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OAA Title III & VI Coordination

OAA Title III & VI Coordination. Leonard Geshick| Indian Elders Coordinator | MBA. Older Americans Act. Title I – Objectives, to assure older Americans: Title II – Administration on Aging/ Administration for Community Living ( AoA / ACL) Title III – Grants for State and community programs

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OAA Title III & VI Coordination

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  1. OAA Title III & VI Coordination Leonard Geshick| Indian Elders Coordinator | MBA Minnesota Board on Aging | www.managing.net

  2. Older Americans Act • Title I – Objectives, to assure older Americans: • Title II – Administration on Aging/ Administration for Community Living (AoA/ ACL) • Title III – Grants for State and community programs • Title IV – creates a number of specific projects related to the objectives of the act. These include healthcare service in rural areas, computer training, civic engagement, and Native American programs. • Title V – establishes a program for engaging low-income senior citizens in community service employment and volunteer opportunities. • Title VI – establishes grants for certain Native American-focused programs on aging. • Title VII – creates state grants for "vulnerable elder rights protection" programs, Ombudsman. Minnesota Board on Aging | www.managing.net

  3. Minnesota’s Aging Network

  4. Tribal Nations & Area Agencies

  5. OAA Titles III & VI Coordination • March 30, 2018 SUA Letter • Sec. 614(a)(11) Title VI • Sec. 306(a)(11)(B) AAAs • Sec. 307 (a)(21)(A) SUA • Slides from a Title VI Perspective Minnesota Board on Aging | www.managing.net

  6. Letter to Department of Health & Human Services DEPARTMENT OF HEALTH & HUMAN SERVICES Administration for Community Living Washington , D.C. 20201 March 30, 2018 Dear State Unit on Aging Direct or, Each year the Department of Health and Human Services (HHS) participates in a number of events to support the federal government' s commitment to help improve the health of American Indians and Alaska Natives through various health and human services programs administered by the Depart ment. As an operating division of HHS, the Administration for Community Living (ACL) takes part in those events with our focus on the tribal aging population and persons with disabilities. However, improving the lives of Tribal nations is contingent upon understanding the specific needs of Tribal communities. Tribal consultation is an essential tool in understanding the unique needs and ensuring government to government relations. The Federal Tribal Consultation Policy includes the responsibility of states to consult with Tribes when HHS has transferred the authority and funding for programs to states that are intended to benefit Tribes. States should consult with Tribes to ensure the programs that they administer with federal funding meet the needs of the Tribes in that state . Tribes should be considered full partners by states during the design and implementation of programs that are administered by states with HHS funding. I am inviting you to consult with the tribes in your state and target tribal members as appropriate. The Older Americans Act (OAA) requires coordination between Titles Ill, VI and VII in efforts to meet the needs of tribal elder s. There are a number of ways that coordination can be accomplished to support these requirements. Wisconsin is an excellent example of state and tribal coordination and collaboration under the OAA. ACL is actively engaging in several different methods to increase information about tribes, tribal elders and the Title VI program on ad .gov. The Title VI program website www .olderindians.acl.gov is linked to the ACL website and provides current information about the Title VI program and contact information for each Title VI program. I believe that we share a common vision of the future where our nation is strong because every individual and community has the right to reach their full potential. That's exactly what the Administration for Community Living is all about. I am asking for your help to strengthen our partnership with Tribes and improve opportunities for older adults and persons with disabilities across each st ate . Please contact my office or Cynthia LaCounte with questio ns. Assistant Secretary for Aging and Administrator

  7. “The Older Americans Act requires coordination between Titles III, VI and VII in efforts to meet the needs of tribal elders.” Lance Robertson, Assistant Secretary for Aging and Administrator March 30, 2018 Minnesota Board on Aging | www.managing.net

  8. OAA Titles III & VI Coordination • Sec. 614(a)(11) TVI Each Title VI application shall contain assurances that the tribal organization will coordinate services provided under this part with services provided under Title III in the same geographical area Minnesota Board on Aging | www.managing.net

