Group: Social 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 the Division of Substance Abuse and Mental Health and the Division of Aging and Adult Services forego site visits of county mental health, substance abuse, and aging programs during FY 2011 and conduct statutorily required monitoring through reports submitted by electronic or other means and report back to the Office of the Legislative Fiscal Analyst on or before January 1, 2011 concerning the outcome of this monitoring technique. All General Funds appropriated to the Division of Aging and Adult Services line item are contingent upon expenditures from Federal Funds - American Recovery and Reinvestment Act (H.R. 1, 111th United States Congress) not exceeding amounts appropriated from Federal Funds - American Recovery and Reinvestment Act in all appropriation bills passed for FY 2011. If expenditures in the Division of Aging and Adult Services line item from Federal Funds - American Recovery and Reinvestment Act exceed amounts appropriated to the Division of Aging and Adult Services line item from Federal Funds - American Recovery and Reinvestment Act in FY 2011, the Division of Finance shall reduce the General Fund allocations to the Division of Aging and Adult Services line item by one dollar for every one dollar in Federal Funds - American Recovery and Reinvestment Act expenditures that exceed Federal Funds - American Recovery and Reinvestment Act appropriations. Performance The Office of the Legislative Fiscal Analyst completed an in-depth budget review of the Department of Human Services in November, 2010. As part of that review, a five year history of each agency's output and outcome measures was documented on pages 65 through 74 of Appendix 3 of the report. Funding Detail For analysis of current budget requests and discussion of issues related to budgets covered by this subcommittee click here. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $12,938,800 | $13,874,200 | $12,049,300 | $11,867,500 | $12,471,300 | | General Fund, One-time | $295,300 | $355,000 | $801,100 | $593,900 | ($79,000) | | Federal Funds | $8,154,300 | $9,739,400 | $11,032,700 | $10,187,900 | $8,705,300 | | American Recovery and Reinvestment Act | $0 | $0 | $314,800 | $1,268,000 | $201,600 | | Dedicated Credits Revenue | $17,800 | $7,500 | $0 | $30,000 | $0 | | Transfers - H - Medical Assistance | $1,110,500 | $17,100 | $548,200 | ($538,300) | $443,600 | | Transfers - Within Agency | $0 | $0 | ($3,000) | ($3,000) | $0 | | Beginning Nonlapsing | $0 | $98,900 | $0 | $0 | $0 | | Closing Nonlapsing | ($98,900) | $0 | $0 | $0 | $0 | | Lapsing Balance | $0 | ($75,900) | ($7,400) | ($270,300) | $0 | | Total | $22,417,800 | $24,016,200 | $24,735,700 | $23,135,700 | $21,742,800 |
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| | Programs: | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Administration | $1,643,900 | $1,824,700 | $1,489,200 | $1,228,600 | $1,143,100 | | Local Government Grants - Formula Funds | $15,058,700 | $15,724,800 | $12,483,800 | $12,792,600 | $10,835,500 | | Non-Formula Funds | $2,529,500 | $3,187,000 | $1,422,600 | $1,373,700 | $777,300 | | Aging Waiver Services | $0 | $0 | $2,007,700 | $902,200 | $2,164,600 | | Aging Alternatives | $0 | $0 | $4,005,700 | $4,015,400 | $4,020,500 | | Adult Protective Services | $3,185,700 | $3,279,700 | $3,326,700 | $2,823,200 | $2,801,800 | | Total | $22,417,800 | $24,016,200 | $24,735,700 | $23,135,700 | $21,742,800 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $3,913,700 | $4,178,000 | $4,275,600 | $3,637,200 | $3,733,700 | | In-state Travel | $84,100 | $84,900 | $71,600 | $43,000 | $57,800 | | Out-of-state Travel | $20,900 | $29,000 | $18,000 | $7,000 | $7,500 | | Current Expense | $502,700 | $477,800 | $428,700 | $371,700 | $283,200 | | DP Current Expense | $368,000 | $329,400 | $271,100 | $386,500 | $195,900 | | Other Charges/Pass Thru | $17,528,400 | $18,917,100 | $19,670,700 | $18,690,300 | $17,464,700 | | Total | $22,417,800 | $24,016,200 | $24,735,700 | $23,135,700 | $21,742,800 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 63.5 | 63.6 | 63.4 | 56.0 | 53.0 | | 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 | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $505,300 | $571,300 | $65,500 | $385,000 | $329,600 | | General Fund, One-time | $298,800 | $355,000 | $92,300 | $44,600 | $0 | | Federal Funds | $620,200 | $901,800 | $1,341,800 | $774,000 | $813,500 | | American Recovery and Reinvestment Act | $0 | $0 | $0 | $7,800 | $0 | | Dedicated Credits Revenue | ($7,500) | $7,500 | $0 | $30,000 | $0 | | Transfers - H - Medical Assistance | $227,100 | ($10,900) | $0 | $0 | $0 | | Transfers - Within Agency | $0 | $0 | ($3,000) | ($3,000) | $0 | | Lapsing Balance | $0 | $0 | ($7,400) | ($9,800) | $0 | | Total | $1,643,900 | $1,824,700 | $1,489,200 | $1,228,600 | $1,143,100 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $1,292,300 | $1,444,700 | $1,213,000 | $977,100 | $922,900 | | In-state Travel | $33,700 | $34,500 | $25,900 | $12,300 | $14,600 | | Out-of-state Travel | $16,700 | $27,900 | $10,600 | $7,000 | $5,200 | | Current Expense | $140,200 | $176,300 | $161,000 | $101,700 | $99,200 | | DP Current Expense | $161,000 | $141,300 | $78,700 | $130,500 | $101,200 | | Total | $1,643,900 | $1,824,700 | $1,489,200 | $1,228,600 | $1,143,100 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 18.8 | 20.2 | 16.7 | 13.3 | 13.3 |
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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.
- Nutrition: The Area Agencies on Aging provide both group (congregate) and home-delivered meals. Recipient donations account for 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 FTE distributed statewide throughout the AAAs to handle investigations. In addition, there are also 20 volunteers who serve as ombudsmen.
- 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.
Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $8,068,600 | $7,826,600 | $6,061,400 | $3,982,200 | $4,671,200 | | General Fund, One-time | $0 | $0 | $683,200 | $985,200 | $0 | | Federal Funds | $6,965,100 | $7,898,200 | $5,739,200 | $7,248,400 | $6,160,600 | | American Recovery and Reinvestment Act | $0 | $0 | $0 | $571,700 | $3,700 | | Dedicated Credits Revenue | $25,000 | $0 | $0 | $0 | $0 | | Lapsing Balance | $0 | $0 | $0 | $5,100 | $0 | | Total | $15,058,700 | $15,724,800 | $12,483,800 | $12,792,600 | $10,835,500 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Current Expense | $25,000 | $0 | $0 | $0 | $0 | | DP Current Expense | $0 | $0 | $0 | $169,400 | $0 | | Other Charges/Pass Thru | $15,033,700 | $15,724,800 | $12,483,800 | $12,623,200 | $10,835,500 | | Total | $15,058,700 | $15,724,800 | $12,483,800 | $12,792,600 | $10,835,500 |
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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.
- Employment Services (SCSEP): This federally funded program subsidizes part-time employment and training for low-income seniors.
