AREA AGENCY ON AGING FOR NORTH
FLORIDA, INC.
By Sarah Rode, MSW
1
FLORIDA’S AGING NETWORK
U.S. Congress
Department of Health &
Administration on Aging
Governor and
Legislature
Department of
Elder Affairs
Area Agencies on
Aging
Lead Agencies
Local Service
Providers
2
DEPARTMENT OF ELDER AFFAIRS (DOEA)
Designated State Unit on Aging
 Responsibilities

 Administering
 Benefit
human services programs
Florida’s growing elder population
 Coordinating
home and community-based services
 Through
a network of eleven Area Agencies on Aging
across Florida
 Commonly known as AAAs
3
DEPARTMENT OF ELDER AFFAIRS (DOEA) CONT.

Directly administers a wide range of programs
 Long-Term
Care Ombudsman Program
 Statewide Public Guardianship Office
 Communities for a Lifetime
 SHINE (Serving Health Insurance Needs of Elders)
 CARES (Comprehensive Assessment and Review for
Long-Term Care Services)
4
AREA AGENCY ON AGING FOR NORTH FLORIDA, INC.
AAANF
 Mission Statement

 To
plan, coordinate and advocate for programs and
services which promote the independence, dignity,
health and well-being of seniors and their
caregivers.

Located in Tallahassee
 Serve
14 counties in North Florida
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PLANNING AND SERVICE AREA (PSA) 2
PSA 2 covers 14 Counties:
Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes,
Jackson, Jefferson, Leon, Liberty, Madison, Taylor,
Wakulla and Washington
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ORGANIZATIONAL CHART
ARC
AAA
Board of Directors
AAA
Advisory
Council
Janice D. Wise
Executive Director
06/98
George Scheiferstein
LAN Manager
06/91
Norma Adams
Fiscal Administrator
08/01
Matt Heald
Fiscal Asst.
03/10
Susan Hutchison
Contracts & Grants
Specialist
06/09
Approved: 9/27/07; Rev 12/07;
03/08; 6/09; 7/09; 12/09; 4/10
ARC Local
Coalition
Workgroup
Stephanie Perkins
Comfort Program
Coordinator
05/02
Jennifer Jones
Medicaid Program
Administrator
10/99
Marissa Henderson
Medicaid Waiver Sp.
02/08
Vacant
PT Medicaid Waiver Sp.
2010
Frances Pybus
ARC Medicaid
Cl. Svcs. Sp. - 2B
07/09
Barbara Pate
ARC Medicaid
Cl. Svcs. Sp. – 2A
04/10
Lisa Bretz
Planning
Administrator
04/95
Melanie Reed
ARC Medicaid Benefits
Counselor
10/09
Jawanna Thomas
ARC Medicaid Benefits
Counselor
12/09
Vacant
ARC Medicaid Benefits
Counselor
05/10
Linda Burns
Office Manager
05/02
Ander Bjorklund
ARC I&R Specialist
01/08
Keith Lavery-Barclay
ARC I&R
Database Specialist
06/05
Charles Place
SHINE Liaison
11/07
CARES
DCF/ESS
Sarah Rode
Program
Specialist
09/07
Lead Agencies
Access Points
Letha Paulus
MBOA Coord. &
FTRI Outeach Sp.
07/09
Jean Eggersdorf
Administrative Asst.
10/03
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AAANF RELATIONSHIPS


With Lead Agencies and other subcontractors
Provide Technical Assistance

Training






Case Management
ARTT
ADI
Telephone Support
On-Site Visits
Monitor Service Provider Agencies




Client File Reviews
Review Technical Assistance and Monitoring Reports
Monthly Achievement Reviews
On-Site Visits
8
PROGRAMS

Home and community based services provided
through the following programs:
 Home
Care for the Elderly (HCE)
 Community Care for the Elderly (CCE)
 Alzheimer’s Disease Initiative (ADI)
 Older Americans Act (OAA)
 Aged and Disabled/Medicaid Waiver (ADA/MW)
9
RANKING SYSTEM / PRIORITIZATION

