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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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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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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
PSA 7 2020 - 2022 Area Plan Date: September 2019 58 | P a g e
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.
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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.