1. Albany Guardian Society’s Educational Institute
Thursday, June 20, 2013
Laurie Bacheldor
Manager, Schenectady County Department of Senior & Long Term Care Services
Judy Coyne
Commissioner, Albany County Department for Aging
Sandra Cross
Director, Saratoga County Office for the Aging
Carol Rosbozom
Director, Rensselaer County Unified Family Services, Department for the Aging
An Overview of Area Agencies on Aging & the Aging Services Network
Laura A. Cameron, Executive Director
New York State Association of Area Agencies on Aging
A Conversation with the Directors of
our Four Area Agencies on Aging

2. "For too long, too many Americans have faced the impossible choice
between moving to an institution or living at home without the long-
term services and supports they need. The goal of the new
Administration for Community Living will be to help people with
disabilities and older Americans live productive, satisfying lives."
Secretary Kathleen Sebelius
April 16, 2012
2

3. Aging Services Network
3

4. Office of Supportive
and Caregiver Services
Greg Case Director
Administration on Aging Kathy
Greenlee Assistant
Secretary Edwin Walker
Deputy
Assistant Secretary
Office of Budget and
Finance Steve
Hagy Director
Office of Grants
Management
Rimas Liogys Director
Office of Information
Resources Management
Dan Berger Acting
Director
Office of Administration
and Personnel
Terry Nicolosi Director
Office of Policy Analysis
and Development
Mimi Toomey
Director
Office of Nutrition and
Health Promotion
Programs
Laura Lawrence
Director
Kathy Greenlee
Administrator
ACL
Organizational
Chart (Jan. 2013)
Office of Long-Term Care
Ombudsman Programs Becky
Kurtz Director
Office of Regional
Operations Aviva
Sufian
Director
Office of Innovation
Ophelia McLain
Director
Office of Program
Support Jennifer
Johnson
Director
Office of Elder Rights
Barbara Dieker Director
Office of
External Affairs
Carol Crecy
Director
Center for Management
and Budget
Dan Berger
Deputy Administrator
Sharon Lewis
Acting
Principal Deputy Administrator
Center for Disability and Aging
Policy
John Wren
Deputy Administrator
Office of American Indian,
Alaskan Native and Native
Hawaiian Programs
Cynthia LaCounte Director
Office of Performance
and Evaluation Bob
Hornyak Director
Administration on Intellectual
and Developmental Disabilities
Sharon Lewis, Commissioner
Jamie Kendall, Deputy
Commissioner
President’s Committee
for People with
Intellectual Disabilities
VACANT
Senior Advisor
Region I Kathleen
Otte Regional
Administrator
Office of Integrated
Programs Lori
Gerhard Director
Region II
Kathleen Otte
Regional Administrator
Region III
Kathleen Otte
Regional Administrator
Region IV Costas
Miskis Regional
Administrator
Region V Jim
Varpness
Regional Administrator
Region VI Percy
Devine Regional
Administrator
Region VII Jim
Varpness
Regional Administrator
Region VIII
Percy Devine Regional
Administrator
Region IX
David Ishida
Regional Administrator
Region X David
Ishida Regional
Administrator 4

5. Older Americans Act:
The Centerpiece for Long-Term Services & Supports
Older Americans Act Structure at a Glance
Title I
Declaration of Objectives. Sets out broad social policy objectives oriented toward improving the lives
of all older people.
Title II
Administration on Aging (AoA). Establishes AoA within the Department of Health and Human
Services (HHS) as the chief federal agency advocate for older persons and sets out the
responsibilities of AoA and the Assistant Secretary for Aging. Establishes aging network support
activities.
Title III
Grants for State and Community Programs on Aging. Authorizes activities of state and area agencies
on aging and funds for supportive and nutrition services, family caregiver support, and disease
prevention and health promotion activities.
Title IV Activities for Health, Independence, and Longevity. Authorizes research, training, and
demonstration projects in the field of aging.
Title V
Community Service Senior Opportunities Act. Authorizes grants to support part-time employment
opportunities for unemployed low income people age 55 and older who have poor employment
prospects.
Title VI
Grants for Native Americans. Authorizes grants for supportive and nutrition services to American
Indians, Alaskan Natives, and Native Hawaiians.
Title VII
Vulnerable Elder Rights Protection Activities. Authorizes grants for the long-term care ombudsman
program and services to prevent elder abuse, neglect, and exploitation. 5

