The Alliance for Aging Delivers April 2017

Mission and Vision Mission: To promote and advocate for the optimal quality of life for older adults and their families Vision: Miami-Dade and Monroe Counties are communities where the quality of life of elders is valued and their contributions to community life are recognized

Leadership Iveris L. Martinez, PhD Governing Board Chair Yoni Markhoff Advisory Council Chair Max B. Rothman, JD, LL.M. President and CEO

Organizational Overview 501(c)3 nonprofit; Area Agency on Aging; Planning & Service Area (PSA) 11; serves Miami-Dade and Monroe Counties Responsible for over $35 million in Federal, State, and local funding in 2016 Administrative expenses are <5% of total funds Provide home and community based services through contracts with provider agencies External funding (grants and contracts) for additional programs: healthy aging, financial exploitation, age friendly communities

The Local Elder Population As of 2016, 587,000+ older adults age 60+ 21% of the total population in Miami-Dade County 31% of the total population in Monroe County Very different elder populations by county: Miami-Dade Monroe Women 57% 46% Minority 83% 16% Hispanic 68% 12% Non-white 18% 4% Limited English Proficiency (LEP) 42% Below 125% Poverty Guideline 28% 14% Source: Department of Elder Affairs, 2016 Florida County Profiles Per 2010 U.S. Census, there are 600,000+ “Boomers” age 50-60 who will be 60+ in 2020

Home and Community Based Services Help people “age in place” Remain in their own homes Maintain their independence Stay healthy and mobile Support family caregivers Are cost effective Supporting the needs of elders at home costs less, and prevents premature or unnecessary nursing home placement This saves taxpayers literally millions in Medicaid–funded nursing home costs for low-income elders

The Aging Network The Alliance fulfills its mission through partnerships with members of the Aging Network: Local Community Agencies 2 Lead Agencies, Community Care for the Elderly (CCE) 27 Community Based Service Providers State Agencies Florida Department of Elder Affairs Florida Department of Children & Families (DCF), Adult Protective Services Unit More than 5,000 volunteers at community agencies

People Served In 2016, the Alliance funded home and community based services for almost 86,000 older adults, their caregivers and family members. Our typical client is a Hispanic female, age 75+, living alone, with monthly income below $958 In 2016, the Alliance funded 265,000 hours of caregiver respite and 196,000 hours of adult day care for nearly 1,600 elders and their caregivers Our average client is a Hispanic (82%) female (64%), age 75+ (60%), living alone (50%), with monthly income below $958 (73%) 15591 registered (cirts) + 70359 unregistered (NAPIS) = 85950 RESP + RESF The majority of caregivers served are Hispanic women caring for fathers or husbands, and 25% are age 75+ themselves

The Alliance Delivers: Access and Information In 2016, the Aging and Disability Resource Center (ADRC): Received over 100,000 incoming calls Key functions: Information and referral Screening Triage Eligibility determination Wait list management Long-term care options Provided information and referrals for community-based resources - both publicly funded and private pay - to nearly 86,000 older adults and adults with disabilities Referred nearly 13,000 elders and adults with disabilities to intake for screening Assisted 6,619 elders with eligibility determination for State Medicaid Managed Long Term Care Program Handled calls: incoming, outgoingt

The Alliance Delivers: Help In 2016, the Alliance provided emergency assistance to 100 older adults, referred by Adult Protective Services, who were at high risk of abuse or neglect In 2016, the Alliance helped 1,400+ households receive Emergency Home Energy Assistance for the Elderly (EHEAP)

The Alliance Delivers: Services Using funding from the Alliance, in 2016 partners in the Aging Network provided: 1.28 million home-delivered meals for older adults 2 million+ congregate meals for elders at locations across the community (senior centers, elder housing, parks) Transportation totaling 379,000 trips, taking elders to meal sites, senior centers, doctors’ offices, etc. Nearly 369,000 hours of personal care, chore, and homemaking services Over 265,000 hours of Respite Services (breaks for caregivers) Nearly 197,000 hours of Adult Day Care

The Alliance Delivers: Accountability Program integrity for subcontracted service providers Contract monitoring and management Annual monitoring and follow-up Quarterly file reviews Annual review of service provider applications Training and technical assistance for provider organizations

The Alliance Delivers: SHINE Serving the Health Insurance Needs of Elders (SHINE) Help elders understand and receive the health insurance coverage they need through Medicare, Medicaid, Prescription Assistance, Long-Term Care Planning and Insurance, and other healthcare issues In 2016, 32 SHINE volunteers provided free, unbiased insurance counseling and educational materials to over 16,000 elders, caregivers, and their family members

The Alliance Delivers: Options for Healthy Aging Over 2,660 attended workshops on: Healthy Aging A Matter of Balance Diabetes Self-Management Living Healthy Elder Abuse Prevention Recognizing and Preventing Abuse Preventing Elder Financial Exploitation

The Alliance Delivers: Services Veterans-Directed Care Program Funded by the Veterans Administration, this program allows veterans to choose and hire their own caregivers, providing them more access, choice and control over their long term care services. 26 Veterans served in 2016.

The Alliance Delivers: Policy State Legislative Priorities for 2017: Priority: Provide $10 million in General Revenue funding to serve 1,287 frail elders on the DOEA Waiting List for the Community Care/Home Care for the Elderly and Alzheimer’s Respite Care Programs. The number of frail elders on the waiting list for the Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), and Alzheimer’s Respite Care Programs is at an ALL TIME HIGH with over 59,900 elders waiting for home care services. Of this number, more than 14,200 are at the HIGHEST RISK of nursing home/institutional care. The average annual cost of care for an elder enrolled in CCE is just $8,046 compared to $64,770 for nursing home care. Florida has almost 1,000,000 elders age 80+ (those most likely to need help). Florida’s CCE, HCE, and Alzheimer’s Respite Care programs help slow the rate of growth of Medicaid expenditures by providing a minimal amount of help needed by frail elders to remain at home safely and with dignity.

The Alliance Delivers: Policy State Legislative Priorities for 2017: Priority: Appropriate $1.5 million in recurring General Revenue and $1.5 million from recurring Federal Medicaid Matching Funds for ADRC client services workload under Statewide Medicaid Managed Long Term Care (SMMLTC). Current Medicaid workload projections, documented by a Sept. 2016 time study, project a recurring additional need of $3 million for ADRC operations. ADRC workload is increasing due to more frail seniors and older adults with disabilities seeking long term care assistance, more people being added to the Medicaid waiting list; increases in initial eligibility screenings and; significantly increased annual eligibility rescreening requirements as a result of 2016 legislation, HB 1335, which increased ADRC annual rescreening requirements for persons on the DOEA waiting list for services. Increased appropriations for new SMMLTC Program slots have a direct and immediate workload impact on ADRCs. Timely eligibility determination and enrollment in the program ensures reduced risk of nursing home placement for seniors and adults with disabilities.

For more information, call: 1-800-96-ELDER  305-670-HELP