U.S. Department of Health and Human Services

Administration on Aging

Compendium of

Active Grants

Under Title IV of the

Older Americans Act

Fiscal Year 2005
Compendium of Active Grants FY 2005 

 Under Title IV of the Older Americans Act 

Arranged by AoA Priority Area 

Table of Contents 

The Assistant Secretary for Aging, in support of the HHS Strategic Plan, has established five 

priorities to guide AoA’s activities over the next few years. For the FY 2005 Compendium 

Table of Contents, we have organized the discretionary programs under the corresponding 

AoA priority area. They are as follows: 

Priority 1: Empower older people and their families to make informed decisions 

about, and be able to easily access existing health and long-term care options. 

Program Page 

 Aging and Disability Resource Center 1 

 Aging Services Network Integrated Care Management Grants Program 37 

 Alzheimer's National Call Center 49 

Alzheimer’s Disease Social Research Project 49 

Eldercare Locator Program and the National Aging Information & Referral 50 

Livable Communities Initiative 50 

Retirement Planning and Assistance for Women 51 

Bridging the Gap - Developing a Seamless Entry into Community-based Nutrition Services 51 

Priority 2: Empower older people to stay active and healthy through evidencebased disease and disability prevention. 

Program Page 

 

Evidence Based Prevention Program 52

Health Disparities among Minority Elders -Technical Assistance Center 59

 Nutrition, Physical Activity and Aging - National Resource Center 61 

Older Indians National Resource Centers 61 

 The Potential of Senior Centers to Improve the Health and Independence of 62 

Older Adults: A National Blueprint for the Future 

Priority 3: Enable seniors who are at high risk of nursing home placement to 

remain in their homes and communities for as long as possible. 

Program Page 

 Alzheimer’s Disease Demonstration Grants to States (ADDGS) 63 

 Family Friends 88 

National Family Caregivers Support Program 88 
 Educating State Legislators about Caregiver Support 108 

 Research on Young Caregivers 108 

Priority 4: Ensure the rights of older people and prevent their abuse, neglect and 

exploitation. 

Program Page 

 Legal Assistance and Technical Projects 109 

 National Center on Elder Abuse 117 

 National Consumer Protection Technical Resource Center 118 

 National Long-term Care Ombudsman Program 119 

National Legal Assistance and Elder Rights 120 

 Pension Information Counseling Projects 125 

 Pension Technical Assistance Project 128 

 Senior Legal Services - Enhancement of Access 129 

 Senior Medicare Patrol Program Integration 131 

 Senior Medicare Patrol Project 138 

Priority 5: Promote effective and responsive management of AoA human capital 

resources and grant funds. 

Program Page 

 Performance Outcomes Measures Project 185 

 Planning Grants Project 202 

 Systems-building in State Family Caregiver Support and Promotion Programs 206 

Congressional Mandates Page 

 Congressional directed funding of special projects for specific purposes 207 
FY2005 Compendium - Page 1 of 261 

90AM2753 Aging and Disability Resource Center

Baton Rouge, LA 70821-0061

Contact: Sharon Buchert (225)342-3570

Louisiana will establish a pilot Aging and Adult Disability Resource Center at the Cajun Area Agency on Aging (CAAA) 

with eight satellite locations in the parishes (counties). This pilot will test the design of the Resource Center in both urban 

and rural locations. The Resource Center will be combined with an interactive consumer-focused website; nationwide 

toll-free telephone number; and a single comprehensive assessment, eligibility determination, and care planning process 

to empower individuals to make informed choices and to streamline access to long-term care support. Based on the 

lessons learned from the implementation of the pilot Resource Center, Louisiana will issue an RFP to establish Aging 

and Adult Disability Resource Centers across the state.

 

Target Population: Year One - Persons 60 and older

 Year Two & Three - Persons 60 and older and adults.

Anticipated Outcomes: 1) a convenient, accessible one-stop source of information, assistance, and streamlined access 

to services through a central location and satellite offices that provides consumers and their families information, 

assistance and referral resources; 2) comprehensive in-home assessments, with the opportunity to self-divert from 

institutional care and receive appropriate services in the least restrictive community setting of their choosing; 3) a 

"1-800" telephone and Internet access; 4) enhanced comprehensiveness of center services by separating care 

management functions from service provision and cross training and certifying resource center staff; 5) and a reduction 

in the number of intake, screening, and eligibility determination processes consumers must experience to receive 

services.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2005

FY 2006

375,999

48,000

400,000

421 North 4th Street 

Governor's Office Elderly Affairs

PO Box 61

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 2 of 261 

90AM2754 Aging and Disability Resource Center

Charleston, WV 25305

Contact: Julie Shelton (304)558-2241

West Virginia will establish two comprehensive pilot resource centers, one in an urban area and one in a rural area of the 

state, both of which will be implemented by local senior programs. The centers will integrate access to all long-term care 

programs - both public and private pay - and develop uniform and standardized processes to determine level of need, 

eligibility and care plans. Programs integrated into the resource centers include the WV SHINE (a health and wellness 

program), family caregiver support, and Alzheimer's disease caregiver support services, as well as the traditional 

long-term care services. The Bureau of Senior Services will partner with the West Virginia University, Center on Aging to 

evaluate the effectiveness of the two pilots to inform expansion to a statewide network of resource centers. 

Target Population: 

	Year One - Persons 60 and older and adults over age 18 with physical disabilities

	Year Two & Three - Persons 60 and older and adults over age 18 with physical disabilities

Anticipated Outcomes: Public understanding of the existence and functions of the resource centers; responsiveness to 

the unique needs of individuals and their long term care choices; a system of coordination for eligibility for publicly 

funded programs; provisions for private pay consumers; an informed state policy to promote a more balanced system of 

long term care based on consumer choice; and protection for vulnerable individuals identified through the resource 

centers.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2006

375,518

400,000 1900 Kanawha Blvd. East 

WEST VIRGINIA BUREAU OF SENIOR SERVICES

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 3 of 261 

90AM2755 Aging and Disability Resource Center

Baltimore, MD 21201-2374

Contact: Ilene Rosenthal (301)767-1265

The Maryland Department of Aging (MDoA) will develop pilot Resource Centers in one urban/suburban county and one 

rural county, which will serve the elderly and people with physical disabilities. The program will be designed to 

accomplish two primary goals: 1) to enhance existing infrastructure by creating a single point of entry at the local level 

capable of coordinating access to long term supports; and 2) to streamline the Medicaid financial and programmatic 

eligibility determination process to make it less cumbersome for consumers. MDoA will develop the project based on 

several key assumptions including: meaningful collaboration among partners; change processes require extensive 

education, follow-up and re-education; MIS linkages and redesigns must be cost-effective and adhere to HIIPAA; and 

state level policy changes will be required to effect local change. MDoA believes that introducing systems reform at the 

state level, along with establishing Resource Centers county by county, will create a foundation and groundswell that will 

assist them in achieving successful systems change statewide. 

Target Population: 

	Year One - Persons 50 and older

	Year Two and Three - Adults with physical disabilities

Anticipated Outcomes: An interagency advisory structure at the state and local levels; a visible, trustworthy, responsive, 

efficient and cost effective resource center that empowers consumers to exercise choice; standardized forms and 

training materials designed to be used across agencies; a streamlined Medicaid financial and programmatic eligibility 

determination process; a "fast track" financial eligibility screening process; and improved programmatic eligibility 

determination by expanding and coordinating systems for case identification, intake, screening, and assessment.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2005

FY 2006

376,000

48,000

400,000

301 West Preston Street, Suite 1007 

MARYLAND DEPARTMENT OF AGING

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 4 of 261 

90AM2756 Aging and Disability Resource Center

Columbia, SC 29201-3326

Contact: Barbara Kelly (803)734-9899

South Carolina proposes to pilot the Resource Center program by establishing centers in two counties - Aiken and 

Barnwell - located in the Lower Savannah AAA service area. Through these centers, consumers will receive information, 

assistance and counseling, assessment and short-term case management, eligibility screening, eligibility determination 

and the ability to apply for long term support services. Services, including Medicaid eligibility determination, will be 

co-located. Eligibility determination and application processes will be streamlined through an electronic data sharing 

methodology that will be developed in the pilot area. Building on an existing web-based information and assistance 

system, South Carolina Access, the management information system, will be designed to link the resource center case 

management system with existing databases, including the Medicaid Waiver Case Management system and the Bureau 

of Senior Services Family Caregiver system. Consumers will be able to apply for services on-line. Project staff will work 

with the University of South Carolina Research Foundation to conduct a program evaluation. 

Target Population: 

	Year One - Persons 60 and older

	First Quarter of Year Two & Year Three - Individuals with physical disabilities

Anticipated Outcomes: Resource centers in at least two locations providing information, counseling, eligibility screening 

and coordination with eligibility determination by Sept. 2005 and fully functional by Sept. 2006; a consumer tracking/case 

management system in operation by Sept. 2004; an on-line service application process in place by Sept. 2004; and an 

information management system - operational, and tracking referrals, utilization and costs in place by Sept. 2005.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2005

FY 2006

376,000

48,000

400,000

1301 Gervais Street, Suite 200 

Lieutenant Governor's Office on Aging

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 5 of 261 

90AM2757 Aging and Disability Resource Center

St. Paul, MN 55164-0976

Contact: Mary Chilvers (651)431-2596

Minnesota will develop strong linkages between county long-term care consultation and information, referral and 

assistance services. The state will: give consumers, their families and other caregivers and professionals access to more 

effective, consumer-friendly, and robust decision support Internet tools to navigate long-term care information for 

planning and decision-making; provide standardized statewide professional screening, assessment and eligibility using 

XML data sharing protocols; and establish four Hennepin County (including Minneapolis) resource centers in easy to 

access locations to provide a full complement of personalized awareness and information, assistance and access 

functions. Minnesota plans to eventually replicate the resource center program throughout the state after the three-year 

project period. An evaluation consultant will be retained to work with project management and the advisory board to 

develop and implement an effective measure of the impact of the project on the quality of life of participant consumers. 

