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June 23, 2014
No Wrong Door ....
Los Angeles – March 2014
… a robust statewide service system that supports older adults and their caregivers, provides an array of resources for independent living, embraces diversity, and respects the aging process.
Meetings, Conferences & Hearings Publishes Reports Partnerships & Connections Legislative Solutions Analyzes policy issues Adopts initiatives
Demographics Fear of aging Woodwork Myth Lack of
understanding Lack of Political Will Silos Diminished resources
- Multipurpose Senior Services Program (MSSP)
- Community-Based Adult Services
- Older Americans Act Programs (congregate/home-delivered meals, other)
-Older Californians Act Programs (program funding eliminated)
-Family Caregiver Support Program
-Senior Community Service Employment Program
-Medi-Cal State Plan Services
-Medi-Cal Managed Care
--Community-Based Adult Services (CBAS)
- Medi-Cal HCBS Waivers (Assisted Living, IHO, Acute Hospital, MSSP, AIDS)
- Program of All-Inclusive Care for the Elderly
- Caregiver Resource Centers
- Nursing Home Licensing and Certification, Citations
- Licensing of CBAS Centers, Nursing homes, and Home Health Aide Certification
- Alzheimer’s Disease Program
-Regional Centers
-HCBS –DD Waiver
- Developmental Centers
- Independent Living Centers
- Traumatic Brain Injury Program
- State Plan for Independent Living
Note: Organizational chart displays departments in CHHSA that administer long-term care programs, along with a list of most of the related programs. Departments that do not play a significant role are omitted.
*** Per Budget Act of 2011, funding for the APS program has been realigned to the counties.
California’s Departments and Programs for Long-Term CareOlmstead Advisory
Committee
California Health & Human Services Agency
Dept. of Social Services Dept. of Aging Dept. of Health
Care ServicesDept. of Public
Health
Dept. of Developmental
Services
Dept. of Rehabilitation
Alzheimer’s Disease & Related Disorders Advisory
Committee
- In-Home supportive Services Program (IHSS)
- Supplemental Security Income/ State Supplementary Payment
- Social Security Disability Insurance Program
-Community Care Licensing
-Adult Protective Services***
The Sky is Falling
CCI – Duals Demonstration – Off ramps – Rural
Managed Care
LTSS – funding & delivery
Ageism
Chronic underfunding Increase in service demand Federal funding level Economic Insecurity Struggling service network Workforce
Uniform Assessment & DataElder JusticeOAA Reauthorization & WHCOAHow to tell our storyGovernment “catching up”
after all these years ….
Future of Aging: A California Conversation
Self Responsibility
Importance of COMMUNITY
Senate Select Committee
State Finances
Regional Coalitions
A decade of reductions/diminishments Dynamic intersection of demographics &
longevity System transformation at state Service transformation at local Save for a “rainy day” mentality not a
reinvestment in aging services
IHSS Provider Overtime
$2.79 million for senior nutrition
$ 50,000 APS staffing – state level (1 position)
Door: Why it's simply impassible!”
Alice: Why, don't you mean impossible?
Door: No, I do mean impassible. (chuckles) … Nothing's impossible!”
From Alice in Wonderland`
California Commission on Aging 1300 National Drive, Suite 173 Sacramento, CA 95814 (916) 419 7591 www.ccoa.ca.gov [email protected]
Virgie P. Walker, CCoA Chair Sandi Fitzpatrick, MA, Executive Director
