WELCOME TO THE IDAHO COMMISSION ON AGING - PowerPoint Presentation

1. WELCOME TO THE IDAHO COMMISSION ON AGINGaging.idaho.govLake City and Sandpoint Senior CentersSeptember 23 and 24, 2019

2. Idaho’s Senior Services State Plan Town Hall MeetingsIdaho Commission on AgingLake City Center (Coeur d’Alene)Monday, September 23, 201911:00 – 3:00Idaho Commission on AgingSandpoint Senior Center, Bonner County Tuesday, September 24, 201910:30 – 3:00

3. Topic AreasMeeting SchedulesState Plan RequirementsLegislative IntentFunding Allocation to Area Agencies on AgingService FundingService Delivery Next Steps

4. Townhall Meeting ScheduleSeptember – North and North Central IdahoPSA I: Monday, 23rd: 11:00 – 3:00 Lake City Center (Coeur d’Alene, Idaho) PSA I: Tuesday, 24th: 10:30 – 3:00 Sandpoint Senior Center (Bonner City, Idaho)PSA II: Thursday, 26th: 11:00 – 3:00 Moscow Senior CenterPSA II: Friday, 27th: 11:00 – 3:00 Grangeville Senior CenterOctober – Eastern and Southeastern IdahoPSA VI: Monday, 21st: 11:00 – 3:00 Idaho Falls Senior CenterPSA VI: Tuesday, 22nd: 11:00 – 3:00 Ririe Senior CenterPSA V: Thursday, 24th: 11:00 – 3:00 Curlew Senior Center (Stone, Idaho)PSA V: Friday, 25th: 11:00 – 3:00 Senior Activity Center (Pocatello, Idaho) November – Southcentral and Southwest IdahoPSA IV: Monday, 4th: 11:00 – 3:00 Twin Falls Senior CenterPSA IV: Tuesday, 5th: 11:00 – 3:00 Burley Senior CenterPSA III: Monday, 18th: 11:00 – 3:00 Nampa Senior CenterPSA III: Tuesday, 19th: 11:00 – 3:00 Weiser Senior Center

5. Four-year State Plan RequirementsIdentify Senior ServiceDevelop Funding DistributionAddress Federal ComplianceInclude Supporting DocumentsJune 30, 2020October 1, 2020Federal FundingAdministration for Community Living This Photo by Unknown Author is licensed under CC BY-SAInvolve Public & Stakeholders

6. Idaho Senior Services ActLegislative IntentProvide efficient community services . . . designed to permit its older people to remain independent and . . . to avoid institutionalizationTITLE 67 STATE GOVERNMENT AND STATE AFFAIRSCHAPTER 50 COMMISSION ON AGING 67-5005. Legislative intent. 

7. Cost of InstitutionalizationAssisted Living Care: Assistance with Activities of Daily Living (ADLs)Nursing Home Care: Assistance with ADLs, but provides 24 hr. skilled nursing care *Self-Pay: 2018 AARP Public Policy Institute (last updated 8/28/2018) **Medicaid: Estimates from the Bureau Chief of Medicaid Financial OperationsPrivate Pay: Monthly: $2,000 to $6,500=Private Pay: Annually: $24,000 to $78,000Private Pay: Monthly: $7,000 to $9,000=Private Pay: Annually: $84,000 to $108,000Medicaid = $13,500 annuallyMedicaid = $80,000 annually

8. Helping People Stay IndependentFederal: Older Americans ActState: Idaho Senior Services Act==$9,076,000$4,604,000$13,680,000

9. $4,973,000$2,162,000TARGETED FOCUSCRISIS FOCUSFunding Focus Areas $13,680,000UNIVERSAL FOCUS$6,545,000Preserving Rights and SafetyRight to live without abuse, neglect, exploitation Right to live with dignityRight to make our own decisionsPreventing InstitutionalizationAssistance with independent living needs:Caregiving, home delivered meals, transportation, housework, medication management, employment training and referrals for low income Medicare benefits Investing in Healthy AgingAccess reliable and trustworthy information, services and supportsOpportunities for seniors to stay active in the communityCaregiver training and resourcesPlanning for your own independent living needs as you age

10. Statewide Focus Areas: $3,601,000State Plan Administration: $942,000Elder Justice: $24,000Chronic Disease Self-Management Education: $50,000Dementia Capable Grant: $300,000Lifespan Respite Grant: $254,000Nutrition Supplemental Incentive Program: Congregate Meals: $366,000Senior Community Service Employment Program: $422,000Commodity Supplemental Food Program: $182,000Medicare Improvements for Patients and Providers Act: $80,000 Ombudsman: $101,000Senior Medicare Patrol (Fraud Prevention) $245,000Adult Protective Services Grant: $239,000Nutrition Supplemental Incentive Program: Home Delivered Meals: $397,000Initial State Fiscal Year 2020 Budget Targeted: Preventing Institutionalization: $1,335,000 Crisis: Preserving Rights and Safety: $340,000 Universal: Investing in Healthy Aging: $1,927,000

