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The Senior Alliance, Inc.
FY 2016
Table of Contents
County/Local Unit of Government Review
3
Plan Highlights
4
Public Hearings
10
Scope of Services
13
Planned Service Array
14
Planned Service Array Narrative
Targeting
15
Regional Service Definitions
17
Access Services
23
Direct Service Request
25
Regional Service Request
29
Program Development Objectives
34
Advocacy Strategy
41
Leveraged Partnerships
43
Community Focal Points
45
Other Grants and Initiatives
52
Appendices
54
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The Senior Alliance, Inc.
FY 2016
County/Local Unit of Govt. Review
AAA Response:
The Senior Alliance (TSA) will inform each chief elected official of the 34 communities of southern and
western Wayne County (SWWC), comprising of TSA’s planning service area (PSA) 1-C of the availability of
the 2016 Annual Implementation Plan (AIP). These officials are aware of the AIP's purpose and progress, as
members of TSA's Board of Directors are appointed by the Conference of Western Wayne (CWW) and the
Downriver Community Conference (DCC), representing each of the municipalities within the PSA 1-C.
Timeline:
4/10/2015
4/12/2015
4/27/2015
4/27/2015
5/4/2015
5/11/2015
5/26/2015
5/27/2015
5/28/2015
6/1/2015
6/8/2015
6/25/2015
6/30/2015
6/30/2015
7/31/2015
Public hearing information posted on TSA's website
AIP public hearing legal notices sent to three newspapers for publishing
Local municipalities are invited to comment. Notification is also sent informing local
officials that approval of the final AIP is due by July 30, 2015
Fiscal year 2016 AIP draft available to public via TSA's website
Notice letter to local governments that supporting resolutions are accepted until
July 30, 2015
AIP Public Hearing - TSA's Advisory Council Meeting
AIP Public Hearing – Lincoln Park Senior Center
AIP Public Hearing - Northville Senior Center
Advisory Council report on public hearings to Board of Directors
Last day to receive public comment
TSA's Advisory Council reviews AIP
Final AIP approval by Board of Directors
Final AIP submitted to Aging and Adult Services Agency (AASA) and made available on
TSA's website
Formal notice sent to local government officials that AIP has been approved by TSA's
Board of Directors and requesting AIP resolutions from local governments due by
July 30, 2015
Local government responses due and are forwarded to AASA
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FY 2016
Plan Highlights
1. A brief history of the area agency and respective PSA that provides a context for the AIP. It is
appropriate to include the area agency's vision and/or mission statements in this section.
The Senior Alliance (TSA) continues to operate under its mission statement, "We empower people with needs, to
live with dignity in the community they choose, by providing available services," by serving over 40,000
individuals on a budget of over 20 million in fiscal year 2015. Ninety-five percent of the budget was applied
directly to services and five percent used for administration.
Individuals that are age 60 or older and individuals living with a disability and who reside in southern and western
Wayne County (SWWC) are entitled to receive services from TSA; regardless of their financial or social status.
However, TSA will give preference to those who are considered to be in the greatest economic and social need.
TSA operates and manages a wide-ranged network of local services for older adults under state and federal
funding provided through the Older American Act (OAA) and the Older Michiganians Act (OMA). The Annual
Implementation Plan (AIP) for fiscal year 2016 is required by the OAA and is submitted to the Michigan Aging
and Adult Services Agency (AASA) prior to the review by the Michigan Commission on Services to the Aging.
The purpose of the AIP is to document accomplishments achieved in the prior fiscal year and to articulate the
vision, direction, and specific goals that will guide TSA’s work in the upcoming fiscal year.
2. A summary of services to be provided under the plan which includes identification of the five service
categories receiving the most funds and the five service categories with the greatest number of
anticipated participants.
The top five service categories receiving the most funding:
1.
2.
3.
4.
5.
Home Delivered Meals
Care Management
Congregate Meals
Transportation
Adult Day Care
The top five service categories with the greatest number of anticipated participants are:
1.
2.
3.
4.
5.
Home Delivered Meals
Congregate Meals
Information & Assistance
Medicare/Medicaid Assistance Program
Transportation
The top 10 most requested needs as identified by the Information Services Department is as follows:
1.
2.
3.
4.
Home Health Care/Long-Term Services and Support
Transportation
Safe-at-Home
Housing
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The Senior Alliance, Inc.
FY 2016
5. Healthcare (general)
6. Food/Meals
7. Homemaker Services
8. Government/Veteran Services
9. Legal/Consumer Affairs
10. Medicare/Health Benefits
In the spring of 2015, TSA conducted nine public input sessions across the Planning Service Area (PSA)
1-C and received 305 surveys either online or in person through the utilization of SurveyMonkey. As identified by
the survey, the top four most important services for older adults are:
1.
2.
3.
4.
Information and Assistance (23.4%)
Transportation (12.9%)
Medicare Medicaid Assistance Program (10.9%)
Nutrition Services (10.5%)
The survey also indicated that of all the programs TSA currently offers, the most important services to individuals
living with disabilities are:
1. Transportation tied with Information & Assistance (16.4%)
2. Safe-at-Home (12.7%)
3. Care Management (7.3%)
Caregivers who took the survey, listed the following as the most important services TSA offers:
1. Care Management tied with Information & Assistance (18.2%)
2. Safe-at-Home tied with the Medicare and Medicaid Assistance Program (13.6%)
TSA will provide the following services directly in fiscal year 2016:
-
Care Management
Case Coordination and Support
Chore Referral
Evidence Based Disease Prevention Programs
Friendly Reassurance
Information and Assistance
Long Term Care Ombudsman
Medicare/Medicaid Assistance Program
MI Choice Waiver Program
Nursing Facility Transitions Services
The Senior Alliance Holiday Meals
Senior Community Service Employment Program
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FY 2016
- Transportation Programs
In April 2015, TSA was notified that Wayne County intends to discontinue subsidizing home delivered,
congregate, and liquid meals with county general funds effective October 1, 2015. TSA and the PSA 1-C nutrition
program contracted provider, Wayne County, are currently in regular communication to prevent service
disruptions for older adults receiving home delivered meals, liquid nutrition, or who participate at a congregate
meal sites. In addition, TSA is discussing a change of administrative duties for part-time distribution site staff
and the volunteer delivery team, to be implemented October 1, 2015. TSA will make every effort to ensure that the
home delivered, congregate, and liquid meals programs will continue to operate in accordance with AASA
standards, until a request for proposal (RFP) is released as part of the 2017-2019 Multi-Year Plan (MYP) cycle.
TSA is currently in discussion with the PSA 1-C contracted transportation provider, Downriver Community
Conference (DCC), regarding a transition of service provision for caregiver transportation and non-emergency
medical transportation, including dialysis rides. DCC has provided TSA with written notice that it will end services
as a transportation vendor, effective October 1, 2015. TSA has been working with DCC to transition
transportation services prior to October 1, 2015. During the period of transition, TSA will make every effort to
prevent a disruption of service for older adults, caregivers, and individuals living with disabilities who rely on
navigating the community utilizing transportation funded by the Area Agency on Aging (AAA).
3. Highlights of planned program development objectives.
TSA will continue to work under four state goal objectives and four regional goals during fiscal year 2016:
1. Commission continuous quality improvements and innovations to accommodate the changing needs of older
adults (STATE).
2. Continue improving the health and nutrition of older adults by increasing awareness of nutrition and health and
wellness programs (STATE).
3. Engage older adults with Evidence-Based Disease Prevention (EBDP) programs to enhance their physical
and mental well-being, by utilizing evidence-based practices and other innovative programs (STATE).
4. Increase awareness of how to recognize and react to financial abuse and fraud situations through the
provision of advocacy, information, training, and services in order to empower older adults to live free from
abuse, neglect, and exploitation (STATE).
5. Aid older adults to be safe-at-home through improved access to home safety repair and modifications
(REGIONAL).
6. Promote resources to better meet the need for short-notice transportation information and service
(REGIONAL).
7. Identify gaps in service and monitor TSA’s progress towards goals related to meeting the needs of older
adults and individuals living with disabilities (REGIONAL).
8. Implement a quality improvement strategy to ensure the provision of quality service, coordinated care, and
accessibility of available resources throughout the PSA 1-C (REGIONAL).
4. A description of planned special projects and partnerships.
TSA continues to co-locate staff at Saint Mary Mercy Hospital’s Senior Wellness Center on a part-time basis.
Since October 2013, Information and Assistance (I&A) staff who are trained Options Counselors and certified as
Information and Referral specialist through the Alliance Information and Referral Systems (AIRS) have been able
to provide choices to community members to address their disability and/or aging related concerns that arise
while participating in a comprehensive assessment process.
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FY 2016
In the fall of 2014, TSA received a Michigan Health Endowment Fund (MHEF) grant to increase the availability of
Diabetes Personal Action toward Health (DPATH) and Matter of Balance (MoB) workshops. TSA plans to
educate over 1,500 high risk Michiganian’s in fiscal year 2016 on diabetes self-management skills and methods
to prevent fall related injuries and deaths. In fiscal year 2015, TSA gained three DPATH master trainers and three
MoB master trainers, while expanding partnerships for Evidence Based Disease Prevention (EBDP) programs
with Saint Mary Mercy Hospital, National Kidney Foundation, Oakwood-Southshore Hospital, Lake Superior
Quality Improvement Network, and Elmcroft Senior Living Community.
TSA will also continue to operate under contract with the Centers for Medicare Medicaid Services (CMS) to
continue the Community-Based Care Transitions Program (CCTP) in partnership with Garden City Hospital,
Oakwood Health System (Wayne, Taylor, Dearborn, & Southshore), and Saint Mary Mercy Hospital.
TSA continued a collaborative partnership in 2015 with two neighboring Area Agencies on Aging (AAA) that
aimed to identify the needs of LGBT (Lesbian, Gay, Bisexual, and Transgendered) older adults in the
metropolitan Detroit region. TSA's Chief Information and Planning Officer presented with the LGBT Project
Coordinator at the American Society on Aging (ASA) Conference in March 2015 on development and successes
of this partnership. TSA’s Executive Director was also a panelist at Michigan’s nonprofit inclusive workshop in
June 2015. As this grant funded initiative concludes in June 2015, TSA will continue working with the LGBT Older
Adult Coalition to monitor call center operation procedural changes and collect self-identified sexual orientation
and gender identity information from callers to promote LGBT friendly resources. TSA will work with the coalition
to develop sustainable training materials that will be available to new employees and/or other departments who
would benefit from LGBT diversity in inclusive education.
TSA has recently partnered with The Home Depot Foundation and Team Depot for Safe-at-Home. On June 11,
2015, Safe-at-Home completed its first project with the assistance of The Home Depot Foundation for a World
War II veteran and his wife in Van Buren Township. This project included, but was not limited to: modification to
the bathroom to increase tub and toilet accessibility, carpet cleaning, securing loose stair runners, replacing the
doorbell, replacing the dryer and water heater, adding handrails to the front and back porch, and many other
modifications. TSA and The Home Depot Foundation will continue its collaborative community partnership
efforts in fiscal year 2016.
Wayne County has served as the Meals Programs vendor in the PSA 1-C for decades. In fiscal year 2015 Wayne
County is currently subsidizing the programs by approximately $900,000 in non-traditional funding. TSA was
notified this summer that the county will no longer subsidize the Meals Programs (HDM, Congregate, Liquid, and
Halal), effective October 1, 2015. The county also does not anticipate being a bidder in the 2017-2019 Multi-Year
Plan (MYP) contract cycle. In addition, the county has stated a desire to transfer some of the Meals Programs
duties to TSA for fiscal year 2016. The county has taken these steps as part of an overall budget cutting package
in an attempt to balance their books. An agreement is currently before the County Commission that would transfer
oversight of the enrollment process for all 1,100~ Meals-on-Wheels volunteers and the payroll responsibility for
the approximately 74 part-time hourly meals distribution site workers. This transfer of duties will only be effective
for fiscal year 2016. In the spring of 2016, during the regular bidding schedule for a new Multi-Year Plan (MYP)
cycle, TSA will issue a request for proposal (RFP) for the Meals Programs. TSA anticipates a new vendor(s) to
be in place for all components of the Meals Programs on October 1, 2016. TSA’s goal for Wayne County’s
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The Senior Alliance, Inc.
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transition away from being the PSA 1-C’s Meals Programs vendor is that program participants do not see a
change in their meal delivery or congregate site operations. The steps taken to transition some basic functions to
TSA for fiscal year 2016 will allow these programs to continue without disruption while the county ends their
subsidy and looks to end their vendor relationship with TSA.
Outreach and marketing at TSA will continue to grow with outlets such as commercials shown at MJR Westland
and cable network’s community access public service announcements (PSA’s); along with social media
marketing (Facebook and Twitter) and car magnets. TSA also continues to participate in community events by
staffing information tables as a form of outreach.
Through Governor Snyder's "No Wait State" initiative to eliminate waitlists for older adults, TSA plans to expand
our ability to meet the need within the PSA 1-C for in-home and community based services through capacity
building activities and business acumen.
5. A description of specific management initiatives the area agency plans to undertake to achieve
increased efficiency in service delivery, including any relevant certifications or accreditations the area
agency has received or is pursuing.
In February 2014, TSA was awarded a three year Commission on Accreditation for Rehabilitation Facilities
(CARF) International accreditation for Aging Services Network and Case Management, with Governance
Standards applied. CARF is an independent, non-profit organization focused on advancing the quality of services
used to meet customer needs. CARF accreditation signifies our commitment to continuous quality improvement,
solicitation of feedback, and serving the community. TSA intends to begin the accreditation renewal process in
the next fiscal year.
TSA will continue to pursue accreditation from the Alliance of Information and Referral Systems (AIRS) and will
stride towards implementation of the AIRS Standards and Quality Indicators for Professional Information and
Referral. The AIRS Standards provide TSA with a standardized tool that sets benchmarks for every aspect of a
quality information and referral service. All eligible Information and Assistance (I&A) staff will obtain the new AIRS
certification in Information and Referral for Aging and Disability. Advancing toward the accreditation will help the
I&A Department operationalize consistent processes that facilitate improved communication internally (amongst
staff) and externally (between stakeholders and consumers).
TSA is currently in the process of pursuing accreditation for the American Association of Diabetes Educators
(AADE), to provide reimbursable Diabetes Self-Management Education and Training (DSME/T) services.
TSA anticipates being awarded the accreditation in fiscal year 2016.
6. A description of how the area agency’s strategy for developing non-formula resources, including
utilization of volunteers, will support implementation of the AIP.
TSA will continue to seek new and innovative revenue streams to maintain a high level quality of service for older
adults, individuals living with disabilities, and their families. By using 2010 Census Data, TSA identified seven
targeted communities for increased outreach and service delivery. Older adults residing in Belleville, Ecorse,
Inkster, Melvindale, River Rouge, Romulus, and Wayne will be prioritized for services with limited availability (e.g.
