(e.g,raw Taal com): 0 Cerdrai SeMce Casts i 0 Purchased Services D II Totals 22,469 0 25,474 01 5,32-7 Q 0 53,270 SERVICE AREA: {List by County/City if seruice 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? No If yes,please describe: I certify that 1 am authorized to sign can behalf of this agency. The budgeted amounts represent necessary and proper costs for implementing the program. Dee Lamb 61612014 Blame fate Finance Director Title FY 2015 Annual Implementation Plan SCHEDULE OF MATCH&OTHER RESOURCES Fiscal Year; FY 2015 MATCH VALUE SOURCE OF FUNDS Cash In-Kind TCOA 5,327 OTHER RESOURCES VALUE SOURCE OF FUNDS Cash In-Kind AREA AGENCY ON AGING—OPERATING BUDGET i PSA: 6 Budget Period: 10101f14 to: 09130115 Date of Budget. D8106f14 Agency_ TGOA Rev.No-: orginaf Page 1 of 2 Operations Program ServicesfAciivifies Prooram ongregate Home Del Care lHCBS Merit Award DARE CLPt OtFf thfFORM CASE Adinin Develop €Yutritiont Meals Mngt. Waiver Trust Fund GIVER 1zi3RC REACH &ASSIST CQORDtN Other TOTAL -VENUES :deralFunds 12579E 67578 474932 446869 17341489 6883 49124 22469 15586 4G86 65290E 1920770611 ate Funds 21932 8534 310243 215913 10777 25474 24724 12-1,21 63259 icafCash 19998 33064 &0000 113062 rcalln Kind 7509 47203 25000 765 1 5458 5327 5070 984531 lemst income 100DG 1D00 ' ind RaisingfOther 3280801 1 451001 045091 3600011383680 3TAL 1 5058001 750871 575768 17896-761 2519131 1734148 _10MI 76481 54,5,821 532701 45380 21207 71290E 214454981 (PENDITt1RES )ntractuai Services 17000 170001 irchased Services 1 - 1 23880 14367000 — 1439088E ages and Salaries 244200 529GG 193375 546175 111750 1682400 0 5500 4400G 38800 21300 1,3200 431850 338845E inge Benefits 69,519 10.M 71,107 202,818 24,601 439,196 1,579 5,534 7,032 18,155 3,261 128,163 981004.56. ayraif Taxes 18,$81 4.047 14,793 41,782 8,549 128.704 421 3,366 2.958 1,629 1,239 33,037 259216-44 Services 52500 2000 6200 18600 5400 127900 27000 239600 =unfing&Audit Services 8000 500 12900 45000 11150 6500 10777 94827 :gal Fees 800 1 1 1500 1 2300 xupancy 61500 33000 68600 19150 152100 148 1682 4470 42961 507 345453 surance 350E 500 1700 66G0 6200 18500 Ffice Equipment 2000 5000 700 juip Maintenance&Repair 250E 10wo 10000 6350 2885 Ffrce Supplies 50OG 200 - 5000 10000 1300 35388 1500 583881 indng&Publication 4900 2500 1900 7600 1 15000 2500 34400 )stage 200E 300 2200 8400 1000o 300 232001 .Iephone 2200 7250 26000 2500 2500E 6700 6965€? avel 280E 100 23100 92400 4000 45000 20000 187400� mferencesti'rainings 1500 300 12800 10GG 156E rmberships 250WI 1000 200E - 30M 5000 36000 iscellaneous 1700 1000 27744 18701 33331 2668G1 2000 3212791 rod 171000 684000 E 855001) )ntractarServices 59880 143670€JQ 525DG t4479380 )TAL 505800 75087 575769 1789676 251913 17341489 1077717648 54582153270 45380 212E 7129Gtbl 21445498 Is the PATHWAY Grant with Ingham Co.for$60,000 and the CMS Cammuntfy based Care Transitions Program$6204GG and MMAP program$32,500. AREA AGENCY ON AGING—WAGES AND SALARIES PSA: 6 Budget Period: 10101114 to: 09130115 Date of dget- 06106114 Agency. TCOA Rov,No.: orginal Page 2 of 2 perations Program ServicWActivities Program gregate Home Del IM. sHCBS hrielt Award CARE Ci Pt GUT iNFdRE�I £ftS€ dB CLASSIFICAT#ON FTEs dmin Dvelop Nhition Mals gt Waiver Trust Fund GIVER ADRC REACH &AMST COORDIN #Other TOTAL Executive Director 1.00 38,000 11,300 70M 30,300 86600 ant Director 1.00 6100 50500 10800 674001 Nutrition Director 1.00 11440 40560 52011Q Finance Director 1.00 34500 34500 691m tvaiverDirwor 1.00 5600 64200 5980� vocacy&Dev Director 1.00 17100 11800 11804 183M 59000 Bridge Care Coordinator 8-001 1 376900 37690C, Community Health Wrker I.C,01 33300 33300 Contract/Grant Manager I-Wj 23900 21500 P4200 12600 7800 6830C, Nursing Supervisor 1.04 47804ocial Work Supervisor 1-00 48500 52 Nurses 10.75 464400499social Workers 9,75 425600 4 7 5 Assessment Specialist 1.50 44600 16200 608001, Eligibility Specialist 1.25 1300 45200 3400 499001 Transition Specialist l RS 1.00 45900 45900 BA Ccord 4.50 10000 4000 102400 25700 17900 160000 PC MICISIData operator 2-50 9600 76900 86500 Kichen Coord. 1.50 7964 28236 35200 Assist Accounting 1.00 21300 3 14200 35500� OfFic,aIC€encal 5.25 26300 136W 54600. 6450 50100 t51050{ Housing Specialist 1.00 35500. 35500° MMAP Coordinator 1.00 1fi800 2000 l 21650 40450 FinancelHR Coordinator 1.001 208M 31106 519 Nutr Site Liason 1.00 37800 5400 43200 Receptionist 1.00 13100 56W 1370 Kitchen Supery FD Mgr 1.00 8294 29406 37700 lCtchen Supery FD Asst 1.00 5830 20670 26500 Cooks 4.50 21208 75192 9640 Porter 4.00 16390 58110 74500 Dishwasher 0-5fl 1892 6708 8600 Stockperson 1-00 4796 17W4 21800F Food Tramp 4-75 23661 83889 10755 Dining Site Coordinators 3.00 40500 405001 MOW Coordinators 4.00 131800 13180 Community Outreach 1.00 23900 5500 12800 42200 tnfor.mation System Spec~ 1.00 33100 8300 - 41400 C C TOTAL 1 39.251 24420&1 529001 1933751 546175 111750 16824001 01 550GI 44WO1 38800 213001 16200 431850 3-388450