1. A Guide to Aging and Disability Services
Presented by:
MAC, Inc. Living Well Center of Excellence
&
Baltimore City Health Department
Division of Aging and CARE Services

2. AAA Area Agency on Aging Area Agency on Aging In the Aging Network
Means
Area Agency on Aging
Area Agency on Aging

3. Older Americans Act of 1965
Older Americans Act of 1965 was the first federal level initiative aimed at providing comprehensive services for older adults. Through this act, Area Agencies on Aging at the local level were developed.
Signed in to law by LBJ.

4. The Mission
The Maryland Department of Aging in partnership with 23 Area Agencies provides leadership and advocacy to Maryland seniors and their families through information, education and services.
AAA’s are dedicated to the principle that older persons are entitled to lives of dignity, security, physical, mental, and social well-being; and to full participation in society. 

5. 23 Area Agencies on Aging
Allegany County Department of Area Agency on Aging
Anne Arundel County Dept of Aging and Disabilities
Baltimore City Division of Aging and Care Services (Baltimore City Health Dept)
Baltimore County Dept. of Aging
Calvert County Office on Aging
Caroline County Office on Aging
Carroll County Bureau of Aging and Disabilities
Cecil County Aging & Disability Services Division
Dorchester County Office on Aging *
Frederick County Sr Services
Garrett County Area Agency on Aging
Harford County Office on Aging
Howard County Office on Aging and Indep.
Kent County Office on Aging
Montgomery County Aging & Disability Services
Prince George’s County Aging & Disability Services
Queen Anne’s County Aging Division
St. Mary’s County Dept of Aging and Human Services
Somerset County Commission on Aging *
Talbot County Commission on Aging
Washington County Commission on Aging
Wicomico County Commission on Aging *
Worcester County Commission on Aging
* Part of MAC, Inc.
Every county in MD has an Agency on Aging.
Some are consolidated / and governed by MAC on the Eastern Shore.
Baltimore City’s Dept of Aging falls under Balt City Health Dept / Division of Aging and CARE Services.

6. Maryland Access Point http://www. marylandaccesspoint
Maryland Access Point MAPLINK /
MAP is a “one-stop shop” for aging adults and individuals with disabilities, of all income levels, who need information and assistance about navigating their health and support options for long-term care.  Family members and caregivers who are trying to support a parent, spouse, or adult child can receive assistance to help them make informed decisions regarding their current and future needs.

7. AAA Services Information & Assistance (MAP)
Adult Evaluation & Review Services (AERS)
Personal Care
Home-Delivered Meals
Adult Day Care/Day Health
Congregate Meals
Transportation & Taxi Card
Ombudsman Program
Hospital-2-Home
Health Promotion & Education
Long Term Care Advocacy Program
Senior Care Case Management
Medicaid Waiver/Community First Choice
Public Guardianship
Legal Assistance 
Tax Aid Program
Senior Assisted Group Home Subsidy Program
 SHIP (State Health Insurance Assistance Plan)
Family Caregivers Support
This is a list of some of the services that the AAA’s provide. Not all services are available in all counties.
I will highlight a few of the main services that are available in most counties.

8. Explanation of Services
Presented by Liz Briscoe
Baltimore City Health Department
Division of Aging and CARE Services

9. “No Wrong Door” Maryland Access Point (MAP) 1-844-MAPLINK
Provides information and access to a wide range of services including social security, housing, health care, transportation, legal assistance, and leisure activities. This information resource is available to everyone at no cost, regardless of income.

10. Provides services that will support aging in place.
Senior Care Program
Provides services that will support aging in place.
Available services:
Personal care
Light housekeeping
Meal preparation
Nursing care
Shopping
Transportation
Eligibility: Age 65 or older. Must meet income and medical guide lines.
Services are made possible through the collaborative efforts of the Dept on Aging, the Department of Social Services, and the local Health Department.  Each agency is committed to improving the coordination of services and filling gaps in home care for the elderly. After an evaluation is done in the home, a case manager ensures that the older person receives the right services at the right time.  To be eligible a person must:  be 65 years of age or older need assistance with several daily activities (personal care, meal preparation, etc.)
be medically at risk of institutionalization.

11. Community Personal Assistance / Community First Choice
Clients receive in-home, individualized plans of services that may delay or prevent nursing home placement.
Eligibility: No age requirement, however, client must be eligible for Medicaid.

12. Ombudsman Program
Provides investigation & resolution of complaints in nursing homes and assisted living facilities
Mediates disputes
AAA ombudsmen investigate complaints within 24 hours as well as provide information on regulations
Provides in-service training on topics such as residents' rights, psycho-social needs, difficult behavior, sexuality, communication, and dignity, among others. 
Program is not a 24 hour emergency response service
The Ombudsman at MAC Inc. serves as an advocate for residents of nursing homes and assisted living facilities on the Lower Shore, working to ensure that these residents have quality of care and quality of life.
MAC’s  Ombudsman, and a team of specially trained and certified ombudsman volunteers, monitor the conditions of all long-term care facilities, visit residents, investigate complaints (within 24 hours), provide information on regulations and make referrals  as needed to other agencies and programs.
Anyone can contact the Ombudsman Program to voice a complaint or concern, and callers can remain anonymous. The program is not a 24-hour emergency response service.

