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Rochelle Burosh

Community Outreach Specialist

317-803-6131

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Objectives �for today

Who we are and what we do
How we improve quality of life
Funding sources

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eldercare.acl.gov

About CICOA

Indiana’s largest Area �Agency on Aging (AAA)
Not-for-profit organization
Founded in 1974
Serving 8 counties in Central Indiana (Area 8)

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CICOA’s Mission

CICOA Aging & In-Home Solutions empowers older adults, �those of any age with a disability and their caregivers �by providing the innovative answers, services, and support they need �to achieve the greatest possible independence, dignity, and quality of life.

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What We Do

Central Indiana’s “front door” for access to:

Home and community-based services

Information and referral

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Our Services

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Information & referral
Eligibility assessments
SHIP (unbiased Medicare counseling)
Workshops and Presentations
Senior Medicare Patrol assistance

317-803-6131

SLIDE EIGHT Aging & Disability Resource Center aka ADRC

Adrc-front door to CICOA d/t managing of incoming calls/calls directed to our Aging & Disability Resource Center
staff that are specially trained as information and referral specialists
our staff is trained to pick up on unstated needs
U call in requesting meals but during that conversation our information and referral specialist are able to pick up on other needs you may have, AND we have THAT WONDERFUL data base to help locate other community resources. Back to your initial meal assistance call, now after your convo its gone from you req just meals and it has turn into us providing additional information about utility assistance, assistance locating alternative housing- guess what- that’s what our information & referral specialist can do by looking into our data base of over 4,000 community resources…
and provide you information &/or referrals to meet those needs that went past your initial meal request, the requests you didn’t even know you had but our information and referral specialist have already started helping. Those staff are very informative and can provide additional info and educ besides the services we have to offer.
Everyone in the intake area of Aging and disability Resource Center is certified as SHIP counselors, this is the one we mentioned at the beginning and I said we would talk about it more in a later slide-well this is that later slide! SHIP counselors are federally funded, trained by the Indiana dept of Insurance to provide free unbiased Medicare counseling. CICOA has SHIP counselors on staff you can call and counsel with. (CICOA does have assistance for Medicaid assistance as well, but they are not the SHIP counselors)
Workshops and presentations are offered thru CICOA, my position and those on my team are a part of Aging and disability Resource Center. We go out in the community and provide presentations on CICOA, Medicare and attend Health fairs to help get CICOA’s name and services out there.
Senior Medicare Patrol assistance, and every SENIOR should know who they are… Senior Medicare Patrol is an agency that helps prevent, detect and reports fraud if you have ever received those scam calls asking for your Medicare #, and if you accidently provided them your Medicare #, which you are never supposed to do over the phone, (pause & look around…) Senior Medicare Patrol is the agency you would contact to create a case for further investigation and find out if you need to get a new Medicare # or if there is something else that needs to be done with your case. If you don’t reach out to Senior Medicare Patrol what can happen is your Medicare number can be used to fraudulently bill for an item let’s say a cane (take cane from box) you never see. THEN when you need that item, (the cane) it’s already been billed for, so Medicare says, uh we already gave you one….

very important Senior Medicare Patrol incase accidently give Medicare # you know who to contact to get assistance. At CICOA affiliation with Senior Medicare Patrol so in the event you need to contact them, but don’t remember who they are, you can always contact CICOA and let us know you accidently gave out your Medicare # and we can get you in contact with the right people to help you.

(When Medicare sends you your Medicare summary or explanation of benefits you should look it over closely to make sure the charges align with the services you received. If you see it does not match up with what your records are, you need to reach out to Senior Medicare Patrol, and they will advise you on what the next steps should be.) You possibly may need a new Medicare #)

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Home-Delivered Meals
Congregate Meal Sites
Farmer’s Market Vouchers
Nutrition Education & Activities
Commodity Supplemental Food Program
Pet Connect
Meal Vouchers

