1. Presenter: Michael Alpaugh

2. Mission Statement
To provide the aged and disabled population with the benefits and services they need in an accessible, coordinated, and responsive manner to maximize consumer independence

3. Benefits Medicare Costs Utilities Hearing Aids Caregiving Support
Prescription Costs
Medicare Costs
Utilities
Hearing Aids
Caregiving
Support
Guardianship
Managed Care

4. NJ SAVE Online Application
Slide 17 –
One of the specific programs that we administer through the division is the Hearing Aid Assistance to the Aged and Disabled program (HAAAD). The program offers a $100 reimbursement toward the purchase of a hearing aid. The eligibility standards are the same as PAAD. The individual must also have a doctor’s attestation for the need of a hearing aid and a paid receipt of the hearing aid.

5. Pharmaceutical Assistance to the Aged
Prescription Costs
Pharmaceutical Assistance to the Aged
and Disabled (PAAD)
$5 co-payment for covered generic drugs
$7 co-payment for covered brand name drugs
Coverage for prescribed legend drugs, insulin and insulin supplies
Motor Vehicle Registration discount

6. Senior Gold Prescription Discount Program
Prescription Costs
Senior Gold Prescription Discount Program
Co-payment is $ % of the remaining cost
The catastrophic cap is $2,000 if single, or $3,000 if married
Once catastrophic cap is met, the co-pay is just $15
for the remainder of the eligibility year

7. Lifeline Utility Assistance Program
Utility Costs
Lifeline Utility Assistance Program
Annual benefit of $225 to offset natural gas and/or electric heating costs
Utility customers receive as a credit on the utility bill; tenants get a check made out to them and landlord if utilities are included in the rent
Supplemental Security Income (SSI) recipients already receive
Lifeline benefit included in their monthly check
Slide 10 –
Another program through the division is the Lifeline Utility Assistance Program. The Lifeline program has an annual benefit of $225 to offset and eligible individual’s natural gas or electric heating costs.

8. Low Income Subsidy (LIS)
Medicare Costs
Low Income Subsidy (LIS)
Known as “Extra Help”, pays Medicare Part D premiums,
lowers co-pay amounts and eliminates the donut-hole and
any late enrollment penalties for eligible individuals
The average person saves $3,900 each year in prescription costs
Slide 11 –
To be eligible, an individual needs to be a utility owner or a tenant in which their utilities are included in their rent. The requirements and income standard is the same as PAAD ($27,189 for a single individual and $33,334 for a married couple).

9. Medicare Savings Programs
Specified Low-Income Medicare Beneficiary (SLMB)
and Qualified Individual (QI-1) programs
Pay full or partial Medicare Part B premiums
for individuals entitled to Medicare
Eligibility is income between 100% and 135% of Federal Poverty Level and resources not exceeding $7560 for single and $11,340 for married
Slide 15 –
The two Medicare Savings Programs administered by our division are the Specified Low-Income Medicare Beneficiary (SLMB) and Qualified Individual or (QI1). These programs pay an eligible individuals Medicare Part B monthly premium. In 2018, the annual premium amount that individuals must pay is $1,608; which for the population that we are speaking of is ten to 15 percent of their total annual income.

10. Hearing Aid Assistance to the Aged & Disabled (HAAAD)
Hearing Aids
Hearing Aid Assistance to the Aged & Disabled (HAAAD)
Offers a $100 reimbursement toward the recent purchase of a hearing aid
Doctor attestation of need for a hearing aid
Paid receipt for reimbursement
Slide 17 –
One of the specific programs that we administer through the division is the Hearing Aid Assistance to the Aged and Disabled program (HAAAD). The program offers a $100 reimbursement toward the purchase of a hearing aid. The eligibility standards are the same as PAAD. The individual must also have a doctor’s attestation for the need of a hearing aid and a paid receipt of the hearing aid.

11. $7.50 or $20.00 depending on year of vehicle
Valuable Assistance
Program
Monthly Amount
Annual Amount
Average PAAD benefit to help pay prescription costs for elderly person.
$58.26
$699.10
Maximum benefit to pay Medicare Part D premium cost for a PAAD beneficiary enrolled in a Part D plan with a premium for which PAAD will pay in 2018.
$35.97
$431.64
Average Senior Gold benefit to help pay prescription costs for elderly person.
$15.71
$188.52
Annual benefit amount provided by Lifeline utility assistance program for person who meets PAAD eligibility requirements.
$225.00
Average LIHEAP benefit to help pay heating & cooling energy costs.
$297.00
Average USF benefit to help pay gas bills.
$30.00
$360.00
Average USF benefit to help pay electric bills.
$63.00
$756.00
Medicare Part B premium cost paid by SLMB or SLMB QI-1.
$134.00
$1,608.00
Motor vehicle registration discount provided by NJ Division of Motor Vehicles for person who meets PAAD eligibility requirements.
$7.50 or $20.00 depending on year of vehicle
Slide 18 –
As I said earlier, it is our goal to make sure that every aged and disabled citizens is aware of any and all benefits we provide and get them that help. This chart gives you an idea of the savings that an individual can receive through the benefits of our programs. The possibility of $4,500 in savings for an individual who may only have 20 to 30 thousand dollars of annual income is a tremendous help to this population.