 

Target Population: 

	End of Year One - Persons 60 and older

	Year Two & Three - Persons 60 and older and individuals with disabilities of all types

Anticipated Outcomes: A resource center tailored to meet consumer's and professional's needs through tools connecting 

them to streamlined assess to long-term care services with a single, coordinated method of intake, assessment and 

eligibility, with quality monitored through a centralized data collection and evaluation; a decrease in consumer confusion 

and duplicative services and an increase in enhanced choice; and an improved ability by State and local governments to 

connect consumers to needed services and supports from publicly and privately funded services.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2006

347,394

400,000 540 Cedar Street 

MINNESOTA BOARD ON AGING

PO Box 64976

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 6 of 261 

90AM2759 Aging and Disabilty Resource Center

Trenton, NJ 08625-1002

Contact: Nancy Day (609)943-3429

New Jersey will establish two or three Aging & Disability Resource Centers at the county level to test the development 

and implementation of models that will integrate information and assistance, assessment, eligibility determination, and 

access processes and staff across programs. New Jersey will build on its extensive information, assistance and referral 

system (NJ EASE) to provide information and assistance 24 hours a day, 7 days a week, and 365 days a year through its 

toll-free number and a new interactive website. A new management information system that supports client tracking, 

needs assessment, care plans, and utilization will be linked to a computerized universal application for services.

Target Population: 

Year One - Persons 60 and older

Year Two & Three - Persons 60 and older and individuals with physical disabilities

A special focus will be on hard-to-serve and underserved populations

Anticipated Outcomes: A visible, responsive, and trusted resource center, which will be the sole source for home and 

community-based services, connecting consumers to a full array of public and private supportive services to assist them 

in tailoring a care program that best meets their needs through a seamless process. The Resource Center will provide 

automated mechanisms for accurately tracking consumer utilization and service costs, which will aide in the development 

of needs assessments and care plan. It will also provide a comprehensive resource library to assist consumers with 

finding long-term care options and supports. 

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2005

FY 2006

375,079

48,000

400,000

240 West State Street 

NEW JERSEY DEPARTMENT OF HEALTH & SENIOR SERVICES

Division of Aging & Community Services

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 7 of 261 

90AM2760 Aging and Disability Resource Center

Boston, MA 02108

Contact: Heather Johnson-LaMarche (802)879-1338

Massachusetts' Aging and Disability Resource Collaborative will be established in the Northeast Region of the state. In 

the first year, a uniform intake process will be developed and utilized by a team of intake workers from community 

partners who will provide comprehensive and coordinated information, referral and case management. Community 

service partners will be cross-trained to ensure timely and appropriate transfer of information and resources. In years two 

and three, the collaborative will expand to the rest of the Northeast region and will target hard-to-serve or underserved 

populations. Medicaid enrollment staff will be co-located at the resource center by year 3. A toll-free telephone number, 

interactive website of intake, referral and evaluation will provide the foundation for the collaborative's functions. The 

uniform screening and assessment tool and process developed under a Real Choice Systems Change grant will be 

launched through the collaborative.

Target Population: 

	Year One - Persons 60 and older and individuals with disabilities of all types

	Year Two & Three - Persons 60 and older and individuals with disabilities of all types

	A special focus will be on hard-to-serve and underserved populations

Anticipated Outcomes: A visible, trusted and accessible entry point into long-term care for consumers, including those 

from diverse populations; increased community communication and collaboration in the delivery of home and 

community-based services; and coordinated provision of long-term care services through an integrated case 

management function.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2005

FY 2006

352,500

48,000

399,976

One Ashburton Place, Room 517 

Massachusetts Executive Office of Elder Affairs

Policy and Program Development

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 8 of 261 

90AM2761 Aging and Disability Resource Center

Cranston, RI 02920-

Contact: Joan D'Agostino (401)462-0507

The Rhode Island Department of Elderly Affairs (DEA) proposes to create Elder and Adult Disabled Resource Centers 

that will provide services to the elderly and individuals with physical disabilities. DEA will develop a resource center in 

Cranston, Rhode Island, near Providence. A number of Older Americans Act, Medicaid and state funded programs will 

be co-located at the resource center site. Up to three satellite mini-centers will be established through an RFP process in 

additional locations throughout the state. Resource center infrastructure will include a toll-free line, a Web-based 

resource directory and benefits screening tool supported by a Real Choice Systems Change grant, and an integrated 

information management system. To facilitate systems coordination and collaboration, written agreements will be 

established with key partners. By Executive Order of the Governor, a long-term care Cabinet will be established to 

ensure a coordinated, consumer focused, cost effective system of long-term care. Rhode Island is in the process of 

consolidating services funded through state funds, Medicaid, and other federal programs into a new long-term care 

Support Program. The DEA project director for the Rhode Island Performance Outcomes Measurement Project will work 

with a contractor to conduct a project evaluation. 

Target Population: 

	Years 1 - 3 - persons 60 and older and people with physical disabilities

Anticipated Outcomes: Reduction in the level of consumer frustration and confusion and an increase in consumer 

satisfaction in Rhode Island's long-term support system, and a system that ensures eligible individuals receive more 

appropriate, less costly forms of support based on consumer preferences.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2006

352,030

400,000 35 Howard Avenue 

RHODE ISLAND DEPARTMENT OF ELDER AFFAIRS

John O. Pastore Complex

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 9 of 261 

90AM2762 Aging and Disability Resource Center

Helena, MT 59604

Contact: Doug Blakely (406)444-7787

Montana will establish a One-Stop Aging/Disability Resource Center in Yellowstone County. The Center, operated by the 

Area Agency on Aging, will be open 362 days a year with four counselors who will assist consumers in determining their 

eligibility for long-term care services, benefits and employment counseling and will provide referrals to federal, state, 

local and private agencies. A web-based eligibility and application process and a management information system that 

tracks client intake, needs assessment, care plan, utilization and costs will provide the infrastructure for the Resource 

Center functions. 

Target Population: 

 Year One - Persons 60 and older 

 Year Two & Three - Persons 60 and older and individuals with physical disabilities

Anticipated Outcomes: Informed, effective and empowered consumers who are members of Yellowstone County's 

continuum of care; a resource center as a place consumers recognize and utilize to resolve questions or problems and 

access a full array of long-term care services; and an effectively managed system that tracks long-term care services 

through client intake, needs assessments, care plans, utilization and costs.

Project Period: 09/29/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2005

FY 2006

328,663

48,000

400,000

PO Box 4210 

Department of Public Health & Human Services

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 10 of 261 

90AM2763 Aging and Disability Resource Center

Augusta, ME 04333

Contact: John Baillargeon (207)287-9208

Building on the state's current statewide pre-admission assessment program and the recommendations of the Maine 

Olmstead Workgroup for Community-based Living, the Bureau of Elder and Adult Services will: work with three 

community coalitions to test methods to streamline consumer access to long term supports; establish, within the current 

long-term support assessment process for adults of all ages, the means to improve person-centered service planning for 

the targeted populations; implement referral and follow-up protocols to improve service coordination and ensure more 

effective service access; evaluate resource center results to inform the process of merging the two state departments 

responsible for the organization and delivery of long term support services; and replicate the process statewide. 

Resource Center funds will be used to enhance existing automated Medicaid eligibility tools and to assess the feasibility 

of a web-based Medicaid application process to improve "real time" interface.

Target Population: 

	Year One - Persons 60 and older

	Year Two and Three - adults with mental health and addiction disorders, brain injury, developmental 

disabilities, and cognitive impairments. 

Anticipated Outcomes: A cohesive network of local and state resources at the community level, that communicates 

effectively to assist adults of all ages and incomes seeking long term support; enhanced management information 

systems and Medicaid level of care and financial application procedures to allow for more timely, user-friendly access; a 

revised pre-admission assessment tool to develop comprehensive service plans based on informed choice and 

consumer preference; and a coordination and linkage of protocols at the state and local level to support ongoing service 

coordination for target populations.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2006

360,586

399,940 11 State House Station, 444 Civic Center Drive 

MAINE DEPARTMENT OF HEALTH & HUMAN SERVICES

Office of Elder Services

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 11 of 261 

90AM2764 Aging and Disability Resource Center Project

Durham, NH 03824-3585

Contact: Amy Schwartz (603)862-5099

The goal of the New Hampshire Resource Center project is to integrate the current information and assistance program 

with the State Assessment and Counseling program and the eligibility determination and care plan authorization 

processes for nursing facility and home and community based waiver program. Resource Centers will establish a 

system of coordination with Medicaid financial eligibility determination. Four pilot Resource Centers will be developed 

initially to serve the elderly and all target populations of people with disabilities, with plans to establish resource centers 

statewide by the end of year three. The project advisory committee will guide the design and development of evaluation 

activities. A subcommittee of the advisory work group will guide consultants in selecting and implementing an automated 

information management system. 

Target Population: 

	Years 1 - 3: Persons 60+ and people with disabilities

Anticipated Outcomes: Consumers and their caregivers aware of the Resource Centers as a trusted place to get easy 

access to comprehensive and current information on long term support options; uniform clinical eligibility assessments of 

nursing facility applicants who have applied for Medicaid benefits; information, referral, counseling, and assessment 

services that are efficiently coordinated to eliminate duplication and burden on consumers.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2003

FY 2006

376,000

399,261 Service Building, 51 College Road 

UNIVERSITY OF NEW HAMPSHIRE

Office of Sponsored Research

Program: Aging and Disability Resource Center

90AM2820 Aging and Disability Resource Center Initiative

Little Rock, AR 72203-1437

Contact: Gloria Powell (501)683-0966

Arkansas will develop a Community Choice Resource Center that serves older people, as well as people with physical or 

developmental disabilities, in a 12-county region of the state. The Area Agency on Aging of Southwest Arkansas will 

establish a physical Center co-located with partner agencies in an existing community center; provide out-stationed 

counselors to serve the 12-county region; and develop and implement an Internet-based consumer assessment, referral, 

enrollment and reporting tool that will serve as the project management information system. Arkansas will develop a 

procedures manual on how to operate a Resource Center, to encourage replication of the model across the state.

Target Population: Year 1 - Persons 60 and older

	 Year 2 & 3 - Persons 60 + and individuals with physical or developmental disabilities

Anticipated Outcomes: The Community Choice Resource Center will: integrate programs; improve access; coordinate 

services; manage program information; and enhance choice.

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

396,631

48,000

85,000

Slot S-530 P.O. Box 1437 700 Main Street

ARKANSAS DEPARTMENT OF HUMAN SERVICES

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 12 of 261 

90AM2821 Aging and Disability Resource Center Initiative

Des Moines, IA 50319

Contact: Mary Anderson (515)725-3301

Iowa will establish a Resource Center that will be accessible to every community by toll-free telephone service, web site 

access or through service delivery professionals. The state will integrate its Internet-based management information 

system with that of the developmental disabilities system. It will also create an interactive consumer-oriented website to 

expand to support this "no wrong door" approach to accessing the long-term care system. Information and counseling 

services will be made available to private-pay individuals. 

