Administration for Community Living An Overview Administration for

Administration for Community Living: An Overview Administration for Community Living June 14, 2012 Los Angeles, CA U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ADMINISTRATION FOR COMMUNITY LIVING, WASHINGTON DC 20201 PHONE 202. 619. 0724 | FAX 202. 357. 3523 | EMAIL aoainfo@aoa. gov | WEB www. hhs. gov/acl

"For too long, too many Americans have faced the impossible choice between moving to an institution or living at home without the long-term services and supports they need. The goal of the new Administration for Community Living will be to help people with disabilities and older Americans live productive, satisfying lives. " Secretary Kathleen Sebelius

Preface Ø Background v 10 th Anniversary of Olmstead Decision v. Interagency Coordinating Council Ø Overview v. Organizational Structure v. Roles & Responsibilities Ø Importance

Implications Ø Enhance and strengthen efforts to support seniors and people with disabilities. Ø Benefit existing programs intended to serve both older Americans and persons with disabilities. Ø Retain the distinct programs of initiatives designed to meet the unique needs of seniors or people with disabilities. Ø Work with CMS to develop, refine and strengthen policies that promote independent living among all populations; and to promote home and community based services and supports. Ø Include a Principal Deputy to serve as the senior advisor to the Secretary on Disability

Organizational Chart Department of Health & Human Services Administration for Community Living

Ao. A is the Federal Leader of the Aging Network 629 Area Agencies on Aging 254 Tribal Organizations and 2 Native Hawaiian 56 State Units on Aging 500, 000 Volunteers Administration on Aging 20, 000 Providers 10, 000 Senior Centers Federal Partners

Mission The mission of Ao. A is to develop a comprehensive, coordinated and cost-effective system of home and community -based services that helps elderly individuals maintain their health and independence in their homes and communities. Vision In order to serve a growing senior population, Ao. A envisions ensuring the continuation of a vibrant aging services network at State, Territory, local and Tribal levels through funding of lowercost, non-medical services and supports that provide the means by which many more seniors can maintain their independence.

Important Programs Enacted in 1965 • Medicare • “Every Medicaid State and every community can now move toward a coordinated program of services and opportunities for our older citizens. ” President Lyndon B. Johnson, July 1965 • Older Americans Act

The Older Americans Act …assures that preference will be given to providing services to older individuals with greatest economic need and older individuals with greatest social need with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas.

• Supportive Services. What We Provide • Congregate and Home Delivered Meals Nutrition Services • Disease Prevention & Health Promotion Services • Caregiver Support Services • Services to Native Alaskans, Native Hawaiians and Native Americans • Vulnerable Elder Rights Protection Activities

The Aging Network

How The Aging Network Helps 11 Million Seniors And Their Caregivers Remain At Home Through Community Based-Services Ao. A 56 State Units, 629 Area Agencies & 256 Tribal Organizations 20, 000 Service Providers & 500, 000 Volunteers Provides Services and Supports to 1 in 5 Seniors 241 million meals 28 million rides 29 million hours of personal care 69, 000 caregivers trained 4 million hours of 855, 000 case caregivers management assisted 483, 000 6. 4 million ombudsman hours of respite consultations care

2011 -2014 Title VI Grantees 26 A 24 C 41 A 36 C 6 A 6 C 28 A 20 C 7 A 7 C 3 A 3 C 11 A 9 C 2 A 1 A 1 C 16 A 14 C 2 A 1 C 5 A 5 C 7 A 5 C Title VI A (Supportive Services), Title VI C (Caregiving) 7 A 5 C 10 A 10 C 1 A 1 C 3 A 2 C 3 A 3 C 1 A 4 A 4 C 9 A 6 C 1 A 1 C 32 A 30 C 17 A 15 C 2 A 1 C 3 A 2 C 1 A 1 A 1 C 1 C 1 A 1 C

The Aging Network : ACL Region IX

Arizona

Hawaii

Nevada

California

Local Aging Network: San Francisco

Aging Network Challenge In the United States: (2010) Ø 56 million persons age 60+ Ø 11. 4 million minority persons age 60+ Ø 5. 7 million persons age 85+ Ø 5. 3 million persons age 60+ below poverty Ø 1. 7 million persons in nursing facilities Ø 10. 4 million persons age 60+ in rural areas 20 20

Ao. A Strategic Priorities 1. Empower older people, their families, and other consumers to make informed decisions about, and be able to easily access, existing health and longterm care options. 2. Enable seniors to remain in their own homes with high quality of life as long as possible through the provision of home and community-based services, including support for family caregivers. 21 21

Ao. A Strategic Priorities (CONT. ) 3. Empower older people to stay active and healthy through Older Americans Act services and the new prevention benefits under Medicare. 4. Ensure the rights of older people and prevent their abuse, neglect and exploitation. 5. Maintain effective and responsive management. 22

Consumer Direction Ao. A’s Major Initiatives v. Veteran Directed Home and Community-Based Service Program (VCHCBS) Evidence-Based Disease Prevention and Health Promotion Alzheimer’s Disease Supportive Services Program (ADSSP) Senior Medicare Patrol (SMP) Elder Justice Act

Ao. A Grant Opportunities http: //www. aoa. gov/Ao. ARoot/Grants/Funding/index. aspx v Information and Planning: Understanding the Capacity of the Aging Network q Submission Deadline: July 16, 2012 q Estimated Total Program Funding: $177, 923 (1 Year) v Aging and Disability Resource Center Program q Option A: The Enhanced ADRC Options Counseling Program ü Submission Deadline: July 25, 2012 ü Estimated Total Program Funding: $18, 400, 000 (3 Years) q Option B: ADRC Sustainability Program Expansion Supplemental Opportunity ü Submission Deadline: July 11, 2012 ü Estimated Total Program Funding $6, 900, 000 (1 Year)

Grant Toolkit Topics: § Discretionary Grants § Formula Grants § Application Made Easy: Avoiding Bumps in the Road § Understanding Match § Frequently Asked Questions

Questions Darrick Lam, M. S. W. Aging Services Program Specialist Administration for Community Living – Region IX U. S. Department of Health and Human Services 90 – 7 th Street, Suite 8100 San Francisco, CA 94103 (415) 437 -8780 (work) (415) 437 -8782 (fax) darrick. lam@acl. hhs. gov