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PSA 7 2020 - 2022 Area Plan Date: September 2019 29 | Page PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE The following excerpts from the Alzheimer’s Association 2019 Alzheimer’s Disease Facts and Figures reveals the importance of addressing this growing crisis at the local, state, and national level: “An estimated 5.8 million Americans of all ages are living with Alzheimer’s dementia in 2019. One in 10 people (10 percent) age 65 and older has Alzheimer’s dementia. The percentage of people with Alzheimer’s dementia increases with age: 3 percent of people age 65-74, 17 percent of people age 75-84, and 32 percent of people age 85 and older have Alzheimer’s dementia.” Note: This data is from the 2010 U.S. Census and the Chicago Health and Aging Project (CHAP), a population-based study of chronic health conditions of older people. The State of Florida is projected to increase in Alzheimer’s Dementia Prevalence by 25 to 31% over the next six years as shown in their map below.

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Page 1: PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE · Center, the only facility in the world that launched the Space Shuttle; Port Canaveral, the second-busiest cruise port in the world;

PSA 7 2020 - 2022 Area Plan Date: September 2019 29 | P a g e

PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE

The following excerpts from the Alzheimer’s Association 2019 Alzheimer’s Disease

Facts and Figures reveals the importance of addressing this growing crisis at the local,

state, and national level:

“An estimated 5.8 million Americans of all ages are living with Alzheimer’s

dementia in 2019.

One in 10 people (10 percent) age 65 and older has Alzheimer’s dementia.

The percentage of people with Alzheimer’s dementia increases with age: 3

percent of people age 65-74, 17 percent of people age 75-84, and 32 percent of

people age 85 and older have Alzheimer’s dementia.”

Note: This data is from the 2010 U.S. Census and the Chicago Health and Aging

Project (CHAP), a population-based study of chronic health conditions of older people.

The State of Florida is projected to increase in Alzheimer’s Dementia Prevalence by 25

to 31% over the next six years as shown in their map below.

Page 2: PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE · Center, the only facility in the world that launched the Space Shuttle; Port Canaveral, the second-busiest cruise port in the world;

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Page 3: PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE · Center, the only facility in the world that launched the Space Shuttle; Port Canaveral, the second-busiest cruise port in the world;

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In PSA 7, Brevard County has the highest percentage of people over the age of 65 with

probable Alzheimer’s. The other three counties mirror the state’s 13%.

PSA 7 65+ PROBABLE ALZHEIMER'S POPULATION 2018

County 65+ Population 60+ Probable Alzheimer's

Percent of County's 65+

Brevard 135,758 18,359 14%

Orange 158,178 19,010 12%

Osceola 46,237 5,369 12%

Seminole 69,996 8,954 13%

PSA 7 410,169 51,693 13%

Florida 4,129,854 543,000 13% DOEA Profile of Older Floridians - Office of Economic and Demographic Research, 2017

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Economic and Social Resources:

< The Orlando Economic Partnership is a “not-for-profit, public/private partnership

representing seven counties – Brevard, Lake, Orange, Osceola, Polk, Seminole and

Volusia – as well as the City of Orlando.” The following information is from their data

center – www.orlandodoedc.com.

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Page 6: PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE · Center, the only facility in the world that launched the Space Shuttle; Port Canaveral, the second-busiest cruise port in the world;

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Page 7: PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE · Center, the only facility in the world that launched the Space Shuttle; Port Canaveral, the second-busiest cruise port in the world;

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Page 8: PROFILE – HIGHLIGHT: ALZHEIMER’S DISEASE · Center, the only facility in the world that launched the Space Shuttle; Port Canaveral, the second-busiest cruise port in the world;

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The Orlando Economic Partnership does not include Brevard County; therefore, the

following data is from a different source referenced below.