317-803-6042

SLIDE NINE MEALS & MORE

Home delivered meals, to qualify for this program, you need to be 60 or older, considered homebound, homebound doesn’t mean you never leave home, but if you are it is only for necessary reasons such as going to doctors appts, grocery store and the pharmacy…SUGGESTED donation $3 a meal or whatever you are able to donate or not. WE WANT TO FEED YOU!!!!
One thing unique to CICOA we offer, we provide each eligible an CICOA Care Manager In the event that things progress, and you need more services, you direct person at CICOA to -additional services or community resources to assist w new needs
Congregate Meal Sites are for individuals 60 and older or reside in a senior living community 55 and older $3 per visit or what u can donate.
When you are going to attend, we ask you call the prior week to let us know which days you will be attending, to ensure we can provide enough meals for everyone that attends.
Farmers Market vouchers any day now, however last I heard they were having difficulty w new smart phone app to generate QR codes. onetime $50 voucher for participating farmers markets/30 days-expired no replacement To qualify you need to be 60 & older, at or below 185% federal poverty level-which is about $2,000 a month or less, this is based on household size, so the more people in the home the higher the level will be. (Applications can be completed over the phone) SS checks DO count as income for these programs as well as any money from annuity, payments from stocks/bonds or income into your bank account.
Bingosize is a INTERN lead program – REQUESTS have to be made &they book fast!
We have Humana representatives appearing at some Congregate sites to lead health presentations
The Commodity supplemental food program or “Commodity Box” to qualify - 60 or older live in Marion, Morgan or Johnson county, be at or below $1580 as a single individual or $2137 as a married couple with this program we program we provide you with a 30 pound box of food every month, however in order to participate, you have to be able to pick up or assign a proxy (proxy means giving someone consent to pick up your food box on your behalf) at one of the distribution sites
Meals Dept is our Pet Connect. received a grant provide free pet food and supplies for eligible ONLY for HDM
Meal voucher’s ability for 60 and older or 55 and older living at a Senior living community where you can get 6-8 vouchers a month at that suggested donation of $3 per voucher, get card to scan/auto reloaded each month. You can use the vouchers at participating hospitals around for alternative meal options

OKAY- before moving on… I would like to make sure that everyone’s still awake out here… we are about half done, maybe a little more… But who can tell me… how many tennis balls fit into a limo… 372,057 (HINT: It contains 6 numbers!)

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One-on-one caregiver counseling (not therapy)
Information and referral (connect with counselors, support groups, etc)

CICOA’s response to the needs of caregivers

SLIDE TEN CARE AWARE program

We printed a Care Aware information sheet to further assist you with the eligibility requirements since they can get a little complicated. The information sheet will give you something to look over and refer back to, which we hope helps make the details a little clearer
look at the middle of the page where WHO IS ELIGIBLE, you can see the list of eligibility which you must meet ONE of these criteria to qualify for our CareAware Program, just one
Some of you may be wondering what CareAware is- it is a free Caregiver Support program, we offer thru CICOA. We offer this program to caregivers that are at high risk for Caregiver burnout
second leading cause to why individuals are placed in Nursing facilities before they are actually ready to make that transition-its because of Caregiver burnout
It is a real concern that is very difficult to wade thru and that is why we have staff at CICOA to support you
CareAware program we use an assessment tool called T-Care, which stands for tailored care
This assessment tool allows us to gather important details and ranks you on how high you are at risk for Caregiver burnout. After assessment with our staff, you will be given a ‘red, yellow or green’ status
Red means you are at a very high risk, yellow means you are at moderate risk and green means you are at a low risk for Caregiver burnout
After completing the assessment, we pair you with one of our CareAware staff to develop a Service Plan with you Essentially what that SP is a list of different services you have access to and can help alleviate some of your stresses and burdens associated with caregiving
Caregivers that follow our SP to a “T” with no exceptions within 6 months, 85% of those caregivers had a noticeable reduction in stress
CareAware is a very successful program when followed correctly and you follow the tools/advise given to you. This flyer does have the contact information in the bottom right corner if you are interested in signing up or would like additional information. OR you are welcome to call our Aging Disability resource Center and they would be happy to connect you.

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Senior Transportation
Shuttle Service
Medicaid Transportation

