1. CASH AND COUNSELING N4A WEBCAST PHILADELPHIA CORPORATION FOR AGING Pearl Graub, MSSW - Director of Professional Services Ann Orcutt, MSN - Assistant Director of Long Term Care Options

2. Consumer Choices Community VS Nursing Home Services Provider Empowering with Information Provider Profiles Consumer satisfaction survey ratings Price/Cost per unit Results of last quality assurance audit Care Manager satisfaction survey rating

3. Benefits Flexible hours – weekends, nights Familiar person caregiving Language capability - e.g. Chinese, Russian, Spanish More informed and empowered consumer’s may lead to more satisfied consumers Flexible care plan – build in economies for purchase of goods and services Health maintenance activities - e.g. medication management, tube feeding, finger sticks, etc.

4. Personal Assistance Service In home personal care and other approved support activities Consumers can direct their own care or choose to have a caregiver direct their care. A cognitively impaired consumer cannot direct his/her own care. Such an individual may have a caregiver or legally authorized surrogate who is willing to direct the care The caregiver who is directing the care may not be the paid personal assistant

5. Role of the Fiscal Agent for Personal Assistance Service The fiscal agent meets with consumer to have the necessary forms signed enabling them to become the employer of the personal assistant Provides time slips to be signed by the consumer verify hours worked by the personal assistant Coach consumers on being an employer: interviewing, hiring, training, firing Have an RN available as needed to teach health maintenance activities