Oregon State Plan on Aging 2017-2021 Final

1 Oregon State plan ON Aging October 1, 2017 September 30, 2021 ii Table of Contents Acronyms .. iii Verification of Intent .. iv Executive Summary .. 1 Introduction .. 3 State Priorities & Focus Areas .. 7 ADRC/No Wrong Door (NWD) Focus Area .. 10 Person-Directed Services and Supports Focus Area .. 15 Federally Required Focus Areas .. 18 Older Americans Act (OAA) Core Programs .. 19 Nutrition Services and Programs .. 20 Disease Prevention/Health Promotion .. 23 Family Caregiver Support Program (FCSP) .. 26 Legal Assistance and Elder Rights Protection Programs.

2 30 American Indian Programs .. 33 ACL Discretionary Grants .. 37 Participant-Directed/Person-Centered Planning .. 39 Elder Justice .. 39 Appendix A - Public Feedback .. 40 Appendix B - State plan Advisory 41 Appendix C - Organizational Charts .. 42 Appendix D - Discretionary Programs .. 46 Appendix E - State Policy on Aging .. 56 Appendix F Oregon Project Independence .. 61 Appendix G - Demographics .. 62 Appendix H Long-Term Care Ombudsman .. 69 Appendix I - Disaster and Emergency Preparedness .. 70 Appendix J - Intrastate Funding Formula (IFF).

3 71 Appendix K - State plan Assurances .. 74 Appendix L - Information Requirements .. 88 iii Acronyms Agency on Aging for Community Living and Disability Resource Connection of Information & Referral Systems Aging and People with Disabilities Adult Protective Services Administration on Aging for Independent Living for Medicare & Medicaid Services Department of Human Services Federal Fiscal Year s Commission on Senior Services & Community Based Services I & & Referral/Assistance Lesbian, gay, bisexual, transgender Term Care Ombudsman services and supports Memorandum of Understanding National Aging Program Information System Family Caregiver Support Program Wrong Door Older Americans Act of Adult Abuse Prevention and Investigations Counseling Disabilities Commission of Developmental Disabilities Services Oregon Health Authority Project Independence Revised Statute Options Counseling Thinking and Service Area Senior Health Insurance Benefits Assistance Senior Medicare Patrol Supplemental

4 Nutrition Assistance Program State Unit on Aging Affairs Home & Community Based Services iv Verification of Intent 1 Executive Summary It is the mission of the Oregon Department of Human Services (DHS) to help Oregonians in their own communities achieve wellbeing and independence through opportunities that protect, empower, respect choice and preserve dignity. The Oregon DHS Aging and People with Disabilities (APD) Program develops a State plan on Aging , as required under the Older Americans Act of 1965, as amended. The plan is a contract with the Administration on Aging (AoA), a part of the Department of Health and Human Services Administration for Community Living, and allows Oregon to receive funds under the Act.

5 The plan also provides a vision and direction for Oregon s Aging network and affords the opportunity for the State to articulate its priorities and strategies for improving the lives of older Oregonians, people with disabilities and caregivers for the next four years. APD is accountable for the implementation of programs for older Oregonians and Oregonians with disabilities. The State Unit on Aging (SUA), a part of APD, is charged with the purpose and responsibility of implementing Older Americans Act (OAA) programs and will do this by working collaboratively with older Oregonians, family caregivers, Oregon s 17 Area Agencies on Aging (AAAs), the network of Aging and Disability Resource Connection (ADRC) agencies, the Indian Tribes of Oregon , other public-private partnerships, and our federal and State government partners.

6 The SUA works closely with Oregon s Area Agencies on Aging (AAAs) to create a comprehensive package of services. AAAs provide information and services to seniors and people with disabilities across Oregon , while the SUA coordinates distribution of Federal Funds, provides training and technical assistance, and ensures statewide oversight and coordination for OAA programs. The SUA also oversees Oregon Project Independence (OPI), which is managed through the AAAs. OPI is a State -funded program providing in-home services to seniors who need assistance to remain in their own homes although do not qualify for Medicaid-funded programs.

7 A number of issues, trends, and challenges were considered when developing the priorities and strategies for this plan . Oregon s population is Aging and will continue to age. During the time frame of this plan , by 2020, the entire baby-boomer population will be between the ages of 55 and 75. There are an increasing number of people with disabilities, and the Aging and disability populations are also becoming more racially, ethnically, 2 culturally, and linguistically diverse. As the older adult population increases, so will the number of adults with chronic health conditions and direct costs due to health conditions.

8 Further, Oregon is experiencing an uneven pace of economic recovery, especially in rural regions of the State , and this is combined with a statewide crisis in both available and affordable dwellings. The State faces significant budget challenges in the coming State biennial budget along with uncertainties regarding federal programs and funding. This population growth and diversity, combined with fiscal constraints, affects efforts to meet needs and has the potential to weaken the safety net. Within this context, a vision to guide future efforts was developed: All Oregonians are able to safely age in the setting of their choice, in health and independence, with honor and dignity, and respect for their cultural, socio-economic, geographical placement and linguistic needs.

9 In addition, several areas of importance to address in the State plan were identified: a strong commitment to implementing the principles of Service Equity along with Oregon s emphasis on person-directed services and supports and person-centered service delivery across all APD programs, support of behavioral/mental health programs and activities, transportation, housing, and access to and knowledge of health and medical equipment/assistive technology services and devices. SUA staff will be involved in collaborative efforts across programs and will work to include positive approaches and practices across the AAA/ADRC service delivery networks.

10 It is also important, and especially so in the current environment, to continue to explore options for sustainability and funding, and those efforts can be aided by development of innovative practices and by identification, support and education of community-level groups and advocates (particularly in rural areas). A significant aspect of the approach articulated in our plan is maximizing the added values of partnerships, collaborating and leveraging resources, and stimulating community ownership in the cause of improving the lives of older Oregonians in all communities.