6. 6Source: Prepared by the National Health Policy Forum, based on e-mail communications
with AoA staff and phone conversations with DOL staff February 2012.
Older Americans Act
Federal Fiscal Year 2012
Funds for all States

7. National Aging Network:
Helps 11 Million Seniors (and their Caregivers) Remain at
Home
Through Funding from the Older Americans Act
AoA
56 State Units, 629 Area Agencies &
246 Tribal Organizations
20,000 Service Providers & 500,000
Volunteers
Provide Services and Supports to 1 in 5 Seniors
26
Million
Rides
26
Million
Rides
35 Million
Hours of
Personal Care
35 Million
Hours of
Personal Care
240
Million
Meals
240
Million
Meals
135,000
Caregivers
Trained
135,000
Caregivers
Trained
4 Million Hours
of Case
Management
4 Million Hours
of Case
Management
792,000
Caregivers
Assisted
792,000
Caregivers
Assisted
6.4 Million
Hours of
Respite Care
6.4 Million
Hours of
Respite Care 7

8. Aging Network in New York State:
Helps 562,151 Seniors (and their Caregivers)
Remain At Home Through Low-Cost Community Based-Services
NYS
NY State Office for the Aging,
59 Area Agencies on Aging
1,900 Service Providers &
1,000 volunteers
Provide Services and Supports to 1 in 7 Seniors
10.4 million
Congregate
Meals
10.4 million
Congregate
Meals
2.7 million
hours of
Personal Care
2.7 million
hours of
Personal Care
12.4 million
Home
Delivered
Meals
12.4 million
Home
Delivered
Meals
143,000
HIICAP client
contacts
143,000
HIICAP client
contacts
809,500
Hours of Case
Management
809,500
Hours of Case
Management
Transportation
1.9 million
rides
Transportation
1.9 million
rides 8

9. Show me the money...
9

10. The Age Wave
10
Based on demographic projections,
New York State’s senior citizens will
increase dramatically:
The 60+ population is expected to reach 5,302,667
by the year 2030
68% increase from 2000 to 2030

11. Through the Looking Glass
Demographics is Destiny:
Alice ponders what the world is like on the other side of a
mirror's reflection, and discovers that she is able to step
through it to an alternative world – the Aging Services Network.
11
Age 75+ Age 85+

12. The 75+ population will to increase to 1,815,879 The 85+ population will increase to 566,423
70% increase from 2000 to 2030 73.5% increase from
2000 to 2030
12
Through the Looking Glass
of the Aging Network,
we can see the future

13. Demographic Shifts in 20th
Congressional District
(Capital Region Counties)
13

14. Demographic Shifts in 19th Congressional
District
(Rensselaer & areas southwest of the Capital Region)
14

15. To the rescue:
Local Offices for the Aging
AAAs promote efficient and effective use of resources by incorporating these elements into their
service delivery system:
AAAs promote early identification and intervention. Early identification and intervention has long
been proven to promote cost containment. This is especially relevant in the long term care arena
when late stage intervention often means nursing home placement.
AAAs promote independence of the individual . Seniors living independently in their own homes is
both cost effective to the state and beneficial to the individual.
AAAs focus on family. Family and other informal caregivers remain the primary source of care for
clients served by the Aging Network. AAAs not only acknowledge caregivers in a client’s care
plan, but also provide a vital support network to caregivers to help them cope with their
increasing responsibilities.
AAAs employ a non-medical model. In a medical model, the emphasis is on illness and treatment,
whereas in the non-medical model, the focus is on issues related to strengths and wellness. An
underlying principle is the emphasis on respecting individual differences and promoting individual
choices.
AAAs promote flexibility. AAAs provide a care plan to suit each senior’s individual needs,
reassessing and adjusting services over time. Seniors are provided with only those services that
are deemed appropriate for their current needs.
15