11. Area Agency on Aging Focus Areas: $10,079,000 Targeted: Preventing Institutionalization: $3,062,000 Crisis: Preserving Rights and Safety: $1,823,000In-home Services: $742,000Home Delivered Meals: $1,743,000Caregiver Training: $110,000Initial State Fiscal Year 2020 BudgetOmbudsman: $725,000Legal Assistance: $106,000Adult Protective Services: $991,000 Universal: Investing in Healthy Aging: $4,618,000 Local Area Plan Administration: $1,000,000Coordination and Planning: $99,000Information and Assistance & Outreach: $938,000Congregate Meals: $2,195,000Disease Prevention & Health Promotions: $113,000Caregiver: Information & Assistance & Outreach: $273,000Transportation: $576,000Caregiver-Respite: $469,000 Targeted: Preventing Institutionalization: $3,638,000

12. Federal Funding Allocation RequirementsFederal FocusAt Risk of Institutional PlacementGreatest Social NeedGreatest Economic NeedState CriteriaSeniors 75 and olderSeniors living in povertySeniors living aloneSeniors living in rural communitiesSeniors who are HispanicSeniors who are Racial Minority

13. SFY2020 Funding Allocation by Census Demographics

14. Current Funding Formula: 10,079,000July 1, 2019 – June 30, 2020 14=++=

15. State Fiscal Year 2020 Funding Summary Area Agencies on AgingFederal FundsRequired Match (State)State Program Adult Protective ServicesAdditional State SupportTotal BudgetAAA I-North Idaho$1,050,000$216,000$194,000$276,000$1,736,000AAA II-North Central Idaho$548,000$113,000$78,000$166,000$905,000AAA III-Southwest Idaho$2,148,000$439,000$316,000$640,000$3,543,000AAA IV-South Central Idaho$923,000$190,000$132,000$282,000$1,528,000AAA V-Southeast Idaho$720,000$148,000$149,000$174,000$1,191,000AAA VI-Eastern Idaho$712,000$146,000$123,000$195,000$1,176,000Total$6,101,000$1,252,000$992,000$1,733,000$10,079,000State CommissionFederal FundsRequired Match (State)N/AN/ATotal BudgetIdaho Commission on Aging$2,975,000$626,000$3,601,000Total ICOA and AAA$9,076,000$1,878,000$992,000$1,733,000$13,680,000

16. Universal-Investing in Healthy AgingTargeted-Preventing InstitutionalizationCrisis-Preserving Rights and Safety$887,000$507,000$341,000$162,000$378,000$366,000$1,458,000$1,498,000$587,000$812,000$451,000$265,000$541,000$419,000$231,000$555,000$385,000$236,000$1,735,000$906,000$3,543,000$1,528,000$1,176,000$1,191,000AAA Focus Area Funding $10,079,000

17. Funding Formula Methodology Change: July 1, 2022: Adding an Incentive Performance Calculation Registered Clients ServedHome Delivered MealsHomemakerCaregiverCase ManagementChoreCongregate MealsDiseases Prevention & Health Promotion ProgramCensus Demographic Categories75+85+65+ living in Poverty65+ Living alone60+ Racial Minority (not Hispanic)60+Hispanic60+ Living in Rural CountiesCurrent Funding Allocation/DistributionNew: Add Incentive Performance Allocation/Distribution

18. SFY2019 Registered Seniors Served in Idaho

19. Funding Formula Change: July 1, 2022 Adding an Incentive Performance Calculation 19+==

20. Idaho Commission on AgingArea Agencies on AgingState OmbudsmanState Adult Protective ServicesLocal OmbudsmanLegal AssistanceLocal Adult Protective ServicesCrisis Focus: Preserving Rights and SafetyOutcomes:- Right to live without abuse, neglect, exploitation - Right to live with dignity- Right to make our own decisions

