1. Department of Health and Social Services Division of Services for Aging and Adults with Physical Disabilities Joint Finance Committee Hearing Fiscal Year 2013 Bill Love Division Director Thursday, February 23, 2012

2. Delaware Health and Social Services The mission of the Division of Services for Aging and Adults with Physical Disabilities is to maintain and improve the quality of life for Delawareans who are seniors or who are at least 18 years of age and have a physical disability. Our strategy is to preserve health and dignity and to promote self-sufficiency for older people and individuals with disabilities by providing access to and coordination of the right services at the right time and in the right place. Goals: to prepare for the growth of the aging population to build access to community-based services OUR MISSION

3. Delaware Health and Social Services The size of the age 60+ population began to spike dramatically around 2005 and will continue to expand steadily for the next 20 years. The age 75+ population will climb noticeably by the year 2015. The “oldest old” population, age 85+, most in need of critical care services, will nearly double between 2005 and 2020, then double again by 2040. By 2030, Delaware is projected to have the 9 th highest proportion of persons aged 65+ among all states. Population Growth

4. Delaware Health and Social Services Long - Term Care Expenditure Patterns Institutional Bias in Delaware… Costs for institutional care Community care costs Institutional Bias in the US… In FY2009, Delaware ranked 49 th among all states in the percentage of LTC dollars spent on community based services for older adults and persons with physical disabilities. Costs for institutional care About 66% of long-term care dollars are spent in facilities. About 87.5% of long-term care dollars for aging and physical disabilities are spent in facilities. Community care costs

5. Delaware Health and Social Services Overview of Services Provided

6. Delaware Health and Social Services Transition of Three Long-Term Care Facilities

7. Delaware Health and Social Services Delaware’s Aging and Disability Resource Center Single point of entry for accessing long term care information and support services Statewide Call Center: Info & Assistance/Referrals (I&A/R) Website with a Searchable Database: DelawareADRC.com ADRC Support Services: Options Counseling & Service Enrollment Support Transition/Discharge Planning with hospitals and long-term care facilities Diversion of admissions to long-term care facilities

8. Delaware Health and Social Services Rebalancing Long-Term Care Increased emphasis on transition and diversion activities –Money Follows the Person & nursing home transition initiatives –Delaware ADRC –Pre-admission screening and diversion activities Addressing housing barriers –$3.0 million in the GRB for Delaware State Housing Authority for rental housing vouchers to provide housing in support of rebalancing efforts –Housing casework services Partnerships with hospitals (discharge planning) Diamond State Health Plan Plus –Will increase access to community-based long-term care services

9. Delaware Health and Social Services FY 2013 Governor’s Recommended Budget $203.2 1% Provider Increase

10. Delaware Health and Social Services Thank You.