- 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 | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $1,176,000 | $2,196,600 | $195,500 | $121,000 | $121,000 | | General Fund, One-time | $0 | $0 | $100,000 | $0 | $0 | | Federal Funds | $569,000 | $939,400 | $1,127,100 | $1,090,900 | $656,300 | | American Recovery and Reinvestment Act | $0 | $0 | $0 | $151,000 | $0 | | Transfers - H - Medical Assistance | $883,400 | $28,000 | $0 | $0 | $0 | | Beginning Nonlapsing | $0 | $98,900 | $0 | $0 | $0 | | Closing Nonlapsing | ($98,900) | $0 | $0 | $0 | $0 | | Lapsing Balance | $0 | ($75,900) | $0 | $10,800 | $0 | | Total | $2,529,500 | $3,187,000 | $1,422,600 | $1,373,700 | $777,300 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Current Expense | $39,700 | $0 | $0 | $0 | $0 | | Other Charges/Pass Thru | $2,489,800 | $3,187,000 | $1,422,600 | $1,373,700 | $777,300 | | Total | $2,529,500 | $3,187,000 | $1,422,600 | $1,373,700 | $777,300 |
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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. Funding Detail This program was established as its own separate unit in the 2008 General Session of the Legislature. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $0 | $0 | $1,219,100 | $1,662,000 | $1,662,800 | | General Fund, One-time | $0 | $0 | ($74,400) | ($391,700) | ($140,000) | | Federal Funds | $0 | $0 | $0 | $0 | $300 | | American Recovery and Reinvestment Act | $0 | $0 | $314,800 | $330,800 | $197,900 | | Transfers - H - Medical Assistance | $0 | $0 | $548,200 | ($538,300) | $443,600 | | Lapsing Balance | $0 | $0 | $0 | ($160,600) | $0 | | Total | $0 | $0 | $2,007,700 | $902,200 | $2,164,600 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $0 | $0 | $156,200 | $153,800 | $242,000 | | In-state Travel | $0 | $0 | $3,800 | $900 | $3,800 | | Out-of-state Travel | $0 | $0 | $5,500 | $0 | $2,300 | | Current Expense | $0 | $0 | $4,900 | $6,400 | $8,100 | | DP Current Expense | $0 | $0 | $2,800 | $5,100 | $3,100 | | Other Charges/Pass Thru | $0 | $0 | $1,834,500 | $736,000 | $1,905,300 | | Total | $0 | $0 | $2,007,700 | $902,200 | $2,164,600 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 0.0 | 0.0 | 2.9 | 3.4 | 3.4 |
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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. Funding Detail This program was established as its own separate unit in the 2008 General Session of the Legislature. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $0 | $0 | $2,931,100 | $2,945,300 | $2,945,900 | | General Fund, One-time | $0 | $0 | $0 | ($500) | $0 | | Federal Funds | $0 | $0 | $1,074,600 | $1,074,600 | $1,074,600 | | Lapsing Balance | $0 | $0 | $0 | ($4,000) | $0 | | Total | $0 | $0 | $4,005,700 | $4,015,400 | $4,020,500 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $0 | $0 | $72,500 | $74,100 | $71,900 | | In-state Travel | $0 | $0 | $2,300 | $1,200 | $2,300 | | Current Expense | $0 | $0 | $1,100 | $2,700 | $1,700 | | Other Charges/Pass Thru | $0 | $0 | $3,929,800 | $3,937,400 | $3,944,600 | | Total | $0 | $0 | $4,005,700 | $4,015,400 | $4,020,500 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 0.0 | 0.0 | 0.1 | 1.0 | 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. Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $3,188,900 | $3,279,700 | $1,576,700 | $2,772,000 | $2,740,800 | | General Fund, One-time | ($3,500) | $0 | $0 | ($43,700) | $61,000 | | Federal Funds | $0 | $0 | $1,750,000 | $0 | $0 | | American Recovery and Reinvestment Act | $0 | $0 | $0 | $206,700 | $0 | | Dedicated Credits Revenue | $300 | $0 | $0 | $0 | $0 | | Lapsing Balance | $0 | $0 | $0 | ($111,800) | $0 | | Total | $3,185,700 | $3,279,700 | $3,326,700 | $2,823,200 | $2,801,800 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $2,621,400 | $2,733,300 | $2,833,900 | $2,432,200 | $2,496,900 | | In-state Travel | $50,400 | $50,400 | $39,600 | $28,600 | $37,100 | | Out-of-state Travel | $4,200 | $1,100 | $1,900 | $0 | $0 | | Current Expense | $297,800 | $301,500 | $261,700 | $260,900 | $174,200 | | DP Current Expense | $207,000 | $188,100 | $189,600 | $81,500 | $91,600 | | Other Charges/Pass Thru | $4,900 | $5,300 | $0 | $20,000 | $2,000 | | Total | $3,185,700 | $3,279,700 | $3,326,700 | $2,823,200 | $2,801,800 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 44.7 | 43.4 | 43.7 | 38.3 | 35.3 | | Vehicles | 9 | 9 | 9 | 9 | 9 |
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Subcommittee Table of Contents |