Group: Health & Human Services - Department of Human Services Agency: Human Services Line Item: Aging and Adult Services Function The Division of Aging and Adult Services (DAAS) is the designated state agency authorized to coordinate all state activities related to the Older Americans Act of 1965 (later amended in the year 2000). DAAS contracts for services, oversees state and federal programs, and advocates for the elderly. The programs are administered by the state's twelve local Area Agencies on Aging (AAA) under the direction of DAAS. Programs funded through the Older Americans Act are distributed to AAAs through an approved funding formula. The division is also responsible, through its Adult Protective Services (APS) program, for the protection of abused, neglected, and exploited adults and elderly. Statutory Authority Utah Code Title 62A, Chapter 3 authorizes and describes the programs of the Division of Aging and Adult Services: - Part 1: Creation and duties of the division, its state board, and functions of the local area agencies on aging
- Part 2: Long Term Care Ombudsman Program
- Part 3: Abuse, neglect, or exploitation of vulnerable adults
Utah Code 76-5-111 describes the penalties associated with abuse, neglect, or exploitation of a vulnerable adult. Intent Language The Legislature intends that the Division of Aging and Adult Services report to the Health and Human Services Appropriations Subcommittee by the 2009 General Session on the funding provided in this item for the Nursing Home Placement Prevention Pilot program. This report is to include the number of clients served, the total expenditures for the program and the cost savings generated. Agency Response: The division has reached agreements with two participant hospitals, one in Salt Lake City and the other in St. George. Additionally, the two respective Area Agencies on Aging have agreed to manage the pilot in their areas. The division is currently working with the Division of Services for People with Disabilities and the Department of Health to finalize the billing and payment process. The target date to begin serving clients is January 1, 2009. The division will report on the results during the 2009 General Session of the Legislature. Funding Detail 'Out and About' Homebound Transportation Assistance Fund The Legislature, in the 2002 General Session, passed H.B. 310, Mobility Assistance Fund (see UCA 53-3-214.8). This legislation created a voluntary $1 check-off on driver license applications and renewals. It also created a special revenue fund known as the 'Out and About' Homebound Transportation Assistance Fund (see UCA 62A-3-110) to receive these check-off funds, as well as private contributions, donations, grants, and interest earned on the fund. The purpose of the fund is to provide public transportation for seniors or people with disabilities. The Division of Aging and Adult Services administers the distribution of the funds and makes rules in accordance with the Utah Rulemaking Act. The legislation also directed DAAS to make an annual report on the fund to the Health and Human Services Appropriations Subcommittee. | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $12,073,900 | $12,485,600 | $12,938,800 | $13,874,200 | $14,714,400 | | General Fund, One-time | $271,700 | $300,000 | $295,300 | $355,000 | $216,500 | | Federal Funds | $8,972,800 | $8,330,900 | $8,154,300 | $9,739,400 | $8,764,900 | | Dedicated Credits Revenue | $12,200 | $500 | $17,800 | $7,500 | $17,500 | | Transfers - H - Medical Assistance | $353,600 | $483,700 | $1,110,500 | $17,100 | $420,900 | | Transfers - Other Agencies | $1,500 | $0 | $0 | $0 | $0 | | Pass-through | $2,500 | $0 | $0 | $0 | $0 | | Beginning Nonlapsing | $0 | $100,000 | $0 | $98,900 | $0 | | Closing Nonlapsing | ($100,000) | $0 | ($98,900) | $0 | $0 | | Lapsing Balance | ($4,100) | ($9,400) | $0 | ($75,900) | $0 | | Total | $21,584,100 | $21,691,300 | $22,417,800 | $24,016,200 | $24,134,200 |
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| | Programs: | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Administration | $1,424,700 | $1,499,700 | $1,643,900 | $1,824,700 | $1,448,900 | | Local Government Grants - Formula Funds | $14,567,300 | $14,543,600 | $15,058,700 | $15,724,800 | $11,418,500 | | Non-Formula Funds | $2,550,500 | $2,572,700 | $2,529,500 | $3,187,000 | $1,383,600 | | Aging Waiver Services | $0 | $0 | $0 | $0 | $2,281,000 | | Aging Alternatives | $0 | $0 | $0 | $0 | $4,020,400 | | Adult Protective Services | $3,041,600 | $3,075,300 | $3,185,700 | $3,279,700 | $3,581,800 | | Total | $21,584,100 | $21,691,300 | $22,417,800 | $24,016,200 | $24,134,200 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Personal Services | $3,619,500 | $3,696,300 | $3,913,700 | $4,178,000 | $4,396,200 | | In-State Travel | $73,500 | $82,800 | $84,100 | $84,900 | $83,700 | | Out of State Travel | $11,100 | $12,100 | $20,900 | $29,000 | $18,600 | | Current Expense | $544,600 | $501,800 | $502,700 | $477,800 | $180,700 | | DP Current Expense | $308,500 | $303,700 | $368,000 | $329,400 | $498,200 | | Other Charges/Pass Thru | $17,026,900 | $17,094,600 | $17,528,400 | $18,917,100 | $18,956,800 | | Total | $21,584,100 | $21,691,300 | $22,417,800 | $24,016,200 | $24,134,200 |
