DEPARTMENT OF ELDER AFFAIRS OVERVIEW House Healthy Families - PowerPoint PPT Presentation

DEPARTMENT OF ELDER AFFAIRS OVERVIEW House Healthy Families Subcommittee Tuesday, December 4, 2012 1:00 p.m. – 2:30 p.m. 12 House Office Building Rick Scott, Governor Charles T. Corley, Secretary

Department Mission and Vision Mission  To foster an environment that promotes well- being for Florida’s elders and enables them to remain in their homes and communities Vision  All Floridians aging with dignity, purpose, and independence

Department Organizational Chart

Department Jurisdiction  The Department is designated as the official State Unit on Aging, as defined in the federal Older Americans Act (OAA) of 1965.  The required responsibilities listed in the OAA include organizing, coordinating, and providing community-based services and opportunities for older Americans and their families.  The creation of the Department was authorized in Section 12 of Article IV of the Florida Constitution. The Department was subsequently established by the Florida Legislature.  Section 430.03(7), F.S. establishes that the Department is to oversee implementation of federally funded and state-funded programs and services for the state’s elderly population.

Department Profile  The Department works with various partners such as vendors, providers, faith-based organizations, corporate entities, and community-based organizations in fulfilling our programmatic responsibilities.  Accordingly, the Department is 94.7% privatized.  The Department is also one of the smallest agencies of state government with only 451 permanent full-time employees.  The Department has a total budget of $770 million with $451 million or 58.6% of that money coming from federal funds.

Seniors in Florida  With more than 4.45 million residents age 60 and older, Florida currently ranks first in the nation in percentage of citizens who are elders.  More than 1.7 million Floridians are age 75 and older, and 85 and older is the fastest growing age group by percentage.  In 2010, the percentage of population age 65 and older increased in 41 of Florida’s 67 counties.  Additionally, in 51 counties, the percentage of population age 65 and older exceeded the national average.

DOEA Service to Seniors  More than 978,000 Floridians age 60 and older received services funded through the Department’s programs in FY 2011 -2012.  In FY 2011-2012, elders age 60 and older provided over 81 million volunteer service hours valued at $1.5 billion . These volunteer hours were the equivalent of 39,054 full-time positions.  More than 8 million meals were provided to older Floridians through the Department’s programs in FY 10-11.

Statewide Community-Based Services (SCBS)  The Division of Statewide Community-Based Services consists of the following three bureaus:  Bureau of Long-Term Care and Support  Bureau of Comprehensive Assessment and Review for Long-Term Care Services (CARES)  Bureau of Community and Support Services

Bureau of Long-Term Care and Support  The Bureau is responsible for administering the following Medicaid Waiver programs:  Nursing Home Diversion Program (NHD)  Aged and Disabled Adult Waiver (ADA)  Assisted Living Waiver (ALW)  Program of All-Inclusive Care (PACE)  Channeling Waiver  Consumer-Directed Care Plus Program (CDC+)

Bureau of Comprehensive Assessment and Review for Long-Term Care Services (CARES)  CARES is Florida’s federally mandated nursing home pre-admission assessment program. CARES staff members perform medical needs assessments of individuals.  The CARES staff members identify a client’s long - term care needs, determine the level of care required to meet those needs, and, if appropriate, suggest less restrictive alternatives that may allow the client to continue living at home or in a community setting rather than in a nursing home.

Bureau of Community and Support Services  The Community and Support Services Bureau consists of four units:  Aging Resource Center Implementation, Contract Management, and Technical Assistance — this team assists Area Agencies on Aging and other contracting organizations in implementing programs and services  Caregiver Support — this program provides caregiver support services through federally and state-funded programs  Nutrition — this program offers technical assistance to help local providers of OAA nutrition programs provide quality services  Monitoring and Quality Assurance — this unit acts on behalf of the Department in its oversight role, ensuring the integrity of programs and services funded through and by the Department

Statewide Medicaid Managed Care Long-Term Care Program (SMMC LTCP)  Related to the implementation of SMMC LTCP, Section 409.978, F.S. provides that the Agency for Health Care Administration (AHCA) shall administer the program, but may delegate specific duties and responsibilities for the program to the Department. Section 409.978, F.S. further provides that the Department shall assist the AHCA to do the following:  develop specifications for use in the invitation to negotiate (ITN) and the model contract,  determine clinical eligibility for enrollment in managed long-term care plans,  monitor managed care plan performance and measure quality of service delivery,  assist clients and families to address complaints with the managed care plans, and  facilitate working relationships between managed care plans and providers serving elders and disabled.

SMMC LTCP Transition Plan  SMMC LTCP enrollments will encompass the transition of existing waiver program populations.  Enrollments for “new” individuals will take place based on available funding.  “Eligibility” – The Department of Elderly Affairs shall make offers for enrollment to eligible individuals (elders and disabled adults) based on a wait-list prioritization and subject to availability of funds. Before enrollment offers, the Department shall determine that sufficient funds exist to support additional enrollment into plans.” (Section 409.979(3), Florida Statutes)  Create and manage a statewide wait list for (Medicaid) home and community-based services, including tracking and forecasting expenditures (through enrollments/disenrollments), nursing home transitions, and establishing attrition rates.” (Operating Agreement)

Serving Health Insurance Needs of Elders (SHINE)  SHINE is an award-winning, volunteer-based program at DOEA that provides information and free, unbiased counseling for people on Medicare, their families, and their caregivers.  Trained counselors provide personal and confidential assistance over the phone or at local counseling sites.  Between 2011 and 2012, SHINE had 568 volunteer counselors who donated 109,056 hours — a value of $2,034,985 in cost avoidance to the State of Florida.

Communities for a Lifetime (CFAL)  The Department’s CFAL initiative was created in 1999 to address the future challenges of a rapidly growing population.  Participating communities engage in a self- assessment and planning process, addressing a variety of areas including universal design for housing, accessibility, health care, transportation, and efficient use of natural resources.

CFAL Programs  Housing  The elder housing unit focuses on independent housing and assisted living planning and policy development.  Senior employment  In addition to administering Older Americans Act Senior Community Service Employment Program (SCSEP), the unit works to increase awareness among employers of the benefits of hiring older workers.  Health, wellness, and injury prevention  This unit provides opportunities for health education, nutrition counseling, fitness, medication management, and preventive health screenings.

CFAL Programs (continued)  Transportation and mobility  This unit works with communities to develop a range of options designed to allow seniors to remain mobile and independently able to access needed services and activities.  Volunteerism and intergenerational programs  This unit works to bring elders together with their communities to share their knowledge and experience, recognizing that volunteers enhance their own lives and those of the people they serve. The unit also works with Florida’s communities to create local programs and services that cross generational boundaries to benefit elders and youth.

Long Term Care Ombudsman Program (LTCOP)  The LTCOP is a statewide, volunteer-based system of district councils that work to protect, defend, and advocate on behalf of long-term care facility residents.  Staff and trained volunteers investigate all complaints brought to the attention of the program’s representatives by, or on behalf of, residents of long-term care facilities. They work with residents to develop a resolution plan that resolves the residents’ concerns.  Between 2010 and 2011, approximately 300 volunteers gave 68,640 hours to the Long-Term Care Ombudsman Program — a value of $1,280,822 in cost avoidance to the State of Florida.