Florida Department of Elder Affairs

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Florida Department of Elder Affairs

• 2007-2008
• Legislative Budget Request
• October 13, 2006
• Presented by J. Alex Kelly, Director of
  Legislative Affairs

Jeb Bush Governor
Carole GreenSecretary
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DOEAs Long-RangeMission, Vision and Values
Mission To create an environment that provides
choices, promotes independence and enables older
Floridians to remain in their communities for a
lifetime. Vision To lead the nation in assisting
elders to age in place, with dignity, purpose,
security, and in an elder-friendly
community. Values Elder Rights Compassion Accou
ntability Caregiver Support Volunteerism Quality
Intergenerational Partnerships Diversity
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Overview

• 07-08 LBR 378.1 million
• 06-07 372.0 million
• Since 1999, the department has received a 74
  percent increase in funding for elder services.
• During the 2005-06 fiscal year, approximately
  635,252 elders age 60 and older received services
  funded by the federal Older Americans Act,
  state-funded programs such as Community Care for
  the Elderly and the Alzheimers Disease
  Initiative and Medicaid waiver home and
  community-based services and other information
  and referral and outreach efforts.

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Comprehensive Eligibility Services

• 07-08 LBR 16,161,599 255 FTEs
• 06-07 15,440,712 255 FTEs
• This service is a federally mandated,
  pre-admission screening to ensure elder and
  disabled applicants for Medicaid reimbursed
  nursing home care are medically appropriate. The
  purpose of the Comprehensive Assessment and
  Review for Long-Term Care Services (CARES) is to
  objectively identify the degree of frailty
  establish appropriate level of care (medical
  eligibility) for nursing home admission and
  recommend the least restrictive, most appropriate
  placement and services.

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Home Community-Based Services

• 07-08 LBR 346,970,531 53 FTEs
• 06-07 342,293,663 53 FTEs
• Home Community-Based Services allow elders to
  age in place with dignity and security, prevents
  premature nursing home placement and is
  cost-effective. The major focus is on providing
  in-home services for elders who are at risk of
  nursing home placement because of their degree of
  frailty. Private contractors provide various
  services such as congregate meals, in-home care,
  emergency energy assistance, Medicaid waiver
  services, Alzheimers Disease services, and
  caregiver and respite services.

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Executive Direction Support

• 07-08 LBR 9,649,388 83 FTEs
• 06-07 9,081,034 83 FTEs
• Executive Direction and Support Services provide
  accountability, maximize resources, oversee the
  proper allocation and use of taxpayer dollars,
  emphasize cost containment, and foster
  competition and partnerships. Emphasis is placed
  on diverting elders from more costly nursing home
  placements to Home and Community-Based services
  through continuous review of performance,
  quality, compliance, accountability and cost
  containment strategies.

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Consumer Advocate Services

• 07-08 LBR 5,365,323 20.5 FTEs
• 06-07 5,210,742 20.5 FTEs
• Consumer Advocate Services focuses on providing
  protection and oversight for the most vulnerable
  elders those who are in nursing homes, or those
  who are incapacitated and require guardianship
  services but have no private guardian. The
  Florida Long-Term Care Ombudsman Program and the
  Statewide Public Guardianship Office ensure the
  security of vulnerable elders by providing
  quality assurance functions for elder Floridians
  to voice concerns and to have those concerns
  properly addressed.

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Priority Issue 1Supporting Nutrition Wellness

• DOEA is requesting 293,267 in recurring
  funding to support the Adult Care Food Program.
• Program staff train and assist adult care
  centers to become meal providers and eligible for
  federal reimbursement, maximizing the use of
  minimal state resources. Since the programs
  inception in FY 1997-1998, program participation
  has increased from 1,426 elder recipients to
  approximately 9,005 elder recipients in FY
  2005-2006. The programs current budget afforded
  participating centers more than 4.5 million in
  federal funds for meal reimbursements.

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Priority Issue 2Enhancing Volunteer
Opportunities

• DOEA is requesting 217,350 in recurring GR be
  shifted to develop a comprehensive volunteer
  program that includes an intergenerational
  component and draws on the strengths and skills
  of the states older population (Per s.
  430.07(7), F.S.).
• The principal portion of this request will
  support the Communities for a Lifetime
  initiative, an initiative of Governor Jeb Bush,
  which enables local governments to create a more
  livable community for elders and caregivers
  through efforts that benefit all Floridians. The
  requested shift in funds will provide direct
  assistance to communities to enhance volunteer
  opportunities for seniors statewide.