21. State & Local OmbudsmenYour Rights, Your AdvocatesService DescriptionService DeliveryIdentify, investigate, and resolve complaints Protect resident health, safety, welfare and rightsAssist residents to obtain servicesRepresent resident interests before agenciesProvide technical assistance and monitor laws related to long term careProvide trainingNorth Idaho: AAA 1Expenditures: $130,057Total Ombudsman: 2Total Volunteers: 18Total Facilities: 48Total Beds: 2,592Unannounced Visits: 1,123Total Complaints: 128 Top Five Complaints: 14 – Medications8 – Dignity, respect, staff attitudes7 – Personal Hygiene6 – Careplan/assessment: failure to follow physician orders6 – Food serviceGeneral EligibilitySeniors 60 years old and older Resident in a facilityHelping Assisted Living and Nursing Facility Residents Stay Safe SFY2019: Statewide Trends Contact: North Idaho Area Agency on Aging: 1-800-786-553612345Total Expenditures: $790,669Total Ombudsman: 13Total Volunteers: 56Total Facilities: 362Total Beds: 16,758Unannounced Visits: 3,209Total Complaints: 1,232Top Five Complaints: 99 – Discharge/Eviction96 – Medications73: Dignity, Respect, Staff Attitudes60: Food Service47: Failure to Respond

22. Local Adult Protective Services Right to live free of abuse, neglect and exploitationService DescriptionService DeliveryProvide safety and protection to vulnerable adults.Investigates allegations of abuse, neglect, exploitationAssists to reduce risk of harmProvide prevention educationNorth Idaho: AAA 1Expenditures: $182,802Staff: 2.85Allegations Investigated: 714Presentations: 26Types of Maltreatment229 – Abuse AllegationsSubstantiated: 30218 – Neglect AllegationsSubstantiated: 24153 – Exploitation AllegationsSubstantiated: 7144 – Self-neglect AllegationsSubstantiated: 9General EligibilityVulnerable adults age 18 and older(State Funded Program) Expenditures: $985,372Staff: 16.5 Allegations investigated: 2,301Presentations: 102Types of Maltreatment740 – Abuse AllegationsSubstantiated: 86585 – Neglect AllegationsSubstantiated: 49520 – Exploitation AllegationsSubstantiated: 43456 – Self-neglect AllegationsSubstantiated: 45 Contact: North Idaho Area Agency on Aging: 1-800-786-5536Helping Vulnerable Adults Stay Safe SFY2019: Statewide Trends12345

23. Local Legal AssistanceProfessional Advice, Counsel or RepresentationService DescriptionService DeliveryLegal assistance addresses issues related to:Income, Health care, Long-term care, Nutrition, Housing, Utilities, Protective services, Defense of guardianship, Abuse or neglect, and Age discriminationNorth Idaho: AAA 1General: $13,524 = 70 Health Care cases = 56 Housing cases = 55 Long-term Care cases = 46 Income = 2 OtherCaregiver: $13,258 = 176 Health Care cases = 23 Long-term Care cases = 14 Housing cases other = 9 IncomeTotal: $26,782 = 451 CasesGeneral EligibilityLow Income Seniors 60 years old and over Contact: North Idaho Area Agency on Aging: 1-800-786-5536OrCall Idaho Legal Aid Directly: 1-208-746-7541Expenditures: $90,524Total Cases: 872Top Four Areas:Health Care: 285 casesIncome: 191 casesLong-term Care: 189 casesHousing: 157 casesHelping Seniors Stay Safe SFY2019: Statewide Trends12345

24. State Adult Protective ServicesRight to live free of abuse, neglect and exploitationGrant DescriptionService DeliveryTarget is to deploy the following:New screening and assessment toolMethods to capture APS case, client and perpetrator dataGoal attainment scaling (GAS) intervention Pilot: Implemented in Area Agency on Aging 3 Deploy Focused Care Coordination = strengthen vulnerable adults support networkCase Manager sets GAS goals with vulnerable adultCase Manager assesses effectiveness of GAS interventions General EligibilityCompetitive Three-year Grant: $446,036ICOA was 1 of 14 states awarded the nationwide grant Contact: Area Agency on Aging 3 (Southwest Idaho): 1-208-898-7060- State oversight: Deedra.hunt@aging.Idaho.gov Helping Vulnerable Adults Stay Safe3,997 Reports on Abuse, Neglect and ExploitationInvestigated 2,301 Maltreatment Allegations740 – AbuseSubstantiated: 86585 – NeglectSubstantiated: 49520 – ExploitationSubstantiated: 43456 – Self-neglectSubstantiated: 45 SFY2019: Statewide Trends1. Protective Order/Action9. Social Support Activities2. Alternative Housing10. Accessing Caregiver Resources3. Medical Care11. Secure Financials4. Substitute Decision maker12. Accessing Communication Tools5. Guardianship/Conservatorship13. Accessing Assistive Devices6. Safety Planning14. Accessing Benefits/Entitlements7. Education15. Natural Supports (family, friends)8. Access External ResourcesEtc.12345