16. To the rescue - continued
AAAs are effective and efficient. The Aging Network is a true network
in that it employs all available community services. As situations
change, AAAs have found creative ways to tap community and
government resources. AAAs are challenged to utilize every resource
available, making it the number one goal to keep families together and
as independent as possible, for as long as possible.
AAAs are positioned to impact Long Term Care Reform. Through the
local NY Connects programs, AAAs have brought together over 1,600
consumers, providers and other stakeholders involved in the care of
seniors and the disabled. They have formed local long-term care
councils to analyze the gaps in the long term care services provided in
their communities, and are developing plans and implementing
strategies to address the identified issues. The systems change work
the councils are doing is critically important in utilizing existing
resources and bringing together a wide spectrum of stakeholders.
16

17. OFAs serve frail, low-income, non-Medicaid
seniors most at risk of nursing home
placement
17

18. OFA Services are Cost Effective
Office for Aging Services vs. Nursing Home Average Cost
Annual cost of $10,000 vs. $100,000
18

19. The Proof: Report #1
The Older Americans Act Impact on Diverting
Unnecessary Nursing Home Placement
2012 Report:
The Relationship between Older Americans Act Title III State Expenditures
and Prevalence of Low-Care Nursing Home Residents
•Objective. To test the relationship between older Americans Act (OAA)
program expenditures and the prevalence of low-care residents in nursing
homes (NHs).
•Principal Findings. Results indicate that increased spending on home-
delivered meals was associated with fewer residents in NHs with low-care
needs.
•Conclusions. States that have invested in their community-based service
networks, particularly home-delivered meal programs, have proportionally
fewer low-care NH residents.
•Closing paragraph: “This article reveals that despite efforts to rebalance LTC,
there are still many NH residents who have the functional capacity to live in a
less restrictive environment. The challenge for states and CMS will be to build
and invest in systems and programs that divert unnecessary NH placement for
individuals who can be sustained in the community.”
Source: Thomas, Kali A. and Vincent Mor. Health Research and Educational Trust. Published online December
3, 2012. Health Services Research, Volume 48, Issue 3, pages 1215-1226, June 2013
19

20. The Proof: Reports #2 & 3
Evaluation Reports on Nursing Home
Diversion• Nursing Home Diversion Modernization Program, Final Evaluation Report.
January 18, 2011. Broome, Oneida and Onondaga (Sept. 2008 – Sept. 2010)
• Community Living Program, Final Evaluation Report. December 16, 2012.
Albany, Cayuga, Dutchess, Orange, Otsego, Tompkins, Washington (Sept. 2009 – Sept.
2012)
Both reports prepared by: Center for Excellence in Aging & Community Wellness, Univ. at Albany
Outcomes Data
• All 93 of the program participants were at high risk for nursing home placement and of
spending down their income and assets to the Medicaid level. (NHDM, 2011)
• All 114 of the program participants were at high risk for nursing home placement and of
spending down their incomes and assets to the Medicaid level. (CLP, 2012)
Nursing Home Placement
• 81% of the 93 participants in the program did NOT enter a nursing home during the
program period. (NHDM, 2011)
• 89% of 114 participants did NOT enter a nursing home during the program period. (CLP,
2012)
Medicaid Spend-Down
• 83% of 93 participants did NOT spend down to Medicaid. (NHDM, 2011)
• Only 1 of 114 participants entered Medicaid supported home care. Note, however, that 9
20