13. Senior Health Insurance Program (SHIP)
Provides information and individual counseling for Medicare and health insurance questions.
Helps in selecting health insurance coverage, filling out complicated forms, and intercede on their behalf when necessary. 
Assistance with enrollment in Low Income Subsidy Programs for Medicare recipients.
 Senior Health Insurance Program
Helps Medicare, Medicaid beneficiaries prevent, detect, and report health care fraud.

14. Public Guardianship
Adult Public Guardianship provides protection and advocacy on behalf of older adults who are determined by a court of law to lack the capacity to communicate responsible decisions concerning their daily living needs.
An Executive Director of the Area Agency on Aging can be appointed as a legal guardian.
A public guardian can be appointed if a person exhibits an inability to make everyday decisions due to:
Effects of disease or disability
Mental confusion / forgetfulness
Inability to manage money / business affairs
Inability to meet physical needs such as food, shelter, bathing, medical appts.
Public Guardianship In lieu of a suitable guardian, the Secretary of the Department of Aging or the Director of a local Area Agency on Aging may be appointed as a public guardian for persons ages 65 and older who have been declared by the Courts to be incapable of making their own decisions. Guardians may be required to determine appropriate living arrangements, oversee the provision of services or consent to medical treatment for persons under their guardianship.

15. Housing Services / Sr Assisted Group Home Subsidy Program
For low income seniors, this program provides access to
assisted living in small group homes (4 – 16 residents)
which are licensed by the State of Maryland.
Eligibility:
At least 62 years of age
Physically or mentally impaired and in need of assistance with ADL’s.
Financially eligible
►*Calco’s Assisted Living 5438 Sandy Hill Road Quantico Md  Phone: Contact: Carolyn Cooper   ►Catered Living of Ocean Pines 1135 Ocean Parkway  Ocean Pines Md  Phone:  ►* Davey’s Assisted Living  302 Market Street Pocomoke MD Contact: Kelli Davey ►*Delmar Manor Assisted Living East Line Road Delmar MD Phone: Contact: Kelli Davey ►Dimples Manor 1505 Winters Court Cambridge MD Phone: Contact: Jeanette Mwamba ►*Golden Gardens Inc Parsonsburg Road Parsonsburg Md  Phone:   Contact:  Doris Renshaw  
►Jackson’s Assisted Living  408 Taylor Avenue Hurlock Md  21643  Phone:   Contact: Laura Jackson   ►*Lee’s Almost Home Keyser Point Road Ocean City Md   21842     Contact: Lee Bramble, LPN  ►*Marilyn’s Home for the Aged 6625 Whitesburg Road Snow Hill Md  21863  Contact: Kelli Davey  ►* Sarah Margaret & Mollie’s Place 9288 Hickory Mill Road Salisbury Md   Phone #:  or   Contact: Kelli Davey     ►*Somerset Gardens Palmetto Church Road Princess Anne Md  Phone: Contact  Dee Renshaw   ►* The Special Home I 210 Henry Street Cambridge Md   Phone #:  Contact:  Sarah Jackson     ►*The Special Home II 6 Patamoke Way Cambridge Md  Phone #: Contact:  Erica Pelt

16. Legal Services
Maryland Legal Aid provides a full range of free civil legal services to financially qualified Marylanders and to those over age 60. Maryland Legal Aid handles civil, not criminal, cases. Areas of general civil legal services include: Consumer rights Elder rights Employment Family Government benefits Health care Housing
Funding for this program is very limited. If you think you may need legal assistance please contact your Senior Information and Assistance for help. For questions concerning the legal rights of nursing home residents, please contact:Donna Blackwell,   ext.137, Monday thru Friday, 8:30 to 4:30.

17. Meals on Wheels
Provides a life-giving service to the homebound elderly who are confined to bed, lack transportation, or are too frail to cook for themselves
Support provided by

18. National Family Caregivers Program
Services:
Provides support for caregivers
Provides caregiving training
Connects caregivers to available services
Respite care
Eligibility:
Adult family members or other informal caregivers age 18 and older who provide care to individuals age 60 and older
Adult family members or other informal caregivers age 18 and older who provide care to individuals of any age with Alzheimer's disease and related disorders;
Resources available for grandparents as well
Services offered:
Information for caregivers about available services
Help to caregivers in accessing services
Individual counseling, organization of support groups, and caregiver training
Respite care
Supplemental services, available on a limited basis
Eligibility
Adult family members or other informal caregivers age 18 and older who provide care to individuals age 60 and older
Adult family members or other informal caregivers age 18 and older who provide care to individuals of any age with Alzheimer's disease and related disorders;
Grandparents and other relatives (not parents) age 55 and older who provide care to children under the age of 18; and
Grandparents and other relatives (not parents) age 55who provide care to adults age with disabilities

19. Area Agency on Aging Contact Info (MAP contacts)
County
MAP Contact
Phone
Baltimore City Health Dept
Baltimore County Dept of Aging
St. Mary’s County Dept of Aging
Montgomery County Aging & Dis.
Prince George’s Co. Aging & Disabilities
Washington DC
DC Office on Aging