Senior Project Fresh).
Volunteers are an important role of TSA's service delivery systems, and will continue to be in fiscal year 2016.
The volunteer Medicare and Medicaid Assistance Program (MMAP) counselors and holiday meals drivers are
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the driving force behind successful program operations. MMAP currently utilizes 47 Volunteer Counselors and
maintains 110 holiday meal drivers.
TSA also engages a multitude of interns from local colleges and universities to provide an opportunity for
hands-on learning and are also a valuable support to the agency.
The Safe-at-Home initiative is operated by utilizing a VISTA Volunteer with experience in construction
management. This volunteer has established linkages with licensed contractors to provide home and health
safety modifications for local older adults.
Due to the transition of Meals programs duties from Wayne County, TSA will be managing the recruitment and
registration process of volunteers for the Home Delivered Meals (HDM) program for fiscal year 2016.
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The Senior Alliance, Inc.
FY 2016
Public Hearings
Date
Location
Time
Is Barrier Free
No of Attendees
05/11/2015
The Senior Alliance- Advisory Council
02:30Meeting
PM
Yes
05/26/2015
Lincoln Park Senior Center
10:00 AM
Yes
1
05/27/2015
Northville Senior Center
01:00 PM
Yes
1
11
Narrative:
The Senior Alliance (TSA) conducted nine public input sessions across the planning service are (PSA)
1-C and received a total of 243 surveys in-person. TSA also utilized Facebook and an online tool,
SurveyMonkey, to gather an additional 62 surveys; totaling 305 surveys. In addition, TSA held three public
hearings for the fiscal year 2016 Annual Implementation Plan (AIP). All three public hearings
were advertised in three newspapers: The Michigan Chronicle, the Sunday Heritage, and the Observer &
Eccentric; and was also advertised through social media, TSA's Senior Center Network, TSA's Vendor
Network, and TSA's website.
While 11 individuals attended the public hearing on May 11, 2015 at TSA's Advisory Council meeting, no
public comment was offered.
At the May 26, 2015 public hearing at the Lincoln Park Senior Center, the attendee did state that "The Lincoln
Park Senior Center needs more funding for more programs." This hearing resulted in a public input/question
and answer session during which the participant learned about programs and services available to the
community.
On May 27, 2015, TSA held a third public hearing at the Northville Senior Center. The public comment offered
was that the attendee believed that the most important programs for older adults is the Meals Program and to
stay in their home. While the participant did not know much about TSA, the participant does utilize the
Medicare Medicaid Assistance Program (MMAP).
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Scope of Services
1. Describe changes from the approved FY 2014-2016 MYP, if any, to the AAAs priorities for
addressing identified unmet needs within the PSA for FY 2016.
There were no overt changes related to The Senior Alliance's (TSA's) priorities for addressing identified needs
within the planning service area (PSA) 1-C. It should be noted that Aging-in-Place will now be referred to as the
Safe-at-Home program to better describe the range of services available.
DCC has provided TSA with written notice that it will end services as a transportation vendor, effective October
1, 2015. During the period of transition, TSA will make every effort to prevent a disruption of service for older
adults, caregivers, and individuals living with disabilities who rely on navigating the community utilizing
transportation funded by the Area Agency on Aging (AAA).
Wayne County has stated a desire to transfer some of the Meals Programs duties to TSA for fiscal year 2016.
The county has taken these steps as part of an overall budget cutting package in an attempt to balance their
books. An agreement is currently before the County Commission that would transfer oversight of the enrollment
process for all 1,100~ Meals-on-Wheels volunteers and the payroll responsibility for the approximately 74
part-time hourly meals distribution site workers. This transfer of duties will only be effective for fiscal year 2016.
TSA’s goal for Wayne County’s transition away from being the PSA 1-C’s Meals Programs vendor is that
program participants do not see a change in their meal delivery or congregate site operations. The steps taken
to transition some basic functions to TSA for fiscal year 2016 will allow these programs to continue without
disruption.
2. When a customer desires services not funded under the AIP/MYP or available where they live,
describe the options the area agency offers.
TSA endeavors to exhaust all available resources through community partnerships in the event the agency is
unable to meet the needs of a consumer. Our Information and Assistance (I&A) resource database contains
referrals to external community-based resources. Information on available resources is then relayed to
consumers through a person-centered, no-wrong-door approach. Aging and Disability Resource Center
(ADRC) partners may collaborate to obtain relevant resources and long-term care options counseling may
become involved, as appropriate.
In terms of transportation requests, I&A looks up external resources before connecting customers with TSA’s
internal short-notice ride-of-last-resort option.
For chore referral inquiries, TSA refers customers to a chore vendor list of providers who have been
background checked and are committed to charging reduced fees for older adults and individuals living with
disabilities.
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FY 2016
Planned Service Array
Access
In-Home
Community
Provided by Area
Agency
• Care Management
• Case Coordination and
Support
• Information and Assistance
• Outreach
• Transportation
• Medication Management
• Friendly Reassurance
• Disease Prevention/Health
Promotion
• Long-term Care
Ombudsman/Advocacy
Contracted by Area
Agency
• Transportation
• Home Care Assistance
• Homemaking
• Home Delivered Meals
• Home Health Aide
• Personal Care
• Respite Care
• Adult Day Services
• Congregate Meals
• Disease Prevention/Health
Promotion
• Legal Assistance
• Senior Center Staffing
• Programs for Prevention of
Elder Abuse, Neglect, and
Exploitation
• Kinship Support Services
• Assistive Devices &
Technologies
• Dementia Adult Day Care
• Nutrition Counseling
• Nutrition Education
• Health Screening
• Assistance to the Hearing
Impaired and Deaf
• Vision Services
• Counseling Services
Participant Private
Pay
Funded by Other
Sources
• Nutrition Education
• Health Screening
• Assistance to the Hearing
Impaired and Deaf
• Senior Center Operations
• Counseling Services
• Caregiver Supplemental
Services
• Caregiver Education,
Support and Training
* Not PSA-wide
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FY 2016
Planned Service Array Narrative
The Senior Alliance (TSA) funds the majority of the services authorized by the Older Americans Act (OAA) with
supplemental state funding because Wayne County does not have a senior millage. TSA does, however, pursue
grants and charitable funding, as available.
Nutrition education for home delivered meals (HDM), congregate meals, and liquid meals are provided by a
Registered Dietician that is subcontracted by Wayne County.
Health screenings are not supported by TSA, but are provided by private entities and are listed in TSA's Aging and
Disability Resource Center (ADRC) resource database.
Assistance for the hearing impaired and deaf is a niche service that TSA supports other providers in offering. TSA
works with organizations in the aging network to increase participation with experts for Evidence-Based Disease
Prevention (EBDP) services, such as PATH (Personal Action towards Health).
TSA provides financial assistance to support their staff for the following senior centers for 14 senior centers with
small amounts of funding:
- Brownstown
- Canton
- Dearborn
- Dearborn Heights
- Flat Rock
- Garden City
- Huron Township
- Inkster
- Northville
- Plymouth
- River Rouge
- Sumpter Township
- Van Buren Township
- Wayne.
Counseling services are a niche service that TSA does not have the capacity to fill at this time.
Caregiver supplemental services and caregiver education, support, and training are not provided by TSA because
caregivers expressed the need for provision services that provide a form of respite (example: reallocating funding
for support groups to caregiver transportation and Safe-at-Home, as initiated in the 2014-2016 MYP).
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FY 2016
Targeting
1. Describe changes for FY 2016, if any, to the area agency's targeting strategy for the MYP cycle,
including planned outreach efforts with underserved populations. If none, mark NA in the provided
dialog box.
The Senior Alliance (TSA) will continue its targeting strategy and will remain supportive of all 34 communities
within its planning service area (PSA) 1-C. TSA continues to identify and support those individuals, families
and caregivers at greatest risk. TSA makes an intensive effort to also reach out to under-served populations.
The Older Americans Act (OAA) requires that all Area Agencies on Aging (AAA’s) target persons considered
to be in the greatest economic or social need; with emphasis on serving low-income and/or minority
individuals. Since income alone is not a perfect indicator of need, TSA’s targeting strategy for individuals will
also include the following additional factors to identify those of great risk:
-
Age 75 or older
Living alone without support
Cultural or social isolation
Homebound
Mental or physical disability
Inability to access community resources independently
Veterans
In the winter of 2013, the Program Committee of TSA’s Board of Directors developed a revised weighted
formula to target under-served communities by applying new U.S. Census data from the American Community
Survey. The formula factored in poverty measures and age 60+ population data. Seven communities were
approved by TSA Board of Directors in March 2014 as targeted municipalities in PSA 1-C for fiscal years
2015 and 2016.
-
Belleville
Ecorse
Inkster
Melvindale
River Rouge
Romulus
Wayne
These seven municipalities will receive targeted status within PSA 1-C for increased outreach and program
activities, such as Senior Project Fresh.
TSA will also engage minority populations in these communities to serve on the Advisory Council and
participate in advocacy activities. Outreach activities will include:
1. An e-newsletter containing community-based resource updates and service offerings. This e-newsletter is
in development and will be distributed to the PSA 1-C's senior center network and community focal points
(CFP's), along with other stakeholder groups;
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2. Continue to build partnerships with key organizations serving targeted populations through the Aging and
Disability Resource Center (ADRC) of southern and western Wayne County (SWWC), Medicare and Medicaid
Assistance Program (MMAP), CFP's, and Advisory Council membership;
3. Continue to hold MMAP enrollment and educational sessions in partnership with organizations serving
targeted communities;
4. Continued co-location of Information & Assistance (I&A) staff at Saint Mary Mercy Hospital in the Senior
Wellness Center.
Contractors are requested to provide the number of minority status, female head of households, and
low-income individuals they will serve. EBDP contractors are also encouraged to target veterans.
2. If there are changes to the area agency's targeting strategy, indicate in the second dialog box how
specific goals or targets will be addressed in FY 2016
There are no changes to TSA's targeting strategy.
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Regional Service Definitions
Service Category
Fund Source
Unit of Service
þ Access
þ Title III PartB
¨ Title III PartD
¨ Title III PartE
¨ In-Home
¨ Title VII
¨ State Alternative Care
¨ State Access
¨ Community
¨ State In-home ¨ State Respite
þ Other
One, One-way
trip per person
Merit Award Trust Fund
Service Name/Definition
Caregiver & Community Transportation
Minimum Standards
This regional service definition was previously approved as part of the Multi-Year Plan (MYP) for fiscal years
2014-2016; however, for fiscal year 2015, the unit of service was updated from one-hour of allowable
service to one, one-way trip per person.
A program intended to support caregivers and kinship caregivers, in response to their transportation needs
that are not otherwise being met.
Minimum Standards
1. Program must maintain linkages with caregiver service providers within the planning service area (PSA)
1-C.
2. Program can be offered to caregivers of any age when the care recipient is aged 60 or over and is
unable to perform at least two activities of daily living or requires substantial supervision due to a cognitive
or other mental impairment; as well as, to individuals aged 60 and over who are kinship caregivers for a
child no more than 18 years old. Either the caregiver or care recipient must reside in the PSA 1-C.
3. Older Americans Act (OAA) funds may be used to fund all or part of the operational costs of
transportation programs based on the following modes:
a. Demand/Response- characterized by scheduling vehicles to provide door-to-door or curb-to-curb
service on demand. The program may include a passenger assistance component.
1) Route Deviation Variation- where a normally fixed-route vehicle leaves scheduled route upon
request to pick-up the client;
2) Flexible Routing Variation- where routes are constantly modified to accommodate service
requests.
b. Public Transit Reimbursement- characterized by partial or full payment of the cost for the caregiver to
use an available public transit system (either fixed route or demand/response). The program may include a
passenger assistance component.
5. All drivers and vehicles used for transportation programs supported all or in part by OAA funds must be
appropriately licensed and inspected, as required by the Secretary of State and all vehicles used must be
covered by liability insurance.
6. All paid drivers for transportation programs supported entirely or in part by OAA funds shall be physically
capable and willing to assist persons requiring help to and from and to get in and out of vehicles. Such
assistance must be available unless expressly prohibited by either a labor contract or insurance policy.
7. All paid drivers for transportation programs supported entirely or in part by OAA funds shall be trained to
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cope with medical emergencies, unless expressly prohibited by a labor contract or insurance policy.
8. Each program shall operate in compliance with P.A. 1 of 1985 regarding seat belt usage.
Each program shall attempt to receive reimbursement from other funding sources, as appropriate and
available.
Rationale (explain why activities cannot be funded under an existing service definition)
Transportation has been consistently demonstrated as the number two most requested service by
individuals contacting TSA. Utilization of caregiver funding allowed expansion of respite service options and
availability.
Service Category
Fund Source
Unit of Service
¨ Access
¨ Title III PartB
þ Title III PartD
¨ Title III PartE
¨ In-Home
¨ Title VII
¨ State Alternative Care
¨ State Access
þ Community
¨ State In-home ¨ State Respite
¨ Other
One program
session (i.e.,
one session of
Personal Action
Service Name/Definition
Evidence-Based Disease Prevention/ Health Promotion
Minimum Standards
This regional service definition was previously approved as part of the Multi-Year Plan (MYP) for fiscal year
2014-2016 but TSA’s Empowering Older Adults (EOA) grants ends August 31, 2015.
Provision of Michigan Aging and Adult Services Agency (AASA) approved Evidence-Based Disease
Prevention (EBDP) programs as listed in AASA (formally Offices of Services to the Aging [OSA])
Transmittal Letter 2009 – 176 and/or as otherwise approved by AASA. EBDP programs are those which
have been tested and have proven results.
Minimum Standards
1. Programs can only be offered to individuals aged 60 years and over, and/ or dependent on program
eligibility criteria and fund source.
2. Programs must be either listed and/or approved by AASA.
3. Programs must utilize staff with specific training for direct service components.
4. Programs must maintain required licensing and/or memorandums of agreements with program
developers.
5. Programs must maintain familiarity with and utilize required program reporting forms.
6. Programs must uphold any fidelity standards which have been developed for the specific EBDP program.
7. Programs shall give priority to establishing workshops in partnership with TSA's identified communities.
8. Programs are encouraged to participate in regional and statewide EBDP collaborative groups and
provide technical assistance to organizations offering similar programs.
9. Clients must be unduplicated for each program year, unless participating in separate and distinct EBDP
programs; they then can be counted once for each.
Rationale (explain why activities cannot be funded under an existing service definition)
The unit rate as established by the State did not fulfill the needs for contract oversight. TSA historically
established a common unit rate equaling one session. This makes contract oversight for program
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compliance more efficient and contractor reporting more consistent.
Service Category
Fund Source
Unit of Service
¨ Access
þ Title III PartB
¨ Title III PartD
¨ Title III PartE
¨ In-Home
¨ Title VII
¨ State Alternative Care
¨ State Access
þ Community
¨ State In-home ¨ State Respite
¨ Other
Provision of one
hour of
allowable
service
Service Name/Definition
Caregiver Legal Services
Minimum Standards
This regional service definition was previously approved as part of the Multi-Year Plan (MYP) for fiscal years
2014-2016.