 

Target Population: Year One - Persons 60 and older

	 Year Two & Three - Persons 60 and older and individuals with developmental disabilities

Anticipated Outcomes: Empowered consumers who make informed choices about long-term care; streamlined access to 

long term supports; minimized consumer confusion; and limited use of unnecessary high-cost services.

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2006

400,000

85,000 510 East 12th Street - Suite #2 200 10th Street

STATE OF IOWA

Iowa Department of Elder Affairs

Program: Aging and Disability Resource Center

90AM2822 Aging & Disability Resource Center

Saipan, MP 96950

Contact: Rose Mondala (670)664-2598

The Commonwealth of the Northern Mariana Islands (CNMI) will establish an Aging and Disability Resource Center, 

where older people and people with disabilities in the island community can have access to clear and uniform 

information and counseling on all available long-term care services. The Center will also be a single point of entry to 

public short and long-term support programs and activities. It will reach out to underserved older people and people with 

disabilities in villages where people have limited access to information. CNMI will integrate access to long-term care 

programs and activities through co-location of personnel and an integrated database. Center staff will assist consumer in 

utilizing the Benefits Check-Up online tool to determine eligibility for public benefits.

Target Population: 	Year One - All populations

	 Year Two & Three - All populations

Anticipated Outcomes: simplified access to information and an eligibility screening process for a variety of long-term care 

supports and services in one location; educated consumers, professionals, and communities that know about the 

services, program resources, agencies and resource center; community-wide support for use of the resource center 

technology to provide clear, accurate and current information on available long-term care support; services that 

centralize screening of program applications to ensure clients are matched with appropriate programs that best meet 

their needs; and reduced waiting time for consumers who need screenings, program enrollments, and referrals.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004 100,000

Caller Box 10007 

NORTHERN MARIANA ISLANDS DEPT OF COMM & CULTURAL AFFAIR

Northern Mariana Islands Dept. of Comm. & Cultural Affa

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 13 of 261 

90AM2823 Aging and Disability Resource Center Initiative

Santa Fe, NM 87505

Contact: Emily Kaltenbach (505)476-4755

New Mexico will realize the vision of the Resource Center by establishing the core capacity of information and assistance 

services statewide and phasing in a seamless public interface through a community-based resource center. New Mexico 

will: develop a detailed provider database; strengthen the information and assistance capacity of 50 local sites across the 

state; and standardize the needs assessment process, standardize and coordinate the eligibility determination process, 

and phase-in comprehensive resource centers to serve older people and individuals with physical disabilities across the 

state. The Interagency Long-term Care Committee, in it's capacity as project advisory committee, will set criteria for the 

selection of one or more resource center pilot sites. A consultant will be utilized to conduct a project evaluation based on 

project goals and objectives, and the advisory committee will use the results to make recommendations for operational 

and process modifications. 

 

Target Population: 	Year One - Persons 60 and older

	 Year Two & Three - Persons 60 and older and individuals with physical disabilities

Anticipated Outcomes: A statewide information system, counseling and assistance on public and private long-term care 

services; creation of a resource center with improved public awareness, information availability and assistance, and 

access to long term care services, case management and other related functions to promote personal choice, 

independence and cost-effective use of available services; and a system that enhances availability, assistance and 

access to long-term care services to promote personal choice and independence of older people and adults with physical 

disabilities and to support their caregivers. 

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

399,450

48,000

85,000

2550 Cerrillos Road 

New Mexico Aging and Long-Term Services Department

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 14 of 261 

90AM2824 Aging and Disability Resource Center Initiative

Raleigh, NC 27699

Contact: Heather Burkhardt (919)733-8400

The North Carolina Resource Center program will construct a locally integrated, visible network of resources to provide 

uniform information and access for consumers in one urban and one rural county. The North Carolina Division of Aging 

will develop a Resource Center incorporating a new statewide Information and Assistance infrastructure, expanded use 

of volunteer benefits counselors, a modified version of NCOA's Benefits CheckUp, and the piloting of a uniform 

intake/screening tool. The Division of Medical Assistance (DMA) will develop a Chronic Care Management Project in a 

regional hospital to complement the Resource Center by providing essential functions targeted to the most complex 

long-term care populations reliant on public support. The DMA will also pilot a simplified adult Medicaid mail-in 

application through the Resource Centers. The foundations for an integrated, computerized tracking management 

system to facilitate seamless access to services and to aid in planning, development and evaluation will be developed. 

Research Triangle Institute will do the evaluation . 

Target Population: 

 Year One - Persons 60 and older 

 Year Two and Three - Second target population will be selected by the local communities from the target 

groups of people with physical disabilities, mental illness, and/or MR/DD. 

Anticipated Outcomes: an established Resource Center that is a visible and trusted source of assistance that conforms 

to standards necessary for statewide dissemination; disseminated information and assistance about long-term care 

needs that is relevant to seniors and younger persons with disabilities and their family caregivers; access to long-term 

care services with greater ease (less effort, less time) by seniors and younger persons with disabilities; access to 

long-term care supports that enable seniors and younger persons with disabilities to remain in the community as long as 

possible. 

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

400,000

48,000

85,000

2101 Mail Service Center 

NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 15 of 261 

90AM2825 Aging and Disability Resource Center Initiative

Atlanta, GA 30303

Contact: Alan Goldman (404)657-5268

Georgia will implement Aging and Disability Resource Centers in one urban (decentralized model) and one rural 

(centralized model) service area, to serve the elderly and people with developmental disabilities. The Centers will build 

upon the existing AAA based single point of entry system known as the Gateway system, which includes assessment 

and financial eligibility determination functions. Resource Centers will implement protocols for consistency in providing 

information and assistance services, build local coalitions, develop training and marketing strategies, and expand the 

service and resource database to include services for people with developmental disabilities, with the long term goal of 

moving Georgia toward the vision of a seamless consumer one-stop shop for all target populations in need of long-term 

care options statewide. Other regions across the state will be provided with the tools to replicate a centralized or 

decentralized resource center model for aging consumers and people with developmental disabilities. Evaluation will 

focus on the outcomes listed below and will draw on the client satisfaction surveys developed through the AoA 

Performance Outcome Measurement Project. 

Target Population: 

	Year One - Persons 60 and older 

	Year Two and Three - Individuals with developmental disabilities

Anticipated Outcomes: Resource Centers that are visible and trusted places where consumers get streamlined access to 

long-term care; a collaborative environment in which effective community coalitions between service networks occur; 

population specific protocols for information and assistance that will increase efficiency and effectiveness; an expanded 

resource database that includes resources for persons with developmental disabilities; and a staff cross-trained on 

issues and needs of the elderly and people with developmental disabilities.

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

399,999

48,000

85,000

9th Floor 

GEORGIA DEPARTMENT OF HUMAN RESOURCES

Two Peachtree Street, NW

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 16 of 261 

90AM2826 Aging and Disability Resource Center Initiative

Springfield, IL 62701

Contact: Ross Grove (217)524-7627

Illinois will establish an Aging and Disability Resource Center in Rockford, to be administered by the Northwestern Illinois 

Area Agency on Aging, which will serve persons with developmental disabilities and older people. Illinois will establish a 

second Center in Decatur, to be administered by the East Central Illinois Area Agency on Aging, which will serve people 

with physical disabilities, older people and family caregivers. The Resource Centers will provide long-term care options, 

counseling and comprehensive needs assessments through a person-centered planning approach. The Centers will 

expand caregiver support services to previously underserved populations, such as grandparents raising grandchildren. 

The Department of Disability & Human Development at the University of Illinois will evaluate the effectiveness of the 

Centers to determine feasibility of statewide expansion.

 

Target Population: 

 Year One - Persons 60 and older and individuals with physical and developmental disabilities

 Year Two & Three - Persons 60 and older and individuals with physical and developmental disabilities

Anticipated Outcomes: an established Resource Center that maximizes the abilities of older people, persons with 

physical disabilities and persons with developmental disabilities to make informed choices and to meet their long term 

care needs; and a system of direct assistance to family caregivers who plan for the future needs of family members who 

have physical disabilities and/or developmental disabilities. 

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

400,000

48,000

85,000

421 East Capitol Avenue 

Illinois Department on Aging

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 17 of 261 

90AM2827 Aging and Disability Resource Center Initiative

Madison, WI 53707

Contact: Anne Marie Ott (608)261-7809

The Wisconsin Department of Health and Family Services (DHFS) will expand geographic coverage of their full-service 

Aging and Disability Resource Centers, develop capacity for all target groups to be served resource centers, and develop 

infrastructure to support ultimate expansion to all parts of the state. Five local agencies will be selected through an RFP 

process to develop new full-service Resource Centers. DHFS will develop state-level infrastructure to support current 

and future development of a statewide system of full-service Resource Centers that serve elders and at least one other 

target population of individuals with disabilities. The state infrastructure will include: two toolkits, one to promote public 

awareness and one for long-term care options counseling; identification of information management system solutions; 

ability to provide technical assistance in adding new target populations; and technical assistance in identifying and 

accessing funding sources. Grant funds, together with state resources, will be used to identify and implement 

information management solutions capable of meeting the range of operational, administrative, and reporting needs of a 

Resource Center. DHFS will lead the project evaluation based on performance outcomes and indicators. 

Target Population: 

	Year One - Persons 60 and older 

	Year Two and Three - At least one other target population of people with disabilities

Anticipated Outcomes: A general public that is informed about the Resource Centers and using their services; and 

Resource Centers that are visible and trusted places which provide objective, reliable and comprehensive one-stop shop 

information, assistance and access to long-term care and other community services, and eliminate duplication of 

services and multiple points of entry for mental health services.

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2006

400,000

85,000 P.O. Box 7851 Room 450

WISCONSIN DEPARTMENT OF HEALTH AND FAMILY SERVICES

1 West Wilson Street

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 18 of 261 

90AM2828 Aging and Disability Resource Center Initiative

Indianapolis, IN 46207-7083

Contact: Patty Matkovic (317)332-7132

Indiana will phase in the establishment of six Aging and Disability Resource Centers to coordinate information, referral 

and programmatic/financial eligibility determinations for older people and individuals with physical disabilities. The 

management information systems from the aging network and physical disabilities network will be integrated and 

Internet-based to provide the foundation for statewide expansion of the Resource Centers. Local Resource Centers will 

develop and implement an information marketing strategy that targets providers and community resources, as well as 

consumers.

 

Target Population: 

	Year One - Persons 60 and older

	Year Two & Three - Persons 60 and older and individuals with physical disabilities

Anticipated Outcomes: An expanded awareness of older people and individuals with physical disabilities to the full range 

of long term care services available to them; streamlined access to long-term care services for both public and private 

pay individuals; a management information system that will enable the state to promote a more balanced system of care 

that is based on consumer choice.

