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Angus S. King, Jr.
Governor
Kevin W. Concannon
Commissioner
Department of Human Services
Christine Gianopoulos
Director
Bureau of Elder and Adult Services
Published by:
Bureau of Elder and Adult Services
Department of Human Services
11 State House Station
35 Anthony Avenue
Augusta, Maine 04333-0011
Phone: (207) 624-5335 FAX: (207) 624-5361
Toll Free: 1 (800) 262-2232
Local TTY: 624-5442
Toll Free TTY: 1 (888) 720-1925
The Bureau of Elder and Adult Service’s
State Plan is available on the Internet
Point to:
Http://www.state.me.us/dhs/beas/
Table of Contents
Verification of Intent................................................................ ......... 4
Map Showing Area Agency on Aging Planning and Service Areas....... 5
Introduction...................................................................................... 6
Snapshot of Services and Demographics............................................ 8
Strategic Goals, Objectives and Initiatives........................................... 22
Ongoing Activities............................................................................. 28
Funding and Older Americans Act Allocations.................................... 32
Public Hearings and Comments.......................................................... 40
Standard Assurances......................................................................... 44
BEAS Central Office Organizational Chart.......................................... 51
The State Plan on Aging is hereby submitted for the State of Maine for the period October 1, 2000 through September 30, 2004. It includes the strategic goals, objectives and initiatives to be conducted by the Bureau of Elder and Adult Services, Maine’s State Unit on Aging, during this period. The Bureau of Elder and Adult Services has been given the authority to develop and administer the State Plan on Aging in accordance with all requirements of the Older Americans Act. The Bureau of Elder and Adult Services is primarily responsible for the coordination of all state activities related to purposes of the Act, such as the development of comprehensive and coordinated systems for the delivery of supportive services, including health, housing, social and nutrition services; and to serve as the advocate for elderly persons in the state.
The Plan is hereby approved by the Governor and constitutes authorization to proceed with the activities under the Plan upon approval by the Assistant Secretary for Aging.
The State Plan hereby submitted has been developed in accordance with all Federal statutory and regulatory requirements. The State Agency assures that it will comply with the specific program and administrative provisions of the Older Americans Act.
___________ (Signed)___________________________
(Date) Christine Gianopoulos, Director
Bureau of Elder and Adult Services
___________ (Signed)___________________________
(Date) Kevin W. Concannon, Commissioner
Department of Human Services
___________ (Signed)___________________________
(Date) Angus S. King, Jr.
Governor
The federal Older Americans Act requires all states to prepare a “State Plan on Aging” as a condition of receiving federal funds. The Bureau of Elder and Adult Services (BEAS) is pleased to present for public review our plan for the next four years.
The Bureau’s strategic goal is to assist elders and adults with disabilities to maintain their independence and to participate in the life of the community. Twenty years ago that goal meant advocating for an end to the mandatory retirement age; the establishment of home care as an alternative to nursing homes; and legislation to allow living wills. These all are benefits we take for granted today as part of Maine’s social policy. In the year 2000, the broad themes remain the same: health care, housing and income security. Now, those issues affect a larger and more diverse population of older adults.
At a time when events are moving at an ever more rapid pace, any plan will be subject to change. The longer the planning time frame, the more likely that unanticipated issues will enter the picture. This plan is intended to offer a broad outline of the Bureau’s areas of focus for the next four years. Our challenge is to capture not just the issues of today, but also the longer-term opportunities. Reducing the impact of disease and disability among Maine’s seniors, improved mental health services, better transportation options, and promoting public policies that meet the needs of a new and larger cohort of elders will be our highest priorities. We will work with others in Maine’s network of aging services programs to accomplish these goals.