317-803-6153

SLIDE ELEVEN-

Way to Go Transportation Dept - individuals that are living and traveling within Marion County. The first service we offer is our Senior Transportation program this is used for our seniors with essential needs which means we can take you to doctors’ appointments, the grocery store, and the pharmacy. The rides cost $10 round trip. It is considered a door-to-door service which means our drivers are able to help you from the front door to the vehicle, and from the vehicle to the front door-but they are not able to cross any thresholds of the doorways.
For individuals interested in applying this service you do not need to call our Aging Disability Resource Center to apply if you have access to the internet, you are able to complete an application on your own, but if you do need assistance, you can call in and we will happily assist you.
For individuals that have full traditional Medicaid, we can provide you with transportation to and from your doctor’s appointments-if you are not familiar with this program you will need to contact Verida first-they are the state’s Medicaid provider you call them and let them know you choose to take CICOA as your transportation provider and then we can provide you transportation to your appointments.
(You can pay in advance for rides, and it will keep track of your balance) (Medicaid can be billed for DOCT appt travel, do you use aides/need someone to ride with you/we need a phone for emergency contact) (INDYGO is not part of CICOA) (as long as your doc is within Marion co-, they will take u anywhere in the county to see your doc)

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Adding handrails & grab bars
Installing wheelchair ramps
Widening Doorways
Replacing standard round doorknobs & faucets with lever handles
Bathtub cutouts

317-803-6131

Home Modifications Including:

Slide twelve The next service department we have at CICOA is called Safe at Home.

***(Safe at home is not applicable to you IF YOU RESIDE IN an apartment complex or a senior living complex. So, we will skip it…)

Safe at Home services offer home accessibility modifications to make homes safe and accessible for daily living. Grant-funded home mods (grab bars, handrails, modify bathtub, etc.) and SAWS ramp referrals must not be eligible for other sources of funding (Medicaid Waiver, CHOICE, SSBG, Title III).

We accept 10 new referrals each month, and the current wait time for a home assessment is 3-4 months.

All Safe at Home grant-funded home modification applicants must meet the following criteria:�• Live in Marion County�• Homeowner (no rentals)�• 60 years or older�• Be at or below 250% of the federal poverty guideline�You and Safe at Home staff will receive an email when the form is submitted

REFER TO THE LIST OR REACH OUT TO YOUR CARE MANAGER FOR MORE DETAILS!

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Senior Buddies
Handy Heroes

317-803-6003

Slide thirteen

Our Volunteer program which only has one active service going which is called our Senior Buddies.
we pair a CICOA volunteer with a CICOA client-friendly phone call at least once a week to check in, make sure that you’re doing ok, see if you need any additional supports, or just to have a friend to chat back and forth with.
(Point and look around the room SMILING)
So if any of you in here would like to make a difference in a senior’s life we would love to have you as a volunteer! Don’t hesitate, pls feel free to reach out and we would be happy to get you signed up and paired with a CICOA client to help make a difference. I can say from my own experience these calls effect more than just the senior you’re calling. They can be therapeutic for you as well. So, think about it!
Currently we are actively recruiting volunteers for our Handy Heroes program. This program has volunteers help with building small furniture or a little yard work, small tasks along those lines.

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Continuous Support
Customized Care Plan
Coordination of Services

317-803-6131

Care Management for CICOA Eligible Clients which includes:

Monitoring Progress on Person Centered Goals
Adjusting Care plans as functional needs change

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Possible Funding Sources

Medicaid Aged & Disabled Waiver
Medicaid Traumatic Brain Injury Waiver
CHOICE

Private Pay
Private Insurance
Veterans Aid & Attendance
Medicare (short-term, after inpatient hospitalization)
Prior Authorization (through traditional Medicaid)

Slide 15

list of the different funding sources that CICOA offers to help pay for the in-home services

*funding source

Medicaid Aged & Disabled Waiver-to apply for this waiver, you do have to be:

willing to apply and be approved for Medicaid (if you are eligible)
individual income limit of $2742 per month/married-spouse’s income NOT included in this total
SINGLE assets at or below $2000
MARRIED combined-at or below $3000
when we talk about assets we do not INCLUDE 1 vehicle or the house that you live in
EX: stocks, bonds, IRAs, $ savings, Vacation homes Florida-those count asset as long as you don’t have any, we would mainly be looking at your checking account and whatever assets you do have

*Medicaid Aged and Disabled Waiver does have physical eligibility criterion requirements to physically qualify for this waiver

you need to meet NF LOC = 3 or more personal tasks bathing, dressing, toileting, and areas like that which you have difficulty completing on your own we don’t mean you don’t do it on your own
not everyone has family or friends available or willing to give you a bath or wipe you up after using the restroom
but you do them, just struggle to complete those personal tasks on your own and/or NO ONE physically there with as you complete that task, right now
so basically its difficult for you to do those tasks on your own