Rank 1 – 8 (lowest to highest)


Rank 1 and 2


Annual assessment
Rank 3, 4, 5, 6, 7, 8


Lower or higher risk of nursing home placement
Semi-annual assessment
Rank 6,7,8



6: Imminent Risk
7: Aging Out from DCF Services
8: Adult Protective Services (APS)


Required to serve within 72 hours of receiving referral
Serve clients with the highest rank (highest need) first
FUNDING
Federal
Programs
State
Programs
Older
Americans Act
Medicaid
Waiver
Energy
Assistance
Community Care
for the Elderly
Home Care for
the Elderly
Alzheimer’s
disease Initiative
SHINE
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HOME CARE FOR THE ELDERLY (HCE)
Encourage the provision of care for elders in
family-type living arrangements in private
homes
 An alternative to nursing home placement
 Provides a monthly stipend for caregivers for
basic support and care of an elder individual

 To
help offset the cost of care giving, NOT to pay the
caregiver
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HOME CARE FOR THE ELDERLY (HCE)

Eligibility
 Clients
must be aged 60 or older
 At risk of nursing home placement
 Financially eligible
 Based
on income and assets
 Caregivers
must be at least 18 years of age
 Capable
of providing a family-type living arrangement
 Willing to accept responsibility for the needs of the client
13
HOME CARE FOR THE ELDERLY

Services
 Case
Management
 Case Aide
 Basic Subsidy
 Intended
 Special
for support and health maintenance
Subsidy
 Payments
for goods and services necessary for health
and well-being of elderly client
14
COMMUNITY CARE FOR THE ELDERLY (CCE)
Passed by the Florida Legislature in 1973
 Designed to assist functionally impaired elders to
live dignified and independent lives in their own
homes
 Eligibility

Individuals must be aged 60 or older
 Functionally impaired
 Determined to be at risk of institutionalization (nursing
home placement)


Co-Pay* for services based on income
*(See Co-Pay schedule)
15
ALZHEIMER’S DISEASE INITIATIVE (ADI)
Began with the passage of state legislation in
1985
 Provide services and training to address the
needs of individuals with Alzheimer’s disease
and related memory disorders
 Research related to the cause
 Prevention
 Treatment and cure of the disease

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ALZHEIMER’S DISEASE INITIATIVE (ADI)

CONT.
Eligibility
 Diagnosed
or suspected of having memory loss
where mental changes appear and interfere with
the activities of daily living (ADLs)
 18 years or older
 Not just Alzheimer’s disease
 Must have a caregiver
Caregivers are eligible to receive training and
support services to assist them in caring for the
individual with memory problems
 Co-pay* for services based on income

*(See Co-Pay schedule)
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ALZHEIMER’S DISEASE INITIATIVE (ADI) SERVICES
Case Management
 Respite (in-home)
 Respite (facility-based)

 Bay
 Jefferson
 Leon
 Washington
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CO-PAYMENT SCHEDULE
Less than private pay
 Based on income of consumer
 Programs

 Community
Care for the Elderly (CCE)
 Alzheimer’s Disease Initiative (ADI)

Exemptions
 Clients
enrolled in Medicaid Waiver
 CCE clients who are HCE caregivers
 High Risk APS referred consumers during 1st thirty
(30) days of services
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OLDER AMERICANS ACT (OAA)
Funds the federal Administration on Aging,
State Units on Aging, and Area Agencies on
Aging
 Organization and delivery of supportive
services and nutrition programs for elders
 Must be bid on every three years

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OLDER AMERICANS ACT (OAA) CONT.

