1. Long-Term Care Planning: Federal Initiatives & Resources Linda Velgouse Administration on Aging linda.velgouse@aoa.hhs.gov

2. The Problem ● Public programs don ’ t/can ’ t cover the majority of long-term care needs ● Long-term care is the largest uninsured financial risk facing most retirees ● Most people don ’ t understand or are in denial about long-term care needs ● Satisfaction with long-term care is correlated with choice and control, both are greatly enhanced by advanced planning

3. Solutions Information and Education Information and Education Own Your Future State Awareness Campaigns Own Your Future State Awareness Campaigns National Clearinghouse for Long-Term Care Information (www.longtermcare.gov) National Clearinghouse for Long-Term Care Information (www.longtermcare.gov)www.longtermcare.gov Medicare Long-Term Care Planning Tool Medicare Long-Term Care Planning Tool Nursing Home Diversion Modernization Grant program Nursing Home Diversion Modernization Grant program

4. LTC Planning Timeline Age 40 Age 65 Retirement Age 80 First signs of possible LTC need Age 85 LTC begins Death Early Planning Insurance Accrue Savings Home Equity Annuity Tax-Incentives Home Equity Conversion Spend Down Late Planning Home Equity Conversion Use of Savings Transfer of Assets Medicaid Estate Recovery

5. Own Your Future Long-Term Care Awareness Campaign Suggest that planning for LTC should be an integral part of retirement planning Suggest that planning for LTC should be an integral part of retirement planning Promote planning, while not endorsing any specific planning activity Promote planning, while not endorsing any specific planning activity Associate LTC planning with increased dignity and control over one’s future Associate LTC planning with increased dignity and control over one’s future

6. Campaign States 2005 Arkansas Idaho Nevada New Jersey * Virginia * 2006 Kansas Maryland Rhode Island Washington 2007 Georgia Michigan Missouri ** Nebraska South Dakota Tennessee Texas * New Jersey and Virginia will also run campaigns this year ** Missouri is scheduled to run their campaign this September

7. Core Campaign Letter from Governor w/ tri-fold to every household with 45-65 Letter from Governor w/ tri-fold to every household with 45-65 10.5 million households to date 10.5 million households to date Long-term care planning kit Long-term care planning kit Long-term care educational CD Long-term care educational CD Governor’s press event Governor’s press event State specific material State specific material

9. National Clearinghouse for Long-Term Care Information Mandated by DRA 2005 as addition to LTC Awareness Campaign Mandated by DRA 2005 as addition to LTC Awareness Campaign First federal website for LTC information First federal website for LTC information www.longtermcare.gov www.longtermcare.gov www.longtermcare.gov Provide higher level of long-term care information Provide higher level of long-term care information Include information on OYF Campaign Include information on OYF Campaign

10. The Clearinghouse Homepage

11. LTC Clearinghouse Understanding LTC Understanding LTC Overall introduction to LTC Overall introduction to LTC Planning for LTC Planning for LTC Outlines planning activities including advanced directives, home modification, finding services, and talking to family Outlines planning activities including advanced directives, home modification, finding services, and talking to family LTC Awareness Campaign Information LTC Awareness Campaign Information Paying for LTC Paying for LTC How public programs (Medicare, Medicaid, others) pay for LTC How public programs (Medicare, Medicaid, others) pay for LTC Advantages and disadvantages of LTC insurance and provides state specific links Advantages and disadvantages of LTC insurance and provides state specific links Reviews other private options such as reverse mortgages, personal savings, and annuity based coverage Reviews other private options such as reverse mortgages, personal savings, and annuity based coverage

12. Cost of Care Map

13. Savings Calculator

14. http://www.medicare.gov/LTCPlanning/Include/DataSection/Questions/SearchCriteria.asp?version=default&browser=IE%7C6%7CWinXP&language=English&defaultstatu s=0&pagelist=Home http://www.medicare.gov/LTCPlanning/Include/DataSection/Questions/SearchCriteria.asp?version=default&browser=IE%7C6%7CWinXP&language=English&defaultstatu s=0&pagelist=Home Medicare long-term care planning tool

15. Nursing Home Diversion Modernization Grants Third component of AoA’s Choices for Independence (Other 2: ADRC, Evidenced Based Disease Prevention) Third component of AoA’s Choices for Independence (Other 2: ADRC, Evidenced Based Disease Prevention) Modernize systems by adding flexible service dollars and options to help individuals who are not eligible for Medicaid to avoid nursing home placement and spend down to Medicaid Modernize systems by adding flexible service dollars and options to help individuals who are not eligible for Medicaid to avoid nursing home placement and spend down to Medicaid 10-12 grants for up to $500,000 10-12 grants for up to $500,000 Applications due August 24 Applications due August 24