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

389,405

48,000

84,744

402 West Washington St. - PO Box 7083, MS-21 

DISABILITY, AGING AND REHABILITATIVE SERVICES

Program: Aging and Disability Resource Center

90AM2829 Aging and Disability Resource Center Initiative

Sacramento, CA 95834-1992

Contact: Denise Crandall (916)419-7507

California will establish a Resource Center in Del Norte County and San Diego County, in partnership with the Area 

Agencies on Aging, to simplify access to long-term care services. The Resource Centers will identify systems 

improvements related to access, conduct public awareness activities, target outreach to underserved or hard-to reach 

populations, identify modifications to the Network of Care website, and partner with physicians who will link with social 

services. California will evaluate the effectiveness of the two Resource Centers based on geographic, cultural and 

socio-demographic differences. 

Target Population: 	Year One - Persons 60 and older; 

 Year Two and Three - All populations (San Diego), Persons 60 and older and individuals

 with physical disabilities (Del Norte)

Anticipated Outcomes: The establishment of Resource Centers which are non-stigmatizing public places, accessed for 

information and assistance by a diverse range of people, both private pay and public pay individuals referred by 

physicians and other professionals. Resource Centers refer clients to needed medical care, as well as social supports. 

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2006

399,999

83,724 1300 National Drive 

STATE OF CALIFORNIA - DEPARTMENT OF AGING

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 19 of 261 

90AM2830 Aging and Disability Resource Center Initiative

Tallahassee, FL 32399-7000

Contact: Sandi Smith (850)414-2000

Florida will develop and implement Resource Centers in two different service areas, offering information, counseling, 

referrals, assessment and eligibility functions for both publicly and privately funded services for the elderly and 

individuals with mental illness. To achieve this, Florida will co-locate information and referral, screening and 

assessment, access to crisis intervention, short-term case management, medical and financial eligibility determination, 

and long-term care counseling. Florida will establish a single administrative structure accessible through multiple 

locations (senior centers, AAAs, housing authorities, mental health centers etc.) in each of the two resource center 

communities. The Department of Elderly Affairs, in conjunction with the Florida Office of Long-Term Care Policy, will 

develop and conduct the evaluation. The resource center program will benefit from an existing Florida project designed 

to merge existing program information management databases. The Florida legislature currently supports integrated 

long-term care.

Target Population: 

	Year One - persons aged 60 and older 

	Year Two and Three - individuals with mental illness

Anticipated Outcomes: visibility - demonstrated increase in the number of consumer requests; trust - eighty percent of 

respondents to a survey of ADRC customers express trust in Resource Center services; ease of access - eighty percent 

of respondents to a survey of ADRC customers express satisfaction with ease of accessing Resource Center services; 

responsiveness - eighty percent of respondents to a survey of ADRC customers express satisfaction with the 

responsiveness of Center services; efficiency and effectiveness - measured through: 1) a time study to determine 

savings as a result of Resource Centers, 2) customer interviews assessing value or services received, and 3) 

establishing baseline data in year one for each Resource Center.

Project Period: 09/30/2004 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

399,973

48,000

85,000

4040 Esplanade Way, Suite 280 

FLORIDA DEPARTMENT OF ELDER AFFAIRS

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 20 of 261 

90AM2831 Alaska's Aging and Disabilities Resource Center

Anchorage, AK 99510-1020

Contact: Jim McCall (907)330-8436

Alaska will establish five regional Resource Centers operated by the State Centers for Independent Living (SILC) to 

provide citizen-centered "one-stop shopping" entry to long term support services for seniors and people with disabilities 

statewide. Two regional Centers will be established in the first year and three will be established in year two. The 

Resource Centers will offer information and referral services, eligibility screening, assistance in gaining access to long 

term support services for private pay consumers, comprehensive assessment for those seeking publicly funded services, 

programmatic eligibility determination for long term support services, and access to the Division of Public Assistance for 

Medicaid financial eligibility determination. The SILC will work with the Division of Senior and Disability Services and the 

Senior Housing Office to develop a management information system that tracks consumer intake, needs assessment, 

care plans, utilization, and costs. Formative and summative evaluations will be conducted by the center for Human 

Development.

Target Population: 	Year One - Persons 60 and older and persons with disabilities of all types

	 Year Two and Three - Persons 60 and older and persons with disabilities of all types

Anticipated Outcomes: Resource Centers with streamlined access to long term support services; outreach to 

underserved populations; Centers effectively empowering individuals in need, or planning for long term supports, to 

make informed choices; an emphasis on supporting consumer-driven, home and community- based service options; and 

assistance with increasing the knowledge of health and long term support professionals and others providing services to 

the elderly and people with disabilities.

Project Period: 07/01/2004 - 09/30/2008

FY Grant Amount

FY 2004 399,791

PO Box 101020 

ALASKA HOUSING FINANCE CORPORATION

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 21 of 261 

90AM2919 Aging and Disability Resource Center

Harrisburg, PA 17120-0302

Contact: Elaine S Smith (717)346-9713

Pennsylvania will plan and operate four demonstration Resource Centers located in diverse areas of the state to assist 

all consumers and family members who need information, counseling, assessment and assistance in applying for 

long-term care services. In two of the Centers, personnel from all relevant service agencies will be co-located at the 

Centers. In the remaining two Centers, relevant agencies will be connected to each other and the co-located Centers via 

the Internet, to provide uniform delivery of information, assistance and access services. A single application for services 

will be developed, the eligibility process will be streamlined and a common assessment tool will be developed and 

utilized by all of the Centers. By the end of the project period, a plan will be established to expand the Resource Centers 

statewide, based on a comprehensive evaluation. 

Target Population: 

	Year One - All populations

	Year Two & Three - All populations

Anticipated Outcomes: Simplified and streamlined access to long-term care that ensures each individual's need for 

services is determined and addressed promptly; maximized consumer choice and service provisions in a consumer 

friendly manner, respecting and ensuring dignity of all served; a more balanced system of long- term care, which 

includes more home and community-based services.

Project Period: 09/30/2003 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

359,080

396,400 4th Floor - Forum Building 

Department of Executive Offices

Commonwealth of PA, Ofc. of Health Care Reform

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 22 of 261 

90AM2993 Alabama Aging and Disability Resource Centers

Montgomery , AL 36104

Contact: Lori Frazier (334)353-8320

Alabama Aging and Disability One-Stop Centers will be accessible to every community through ElderConnect, allowing 

individuals to make informed choices through a single point of entry access to long-term care (LTC) support programs 

and services. Alabama's ADRC project, in conjunction with partnering agencies, will empower individuals to make 

informed decisions regarding LTC living support programs and services by offering information and access to an array of 

local resources at a single point of entry. The Alabama Department of Senior Services will be responsible for oversight 

and coordination, and will: 1) establish two ADRCs - Pilot I will be housed in the South Central Alabama Development 

Commission AAA comprised of six counties. Pilot II will be housed in the East Alabama Regional Planning and 

Development Commission AAA comprised of ten counties; 2) create standardization of state-wide screening and 

eligibility tool for LTC; 3) expand the existing management information system, Elder Connect, to capture and 

disseminate pertinent information on services for the elderly and mentally disabled that fully supports the functions of the 

ADRC grant; 4) advance outreach; and 5) establish state and local advisory boards.

Target Population: 

 - Year One - individuals aged 60+

 - Year Two & Three - 60+ and persons with mental disabilities

Anticipated Outcomes: 1) Alabamians will have easy access information regarding LTC and will enjoy the freedom to 

choose the services that best fit their needs; 2) reduction in multiple transfers of persons to and between agencies, by 

streamlining access and eligibility process, thereby raising client satisfaction, and providing better management of 

private/public resources; 3) increased awareness of ADRC services through several aggressive outreach strategies 

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

770 Washington Avenue RSA Plaza, Suite 470

Alabama Department of Senior Services

State Unit on Aging

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 23 of 261 

90AM2994 Arizona Aging & Disability Resource Center

Phoenix, AZ 85007

Contact: Robin Jordan (602)542-4446

The Arizona Department of Economic Security, in partnership with the Arizona Health Care Cost Containment System, 

will implement the Arizona Aging and Disability Resource Center (AzADRC). This ADRC will create a single, coordinated 

system of information, assistance, and access for all persons seeking long-term care services. A web-based tool, the 

Uniform Assessment Instrument (UAI), will be used for eligibility determination across all target populations and across 

all agency services to streamline services for consumers. Additionally, established community sites will provide 

counseling services and assistance with long-term care options. This grantee's target populations are persons 60 and 

older and individuals with physical and developmental disabilities. The anticipated outcomes of this grant include an 

increase in public knowledge of AzADRC locations, functions, website and contact information, and the completion of a 

UAI that meets the needs of all provider agencies.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 438,375

1717 W. Jefferson PO Box 6132

Arizona Department of Economic Security

Aging & Adult Administration

Program: Aging and Disability Resource Center

90AM2995 Colorado State Unit on Aging Application for the Aging and Disability Resource Center

Denver, CO 80203

Contact: Jeanette Hensley (303)866-2636

Colorado's State Unit on Aging, with the assistance of the Colorado Department of Health Care Policy and Financing, the 

Senior Health Insurance Program, Area Agencies on Aging, the Single Entry Point Agencies (SEP), and the 211 Network 

will collaborate to create one urban and one rural Aging and Disability Resource Center (ADRC) pilot sites. The ADRC 

will be implemented by developing an on-line interactive database of resources and a sustainable statewide information 

and assistance network with a "no wrong door" approach for consumer questions regarding long-term care services. 

The ADRC's target populations are persons 60 and older and adults living with disabilities. 

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

1575 Sherman Street, 10th Floor 

COLORADO DEPARTMENT OF HUMAN SERVICES

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 24 of 261 

90AM2996 DC Aging and Disability Resource Center

Washington, DC, DC 20002

Contact: Jeff Anderson (202)442-5972

The District of Columbia's Department of Health proposes to expand its current Resource Center to continue the process 

of systems change for citizens seeking long-term care options. The goal of the proposed project is to expand public 

awareness of the Center and its services. The proposed approach will boost the visibility of the new Resource Center, 

further develop and enhance its website, plan for sustainability, and address identified housing issues of people with long 

term care needs. The project involves four objectives: 1) to expand public awareness and market the Resource Center 

by hiring an outreach coordinator; 2) to streamline access to long-term care by upgrading the planned beta website to 

make it interactive, with future online application capacity; 3) to initiate a sustainability plan by obtaining consultation 

regarding a fee schedule for private payers for those above Medicaid eligibility, and 4) to address long-term care choices 

by conducting a strategic analysis of the housing needs of the target population, with recommendations for change.