“Brevard County is located on the east coast of Central Florida just 35 miles east of

Orlando, and home to such businesses as Harris, GE, NASA and the Kennedy Space

Center, the only facility in the world that launched the Space Shuttle; Port Canaveral,

the second-busiest cruise port in the world; 72 miles of beautiful Atlantic Ocean

beaches; and the largest collection of endangered wildlife and plants in the continental

United States. With its tropical weather, cultural activities, educational opportunities,

active and passive recreation options, high-technology industries, and family-friendly

atmosphere, the Space Coast offers an exceptional quality of life that residents and

visitors enjoy year-round. With a small town feel and catering to the Florida lifestyle it’s

no wonder more than 500,000 people call its16 municipalities and unincorporated areas

"home."

www.everythingbrevard.com

The City of Orlando is the focal point of the Central Florida area. “Chief among its

claims to fame is Walt Disney World, comprised of parks like the Magic Kingdom and

Epcot, as well as water parks. Another major destination, Universal Orlando, offers

Universal Studios and Islands of Adventure, with the Wizarding World of Harry Potter

straddling both. Orlando is the third-most-populous urbanized area in Florida by population (1,510,516).” wikipedia.org

In Central Florida, local economic and social resources available for older adults, the

disabled, and caregivers are relatively limited. United Way’s primary focus is on youth

and families with some support for meals. The Winter Park Health Foundation is a long-

time supporter of senior services with projects like ITNOrlando,™ Neighbors Network,

and Community Care Teams. In 2019, they completed construction of a magnificent

Center for Health and Wellbeing. SRA is excited to have this new venue in the

community for programs like Living Healthy and other fall prevention workshops. These

evidence-based programs also are supported by Florida Health Networks, an affiliate of

the Health Foundation of South Florida.

Each county varies in their economic and social resources. Brevard has a high

percentage of Veterans with Patrick Air Force Base and “Snowbirds” who return North

during the summer months. It is a wealthier county with luxury homes along the

beachline; however, many of the older Space Center employees experienced a loss of

wages due to layoffs in the downturn of the space industry. Orange County has a

younger working population in a growing economy; however, there are a few poverty-

stricken areas and a large homeless population. According to the U.S. Department of

Housing and Urban Development, as of January 2019, “the total homeless population in

Orange, Osceola and Seminole counties was 2,010,” which actually was an 11 percent

drop from 2014. Osceola County is fortunate to have a one-stop shop with the Council

on Aging which receives additional support from the county government and private

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corporations. They have a large Hispanic population and many working in the service

industry due the numerous local tourist attractions. Seminole County is more of a

“bedroom community” with younger to middle age workers commuting into the Orlando

area. Brevard, Orange, and Seminole County each have a “Commission on Aging”

which works with local representative to make policy and funding recommendations to

local officials. SRA plays a key role on these Commissions to expand advocacy efforts

throughout PSA 7. The SRA Advisory Council members also play an important role in

advocacy initiatives with representatives from each county.>

Description of Service System:

< The Area Agency of Central Florida, Inc., a 501(c) 3 non-profit organization d/b/a

Senior Resource Alliance (SRA), serves elders, disabled, and their caregivers in

Brevard, Orange, Osceola and Seminole counties under the auspices of the Florida

Department of Elder Affairs (DOEA). SRA also serves as the Aging and Disability

Resource Center (ADRC) for Central Florida, providing intake and screening through

the Elder Helpline. The mission of the Senior Resource Alliance is to enable elders to

age with independence and dignity in the setting of their choice.

SRA oversees programs totaling over $15m, including the Federal Older American Act,

the State Community Care for the Elderly Program and Alzheimer’s Disease Initiative,

and other local, state, and federal programs. The ADRC services include screening and

assessment for the Medicaid Managed Care Long Term Care Program in coordination

with DOEA and the Agency for Health Care Administration (AHCA). Certified, trained

call center operators handle over 40,000 calls annually. As funds become available,

SRA releases clients from the waitlist based on their priority score, serving those in

greatest need.

