Virginia’s State Plan for Aging Services October 1, 2019 – September 30, 2023 - PowerPoint Presentation

Virginia’s State Plan for Aging ServicesOctober 1, 2019 – September 30, 2023 Recorded February 25, 2019 Webinar for Stakeholders

Outline

BACKGROUND

State Plan Requirements NASUAD = National Associations of States United for Aging and Disabilities

Older Americans Act BackgroundCongress passed the Older Americans Act (OAA) in 1965 in response to concern by policymakers about a lack of community social services for older persons. The original legislation established authority for grants to states for community planning and social services, research and development projects, and personnel training in the field of aging. States establish a network of Area Agencies on Aging (AAAs). The law also established the Administration on Aging* (AoA) to administer the newly created grant programs and to serve as the federal focal point on matters concerning older persons. *Now housed under the Administration for Community Living

https://fas.org/sgp/crs/misc/R43414.pdf Figure 2. Older Americans Act, FY2019, Pie Chart

OAA: State ResponsibilitiesStates are required to develop Plans on Aging.State Plans must be approved by the Administration for Community Living. The Plans must comply with requirements set forth by federal law and regulation. In general, State Plans set forth goals and objectives as to how state and AAAs will implement the OAA and coordinate service programs on behalf of older adults.

Code of Virginia§ 51.5-135. Powers and duties of Department with respect to aging persons; area agencies on aging.A. The Department shall provide supports and services to improve the quality of life for older persons in the Commonwealth and shall act as a focal point among state agencies for research, policy analysis, long-range planning, and education on aging issues. The Department shall also serve as the lead agency in coordinating the work of state agencies on meeting the needs of an aging society. The Department's policies and programs shall be designed to enable older persons to be as independent and self-sufficient as possible. The Department shall promote local participation in programs for older persons, evaluate and monitor the services provided for older persons, and provide information to the general public. In furtherance of this mission, the Department shall have, without limitation, the following duties to : 12. Develop and maintain a four-year plan for aging services in the Commonwealth, pursuant to § 51.5-136.

Code of Virginia§ 51.5-136. Strategic long-range planning for aging services; four-year plan; report.A. The Department shall develop and maintain a four-year plan for aging services in the Commonwealth. Such plan shall serve to inform the State Plan for Aging Services as required by the U.S. Administration on Aging. In developing the plan, the Department shall consult (i) various state and local services agencies, (ii) businesses, (iii) nonprofit organizations, (iv) advocacy organizations, (v) baccalaureate institutions of higher education, (vi) providers, (vii) organizations involved in providing services for and advocating for older Virginians and their caregivers, and (viii) stakeholders, including but not limited to the Virginia Association of Area Agencies on Aging; the state's health and human resources agencies, boards, councils, and commissions; the Departments of Transportation, Rail and Public Transportation, Housing and Community Development, and Corrections; and the Virginia Housing Development Authority. In addition, the plan shall inform and serve as a resource to a long-term blueprint for state and community planning for aging populations that shall be comprehensive and not limited to traditional health and human services issues, but rather consists of broad-based issues of active daily life in communities throughout the Commonwealth.

Code of Virginia§ 51.5-136. Strategic long-range planning for aging services; four-year plan; report.B. The four-year plan shall include: 1 . A description of Virginia's aging population and its impact on the Commonwealth, and issues related to ensuring and providing services to this population at both the state and local levels; 2 . Factors for the Department to consider in determining wh en additional funding may be required for certain programs or services ; 3 . Information on changes in the aging population, with particular attention to the growing diversity of the population including low-income, minority, and non-English speaking older Virginians; 4 . Information on unmet needs and waiting list data for aging-related services as reported by the Virginia Association of Area Agencies on Aging and those state agencies that may maintain and provide this information; 5 . Results from periodic needs surveys and customer satisfaction surveys targeted to older Virginians that may be conducted by the Department, the Virginia Association of Area Agencies on Aging, or any other state or local agency from time to time; 6 . An analysis by every state agency of how the aging of the population impacts the agency and its services and how the agency is responding to this impact. Such analysis shall be provided to the Department every four years on a schedule and in a format determined by the Secretary of Health and Human Resources in coordination with the Department; 7 . The impact of changes in federal and state funding for aging services; 8 . The current status and future development of Virginia's No Wrong Door Initiative ; and 9 . Any other factors the Department deems appropriate.