 

Target Population: 

 - Year One - Individuals age 60+ and adults with physical disabilities	

 - Year Two & Three - 60+ and individuals with physical disabilities, dementia, developmental disabilities/mental 

retardation

Anticipated Outcomes: 

 - increased collaboration among aging and disability organizations

 - a three year marketing and public awareness plan 

 - an increase in requests for information and referral

 - an increase in the number of persons enrolled in home and community-based services 

 - an analysis of the housing resources and unmet needs will be completed 

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 367,947

825 North Capitol Street, N.E., Suite 5135 

District of Columbia, Department of Health (DOH)

Medical Assistance Administration (MAA)

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 25 of 261 

90AM2997 Community Choice Resource Center Network

Hagatna, GU 96910

Contact: Rosanne S Ada (671)642-0038

The Department of Integrated Services for Individuals with Disabilities is the lead agency for the ADRC and has 

established a partnership with Guam's Developmental Disabilities Council. The goal of the project is to create a highly 

visible "Community Choice" Resource Center to serve the aging and physically or developmentally disabled in 26 

villages. The proposed Community Choice Resource Center Network will build on Guam' s 20 Community/Senior 

Centers and will enable rural consumers to easily find, access, and enroll in home and community-based services. The 

objectives of this project are: 1) to create Guam's first publicly accessible, online directory of long term care services and 

information; 2) to establish 20 physical Resource Centers co-located within the island's Community/Senior Centers; 3) to 

hire and train out-stationed counselors in outlying areas; and 4) to implement an Internet-based information, referral, 

screening and assistance tool that will serve as a screening tool and client management information system for the 

project. The tool will enable Resource Center staff to manage and coordinate services across the territory and provide 

data to identify service needs and gaps in order to develop an effective community long-tem care service system and a 

meaningful alternative to institutional care. The Community Choice Resource Center Network will serve as the primary 

entry point to the long-term care system.

 

Target Population: 

-Year One - individuals aged 60+

-Year Two & Three - 60+ and adults with physical and developmental disabilities

Anticipated Outcomes: 

-Improved access to services for seniors and individuals with disabilities, 

-Enhanced consumer choice

-Increased coordination of services across agencies

-A reduction in the number of individuals placed in off-island institutions

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,599

Office of the Director Pacific News Building Suite 702

GUAM DEPARTMENT OF INTEGRATED SERVICES FOR

Individuals With Disabilities

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 26 of 261 

90AM2998 Hawaii Aging and Disability Resource Center

Honolulu, HI 96813-2831

Contact: Pat Sasaki (808)586-0100

Hawaii's State Executive Office on Aging, in partnership with the Hawaii County Office of Aging and the City and County 

of Honolulu Elderly Affairs Division, will establish an Aging and Disability Resource Center (ADRC) on the Island of 

Hawaii and on Oahu. The overall design is to build the ADRC from the core functions of the local Area Agencies on 

Aging. In collaboration with other aging and disability agencies, the ADRC will co-locate services in a centralized facility 

that will offer a one-stop shop for information and resources on long-term care. The centers target populations are 

persons 60 and older and individuals with physical disabilities. The anticipated outcomes of this grant are a high user 

satisfaction, and a reduction in the intake and referral process.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

250 S. Hotel Street, Suite 406 

EXECUTIVE OFFICE ON AGING

State of Hawaii Department of Health

Program: Aging and Disability Resource Center

90AM2999 Community-based Aging and Disability Resource Center

Boise, ID 83720

Contact: Michele I Turbert (208)364-1946

The Idaho Department of Health and Welfare will be the lead agency in developing an Aging and Disability Resource 

Center (ADRC) that will service three communities. Idaho's 211 CareLine service will function as the single point of entry 

to long-term care services. Benefits counseling, eligibility screening and determination, and assistance with accessing 

private and public long-term care funds are some of the services this ADRC will provide to improve the coordination of 

service delivery between local and state agencies. Target populations this grantee will service are persons 60 and older, 

and individuals with physical disabilities. The anticipated outcomes of this grant include the increased use of programs 

and benefits that can help consumers remain in the community, and an increase in public awareness of both private and 

public long-term care support options.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

PO Box 83720 

IDAHO DEPARTMENT OF HEALTH AND WELFARE

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 27 of 261 

90AM3000 Aging and Disability Resource Center

Topeka, KS 66603

Contact: Janis DeBoer 

The Governor of Kansas selected the Department of Aging to serve as the lead agency to develop an ADRC. Center 

pilots will provide a variety of highly visible, easy to access services from a coordinated system of services, which will 

improve access to Medicaid and state funded programs. The target populations this grantee will serve are persons 60 

and older and adults who have serious mental illnesses. The anticipated outcomes of this project include a 20% 

decrease in time between applying for and receiving benefits, a 10% increase in referrals to Community Mental Health 

Centers, and a 25% decrease in time to get screenings referred to CMHCs.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

503 S. Kansas Avenue 

KANSAS DEPARTMENT ON AGING

Program: Aging and Disability Resource Center

90AM3001 Aging and Disability Resource Center Grant Initiative

Frankfort, KY 40621

Contact: Phyllis E Culp (502)564-6930

Kentucky will establish an Aging and Disability Resource Center (ADRC) pilot at the Northern Kentucky Area Agency on 

Aging. This site will service both rural and urban consumers and will establish a collaborative relationship with the local 

independent living centers, the faith based community, United Way and mental health and mental retardation providers. 

The Resource Center will provide consumers with web-based information and referral resources and collaborate with the 

Real Choice Systems Change grantee to provide a seamless system for clients to access both private and public 

long-term care sources of support. The supportive services this ADRC will provide include housing, employment, and 

eligibility and determination assessments. The target populations the ADRC will serve are persons 60 and over and 

adults with mental retardation. 

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

275 E. Main Street, Mail Stop 3 W-F 

KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES

Aging Services

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 28 of 261 

90AM3002 Aging and Disability Resource Center

Lansing, MI 48913

Contact: Jane Church (517)335-0276

Project's Overall Design: The Michigan Office of Long-Term Care Supports and Services, the state unit on aging and the 

state Medicaid agency, will create a network of aging and disability resource centers (ADRC) to establish comprehensive 

resources of long-term care and provide information and assistance in accessing services, planning for long-term care 

financing and delivery, benefits outreach and proactive choice counseling. ADRCs will serve as the single point of entry 

(SPE) for elderly and physically disabled adults to Michigan's Medicaid-funded long-term care system. The ADRC will 

conduct medical and facilitate financial eligibility determination for Medicaid-funded supports and services provided in 

nursing facilities and the MI Choice waiver. Use of the ADRC/SPE will be mandatory for individuals seeking access to 

Medicaid-funded nursing facility programs. Objectives include: 1) offering consumers more options; 2) establishing 

quicker access to services through streamlined eligibility and assessment; 3) reducing unnecessary institutionalization 

through diversion and transition; and 4) integrating consumers' voice into organizational governance.

Target Population: 

-Year One - individuals aged 60+

-Year Two & Three - 60 + and adults with physical disabilities

Anticipated Outcomes: 

-Print and web-based directory of long-term care resources

-Creation of modular assessment tool to be used across programs/systems/settings

-Financial eligibility determination meets federal standard of promptness requirements

-Fragmented intake processes integrated into a single coordinated process

-Decreased numbers of individuals who are being served in institutions as a result of transition services

-More collaboration and involvement of local organizations in the long-term care supports system

-ADRC has materials available in multiple languages

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

320 Walnut Street - PO Box 30479 

Michigan Department of Community Health

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 29 of 261 

90AM3003 Aging and Disability Resource Center

Jackson, MS 39212

Contact: Patricia Kelly (601)359-4925

The Mississippi Department of Human Services' Division of Aging and Adult Services, in collaboration with the 

Governor's Medicaid Division and the Mississippi Department of Rehabilitation Services, will create an Aging and 

Disability Resource Center (ADRC) with a single point of entry for culturally competent, coordinated services where 

consumers can get information and advice about a wide range of long-term care resources. Information concerning 

health care, income security, housing, and financial management will also be provided via a streamlined, easy to access 

one-stop pilot in Central Mississippi, which will service seven rural and urban counties with diverse consumer 

populations. This ADRC's target populations are persons 60 and older and adults with disabilities. The anticipated 

outcomes of this grant include a sustainable coordinated system of information and access for all persons seeking 

long-term support; higher customer satisfaction; an increase in the elderly and disabled living in their own homes; and 

an increase in early planning for long-term care.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 438,375

750 North State Street 

Mississippi Department of Human Services

Division of Aging

Program: Aging and Disability Resource Center

90AM3004 Nevada Long-Term Care Connection

Las Vegas, NV 89102

Contact: Tina Gerber-Winn (702)486-3520

Nevada's Division for Aging Services plans to develop three physical Aging and Disability Resource Center (ADRC) sites 

in Las Vegas, Reno and Elko. The physical location of the Las Vegas pilot will be housed with the Medicaid caseworkers 

under the Division's Community-based Care Program and co-located with the State Health Insurance Programs 

Director. In addition to providing information and referral on long-term care services and targeting Hispanic seniors and 

caregivers, this ADRC will also provide information about transportation, housing and collaborate with the state Medicaid 

office to provide streamlined access to public benefit programs. The grantee's target populations are persons 60 and 

older and individuals with physical disabilities. The anticipated outcomes of this project are an increase in customer 

satisfaction of the long-term care system and enhanced individual choice and informed decision-making.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 438,375

3100 W. Sahara Avenue, Suite 103 

State of Nevada

Health and Human Services

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 30 of 261 

Building Seamless Entry Points for Consumers: Establishing Aging and Disability 

Resource Centers for Ohio

90AM3005

Columbus, OH 43215-3363

Contact: Sharon Evanich (614)466-7246

The Ohio Department of Aging, endorsed by Governor Bob Taft and Ohio's Medicaid agency, will develop a structure for 

ADRCs in Ohio and pilot the creation of ADRCs in the Cleveland area. The objectives of this project are: 1) to create 

multiple avenues by which consumers and their caregivers can access the ADRC network; 2) to build linkages between 

local and regional entities to create a seamless process for consumers; 3) to publicize and promote the existence of the 

ADRC; 4) to create a common set of ADRC standards, protocols and procedures that can be used to replicate ADRCs 

throughout Ohio; 5) to evaluate the ADRC pilot and incorporate formative learning into the expansion of the ADRC 

network; and 6) to establish a functioning ADRC, serving elders and younger Ohioans with physical disabilities in 

Cuyahoga County beginning with the second year of the grant and functioning ADRCs in the surrounding four counties at 

the beginning of the third year. Anticipated products include software that integrates critical ADRC functions and 

provides a core set of information on service providers; a media campaign to publicize the existence of the ADRC; a 

common set of standards, procedures and protocols for ADRCs to follow; and a formal program evaluation of ADRC 

effectiveness.