Provision of legal advice and representation, counseling, education, support by an attorney (including other
appropriate assistance provided by a paralegal or law student under the supervision of an attorney), and
counseling or representation by a non-lawyer; to eligible caregivers on issues associated with caregiving,
as permitted by law.
Allowable Components:
• Intake- the initial interview to collect demographic data and identification of the client’s legal difficulties and
questions.
• Advice and Counsel- where the client is offered an informed opinion, possible course of action, and
clarifications of their rights under the law.
• Referral- if a legal assistance program is unable to assist a client with the course of action that the
individual wishes to take, an appropriate referral should be made. Referral may also be necessary when
legal services providers observe individual needs which they are unable to resolve; such as, income
maintenance, social service, and health service needs.
• Representation- if the client’s problem requires more than advice and counsel and the case is not referred
to another source, the program may represent the person in order to achieve a solution to the legal problem.
Representation may include: legal research, negotiation, preparation of legal documents, correspondence,
appearances at administrative hearings or courts of law, and legal appeals, where appropriate.
• Legal Research- the gathering of information about laws, rights, or interpretation of laws that may be
performed at any point after intake has occurred, to resolve an individual’s legal problems. Such information
will be used to assist providers of legal services in counseling individuals, in representing them in hearings
and a court of law, or in negotiations with potential legal adversaries.
• Preparation of Legal Documents- writing documents that serve to protect individual rights; such as,
contracts, wills, or leases, which might later be used in a court of law.
• Negotiation- as the client’s representative, program staff may contact other persons concerned with the
client’s legal problem in order to clarify factual or legal contentions and possibly reach an agreement to
settle legal claims.
• Legal Education- preparation and presentation of programs to inform caregivers of their rights, the legal
system, and alternative courses of legal action, as well as the rights of the older adults they are caregivers
for.
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Minimum Standards
1. Each program must maintain linkage with other caregiver programs, respite care programs, and
transportation programs, as available, in the planning service area (PSA) 1-C to help facilitate opportunities
for caregivers to attend caregiver legal programs.
2. Program can be offered to caregivers of any age when the care recipient is aged 60 or over and is
unable to perform at least two activities of daily living or requires substantial supervision due to a cognitive
or other mental impairment. Either the caregiver or care recipient must reside in the service area.
3. Caregiver legal programs may be provided to individuals as well as in group settings. Services may be
provided in both community and in-home settings.
4. Each legal assistance program shall have an established system for targeting and serving those in
greatest social and economic need.
5. Service shall be provided by, supervised by, or have direct contact with an attorney licensed to practice
law in the State of Michigan who can perform or supervise any of the components listed above.
6. A paralegal (defined as: an individual trained in accredited paralegal courses or in the specific legal
service subject areas in which they will be assisting an attorney or law student, with under 30 hours of course
work under the supervision and guidance of a licensed attorney) may perform any of the components listed
above with the exceptions of representation in court and final review of legal documents. Although, a
paralegal may represent client at an administrative hearing, representation in court shall be by an attorney.
Preparation of legal documents may be assigned to a paralegal. However, all finalized documents shall be
reviewed and approved by an attorney.
7. Law students who have completed 30 hours of course work at an accredited law school may perform any
of the service components under legal assistance acting under the guidance and supervision of a licensed
attorney.
8. Each program shall provide at a minimum: advice and counsel, representation, and educational
components.
9. Each program shall demonstrate coordination with local long-term care advocacy programs operating
within the project area.
10. When a legal assistance program identifies issues affecting clients which may be remedied by
legislative action, such issues shall be brought to the attention of the Area Agency on Aging (AAA),
Michigan Aging and Adult Services Agency (AASA), and the Michigan Legal Services legislative branch, as
permissible and appropriate.
11. Each program shall provide assurance that it operates in compliance with regulations promulgated
under the Older Americans Act (OAA) as set forth in 45 CFR Section 1321.
12. Each program that is not part of a Legal Services Corporation project grantee shall have a system to
coordinate its services with existing Legal Services Corporation projects in the planning and service area in
order to concentrate the use of funds provided under this definition to individuals with the greatest social and
economic need.
13. Each program shall make reasonable efforts to maintain existing levels of legal assistance for older
individuals being furnished with funds from sources other than Title III Part B of the OAA.
14. A legal assistance provider may not be required to reveal any information that is protected by
attorney/client privilege. Each provider shall make available non-privileged, non-confidential, and
unprotected information which will enable the AAA to perform monitoring of the provider's performance,
under contract, with regard to these operating standards.
15. Each program must give priority to legal assistance related to: income, health care, long-term care,
nutrition, housing, utilities, protective services, defense of guardianship, abuse, neglect, and discrimination.
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Rationale (explain why activities cannot be funded under an existing service definition)
Historically, legal service funding has been limited to individuals age 60 and above. With the continued
application of the Caregiver Legal Regional Service definition in fiscal year 2015, caregivers have been
allowed access to the necessary and important legal services to become better advocates and meet the
needs of their care recipient.
Service Category
Fund Source
Unit of Service
¨ Access
þ Title III PartB
¨ Title III PartD
¨ Title III PartE
¨ In-Home
¨ Title VII
¨ State Alternative Care
¨ State Access
þ Community
¨ State In-home ¨ State Respite
¨ Other
One hour of
allowable home
safety
modification
Service Name/Definition
Safe-at-Home
Minimum Standards
This regional service definition was previously approved as part of the Multi-Year Plan (MYP) for fiscal years
2014-2016; however, for fiscal year 2016, the name was changed from Aging-In-Place to Safe-at-Home.
A program intended to support successful continuation of living in a home by making the home safe, livable,
and accessible to community dwelling older adults and persons living with a disability.
Permanent improvements of a home to prevent or remedy a sub-standard health environment conditions
and/or safety hazards. This does not include in-home care services, aesthetic improvements to a home,
temporary repairs, or home maintenance that must be frequently repeated.
1. Home safety modification and rehabilitation may not be provided on rental property without written
authorization of structure owner.
2. Each home safety modification and rehabilitation program, prior to initiating service, shall determine
whether a potential client is eligible to receive services through a program supported by other sources,
particularly programs funded through the Social Security Act or Medicaid. If it appears that an individual can
be served through other resources, the program will make an appropriate referral.
3. Funds awarded for home safety modification and rehabilitation may be used for labor costs and to
purchase materials used to complete the job. The program shall establish a limit on the amount of TSA's
funds to be spent on any one household in a 12 month period, not to exceed $5,000. Equipment or tools
needed to perform the jobs may be purchased or rented with funds from TSA up to an amount equal to ten
percent of the total amount of funds provided to the program by TSA.
4. Each home will be checked for compliance with local building codes before commencing a job. No jobs
may be done on condemned structures.
5. Program will utilize a written agreement with the owner of each home to be repaired, which includes at a
minimum:
(a) A statement that the home is occupied and is the permanent residence of the owner;
(b) A statement that in the event that the home is sold within two years of work completed by the
program, the owner will reimburse the program the full cost of repairs made to the home;
(c) Specification of the repairs to be made by the program is to be provided.
(d) Verification that the work is complete and correct;
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(e) Verification by a local building inspector(s) that the work satisfies building codes;
(f) Acknowledgement by the home owner that the work is acceptable, within ten days of completion.
7. Each program shall maintain a record of homes and clients served including: name of owner, address,
jobs performed and dates job completed, materials used and costs.
8. Each program shall establish and utilize written criteria for prioritizing homes to be repaired with the
address, the condition of the home, assessment of the client’s need, and appropriateness of the requested
job(s).
9. Pest control services may be provided only by appropriately licensed suppliers.
10. Each program must develop working relationships with home modification, repair, housing assistance
services providers, and weatherization service providers in the program area to ensure effective
coordination of efforts.
11. Each program must actively recruit, train, and oversee volunteers who are available and capable of
performing allowable safety, livability and accessibility modification and home improvement jobs.
Rationale (explain why activities cannot be funded under an existing service definition)
The third most requested service by those contacting TSA is for a combination of home safety, home
modification, and handyman services. This definition brings together existing AASA standards (chore, home
repair, and home injury control) under one umbrella, thus allowing TSA to address a combination of the most
commonly requested services using a common unit of service definition. The three existing AASA standards
have different unit definitions and are from two different service categories.
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FY 2016
Access Services
Care Management
Starting Date
10/01/2015
Ending Date
09/30/2016
Total of Federal Dollars
$0.00
Total of State Dollars
$503,822.00
Geographic area to be served
PSA 1-C
Specify the planned goals and activities that will be undertaken to provide the service.
1. Continue to provide quality care management services throughout the entire planning service area (PSA)
1-C.
2. Care management clients will receive comprehensive assessment and the desired level of assistance with
coordination of services most appropriate to their needs and wishes. In fiscal year 2015 to date, 349
individuals have been served through Care Management. Enrollment continues as an ongoing basis.
3. Program quality will be monitored on an ongoing basis. As necessary, program improvements will be
made. Staff training will be identified through quality assurance activities and training will be provided, as
needed.
Number of client pre-screenings:
Current Year:
810
Planned Next Year:
1,500
Number of initial client assesments:
Current Year:
129
Planned Next Year:
300
Number of initial client care plans:
Current Year:
120
Planned Next Year:
300
Total number of clients (carry over
plus new):
Staff to client ratio (Active and
maintenance per Full time care
Current Year:
359
Planned Next Year:
500
Current Year:
1:50
Planned Next Year:
1:50
Case Coordination and Support
Starting Date
10/01/2015
Ending Date
09/30/2016
Total of Federal Dollars
$129,172.00
Total of State Dollars
$117,809.00
Geographic area to be served
PSA 1-C
Specify the planned goals and activities that will be undertaken to provide the service.
1. Continue to provide quality CCS services for older adults within the PSA 1-C.
2. Older adult clients who do not currently need a nursing facility level of service, but are at risk of needing that
level of care, will receive support to prevent or slow a further medical or functional decline. In fiscal year 2015 to
date, 162 individuals have been served through CCS. Enrollment continues on an ongoing basis.
3. Program quality will be monitored on an ongoing basis. As necessary, program improvements will be
made. Staff training needs will be identified through quality assurance activities and training will be provided,
as needed.
Information and Assistance
Starting Date
10/01/2015
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Ending Date
09/30/2016
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The Senior Alliance, Inc.
Total of Federal Dollars
FY 2016
$293,440.00
Total of State Dollars
$45,611.00
Geographic area to be served
PSA 1-C
Specify the planned goals and activities that will be undertaken to provide the service.
1. Continue to provide quality Information & Assistance (I&A) service to the entire PSA 1-C through the
continued engagement and increased partnership with community-based organizations, local governments,
health care entities, community focal points (CFP's), and local senior centers to gain relevant and up-to-date
information on the needs of the community.
2. Continue to provide up-to-date information to the entire PSA 1-C by offering appropriate resource referrals.
3. Continue to update and expand the Aging and Disability Resource Collaboration (ADRC) Database
utilized by the I&A department.
Outreach
Starting Date
10/01/2015
Ending Date
09/30/2016
Total of Federal Dollars
$76,000.00
Total of State Dollars
$0.00
Geographic area to be served
PSA 1-C
Specify the planned goals and activities that will be undertaken to provide the service.
1. Ensure all areas of the PSA 1-C receive information about the programs and services available through
TSA and its vendors.
2. Information about senior services will be disseminated in a wide variety of formats throughout PSA 1-C.
3. Maintain an ongoing relationship with community focal points (CFP's), including senior centers and senior
housing units within the PSA 1-C in order to effectively distribute information and support community dwelling
older adults, caregivers, individuals with disabilities, and their families.
4. Continue ongoing slide presentations on local community cable channels.
Transportation (for MATF only)
Starting Date
10/01/2015
Ending Date
09/30/2016
Total of Federal Dollars
$78,691.00
Total of State Dollars
$128,690.00
Geographic area to be served
PSA 1-C
Specify the planned goals and activities that will be undertaken to provide the service.
1. Expand short notice, ride-of-last resort transportation to clients that are unable to access and/or afford
private transportation in and to areas where SMART or other local transportation companies are unable to
service.
2. Residents of the PSA 1-C will have improved short-notice transportation options to access non-emergency
medical, housing transition, benefit application, and enrollment appointments.
3. Assist Care Transitions (CTI) clients with rides to their primary care physician (PCP) within 30 days of
being discharged from the hospital, when no other forms of transportation are available.
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FY 2016
Direct Service Request
Medication Management
Total of Federal Dollars
$40,000.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each services category.
1. Continue to support older adults with Medication Management throughout the PSA 1-C.
2. Person-centered plans will be developed to support individuals in taking medications as prescribed.
3. Individuals having difficulty affording medications will be offered resources to assist them.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) Historically, TSA has unsuccessfully attempted to find contracted providers to ensure an adequate supply
of Medication Management services. TSA has developed an internal Medication Management program to
ensure service availability.
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include: a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.
If the service is considered part of administrative activity, describe the rationale and authority for
such a determination.
The Medication Management program provides a comprehensive, in-home review of all medications the
person is taking. The in-home review of all medications is essential in identifying situations where the older
individual is taking medications incorrectly or does not understand medication instructions. It also provides an
opportunity to identify at risk situations, such as when the older adult has not filled a prescription for a
medication that the physician thinks is being taken, as prescribed.
Medication Management services are offered to adults age 60 and older who are at risk of medication errors
due to cognitive decline, confusion, historical difficulty in managing medications, difficulty in obtaining
medications, complex medication regimens, or recent changes in prescribed medications.
Through the Medication Management program, TSA provides staff to assist older adults in effectively taking
medications as prescribed by:
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The Senior Alliance, Inc.
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1. Addressing barriers for successful medication regime adherence, such as finding programs to assist in
paying for medications;
2. Assisting the older adults in accessing transportation or medication delivery programs when getting to the
pharmacy interferes with taking medications appropriately;
3. Communicating with the physician and pharmacist (as necessary) to support the older adult; and
4. Developing and applying effective medication management systems.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion at the public hearings related to Medication Management.
Friendly reassurance
Total of Federal Dollars
$10,810.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each services category.
Continue to increase the number of clients served through outreach activities targeting older adults and
their caregivers.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) No bids were received to provide Friendly Reassurance services.
(C) Utilization of this program is directly beneficial to TSA and individuals enrolled in the Senior Community
Service Employment Program (SCSEP), which TSA also administers. The SCSEP enrollees are provided
with on-the-job training, professional telephone etiquette skills, and soft skills practice by making the calls to
homebound seniors. As such, this relationship between SCSEP and Friendly Reassurance is also a cost
benefit for the agency.
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include: a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.
If the service is considered part of administrative activity, describe the rationale and authority for
such a determination.