25. Targeted Focus: Preventing InstitutionalizationIn-home Services (Homemaker)Home Delivered MealsCaregiver Training and Support GroupsIdaho Commission on AgingArea Agencies on AgingLifespan RespiteSenior Community Service Employment ProgramCommodity Supplemental Food ProgramMedicare Improvements for Patients and Providers ACTNutrition Supplemental Incentive Program: Home Delivered MealsCaregiver-RespiteTransportationOutcomes:- Assistance with independent living needs:Caregiving, home delivered meals, transportation, housework, medication management, employment training and referrals for low income Medicare benefits

26. Local Home Delivered Meal ServiceHelping Seniors Stay in their HomesService DescriptionService DeliveryProvide a home delivered meal 5 or more days a week: may consist of hot, cold, frozen, dried, canned, fresh or supplemental foods. North Idaho: AAA 110 Home Delivered Meal SitesExpenditures: $360,687587 Clients401 were 75+/68.3%469 had 2 or more ADLs/79.9%77,572 Meals Served Reimbursement Rate: $4.30General EligibilityAssessment RequiredSenior 60 years and olderHomebound Frail Unable to safely prepare a meal94 Meal SitesExpenditures: $2,341,2554,213 Clients2,845 were 75+/67.5%2,899 had 2 or more ADLs/68.8%583,520 meals servedAverage Reimbursement Rate: $3.77Senior CenterClientsMealsClark Fork131,639East Benewah4173Fernwood203,851Lake City24530,144Post Falls8810,607Rathdrum283,421Sandpoint8813,364Senior Hospitality281,756Silver Valley5910,436Spirt Lake172,181 SFY2019: Statewide Trends Contact: North Idaho Area Agency on Aging: 1-800-786-553612345

27. Local In-home Service: HomemakerMaintaining IndependenceService DescriptionService DeliveryProvides housekeeping, meal planning and preparation, personal errands, bill paying and medication managementNorth Idaho: AAA 1Expenditures: $134,6178,866 hours = $15.18 per hour286 Clients = Annually 31 hours per client60.8% are 75 and older89.1% have 2 or more ADLsAnnually, $471 per clientGeneral EligibilityAssessment Required:- Senior 60 years and older that has physical barriers preventing from maintaining a clean home environmentExpenditures: $700,32945,777 hours = $15.30 per hour1,313 Clients = Annually 35 hours per client59.3% are 75 and older77.9% have 2 or more ADLsAnnually, $533 per clientActivities of Daily Living (ADLs)Instruments of Activities of Daily Living (IADLs)Preparing a mealAble to driveManaging moneyShop for foodDo laundryHousekeepingManage medicationUse telephoneHelping Seniors Stay in their HomesSFY2019: Statewide Trends Contact: North Idaho Area Agency on Aging: 1-800-786-553612345

28. Local In-home Service: ChoreService DescriptionService DeliveryImprove client’s safety at home through one-time or intermittent service: assistance with yard work,sidewalk maintenance,heavy cleaning andhousehold maintenancegrab bars wheelchair rampsNorth Idaho: AAA 1Senior Population Age 75+: 17,364Age 65+ living alone: 9,537Age 60+ living in rural county: 24,036Budgeted $1,995 for assistance during SFY2020: July 2019 through June 2020. General EligibilityAssessment Required/Referral:- Senior 60 years and older that have physical barriers preventing them to keep their home safe. All AAAs are able to link people with chore services, but some AAAs may also provide funding. Senior Population Age 75+: 101,249Age 65+ living alone: 58,797Age 60+ living in rural county: 117,927Helping Seniors Stay in their Homes Contact: North Idaho Area Agency on Aging: 1-800-786-5536 SFY2019: Statewide TrendsMaintaining safety inside and outside your home12345

29. Local In-home service: Case ManagementService DescriptionService Delivery: North Idaho: AAA 1: Budget $521Develops and implements a supportive service planOversees progress until able to manage services on ownAssesses physical, psychological and social needsConsiders available family members and friends who are able to assist before looking for paid optionsProblems identified during assessmentExploration family assistanceIdentify overall goal to be achievedRecords all unpaid services and contributionsArranges and records paid servicesGeneral EligibilityAssessment Required/Referral:Seniors 60 years and older Unable to manage multiple services to meet their long-term-care needsHelping Seniors Stay in their Homes Contact: North Idaho Area Agency on Aging: 1-800-786-5536AAAs are able to link people with case management services, and for seniors who meet the eligibility, are able to provide the service. Comprehensive AssessmentSupportive Service Plan SFY2019: Statewide Trends12345