Federal Guidance“AoA-PI-14-01 Program Instructions”State Plan Required Focus Areas:1 - OAA Core Programs 2 - ACL Discretionary Grants 3 - Participant-Directed/Person-Centered Planning 4 - Elder Justice Plan Needs to Include: Goals Objectives Strategies Measures Description of how the state monitors quality

State Plan Purpose“States should succinctly incorporate into the State Plan as many of their activities related to aging as possible, regardless of funding source, while keeping in mind the maximum length of 30 pages for the plan narrative. The plan should serve as a valuable tool for planning/tracking all efforts on behalf of older adults .” AoA-PI-14-01 Program Instructions

Focus Area 1 and 2 –OAA Core Programs & Discretionary Grants OAA core programs are encompassed in:Titles III (Supportive Services, Nutrition, Disease Prevention/Health Promotion and Caregiver Programs), VI (Native American Programs), and VII (Elder Rights Programs). The are the foundation of the national aging services network. Examples include: Alzheimer’s Disease Supportive Services Program (ADSSP); Evidence-Based Disease and Disability Prevention Programs; Senior Medicare Patrol (SMP) No Wrong Door AoA-PI-14-01 Program Instructions

Focus Areas 3 and 4 Participant-Directed/Person-Centered Planning Focus: making fundamental changes in state policies and programs which support consumer control and choice. OAA Title VII programs and services are designed to support this effort Opportunities also exist for maximizing consumer control and choice in Title III and VI programs . Describe planned efforts (measurable objectives) to support participant-directed/person-centered planning for older adults and their caregivers. Elder Justice States should describe their activities to prevent, detect, assess, intervene, and/or investigate elder abuse, neglect, and financial exploitation. Describe planned efforts (with measurable objectives) to support and enhance multi-disciplinary responses to elder abuse, neglect and exploitation involving adult protective services, LTC ombudsman programs, legal assistance programs, law enforcement, health care professionals, financial institutions, and other essential partners across the state. AoA-PI-14-01 Program Instructions

Goals, Objectives, Strategies & Measures Use clear and concise language and strong action verbs. Goals: are attainable even though it may not be possible to accomplish within the current planning cycle. Objectives: can cross program boundaries or be program-specific. Objectives are expected to clearly state what is going to be accomplished within a specified time frame, and, thus, are more likely to be accomplished within the state planning cycle than are goals . Strategies: break down actions or tasks to accomplish an objective. Measures can be: outputs, outcomes, impacts, or inputs. NASUAD Additional Guidance

CRUCIAL:Plan LayoutPlan Content:Verification of Intent from GovernorNarrative – cannot be more than 30 pages Executive Summary – 2-3 pages Context – including the 4 Focus Areas Goals and Objectives – Emphasis on the 4 Focus Areas Strategies Measures Quality Management Intrastate Funding Formula Attachments A: Assurances and Required Activities – required by OAA B: Information Requirements – – required by OAA Optional State Additions AoA-PI-14-01 Program Instructions

DARS STATE PLAN FOR AGING ACTIVITIES

Syncing Up Dates Last Plan: Virginia’s State Plan for Aging Services October 1, 2015 – September 30, 2019 New Plan: Virginia’s State Plan for Aging Services October 1, 2019 – September 30, 2023 Plan Aligns with the Federal Fiscal Years ( FFY) 2020 - 2023 Major Deadlines Plan due to ACL: July 1, 2019 Plan due to Governor & General Assembly: October 1, 2019