No eligible Friendly Reassurance service providers have been identified for PSA 1-C. TSA has successfully
implemented this service during the last two years of the 2014-2016 Multi-Year Plan (MYP). TSA will explore
options of interested providers during the next MYP cycle.
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Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion at the public hearings related to Friendly Reassurance services.
Disease Prevention/Health Promotion
Total of Federal Dollars
$16,423.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each services category.
1. Continue to construct sustainable systems of program delivery to increase the availability of EBDP
programs.
2. Engage in activities to build the capacity of TSA to effectively deliver EBDP programs.
3. Ensure availability of EBDP programming in all areas of the PSA 1-C and including through the
promotion of programs sustainable amongst regional and state partnerships.
4. Increase the number of Master Trainers, Coaches, and Lay Leaders in Diabetes PATH (DPATH) and
Matter of Balance (MoB).
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) TSA maintains itself as a regional leader by working to establish new partners for the sustainability of the
program and continues to serve as Chair for the Southeastern Michigan Partners on the PATH region. As
Chair, TSA provides technical assistance, fidelity monitoring; and has become the "go-to" resource for
updated information, best practice dissemination, and mediator between the State and current/future regional
partners.
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include: a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.
If the service is considered part of administrative activity, describe the rationale and authority for
such a determination.
TSA continued to operate under the "Empowering Older Adults and Adults with Disabilities through Chronic
Disease Self- Management Program Financed by 2012 Prevention and Public Funds" grant, through August
2015, when the grant is expected to end. TSA was recently awarded receives funding from Michigan Health
Endowment Fund (MHEF) grant to establish workshops and trainers in MOB and DPATH from beginning
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November 2014 through October 2016.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion at the public hearings related to Disease Prevention/Health Promotion.
Long Term Care Ombudsman
Total of Federal Dollars
$28,363.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$38,661.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text
box for each services category.
1. Increase the awareness of resident rights of individuals residing in a long-term care facility through
outreach and ongoing information and assistance.
2. Continue to promote outreach and education to resident councils of long-term care facilities.
3. Increase the visibility of the LTCO program by maintaining relationship with local colleges and
universities to engage student’s interests in advocacy and elder rights protections.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) No bids were received to provide LTCO services within TSA’s PSA 1-C.
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include: a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.
If the service is considered part of administrative activity, describe the rationale and authority for
such a determination.
No eligible service providers have been identified within the PSA 1-C to provide LTCO services. The LTCO is
an independent voice within the TSA framework. TSA provides the Ombudsman with resources such as
increased access to the Information & Assistance (I&A) and Medicare and Medicaid Assistance Programs
(MMAP) departments. TSA also has vast experience in volunteer recruitment, maintenance, and management.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion at the public hearings related to LTCO.
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Regional Service Request
Safe-at-Home
Total of Federal Dollars
$27,995.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text box
for each services category.
GOALS:
1. Engage in resource development activities to ensure the sustainability and growth of the SAH program
to reduce reliance on single grant sources of funding.
2. Continue monitoring of quality improvement strategies to measure effectiveness of SAH program and
explore other methods of determining impact of home safety interventions on health outcomes.
3. Continue to collaborate with community partners to share best practices to increase home
accessibility and safety.
ACTIVITIES:
1. TSA will continue seek partnerships to reduce the direct expense of home safety repairs for older
adults and individuals with disabilities in SWWC.
2. TSA will explore partnerships with allied health professionals for collaboration to provide medically
necessary and reimbursable services that reduce safety hazards within the home.
3. TSA will explore methods of evaluating the impact home safety remediation services to reduce falls
and avoidable hospitalizations.
3. TSA will seek out methods of tracking health care cost reductions related to home safety repairs.
4. Continue to expand the capacity of the SAH program to serve older adults and individuals with
disabilities in SWWC.
5. TSA will continue to recruit retired skilled tradespersons and explore partnership opportunities as a
means of ensuring program sustainability.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) During the 2014-2016 Multi-Year Plan (MYP) contracting cycle, no bids were received to provide the
Safe-at-Home program.
(B) TSA will continue to grow a volunteer base to deliver this service, which was initiated in the fourth quarter
of fiscal year 2014.
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Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include:a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.If
the service is considered part of administrative activity, describe the rationale and authority for such
a determination.
The third most requested service by individuals through the Information and Assistance (I&A) Call Center
continues to be home repair, home safety modification, and the generic term of chores. To meet this top
service need, TSA developed a regional service definition, which was approved as part of the 2014-2016
MYP, entitled Safe-at-Home. The goal of this initiative is to address the home safety and accessibility needs of
older adults and individuals with disabilities within the 34 communities of Southern and Western Wayne County
(SWWC). The Safe-at-Home’s mission is designed to improve the quality of life for seniors and individuals with
disabilities by remediating unsound and/or hazardous conditions and addressing health and safety needs.
Home safety modification and rehabilitation services include, but not limited to, the installation of safety
equipment, assistive/adaptive devices, and non-continuous remediation tasks. For fiscal year 2016, TSA will
continue to explore partnerships and grant opportunities to increase availability for Safe-at-Home projects.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion.
Evidence-Based Disease Prevention (EBDP)
Total of Federal Dollars
$16,423.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text box
for each services category.
GOALS:
1. Expand the capacity of TSA to deliver relevant and effective EBDP programs through direct service
provision and supportively leveraging new and existing partnerships.
2. Engage in resource development activities to identify sustainable non-grant related sources of funding
for services, including exploration of healthcare reimbursement models and provider referrals to increase
the number of clients served by 50% in fiscal year 2016.
3. Develop and implement objective quality improvement metrics to monitor existing processes and
document program effectiveness.
ACTIVITIES:
1. TSA will increase the accessibility of EBDP programs by increasing the number of certified leaders/
coaches in the PSA 1-C though participation or serving as the host organization for training activities.
2. Based upon the needs of older adults and individuals living with disabilities in the PSA 1-C, TSA will
continue to share best practices and work collaboratively with providers of EBDP programs.
3. TSA will receive accreditation through the American Association of Diabetes Educators (AADE) and
begin to provide community based Diabetes Self-Management Education & Training.
4. TSA will determine the feasibility of obtaining private pay, Medicare, and private insurance
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reimbursement for EBDP programs.
5. TSA will implement continuous quality improvement strategies to evaluate current practice processes
and outcomes of EBDP programming.
6. TSA will utilize quality improvement strategies to identify barriers to EBDP program enrollment and
implement strategies to improve participant completion rates.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) TSA has taken a leadership role within not only the PSA 1-C, but also regionally, to encourage the
sustainability and performance of EBDP programs through direct and contractual provisions.
(C) TSA has demonstrated cost efficiencies in service delivery of EBDP programs by monitoring
implementation trends and effects of past workshops. TSA also provides incentives to volunteers that are
sustainable and have developed a book pilot to determine the best way to manage supplies (i.e. utilization of
community focal points [CFP's] as a lending library).
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include:a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.If
the service is considered part of administrative activity, describe the rationale and authority for such
a determination.
Through health promotion activities, education, and workshops; older adults, veterans, and individuals with
disabilities, will increase their health literacy to become better managers of their health.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion.
Caregiver and Community Transportation
Total of Federal Dollars
$78,691.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$128,690.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text box
for each services category.
1. TSA will ensure that all elderly and disabled citizens within the PSA 1-C are given transportation
options for their individual needs.
2. TSA will continue to identify inexpensive transportation options from both private and public entities.
3. TSA will that verify any transportation we use as a resource meets, or exceeds the standards of
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TSA’s own transportation system.
4. TSA will work with community based programs to try and find suitable solutions for those that need
transportation and expand, as appropriate, TSA’s own transportation program.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
(A) Adequate transportation options are consistently identified as a priority by community residing older
adults and their families. The existence of short notice transportation for "life emergencies" that extend beyond
medical concerns had been an unmet need until TSA implemented the caregiver transportation program. While
TSA's transportation program does not fully meet the demand, it is now an affordable and available service
option where one did not previously exist.
(C) Comparatively, TSA is able to provide transportation at a rate at least one-third cheaper on average
than other existing providers, round trip due to cost efficiencies. Local transit providers also often charge
varying rates based on distance or the ambulatory status of the rider and additional riders, whereas TSA’s rate
is all inclusive and not dependent on the physical capabilities of the program participant or having a caregiver
ride with them.
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include:a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.If
the service is considered part of administrative activity, describe the rationale and authority for such
a determination.
TSA successfully conducted a pilot caregiver transportation program in fiscal year 2013. Due to a change of
contract status, TSA will now provide non-emergency and caregiver transportation directly for people age 60
and over throughout the PSA 1-C. The lack of capacity to meet demands and the expense of fulfilling travel
requests outside the PSA 1-C are inhibitory factors affecting widespread program expansion.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
There was no discussion.
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Caregiver Legal Services- Contract
Total of Federal Dollars
$0.00
Geographic Area Served
PSA 1-C
Total of State Dollars
$0.00
Planned goals and activities that will be undertaken to provide the service in the appropriate text box
for each services category.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided directly by
an Area Agency on Aging unless, in the judgment of the State agency, it is necessary due to one or
more of the three provisions described below. Please select the basis for the services provision
request (more than one may be selected).
(A) Provision of such services by the Area Agency is necessary to assure an adequate supply of
such services.
(B) Such services are directly related to the Area Agency’s administrative functions.
(C) Such services can be provided more economically and with comparable quality by the Area
Provide a detailed justification for the service provision request. The justification should address
pertinent factors that may include:a cost analysis; needs assessment; a description of the area
agency’s efforts to secure services from an available provider of such services; or a description of
the area agency’s efforts to develop additional capacity among existing providers of such services.If
the service is considered part of administrative activity, describe the rationale and authority for such
a determination.
Describe the discussion, if any, at the public hearings related to this request. Include the date of the
hearing(s).
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Program Development Objectives
Area Agency on Aging Goal
A. Provide a variety of opportunities for older adults to enhance their physical and mental well-being using
Evidence-Based Disease Prevention (EBDP) practices and other innovative programs.
State Goal Match: 7
NARRATIVE
To decrease preventable re-hospitalization and encourage active aging in the environment of their choice;
TSA will continue to empower older adults and individuals living with disabilities to be active partners with
their healthcare through the provision of EBDP programs. Health and wellness programs that are accessible
to caregivers will also be beneficial to avoid or offset caregiver burden and accentuate the importance of the
caregiver’s health for the overall well-being of the care recipient.
OBJECTIVES
1. Promote healthy aging through partnerships to provide EBDP programs throughout the PSA 1-C.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Expand the opportunity and range of EBDP programs to underserved and special populations by
offering in-person informational sessions with current providers for interested stakeholders.
2. Increase the availability and offerings of all EBDP programs such as, Matter of Balance (MoB) and
Personal Action Towards Health (PATH); through amplified training opportunities for volunteers and from
support in locating venues to provide workshops.
3. Provide outreach to physicians and allied health professionals about the availability of EBDP
programs.
4. Continue participation in the Southeast Michigan Regional Partners on the PATH to offer technical
assistance, training, and support to providers of the Suite of Chronic Disease Self-Management
Programs (CDSMP) in the Southeast Michigan region and identify supporters for future collaborations
and initiatives.
5. TSA will continue to promote and leverage partnerships for EBDP programs to support healthy aging;
which includes, promoting caregiver programs such as, TCARE® and service provision expansion of the
CDSMPs (PATH, Diabetes PATH, and Chronic Pain Self-Management).
Expected Outcome
Through health promotion activities, education, and workshops; older adults and individuals living with
disabilities will increase their health literacy to become better managers of their health.
B. Regional Goal 1
State Goal Match:
NARRATIVE
EBDP programs have a wide-range of activities and skill building exercises that help participants learn how
to become an actively engaged healthcare partner, make better choices, and maintain healthy, active
lifestyles. In improving patient activation, EBDP programs also facilitate successful aging-in-place.
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OBJECTIVES
1. Build the capacity of TSA to deliver timely and effective EBDP programs and support our partners in
southeastern Michigan.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. TSA will explore the development and direct implementation of diabetes specific EBDP programs,
such as the Diabetes Prevention program.
2. Provide information and talk with each designated Community Focal Point regarding offering EBDP
programs at each site.
3. Leverage partnerships to enhance the frequency of offerings of EBDP programs within the PSA 1-C,
utilizing existing resources.
4. Continue to use a tool to track leaders and their certification dates in the region.
5. Explore the option of having TSA staff trained in the Better Choices, Better Health Internet Chronic
Disease Self-Management program.
6. Continue to monitor the fidelity of all EBDP programs through the development and implementation of
common tools used by all Southeast Michigan Partners on the PATH.
7. Increase marketing strategies of workshops to a wider audience (including native populations) and
reach out to the underutilized resources, including local centers for independent living, physicians’ offices,
veterans’ health groups, etc.
8. TSA will obtain accreditation for AADE (American Association for Diabetes Educators) in fiscal year
2016.
Expected Outcome
Increased availability of health and wellness programs throughout the PSA 1-C.
C. Provide advocacy, information, training, and services to support the rights of older adults to live free from
abuse, neglect, and exploitation.
State Goal Match: 8
NARRATIVE
With persistent efforts similar to the “No Excuse for Elder Abuse” initiatives, TSA will continue to advocate
for improved community awareness of fraudulent behaviors affecting older adults and the establishment of
prevention interventions to empower older adults, their families, and individuals living with disabilities.
OBJECTIVES
1. TSA will increase education of how to recognize and react to financial abuse and fraud situations in order
to empower older adults in the PSA 1-C.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Collaborate with local law enforcement agencies, neighborhood and community organizations, and
Medicare Medicaid Assistance Program (MMAP) to conduct panel presentations.
2. Partner with financial institutions to create a video for posting on TSA’s webpage for community
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viewing which presents financial abuse and fraud situations. Viewers will see examples and learn to
recognize triggering situations.
3. Utilize MMAP, law enforcement, and financial community knowledge to train TSA and Aging and
Disability Resource Center (ADRC) staff on how to identify and deal with financial abuse/exploitation
situations.
4. TSA will continue to work with the local Long-Term Care Ombudsman (LTCO) for collaborative efforts
in advocating for elder rights and educating communities about elder abuse, neglect, and exploitation.
5. TSA continues to provide legal service for older adults and kinship families through partnerships with
Elder Law of Michigan.
6. TSA continues to participate in Older Michiganians Day (OMD) steering committee.
Expected Outcome
1. Older adults will have an increased awareness of financial abuse and fraud.
2. Information on how to prevent and deal with financial abuse will be made available to older adults and
their caregivers in a variety of formats.
3. TSA staff and ADRC partners will have increased knowledge and skills regarding financial abuse
recognition and how to provide person-centered assistance.
D. Regional Goal 2
State Goal Match: 3
NARRATIVE
TSA will continue to partner with the local Long-Term Care Ombudsman (LTCO) in efforts of education
stakeholders and advocating for healthcare consumers to increase community awareness of initiatives to
prevent elder abuse, neglect, and/or exploitation.