  9. OAA Titles III & VI Coordination • Sec. 306(a)(11)(B) AAAs Each Area Agency on Aging plan shall provide information and assurance concerning services to older individuals who are Native Americans, including an assurance that the Area Agency on Aging will, to the maximum extent practicable, coordinate the services the agency provides under this title with services provided under Title VI Minnesota Board on Aging | www.managing.net

  10. OAA Titles III & VI Coordination • Sec. 307 (a)(21)(A) SUA The state plan shall provide an assurance that the State agency will coordinate programs under this title and programs under Title VI, if applicable. Minnesota Board on Aging | www.managing.net

  11. OAA Titles III & VI Coordination continued • The AAA must identify and describe how it will coordinate with each of the tribe(s) within its PSA to provide services for American Indian Elders, specifically Title VI grantees, urban Native elders, elders not living on reservations and Indian Country. Best practices in this focus area could include a description of the process for planning and coordinating with each of the tribes within its PSA to provide services for American Indian Elders. Any services provided to American Indian Elders should be provided in a culturally responsive manner. Best practices also include steps taken to build relationships with individual tribes, while respecting their Sovereignty, and any collaboration efforts and/or challenges that may be unique to planning and service delivery with Minnesota Tribal Nations and Indian communities (Indian Country) Minnesota Board on Aging | www.managing.net

  12. OAA Titles III & VI Coordination continued • Indian Country: Minnesota Indian Country consisting of; Indian reservations, Dependent Indian communities and Indian allotments. In addition this includes rural communities, towns and cities where American Indian Elders reside and caregiving supports from friends, family and/or neighbors are needed or currently exist. Minnesota Board on Aging | www.managing.net

  13. OAA Title III & VI Coordination continued If you read the OAA, you won’t find much under Title VI Programs are designed to follow the OAA Title III Programs and tribes will find most of the rules in that section of the OAA If you can, ask your local Title III for copies of their standards and policy manuals, the rules are the same for both programs. Look at the manual online at https://olderindians.acl.gov/ Or look to your State’s standards for assistance Minnesota Board on Aging | www.managing.net

  14. FY 2017 Annual Title VI Part A/B, Part C and Nutrition Services Incentive Program

  15. Title VI Eligible Services • Congregate Meals • Home delivered Meals • Nutrition Education • Nutrition Counseling • Supportive Services Information/Referral • Outreach • Case Management • Transportation • Legal Assistance • Homemaker Services • Personal Care/Home Health Aid • Supportive Services – Chore • Visiting • Telephoning • Family Support • Ombudsman Services • Health Promotion and Wellness • All others • Information About Available Services • Assistance Gaining Access to Available Services • Individual Counseling • Support Groups • Caregiver Training • Lending Closet • Other Caregiver Support Services • Caregiver Respite Minnesota Board on Aging | www.managing.net

  16. Title III Eligible Services • Telephone Reassurance • Education/Training • Special Access • Home Delivered Meals • Congregate Meals • Self-directed Nutrition • Evidence-based Health Promotion Program • Self-directed Caregiver Support Services • Caregiver Counseling • Respite • Supplemental Services • Access Assistance • Information Services • Self-directed Supportive Services • Chore • Homemaker • Home Modification • Technology • Transportation • Assisted Transportation • Counseling • Consultation • Legal Assistance • Legal Education • Personal Care • Information & Assistance • Outreach • Visiting Minnesota Board on Aging | www.managing.net

  17. State Title III and Tribal Title VI Services FFY 2018 Minnesota Board on Aging | www.managing.net

  18. Minnesota Tribal Title VI Programs Minnesota Board on Aging | www.managing.net

  19. Title VI Program Involvement Graph

  20. Title III & VI Working Together Title III and VI Working Together Presenter: Laurai Atcitty, Area Agency on Aging Director 2214 North Central Avenue, Phoenix, Arizona 85004 p 602.258.4822, f 602.258.4825 www.itcaonline.com