Plan Development Timeline Action Dates Public Hearings – 5 Regional Hearings* Fall 2018 SHHR Outreach Email to All State Agency Heads Mid-December 2018 Conduct R esearch on Demographics, Programs, and Needs January 2019 Send Survey to AAAs on Additional Activities/Accomplishments January 15, 2019 Meet with DARS Staff on Program Areas January 1-31, 2019 Deadline for State Agency and AAA Survey Responses January 31, 2019 *Full summary of the hearing comments can be found here: https://www.vda.virginia.gov/stateplans.htm

Plan Development Timeline cont. Action Dates Draft Plan February 1-28, 2019 Post/Share Draft Plan for 3 Weeks of Public Comment March 1 – 25, 2019 Stakeholder Meeting : Present and Discuss Draft Plan with Stakeholders Time for Stakeholder Comments March 13, 2019 Make Edits to Plan March 25 – April 10 , 2019 Submit Plan to DARS Management April 10, 2019 Make Edits to Plan & Finalize Plan Layout/Graphics April 10 – April 30, 2019

Plan Development Timeline cont. Action Dates Submit P lan to SHHR & Governor’s Office for Review May 1, 2019 Make Edits to Plan, As Needed May 1 – June 30, 2019 Deadline to Submit Plan to ACL July 1, 2019 Officially Send Plan to General Assembly & Governor October 1, 2019

DRAFTVIRGINIA STATE PLAN FOR AGING:A BRIEF OVERVIEW

Aging NetworkDARSAAAsAdvisory CommitteesOther State Agencies and Aging Initiatives

Focus Area 1 – OAA Core ProgramsTitle III - Supportive Services and Senior CentersB – Supportive ServicesC – Nutrition Services D – Disease Prevention & Health Promotion E – Caregiver Services Title V – Employment Program Title VI – Native American Programs Title VII – Elder Justice

Focus Area 2 – ACL Discretionary Programs Adult Protective Services (APS)Alzheimer’s DiseaseLive Well, Virginia! CDSME Falls Prevention No Wrong Door (NWD) Senior Medicare Patrol VICAP and MIPPA Virginia Lifespan Respite Voucher Program

Focus Area 3 – Participant-Directed/Person-Centered Planning Centers for Independent Living (CILs) InterfaceLong-Term Care (LTC) OmbudsmanNo Wrong Door (NWD)Options Counseling Person-Centered Thinking (PCT) Grant Public Guardianship and Conservator Program Virginia Culture Change Coalition

Focus Area 4 – Elder JusticeLegal AssistanceLong-Term Care (LTC) OmbudsmanPrevention of Elder Abuse, Neglect & Exploitation

Virginia Focus Area 1 – Other Programs and Initiatives Coordinated Care for Elderly Virginians (CCEVP)GrandDriverMedicaid Managed Care Advocates Public Guardianship and Conservator Program Respite Care Initiative Senior Farmer’s Market Nutrition Program Senior Cool Care A few smaller programs as well

Virginia Focus Area 2 – Age in PlaceBest Practices AwardsCare Transitions Collaborative InitiativesDiversity and Inclusion

Four Virginia GoalsHEALTH PROMOTION AND ENGAGEMENTStrengthen services and supports that encourage healthy, active, and engaged livesINFORMATION, ACCESS AND COORDINATION SERVICESBolster awareness of and increase access to quality, person-centered information, services and supports ELDER JUSTICE Promote systems of protection and safety that facilitate dignity and respect CAREGIVING Improve access to resources and services that support family caregivers

Quality Management and the Intrastate Funding FormulaDARS Summary of:Monitoring, Oversight & RemediationData CollectionContinuous Improvement Identified Objective, Strategies and Measures Update Funding Formula: Substantive Formula Elements Remained Unchanged Updated Agency and Regulatory References New Population Figures Cleaner format

Additional Information in the PlanAcronymsAging in Virginia: DemographicsPlan Development Process ACL Assurances, Required Activities, and Information Requirements (w/ responses) Listing of Planning and Services Areas and the AAAs that serve them Funding Summary

Charlotte ArbogastVirginia Department for Aging and Rehabilitative Services8004 Franklin Farms Drive Henrico , VA 23229 phone : (804) 662-7093 email : charlotte.arbogast@dars.virginia.gov SEND COMMENTS TO :