Medicaid Traumatic Brain Injury Waiver

financial and physical requirements are the SAME as Medicaid Aged & Disabled Waiver BUT-
also suffered a Traumatic brain injury that occurred prior to age 22

CHOICE program

Unfortunately, the start of June, this program out of funding
we can still complete the assessment portion but then you would be
wait list until funding becomes available
to qualify-CHOICE program, you DO NOT need to qualify for Medicaid
need to have 2 of your personal care tasks that you struggle to complete on your own (remember - bathing, dressing and toileting)
*With this program you will have a cost share involved with services
assets need to be at or below $250,000
we look at your income + expenses =your cost share will be with services
less than what you would privately pay for the exact same services and this program does NOT require you to apply for Medicaid

ANYONE that are not interested in applying for funding sources thru CICOA-but still need in-home services our staffs able to provide education and information on private pay, private insurance, veterans aid and attendance, Medicare, and Prior Authorization through Medicaid
If you don’t want to access services thru CICOA we can inform you on other avenues to get access to get in home services.

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Adult Day Service
Adult Family Care
Assisted Living
Attendant Care
Caregiver Support Services
Case Management

Home Modifications
Homemaker
Home-delivered Meals
Nutritional Supplements
Personal Emergency Response System

Home & Community-Based Services

Respite
Specialized Medical Equipment
Structured Family Caregiving
Transportation
Vehicle Modifications

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Lists of different service options you have access to if you are found eligible for one of the funding sources To review those sources: the Medicaid Traumatic Brain Injury Waiver, the Medicaid Aged & Disabled Waiver, & the CH
all services considered ‘person centered’
you get to pick how many service hours & YOU pick your providers
How do you pick providers?
we give you a list of providers… let’s say “life alert buttons”
u choose the company to give u life alert button

*to point out the most popular service - the Structured Family Caregiving,
I bet you want to know why point this out….
it’s a service some already do and are NOT aware they can be paid to do it! the ability for your spouse, family member or friend that resides in the same residence as you to be paid to be your caregiver!
instead of having a private homecare agency come to your home, as long as this family/friend live in the same residence as you, & assists, they can get paid

ANY QUESTIONS ABOUT ANY OF THE SERVICES LISTED???

Anyone need a splash of water, a mint? How about, everyone to raise ONE hand or shoulder (like this) Now switch, deep breath, wiggle ALL of your toes, now wiggle your nose… now stop! make your elbows and knees dance close your eyes deep breath and now smile! Ok open your eyes and relax. Did that help? I hope so-slide 17 tells you some different ways you can connect w CICOA!

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How to get Connected CICOA

Call into the Aging & Disability Resource Center at 317-803-6131
Submit a referral for services via CICOA website https://cicoa.org/resource-center/online-request-referral-form/

The client needs to consent for the referral before it can be submitted

Clients can schedule a face-to-face options counseling appointment via CICOA website https://cicoa.org/resource-center/schedule-an-appointment/ or call the resource center to schedule

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Process to Receive Services:

Assessment via Aging & Disability Resource Center
Services established if determined eligible
Care Manager remains the point of contact

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How Can YOU Help?

Get to know your own local Area Agency on Aging
Become familiar with services offered
Be alert to needs of the people around you, and share our information: https://cicoa.org or (317) 803-6131
Remember we are here to help you

SLIDE 19 HOW can you help? Easy call us! If you see or know someone family, friend or neighbor needing help

step in

-sharing CICOA with them!
-Give them our # or make that call with them (Sometimes it is scary to take that first step) sometimes we don’t know what that first step is. And that’s YOU!
WOW we have talked about soooo much! Who’s going to remember it all? Raise your hands? Lol… (Ok you get to come with me to the next one and I get to watch you present!) Does anyone feel a little overwhelmed? Does anyone remember that important phone number I gave you at the beginning? I said to circle or highlight it…
AWESOME! Pretty impressive 😉
Its ok, I don’t know if I would remember it all, lol. Notice however, we included that phone number and webside on page 19! 317-803-6131 If you forget everything else – remember the phone # we can help you with the rest! That is what we are here for.

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Questions & Answers

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cicoa.org

CICOA Aging & In-Home Solutions

8440 Woodfield Crossing Blvd., Suite 175�Indianapolis, IN 46240-4359

317.254.5465�800.489.9550

Thank you!

Aging & Disability Resource Center

317.803.6131

317.254.3660

800.432.2422