OBJECTIVES
1. The LTCO Program and the MMAP will increase advocacy efforts in the prevention of elder abuse,
neglect, and exploitation through education, outreach, and systemic advocacy.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Participate in community related activities for older adults, disabled and mental health populations,
which include health fairs, conferences, and workshops.
2. To work with advocacy effort coalitions, committees, and groups, such as: ADRC, Community
Coordinated Response Coalition, Care Transition Coalition, Elder Death Review Team, government and
non-government organizations, and other groups.
3. To provide educational seminars and trainings to direct care staff in long-term care facilities, senior
centers, senior housing, and the community at large.
Expected Outcome
The LTCO program will be involved in systemic advocacy efforts by participating in coalitions,
committees, conferences, and workshops.
E. Develop and enhance public and private partnerships to better serve older adults.
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State Goal Match: 9
NARRATIVE
Older adults will have an increased awareness of programs available to support positive health behaviors
and successful aging through accessing relevant and current information on supportive.
OBJECTIVES
1. Identify gaps in service and monitor TSA’s progress towards goals related to meeting the needs of older
adults and individuals living with disabilities to ensure quality service, coordinated care, and accessibility
of available services is provided throughout the PSA 1-C.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Staff will continue to participate in cultural competence and diversity trainings to promote inclusive
agency culture.
2. TSA will continue to work with the Lesbian, Gay, Bisexual, Transgender (LGBT) Older Adults
Coalition to monitor sensitive training for staff as related to older adults.
3. TSA will perform an annual audit of the overall accessibility of services, facilities, and address
barriers that have been identified, as possible.
4. TSA will continue to monitor sensitive training for staff for older adults.
Expected Outcome
Striving for quality improvements for all programs and services will result in increased accessibility and
efficient services provided to individuals and families of the PSA 1-C.
F. Employ continuous quality improvements and innovation to accommodate the changing needs of older
adults.
State Goal Match: 10
NARRATIVE
To promote safe community living, TSA will continue their efforts in offering a safety net and wellness check
for isolated, home-bound older adults through the Friendly Reassurance program, aiding in successful
aging-in-place.
OBJECTIVES
1. Continue to provide quality customer service for older adults that are isolated within the PSA 1-C.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Increase the number of clients in the Friendly Reassurance program.
2. Survey existing clients to ensure that our services are helping them feel independent and enquire
about their knowledge of other programs available to them through TSA.
3. Provide additional support to TSA by the Senior Community Service Employment Program (SCSEP)
enrollees, who make the calls for this program, through additional office related skills training (i.e.
customer service, computer training, etc.).
4. Assess client needs and provide appropriate information and referrals.
5. Increase outreach efforts, including adding information to TSA's website, to improve awareness for
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older adults, individuals living with disabilities, and their caregivers.
6. Provide additional programmatic related trainings to staff.
7. Work with collaborative community groups (i.e. Council for Action on Aging and Senior Centers) to
better serve the PSA 1-C.
8. Continue participation in professional groups (i.e. MI-AIRS Board).
Expected Outcome
To allow the PSA 1-C residence remain as independent as possible, within their own homes and feel
secure by having someone check on them daily.
G. Regional Goal 3
State Goal Match:
NARRATIVE
Transportation related information and referrals remains as the top two most requested services by
individuals contacting TSA. TSA will continue to explore and identify cost effective methods to address this
growing unmet need. The tentative framework for the program would include: non-emergency medical, as
well as health and safety, and “life emergent” related door-to-door transportation services, without the
requirement of an advance reservation. The program will service residents of the 34 communities of south
and western Wayne County with destinations within and extending beyond TSA’s PSA 1-C, as requested.
OBJECTIVES
1. Promote resources to better meet the need for short-notice transportation information and services.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Maintain a door-to-door transportation program as a ride-of-last-resort, providing transit to caregivers
and care recipients, including kinship care families.
2. Monitor Southeast Michigan Council of Governments (SEMCOG) planning efforts for transportation.
3. Continue to participate in the Regional Elder Mobility Alliance (REMA) efforts to educate local
leaders and the public at large, to advocate for transportation options in southeast Michigan.
4. Follow up and receive updates on local and national transportation trends, conferences, and
initiatives [i.e. National Center on Senior Transportation, Michigan Council for Addressing Safe
Transportation throughout the Lifetime (MCASTL), and Michigan Department of Transportation (MDOT)].
5. Monitor the non-emergency medical transportation program client data (repeat users,
low-income/minority users) and guidelines to make quality improvements.
Expected Outcome
1. TSA will continue to update transportation options and initiatives as they become available and
distribute/share information throughout the aging network.
2. TSA will continue to seek out new initiatives for specialized services, cost effective solutions, and
other resources to meet the needs of the PSA 1-C.
H. Regional Goal 4
State Goal Match:
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NARRATIVE
Employ a home habilitation program as a valuable caregiver resource to support individual
self-determination to age in place through Safe-at-Home within the least restrictive environment and reduce
caregiving stressors. Using a person-centered approach to identify the needs of the client and their
caregiver, TSA’s Safe-at-Home program may also be offered as a respite service. Reducing the caregiving
burden through alleviating safety hazards or reducing health vulnerabilities within the home can improve the
quality of care delivered by the care provider and increase the quality of life of the care recipient. The
program will provide services to improve residence livability through the removal of health and safety
hazards, barriers, and reduce the risk of household accidents. Home safety modification and rehabilitation
services will also include the installation of safety equipment, assistive/adaptive devices, and non-continuous
remediation tasks.
OBJECTIVES
1. Assist older adults and individuals living with disabilities to age in place through Safe-at-home by
improved access to home safety repair and modification.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. Build a network of contractors and home repair specialist who will volunteer their time and expertise.
2. Devise a volunteer based program to make safety related repairs for older adults in the PSA 1-C.
3. Train TSA's Information & Assistance (I&A), Medicare and Medicaid Assistance Programs (MMAP),
Care Transitions (CTI), Community Care and Program staff to recognize and refer individuals in need of
home safety repairs and modifications.
Expected Outcome
1. TSA will help develop a network of volunteer home repair specialists focused on assisting older
adults.
2. Home safety will be improved for those individuals choosing to remain in their homes.
I.
Regional Goal 5
State Goal Match:
NARRATIVE
To educate older adults, individuals living with disabilities, families, and caregivers; TSA will continue to
advocate for the rights of and with those residing in licensed facilities and provide supportive services,
empowering them to be actively engaged in their healthcare.
OBJECTIVES
1. To increase the discernibility of the Long-Term Care Ombudsman (LTCO) program by providing
advocacy for residents in long-term care settings and information to the community.
Timeline: 10/01/2015 to 09/30/2016
Activities
1. To continue to make routine visits with residents to address complaints and concerns.
2. Encourage family council development by disseminating family council information.
3. To offer written materials pertaining to resident rights distributed to Resident Councils.
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4. To encourage culture change initiatives by encouraging and facilitating best practices.
5. To provide and participate in community educational programs.
Expected Outcome
Information about the LTCO program will be circulated throughout the PSA 1-C.
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Advocacy Strategy
AAA Response:
Advisory Council- the Advisory Council will continue reach out to elected officials and stakeholders on public
policy issues including: federal and state budget issues, the development of the new integrated care for
dual-eligible individuals and other issues affecting older adults.
Board of Directors- the Board of Directors will reach out to elected officials and stakeholders on public policy
issues including: federal and state budget issues, the development of the new integrated care for dual-eligible
individuals and other issues affecting older adults. Input from the Advisory Council and TSA staff will be
considered as advocacy situations are considered for approval.
Care Transitions- TSA will continue to partner with the Oakwood Health System, Garden City Hospital, Saint
Mary Mercy Hospital, Lake Superior Quality Improvement Network, and the Community-Based Care
Transitions Program of southern & western Wayne County (CTIC of SWWC) community coalition to support
continued efforts of TSA’s contract with the Center for Medicare & Medicaid Services (CMS) and expansion of
Care Transitions Interventions (CTI) throughout the planning service area (PSA) 1-C.
Community Care – TSA will advocate for increased Medicare and Medicaid resources targeted at enabling
individuals at risk to enter a nursing facility to remain in their home and assist those who have chosen to
transition back into the community.
Community Focal Points – TSA will provide information to the PSA 1-C’s senior center network, empowering
them to advocate on issues of interest.
Engaging Elected Officials - TSA’s management team will continue to present an annual update to each of
the PSA 1-C’s 34 municipal legislative bodies. TSA’s Executive Director and management team will continue
to maintain an open door policy for officials from those communities to contact the agency at any time to
discuss issues and opportunities affecting older adults in their area. At least once a year, the Chief Information
& Planning Officer will continue to meet in-person with members of Congress and state legislators, or their
designated staff, who represent the PSA 1-C. Relevant advocacy issue briefs developed by the Aging and
Adult Services Agency (AASA), National Association of Area Agencies on Aging (N4A), and the Area
Agencies on Aging Association of Michigan (4AM), will be provided to these officials when the opportunity
arises.
Innovation – TSA will engage its Board of Directors, Advisory Council, and staff in exploring and developing
innovative initiatives to improve the lives of older adults in the PSA 1-C.
Integrated Care for Dual-Eligible Individuals – TSA will work with its Area Agency on Aging (AAA) partners to
advocate for an integrated care system for dual-eligible individuals that incorporate the local community-based
expertise of AAA’s in Michigan. TSA will work with the Detroit AAA 1-A and other Wayne County providers as
part of the integrated care pilot that started April 1, 2015.
Transportation Services – TSA will advocate with existing state, regional, and local agencies for increased
funding to support specialized transportation and improve coordination of existing transportation resources.
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Older Michiganian’s Day (OMD) - TSA will accompany older adults to the state capitol on May 11, 2016 for
Older Michiganian’s Day. This is a great opportunity for older adults in PSA 1-C to talk with their state
legislators about issues of concern and provide specific recommendations for legislative actions based on the
OMD platform.
Senior Millage - TSA will continue to seek partnerships with interested stakeholders to advocate for a
county-wide senior millage that would support an array of services benefiting older adults, caregivers, and
individuals living with disabilities.
Aging and Disability Resource Center- the ADRC of south and western Wayne County (SWWC) will work
towards a new shared vision with community partners to serve as a vessel for advocacy for long-term care
services and support.
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Leveraged Partnerships
1. Include, at a minimum, plans to leverage resources with organizations in the following categories:
a. Commissions Councils and Departments on Aging.
b. Health Care Organizations/Systems (e.g. hospitals, health plans, Federally Qualified Health Centers)
c. Public Health.
d. Mental Health.
e. Community Action Agencies.
f. Centers for Independent Living.
g. Other
Under the Empowering Older Adults (EOA) and Adults with Disabilities through Chronic Disease
Self-Management Programs grant, The Senior Alliance (TSA) will continue to utilize existing resources and
provide outreach to identified public and mental health agencies as potential partners to encourage the
sustainability of the Personal Action toward Health (PATH) suite of programs. TSA will provide outreach
regarding health and wellness programs, such as PATH, to local physician groups via local Federal Qualifying
Healthcare Centers (FQHC). TSA will also continue to partner with local entities, such as Saint Mary Mercy
Hospital, to offer Matter of Balance (MoB) workshops.
2. Describe the area agency’s strategy for FY 2016 for working with ADRC partners in the context of
the access services system within the planning and service area.
In the spring of 2015, statewide changes were made to Michigan’s Aging and Disability Resource Center
(ADRC). The local ADRC’s will now be overseeing all ADRC efforts. TSA will collaborate with The Disability
Network of Detroit-Wayne County and all of the community partners that make up the ADRC of southern and
western Wayne County (SWWC) to re-establish goals corresponding with unique needs of our planning and
service area.
TSA has played a lead role in every aspect of the ADRC of SWWC, and will continue to lead the ADRC
through the current changes. TSA will convene at a meeting with all community partners to explain the changes
to the ADRC and work with partners to create a shared vision for the future. All local ADRC’s have been
encouraged to continue community relationships and draw upon past accomplishments as we set new goals
for a new re-imagined ADRC.
The statewide ADRC Advisory Committee will continue to meet to assist the regions in re-establishing their
focus. TSA currently has two staff members on the Advisory Committee. The committee will work together to
determine how best to re-brand the ADRC’s in Michigan so there is some continuity statewide. Locally, TSA
will assist in the implementation of the shared vision and mutual objectives of the ADRC of SWWC.
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3. Describe how the area agency can support Aging Friendly Community/Community for a Lifetime
initiatives within the PSA, with the following as requested (include any past or present efforts
underway).
a. Community assessments, senior survey results and demographic data that can be shared with
community groups to enhance aging friendly assessments.
b. Information that can be provided to community groups to enhance the quality of their aging
friendly community assessment in such areas as; supportive community systems, health care
access, transportation, disease prevention/health promotion, safety, home repair and other
relevant areas.
c. Technical assistance that can be offered to community groups in developing and collaborating
on aging friendly community assessments or improvements.
d. Please identify the area agency staff contact regarding Aging Friendly
TSA will continue to support our current Aging Friendly Community/Community for a Lifetime recognized
community in the planning service area (PSA) 1-C. TSA will also support other communities in the PSA striving
to achieve the same accolade. This initiative provides technical assistance, as needed, as a local resource
and creates inclusivity of their community. The Planning Manager is the contact regarding Aging Friendly
Communities/Community for a Lifetime activities within the PSA 1-C.
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Community Focal Points
Describe the rationale and method used to assess the ability to be a community focal point,
including the definition of community. Explain the process by which community focal points are
selected.
A community is an area of service that is comprised of, but not limited to, the jurisdictional boundaries of a
municipality. This area of service for the aging includes factors such as: the location of municipal offices,
supportive services, health care facilities, commercial and recreational centers, education institutions, and
ethnic and religious centers.
TSA's rationale for Community Focal Points (CFP's) is to ensure organizations and programs that provide an
integral link between its community dwelling older adults, caregivers, and individuals living with disabilities and
available services capable of meeting the individual need is critical to the establishment and maintenance of
CFP’s.
To be a TSA Community Focal Point, an agency or organization must:
1. Complete a Community Focal Point application packet;
2. Applications will be reviewed by the Planning Manager and the Information and Assistance (I&A) Resource
Specialist;
3. Information gathered from the application will be used concurrently as the agency “profile” to populate
TSA’s database for referrals;
4. Following an initial on-site visit, recommendations from the I&A Resource Specialist and TSA's
management will be given to TSA's Advisory Council;
5. TSA’s Advisory Council will review the recommended CFP's at an open meeting and will make their own
recommendation to the Board of Directors for approval;
6. The Board of Directors, whose membership includes local elected officials, and whose members are
nominated by local elected officials, will have the final vote of approval in the recommended CFP's.