The Senior Resource Alliance has eight prime contractors. In Brevard County, Aging

Matters in Brevard provides federal Older American Act and state funded services; and,

Brevard Alzheimer’s Foundation provides services like adult day care and respite. In

Orange and Seminole County, Seniors First provides federal and state funded services;

Share The Care provides Alzheimer’s Disease Initiative services; and, the Alzheimer’s

Dementia and Resource Center provides information, referral, and educational

assistance. In Seminole County, Meals On Wheels, Etc. provides Older American Act

services. Informed Families provides grandparents raising grandchildren support

services in the tri county area. PSA 7 Older American Act contractors provide four of

the registered services, including Homemaker, Chore, Home Delivered Meals, and

Case Management. Other federal and state funded services include adult day care,

case management, chore services, companion services, congregate meals, housing

improvement, personal care, transportation, nutrition counseling, legal assistance, and

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other long term services and supports (LTSS). SRA monitors the contractors on annual

basis to ensure compliance with federal and state program regulations.

SRA served 19,297 clients in 2018. Of those, 55% were at or near poverty level; 20%

were African American; 25% were Hispanic; and, 61% were living alone. The number

of active clients has increased over the past the five years, up from an average of

10,000 to now over 19,000; however, the number of clients waiting for services has

increased from 5,000 to over 11,000. The ADRC records intake client data in the

REFER Database, including mental health status, physical or developmental disabilities

and other demographics. A summary of this data is included in the unmet needs

section, along with additional health care information from Florida Charts.

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PSA 7 has eight prime contractors with continuously awarded bids for services through

seven year procurement cycles, as shown below. Funding is awarded according to the

state’s funding formula also shown below.

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2017 PSA 7 OLDER AMERICANS ACT FUNDING FORMULA 60+ Population 524,683

PERCENT/WEIGHT 35% 35% 15% 15% 100%

60+ 60+ MOBILITY

BELOW MINORITY AND SELF- 2015

60+ POVERTY 125% CARE COUNTY

POPULATION LEVEL POVERTY LIMITATIONS ALLOCATION

PSA 7 TOTAL 524,683 48,728 37,826 85,050 100.00%

BREVARD 169,413 13,587 4,416 26,985

% OF PSA 32.3% 28.2% 11.7% 31.7%

FACTOR 11.3% 9.9% 1.8% 4.8% 27.68%

ORANGE 206,299 21,628 22,010 33,020

% OF PSA 39.3% 44.1% 58.2% 38.8%

FACTOR 13.8% 15.4% 8.7% 5.8% 43.74%

OSCEOLA 56,776 6,408 7,228 11,336

% OF PSA 10.8% 13.0% 19.1% 13.3%

FACTOR 3.8% 4.6% 2.9% 2.0% 13.21%

SEMINOLE 92,195 7,105 4,172 13,709

% OF PSA 17.6% 14.7% 11.0% 16.1%

FACTOR 6.2% 5.2% 1.7% 2.4% 15.37%

* NOTE: County equity will be considered met if total county allocations are within two (2) percentage

points of the formula allocation percentages.

Source: DOEA Projections based on U.S. Census 2000 and Office of Economic and Demographic Research Total Florida

Population Projections 2030 by county as of February 2008 and 2007 projections by county, age, race, Hispanic

Minority includes everyone but white non-Hispanics

Near low income includes all with incomes from 0% to 125% of low income level

The intrastate funding formula for the Older Americans Act (OAA) is based on four factors:

1. Planning and Service Area population age 60 and over; divided by the statewide population

60 and over with a 35 percent weight in the total formula; plus,

2. Planning and Service Area population age 60 and over income below poverty level; divided by

the statewide population 60 and over with income below poverty level with a 35 percent weight

in the total formula; plus,

3. Planning and Service Area minority population age 60 and over with income below 125 percent

of the poverty level with a 15 percent weight in the total formula.

4. Planning and Service Area population age 60 and over with two or more impairments in activities

of daily living (ADL) with a 15 percent weight in the total formula.60+ : Florida Legislature, Office of Economic and Demographic Research.