30. Local Senior TransportationService DescriptionService DeliveryService is in conjunction with local transportation providersTarget: reduces isolation, and promotes independent living by providing transportation to:Medical and health care servicesMeal programsEmployment locationsShopping and community functionsAdult day care facilitiesSocial service agencies North Idaho: AAA 1Expenditures: $79,310Boardings: 36,818Average Cost per boarding: $2.15General Eligibility Seniors 60 years old and overDoes not have personal transportationExpenditures: $550,618Boardings: 162,087Average Cost per boarding: $3.40Helping Seniors Stay in their HomesSFY2019: Statewide Trends ContactNorth Idaho Area Agency on Aging: 1-800-786-5536Partners: Coeur d’Alene Tribe (Citylink)Kootenai County Transit (City Link)Selkirks-Pend Oreille Transit Authority (SPOT)Shoshone County (Silver Express)Hayden Senior CenterPost Falls Senior Center12345

31. Local Family Caregiver Support ProgramService DescriptionService DeliverySupport and train caregivers through the following activities:Information Services (Outreach)Access assistance (Information & Assistance)Support Group/Education RespiteSupplemental Services (Limited basis)North Idaho: AAA 1Total Expenditures: $138,229General EligibilityCaregivers and relatives as caregivers who are 55 or under 55 caregiving for an older person. Total Expenditures: $724,175Helping Seniors Stay in their HomesSFY2019: Statewide Trends Contact: North Idaho Area Agency on Aging 1: 1-800-786-5536ServiceExpendituresUnitInformation Services: NANAAccess Assistance: $ 69,990678 ContactsSupport Group/Education $3,300 NARespite $51,681 4,287 HoursSupplemental Services $ 13,258NAServiceExpendituresUnitInformation Services: $ 56,656 NAAccess Assistance: $ 217,459 3,918 ContactsSupport Group/Education $ 73,778NARespite $ 358,28823,093 HoursSupplemental Services $ 17,995NA12345

32. Idaho Lifespan Respite Project Service DescriptionService Delivery (Six Expansion Projects) and Contact InformationPartnership with the Idaho Caregiver Alliance Expand and enhance supports for caregivers across the lifespan Improving access to respite services for family caregivers of all ages.Expenditures: SFY 2019: $130,158 Federal FundsFamilies Together: Families with special needs children (Moscow, Lewiston, Potlach, Troy, Deary and Genesee: 208-874-7891:Annika Willey, email: Annika@familiestogether.org Hike to Heal: Provides care while caregiver regroups with others in a natural settings. 208-718-1175 – John and June: www.johnandjunesmission.org Legacy Corps (Jannus Inc.): provides care allowing caregiver to attend Powerful Tools for Caregiver classes: 208-947-4284: www.jannus.org/legacy-corps 4. Corwyn’s Cause: Provides care for children with significant medical needs, allowing caregiver to regroup (Ada, Boise, Canyon, Gem, Elmore, Payette, Valley and Washington counties: https://www.corwynscause.org/5. The Senior Connection: Drop-in care at center for Alzheimer’s, dementia care, allowing caregiver to regroup (Wood River Valley) 208-788-3468 https://seniorconnectionidaho.org/Statewide oversight: Pam.Oliason@aging.Idaho.gov General EligibilityCompetitive Three-year Grant: $733,163 Federal FundsCaregivers across the lifespan-1 in 5 adults are family caregiver-50% assist in person care-33% care for a parent/in-law-1 in 5 non-caregivers will be a caregiver within 2-years Helping People Stay HealthyTrends in Idaho12345&

33. Senior Community Service Employment ProgramService DescriptionService Delivery (State Fiscal Year 2019)Provides employment training to low income older individuals who need to enhance their skills to compete in the job market. Seniors are placed at 501(c)3 nonprofit agencies and are provided with part-time, work-based training opportunitiesFunding for 43 participants55 clients participated in programAverage in program: 20.5 monthsTotal hrs. provided: 34,690 $289,415 enrollee wages/$5,262 per enrollee$34,485 enrollee coordination/support $53,371 administrationHost Agencies: In-kind $53,665 (Host Agencies)General EligibilityAnnual Grant Application: $420,246Unemployed adults 55 years old and over whose incomes are 125% of poverty ($15,613)  21,102 Seniors in Poverty (Poverty: $12,490 annually) Contacts: Easterseals-Goodwill: 208-454-8555 or 208-733-9675 www.esgw.org/scsepICOA oversight: Admir.Selimovic@aging.Idaho.gov Trends in IdahoHelping Seniors Stay in their Homes12345