TSA also has criteria to designate Community Focal Points:
1. Ability of the site to meet the service needs of older adults including direct access to existing I&A and
emergency services;
2. Service availability at least 25 hours a week;
3. Designated site must be barrier free/handicapped accessible;
4. Location should be readily accessible for older adults with easy access using public or private
transportation;
5. Potential to accommodate additional services and/or on-site collaboration of services with other providers
is strongly encouraged;
6. Outreach efforts to expand service utilization by all older adults, including: low-income, minority, frail,
isolated, and disabled older adults living in the vicinity; services must be directly provided through the facility or
program, unless otherwise noted;
7. Ability to provide and/or make reasonable on-site accommodations for at least seven of the direct
services.
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45
The Senior Alliance, Inc.
FY 2016
CFP’s were established utilizing the new CFP definition, as approved by TSA’s Board of Directors in fiscal
year 2012. Based on the feedback from the existing CFP’s, TSA’s Advisory Council will establish a workgroup
to modify the designation criteria and expectations for CFP’s in fiscal year 2016. New CFP’s may be added
by fiscal year 2017.
Provide the following information for each focal point within the PSA. List all designated community
focal points with name, address, telephone number, website, and contact person. This list should
also include the services offered, geographic areas served and the approximate number of older
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Plymouth Community Council on Aging
201 South Main Street, Plymouth, MI 48170
www.ci.plymouth.mi.us
(734) 453-1234
Bobbie Pummill
8,453
City of Plymouth/Plymouth Twp.
A, C, D, E, F, G, H, I, J, K, L, M, O, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Redford Senior Department
12121 Hemingway, Redford Township, MI 48239
www.redfordtwp.com
(313) 387-2788
Dorothy Morris
8,054
Redford Township
A, C, D, E, F, G, H, I, J, K, L, N, O, P, Q, R, S, T, ,U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
River Rouge Senior Center
10625 West Jefferson, River Rouge, MI 48218
www.roguerivercc.org
(313) 842-3360
Olive Roberts
1,266
City of River Rouge
C, E, G, I, J, K, P, Q, R, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Huron Township Senior Center
28245 Mineral Springs Road, New Boston, MI 48164
www.hurontownship-mi.gov
(734) 654-9281
Walt McCurdy
1,541
Huron Township
A, B, C, E, F, G, H, I, J, K, L, M, N, O, P, R, S, T, U, V
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46
The Senior Alliance, Inc.
FY 2016
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Riverview Municipal Building
14100 Civic Park Drive, Riverview, MI 48193
www.cityofriverview.com
(734) 281-4219
Dorothy Withrow
3,587
City of Riverview
B, C, E, H, I, O, R, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Rockwood Community Center
32001 Fort Street, Rockwood MI 48173
www.rockwoodmi.org
(734) 379-5600
Cheryl Edwards
618
City of Rockwood
C, H, I, R, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Romulus Senior Center
36525 Bibbins, Romulus, MI 48174
www.romulusgov.com
(734) 955-4120
Rose Swidan
3,633
City of Romulus
A, B, C, E, F, G, H, I, J, K, L, M, N, O, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Southgate Senior Center
14400 Dix-Toledo Highway, Southgate, MI 48195
www.southgate-mi.org
(734) 258-3066
Lynn Smith
6,654
City of Southgate
A, B, C, E, F, G, H, I, J, K, ,L, N, O, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Sumpter Senior Center
23501 Sumpter Road, Sumpter Township, MI 48111
www.sumptertwp.com
(734) 461-9373
Maryann Watson
1,637
Sumpter Township
A, C, D, E, G, H, I, J, K, N, O, P, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Taylor-William Ford Senior Center
6750 Troy, Taylor, MI 48180
www.cityoftaylor.com
(313) 291-7740
Lori Runkle
11,354
City of Taylor
B, C, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V
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47
The Senior Alliance, Inc.
FY 2016
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Trenton Senior Center
2800 Third Street, Trenton,MI 48183
www.trentonmi.org
(734) 675-0063
Carol Garrison
4,842
City of Trenton
B, E, G, H, J, K, L, M, O, P, Q, R, S, T, U
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Van Buren-September Days Senior Center
46425 Tyler, Belleville, MI 48111
www.vanburen-mi.org
(734) 699-8918
Lynette Jordan
4,200
Van Buren Township/City of Belleville
A, B, C, D, E, F, H, I, J, K, L, M, N, O, P, Q, R, S, T, ,U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Wayne Senior Service Office at Wayne Community Center
4635 Howe Road, Wayne, MI 48184
www.ci.wayne.mi.us
(734) 721-7460
Nancy Wojewski-Noel
3,214
City of Wayne
B, D, E, G, H, I, K, L, O, Q, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Westland Friendship Center
1119 North Newburgh Road, Westland, MI 48185
www.cityofwestland.com
(734) 467-3259
Barbara Marcum
15,996
City of Westland
A, B, C, D, G, H, I, K, L, M, O, Q, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Woodhaven Senior Center
23101 Hall Road, Woodhaven, MI 48183
www.woodhavenmi.org
(734) 675-4926
Shelly Clark
2,583
City of Woodhaven
C, G, H, I, J, L, O, R, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Wyandotte-Copeland Recreation Center
2306 4th Street, Wyandotte, MI 48192
www.wyandotte.net
(734) 324-7275
Joanne Lanagan
5,029
City of Wyandotte
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48
The Senior Alliance, Inc.
FY 2016
Services Provided:
A, C, E, F, G, H, I, O, Q, R, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Grosse Ile Township Recreation Deptarment
25897 Third Street, Grosse Ile Township, MI 48138
www.grosseile.com
(734) 675-2364
Tim Rooney
2,938
Grosse Ile Township
E, I, J, K, L, P, R, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Allen Park-Parks and Recreation
15800 White Street, Allen Park, MI 48101
www.cityofallenpark.org
(313) 928-0771
Carson Smith
6,374
City of Allen Park
A, C, D, E, G, H, I, K, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Brownstown Township
21313 Telegraph Road, Brownstown Township, MI 48183
www.brownstown-mi.org
(734) 675-0920
Amy Thomas
4,796
Brownstown Township
A, B, C, E, G, H, I, L, M, N, O, Q, R, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Canton Senior Adult Programs
46000 Summit Parkway, Canton, MI 48188
www.canton-mi.org
(734) 777-3538
Susan Doughty
13,112
Canton Township
A, B, C, D, E, F, G, H, I, J, K, L, N, O, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Dearborn Heights - Berwyn Senior Center
26155 Richardson, Dearborn Heights, MI 48127
www.ci.dearborn-heights.mi.us/PR_Berw.cfm
(313) 791-3440
Kim Constan
12,032
City of Dearborn Heights
A, B, C, E, F, G, H, I, J, K, L, M, O, S, V
Printed On: 7/15/2015
49
The Senior Alliance, Inc.
FY 2016
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Dearborn Heights - Eton Senior Center
4900 Pardee Avenue, Dearborn Heights, MI 48125
www.ci.dearborn-heights.mi.us/PR_Eton.cfm
(313) 277-7765
Cheryl Stepanian
12,032
City of Dearborn Heights
A, B, C, E, F, G, H, I, K, M, N, O, P, S, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Dearborn Senior Center
15801 Michigan Avenue, Dearborn, MI 48126
www.cityofdearborn.org
(313) 943-2401
Teresa Graves
16,205
City of Dearborn
A, B, C, D, E, F, G, H, I, J, K, L, N, O, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Ecorse Senior Center
4072 West Jefferson, Ecorse, MI 48229
www.city-ecorse.org
(313) 382-3305
Lucille King
1,669
City of Ecorse
B, C, F, H, I, O, Q, R, S
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Flat Rock Senior Center
1 Maguire, Flat Rock, MI 48134
www.flatrockmi.org
(734) 379-1450
Shelly Pluchino
1,554
City of Flat Rock
A, D, E, F, G, H, J, L, M, N, O, P, Q, R, S, T U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Garden City - Maplewood Senior Center
31735 Maplewood Boulevard, Garden City, MI 48135
www.gardencitymi.org
(734) 793-1860
Lisa Watts
5,253
City of Garden City
B, C, E, F, H, I, J, M, N, O, P, Q, R, S, T, U, V,
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Gibraltar Community Center
29340 South Gibraltar Road, Gibraltar, MI 48173
www.cityofgibraltar.net
(734) 671-1466
Tamey Gorris
978
City of Gibraltar
A, B, C, E, H, I, L, K, O, P, R, S, T, U, V
Printed On: 7/15/2015
50
The Senior Alliance, Inc.
FY 2016
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Inkster Senior Services
2000 Inkster Road, Inkster, MI 48141
www.cityofinkster.com
(313) 561-2383
Denise Champagne
4,167
City of Inkster
B, C, F, H, I, K, L, N, Q, R, S, T, VV
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Lincoln Park Senior Center
3240 Ferris, Lincoln Park, MI 48146
www.lincolnparkmi.net
(313) 386-1817
Don Cook
6,259
City of Lincoln Park
C, E, F, H, I, K, M, O, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Livonia Civic Park Senior Center
15218 Farmington Road, Livonia, MI 48154
www.ci.livonia.mi.us
(734) 466-2555
Karl Peters
22,980
City of Livonia
A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Melvindale Senior Center
4300 South Dearborn, Melvindale, MI 48122
www.melvindale.org
(313) 769-2347
Jackie Daniels
1,815
City of Melvindale
A, B, C, D, E, F, H, I, J, K, L, M, O, P, Q, R, S, T, U, V
Name:
Address:
Website:
Telephone Number:
Contact Person:
No. of persons within boundary:
Service Boundaries:
Services Provided:
Northville Area Senior Center
303 West Main Street, Northville, MI 48167
www.northvilleparksandrec.org
(248) 349-0203
Suzanne Johnson
7,524
City of Northville/Northville Twp
B, D, E, F, G, H, J, K, L, M, O, P, Q, R, S, T, U, V
Printed On: 7/15/2015
51
The Senior Alliance, Inc.
FY 2016
Other Grants and Initiatives
1. Describe other grants and/or initiatives the area agency is participating in with OSA and other
partners.
TSA will also continue under contract with Center of Medicare Medicaid Services to provide Care Transitions
Interventions (CTI) for six partnering hospitals in fiscal year 2016. TSA's program doubled in fiscal year 2015
to include three managers, over 40 community health workers and program support staff. TSA’s CTI goal
for fiscal year 2016 is to reduce readmissions by 20%.
TSA has accepted the Michigan Health Endowment Fund (MHEF) Evidence-Based Disease Prevention
(EBDP) Grant from November 2014-October 2016. This grant allows TSA to meet four goals:
1. Help the elderly population reduce fall injuries and deaths by training 368 individuals in Matter of Balance
(MoB). TSA has three MoB master trainers who will be expected to train 32 MoB coaches. 23 classes will be
completed with 184 MoB completers in fiscal year 2016.
2. Increase the health and wellness of people with type two diabetes by training 368 high risk older adults in
the Diabetes Self-Management Program (DSMP [also known as, Diabetes Personal Action Toward Health,
DPATH]). TSA has three DPATH master trainers that will be utilized to train 40 lay-leaders. TSA will complete
23 classes with 184 Diabetes PATH graduates in fiscal year 2016.
3. Develop the Area Agency on Aging's (AAA) capacity to obtain private pay, Medicare, and private
insurance reimbursements for EBDP programs.
4. TSA will be able to serve a large number of older adults by increasing referrals from health care providers.
TSA is concluding its third year of the Empowering Older Adults and Adults with Disabilities through Chronic
Disease Self-Management Programs using the PATH suite of three in fiscal year 2015. Partnerships with
local agencies that offer Stanford Suite of PATH programs will be maintained throughout the planning service
area (PSA) 1-C with support from the MHEF grant. The Partners on the PATH regional group has grown to
include additional providers who extend beyond TSA’s PSA 1-C and serve younger individuals living with
disabilities, in addition to the previous core of older adult service support entities.
TSA’s initiatives related to healthy eating and overall wellness promotes healthy communities, by reducing the
utilization of expensive healthcare systems: (i.e. decreased emergency room visits and hospitalizations),
saving each PATH program participant approximately $500. Therefore, TSA continues to partner with local
farmers markets to provide local older adults with fresh food options via Senior Project Fresh.
TSA will continue to offer Matter of Balance (MoB) classes, Chronic Pain Workshops, and Personal
Action Toward Health (PATH) workshops to older adults. With MHEF also funding MoB, TSA anticipates that
it will prevent falls from older adults through the provision of EBDP programs for at risk older adults.
With the Senior Medicare Patrol (SMP) counselors, TSA was able to give Medicare Fraud counseling to 660
clients. 20% of those sessions had some type of fraud to report, with six that were reported with
documentation to ACL, the Office of Inspector General (OIG), or the Attorney General. TSA’s Medicare
Medicaid Assistance Program (MMAP) also gave 67 educational Medicare/Medicaid Fraud sessions in
fiscal year 2015.
Printed On: 7/15/2015
52
The Senior Alliance, Inc.
FY 2016
2. Describe how these grants and other initiatives will improve the quality of life of older adults within
the PSA.
By offering services, such as EBDP, we fulfill our mission of empowering older adults to live with dignity in the
community that they choose by providing available services. With self-management programs, such as
DPATH, we facilitate activation of older adults to become engaged members of their healthcare team, hence
enhancing their quality of life and improve health outcomes.
3. Describe how these grants and other initiatives reinforce the area agency’s planned program
development efforts for FY 2016.
Grants and initiatives that support successful aging in place provide an opportunity for community members to
address their disability and/or aging related concerns.
Printed On: 7/15/2015
53
The Senior Alliance, Inc.
FY 2016
Appendices
Printed On: 7/15/2015
54
The Senior Alliance, Inc.
FY 2016
APPENDIX A
Board of Directors Membership
Asian/Pacific
Islander
African
American
Native
American/
Alaskan
Hispanic
Origin
Persons
with
Disabilities
Female
Total
Membership
Membership
Demographics
1
1
0
0
1
7
18
Aged 60 and Over
1
0
0
0
0
2
6
Board Member Name
Geographic Area
Affiliation
Elected
Appointed
Official
Community
Representative
Terry Bennet
Canton Township
Canton Township Clerk &
TSA Advisory Council
Chair
Patricia A. Donald
Inkster
Downriver Community
Conference
Yes
Sandra L. Falk-Michaels
Livonia
At-Large Board Member
Yes
Jack Frucci
Grosse Ile
Downriver Community
Conference
Yes
Gregory J. Genter
Grosse Ile
Downriver Community
Conference
Michael Harris
Westland
Michigan Paralyzed
Veterans of America &
At-Large Board Member
Yes
Ann Hatley
Wyandotte
Downriver Community
Conference
Yes
Doug Hull
Plymouth Township
Conference of Western
Wayne County
David Ippel
Dearborn Heights
Downriver Community
Conference
Tom Jankowski
Canton Township
Wayne State University
Institute of Gerontology &
At-Large Board Member
Kathleen McIntyre
Livonia
Ford Motor Company &
At-Large Board Member
Printed On: 7/15/2015
Yes
Yes
Yes
Yes
Yes
Yes
55
The Senior Alliance, Inc.