Population 60+ with Income Below the Poverty Level: DOEA calculation based on 1) Florida population data from Florida Legislature,

Office of Economic and Demographic Research projections and 2) data from 2007-2011 American Community Survey, Special Tabulation

on Aging – Population Characteristics

Minority Population 60+ with Income Below 125% of the Poverty Level: DOEA calculation based on 1) Florida population data Florida

Legislature, Office of Economic and Demographic Research and 2) data from 2007-2011 American Community Survey, Special

Tabulation on Aging – Population Characteristics

Population 60+ with 2 or more types of disabilities:DOEA calculation based on 1) Florida population data from Florida Legislature,

Office of Economic and Demographic Research and 2) data from 2009-2011 American Community Survey 3-Year Estimates, Special

Tabulation on Aging. FYI. With 36-month of data collection, a 3-year estimate is produces for geographies with 20,000 or more. In

2014, the first 5-year estimates (pooling 60 months of data collection) on the disability status of individuals will be produced for all

geographies including Census tracts and block groups. (http://www.census.gov/people/disability/methodology/acs.html)

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A copy of the 2018 Client Demographic Reports – Active and Wait Listed- are shown

below and detailed in the following charts.

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PSA 7 ACTIVE CLIENTS

JANUARY – DECEMBER 2018

TOTAL PERSONS SERVED PSA 7 2018

Age Total Persons

Served Percent of

Total Served

< 60 Years 1,952 10%

Age 60 - 64 1,822 9%

Age 65 - 74 4,802 25%

Age 75 - 84 5,862 30%

Age 85+ 4,859 25%

Total 19,297 100%

TOTAL PERSONS SERVED PSA 7 2018

Gender Total Persons

Served Percent of

Total Served

Male 6,433 33%

Female 12,859 67%

Unknown 5

Total 19,297 100%

10%10%

25%

30%

25%

TOTAL PERSONS SERVED PSA 7 2018 Total

< 60 Years Age 60 - 64 Age 65 - 74 Age 75 - 84 Age 85+

33%

67%

TOTAL PERSONS SERVED PSA7 2018 Gender

Male Female

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TOTAL PERSONS SERVED PSA 7 2018

Monthly Income Total Persons

Served Percent of

Total Served

0-$891 5,800 30%

$891-$1,518 4,902 25%

Higher than $1,518 2,134 11%

Unknown 6,461 33%

Total 19,297 100%

TOTAL PERSONS SERVED PSA 7 2018

Race Total Persons

Served Percent of

Total Served

African American 3,780 20%

White 11,668 60%

Other 3,849 20%

Total 19,297 100%

30%

25%

11%

34%

TOTAL PERSONS SERVED PSA 7 2018 - Monthly Income

0-$891

$891-$1,518

Higher than $1,518

Unknown

20%

60%

20%

TOTAL PERSONS SERVED PSA 7 2018 Percent of Total Served

African American White Other

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TOTAL PERSONS SERVED PSA 7 2018

Ethnicity Total Persons

Served Percent of

Total Served

Hispanic 4,888 25%

Other 14,361 74%

Unknown 48 0%

Total 19,297 100%

TOTAL PERSONS SERVED PSA 7 2018

Limited English Speaking

Total Persons Served

Percent of Total Served

Yes 5,615 29%

No 12,366 64%

Unknown 1,316 7%

Total 19,297 100%

25%

75%

TOTAL PERSONS SERVED PSA 7 2018 Total Ethnicity

Hispanic Other

29%

64%

7%

TOTAL PERSONS SERVED PSA 7 2018 - Limited English Speaking

Yes

No

Unknown

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TOTAL PERSONS SERVED PSA 7 2018