21. Livable Communities for Successful Aging
21

22. The Growing Contributions and Costs of
Family Caregiving
• Over 2.2 million informal caregivers – friends, family and neighbors –
provide direct care to people of all ages with disabilities.
• If the work of these caregivers had to be replaced by paid home care
workers, the cost would be $32 billion annually in New York State
(Valuing the Invaluable: 2011 Update - The Growing Contributions and Costs of Family
Caregiving, AARP, page 27, Table B1).
• 2009 NYSOFA report, Sustaining Informal Caregivers: Caregiver Support
Programs Participants Survey:
• Caregiver support services and community resources help caregivers to
provide care longer and may also help delay or prevent nursing home
placement. Caregivers spend 62.6 hours a week providing care.
• 36% reported their receivers of care cannot be left alone at home.
• 42% reported that their receivers of care can only be left alone for short
periods of time or need to be checked on in person several times a day.
22

23. Core AAA Programs to foster
independence
1 - NY Connects
Provides information and assistance for consumers of all ages seeking
long term services and supports, helping them remain independent.
Predominantly operated by AAAs
2 - Expanded In Home Services for the Elderly Program (EISEP)
EISEP is designed to provide non-medical services including personal
care or housekeeping services. Case managers determine need
through an assessment.
3 - Wellness in Nutrition (WIN)
(previously Supplemental Nutrition Assistance Program, SNAP)
Provides meals for qualifying seniors either in a congregate setting or
as a home delivered meal. Each meal provides at least one-third
recommended daily allowance (RDA) for nutrition. Nutrition education
and counseling are also offered.
23

24. Core AAA Programs - continued
4 - Community Services for The Elderly (CSE)
CSE provides services such as case management, meals, adult
day services, home care, transportation, health promotion and
information and assistance.
5 - Health Insurance Information Counseling & Assistance
Program (HIICAP)
HIICAP provides information to seniors on Medicare, Medicaid,
managed care, EPIC, and other health insurance options and
issues, and also assists Medicare beneficiaries to access needed
health care and to apply for programs such as the Medicare
Savings Program. 24

25. 1- NY Connects:
Choices for Long Term Care
Services
NY Connects is a statewide, locally based “no wrong door” entry
point” into the long term care system and provides one stop
access to free, objective and comprehensive Information and
Assistance on long term services and supports (LTSS). A locally-
based community resource, NY Connects links individuals of all
ages (and their caregivers) with the most appropriate services
and supports, regardless of payment source.
25

26. 1 – NY Connects: ADRC Status has
generated $12+ million in grants in New
York State
26
GRANT PROGRAM TOTAL AWARD
Nursing Home Diversion Modernization (2008): 3 counties $ 927,710
Veteran Directed Home and Community Based Services Program1 (2008):
4 counties
Up to $1,000,000
(estimated)
Community Living Program (2009): 10 counties $ 959,284
Aging and Disability Resource Center Grant (2009): 2 counties $ 680,171
Chronic Disease Self-Management Program (2009): Statewide
ARRA Funding
$ 1,190,610
Lifespan Respite Care Program (2010): Statewide $ 188,950
Medicare Improvement for Patients and Providers Act (MIPPA) for
Beneficiary Outreach and Assistance (2010): Statewide
Affordable Care Act funds
$ 2,567,032
ADRC Evidenced-Based Care Transitions Program (2010): 1 county
Affordable Care Act funds
$ 430,000
ADRC Nursing Home Transition and Diversion Program (2010): 1 region
(DOH)
Affordable Care Act funds
$ 399,600
Accelerating Integrated, Evidence-Based, and Sustainable Service Systems
for Older Adults, Individuals with Disabilities_Part A (2011): 51 counties
$ 2,616,900
Accelerating Integrated, Evidence-Based, and Sustainable Service Systems
for Older Adults, Individuals with Disabilities_Part B (2011):
6 Alzheimer’s Association Chapters
$ 686,000
Chronic Disease Self-Management Education Programs (2012): Statewide
2012 Prevention and Public Health Funds
$ 575,000
(for Year 1)
Estimated Total: $12,221,257
1 Payment for services provided to Veterans in participating counties goes directly to AAAs.