FY 2016
Roger L. Myers
Canton
Presbyterian Villages of
Michigan & At-Large
Board Member
Yes
Sherry Necelis
Northville Township
Conference of Western
Wayne County
Yes
Kyle F. Stack
Trenton
Mayor of the city of
Trenton & Downriver
Community Conference
Syed S. Taj, M.D.
Canton Township
Conference of Western
Wayne County
Yes
Melvin Tockstein
Westland
Conference of Western
Wayne County
Yes
Frank Vaslo
Lincoln Park
Downriver Community
Conference
Nancy Vecchioni
Livonia
Conference of Western
Wayne County
Printed On: 7/15/2015
Yes
Yes
Yes
56
The Senior Alliance, Inc.
FY 2016
APPENDIX B
Advisory Board Membership
Asian/
Pacific
Islander
African
American
Native
American/A
laskan
Hispanic
Origin
Persons
with
Disabilities
Female
Total
Membership
Membership
Demographics
0
3
0
0
2
15
16
Aged 60 and Over
0
2
0
0
1
6
7
Board Member Name
Geographic Area
Affiliation
Terry Bennett
Canton Township
Canton Township Clerk
Lisa Boyd
Livonia
Denise Brothers, Ph.D
Livonia
Woodhaven Retirement
Community
Madonna University
Ulanda Caldwell
Romulus
Michelle Casteller
Dearborn
Julie Cohen
Northville Township
Vivian B. Holifield
Romulus
Dianne Neihengen
Canton Township
Ann Randolph
Trenton
Patricia Randolph
Trenton
Rosemarie Shim
Canton Township
Retired Community
Member
Retired Community
Member
Retired Community
Member
Retired Community
Member
Retired Community
Member
Advanced Home Care
Joan Siavrakas
Westland
Wayne County SCS
Amne Darwish Talab
Dearborn
David L. Thomas
Trenton
Michal P. Walker
Romulus
ACCESS (Arab
Community Center for
Economic and Social
Services)
U.S. Veteran & Buddy to
Buddy Program
Retired Community
Member
Printed On: 7/15/2015
Romulus Board of
Education
Hospice of Michigan
57
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #1
AAA: The Senior Alliance
Care Management
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Wages/Salaries
305,291
Fringe Benefits
Program
Income
Cash
Match
Total
Budgeted
30,629
338,920
134,175
13,418
147,593
10,785
1,079
11,864
Training
4,239
424
4,663
Supplies
6,500
650
7,150
15,154
1,515
16,669
1,028
103
1,131
Travel
Occupancy
Communications
Equipment
Other:
3,000
Other
Resources
In-Kind
5,400
540
5,940
21,250
2,125
23,375
517
517
TCM
Purchased Services
0
0
Totals
0
0
503,822
3,000
0
51,000
0
SERVICE AREA: 34 communites of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please describe:
SCHEDULE OF MATCH & OTHER RESOURCES #1
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
51,000
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
557,822
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #2
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Information & Assistance
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
Other
Resources
In-Kind
Total
Budgeted
Wages/Salaries
165,471
31,500
26,308
223,279
Fringe Benefits
60,443
10,710
6,529
77,682
Travel
5,000
1,000
620
6,620
Training
7,496
980
860
9,336
Supplies
2,500
921
370
3,791
1,560
17,155
260
2,760
Occupancy
15,595
Communications
Equipment
Other:
2,000
500
5,000
500
5,500
29,935
2,993
32,928
Service Costs
0
Purchased Services
0
0
Totals
293,440
0
45,611
0
0
40,000
0
SERVICE AREA: 34 communites of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please describe:
SCHEDULE OF MATCH & OTHER RESOURCES #2
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
40,000
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
379,051
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #3
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Outreach
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
Other
Resources
In-Kind
Total
Budgeted
Wages/Salaries
46,780
4,931
51,711
Fringe Benefits
14,969
1,607
16,576
2,967
304
3,271
Travel
Training
480
50
530
Supplies
7,103
767
7,870
Occupancy
1,011
103
1,114
470
50
520
960
100
1,060
1,260
88
1,348
Communications
Equipment
Other:
Service Costs
0
Purchased Services
0
0
Totals
76,000
0
0
0
0
8,000
0
SERVICE AREA:
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please describe:
SCHEDULE OF MATCH & OTHER RESOURCES #3
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
8,000
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
84,000
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #4
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Case Coordination & Support
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Wages/Salaries
72,336
78,225
Fringe Benefits
Cash
Match
2,000
Other
Resources
In-Kind
Total
Budgeted
16,504
167,065
25,877
25,035
4,877
57,789
Travel
5,167
3,824
785
9,776
Training
2,600
1,255
259
4,114
Supplies
1,926
725
135
2,786
Occupancy
6,459
2,247
740
9,446
Communications
1,761
584
108
2,453
Equipment
3,875
2,039
502
6,416
Other:
9,171
3,875
1,090
14,136
Service Costs
0
Purchased Services
0
0
Totals
129,172
0
117,809
2,000
0
25,000
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please describe:
SCHEDULE OF MATCH & OTHER RESOURCES #4
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
25,000
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
273,981
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #5
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Transporation
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Match
Cash
In-Kind
Other
Resources
Total
Budgeted
Wages/Salaries
65,658
89,927
Fringe Benefits
21,133
31,215
12,868
65,216
7,892
4,290
1,765
13,947
1,955
2,505
1,900
7,642
Travel
Training
550
Supplies
2,484
Occupancy
1,500
3,500
3,258
20,932
181,517
429
2,500
2,929
Communications
2,428
1,580
4,008
Equipment
4,356
1,500
5,856
Other:
0
Service Costs
0
Purchased Services
0
0
Totals
104,930
0
128,690
1,500
3,500
45,000
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AIP?
If yes, please describe:
SCHEDULE OF MATCH & OTHER RESOURCES #5
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Voulunteer Time
Cash
In-Kind
3,500
45,000
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
283,620
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #6
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Medication Management
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
Other
Resources
In-Kind
Total
Budgeted
Wages/Salaries
23,501
1,950
25,451
Fringe Benefits
12,989
899
13,888
Travel
900
87
987
Training
550
50
600
Supplies
450
5
455
Occupancy
220
20
240
Communications
225
15
240
Equipment
200
10
210
Other:
965
64
1,029
Service Costs
0
Purchased Services
0
0
Totals
40,000
0
0
0
0
3,100
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please describe:
SCHEDULE OF MATCH & OTHER RESOURCES #6
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
3,100
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
43,100
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #6
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Friendly Reassurance
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
Other
Resources
In-Kind
Total
Budgeted
Wages/Salaries
8,107
1,430
9,537
Fringe Benefits
2,703
270
2,973
Travel
0
Training
0
Supplies
0
Occupancy
0
Communications
0
Equipment
0
Other:
0
Service Costs
0
Purchased Services
0
0
Totals
10,810
0
0
0
0
1,700
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please de
SCHEDULE OF MATCH & OTHER RESOURCES #6
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
1,181
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
12,510
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #6
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
LTC - Ombudsman
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
Other
Resources
In-Kind
Total
Budgeted
Wages/Salaries
17,358
29,769
4,963
52,090
Fringe Benefits
6,151
9,556
1,666
17,373
500
1,500
200
2,200
Training
1,200
1,500
270
2,970
Supplies
250
350
60
660
Occupancy
250
1,200
145
1,595
Communications
200
300
50
550
Travel
Equipment
Other:
250
350
60
660
2,204
8,475
1,086
11,765
Service Costs
0
Purchased Services
0
0
Totals
28,363
0
53,000
0
0
8,500
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please de
SCHEDULE OF MATCH & OTHER RESOURCES #6
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
8,500
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
89,863
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #6
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
Aging-in-Place
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
In-Kind
Other
Resources
Total
Budgeted
Wages/Salaries
15,658
15,658
Fringe Benefits
5,857
5,857
500
500
Travel
Training
1,200
Supplies
250
Occupancy
250
250
Communications
200
200
Equipment
Other:
Consultant - Volunteer
1,200
2,000
2,250
250
250
2,204
2,204
36,626
50,000
8,000
94,626
Purchased Services
0
0
Totals
62,995
0
50,000
0
0
10,000
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direct Service Budget reflect any changes to the one approved as part of the agency's FY AIP?
If yes, please descr
SCHEDULE OF MATCH & OTHER RESOURCES #6
FY 2016
MATCH
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
10,000
OTHER RESOURCES
VALUE
Cash
In-Kind
___Yes
___ No
122,995
FY 2016 Annual Implementation Plan
Direct Service Budget Detail #6
AAA: The Senior Alliance
SERVICE:
LINE ITEM
FISCAL YEAR: FY 2016
EBDP
Federal OAA
Title III Funds
State
Funds
Other Fed Funds
(non-Title III)
Program
Income
Cash
Match
Other
Resources
In-Kind
Total
Budgeted
Wages/Salaries
8,507
521
9,028
Fringe Benefits
4,169
173
4,342
Travel
1,000
50
1,050
Training
2,747
195
2,942
Supplies
0
Occupancy
0
Communications
0
Equipment
0
Other:
0
Consultant - Volunteer
0
0
Purchased Services
0
0
Totals
16,423
0
0
0
0
939
0
SERVICE AREA: 34 Communities of Southern and Western Wayne County
(List by County/City if service area is not entire PSA)
Does the Direst Service Budget reflect any changes to the one approved as part of the agency's FY 2014 AIP?
If yes, please descr
SCHEDULE OF MATCH & OTHER RESOURCES #6
FY 2016
MATCH
OTHER RESOURCES
VALUE
Cash
In-Kind
VALUE
SOURCE OF FUNDS
Volunteer Time
Cash
In-Kind
939
___Yes
___ No
17,362
FY 2016 AREA PLAN GRANT BUDGET
Agency: The Senior Alliance
PSA:
FUND SOURCE
1. Federal Title III-B Services
2. Fed. Title III-C1 (Congregate)
3. State Congregate Nutrition
4. Federal Title III-C2 (HDM)
1C
Date:
SERVICES SUMMARY
SUPPORTIVE
NUTRITION
SERVICES
SERVICES
846,938
343,970
21,391
1,224,223
5. State Home Delivered Meals
8. Fed. Title III-D (Prev. Health)
9. Federal Title III-E (NFCSP)
58,706
355,171
10. Federal Title VII-A
10. Federal Title VII-EAP
11. State Access
12. State In-Home
13. State Alternative Care
14. State Care Management
16. St. ANS & St. NHO
10,943
14,561
63,851
500,046
251,597
503,822
138,230
17. Local Match
a. Cash
b. In-Kind
18. State Respite Care (Escheat)
19. MATF & St. CG Support
20. TCM/Medicaid & CMP
21. NSIP
22. Program Income
TOTAL:
Budget Period:
938,952
TOTAL
846,938
343,970
21,391
1,224,223
18,100
3,607,868
466,507
575,000
3,872,043
to
09/30/16
Rev. No.:
0
ADMINISTRATION
Local Cash
314,334
-
Federal Administration
State Administration
MATF & St. CG Support Administration
Other
Total:
938,952
58,706
355,171
10,943
14,561
63,851
500,046
251,597
503,822
138,230
302,000
04/22/15
Revenues
Total
366,057
51,723
54,807
26,400
447,264
-
FTEs
1. Salaries/Wages
2. Fringe Benefits
3. Office Operations
220,810
81,000
145,454
447,264
Total:
Cash Match Detail
33,100
633,800
137,000
329,664
14,339
466,507
593,100
7,479,911
In-Kind Match Detail
Amount
Total:
Source
Various
-
Amount
51,723
Total:
51,723
I certify that I am authorized to sign on behalf of the Area Agency on Aging. This budget represents necessary costs for implementation of the Area Plan.
Adequate documentation and records will be maintained to support required program expenditures.
Signature
Page 1of 3
Local In-Kind
51,723
54,807
26,400
395,541
Rev. 04/2015
Expenditures
Source
33,100
331,800
137,000
329,664
14,339
10/01/15
Title
Date
FY 2016 AREA AGENCY GRANT FUNDS - SUPPORT SERVICES DETAIL
Budget Period:
Agency: The Senior Alliance
PSA:
SERVICE CATEGORY
1. Access
a. Care Management
b. Case Coord/supp
c. Disaster Advocacy
d. Information & Assis
e. Outreach
f. Transportation
2. In-Home
a. Chore
b. Home Care Assis
c. Home Injury Cntrl
d. Homemaking
e. Home Health Aide
f. Medication Mgt
g. Personal Care
h. Assistive Device&Tech
i. Respite Care
j. Friendly Reassure
3. Legal Assistance
1C
10/01/15
Date:
Title III-B
Title III-D
-
129,172
Title III - E
Title VII
State
Access
-
-
-
63,851
State
In-Home
St. Alt.
Care
State Care
Mgmt
503,822
-
St. ANS
St. NHO
to
04/22/15
St. Respite
MATF &
(Escheat) St. CG Sup.
-
TCM-Medicaid
CMP Fund
-
53,958
158,215
135,225
76,000
-
26,239
78,691
-
45,611
-
128,690
-
-
-
-
-
-
15,000
215,319
09/30/16
Rev. 04/2015
Rev. No.:
page 2 of 3
Program
Income
Cash
Match
In-Kind
Match
TOTAL
3,000
-
51,000
557,822
2,000
-
25,000
273,981
-
-
-
-
-
40,000
379,051
-
-
8,000
84,000
1,500
3,500
45,000
283,620
-
-
-
-
-
-
-
-
-
-
-
-
92,637
-
-
-
19,000
-
-
-
-
-
-
-
-
40,000
-
-
-
-
-
3,100
43,100
280,733
21,190
75,224
-
-
-
19,000
-
-
165,319
-
-
-
-
-
-
-
33,500
69,408
83,736
-
-
-
14,000
137,000
7,294
10,810
341,956
344,938
-
-
1,700
12,510
1,600
4,400
13,000
114,051
10,000
10,000
34,900
222,180
-
-
-
-
-
-
6,100
64,806
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,500
89,863
55,051
40,000
-
-
-
-
-
-
-
-
4. Community Services
a. Adult Day Care
b. Dementia ADC
c. Disease Prevent
d. Health Screening
e. Assist to Deaf
f. Home Repair
g. LTC Ombudsman
h. Sr Ctr Operations
i. Sr Ctr Staffing
j. Vision Services
k. Elder Abuse Prevnt
l. Counseling
m. Creat.Conf.CG® CCC
n. Caregiver Supplmt
o. Kinship Support
q. Caregiver E,S,T
5. Program Develop
6. Region Specific
a. Aging In Place - services
-
58,706
167,280
-
-
17,420
10,943
38,661
14,339
-
-
-
-
-
65,846
-
10,700
5,000
81,546
-
-
-
-
-
-
1,500
16,061
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
18,875
-
2,500
-
21,375
-
48,880
-
2,000
9,000
59,880
-
-
18,000
187,000
122,995
-
14,561
-
-
169,000
62,995
-
-
-
-
50,000
-
-
-
-
-
10,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
d.