Eligibility
 Individuals
aged 60 or older
 Targeted toward low-income, minority elders

Elders are not required to pay for services
 Donations

are accepted
Volunteer recruitment is encouraged
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OAA TITLE III-PART B

Part B (OA3B)

Access Services
 Public

Education
Speaking to groups or distributing materials to individuals at public
gatherings about services and opportunities available
 Outreach


Reaching target individuals
Community setting or in their home
 Information

Responding to an inquiry from a consumer regarding public and
private resources and available services
 Referral

Information is obtained about a person’s needs and the person in
directed to a particular resources
(Note: Information and Referral services are provided
by the Aging Resource Center)
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OAA TITLE IIIB (OA3B)
 Supportive
Services
 Homemaking
 Housing
Improvement
 Chore
 Companionship
 Legal
 AAA
Services
contracts with Legal Services for North Florida, Inc.
Legal Assistance protects against the loss of basic civil rights
 Ensures the autonomy and independence of older persons
 Client are not charged for services.

23
OAA TITLE III-PART C

Part C (OA3C)
 Nutrition Services
 Congregate



Facility based
Socialization
Games/activities
 Home

Delivered Meals (referred to as C2)
Home bound clients
 Nutrition



Education
Safe food handling
Medications and food
Healthy eating habits
 Nutrition

Meals (referred to as C1)
Counseling
If funding is available
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AGED AND DISABLED/MEDICAID WAIVER PROGRAM

Eligibility
 Clients
must be aged 60 or older
 Determined to be financially eligible by Department
of Children and Families (DCF)
 Determined to be functionally eligible
 Through
assignment of Level of Care (LOC) by
DOEA/CARES (Comprehensive Assessment and Review
for Long-Term Care Services)
25
AGED AND DISABLED/MEDICAID WAIVER PROGRAM

Services Include
 In-home
assistance (parallel to those of CCE)
 Medical care and prescriptions
 Durable medical supplies

Fair Hearing requests are filed with Department
of Children and Families
26
ADDITIONAL PROGRAMS
Emergency Home Energy Assistance for the
Elderly Program (EHEAP)
 Eligibility

 Applicant
must be 60 years old or older
 Verification of a home energy crisis
 Household income must be below 150% of the
poverty guidelines
 Household may apply once per season
 Cooling
Season: April 1 through September 30
 Heating Season: October 1 through March 31
27
EMERGENCY HOME ENERGY ASSISTANCE FOR THE ELDERLY
PROGRAM (EHEAP) CONT.
 Payment

of a delinquent utility bill
Cut-off notice
 Deposit
for home energy services
 Repairing of air conditioner or heating
source
 Purchases
Air conditioner
 Fan
 Heater
 Propane
 Blankets

28
ADDITIONAL PROGRAMS

Florida Telecommunications Relay, Inc. (FTRI)
 Amplified
telephones for the hard of hearing
 Outreach Partner
 Regional Distribution Center
 Requirements
 Permanent
Florida Resident
 Deaf, Deaf/Blind, Speech Impaired, Hard of hearing
 Aged 3 and older

 All
Target consumers 60+
phones are free of charge
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ADDITIONAL PROGRAMS
SHINE
 Serving the Health Insurance Needs of Elders
 Telephone counseling

 Long
term care insurance
 Medicare Health Plan Choices
 Prescription assistance

Call the Elder Help Line: 1-800-963-5337
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AGING RESOURCE CENTER
THE ELDER HELPLINE
1-800-963-5337
1-800-96-ELDER
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ADDITIONAL RESOURCES
AAANF Website
www.aaanf.org
Department of Elder Affairs Fact Sheet
http://elderaffairs.state.fl.us/english/ARC/ARC_FAQ.pdf
32
QUESTIONS?
Don’t be afraid to ask questions!
For General Revenue and Nutrition Program Questions:
Sarah Rode: 850-617-4357
Lisa Bretz: 850-617-4321
For Medicaid Waiver and Assisted Living Waiver Questions:
Jennifer Jones: 850-617-4305
Marissa Henderson: 850-617-4307
For Aging Resource Center Questions:
Call your ARC Representative
Melanie Reed: 850-617-4344
Jawanna Thomas: 850-617-4355
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