34. Nutrition Services Incentive Program (Home Delivered and Congregate Meals)Service DescriptionService DeliveryThis is an incentive program and funds are distributed based on the meals a site provided during the previous year North Idaho: AAA 1Meal Sites: 13Total Funds Distributed: $85,712Meals Served: SFY18: Home Delivered: 80,421SFY18: Congregate: 64,676SFY18: Total: 145,097General EligibilityParticipate in a Home Delivered/Congregate Meal ProgramPurchase domestically grown foodSupporting those who support Seniors 94 Meal Sites in Idaho Meals Served 2018: 1,057,162Additional funds: $763,493Partners:- Clark Fork-Hope Area Seniors- East Benewah Council- Fernwood Senior Center- Hayden Senior Center- Lake City Center - Plummer Senior Center- Post Falls Senior Center- Rathdrum Senior Center- Sandpoint Senior Center- Seniors Hospitality Center- Silver Valley Senior Center- Spirit Lake Senior Center- Worley Senior CenterTrends in Idaho1234 Contact: North Idaho Area Agency on Aging: 1-800-786-55365

35. Commodity Supplement Food Program (CSFP)Service DescriptionService DeliveryIn partnership with The Idaho Foodbank - to improve the health of seniors by supplementing their diets with a monthly nutritious food box that includes nutrition information and helpful recipesStatewide57 Distribution Partners2,117 boxes per month = 25,404 annually2,200 seniors servedAverage 32 pounds per box and may contain:General EligibilityIndividual 60 years of age or older130% of poverty ($1,354)Resident of IdahoU.S. Department of Agriculture Grant Contact: Idaho Foodbank: 208-602-4750E-mail: sajones@idahofoodbank.orgState oversight: Birgit.Luebeck@aging.Idaho.gov 21,102 Seniors in Poverty (Poverty $12,490 annually)Trends in Idaho12345Non-fat milkRiceCanned meatCheeseCerealPoultryFarinaPastaFishJuicePeanut butterCanned FruitsOatsDry beansCanned Vegetables

36. Medicare Improvements for Patients and Providers Act (MIPPA)Service DescriptionService DeliveryOutreach in partnership with Idaho’s Department of Insurance State Health Insurance Benefit Advisors (SHIBA) to signup eligible beneficiaries for:Medicare Savings Programs (MSP) Low Income Subsidy (LIS)Medicare Part D and Prevention and Wellness benefitsExpended $142,818Contracted with SHIBA for open enrollment marketing campaign Contract with six Area Agencies on Aging to: Recruit host sitesDevelop partnerships with community organizationsOutreach to Tribal communityGeneral EligibilityLow income Medicare beneficiariesAdministration for Community Living Grant Sept. 30, 2018 – Sept 29, 2019 Contact: State Health Insurance Benefits Advisors (SHIBA): 1-800-247-4422Contact: North Central Idaho Area Agency on Aging: Joe Lykins, jlykins@nic.edu 1-208-743-5580 State oversight: Admir.Selimovic@aging.Idaho.govv 1235Trends in Idaho421,102 Seniors in Poverty (Poverty $12,490 annually)

37. Elder JusticeChronic Disease Self-Management EducationDementia CapableNutrition Supplemental Incentive Program: Congregate MealsSenior Medicare Patrol (Fraud Prevention) Universal Focus: Investing in Healthy AgingIdaho Commission on AgingArea Agencies on AgingCoordination and PlanningInformation and Assistance and OutreachCongregate MealsDisease Prevention & Health PromotionsOutcomes:- Provide access to reliable and trustworthy information, services and supports- Fund opportunities for seniors to stay active in the community- Provide caregiver training and resources- Help people plan to meet their own independent living needs as they age

38. Congregate MealsParticipating in the CommunityService DescriptionService DeliveryPrepare and serve meals in a congregate settings, which provide older persons with assistance in maintaining a well balanced diet. The purpose is to reduce hunger and promote socialization. North Idaho: AAA 1Expenditures: $271,07213 Meal Sites62,253 Meals1,863 Clients = Annually $146 per client Average Meal Program cost: $4.35Reimbursement cost: $3.97General EligibilitySenior 60 years old and over and their spouses Individual with a disability under 60 living with an eligible personExpenditures: $1,729,31594 Meal Sites492,440 Meals served14,223 Clients = Annually, $122 per clientAverage Meal Program cost: $3.51Reimbursement cost: $3.17Helping Seniors Stay HealthySenior CenterClientsMealsClark Fork1263,865East Benewah1447,639Fernwood1063,272Hayden872.237Lake City3486,658Plummer721,764Post Falls1713,723Rathdrum2576,331Sandpoint2768,319Senior Hospitality1195,348Silver Valley983,915Spirt Lake1394,576Worley1297,639123 Contact: North Idaho Area Agency on Aging: 1-800-786-55365SFY2019: Statewide Trends4