-
e.
-
7. CLP/ADRC Services
8. MATF & St CG Sup Adm
SUPPRT SERV TOTAL
-
-
-
-
-
-
-
18,100
33,100
-
26,400
846,938
58,706
355,171
25,504
63,851
500,046
251,597
503,822
138,230
137,000
329,664
26,400
14,339
331,800
3,607,868
FY 2016 NUTRITION / OMBUDSMAN / RESPITE / KINSHIP - PROGRAM BUDGET DETAIL
Rev. 04/2015
Agency: The Senior Alliance
PSA:
1C
Budget Period:
10/01/15
Date:
04/22/15
to
9/30/16
Rev. Number
0
page 3 of 3
FY 2016 AREA PLAN GRANT BUDGET - TITLE III-C NUTRITION SERVICES DETAIL
SERVICE CATEGORY
Title III C-1
Title III C-2
State
State HDM
NSIP
Congregate
Program
Cash
In-Kind
Income
Match
Match
TOTAL
Nutrition Services
1. Congregate Meals
343,970
2. Home Delivered Meals
21,391
1,224,223
938,952
35,681
150,000
-
45,000
596,042
430,826
425,000
-
257,000
3,276,001
3. Nutrition Counseling
-
-
-
-
-
-
-
-
4. Nutrition Education
-
-
-
-
-
-
-
-
5. AAA RD/Nutritionist*
-
-
-
-
-
-
Nutrition Services Total
343,970
1,224,223
21,391
938,952
466,507
575,000
-
302,000
3,872,043
*Registered Dietitian, Nutritionist or individual with comparable certification, as approved by OSA.
FY 2016 AREA PLAN GRANT BUDGET-TITLE VII LTC OMBUDSMAN DETAIL
SERVICE CATEGORY
Title III-B
Title VII-A
Title VII-EAP
State NHO
CMP Fund
Program
Cash
In-Kind
Income
Match
Match
TOTAL
LTC Ombudsman Services
1. LTC Ombudsman
17,420
10,943
38,661
2. Elder Abuse Prevention
-
3. Region Specific
-
-
-
-
17,420
10,943
14,561
38,661
LTC Ombudsman Ser. Total
14,339
-
-
8,500
89,863
-
-
1,500
16,061
-
-
-
-
-
-
10,000
Merit Award
Program
Cash/In-Kind
Trust Fund
Income
Match
14,561
14,339
105,924
FY 2016 AREA PLAN GRANT BUDGET- RESPITE SERVICE DETAIL
SERVICES PROVIDED AS A
Title III-B
Title III-E
State Alt Care
FORM OF RESPITE CARE
State
State In-Home
Escheats
TOTAL
1. Chore
-
-
-
-
-
-
-
-
-
2. Homemaking
-
-
-
-
-
-
-
-
-
3. Home Care Assistance
-
-
-
-
-
-
-
-
-
4. Home Health Aide
-
-
-
-
-
-
-
-
-
5. Meal Preparation/HDM
-
-
-
-
-
-
-
-
-
6. Personal Care
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Respite Service Total
FY 2016 AREA PLAN GRANT BUDGET-TITLE E- KINSHIP SERVICES DETAIL
SERVICE CATEGORY
Title III-B
Title III-E
Program
Cash
In-Kind
Income
Match
Match
TOTAL
Kinship Ser. Amounts Only
1. Caregiver Sup. Services
-
-
-
-
-
-
2. Kinship Support Services
-
18,875
-
2,500
-
21,375
3. Caregiver E,S,T
-
-
-
-
-
-
4.
-
-
-
-
-
-
-
18,875
-
2,500
-
21,375
Kinship Services Total
Planned Services Summary Page for FY 2016
Budgeted
Percent
PSA:
1C
Method of Provision
of the
Service
Funds
Total
Purchased
Contract
Direct
ACCESS SERVICES
Care Management
Case Coordination & Support
Disaster Advocacy & Outreach Program
Information & Assistance
Outreach
Transportation
$
$
$
$
$
$
557,822
273,981
379,051
84,000
283,620
7.46%
3.66%
0.00%
5.07%
1.12%
3.79%
$
$
$
$
$
$
$
$
$
$
$
341,956
3,276,001
43,100
280,733
344,938
12,510
0.00%
0.00%
0.00%
4.57%
43.80%
0.00%
0.58%
3.75%
0.00%
4.61%
0.17%
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
222,180
596,042
64,806
114,051
89,863
81,546
16,061
21,375
59,880
187,000
2.97%
0.00%
7.97%
0.00%
0.00%
0.87%
0.00%
0.00%
0.00%
1.52%
1.20%
0.00%
1.09%
0.00%
0.21%
0.00%
0.00%
0.00%
0.29%
0.80%
0.00%
2.50%
$
$
$
$
$
$
$
122,995
26,400
1.64%
0.00%
0.00%
0.00%
0.00%
0.00%
0.35%
100.00%
X
X
X
X
X
X
IN-HOME SERVICES
Chore
Home Care Assistance
Home Injury Control
Homemaking
Home Delivered Meals
Home Health Aide
Medication Management
Personal Care
Personal Emergency Response System
Respite Care
Friendly Reassurance
COMMUNITY SERVICES
Adult Day Services
Dementia Adult Day Care
Congregate Meals
Nutrition Counseling
Nutrition Education
Disease Prevention/Health Promotion
Health Screening
Assistance to the Hearing Impaired & Deaf
Home Repair
Legal Assistance
Long Term Care Ombudsman/Advocacy
Senior Center Operations
Senior Center Staffing
Vision Services
Programs for Prevention of Elder Abuse,
Counseling Services
Creating Confident Caregivers® (CCC)
Caregiver Supplemental Services
Kinship Support Services
Caregiver Education, Support, & Training
AAA RD/Nutritionist
PROGRAM DEVELOPMENT
REGION-SPECIFIC
a. Aging In Place - services
0:00:00
0:00:00
d.
e.
CLP/ADRC SERVICES
MATF ADMINSTRATION
TOTAL PERCENT
TOTAL FUNDING
$
7,479,911
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
12.94%
$
967,627
58.77%
$
4,395,778
X
28.30%
$ 2,116,506
Note: Rounding variances may occur between the Budgeted Funds column total and the Total Funding under the Method of Provision
columns. Rounding variances of + or (-) $1 are not considered material. FY 2016 State Escheats/Caregiver Related Services Budget Narrative
Agency: The Senior Alliance
PSA:
1C
Budget Revision No.
0
Please describe the planned use and allocation of State Escheats Respite Program Funds.
Include all related caregiver service funding allocations in this FY Area Plan Grant Budget.
Please enter the narrative in the box below.
Provide Adult Day Care and purchased Respite Care services
Rev. 04/2015
FY 2016 BUDGET REVIEW SPREADSHEET
Agency:
Date of SGA:
Date of Budget:
SGA CATEGORY
Title III Administration
State Administration
Title III-B Services
Title III-C-1 Services
Title III-C-2 Services
Federal Title III-D (Prev. Health)
Title III-E Services (NFCSP)
Title VII/A Services (LTC Ombuds)
Title VII/EAP Services
St. Access
St. In Home
St. Congregate Meals
St. Home Delivered Meals
St. Alternative Care
St. Aging Network Srv. (St. ANS)
St. Respite Care (Escheats)
Merit Award Trust Fund (MATF)
St. Caregiver Support (St. CG Sup.)
St. Nursing Home Ombuds
CMP Fund-LTC Ombudsman
St. Care Mgt.
NSIP
The Senior Allianc
1C
SGA No.
4/8/2015
Revision No.
04/22/15
SGA AWARD C/O AMOUNT
$
314,334
$
54,807
$
846,938
$
343,970
$
1,224,223
$
58,706
$
355,171
$
10,943
$
14,561
$
63,851
$
500,046
$
21,391
$
938,952
$
251,597
$
99,569
$
137,000
$
293,457
$
36,207
$
38,661
$
14,339
$
503,822
$
466,507
SGA TOTALS:
$
ADMINISTRATION
Federal Administration
State Administration
BUDGET
SGA
$
314,334 $
$
54,807 $
DIFFERENCE
314,334 $
54,807 $
-
Sub-Total:
MATF & St. CG Sup. Administration
Local Administrative Match
Local Cash Match
Local In-Kind Match
Sub-Total:
Total Administration:
$
$
369,141 $
26,400
369,141 $
$
$
$
$
51,723
51,723
447,264
SERVICES:
Federal Title III-B Services
Fed. Title III C-1 (Congregate)
State Congregate Nutrition
Federal C-2 (HDM)
State Home Delivered Meals
Federal Title III-D (Prev. Health)
Federal Title III-E (NFCSP)
St. Access
St. In Home
St. Alternative Care
St. Care Mgt.
St. LTC Ombudsman
St ANS
Sub-Total:
Local Service Match
Local Cash Match
Local In-Kind Match
BUDGET
$
846,938
$
343,970
$
21,391
$
1,224,223
$
938,952
$
58,706
$
355,171
$
63,851
$
500,046
$
251,597
$
503,822
$
38,661
$
99,569
$
5,246,897
$
$
33,100
633,800
Sub-Total:
Title VII/A Services (LTC Ombuds)
Title VII/EAP Services
NSIP
St. Respite Care (Escheats)
MATF + St. CG Support
CMP Fund-LTC Ombudsman
TCM-Medicaid / CM
Program Income
$
$
$
$
$
$
$
$
$
666,900
10,943
14,561
466,507
137,000
303,264
14,339
593,100
Total Services:
Grand Total: Ser.+ Admin.
$
$
7,453,511
7,900,775
6,589,052 $
-
0
TOTAL
$
314,334
$
54,807
$
846,938
$
343,970
$
1,224,223
$
58,706
$
355,171
$
10,943
$
14,561
$
63,851
$
500,046
$
21,391
$
938,952
$
251,597
$
99,569
$
137,000
$
293,457
$
36,207
$
38,661
$
14,339
$
503,822
$
466,507
$
$
6,589,052
-
SGA
% BUDGETED
$
846,938 100.00%
$
343,970 100.00%
$
21,391 100.00%
$ 1,224,223 100.00%
$
938,952 100.00%
$
58,706 100.00%
$
355,171 100.00%
$
63,851 100.00%
$
500,046 100.00%
$
251,597 100.00%
$
503,822 100.00%
$
38,661 100.00%
$
99,569 100.00%
$ 5,246,897 100.00%
$
$
$
$
$
$
10,943
14,561
466,507
137,000
303,264
14,339
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
Fiscal Year:
Date Reviewed by OSA:
Initials of Field Rep Approving:
AAA COMMENTS
FY 2016
OSA COMMENTS
Administrative Match Requirements
Minimum federal administration match amount
Administration match expended (State Adm. + Local Match)
Is the federal administration matched at a minimum 25%?
Does federal administration budget equal SGA?
Does state administration budget equal SGA?
$104,778
$106,530
Yes
Yes
Yes
Merit Award Trust Admin. & St. Caregiver Support Funds must be expended at or below 9% of
Total Merit Award Trust Fund & St. Caregiver Support Admin. Funds budgeted:
8%
Is Merit Award Trust Fund & St CG Support Admin. budgeted at 9% or less?
Yes
$
167,280
Amount of MATF & St. CG Support Funds budgeted on Adult Day Care
Yes
Is at least 50% of MATF + St. CG Support budgeted on Adult Day Care services?
Title III-E Kinship Services Program Requirements
Yes
Are kinship services budgeted at > 5% of the AAA's Title III-E funding?
Yes
Are kinship services budgeted at < 10% of the AAA's Title III-E funding?
[note: see TL #369 & TL#2007-141]
N/A
For Agencies required to budget a minimum of $25,000 of Title III-E requirement met?
Title III-B Long Term Care Ombudsman Maintenance of Effort Requirements
$10,946
Amount required from Transmittal Letter #428. (see cell L 42)
Budgeted amount Title III-B for LTC Ombudsman.
$17,420
Is required maintenance of effort met?
Yes
Service Match Requirements
Minimum service match amount required
Service matched budgeted: (Local Cash + In-Kind)
Is the service allotment matched at a minimum 10%?
Miscellaneous Budget Requirements / Constraints
Amounts budgeted for OAA / OSA Priority Services:
Access:
In-Home:
Legal:
Total Budgeted for Priority Services:
Are Access Services budgeted at minimum 10% of Original ACL Title III-B
Are In Home Services budgeted at minimum 10% of Original ACL Title III-B
Are Legal Services budgeted at minimum 6.5% of Original ACL Title III-B
(Actual % of Legal)
Title III-B award w/o carryover or Transfers in current SGA
Amount budgeted for Program Development:
% of Title III-B Program Development (must be 20% or less):
Is Program Development budgeted at 20% or less?
Title III-D allotment with carryover:
Amount budgeted for EBDP Activities, per TL#2012-244:
Is 100% of Title III-D budgeted on APPROVED EBDP?
$582,989
$666,900
Yes
$389,626
$87,000
$55,051
$531,677
Yes
Yes
Yes
6.50%
$846,938
$169,000
19.0%
Yes
$58,706
$58,706
Yes
PRIORITY SERVICE SECTION
Access Services
a. Care Management
b. Case Coord/supp
c. Disaster Advocacy
d. Information & Assis
e. Outreach
f. Transportation
III-B Budget Amount
$0
$129,172
$0
$158,215
$76,000
$26,239
Access Total:
In Home Services
a. Chore
b. Home Care Assis
c. Home Injury Cntrl
d. Homemaking
e. Home Health Aide
f. Medication Mgt
g. Personal Care
h. Assistive Device&Tech
i. Respite Care
j. Friendly Reassure
$389,626
III-B Budget Amount
$0
$0
$0
$15,000
$0
$40,000
$21,190
$0
$0
$10,810
In Home Services Total:
Kinship Services
1. Caregiver Supplmt - Kinship Amount Only
2. Kinship Support
3. Caregiver E,S,T - Kinship Amount Only
$87,000
$0
$18,875
$0
$0
Kinship Services Total:
Title III-B Transfers reflected in SGA
(AAA Regional In-Home Service)
(AAA Regional In-Home Service)
III-E Budget Amount
4.
Title III-B award w/o carryover in SGA
a. Amt. Transfered into Title III-B
b. Amt. Transfered out of Title III-B
(AAA Regional Access Service)
(AAA Regional Access Service)
$18,875
(Other Title III-E Kinship Service)
(Other Title III-E Kinship Service)
Title III-B Award
(Use ONLY If SGA Reflects Transfers)
$846,938
AoA Title III-B Award Total:
NOTE: AoA Title III Part B award for the current
FY means total award from AoA without carryover
or transfers.
(Always Enter Positive Number)
(Always Enter Positive Number)
$846,938