  21. Older Americans Act and AAAs • Utilize the guidelines in the Older Americans Act • Area Plans – Section 306 • State Plans – Section 307 • Get involved in AAA and State Plans • Request a copy of both plans and meet with the AAA and state directors to discuss how they can work with you to meet these requirements . • Find out when the plans are being updated or rewritten (typically every 3-5 years) • Ask to be on the advisory board or other committees • Be sure to attend the public hearings/meeting when the plans are being developed to provide input, so your elders can receive all the services they are eligible to receive

  22. Reasons for coordination • Expansion of programs & service • Increased knowledge & communication • Eliminates & avoids duplication of services • Effective and efficient procedures & delivery of service • Synchronizes services to address the need • Clear points of contact • Maximizes available resource (sharing) • Training • Service availability • Menu Planning • Quality Assurance/Monitoring • Improves QUALITY OF LIFE

  23. Working Together Importance of AAAs working with you • Greater understanding of Tribes • Grant writing • Better advocacy • To accomplish the area plan • Field/on the ground perspective • Information to support grants • We need “community champions!” Importance of working with AAAs Communication is key AAAs partner on projects They are your liaison to local, state and federal agencies. Networking opportunities AAA provides updated information on state and federal initiatives. Request technical assistance & training

  24. AAA Partnership • Networking opportunities ₋ Overview of services ₋ Establishing connections Colleges, non-profits, organizations, other Tribes, etc. • Partnership development ₋ Advocacy efforts ₋ Advisory boards • Technical Assistance ₋ Helping programs understand services, etc.

  25. Where to start? • Importance of Reviewing Guides: • Manuals and Older Americans Act • Title VI • Title III (Nutrition/Case Manager/Alerts) • Eligibility Requirements • Grant timelines • Title III – July 1st to June 30th of every year • Title VI – April 1st to March 30th of every year

  26. Title III/VI Coordination • Technical Assistance & Training • Helping programs understand their services • Grant writing Training • Contract & Budgets • Professional Development/Management • System Access (DAARS) • Public Hearing • Annual meeting with Tribes to gather input for Area Plan. • Needs Assessments • Incorporate Title VI Needs Assessment to construct Title III Area Plan.

  27. Title III/VI Coordination Scope of Works Review each service requirement Measurement of Services/Units Timely reporting Quarterly/Monthly/Annually To ensure spend down of services No loss of units/funding Maintaining records/logs of services Educating finance departments of service requirements No duplication of services/units

  28. Title VI New Director TrainingThe History of Title VI and an Overview of the Older Americans Act Presented by: James DeLaCruz, Quinault Indian Nation, Cynthia LaCounte, Director, OAIANHP, Derek Lee, Courtney Hoskins, Lacey Vaughan, ACL - Aging Services Program Specialists September 12, 2017

  29. Reasons to Coordinate The reasons for coordination are numerous and will differ from program to program. Below are reasons which could make a significant difference to the types of services Title VI provides to Elders. • As you coordinate with Title III you will increase your knowledge about the programs they have available which could benefit the Elders. • Many Elders have multiple needs. Through program coordination they can access additional services besides just what Title VI funds can provide.

  30. Reasons to Coordinate (continued) • Greater efficiency. Coordination can reduce duplication of services (the same services being provided by VI and III). This could free funds for additional services. Improved staff effectiveness. In working with other programs it makes available many new resources such as new staff skills, facilities, and equipment. • Increased community support. Each program has its own base of community support. When programs work together, it will service to expand the base of community support and can assist in bringing the different communities together.

  31. Reasons to Coordinate (continued) • More money. As you develop ties to Title III the possibility of receiving funding increases greatly. If your Tribe or Organization is in agreement to receiving funds from Title III it can significantly increase the type and quality of services you provide to Elders. • Knowing what is going on. In many cases Title III has access to resources and information that Title VI programs are still struggling to achieve. This information can be invaluable to Title VI for keeping them updated to what is available in Elder services, additional sources of program funding, staff training opportunities, etc.

  32. Reason to Coordinate (continued) • Coordination with Title III and all other agencies that can provide services to older persons is the best way to meet the needs of Elders with the limited budgets most Title VI programs face. • Questions?

  33. End of presentation Leonard Geshick leonard.geshick@state.mn.us 651-431-2608 Minnesota Board on Aging | www.managing.net

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