39. Information and Assistance (I&A)Access to Trustworthy and Reliable InformationService DescriptionService Delivery North Idaho: AAA 1Provides individuals with Long-term Care informationPrepares initial and annual eligibility assessmentsLinks people to available servicesEnsures individuals receive services through follow up Manages registered clientsGeneral EligibilityGeneral Public needing long-term care and/or Caregiver informationHelping Seniors Stay Informed Contact: North Idaho Area Agency on Aging: 1-800-786-55365123SFY2019: Statewide Trends4ServiceExpendituresUnitsTotal I&A General & Caregiver Staff21.43 StaffTotal Registered Clients Managed20,272 ClientsGeneral I&A$ 891,20923,073 contactsCaregiver I&A$ 217,4593,918 contactsTotal $ 1,108,66826,991 contactsServiceExpendituresUnitsTotal I&A General & Caregiver Staff4.63 StaffTotal Registered Clients Managed2,603General I&A$ 152,1945,991 contactsCaregiver I&A$ 69,990678 contactsTotal $ 222,1846,669 contacts

40. Disease Prevention and Health PromotionsKeeping the body strongService DescriptionService DeliveryWorkshops available that can provide us with the tools to:Build our own support networkLearn relaxation and strategies to deal with pain, fatigue, and frustrationDiscover how healthy eating can improve your conditionCreate an exercise program that works for youUnderstand new treatment choicesCommunicate effectively with our doctors and families about our healthNorth Idaho: AAA 1Care Transitions: $20,217Provide supportive coaching to patients transitioning from hospital to home to reduce hospital readmissions General EligibilitySenior 60 years old and over Expenditures: $89,835Statewide ProgramsAAA 2: Chronic Disease Self-Mgmt.AAA 3: Diabetes Self-Mgmt.AAA 4: Over 60 and Getting FitAAA 5: Diabetes Self-Mgmt.AAA 6: Chronic Disease Self-Mgmt.Helping Seniors Stay Healthy123 SFY2019: Statewide Programs4 Contact: North Idaho Area Agency on Aging: 1-800-786-55365

41. Planning, CoordinationIdentifying needs, creating solutionsService DescriptionService DeliveryEnhance service to the most at risk population:At Risk of institutional placementGreatest economic needGreatest social needNorth Idaho: AAA 1Expenditures: $25,143/61,384 population = $0.41Develop MOUs with law enforcement agencies, hospitals, and emergency medical respondersWork with Coeur d’Alene Tribe to develop transportation related activitiesContract with “On-Site for Seniors” to care for frail seniorsBuild relations with INOVIA (former Inland NW Foundation)Feasibility study for Adult Day Care in Post FallsRe-establish Adult Protective Service Stakeholder meetings in Bonner, Boundary and Benewah countiesExtend Transitions of Care to Shoshone, Bonner, Boundary and Benewah countiesGeneral EligibilityAAA must first spend administration funds Additional 2% of total budget is allowed to plan and develop service enhancement Expenditures: $98,164 Senior Population: 354,386Average planning cost: $0.28Helping Seniors Stay Informed123SFY2019: Statewide 4 Contact: North Idaho Area Agency on Aging: 1-800-786-55365

42. Elder Rights/Legal Assistance Developer Improving access and service Service DescriptionService Delivery-Idaho Commission on AgingTo develop and implement improvements to legal service delivery for seniors in IdahoExpenditures: $21,590Completed initial environmental scanUtilized federal and state stakeholder groupStandardized data collection processIdentified new service delivery modelEntered into an agreement with state Idaho Legal Aid officeCollaborated on successful Legal Assistance grantGeneral EligibilityStatewide Plan Compliance  Access to Legal AssistanceSix Area Agencies on AgingSix Idaho Legal Aid Local Officers and one main officeTotal Cases: 872Top Four Areas:Health Care: 285 casesIncome: 191 casesLong-term Care: 189 casesHousing: 157 casesHelping Seniors Stay Safe123 Idaho Legal Aid: Rachelpiscette@idaholegalaid.org State oversight: Deedra.hunt@aging.Idaho.gov 5SFY2019: Statewide 4

