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Virginia State Plan for Aging Services (October 1, 2019 to September 30, 2023)

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Virginia State Plan for Aging Services (October 1, 2019 to September 30, 2023) VIRGINIA STATE PLAN FOR AGING SERVICES September 30, September2023 30, — October 1,October 2019 TABLE OF CONTENTS Acronyms 2 Letter from the Commissioner 4 Verification of Intent 5 Executive Summary 6 The Virginia Aging Network 12 Demographics 21 State Plan Development Process 27 Aging Programs and Plan Focus Areas 29 Goals, Objectives, Strategies, and Measures 52 Quality Management 73 Intrastate Funding Formula 76 Attachment A – OAA State Plan Assurances and Required Activities 81 Attachment B – OAA Information Requirements 92 Attachment C – Planning and Services Areas / Area Agencies on Aging 100 Attachment D – Funding Overview 103 1 ACRONYMS AAA.......................................................................................................................... Area Agency on Aging ACL......................................................................................... U.S. Administration for Community Living ACS............................................................................................................. American Community Survey ADA……………………………………………………………………………….………….… Americans with Disabilities Act ADL………………………………………………………………………..……………………………… Activities of Daily Living ADRD.................................................................................. Alzheimer’s Disease and Related Disorders AG………………………………………………………………………………………………………………………. Auxiliary Grant APS.................................................................................................................... Adult Protective Services AOA..................................................................................................................... Administration on Aging AS........................................................................................................................................ Adult Services BRFSS…………………………………......................................... Behavioral Risk Factor Surveillance System CAP……………………………………………………………………..……………….…………………. Corrective Action Plan CCC…………………………………..………...…….…………………………..……… Commonwealth Coordinated Care CCOA…………………………………………………………………….…………...……. Commonwealth Council on Aging CDSME…………………………………………………………………. Chronic Disease Self-Management Education CDSMP……………………………………………….…….…….………. Chronic Disease Self-Management Program CIL............................................................................................................. Center for Independent Living CMS...................................................................................... Centers for Medicare & Medicaid Services COOP…………………………………...………………………………………………………. Continuity of Operations Plan CRIA…………………………………………………......…. Communication, Referral, Information and Assistance FFS…………………………………………………..……………………………………….………………………. Fee-For-Service FFY.............................................................................................................................. Federal Fiscal Year HCBS.............................................................................................. Home & Community Based Services HHR…………………………………………………………………..………………………… Health and Human Resources GTE……………………………………………………………………………. Geriatric Training and Education Initiative I & R/A............................................................................................... Information & Referral/Assistance IADL………………………………………………………………………..………… Instrumental Activities of Daily Living IFF…………………………………………………………………………………………………... Intrastate Funding Formula LDSS………………………………………………………………………..……..... local department(s) of social services LGBTQ.................................................................................. Lesbian, gay, bisexual, transgender, queer LTC.................................................................................................................................... Long-Term Care LTSS..................................................................................................... Long-term services and supports MCA…………………………………………………………………………………………..………. Managed Care Advocates MFP………………………………………………………….……………………………….………. Money Follows the Person MIPPA…………………………………………..…….….. Medicare Improvements for Patients and Providers Act MOB……………………………………………..……………………………………………..…………….….. Matter of Balance MSA………………………………………………………………………………………...…….. Metropolitan Statistical Area N4A……………………………………………….…………..….…… National Association of Area Agencies on Aging NAMRS……………………………………………..…….…….……. National Adult Maltreatment Reporting System NASUAD…………..…………………………. National Association of States United for Aging and Disabilities NFCSP................................................................................ National Family Caregiver Support Program NORC……………………………………………………….………….… Naturally Occurring Retirement Communities NWD.................................................................................................................................. No Wrong Door OAA........................................................................................................................... Older Americans Act OC............................................................................................................................... Options Counseling OTC…………………………………………………………………...………………………………………….…. over-the-counter PACE………………………………………………..…...…….…………. Program for All-inclusive Care for the Elderly PCT.................................................................................................................. Person-Centered Thinking PSA.................................................................................................................. Planning and Service Area 2 ACRONYMS SALT…………………………...……………………………………...………... Seniors and Law Enforcement Together SCSEP……………………………………………………………... Senior Community Service Employment Program SFMNP……………………………………………………………..……..… Senior Farmers’ Market Nutrition Program SFY……………………………………………………………………..………….…...……….……...………… State Fiscal Year SLH.......................................................................................................................... Senior Legal Helpline SMP...................................................................................................................... Senior Medicare Patrol SNAP................................................................................. Supplemental Nutrition Assistance Program SOS…………………………………………………………………..………...……………...…. Senior Outreach to Services SUA..............................................................................................................................State Unit on Aging UAI………………………………………………………………………………….…….…. Uniform Assessment Instrument VA......................................................................................................................................Veterans Affairs V4A……………………………………………………………..……… Virginia Association of Area Agencies on Aging VCPEA…………………………………………………………... Virginia Coalition for the Prevention of Elder Abuse VICAP……………………………………………….….…. Virginia Insurance Counseling and Assistance Program VLRVP………………………………………………….……………..……. Virginia Lifespan Respite Voucher Program VPGCAB………………………….…………..… Virginia Public Guardianship and Conservator Advisory Board VPGCP…………………………………………………..... Virginia Public Guardianship and Conservator Program VR…………………………………………………...……………….………………………………… Vocational Rehabilitation WINGS…………………………....……… Working Interdisciplinary Networks of Guardianship Stakeholders VIRGINIA STATE AGENCY ACRONYMS DARS…………………………………………….……………..... Department for Aging and Rehabilitative Services DBHDS………………………………..……... Department of Behavioral Health and Developmental Services DBVI……………………………………………………………….…. Department for the Blind and Visually Impaired DHCD…………………………………………..………….. Department of Housing and Community Development DHP…………………………………………………………...…………………..…….. Department of Health Professions DMAS……………………………………………………………..………. Department of Medical Assistance Services DMV……………………………………………………...……………….………….……….. Department of Motor Vehicles DPOR…………………………………..………...…... Department of Professional and Occupational Regulation DRPT………………………………………………….………………… Department of Rail and Public Transportation OAG………………………………………………………..………………………………..….. Office of the Attorney General SCC……………………………………………………….…..………….……………………. State Corporation Commission VDACS…………………………………………….... Virginia Department of Agriculture and Consumer Services VDDHH………………………………….…………….…………..…... Department for the Deaf and Hard of Hearing VDEM......................................................................... Virginia Department of Emergency Management VDH……………………………………………………...……………………………………………..….. Department of Health VDOT……………………………………………………….……………..…………………… Department of Transportation VDSS………………………………………………………..…………………………………. Department of Social Services VHDA…………………………………………………..… Virginia Housing Development Authority (public-private) 3 LETTER FROM THE COMMISSIONER As required by the federal Older Americans Act and state law, the Virginia Department for Aging and Reha- bilitative Services (DARS) must develop a State Plan for Aging Services in the Commonwealth. After thoughtful discernment on our past accomplishments, an examination of future plans and opportu- nities, and significant input from our partners and the public, I am pleased to present the Virginia State Plan for Aging Services (October 1, 2019 to September 30, 2023). The Virginia State Plan for Aging Services aims to: • Strengthen
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