Division of Medicaid & Long-Term Care State Unit on Aging FFY 2016 - 2019 Plan for Aging Services “To promote the dignity, independence and Freedom of choice for older Nebraskans” Contents Verification of Intent ..................................................................................................................................... 4 Executive Summary ....................................................................................................................................... 5 Context .......................................................................................................................................................... 7 Development of the State Plan ................................................................................................................. 7 Critical Issues and Future Implications ..................................................................................................... 8 Consumer directed alternatives ............................................................................................................... 8 VISTA - Nebraska Strengthening Aging Populations (NSAP) ..................................................................... 9 Elder Justice / Elder Rights Program ......................................................................................................... 9 Aging Services ......................................................................................................................................... 10 Focus Areas ................................................................................................................................................. 11 Older Americans Act Core Programs ...................................................................................................... 11 Title III ................................................................................................................................................ 11 Nutrition Program ............................................................................................................................. 11 Health Promotion and Disease Prevention ..................................................................................... 14 Long-Term Services and Support ..................................................................................................... 15 National Family Caregiver Support Program (NFCSP)................................................................... 16 Title VI ................................................................................................................................................ 18 Title VII ............................................................................................................................................... 19 ACL/AoA Discretionary Grants .................................................................................................................... 20 Model Approaches to Statewide Legal Services Phase II Grant and Expansion Grant ........................... 20 Aging and Disability Resource Center (ADRC) Grant Proposal ............................................................... 21 Senior Medicare Patrol (SMP) ................................................................................................................. 21 Participant-Directed/Person-Centered Planning ........................................................................................ 21 OAA Services Purchased as Client Directed Services and through Vouchers ......................................... 22 Expanding Services to Include Cost-Sharing ........................................................................................... 22 Choosing Home or In-Community Elder Services (CHOICES) .................................................................. 23 Needs Assessment – State Standardized Care Management Assessment ............................................. 24 Counseling Services Program .................................................................................................................. 26 Elder Justice ................................................................................................................................................ 26 Long-Term Care Ombudsman Programs................................................................................................. 26 Legal Assistance Programs ...................................................................................................................... 28 2 Nebraska DHHS State Unit on Aging Four-Year State Plan FY 2015-2019 Quality Management .................................................................................................................................. 30 Monitoring .............................................................................................................................................. 30 Ombudsman Networking ........................................................................................................................ 32 Nebraska AARP ....................................................................................................................................... 32 Attachments ................................................................................................................................................ 33 Attachment A STATE PLAN ASSURANCES AND REQUIRED ACTIVITIES ................................................... 33 Attachment B INFORMATION REQUIREMENTS ...................................................................................... 45 Attachment C INTRASTATE (IFF) FUNDING FORMULA REQUIREMENTS ................................................ 51 Attachment D.1 Demographic Trends .................................................................................................... 56 Graph 1: Aging Population .................................................................................................................. 57 Graph 2: Disability Rates ..................................................................................................................... 58 Graph 3: Poverty Rates ....................................................................................................................... 59 Graph 4: Racial Characteristics ........................................................................................................... 60 Graph 5: Mortality .............................................................................................................................. 61 Graph 6: Net Migration ....................................................................................................................... 62 Graph 7: Male/Female Ratio ............................................................................................................... 63 Attachment D.2 Profile of Nebraskans 60+ ............................................................................................ 65 Attachment D.3 Profile of Nebraskans Served Through Title III Programs FFY 2014 ............................. 66 Attachment D.4 Nebraska Title III Individual Service Usage FFY 2014 ................................................... 68 Attachment D.5 State/Area Agency Designation .................................................................................... 69 Attachment D.6: Department of Health & Human Services Organization Charts .................................. 70 Attachment D.7 Nebraska Governor’s Advisory Committee on Aging ................................................... 73 Attachment D.8 Role of the State Unit on Aging in Long-Term Care and Aging Services Coordination 75 Attachment D.9 Public Hearing ............................................................................................................... 81 Public Notice ........................................................................................................................................... 81 Attachment D.10 Definitions, Acronyms and Abbreviations Used in the Nebraska Aging Network ...... 82 Attachment D.11 Nebraska State Unit on Aging History ........................................................................ 87 Attachment D.12 Senior Community Service Employment Program (SCSEP) (U.S. Department of Labor Grant) ...................................................................................................................................................... 88 Attachment D.13 Legal Services Access Line and Elder Abuse ............................................................... 89 Attachment D.14 Elder Abuse ................................................................................................................. 90 Attachment D.15 SLUMS Examination.................................................................................................... 91 3 Nebraska DHHS State Unit on Aging Four-Year State Plan FY 2015-2019 Attachments Verification of Intent Hereby submitted is the Plan for Aging Services for the State of Nebraska for the period October 1, 2015 through September 30, 2019. It includes all assurances and plans to be implemented by the Nebraska Department of Health and Human Services - State Unit on Aging under the provisions of the Older Americans Act, as amended, during the period stated. The Department of Health and Human Services - State Unit on Aging has been designated the authority to develop and administer the State Plan for Aging Services in accordance