Maine is fortunate to have a well-developed statewide system for planning and providing needed services. Listed below are the major accomplishments for the most recent state plan. These accomplishments would not have been possible without dedicated staff and strong support from advocacy groups, the Governor and the Legislature:
ü More people receive publicly funded long-term care at home than in nursing homes
ü Spending on home and community care has doubled since 1995
ü Maine’s pre-admission assessment program is considered a national model
ü Residential alternatives to nursing homes have increased statewide
ü Ombudsman volunteers now assigned to all Maine nursing homes and many residential facilities
ü Law enforcement and financial institutions are active partners in preventing elder abuse and exploitation. Over 50 financial institutions have participated in training for the Maine Reporting Project for Financial Institutions
ü A higher percentage of adult protective referrals are assigned for investigation
ü “Guardianship and Conservatorship Q& A” booklets revised and distributed statewide
ü Maine’s Medicare Education Partnership, collaboration among the Bureau, Area Agencies on Aging and Legal Services for the Elderly, effectively delivers critical health insurance information and assistance to more than 30,000 seniors each year
ü With HCFA, held a successful health fair in Bangor, Maine, that reached over 400 Medicare beneficiaries
ü Issued a report to the Legislature on the mental health needs of Maine seniors
ü Hot, home delivered meals are available in more communities than ever before using a combination of increased local and State funding
ü Established a statewide program, in conjunction with the USDA, to place a diet technician in each Area Agency on Aging to help elders at high nutritional risk make good nutritional choices
ü A portion of Maine’s Tobacco Settlement funds used to expand the range of drugs covered under the Low Cost Drugs for the Elderly and Disabled program
ü MaineRX, a group purchasing program that will benefit seniors who do not qualify for the Low Cost Drug program
ü “Prescription Drug Assistance, A Guide for Maine Elders and Adults with Disabilities,” developed by the Bureau and Legal Services for the Elderly Hotline project
ü Completed a telephone reception customer service assessment of Bureau, Area Agencies on Aging and Legal Services for the Elderly Hotline offices
ü
Significantly
increased the use of technology to provide information and assistance to the
public
|
Bureau Program Report Comparison |
FY 98 |
FY 99 |
FY 00 |
|
|
Long-Term Care Assessments |
12,500 |
19,340 |
22,624 |
|
|
|
|
|
|
|
|
|
Consumers Served |
|||
|
Home Based Care |
1,772 |
2,566 |
3,045 |
|
|
Medicaid Waiver (Elderly) |
1,204 |
1,451 |
1,302 |
|
|
Adults w/Disability Waiver |
325 |
403 |
426 |
|
|
Private Duty Nursing |
NA |
1,131 |
1,340 |
|
|
Congregate Housing Services Program |
199 |
272 |
272 |
|
|
Assisted Living CHSP |
72 |
111 |
145 |
|
|
Adult Family Care Homes, Medicaid Consumers |
NA |
34 |
60 |
|
|
Adult Day Services Programs Community Support Funds |
112 |
129 |
82 |
|
|
Alpha One - Home Based Care |
145 |
220 |
219 |
|
|
Alpha One - Medicaid Waiver |
287 |
348 |
339 |
|
|
Homemaker Services |
1,077 |
1,500 |
1,301 |
|
|
Alzheimer's Respite |
550 |
743 |
437 |
|
|
|
|
|
|
|
|
Community Services |
Consumers Served |
|||
|
People served hot meals, both congregate and home-delivered |
15,557 |
12,147 |
14,087 |
|
|
Older workers served through SCSEP |