27. 1 - NY Connects: Included in BIP
Application
Balancing Incentive Program (BIP) - provides grants to States to increase access
to non-institutional long-term services and supports (LTSS) and transform LTC
systems.
•$600 million grant awarded to New York State by the federal government in March 2013
in order to continue to rebalance the system. Provides New York State an additional 2% in
FMAP (Federal Matching Assistance Percentage, essentially Medicaid funding) to continue
to rebalance its long term services and supports system.
•Three primary deliverables (from page 1 of New York’s BIP application):
• No Wrong Door/Single Entry Point: Enhance the existing NY Connects Network,
which is currently operational in 54 counties and serves as an information and
assistance system for long term care services.
• Core Standardized Assessment Instrument: Continue implementation of the
Uniform Assessment System (UAS-NY) and align with other agencies to ensure
compliance with the core data set.
• Conflict-Free Case Management Services: Remediate any case management
arrangements that do not align with the principles of BIP.
The Balancing Incentive Program also provides new ways to serve more people in home
and community-based settings, in keeping with the integration mandate of the Americans
with Disabilities Act (ADA), as required by the Olmstead decision. The Balancing Incentive
Program was created by the Affordable Care Act of 2010 (Section 10202).
27

28. 2 - Expanded In-Home Services for
the Elderly Program (EISEP)
A Foundation for Aging in Place
Many people want to age in place at home and not in a nursing
home. But, with advanced age comes illness and disabilities,
nonmedical in nature, nevertheless limiting. EISEP provides
services that allow older New Yorkers the opportunity to age in
place with dignity and respect.
Services Provided Under EISEP
Non-medical in-home services, case management, non-
institutional respite and ancillary services are provided under
EISEP
28

29. 2 EISEP - continued
The Profile
The largest age group receiving EISEP personal care services is 85+ at
43%. The 75 – 84 age bracket not far behind at 33%. The oldest old
(85+), is the fastest-growing segment of America's senior population.
As life spans increase, so too will those who need EISEP services in
order to remain at home in their communities.
29

30. 2 EISEP - continued
Assessment & Multiple Services
The assessment process is a comprehensive review of a person’s needs and
circumstances. Often, a package of services is needed to address the unique
circumstances of an individual. Seniors receiving personal care services
through EISEP have multiple needs: more than 55% receive three to five
services, and an additional 15.4% receive six or more services.
30
1 Service
2 services
3 – 5 services
6 or more

31. 3 Wellness in Nutrition
(WIN)
(formerly Supplemental Nutrition Assistance Program)
Nutrition: A Foundation for Wellness
Eating well is important at any age.
Numerous benefits of a healthy diet and proper nutrition
include: increased mental acuteness; resistance to illness and
disease; higher energy levels; a more robust immune system;
faster recuperation times; and better management of chronic
health problems.
Receiving a home delivered meal (HDM) provides a solid basis
upon which to achieve good nutrition. HDMs are provided by
Area Agencies on Aging (AAA) directly or through
subcontractors. Since many seniors aren’t eating as much as
they should, the food they do eat must be as nutritious as
possible.
31

32. 3 WIN - continued
The Profile – Home Delivered Meals
The largest age group receiving home delivered meals is the 85+
year old at 41.5%. The 75 – 84 age bracket not far behind at
32.6%. The 85+ population is the fastest-growing segment of
America's senior population. As life spans increase, so too will
the numbers needing meals in this age bracket.
32

33. 4 - Community Services for the Elderly
Program (CSE)
Demographics of Persons Receiving CSE Services
During SFY 2011-12, approximately 60,877 older New Yorkers
benefited from Community Services for the Elderly (CSE) funded
services. A count of CSE customers indicates that 30% are low-
income, 48% are frail and disabled, 62% are over the age of 75
and 51% live alone.
Many of those receiving CSE services fall into more than one of
these categories. These characteristics represent a high risk for
reduced independence, isolation and the likelihood of needing
community supports. 33