Living Situation Total Persons

Served Percent of

Total Served

Lives Alone 11,828 61%

Lives With Caregiver 3,620 19%

Lives With Other 2,901 15%

Unknown 948 5%

Total 19,297 100%

61%19%

15%

5%

TOTAL PERSONS SERVED PSA 7 2018 - Living Situation

Lives Alone

Lives With Caregiver

Lives With Other

Unknown

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PSA 7 WAIT LIST CLIENTS

JANUARY – DECEMBER 2018

Total Wait List Clients PSA 7 2018

Age

Total Wait List

Clients

Percent of Total

Served

< 60 Years 1,492 13%

Age 60 - 64 1,092 10%

Age 65 - 74 2,759 24%

Age 75 - 84 3,420 30%

Age 85+ 2,615 23%

Total 11,378 100%

13%

10%

24%30%

23%

TOTAL WAIT LIST CLIENTS PSA 7 2018 - Age

< 60 Years

Age 60 - 64

Age 65 - 74

Age 75 - 84

Age 85+

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Total Wait List Clients PSA 7 2018

Gender

Total Wait List

Clients

Percent of Total

Served

Male 3,612 32%

Female 7,766 68%

Unknown 0

Total 11,378 100%

Total Wait List Clients PSA 7 2018

Monthly Income

Total Wait List

Clients

Percent of Total

Served

0-$891 4,487 39%

$891-$1,518 4,166 37%

Higher than $1,518 2,281 20%

Unknown 444 4%

Total 11,378 100%

32%

68%

TOTAL WAIT LIST CLIENTS PSA7 2018 - Gender

Male

Female

39%

37%

20%

4%

TOTAL WAIT LIST CLIENTS PSA 7 2018 Income

0-$891

$891-$1,518

Higher than $1,518

Unknown

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Total Wait List Clients PSA 7 2018

Race

Total Wait List

Clients

Percent of Total

Served

African American 2,128 19%

White 6,575 58%

Other 2,675 24%

Total 11,378 100%

Total Wait List Clients PSA 7 2018

Ethnicity

Total Wait List

Clients

Percent of Total

Served

Hispanic 3,508 31%

Other 7,870 69%

Unknown 0 0%

Total 11,378 100%

19%

58%

23%

TOTAL WAIT LIST CLIENTS PSA 7 2018 - Race

African American

White

Other

31%

69%

TOTAL WAIT LIST CLIENTS PSA 7 2018 - Ethnicity

Hispanic

Other

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Total Wait List Clients PSA 7 2018

Limited English Speaking

Total Wait List

Clients

Percent of Total

Served

Yes 4,954 44%

No 6,423 56%

Unknown 1 0%

Total 11,378 100%

Total Wait List Clients PSA 7 2018

Living Situation

Total Wait List

Clients

Percent of Total

Served

Lives Alone 4,557 40%

Lives With Caregiver 4,020 35%

Lives With Other 2,799 25%

Unknown 2 0%

Total 11,378 100%

44%56%

TOTAL WAIT LIST CLIENTS PSA7 2018 Limited English

Speaking

Yes

No

40%

35%

25%

TOTAL WAIT LIST CLIENTS PSA 7 2018 Living Situation

Lives Alone

Lives With Caregiver

Lives With Other

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The table below shows the number of active and wait list clients by program in PSA 7.

The Statewide Medicaid Managed Long Term Care (MLT) program, funded with federal

dollars matched by the state, is now the largest program next to the Alzheimer’s

Disease Initiative (ADI). The wait list, of course, is the primary concern with funding not

keeping up with the demand, especially with the Baby Boomer cohort. Another concern

is the Community Care for the Elderly (CCE) program. Over 82% of the CCE clients are

high risk referrals from the Department of Children and Families Adult Protective

Services. Area Agencies are required by law to serve those clients within 72 hours. As

would be expected, these clients need on-going services and typically have a high-cost

care plan. SRA also serves disabled clients. In 2018, 57 clients transitioned from DCF

to the ADRC for enrollment in home and community-based services.

