Long-Term Care - Illinois General Assembly

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CITIZENS FOR HOMES (HOUSING OPTIONS MEETING EQUITY STANDARDS) Consumers want more control over their long-term care services. They want to be able to direct their own care and hire their own caregivers whenever possible. They want to remain in their communities and participate in community life. A key component to an effective long-term health care plan must include an increase in accessible housing. Georgia and Texas have passed laws that require new homes built with public funds to contain basic access features, including: • 1 zero-step entrance; • 32 inch wide doors on the ground floor, including the bathroom; • Reinforced bathroom walls so grab bars may be installed if needed; and • Light switches, electric outlets and other controls at reachable heights. The additional cost of these homes ranges for $0 to $500. Considering the present and future need for an increase in accessible housing, Illinois should require new homes built with public money to contain these design features. PROVENA COVENANT CASE MANAGEMENT UNIT Provide comprehensive case management services to all seniors, regardless of income and assets. By allocating state grants or contract assistance to Case Coordination Units (aka: Case Management Units) via Area Agencies on Aging, comprehensive case management services can be offered to all seniors, regardless of their eligibility for Community Care Program services. The initial, annual respite care assessment that may be authorized per person stands at $500 – with the option to request an addendum up to $250 on a case-by-case basis. This $500 maximum provides about 5 days/nights of Institutional respite (in a nursing facility), 38 hours of homemaker assistance, or 11 days at an Adult Day Service site, per fiscal year. The respite care allowance per person should be increased from $500 to at least $750. Appropriate the necessary state funds to provide emergency home response services under the current Medicaid waiver to seniors eligible to receive Community Care Program services. Under the Community Care Program (CCP), individual seniors must have $10,000 of assets or less. The current asset limit of $10,000 for a single person should be raised to $20,000 under the Community Care Program (CCP). CCP rates for homemaker services should be increased so that providers may offer fair wages and benefits and seniors may have a better chance of receiving service hours as authorized. Provide mileage reimbursement for the volunteers who participate in the Illinois Volunteer Money Management Program (IVMMP). Seniors across the board should have access to money management services and that the funding is appropriated to allow for this to happen. 89
STATE FARM INSURANCE 100% of LTC costs should be eligible for a federal income tax deduction. Some states already allow some deductions. SENIOR COMPANION SERVICES Seniors need more adult companions. AREA AGENCY ON AGING OF SOUTHWESTERN ILLINOIS The main concern is mobility – being able to get from one place to another. A consumerresponsive transportation system throughout the 7 Southern Illinois counties is a key to maintaining individuals in their home and community. The senior service system must increase the awareness of how to maintain individual health. Medications must be affordable. Maintenance of affordable housing is a priority. The system must be a continuum, from educating the young about healthy aging to providing quality care in nursing homes. The system must be seamless, with easy access. Choice of services, providers and locations must available, including senior companions, assisted transportation, and adult day services. Illinois should integrate federal and state funding sources for home and community-based services in order to raise monthly maximums for older persons under the Community Care Program and offer seniors a wider array of service options. Funds should be appropriated for additional services provided under the current Medicaid waiver, including home-delivered meals, transportation and personal electronic response systems. Illinois should amend the current Medicaid waiver to include “targeted” case management on clients with special needs, including persons with dementia, complex chronic illnesses and disabilities, and clients who are capable of leaving a long-term care facility and returning to the community with appropriate home and community-based services. Targeted case management could generate additional federal participation. Illinois should appropriate state funds for respite services to provide temporary and intermittent relief and assistance to individuals providing constant care to older adults in the community. Improve and expand the Long-Term Care Insurance Partnership Program to provide incentives for individuals to purchase private long-term care insurance and protect their assets if they need to apply for Medicaid in the future to cover the cost of long-term care. SUBURBAN AREA AGENCY ON AGING The state needs to direct more resources in support of home and community-based options. Illinois needs to do a more effective job of integrating federal, state and local resources in support of home and community-based services. The following steps should be taken to improve the long-term care system in Illinois: 90
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Speaker’s Summit on Senior Servic
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PANELISTS AT STATE SUMMIT MEETING G
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Interoffice Memorandum January 2004
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This 2nd stage of the summit focuse
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PRIMARY RECOMMENDATION ILLINOIS DEP
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ENCOURAGE NURSING HOMES TO CONVERT
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financial participation, as well as
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as the “baby boomers” reach the
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• Expand the range of services av
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materials should emphasize 3 key ar
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• Develop a state medication tech
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The changes in occupancy seem to be
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eligibility determinations. Most of
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didn't matter if he or she had a lo
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folks are looking at other kinds of
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Trying to get just workers and acco
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There is also an automated pre-admi
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Personal care was provided as an op
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State and Medicaid Spending Total E
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Most of all, we want to make sure t
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Rick Dees Illinois Department of Pu
Page 43 and 44: dialog with the federal government
Page 45 and 46: enables the person to more easily a
Page 47 and 48: • Take care of the caregiver. For
Page 49 and 50: • Services available in Illinois
Page 51 and 52: Julie Sampson Citizen Action The Lo
Page 53 and 54: The United States healthcare system
Page 55 and 56: • Make doing home care, and worki
Page 57 and 58: documented the assaults, but nobody
Page 59 and 60: The SEIU report, “Facing a Crisis
Page 61 and 62: offered to facilities to convert mu
Page 63 and 64: providers, and the state by streaml
Page 65 and 66: Steve Nussbaum Life Services Networ
Page 67 and 68: We have a program that many of our
Page 69 and 70: Putnam County has 1,264 seniors, wi
Page 71 and 72: our director. We went back into the
Page 73 and 74: 8/26 Palatine State Representative
Page 75 and 76: ≡ Eliminate asset tests for home
Page 77 and 78: The escalating demand for long-term
Page 79 and 80: changes that can improve health; he
Page 81 and 82: • In 2002 Medicaid rates were cut
Page 83 and 84: Additionally, it is far more cost e
Page 85 and 86: modern, quality living space for re
Page 87 and 88: • Make doing home care, and worki
Page 89 and 90: ILLINOIS HEALTH CARE ASSOCIATION Th
Page 91 and 92: • The Supportive Living Program n
Page 93: homes is important. In-home care se
Page 97 and 98: • Seek expansion of the Medicaid
Page 99 and 100: Develop a mental health system whic
Page 101 and 102: Minnesota’s Long-Term Care Reform
Page 103 and 104: Who Provides Long-Term Care? 5% 95%
Page 105 and 106: Long-Term Care in Minnesota State o
Page 107 and 108: Long-Term Care Issues Minnesota Lo
Page 109 and 110: Long-Term Care Policy Directions
Page 111 and 112: Reshaping Long-Term Care Highlights
Page 113 and 114: Reshaping Long-Term Care How long-t
Page 115 and 116: Long-Term Care Benchmarks Benchmar
Page 117 and 118: Percent of Public LTC Spending on E
Page 119 and 120: Percent of older persons in nursing
Page 121 and 122: Other Measures of Success Paradi
Page 123 and 124: Conclusions Promoting non-governme
Page 125 and 126: Principles of Reform Choice Offer m
Page 127 and 128: What’s Working • 39% of LTC bud
Page 129 and 130: Other Essential Ingredients • Goo
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Long-Term Care - Illinois General Assembly

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