34. 4 CSE - continued
34
Economic Status
Limited income increases the risk for poor nutritional status in older persons.
Data shows that of those receiving home delivered meals, nearly 40% fall
below 150% of the poverty level standard. Lacking money to pay for
adequate foods can result in a host of nutrition problems. The meals
received though the HDM program provide the nutritional balance that many
seniors cannot afford to buy with the financial resources they have.

35. 5 - Health Insurance Information
Counseling and Assistance Program
(HIICAP)
Information and Assistance
HIICAP provides information and assistance on health care
coverage options directly or through subcontractors via
telephone and face-to-face interactive sessions, public
education presentations and programs, and media activities.
HIICAP counselors and volunteers must have knowledge of and
be able to provide unbiased information and assistance on
health insurance programs.
35

36. 4 CSE – flexible to fit local communities
36
FUNDING
The flexible nature of CSE makes it the most effective vehicle to support programs for the growing senior population. Funds are spread across
a variety of programs supported by State and Federal Funding.
Note: NYC reallocated expenditures under
CSE resulting in funding adjustments in four
categories: Home Delivered Meals,
Homemaking/Personal Care, Senior Center
Recreation & Education and Congregate Meals,
according to the New York State Office for the
Aging. Therefore CSE expenditures for this fiscal
period vary significantly as compared to previous
years.

37. 5 HIICAP - continued
Who does HIICAP Serve?
•Current Medicare beneficiaries
•People about to become eligible for Medicare or planning for
retirement
•People younger than 65 years old who are eligible for Medicare due
to a disability
•People needing information on long-term care insurance
•People who are eligible for both Medicare and Medicaid
When to contact a HIICAP counselor
•Counselors are available year round to help:
•Individuals as they turn 65 or otherwise become eligible for Medicare
•During open enrollment periods
•Understand which options are best suited to the individual’s needs
•Resolve problems during the year 37

38. 5 HIICAP - continued
Client Contacts
The HIICAP program began in New York State in the mid 1990’s. Between 2006 and 2012, client contacts more than doubled. By the close
of SFY 2011-12, there were 142,744 client contacts through the HIICAP program, compared to only 66,667 in 2006, a huge increase.
38

39. Challenges
• Aging Demographics affect everything: health
care, housing, transportation, quality of life
• Tough economy = tough choices
• OFAs in a good position to help stem the tide of
Medicaid spend-down, but limited funding has
resulted in waiting lists for services 39

40. Many Positive Aspects
• OFAs provide cost effective services to promote
independence in the community
• Plan and invest now in OFA services to curtail future
escalating costs (remember the Looking Glass)
• Carving out a role in managed care
• Aging network expanding its role in evidence-based
programs such as CDSMP, Care Transitions 40

41. Evidence-Based Definition
To see approved list or to suggest additional programs, go to: http://www.aoa.gov/A
41

42. Issues on the Horizon
• Olmstead Plan for New York: Roger Bearden, Special
Counsel to Governor Andrew Cuomo for Olmstead, is preparing an
Olmstead Plan for the State, to ensure that individuals with
disabilities can live in the community in the least restrictive setting
• Reauthorization of the Older Americans Act (OAA) by
Congress. OAA was due to be reauthorized in 2011 (every 5 years).
Senator Sanders (VT) introduced S. 1028 on May 23, 2013. Waiting
for a bill in the House of Representatives.
• Medicaid Redesign efforts will continue to affect the
service delivery system and the Aging Services Network:
• Implementation of Medicaid Managed Long Term Care
• Expansion of Social Model Adult Day Services - now a covered
service under Medicaid. See legislation to ensure that all SADS
programs are subject to the same oversight by NYSOFA:
S. 5397-A (Savino)/A. 7736 (Millman)
• Balanced Incentive Payments (BIP) – includes NY Connects
42