 

Target Population: 

-Year One - individuals aged 60+

-Year Two & Three - 60+ and adults with physical disabilities

Anticipated Outcomes: 

-Consumers and their caregivers will experience a seamless process in accessing information and services on both 

long-term services and supports and related services, such as housing, transportation, and employment. 

-Consumers will be able to access the ADRC in person, via phone, and over the Internet. 

-Financial and functional eligibility determination processes will be integrated.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,601

50 West Broad Street 9th Floor 

Ohio Department of Aging

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 31 of 261 

90AM3006 Aging and Disability Resource Center Grant Initiative

Nashville, TN 37243-0860

Contact: Belinda Bruns (615)741-2056

The goal of the initiative is to develop models of "one-stop," single entry, highly visible Resource Centers in two areas of 

the state which will reach out to the public to foster understanding and use of all forms of long-term support. The public 

will have easy access by phone, Internet, and visitation to information, counseling and assistance, and linkages to a full 

range of long-term services. Consumers and caregivers will get counseling regarding long-term care and health needs, 

and options that support them in making informed decisions, regardless of payment source. The First Tennessee Area 

Agency on Aging and Disability (AAAD) and the Greater Nashville AAAD will set up the Resource Centers within their 

service areas. The Tennessee Commission on Aging and Disability (TCAD), with other state and local agencies, will 

work to streamline and simplify intake and eligibility processes; eliminate duplicate information gathering; enhance 

exchange of data between the systems, and select the best technology and location of staff to get appropriate services to 

the consumer efficiently and effectively. TCAD and the AAAs will collaborate with consumer and advisory groups, key 

referral sources, support systems, providers of services in their areas, and other state agencies, to make the Resource 

Center a true one-stop approach for the consumer.

Target Population: 

-Year One - individuals aged 60 and older

-Year Two & Three - 60+ and adults with physical disabilities

Anticipated Outcomes: 

-Consumers, providers and concerned citizens will know the Center as the place to contact for long term support 

information and assistance.

-Consumers refer others based on their own good experience at the center.

-Consumers receive the help they need conveniently and effectively.

-Consumer's self-identified needs are recognized and addressed.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

500 Deaderick Street, Suite 825 

Tennessee Commission on Aging and Disability

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 32 of 261 

90AM3007 Texas Aging and Disability Resource Centers Program

Austin, TX 78751-2312

Contact: Jeffery Seider (512)438-4245

The Texas Aging and Disability Resource Center will be strategically placed in three pilot areas to provide consumers 

with information, referral and counseling, case management, and eligibility determination for public and private pay 

individuals with long-term care needs. Products from these pilots will include intake and assessment tools, outreach, 

training and resource materials, reports, surveys and project evaluations. Streamlining efforts will include shared intake, 

assessment and referral protocols with other agencies, and coordinated efforts with State Health Information and 

Assistance Programs and the state Medicaid agency.

Target Population:

 - Year One - Persons 60 and older

 - Year Two & Three - Persons 60 and older and individuals with physical disability, mental retardation and 

developmental disability 

 

Anticipated Outcomes:

 - Individuals who are older and individuals with a disability, including cognitive disabilities, in the targeted communities 

will have an identifiable single point of entry to long-term care supports

 - An increase in the percentage of individuals served through the Aging and Disability Resource Centers who will report 

an improvement in their ability to access long-term care supports 

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,599

701 W. 51st Street 

Texas Department of Aging and Disability Services

Access and Intake

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 33 of 261 

90AM3008 Vermont Aging & Disability Resource Center (ADRC) Program

Waterbury, VT 05671-2301

Contact: Camille F George (802)241-2427

The Vermont Department of Disabilities, Aging and Independent Living [DAIL] proposes to develop a system of ADRCs 

to provide seamless access to long-term care information, referral and assistance for older Vermonters, younger adults 

with physical and developmental disabilities or traumatic brain injury by improving and expanding the functions 

performed by the Area Agencies on Aging (AAAs). DAIL is the lead agency for long-term care services for the target 

populations and is part of the Agency of Human Services, Vermont's single state Medicaid agency. Project goals 

include: 1) improving the information, referral and assistance system for older Vermonters; (2) planning two pilot ADRCs 

serving additional populations; (3) designing a streamlined eligibility process for Medicaid and Medicaid long-term care; 

and (4) designing a seamless link between the ADRCs and Medicaid eligibility determinations. 

 

Target Population: 

-Year One - Individuals age 60+

-Year Two - 60+ and adults with physical disabilities and traumatic brain injury (TBI)

-Three - 60+, adults with physical disabilities, TBI and developmental disabilities 

Anticipated Outcomes: 

-Informed choice about long-term care options for elders and younger adults with disabilities

-Streamlined access to long-term care eligibility for elders and younger adults with disabilities

-Easier access to home and community-based services 

-A sustainable ADRC model that can be expanded statewide

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

103 South Main Street 

Vermont Department of Disabilities, Aging &

Independent Living

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 34 of 261 

90AM3009 Aging and Disability Recource Center Grant Initiative

Richmond, VA 23229

Contact: William Peterson (804)662-9325

Virginia will implement a "no wrong door" approach to long-term support through the creation of decentralized Resource 

Centers, piloted in nine regions, to improve client and community level outcomes for older adults, adults 18 and over with 

physical disabilities, and family caregivers. The Virginia Department for the Aging (VDA), the state Medicaid agency 

(DMAS), the Virginia Department of Social Services (DSS), and the Virginia Department of Rehabilitative Services (DRS) 

will partner on the ADRC initiative. The ADRC project unites all of the public sector components of Virginia's long-term 

support system in partnership with the private sector, including SeniorNavigator Information and Referral, Dominion 

Virginia Power (Dominion), RTZ Associates, nine local Area Agencies on Aging (AAAs) and many local private service 

providers. SeniorNavigator, a statewide private sector partner, will help each region coordinate its information and 

referral function by maintaining and expanding its online database and by implementing and supporting a web-based 

information system. Each region will demonstrate a public-private partnership model incorporating Virginia's Uniform 

Assessment Instrument, SeniorNavigator's online database, GetCare (RTZ Associates' web-based care management 

system), and local multi-disciplinary coalitions of public-private service providers. The second and third years of the 

project will bring six additional regions into the statewide system being proposed under this grant.

 

Target Population: 

-Year One - individuals age 60+ 

-Year Two & Three - 60+ and adults with physical disabilities 

Anticipated Outcomes: 

-Older adults, adults with disabilities, and family caregivers will know where to turn for long-term support information, 

assistance, and services.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 442,274

1610 Forest Avenue, Suite 100 

Commonwealth of Virginia

Department for the Aging

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 35 of 261 

90AM3010 Washington State Aging and Disability Resource Center Initiative

Olympia, WA 98504-5600

Contact: Meg Evans (360)725-2418

Through the successful establishment of one Aging and Disability Resource Center (ADRC) pilot site, Washington state 

will expand the capabilities of the aging information, referral and assistance system to serve persons of all ages, 

disabilities, and financial circumstances and to connect them seamlessly to home and community based services. The 

objectives of this project include developing a model ADRC and providing seamless coordination between the pilot 

ADRC and specialized entry points that require financial eligibility determination, needs assessment and/or individualized 

service authorization.

Target Population: 

-Baseline - individuals age 60+

-Year One - adults with functional disabilities

-Year Two - adults with functional disabilities and people of all ages with developmental disabilities 

-Year Three - people of all ages with functional disabilities and developmental disabilities

Anticipated Outcomes: 

-A statewide "virtual" Resource Center combining an information and referral resource database and client management 

software, coordinated with Medicaid eligibility determination, Benefits CheckUp technology, the 211 call center, and 

incorporated into the Comprehensive Assessment Reporting and Evaluation (CARE) Tool 

-Compelling policy direction to continue ADRC program development statewide

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,600

PO Box 45600 

WA DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Aging and Disability Services

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 36 of 261 

90AM3011 Wyoming Aging and Disability Resource Center

Laramie, WY 82071

Contact: Sandy Root-Elledge (307)766-2762

The Wyoming Institute for Disabilities (WIND) will develop a one-stop Aging and Disability Resource Center (ADRC) in 

Wyoming that will assist individuals, their family members, or those planning for long-term care. WIND will partner with 

Wyoming Independent Living & Rehabilitation (WILR), an established center for independent living with an extensive 

history of working with the target population of older adults (50+) and adults (21+) with physical and developmental 

disabilities, to develop an ADRC in Casper with a satellite office in rural Glenrock. Connect Wyoming will become the 

statewide web-based database for long-term care information and referrals. WIND will administer the grant, develop 

marketing, evaluation, and management information systems. WILR will be contracted to plan, implement and operate 

the Casper and Glenrock ADRCs work with a local task force of stakeholders; train staff; and develop the one-stop 

concept. Wyoming ADRC goals include: improving access to long-term support services; increasing consumer choice; 

and transforming information technology. 