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| | Other Indicators | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Budgeted FTE | 63.4 | 63.9 | 63.5 | 63.6 | 65.0 | | Vehicles | 9 | 9 | 9 | 9 | 9 |
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Subcommittee Table of ContentsProgram: Administration Function This administrative office develops and monitors programs for older citizens. The office is responsible for the implementation of the Older Americans Act and related state programs. It receives federal funds, distributes these funds to local agencies, and provides required oversight, technical assistance, training, data collection, reporting, and monitoring. DAAS Administration enters into contracts with local Area Agencies on Aging (AAAs) for delivery of services for the aging population of Utah. It also administers the Medicaid Home- and Community-based Waiver, State Alternatives and Caregiver Respite programs, Adult Protective Services, and the Long Term Care Ombudsman program. Funding Detail | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $581,500 | $675,000 | $505,300 | $571,300 | $614,600 | | General Fund, One-time | $3,600 | $0 | $298,800 | $355,000 | ($50,000) | | Federal Funds | $726,500 | $730,100 | $620,200 | $901,800 | $859,700 | | Dedicated Credits Revenue | $11,100 | $0 | ($7,500) | $7,500 | $17,500 | | Transfers - H - Medical Assistance | $102,100 | $104,000 | $227,100 | ($10,900) | $7,100 | | Transfers - Other Agencies | $1,500 | $0 | $0 | $0 | $0 | | Pass-through | $2,500 | $0 | $0 | $0 | $0 | | Lapsing Balance | ($4,100) | ($9,400) | $0 | $0 | $0 | | Total | $1,424,700 | $1,499,700 | $1,643,900 | $1,824,700 | $1,448,900 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Personal Services | $1,113,700 | $1,177,600 | $1,292,300 | $1,444,700 | $1,288,000 | | In-State Travel | $25,500 | $32,100 | $33,700 | $34,500 | $25,700 | | Out of State Travel | $9,800 | $12,100 | $16,700 | $27,900 | $14,000 | | Current Expense | $182,500 | $174,300 | $140,200 | $176,300 | ($172,300) | | DP Current Expense | $93,200 | $103,600 | $161,000 | $141,300 | $233,800 | | Other Charges/Pass Thru | $0 | $0 | $0 | $0 | $59,700 | | Total | $1,424,700 | $1,499,700 | $1,643,900 | $1,824,700 | $1,448,900 |
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| | Other Indicators | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Budgeted FTE | 17.6 | 18.4 | 18.8 | 20.2 | 17.2 |
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Subcommittee Table of ContentsProgram: Local Government Grants - Formula Funds Function Funding for programs through the Older Americans Act is distributed to Area Agencies on Aging (AAAs) through an approved funding formula. In Utah, there are twelve AAAs (local government units) under contract with the state division. Five counties are separate service providers (Salt Lake, Davis, Tooele, San Juan, and Uintah). One provider is a cooperative venture between Weber and Morgan counties. The other six providers are associations of county governments (AOG): Mountainland AOG (Utah, Summit, and Wasatch), Five County AOG (Kane, Iron, Washington, Garfield, and Beaver), Six County AOG (Juab, Millard, Sevier, Wayne, Piute, and Sanpete), Southeast AOG (Carbon, Emery, and Grand), Uintah Basin AOG (Daggett and Duchesne), and Bear River AOG (Cache, Box Elder, and Rich). Grants are typically distributed by formulas developed by the State Board of Aging and Adult Services. Separate formulas have been developed for the distribution of: 1) the Older Americans Act, 2) General Fund appropriated for In-home Services, and 3) the Ombudsman program. Some of the services and programs operated by the AAAs are listed below. - Support Services: This includes outreach, transportation, friendly visitor, telephone reassurance services, and other services designed to provide support to individuals in their own homes. For FY 2008, there were over 214,000 units of service provided.
- Nutrition: The Area Agencies on Aging provide both group (congregate) and home-delivered meals. Approximately 34,462 people participate in the meals program. Recipients contribute approximately 25 percent of the cost of a meal. Many rural communities do not have meal programs available. Most existing programs have applicant lists for home-delivered meals.
