HHS HUD Housing Capacity Building Initiative for Community Living

Programs of the Administration on Aging

Department of Health and Human Services

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MissionThe mission of AoA is to develop a comprehensive, coordinated and cost-effective system of home and community-based services that helps elderly individuals maintain their health and independence in their homes and communities.

Authorities• Older Americans Act• Public Health Service Act section 398 – Alzheimer’s Disease Supportive Services• Public Health Service title XVII – Lifespan Respite Care• Medicare Improvements for Patients and Providers Act of 2008 • ARRA – Chronic Disease Self-Management, Nutrition Services•Affordable Care Act – CLASS, ADRCs, MIPPA

In order to serve a growing senior population, AoA envisions ensuring the continuation of a vibrant aging services network at State, Territory, local and Tribal levels through funding of lower-cost, non-medical services and supports that provide the means by which many more seniors can maintain their independence.

Vision

Administration on Aging

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Older Americans Act of 1965

A Legacy of President Johnson’s Great Society

– Passed same year as Medicare and Medicaid– 10 broad national policy objectives on aging– Creation of AoA as federal focal point on aging– Grants to states for community planning &

services– Authority for research, demonstration, and

training projects

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Older Americans ActMyths and Misconceptions

• The OAA defines older adults as age __ and older

• The OAA only serves older individuals

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Older Americans Act Key Funding Provisions

• Title III — Grants for State & Community Programs• B. Supportive Services & Senior Centers• C. Congregate and Home Delivered Nutrition Services• D. Disease Prevention & Health Promotion• E. National Family Caregiver Support Program

• Title IV — Training, Research and Discretionary Projects

• Title V — Senior Community Service Employment

• Title VI — Grants for Native Americans

• Title VII — Elder Rights Protection

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U.S. Department of Health and Human Services

Administration on AgingCentral Office and Regional Offices

Administration on AgingCentral Office and Regional Offices

State Units on Aging (56)State Units on Aging (56)

Area Agencies on Aging (628)Area Agencies on Aging (628)

Local Service Provider Organizations (20,000+)Local Service Provider Organizations (20,000+)

ACCESS

SERVICESACCESS

SERVICES

SUPPORTIVE & NUTRITION SERVICES

SUPPORTIVE & NUTRITION SERVICES

ELDER RIGHTS

SERVICES

ELDER RIGHTS

SERVICES

COMMUNITY

SERVICES

IN-HOME

SERVICES

Aging Network Service System

Tribal Organizations

(246)

Tribal Organizations

(246)

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A Network of Partners and Services

Aging Network Partners

• State and Area Agencies on Aging•Senior Centers• Home Care Agencies• Aging in Place Community Groups• Community Health Centers/Health Depts.• Medicaid/dual eligibles (CMS)• Assisted Living• Social Security• HUD Public Housing• Alzheimer’s chapters• Hospitals for discharge planning• Veterans Affairs•Housing Service Coordinators • Adult Protective Services•VA Medical Centers• Many other partners…

Core Services Available

• Information & Referral• Adult Day Care• Respite Care• Transportation• Home Delivered Meals• Congregate Meals• Grocery shopping/meal preparation• Chronic Disease Self-Management• Personal Care• Home Health Aide• Socialization/Senior Centers• Financial Planning/Management• Benefits Counseling• Legal Assistance• Many other services….

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Health & Long-term Care Reform: Modernizing Home and Community Based Services

• Aging and Disability Resource Centers

• MIPPA & Medicare Part D enrollment

• Care coordination and Participant Direction with the Department of Veterans Affairs (VA)

• Lifespan Respite

• Community Innovations for Aging in Place

• Medicare fraud detection – Senior Medicare Patrol

• Prevention and health promotion – Evidence-based programs

• Care Transitions

• HUD HHS Community Living Collaborative activities

• Partner with DoT FTA on the United We Ride campaign and National Center on Senior Transportation

• Community Living Assistance Services and Supports (CLASS)

• HECM Reverse Mortgage Housing Counseling

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Focus on Diversity• National minority aging partners

– Nat’l Asian Pacific Center on Aging– Nat’l Caucus and Center on Black Aging– Nat’l Hispanic Council on Aging – National Indian Council on Aging– Asociacion Pro Personas Mayores

• National Resource Center on LGBT Aging

• Toolkit for Serving Diverse Communities

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Focus on Professional Capacity Building

In order to ensure that the services network is prepared to meet the diverse needs of people with disabilities of all ages in the future, AoA funds 28 technical assistance resource centers.

(www.aoa.gov left side navigation bar)

• Aging and Disability Resource Center Technical Assistance Exchange

• National Resource Center for Engaging Volunteers• Alzheimer’s Technical Assistance Resource Center• National Center for Benefits Outreach and Enrollment• Technical Assistance Center for Family Caregiver Support• National Long-Term Care Ombudsman Resource Center• Evidenced-Based Disease and Disability Prevention National

Resource Center

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Moving Forward

• Strengthen core home and community-based supports and services

• Building and enhancing partnerships at the national, state and local levels

• Continued efforts to strengthen aging and disability network collaboration

• Promote the use of scientific evidence in all service provision