Target Population: 

-Year One - Individuals age 50+

-Year Two - 50+ and adults with physical and developmental disabilities 

-Year Three - 50+ and adults with physical and developmental disabilities and serious mental illness 

Anticipated Outcomes: 

-Continuing increase in the number of individuals who access the services of the one-stop center over the grant period

-Decrease in unnecessary institutionalizations

-Increase in the use of home and community-based care services

-Increase in number of Medicaid beneficiaries who choose self-directed service 

-Delay in long-term institutional care or a reduction in acute care episodes

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005 467,601

Department 4298 - 1000 E. University Avenue 

UNIVERSITY OF WYOMING

Wyoming Insitute for Disabilities

Program: Aging and Disability Resource Center
FY2005 Compendium - Page 37 of 261 

90AM2885 Partnership for the Integration of Community Supports with Managed Care

Southfield, MI 48034

Contact: Kathleen Kirschenheiter (248)357-2255

Area Agency on Aging 1-B (AAA 1B) will work in partnership with Health Alliance Plan's (HAP) Senior Plus Medicare 

Advantage Program to link 140 high risk HAP members and/or their caregivers to community supports utilizing AAA 1B's 

extensive resource database. The goal is to develop a model for a formal working partnership that benefits older adults 

through the integration of disease management and community support. The project will serve 140 high-risk HAP Senior 

Plus members with one or more chronic conditions in Oakland and Macomb counties. The project will target socially and 

economically disadvantaged members due to its focus on persons with chronic diseases, which exist in greater 

proportion among low-income and minority adult populations. Anticipated outcomes include: (1) 90% of AAA and HAP 

staff will increase knowledge of chronic disease management, prevention resources, and their knowledge about 

managing HIPAA compliant, inter-agency communications; (2) 80% of enrolled members will increase knowledge and 

confidence in their ability to self-manage their chronic condition; (3) 80% of enrolled members will demonstrate 

improvement in at least one clinical indicator for the disease management program; (4) 50% of enrolled members will 

show a reduced use of ER services and decreased hospital stays for at least a six-month period; (5) 80% of enrolled 

members will express increased satisfaction with HAP chronic disease management after involvement; (6) 90% of AAA 

staff working on the project will increase knowledge of integrating Call Center technologies and care management with 

Managed Care Organization (MCO); and (7) 90% of staff involved will express confidence in the value of community 

supports in achieving positive health outcomes.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 49,516

29100 Northwestern Hwy. , Suite 400 

Area Agency on Aging 1-B

Program: Aging Services Network Integrated Care Management Grants Program

90AM2886 Baltimore Integrated Care Management

Baltimore, MD 21201

Contact: Thelma Winn (410)396-4932

The Baltimore Commission on Aging and Retirement Education (CARE) proposes to create an integrated case 

management, medication monitoring, and benefit screening model to serve patients recently discharged from hospitals 

who are insured through a managed care organization (Elder Health). This project will enhance three separate activities 

currently conducted through CARE. The three hospitals selected as the source of the discharged patients, the University 

of Maryland Hospital, Union Memorial Hospital, and Sinai General Hospital, all serve urban, predominantly low-income 

neighborhoods in different sections of Baltimore. While the project will not impose income restrictions, the location of the 

hospitals assures that most of the patients will be near or below poverty level, and a substantial proportion will be dually 

eligible for Medicare and Medicaid. The project will have one major outcome: a reduction in re-hospitalizations of the 

project population by 10%, compared with the separate control group. The final product will be a sustainable model, 

which CARE and its partners will be able to cost-out and offer in the emerging marketplace of services for elderly 

persons with chronic illness.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 49,889

10 N. Calvert Street 

Baltimore City Maryland

Commission on Aging and Retirement Education

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 38 of 261 

90AM2887 Culturally Competent Case Management for Non-English Seniors.

Boston, MA 02114

Contact: Rimma Zelfand (617)614-1939

Jewish Family and Children's Services will conduct a 12-month demonstration project that provides culturally competent 

case management and language access services for Russian-speaking seniors enrolled in a new managed care 

program serving dual eligible seniors in Eastern Massachusetts. The goal of the project is to develop a cost-effective 

case management model that addresses the clinical, financial, and logistical challenges associated with serving 

non-English speaking seniors in a managed care environment. The project will target low-income, Medicaid-eligible 

immigrants from the former Soviet Union, with limited English proficiency (LEP). The primary product will be a 

field-tested business plan for AAAs and Community Agency Service Providers (CASPs) seeking to contract with 

managed care entities to provide combined case management and language access services for seniors with limited 

English proficiency.

Project Period: 09/30/2004 - 03/30/2006

FY Grant Amount

FY 2004 49,683

31 New Chardon St. 

Jewish Family and Children's Service

Senior Services

Program: Aging Services Network Integrated Care Management Grants Program

90AM2888 AOA Integrated Care Management Grant - High Risk Screening Tool

Uniontown, OH 44685

Contact: Phyllis M Yoders (330)896-9172

Area Agency on Aging 10B (AAA 10B) will develop a High-Risk Screening Tool, designed to identify PASSPORT (Ohio's 

Medicare waiver program) enrollees at "high risk" for permanent nursing home placement. This is an enhancement to 

AAA 10B's existing High Risk Case Management System and established partnership with SummaCare, a Medicare 

HMO, in providing services for shared, dual-eligible clients. Both organizations will then implement appropriate 

interventions using a web-based care planning system to integrate our previously separate care plans. The target 

population includes 2,600 PASSPORT enrollees in a four county region in NE Ohio, of which two are urban and two are 

rural. AAA 10B serves low-income (Medicaid eligible), frail (nursing home level of care - LOC), older adults 60 and older 

who need assistance with at least two activities of daily living (ADL's) and three instrumental activities of daily living 

(IADL's). Anticipated outcomes include: (1) risk factors identified through the analysis of the most recent 3-year 

statewide data for discharged PASSPORT enrollees; (2) a Risk Factor Scale developed and validated and; (3) a High 

Risk Screening Tool developed and validated. The expected outcome of the identification of "high risk" enrollees will be 

a significantly reduced PASSPORT program discharge rate (LTC placement).

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

1550 Corporate Woods Parkway 

Area Agency on Aging 10B, Inc.

Passport Division

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 39 of 261 

90AM2889 San Mateo County Integrated Information Project

San Mateo, CA 94403

Contact: Beccy M Ashton (650)573-3529

San Mateo County Aging & Adult Services will implement the Integrated Information Project, a critical component of the 

Long Term Supportive Services Project (LTSSP), San Mateo County's effort to achieve a fully capitated 

Medicaid/Medicare long-term care system. The goal of the Integrated Information Project is to implement a uniform 

assessment tool using a single automated case management system for all members of the target population entering 

home and community-based LTC services. The finished project will be utilized by all home and community-based 

service providers, which will include an ethnically & culturally diverse population. Anticipated outcomes include: (1) 

implementation of a uniform assessment and automated case management system across Aging & Adult Services by 

12/05; (2) implementation of the assessment tool within Senior Care Center and San Mateo Medical Center discharge 

planners by 12/05; (3) implementation of the assessment tool with one Adult Day Care Center and eventually all OAA 

funded ADC providers; and (4) by 12/05, 80% of clients assessed by Aging and Adult Services will receive a single 

comprehensive assessment on entry into the system regardless of eligibility for categorical services.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

225 West 37TH Avenue 

San Mateo County - Health Service Agency

Aging and Adult Services

Program: Aging Services Network Integrated Care Management Grants Program

90AM2890 Access Care - Atlanta

Atlanta, GA 30303

Contact: Cathie Berger (404)463-3235

The Atlanta Regional Commission (ARC) will partner with: (1) Evercare, a managed care organization implementing 

Evercare Assist, a new demonstration for end stage renal disease (ESRD) patients; (2) Visiting Nurse Health System 

(VNHS), a non-profit home health agency, to provide case management services; and (3) Project Open Hand/Atlanta, a 

non-profit, community provider of home-delivered meals. The partners propose to establish Access Care/Atlanta, a care 

management model integrating the medical care provided to persons with End-stage Renal Disease with services 

available through the aging network. The target population will include individuals with ESRD residing in two of the 

Atlanta region's two largest counties, Fulton and Dekalb, who are also enrolled in Evercare Assist and receiving dialysis. 

In Georgia, Fulton and DeKalb Counties house the highest concentration of older adults and low-income elderly, the 

highest minority populations age 60 and older, and the highest percentage of elders living alone. The proposed project 

will extend the monitoring of ESRD risk indicators into the home setting, improve nutrition for ESRD clients through a 

prescriptive meal program, and create an integrated system based on the strengths of partner agencies, maximizing the 

resources and involvement of the aging network.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

40 Courtland Street, NE 

Atlanta Regional Commission

Community Services Department - Aging Services Division

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 40 of 261 

90AM2891 Partnership for Fall Prevention

Buffalo, NY 14202

Contact: Judy Casassa (716)858-6922

This project represents a partnership between the Erie County AAA and the Independent Health Association (an 

Individual Practice Association-Health Maintenance Organization or "IPA/HMO") to reduce falls and fractures among the 

high risk elderly population. The goals of the project are: to demonstrate the effectiveness of combining health care and 

social model interventions, and to reduce the risk of falls and fractures among 200 older adults over a one-year period. 

Independent Health has identified 1,325 persons at high risk for incurring fractures. Senior Services will identify its 

current clients among that group and begin a falls prevention intervention. The primary outcome for this project is a 

reduction in the risk of falls. A secondary outcome is the potential cost savings to managed care organizations through 

reduction of high cost ER and inpatient hospital stays.

Project Period: 09/30/2004 - 12/31/2005

FY Grant Amount

FY 2004 33,165

95 Franklin Street 

Eric County Department of Senior Services

Program: Aging Services Network Integrated Care Management Grants Program

90AM2892 Pasco-Pinellas Long-term Care Partnership

Clearwater, FL 33760

Contact: Michael A Berstein (727)538-7460

The overall goal of this project is to help the aging network acquire the skills needed to assume or share risk in a 

managed care system and to partner with a for-profit managed care organization (MCO). Specifically, three state-funded 

local Lead Agencies, in partnership with the local AAA, propose to: (1) develop the framework for a legal partnership 

among the partners submitting this application; (2) use AoA funds to build the technical capacity of these agencies to 

assume risk; (3) develop a partnership strategy to negotiate with MCOs; and, (4) begin negotiations with one or more 

potential MCO partners. Planning activities also include developing a proposal to create an Aging and Disability 

Resource Center (ADRC) within the AAA. This project brings together an AAA and three community-based 

organizations that receive AoA funds in one of the regions with the highest concentration of elders in the nation. 

Ultimately, the intervention will benefit Medicaid-eligible low income and minority elders who are the target populations of 

the current agencies that currently serve 2,100 frail elders. Anticipated outcomes include: (1) a detailed plan and 

negotiating strategy for partnering with an MCO to provide case management services to Medicaid-eligible frail elders 

and other members of the MCOs LTC program; (2) a clearly delineated model contract that specifies the essential legal 

terms of the proposed partnership; (3) a business plan that identifies major costs and products associated with the 

operation of the partnership; and (4) a plan for the development of the ADRC that includes the partnership in the model.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

14041 Icot Blvd. 

Gulf Coast Jewish Family Services, Inc.

Disabled and Elderly Services

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 41 of 261 

90AM2893 Integrated Care Management - Merging Aging Systems & Health Systems

Rochester, NY 14604

Contact: Mary Beer (585)244-8400 119

An ElderSource care manager will partner with the Lifetime Health geriatric-specialty team to provide in-home 

assessment and intensive, ongoing social care management for a maximum of 50 members of a Medicare Blue Choice 

MCO. At least 50% of the patients will have a caregiver, and focus on outcomes for both the patient and caregiver will 

occur. Participants will have socially complex needs (defined as resistance, dementia, dysfunctional family dynamics, 

personal safety, mental health complications, need for substantial emotional support, etc). Anticipated outcomes 

include: (1) decreased ER and/or inpatient stays; (2) decreased caregiver stress (self report); (3) improved patient 

and/or caregiver functioning (based on OARS scores); and (4) improved patient and/or caregiver quality of life (self 

report).