43. Senior Medicare PatrolProtect yourself from FraudService DescriptionService DeliveryEducation for Medicare and Medicaid beneficiaries to detect, report, and prevent health care fraud. Trained SMP staff and volunteers to conduct group education sessions, provide one-to-one counseling with Medicare beneficiaries, and hold regional Scam Jams.Additional Contract with North Idaho: AAA 1Expenditures: $19,835Volunteers Recruited: 3Group Presentations: 20Community Events: 48One-to-one Counseling: 15Target Population Medicare beneficiaries and their caregivers Expenditures: $159,499Volunteers Recruited: 13Group Presentations: 242Community Events: 425 One-to-one Counseling: 1,083Helping Seniors Stay Safe123SFY2019: Statewide 4 Contact: North Idaho Area Agency on Aging: Joe Lykins (208-667-3179 ext. 4067: jlykins@nic.edu Scam Jams: Patricia Highley – Dpt. of Finance 208-332-8077: https://www.idscamjamalliance.org/State oversight: Admir.Selimovic@aging.Idaho.gov 5

44. Dementia Capable - Alzheimer’s Disease Supportive Services ProgramService DeliveryExpenditures: SFY19: $135,184 federal fundsExpand Powerful Tools for Caregivers (6-week workshop)Developed 6 Dementia Training modulesImplemented Consumer directed respite service pilot project with southwest Area Agency on AgingProvided Dementia Capable training to Information and Referral staffDeveloping Caregiver Assessment Tool for Information and Referral staffAlzheimer’s Association expanding “Knowing the 10 Signs and 5 Health Habits” education in southern IdahoBoise State University evaluating activitiesGeneral EligibilityCompetitive Three-year Grant: $649,093Persons with Alzheimer’s disease and their caregiversSubjective Cognitive Decline: Self-reported memory problems1 in 9 people 45 and over are experiencing decline83% have at least one chronic condition37% gave up day to day activitiesLess than half discussed with health care provider1/3 people say it interferers with social activates, work or volunteering25% need help with household tasksHelping Seniors Stay Healthy123 National Trends4Service DescriptionImproving awareness, education, and direct services for people with dementia and their families. Contact: Greater Idaho Chapter of Alzheimer’s Association: 208-206-0041Alzheimer’s Association Washington: 1-800-272-3900Statewide oversight: Pam.Oliason@aging.Idaho.govOther Partners: Legacy Corps at JannusArea 3 Senior Services Agency (southwest Idaho)Orchard Ridge: Coeur d’AleneBoise State University for the Study of AgingIdaho Department of Health and Welfare Divisions of Medicaid, Licensing and CertificationIdaho Division of Veteran’s ServicesIdaho Health Care Association 5

45. Next StepsState Plan DevelopmentSept., Oct. and Nov. 2020: Public Meetings Aug. – Feb.: Statewide needs assessment Idaho State Universityhttps://aging.idaho.gov/stay-informed/education-outreach/Present Final assessment at ICOA Commissioners meeting in Feb. 2020Mar. 23rd – Apr. 30th 2020: Release final draft Plan for Public Comment May 2020: Present for approval at ICOA Commissioners meetingJun 30, 2020: Submit plan to ACL Local Area Plan DevelopmentJul. 1, 2020: AAAs start developing their local Area PlansJun. 30, 2021: AAAs Submit Area Plans to ICOAOctober 1, 2021: ICOA reviews and approves Area Plans

46. Resource PageArea Agencies on Aging (AAA)North Idaho Area Agency on Aging I – Coeur d’Alene1-208-667-3179 or 1-800-786-5536http://www.aaani.org/ North Central Idaho Area Agency on Aging II – Lewiston 1-208-743-5580 or 1-800-877-3206http://www.cap4action.org/PSAgencyOnAging.htmlSouthwest Idaho Area Agency on Aging III – Meridian 1-208-898-7060 or 1-844-850-2883http://www.a3ssa.comSouth Central Idaho Area Agency on Aging IV – Twin Falls1-208-736-2122 or 1-800-574-8656 https://sites.google.com/site/csiofficeonaging/Southeast Idaho Area Agency on Aging V – Pocatello 1-208-233-4032 or 1-800-526-8129 http://www.sicog.org/aaa-home.htmlEastern Idaho Area Agency on Aging VI – Idaho Falls1-208-522-5391 or 1-800-632-4813 http://www.eastidahoaging.com State Agency:Idaho Commission on Aging (ICOA) 1-208-334-3833 or 1-877-471-2777https://aging.idaho.gov/stay-informed/planning-coordination/ Statewide needs assessment: https://aging.idaho.gov/stay-informed/education-outreach/

47. THANK YOU