PSA 7 ACTIVE AND WAIT LIST CLIENTS 2018

PROGRAM ACTIVE WAIT LIST

ADI - Alzheimer's Disease Initiative 19,270 1,428

CCE - Community Care For The Elderly 775 6,830

HCE - Home Care For The Elderly 159 3,002

O3C1 - Congregate Meals 2,167 3

03C2 - Home Delivered Meals 2,055 1,765

OA3B - Home and Community-Based Services 3,278 394

OA3E - Caregiver Services 686 0

OA3EG - Grandparents Caring for Grandchildren 18 0

OA3ES - Caregiver Supplemental Services 411 0

MLT - Managed Long-Term Care 12,295 6,367

Client Registration and Tracking System Data 2018

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PSA 7 ACTIVE AND WAIT LIST CLIENTS BY COUNTY – 2018

During the calendar year of 2018, SRA’s providers served 18,347 clients. The highest

percentage of clients resides in Orange County at 44%, followed by Brevard at 29%

Seminole at 15% and Osceola at 12%. Orange County has the highest percent of

African American clients at 26%. Osceola has the highest percentage of Hispanic

clients at 53%. All four counties have a high percentage of clients living alone, ranging

from 55% in Osceola to 68% in Brevard. Wait listed clients tend to follow the same

percentages.

The largest number of clients served in any program in PSA 7 is ADI at over 19,000.

Current services include adult day care; in-home and facility-based respite; specialized

medical equipment and consumable medical supplies; nutritional supplements;

caregiver counseling, training, and support groups; and, transportation. Fortunately, the

Alzheimer’s Respite Care Programs received an additional $1,769,733 in the 2019

legislative session. That should enable PSA 7 to serve many of the 1,428 on the wait

list.

PROGRAM ACTIVE

% OF PSA 7

CLIENTS WAIT LIST

Brevard 5,254 28.64% 2,634

Orange 8,076 44.02% 5,153

Osceola 2,279 12.42% 1,638

Seminole 2,738 14.92% 1,755

PSA 7 18,347 11,180

PSA 7 ACTIVE AND WAIT LIST CLIENTS BY COUNTY - 2018

Client Registration and Tracking System Data 2018

COUNTY

ACTIVE

CLIENTS HISPANIC

AFRICAN

AMERICAN MALE FEMALE

LIVING

ALONE

LIMITED

ENGLISH

Brevard 5,254 7% 16% 35% 65% 68% 19%

Orange 8,076 32% 26% 33% 67% 59% 34%

Osceola 2,279 53% 11% 33% 67% 55% 41%

Seminole 2,738 20% 18% 31% 69% 58% 28%

Client Registration and Tracking System Data 2018

COUNTY COMPARISONS - ACTIVE CLIENTS 2018

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The table below shows the major services, projected units of service and clients for

2019. This includes the federal Older American Act funding and the state general

revenue funding. More detailed financial information is found in the Contract Module of

the Area Plan on Aging.

Major OAA Services Projected Units and Clients for 2019

Clients Units Allocation

Home-Delivered Meals 2,008

333,000 $1,773,248

Congregate Meals 1,884

211,000 $1,438,305

Transportation 839

106,000 $1,155,000

In-Home Services 963

30,700 $720,000

Screening & Assessment/Case Management

1,500

6,450 $196,000

Information & Referral 5,000

40,000 $328,023

$2,583,315

$1,598,117$1,970,275

$209,414

$951,972

$456,192

$926,104

2019 OAA Funds by Program

Title IIIB Social Services

Title IIIC-1 Congregate Meals

Title IIIC-2 Home-DeliveredMeals

Title IIID Wellness Programs

Title IIIE Caregiver Support

Nutriton Services IncentiveProgram

Administration & ITTotal Funds = $8,695,389

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The aging network is fortunate to have received state funding increases in 2019. The

Florida Council on Aging (fcoa.org) is a strong advocate and their synopsis is shown

below:

$2,188,751

$3,039,581

$823,917

$1,231,779

$485,257

$926,104

2019 OAA Funds by County

Brevard

Orange

Osceola

Seminole

PSA-Wide Info & Referral,Wellness & Disaster Reserve

Administration & ITTotal Funds - $8,695,389

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STATE GENERAL REVENUE ALLOCATIONS – PSA 7

FUNDING COMPOSITION SFY 2018-19

GR AMOUNTS

AAA ADMINISTRATION $29,168.00

CCE ADMINISTRATION $68,071.00

CCE SERVICES $4,536,382.00

HCE ADMINISTRATION $67,280.00

HCE SUBSIDY & CASE MANAGEMENT $842,862.00

ADI ADMINISTRATION $0.00

ADI SERVICES $1,667,073.00

LSP ADMINISTRATION

LSP SERVICES $250,000.00

SUPPLEMENTAL RESOURCE ACTIVITIES (STATE, FEDERAL & PRIVATE)

SOURCE OF FUNDING AMOUNT

OF FUNDING

NSIP $509,141.31

EHEAP SERVICES $366,199.00

EHEAP ADMINISTRATION $42,245.00

EHEAP OUTREACH $64,844.00

MED WAIVER SPECIALIST $137,639.00

SHINE $117,133.56

RELIEF $130,000.00

ADRC (MAC) $458,953.50

OTHERS (LIST BELOW):

MIPPA $87,162.00

FDOT CARFIT $68,013.00

SENIOR MEDICARE PATROL $41,456.00

SRA allocates the federal and state funding to the prime contractors and monitors each

program annually for quality assurance. SRA also provides some direct services as

prescribed by DOEA and some with approval of DOEA under Direct Service Waivers.

An overview of these direct services is provided in the following pages.

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The Aging and Disability Resource Center (ADRC):

The Senior Resource Alliance functions as the Aging and Disability Resource Center

(ADRC) for PSA 7. SRA, along with all of the Area Agencies in Florida, provides access

to supportive services for older adults, disabled adults, and their caregivers. Under the

auspices of the Administration for Community Living at the national level and the Florida

Department of Elder Affairs at the state level, the ADRC functions in partnership with

other state agencies and providers to offer a one-stop service center. The Elder

Helpline is the first number to call for information on home and community-based

services. ADRC staff have a comprehensive array of resources from which to assist

callers. As needed, they refer callers to in-house specialists for a telephone

assessment to determine potential eligibility for Medicaid or other government-funded

programs. These specialists explain the program options, and make referrals to both

public and private resources. Clients are placed on a wait list and released according to

priority scores and funding availability. This is done in partnership with the Department

of Elder Affairs CARES unit; the Department of Children and Families Economic Self

Sufficiency Unit (DCF); and the Agency for Health Care Administration (AHCA). The

ADRC also provides information and referral services for clients over age 18 with

mental health challenges.

INCOMING PHONE CALLS – CALENDAR YEAR 2018

Calendar

Year

Medicaid Managed

Care Intake Calls

(SMMC LTC)

Elder Helpline

Calls

SHINE

Calls

Total

Calls

2014 12,385 33,721 0 48,120

2015 11,559 30,689 0 44,263

2016 10,446 22,821 3,318 38,601

2017 11,811 28,569 1,779 44,176

2018 13,202 25,115 4,454 44,789

2019 6,822 13,106 3,539 25,486

*2016 had a lower amount; therefore, data may not be complete as there was an issue

with the phone system that year that may have resulted in lost call data.