43. About Us
The New York State Association of Area Agencies on Aging represents the state’s local
offices for the aging established under the federal Older Americans Act to respond to
the needs of Americans age 60 and over.
The Association provides professional development and education that includes the
annual Aging Concerns Unite Us (ACUU) conference, webinars, regional caregiver forums
and a fall Leadership Institute. The Association works to strengthen and expand long
term services and supports to individuals so they may age in place in the community.
A core philosophy is to work in collaboration with other agencies, which is accomplished
through the Aging Alliance, a coalition of organizations representing Older New Yorkers.
Looking to the future, the Board of Directors has approved a new name, the Association
on Aging in New York, to create a more cohesive and inclusive network to address the
diverse needs of an aging population, as well as individuals of all ages needing long term
services and supports. www.agingny.org
New York State Association of Area Agencies on Aging
272 Broadway, Albany, NY 12204
Phone (518) 449-7080 Fax (518) 449-7055
Laura A. Cameron, Executive Director laura@agingny.org Cell (518) 424-2556 43

44. June 20, 2013
A Conversation with our
Four Directors of Area Agencies on Aging:
Laurie Bacheldor
Manager, Schenectady County Department of Senior & Long Term Care Services
107 Nott Terrace, Suite 202, Schenectady , NY 12308
Phone (518) 382-8481 x1236
Judy Coyne
Commissioner, Albany County Department for Aging
162 Washington Ave., 6th
Floor, Albany, NY 12210
Phone (518) 447-7177
Sandra Cross
Director, Saratoga County Office for the Aging
162 High Street, Ballston Spa, NY 12020
Phone (518) 884-4100
Carol Rosbozom
Director, Rensselaer County Unified Family Services, Department for the Aging
Pattison Rensselaer County Government Center 1600 7th Avenue, Troy, NY 12180
Phone (518) 270-2730
Moderator:
Laura Cameron
Executive Director, NYS Association of Area Agencies on Aging, 272 Broadway, Albany, NY 12205
Phone (518) 449-7080 • www.agingny.org
44

45. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
Round Table
A committee of community stakeholders who
are reviewing the Medicaid program changes in
NYS and how it will impact long term care.
Reviewing such issues as:
Transitioning from County LTC to Managed
Long Term Care providers such as Fidelis, PACE
and VNA NY Choice
County’s role with Medicaid eligibility
Relationship of transition and New York
Connects (I&A)

46. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
Statistics & Units of Service
TRANSPORTATION
Medical Transportation: 15,400; 577
unduplicated 60+
Congregate Meal Transportation:
13,836/145 consumers
Total w/other sites : 29,447/746 consumers
ConMal

47. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
Statistics & Units of Service
Congregate Meals & HDM Programs
Total Meals: 27,500, 1,075 unduplicated 60+
Home Delivered Meals: 85,550/565
consumers
Health Promotion & Education
Presentations, clinics, counseling: 950
unduplicated
Health PrConMal

48. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
New partnership with Public Health and Center for
Excellence in Aging & Community Wellness
Living Healthy Workshop– practical ways
to live better and healthier
Living Healthy with Diabetes
A Matter of Balance

49. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
The Municipality Senior Centers – New
Collaborative
Rotterdam, Niskayuna, Scotia Glenville and SLTC
•Meeting quarterly to review:
Site Services
Trips
Shared Services – such as Healthy
Educational Programs
Trends and Gaps in Services

50. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
Aims to build upon the strength of the
city of Schenectady’s emerging arts
district to offer arts programming;
complementary to that already
presented by Proctors, Schenectady
Light Opera company , and other arts
entertainment and education
organizations.

51. Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County
Theater &
Activities
Educational
Workshops
Outside
court yard
art
activities
Theater/art
productions
Job
Training
Skills