- Nutrition Services Incentive Program: During FY 2003, Congress transferred the Nutrition Services Incentive Program from the Department of Agriculture to the Administration on Aging. This grant reimburses nutrition providers for a portion of the cost of the food.
- Elder Abuse Prevention: Abuse prevention consists of a public relations campaign promoting awareness of abuse as well as the need to report abuse, neglect, and exploitation of the elderly.
- Preventive Health: Preventive Health is an outreach and educational program designed to promote healthy life styles among the elderly.
- Long Term Care Ombudsman: An Ombudsman program is established in UCA 62A-3-201 to assist the elderly in 'asserting their civil and human rights as patients, residents, and clients of long term care facilities . . . .' There are currently 6.7 FTEs distributed statewide throughout the AAAs to handle investigations. In addition, there are also 20 volunteers who serve as ombudsmen. The Ombudsman program handled about 4,347 complaints in FY 2008, an increase of 19 percent from FY 2000.
- Caregiver Support Program: The caregiver support program is a state and federally funded program designed to provide assistance and respite to caregivers of adults suffering from long-term chronic illness. Support services aimed at reducing stress associated with care giving include counseling, training, organized support groups, respite care, and other limited supplemental services. During FY 2008, the program provided caregiver respite support to 656 caregivers.
Funding Detail | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $7,957,800 | $8,504,900 | $8,068,600 | $7,826,600 | $5,257,900 | | General Fund, One-time | $251,600 | $0 | $0 | $0 | $0 | | Federal Funds | $6,457,900 | $6,039,300 | $6,965,100 | $7,898,200 | $6,160,600 | | Dedicated Credits Revenue | $0 | ($600) | $25,000 | $0 | $0 | | Closing Nonlapsing | ($100,000) | $0 | $0 | $0 | $0 | | Total | $14,567,300 | $14,543,600 | $15,058,700 | $15,724,800 | $11,418,500 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Current Expense | $80,500 | $6,700 | $25,000 | $0 | $0 | | Other Charges/Pass Thru | $14,486,800 | $14,536,900 | $15,033,700 | $15,724,800 | $11,418,500 | | Total | $14,567,300 | $14,543,600 | $15,058,700 | $15,724,800 | $11,418,500 |
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Subcommittee Table of ContentsProgram: Non-Formula Funds Function The division also administers programs that have different funding sources and, as a result, do not use the funding formulas established by the Older Americans Act. Each program has its own funds distribution method for allocation to the AAAs and other subcontractors. These programs include: - National Senior Services Corps: This is a federally funded program to provide volunteer opportunities for senior citizens. These volunteer opportunities include socialization for seniors that are homebound or in nursing homes, tutoring school children, working with juvenile offenders, and staffing service agencies. The state office provides funds to assist volunteers with their transportation costs.
- Senior Health Insurance Information Program (SHIP): This federal program operates in every county in Utah and assists seniors in understanding the complexities of the various Medicare and Medicare supplement programs as well as the Medicaid program and long-term care products. During FY 2008, this program received 6,745 requests for information.
- Employment Services: This federally funded program subsidizes part-time employment and training for low-income seniors. During FY 2008, this program served 387 elderly citizens.
- Advocacy Information: The division provides information for inclusion into newsletters specifically targeted to the senior population, such as Utah Spirit Magazine. These publications provide information on available services as well as senior issues.
