Aging Services in the 21 st Century, the Local Perspective Ken Genewick, Director Randy Hoak, Commissioner

Your Area Agency on Aging (AAA) a Reintroduction Senior Center Lunches Older Americans Act Services In-home Services Caregiver Services Transportation Health Promotion Home Delivered Meals 2

The Role of the AAA Beyond Erie Niagara Administration for Community Living New York State Office for the Aging The Area Agency on Aging – Erie and Niagara Counties 3

Hybrid Approach ContractCase ManagementTransportationNutritionDirect Case Management TransportationNutrition 4 AAA staff: Case Managers Dispatchers Dietitians Community Partners: Adult Day Meals Transportation

An Unparalleled Vantage Point 5 Home Care Social Adult Day Meals Transportation Buyer Case Management Home Delivered Meals Volunteer transportation Funder Case Management Nutrition Services Options Counseling Service Provider

NYCONNECTS/ADRC Established in 2006 by the New York State Office for the Aging in collaboration with the New York State Department of Health State-wide Effort to rebalance the long term services and supports Emphasis on community based services and supports and person centered approach Locally based "No Wrong Door/Single Entry Point" (NWD/SEP) One stop access to free, objective, comprehensive information and assistance For people of all ages needing long term services and supports 6

Balancing Incentive for Payments Program (BIP) Significant expansion to NY Connects program Enhanced federal funding to rebalance the state system of long term services and supports away from institutionally based care towards home and community based services. NY Connects will continue its evolution into a more robust program and serve as the Hub of the NWD/SEP system

Connecting People to… Information: Person-Centered Options Counseling Benefits Assistance Insurance Counseling Legal Assistance 8 Healthy Living: Congregate Meals Nutrition Education and Counseling Senior Center Recreation and Fitness Volunteer Opportunities Fall Prevention Services Chronic Disease Self-Management Classes Diabetes Self-Management Classes Matter of Balance classes Care in the Community: Case Management/Care Coordination Medical Transportation Home Delivered Meals Personal Care Services Social Adult Day Care Personal Emergency Response Systems Behavioral Health Services In-home Contact and Support Caregiver Support: Respite Services Caregiver Counseling Powerful Tools for Caregivers classes

Medicaid and the AAA, Where Do We Fit? 9

Ready. Set. Home. 10

AAA as a Coalition Builder We connect organizations to build networks and coalitions, including: Project Council Caregiver Coalition Evidence Based Wellness Coalition Long Term Care Council – Erie/Niagara 11

The Changing Landscape- Are We Ready? We are in the midst of unprecedented and rapid evolution of our Health Care system, including: Affordable Care Act Medicaid redesign DSRIP 12

Are we Ready??? 13