1. The Alliance for Aging Delivers
April 2017

2. Mission and Vision
Mission: To promote and advocate for the optimal quality of life for older adults and their families
Vision: Miami-Dade and Monroe Counties are communities where the quality of life of elders is valued and their contributions to community life are recognized

3. Leadership Iveris L. Martinez, PhD Governing Board Chair Yoni Markhoff
Advisory Council Chair
Max B. Rothman, JD, LL.M. President and CEO

4. Organizational Overview
501(c)3 nonprofit; Area Agency on Aging; Planning & Service Area (PSA) 11; serves Miami-Dade and Monroe Counties
Responsible for over $35 million in Federal, State, and local funding in 2016
Administrative expenses are <5% of total funds
Provide home and community based services through contracts with provider agencies
External funding (grants and contracts) for additional programs: healthy aging, financial exploitation, age friendly communities

5. The Local Elder Population
As of 2016, 587,000+ older adults age 60+
21% of the total population in Miami-Dade County
31% of the total population in Monroe County
Very different elder populations by county:
Miami-Dade
Monroe
Women
57%
46%
Minority
83%
16%
Hispanic
68%
12%
Non-white
18% 4%
Limited English Proficiency (LEP)
42%
Below 125% Poverty Guideline
28%
14%
Source: Department of Elder Affairs, 2016 Florida County Profiles
Per 2010 U.S. Census, there are 600,000+ “Boomers” age who will be 60+ in 2020

6. Home and Community Based Services
Help people “age in place”
Remain in their own homes
Maintain their independence
Stay healthy and mobile
Support family caregivers
Are cost effective
Supporting the needs of elders at home costs less, and prevents premature or unnecessary nursing home placement
This saves taxpayers literally millions in Medicaid–funded nursing home costs for low-income elders

7. The Aging Network
The Alliance fulfills its mission through partnerships with members of the Aging Network:
Local Community Agencies
2 Lead Agencies, Community Care for the Elderly (CCE)
27 Community Based Service Providers
State Agencies
Florida Department of Elder Affairs
Florida Department of Children & Families (DCF), Adult Protective Services Unit
More than 5,000 volunteers at community agencies

8. People Served
In 2016, the Alliance funded home and community based services for almost 86,000 older adults, their caregivers and family members.
Our typical client is a Hispanic female, age 75+, living alone, with monthly income below $958
In 2016, the Alliance funded 265,000 hours of caregiver respite and 196,000 hours of adult day care for nearly 1,600 elders and their caregivers
Our average client is a Hispanic (82%) female (64%), age 75+ (60%), living alone (50%), with monthly income below $958 (73%)
15591 registered (cirts) unregistered (NAPIS) = 85950
RESP + RESF
The majority of caregivers served are Hispanic women caring for fathers or husbands, and 25% are age 75+ themselves

9. The Alliance Delivers: Access and Information
In 2016, the Aging and Disability Resource Center (ADRC):
Received over 100,000 incoming calls
Key functions:
Information and referral
Screening
Triage
Eligibility determination
Wait list management
Long-term care options
Provided information and referrals for community-based resources - both publicly funded and private pay - to nearly 86,000 older adults and adults with disabilities
Referred nearly 13,000 elders and adults with disabilities to intake for screening
Assisted 6,619 elders with eligibility determination for State Medicaid Managed Long Term Care Program
Handled calls: incoming, outgoingt

10. The Alliance Delivers: Help
In 2016, the Alliance provided emergency assistance to 100 older adults, referred by Adult Protective Services, who were at high risk of abuse or neglect
In 2016, the Alliance helped 1,400+ households receive Emergency Home Energy Assistance for the Elderly (EHEAP)

11. The Alliance Delivers: Services
Using funding from the Alliance, in 2016 partners in the Aging Network provided:
1.28 million home-delivered meals for older adults
2 million+ congregate meals for elders at locations across the community (senior centers, elder housing, parks)
Transportation totaling 379,000 trips, taking elders to meal sites, senior centers, doctors’ offices, etc.
Nearly 369,000 hours of personal care, chore, and homemaking services
Over 265,000 hours of Respite Services (breaks for caregivers)
Nearly 197,000 hours of Adult Day Care

12. The Alliance Delivers: Accountability
Program integrity for subcontracted service providers
Contract monitoring and management
Annual monitoring and follow-up
Quarterly file reviews
Annual review of service provider applications
Training and technical assistance for provider organizations

13. The Alliance Delivers: SHINE
Serving the Health Insurance
Needs of Elders (SHINE)
Help elders understand and receive
the health insurance coverage they need through Medicare, Medicaid, Prescription Assistance, Long-Term Care Planning and Insurance, and other healthcare issues
In 2016, 32 SHINE volunteers provided free, unbiased insurance counseling and educational materials to over 16,000 elders, caregivers, and their family members

14. The Alliance Delivers: Options for Healthy Aging
Over 2,660 attended workshops on:
Healthy Aging
A Matter of Balance
Diabetes Self-Management
Living Healthy
Elder Abuse Prevention
Recognizing and Preventing Abuse
Preventing Elder Financial Exploitation

15. The Alliance Delivers: Services
Veterans-Directed Care Program
Funded by the Veterans Administration, this program allows veterans to choose and hire their own caregivers, providing them more access, choice and control over their long term care services.
26 Veterans served in 2016.

16. The Alliance Delivers: Policy
State Legislative Priorities for 2017:
Priority: Provide $10 million in General Revenue funding to serve 1,287 frail elders on the DOEA Waiting List for the Community Care/Home Care for the Elderly and Alzheimer’s Respite Care Programs.
The number of frail elders on the waiting list for the Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), and Alzheimer’s Respite Care Programs is at an ALL TIME HIGH with over 59,900 elders waiting for home care services. Of this number, more than 14,200 are at the HIGHEST RISK of nursing home/institutional care.
The average annual cost of care for an elder enrolled in CCE is just $8,046 compared to $64,770 for nursing home care.
Florida has almost 1,000,000 elders age 80+ (those most likely to need help).
Florida’s CCE, HCE, and Alzheimer’s Respite Care programs help slow the rate of growth of Medicaid expenditures by providing a minimal amount of help needed by frail elders to remain at home safely and with dignity.

17. The Alliance Delivers: Policy
State Legislative Priorities for 2017:
Priority: Appropriate $1.5 million in recurring General Revenue and $1.5 million from recurring Federal Medicaid Matching Funds for ADRC client services workload under Statewide Medicaid Managed Long Term Care (SMMLTC).
Current Medicaid workload projections, documented by a Sept time study, project a recurring additional need of $3 million for ADRC operations.
ADRC workload is increasing due to more frail seniors and older adults with disabilities seeking long term care assistance, more people being added to the Medicaid waiting list; increases in initial eligibility screenings and; significantly increased annual eligibility rescreening requirements as a result of 2016 legislation, HB 1335, which increased ADRC annual rescreening requirements for persons on the DOEA waiting list for services.
Increased appropriations for new SMMLTC Program slots have a direct and immediate workload impact on ADRCs. Timely eligibility determination and enrollment in the program ensures reduced risk of nursing home placement for seniors and adults with disabilities.

18. For more information, call:
 ELDER  HELP