110 |
89 |
88 |
|
|
Volunteer service programs |
NA |
NA |
3,491 |
|
|
Health Insurance Counseling; Outreach & I/A; MMEP |
25,144 |
33,338 |
25,507 |
|
|
Transportation |
597 |
1,694 |
2,158 |
|
|
|
|
|
|
|
|
Adult Protective Services |
Consumers Served |
|||
|
Active Guardianship |
640 |
795 |
792 |
|
|
APS Intake Unit telephone calls from concerned citizens |
8,769 |
9,656 |
9,998 |
|
|
Active Protective |
2,504 |
2,917 |
2,797 |
|
|
|
|
|
|
|
|
Bureau Program Report Comparison -- Continued |
FY 98 |
FY 99 |
FY 00 |
|
|
|
||
|
Long Term Care Facilities |
Activities Completed |
||
|
Nursing facility beds converted to residential care |
NA |
358 |
203 |
|
Other new residential care beds developed |
NA |
460 |
65 |
|
Assisted Living Units developed, Type III and IV CHSP |
NA |
40 pending |
40 |
|
Adult Family Care Home beds developed |
NA |
30 |
36 |
|
Alzheimer’s beds developed |
66 |
52 |
16 |
|
Certificates of Need decisions on nursing facility projects |
NA |
8 |
5 |
|
|
|
|
|
|
Long Term Care Ombudsman |
Services Provided |
||
|
Complaints investigated |
1,354 |
1,476 |
1,922 |
|
Cases opened |
648 |
1,000 |
1,424 |
|
Requests for information handled |
800 |
900 |
1,000+ |
|
|
|
|
|
|
Legal Services for the Elderly |
Consumers Served |
||
|
Consumers served by LSE |
3,363 |
7,753 |
6,240 |
|
Consumers calling LSE for Health Insurance Counseling |
2,500 |
4,303 |
2,682 |
Data
Source: Maine State Planning Office
Note: These populations have been adjusted to correct for the estimated undercount in the 1990 decennial census.
July 1, 1998 -- Population Estimates By County
|
|
County |
Total Population |
65+ Population |
65+ as % of Total |
|
|
AND |
101,280 |
14,058 |
14% |
|
|
ARO |
76,085 |
11,990 |
16% |
|
|
CUM |
253,582 |
33,643 |
13% |
|
|
FRA |
28,933 |
4,001 |
14% |
|
|
HAN |
49,932 |
7,575 |
15% |
|
|
KEN |
115,207 |
16,090 |
14% |
|
|
KNO |
37,847 |
6,411 |
17% |
|
|
LIN |
31,815 |
5,800 |
18% |
|
|
OXF |
53,673 |
8,393 |
16% |
|
|
PEN |
142,323 |
18,307 |
13% |
|
|
PIS |
18,282 |
3,257 |
18% |
|
|
SAG |
35,779 |
4,306 |
12% |
|
|
SOM |
52,380 |
6,757 |
13% |
|
|
WAL |
36,465 |
4,750 |
13% |
|
|
WAS |
35,502 |
5,766 |
16% |
|
|
YOR |
175,165 |
23,729 |
14% |
|
|
TOTAL |
1,244,250 |
174,833 |
14% |
Data Source:
U.S. Census Bureau
 |
Data Source: U.S. Census, 1990.
Data Source: U.S.
Census, 1990.
The United States population is composed of many races and ethnic groups. The State of Maine is not as diverse racially as the U.S. as a whole. Nationally, 85% of the older population are non-hispanic whites. In Maine, 99.4% are non-hispanic whites.
|
Age 60+ |
United States |
Maine |
|
American Indian, Eskimo, or Aleutian |
171,763 |
345 |
|
Asian or Pacific Islander |
657,850 |
225 |
|
African-American |
3,468,107 |
262 |
|
White |
37,052,929 |
216,823 |
|
Other |
480,388 |
40 |
|
Total |
41,831,037 |
217,695* |
*Of this total, 437 are of Hispanic origin, of various races.
Data Source: U.S. Census, 1990.
Data Source: Bureau of Elder and Adult Services, Bureau of Medical Services
|
|
Health Problems of Persons Receiving |
||
|
|
Assessments for Long-term Care Services |
||
|
|
Top 10 Health Problems and Conditions for |
||
|
|
Individuals Age 65 and Older (n=11,948) |
||
|
|
|
|
|
|
|
Health Problem/Condition |
No. of Individuals with |
Percentage of |
|
|
|
a Diagnosis |
Individuals |
|
1 |
Hypertension |
5,646 |
47% |
|
2 |
Alzheimer's or other dementia |
4,890 |
41% |
|
3 |
Arthritis |
4,417 |
37% |
|
4 |
Other cardiovascular disease |
3,191 |
27% |