Funding Detail | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $1,366,200 | $1,064,200 | $1,176,000 | $2,196,600 | $627,300 | | General Fund, One-time | $0 | $300,000 | $0 | $0 | $100,000 | | Federal Funds | $932,800 | $728,800 | $569,000 | $939,400 | $656,300 | | Transfers - H - Medical Assistance | $251,500 | $379,700 | $883,400 | $28,000 | $0 | | Beginning Nonlapsing | $0 | $100,000 | $0 | $98,900 | $0 | | Closing Nonlapsing | $0 | $0 | ($98,900) | $0 | $0 | | Lapsing Balance | $0 | $0 | $0 | ($75,900) | $0 | | Total | $2,550,500 | $2,572,700 | $2,529,500 | $3,187,000 | $1,383,600 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Current Expense | $19,000 | $21,000 | $39,700 | $0 | $0 | | Other Charges/Pass Thru | $2,531,500 | $2,551,700 | $2,489,800 | $3,187,000 | $1,383,600 | | Total | $2,550,500 | $2,572,700 | $2,529,500 | $3,187,000 | $1,383,600 |
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Subcommittee Table of ContentsProgram: Aging Waiver Services Function This waiver program (meaning a waiver from normal Medicaid statutory requirements) permits Medicaid funding for services to the elderly in non-institutional settings. These services allow seniors to maintain their independence and postpone the potential need for an institutional placement. Medicaid requires that the cost of services not exceed the cost of nursing homes. Currently, this program serves about 784 Utah senior citizens enabling them to continue residing in their own homes. Funding Detail This program was established as its own separate unit in the 2008 General Session of the Legislature. | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $0 | $0 | $0 | $0 | $1,686,800 | | General Fund, One-time | $0 | $0 | $0 | $0 | $166,500 | | Federal Funds | $0 | $0 | $0 | $0 | $13,900 | | Transfers - H - Medical Assistance | $0 | $0 | $0 | $0 | $413,800 | | Total | $0 | $0 | $0 | $0 | $2,281,000 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Personal Services | $0 | $0 | $0 | $0 | $146,000 | | In-State Travel | $0 | $0 | $0 | $0 | $2,700 | | Out of State Travel | $0 | $0 | $0 | $0 | $2,800 | | Current Expense | $0 | $0 | $0 | $0 | $75,000 | | DP Current Expense | $0 | $0 | $0 | $0 | $3,900 | | Other Charges/Pass Thru | $0 | $0 | $0 | $0 | $2,050,600 | | Total | $0 | $0 | $0 | $0 | $2,281,000 |
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| | Other Indicators | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Budgeted FTE | 0.0 | 0.0 | 0.0 | 0.0 | 2.0 |
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Subcommittee Table of ContentsProgram: Aging Alternatives Function This program makes available a wide variety of services including in-home services, personal care, home health aides, respite, day care, and transportation. Clients must meet income and eligibility guidelines to receive services and fees are assessed based on ability to pay. During 2008, 1,049 Utah seniors received services under this program. These services enabled them to remain in their own homes. Funding Detail This program was established as its own separate unit in the 2008 General Session of the Legislature. | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $0 | $0 | $0 | $0 | $2,945,800 | | Federal Funds | $0 | $0 | $0 | $0 | $1,074,600 | | Total | $0 | $0 | $0 | $0 | $4,020,400 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Personal Services | $0 | $0 | $0 | $0 | $67,300 | | In-State Travel | $0 | $0 | $0 | $0 | $1,300 | | Current Expense | $0 | $0 | $0 | $0 | $1,800 | | Other Charges/Pass Thru | $0 | $0 | $0 | $0 | $3,950,000 | | Total | $0 | $0 | $0 | $0 | $4,020,400 |
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| | Other Indicators | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Budgeted FTE | 0.0 | 0.0 | 0.0 | 0.0 | 1.0 |
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Subcommittee Table of ContentsProgram: Adult Protective Services Function Adult Protective Services (APS) is both a state and federal mandated program to protect vulnerable and elderly adults, age 18 and over, from abuse, neglect, and exploitation. Utah has a mandatory reporting law requiring all citizens to report suspected cases of abuse, neglect, and exploitation. APS investigates these referrals and takes action to protect the individual from further harm. Victims are referred to other agencies for services. In FY 2008, APS investigated 2,305 referrals. Funding Detail | Sources of Finance | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | General Fund | $2,168,400 | $2,241,500 | $3,188,900 | $3,279,700 | $3,582,000 | | General Fund, One-time | $16,500 | $0 | ($3,500) | $0 | $0 | | Federal Funds | $855,600 | $832,700 | $0 | $0 | ($200) | | Dedicated Credits Revenue | $1,100 | $1,100 | $300 | $0 | $0 | | Total | $3,041,600 | $3,075,300 | $3,185,700 | $3,279,700 | $3,581,800 |
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| | Categories of Expenditure | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Personal Services | $2,505,800 | $2,518,700 | $2,621,400 | $2,733,300 | $2,894,900 | | In-State Travel | $48,000 | $50,700 | $50,400 | $50,400 | $54,000 | | Out of State Travel | $1,300 | $0 | $4,200 | $1,100 | $1,800 | | Current Expense | $262,600 | $299,800 | $297,800 | $301,500 | $276,200 | | DP Current Expense | $215,300 | $200,100 | $207,000 | $188,100 | $260,500 | | Other Charges/Pass Thru | $8,600 | $6,000 | $4,900 | $5,300 | $94,400 | | Total | $3,041,600 | $3,075,300 | $3,185,700 | $3,279,700 | $3,581,800 |
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| | Other Indicators | 2005
Actual | 2006
Actual | 2007
Actual | 2008
Actual | 2009
Approp | | Budgeted FTE | 45.8 | 45.5 | 44.7 | 43.4 | 44.8 | | Vehicles | 9 | 9 | 9 | 9 | 9 |
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Subcommittee Table of Contents |