12. 36 contracted centers in 18 counties
Caregiving
Adult Day Services
Support for individuals with Alzheimer’s Diseases or other related diseases by offering caregiving support and activities designed to engage and interest those with cognitive loss from dementia
36 contracted centers in 18 counties
Must have a diagnosis of a permanent, progressive dementia (Alzheimer’s, multi-infarct dementia, Lewy body, etc.)
Slide 19 –
Here are some other programs that we administer with the Division of Aging Services. Adult Day Services is caregiving support for individuals with Alzheimer’s or other related diseases.

13. Caregiving Health and Wellness
A statewide infrastructure in partnership with local providers for the delivery of evidence-based disease prevention programs such as:
Chronic Disease Self-Management, Diabetes Self-Management, A Matter of Balance, Project Healthy Bones, and HealthEASE
Slide 21 –
Our Health and Wellness unit has prevention programs such as assisting with chronic disease and diabetes self-management, along with a matter of balance and project health bones to keep seniors fit.

14. Jersey Assistance for Community Caregiving (JACC)
A long-term program to support individuals with nursing
home-level needs, but who live at home
Coordinating agency and care managers in each county
State nurses visit to evaluate if the individual needs a
nursing home level of care
Discontinues after Medicaid starts
Slide 22 –
Jersey Assistance for Community Caregiving program JACC supports individuals who still reside at home in their community but have nursing home-level needs.

15. The Office of the Public Guardian
Guardianship
The Office of the Public Guardian
Provides guardianship services to incapacitated New Jersey
residents over the age of 60
Handles medical, social, financial, legal and all other aspects in the lives of clients, including work after guardianship ends
Uses services of social workers, nurses, attorneys, paralegals, accountants, bookkeepers, investigators and administrative staff to
handle all aspects of the life of the client
Slide 23 –
The Office of the Public Guardian provides guardianship services to New Jersey residents over the age of 60 who are incapacitated. They handle any and all medical, financial and legal aspects of the individual’s life.

16. Adult Protective Services (APS)
Guardianship
Adult Protective Services (APS)
A Federally mandated crisis Intervention program that responds to
reports of alleged abuse, neglect or exploitation of vulnerable
adults in the community
Provider agencies in all 21 counties: County Boards of Social Services,
Area Agencies on Aging, and private non-profit organizations
7,500 clients were served during the last
full reporting year
Slide 25 –
Adult Protective Services responds and investigates reports of alleged abuse, neglect or the exploitation of vulnerable adults. They are based in all 21 counties.

17. Program of All-Inclusive Care for the Elderly (PACE)
Managed Care
Program of All-Inclusive Care for the Elderly (PACE)
An evidenced-based managed care model that provides all preventive, primary, acute and long term services to the frail and disabled elderly
Provider agencies are paid a capitated monthly payment by Medicare and Medicaid and assume “full risk” for the cost of services for each participant
Participants must be aged 55 and older and able to live safely
within their home at the time of enrollment
Slide 26 –
Program of All-inclusive care for the elderly, PACE program, provides managed care for preventive, primary, acute and long term services to disabled elderly. Individuals must be age 55 or older and have the ability to live safely within their home. PACE also provides community and assisted living based services.

18. Statewide Respite Care Program
Support
Statewide Respite Care Program
Short-term or intermittent relief of uncompensated caregiver
(family, spouse, friend) who does daily basic care
Sponsor agencies in each county;
Complete applications and arrange services
Sliding scale based on care recipient’s/couple’s income
Discontinues after Medicaid starts
Slide 27 –
The NJ Statewide Respite Care program offers both short-term and intermittent relief to an uncompensated caregiver such as a family member or close friend who provides basic daily care for another. The monetary relief is based on a sliding scale of the recipient’s income.

19. Website: www.aging.nj.gov
For More Information
Website:
Hotline:
Slides 28/29/30/31 –
The following are the various websites for the previously mentioned programs.

20. Questions
???
Slides 28/29/30/31 –
The following are the various websites for the previously mentioned programs.