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As of 7/26/2019, the number of individuals on the LTCC program waitlist are as follows:

Priority Score Number of Clients

Rank 5 105

Rank 4 507

Rank 3 1,658

Rank 2 2,700

Rank 1 1,538

Total 6,508

Serving Health Insurance Needs of Elders (SHINE): SRA coordinates the SHINE

Program with over 40 trained volunteers helping seniors with Medicare, Medicaid, and

other health insurance issues. The SHINE Counselors are trained by the Florida

Department of Elder Affairs to provide free, unbiased counseling. Thousands of elders

are assisted each year, helping them to make informed health coverage decisions and

resolve insurance problems. This program also incorporates services of the MIPPA

Program (Medicare Improvements for Patients and Providers Act), including assistance

with Low-Income Subsidy (LIS) and Medicare Savings Program (MSP) applications. In

2018, DOEA received the Senior Medicare Patrol (SMP) grant and integrated that into

the SHINE Program, as well.

Adult Abuse, Neglect, and Exploitation (ANE) Program: SRA provides professional

training and consumer education for the prevention of adult abuse, neglect and

exploitation in Central Florida. SRA works in partnership with local Triad and S.A.L.T.

Councils – “Seniors and Law Enforcement Together,” along with numerous other

partners to distribute important information and promote public awareness.

The Emergency Home Energy Assistance for the Elderly Program (EHEAP): SRA

receives federal funding to help eligible older adults pay their home energy bills, if there

is a crisis. The EHEAP program pays the amount needed to resolve the crisis, up to

$600 per case with a limit of two cases per year. To qualify, clients must be age 60 or

older; have low income; have a cut-off notice; and, be approved through an application

from a community caseworker. People receiving food stamps, for example, would

automatically meet the guidelines.

Health and Wellness Programs: SRA provides evidence-based health and wellness

programs throughout Central Florida. The primary source of funding is from the Older

American Act - Title III D. Current programs include A Matter of Balance (MOB);™ and

the Living Healthy programs - Diabetes Self-Management Program™ and the Chronic

Disease Self-Management Program.™ SRA’s Health and Wellness Program Manager

oversees “Peer Leaders” in the Living Healthy programs and “Coaches” in the MOB

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program. One of the primary responsibilities is to build capacity through the recruitment

and training of volunteers in all four counties with emphasis on bi-lingual trainers.

Workshops are conducted in target areas by contract, stipend, and volunteer trainers.

The CarFit™ Program: SRA receives funding from the Florida Department of

Transportation to implement this program statewide. A certified consultant recruits and

trains volunteers who guide older adults through a series of stations with their own

vehicles. Recommendations are offered to help them be more comfortable and safe on

the road.

The Veterans Directed Home and Community Based Services Program: SRA

started this program in 2016, and it has now grown to over 30 Veterans receiving

assistance in 2018. Referrals come from the VA and are assigned to a consultant case

manager who completes an in-home assessment and develops a care plan with a

monthly budget managed by the Veteran.

>

Role in Interagency Collaborative Efforts:

<The Senior Resource Alliance has a strong network of partners and providers as

shown in the listing below. The ADRC makes a concerted effort each year to expand a

very comprehensive resource database for formal and informal referrals through the

Elder Helpline. This includes all of the mental health providers, disability organizations,

health care and dental clinics. In addition, SRA is fortunate to have a strong cadre of

volunteers. An average of 40 individuals are trained and certified to provide free,

unbiased Medicare counseling through the SHINE/MIPPA/SMP Program; and, over

2,000 volunteers are trained to provide the CarFit™ Program statewide. Volunteers are

currently being recruited to expand the capacity of SRA’s Health and Wellness

evidence-based programs, as well. All of the Area Agencies in Florida are participating

in the newly formed “Florida Health Network” sponsored by the South Florida Health

Foundation. The goals are to improve linkages with patient centered medical homes;

improve patient outcomes; and reduce recidivism. SRA is in the process of establishing

community-based “Hubs” in target areas to coordinate health and wellness outreach

and services with local partners. These hubs also serve as distribution centers for other

programs and resource information. Specific target areas are identified in the Area

Plan, along with a list of potential partners in each area. The goal over the next three

years is to contact these organizations to educate them on the ADRC programs and to

provide evidence-based workshops, ADRC outreach presentations, including the

SHINE-SMP-MIPPA programs and ANE training.