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

87 N. Clinton Avenue 

Catholic Charities of Diocese of Rochester

Eldersource

Program: Aging Services Network Integrated Care Management Grants Program

90AM2894 Management Care Initative

Chicago, IL 60616

Contact: Sueylee Chang (312)791-0418

The Chinese American Service League (CASL) will enhance its current counseling efforts to increase the use of 

managed care within a community of low-income, monolingual ethnic Chinese elderly in the Chicago area by 

collaborating with Medicare and/or Medicaid managed care organizations (MCOs). Multicultural staff will be led by a 

CASL Managed Care Initiative worker, who will direct the project. The Managed Care Initiative (MCI) will try to reach two 

groups of people, those who have already joined an MCO and those who are ready to choose their plan. CASL 

estimates that more than 500 seniors in the Chinatown, Armour Square, and Bridgeport areas of Chicago are already 

participating in a MCO, and approximately 100 more seniors are ready to join a program each year. The primary 

outcome for the MCI will be the increased knowledge of, accessibility to, and proper utilization of a Medicare MCO 

among Chinese residents in the Chicago area. Through this collaboration and assistance provided to MCOs, CASL 

believes that local MCOs will value CASL's important role and provide a portion of financial support for the continuity of 

the project.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

2141 S.Tan Court 

Chinese American Service League

Elderly Services

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 42 of 261 

90AM2895 Health Enhancement Program

Seattle, WA 98121

Contact: Susan Snyder (206)727-6297

Senior Services will streamline its evidence-based Health Enhancement Program (HEP) to reduce the program cost and 

make it more attractive to managed care organizations. The streamlined HEP will be piloted at the Burien Group Health 

Cooperative (GHC) primary care clinic and three senior centers in the clinic's service areas. The goal of the project is a 

streamlined HEP that maintains the fidelity to the theoretical model used in the efficacy trial and achieves the same or 

better participant outcomes. The selection of the GHC Burien Medical Center for this pilot ensures that lower-income 

older adults from ethnically diverse communities will be served. The Burien Medical Center serves 3,000 Medicare 

patients, many of whom have a significant chronic disease burden. The HEP nurses and social workers involved in this 

project are based at three locations in the community: West Seattle, Des Moines and Burien-Highline Senior Centers. 

Anticipated Outcomes: The outcome of the project will be a HEP model with a competitive capitation rate that manages 

twice the number of GHC referrals and has a graduation rate of 70%.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

2208 Second Ave, Suite 100 

Senior Services of Seattle/King County

Senior Wellness Project

Program: Aging Services Network Integrated Care Management Grants Program

90AM2896 Integrated Care Management

Cleveland, OH 44114

Contact: Sharen K Eckert (216)373-1608

The proposed project will test the feasibility and efficacy of a partnership among three service organizations in greater 

Cleveland . These are: Western Reserve AAA, MetroHealth Medical Center and its consumers who participate in the 

Anthem Senior Advantage Medicare managed care plan, and Benjamin Rose. Benjamin Rose will provide "care 

consultation," a telephone-based coordinating service that empowers seniors and their family members to find and use 

community services. The project will conduct a pilot study to test the efficacy of care consultation as an intervention to 

enhance the quality of lives for participants with chronic conditions. The desired study sample will include 70 Anthem 

patients and their primary family caregiver, if a caregiver exists. Patients will be generated from Anthem's managed care 

organization (MCO) patients who are frequent users of physician, hospital, and ER services. The 70 patients who agree 

to participate in the pilot study will be randomly assigned to either an intervention or control group. Some anticipated 

outcomes include a reduction in the likelihood of re-hospitalization and in the number of primary care visits, and an 

increase in the use of community services 

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

850 Euclid Avenue, Suite 1100 

Benjamin Rose Institute

Advocacy and Public Policy Development

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 43 of 261 

90AM2897 Dementia Care Project Replication

Los Angeles, CA 90036

Contact: Debra Cherry (323)938-3379

The Alzheimer's Disease and Related Disorders Association (ADRDA) of Los Angeles will create a replication manual 

that will enable other Community Agency Service Providers (CASPs) and managed care organizations (MCOs) to put in 

place the Dementia Care Project, a replicable model that has proven effective in improving quality of care for older 

individuals with a chronic disease. The original Dementia Care Project served community dwelling people with a 

diagnosis of a dementing disease and an involved, non-paid caregiver. Participants were referred by their primary care 

physicians. Participants were ethnically diverse (55% African American, 21% Caucasian, 3% Latino, 1% Asian, and l9% 

non-specified). The model of collaboration has applicability to non-staff models of managed care and to other chronic 

diseases, as well. The Dementia Care Project demonstrated that it could improve quality of care in a managed care 

setting by providing physicians with innovative, evidence-based educational programs and materials and by putting in 

place care managers trained in dementia care. The lessons learned can be further replicated in other settings.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 27,335

5900 Wilshire Blvd, Suite 1100 

Alzheimers Disease & Related Disorders

Association of Los Angeles

Program: Aging Services Network Integrated Care Management Grants Program

90AM2898 Be Well

Inglewood, CA 90301

Contact: Skip W Halloran (310)412-4381

The City of Inglewood Senior Services Program will collaborate with the Food and Nutrition Management Services to 

expand the Be Well Program to seniors with high nutritional risk scores and/or chronic health conditions. Kaiser 

Permanente, a managed care organization (MCO), and the Los Angeles County Area Agency on Aging will participate 

with planning and evaluation. The target population will include senior citizens age 60 and older in the cities of 

Inglewood and Lennox in Los Angeles County. The targeted cities border South Los Angeles - the Watts community and 

the City of Compton. The population is 39% African American, 57% Latino, 1.5% Asian Pacific, and 4.3% Caucasian. It 

is anticipated that Seniors who complete 4 months of the program will experience a 75% improvement in nutrition and 

physical health status and a 100% increase in their knowledge of health promoting behaviors. Seniors who complete 6 

months will experience a 75% improvement in nutrition and physical status and 75% compliance with health promoting 

behaviors. A capitation rate and a written marketing plan for BE WELL will be developed.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 43,379

One Manchester Blvd. 

City of Inglewood

Parks Recreation and Community Services

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 44 of 261 

Care Consultation Results in More Effective Utilization and Patient/Caregiver 

Psychosocial

90AM3041

Cleveland, OH 44114-3301

Contact: Sharen K Eckert (216)791-8000

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, a partnership was developed among the Benjamin Rose Institute, Anthem Blue Cross and 

Blue Shield, the MetroHealth Medical System, and the Western Reserve Area Agency on Aging to establish an 

intervention linking managed health care services and community-based services. Year 2 funding would allow the 

partners to expand a "care consultation" intervention, which involves telephone-based coaching and coordinating to 

empower seniors and their families to find and use community services, to include an additional 153 MetroHealth 

patients who are also members of Anthem Senior Advantage. The intervention would be expanded to include 

participants from diverse backgrounds with various chronic health conditions. A randomized control design will be used 

to test the overall efficacy and sustainability of care consultation, as well as the feasibility of partnerships among the 

three participating service providers. The target population for the care consultation intervention includes Anthem Senior 

Advantage participants with diagnosed depression, dementia, or two or more major chronic conditions whose primary 

care physician is at MetroHealth Medical Center. Because MetroHealth serves a culturally and economically diverse 

population, it is expected that the intervention population will reflect this diversity. Anticipated outcomes include: 1) 

decreased hospital admissions, emergency department visits, and visits to specialty physicians among intervention 

participants; 2) increased use of and satisfaction with community services by program participants and their caregivers; 

3) improved health outcomes and quality of life among participants and their caregivers; and 4) an assessment of 

effectiveness of intervention and partnerships among service provider organizations.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

74,935

75,000 850 Euclid Avenue, Suite 1100 

BENJAMIN ROSE INSTITUTE

Program: Aging Services Network Integrated Care Management Grants Program

90AM3042 Managed Care Initiative - Access to Benefits for Chinese-Speaking Elderly

Chicago, IL 60616

Contact: Sueylee Chang (312)791-0418

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, the Chinese American Service League partnered with Humana to increase access to 

Medicare managed care benefits among ethnic Chinese elderly. The current proposal would expand the Managed Care 

Initiative to include health education and fitness components. The target population is Chinese-speaking elderly who 

currently belong to a Medicare managed care plan. Anticipated outcomes include: 1) Development and implementation 

of a fitness program and health education workshop for Chinese-speaking elderly; 2) participation by 75% of current 

managed care plan members in quarterly workshops and/or the fitness program; 3) a financially self-sustaining fitness 

program; and 4) strengthened relationships between partner organizations.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 52,780

2141 South Tan Court 

Chinese American Service League, Inc.

Elderly Services Department

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 45 of 261 

90AM3043 Falls Prevention and Chronic Disease Management: From Evidence to Action

Kenosha, WI 53143-6514

Contact: LaVerne Jaros (262)605-6612

Kenosha County will hire consultants to define rate-based services for inclusion of two evidence-based prevention 

programs, the Multi-Factorial Falls Intervention and the Chronic Disease Self-Management Program, in the benefit 

packages of Wisconsin Medicare and Medicaid managed care programs. A variety of Medicare and Medicaid 

payers/providers will be approached to partner in providing these interventions to their members as covered benefits. 

The intervention will target older adults at risk for falls or with chronic diseases served by a variety of community-based 

organizations in Kenosha County. Anticipated outcomes include: 1) definitions and rates established for the 

Multi-Factorial Falls Intervention and Healthy Living (CDSMP) class; 2) agreements initiated with at least two 

organizations for reimbursement and promotion of their members participation in the evidence-based interventions; 3) 

enrollment of at least 20 older people in each of the proposed interventions (40 total); and 4) improved health outcomes 

among program participants.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 45,000

8600 Sheridan Road, Suite 500 

Kenosha County Department of Human Services

Division of Aging

Program: Aging Services Network Integrated Care Management Grants Program

90AM3044 Pasco-Pinellas Long-Term Care Partnership

Clearwater, FL 33760

Contact: Michael A Bernstein (727)538-7150

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. FY2005 funding would be used to continue to help the aging services network develop the organizational 

structure and tools needed to assume or share risk in a capitated managed care system and to partner with a for profit 

HMO or managed care organization. Specifically, Gulf Coast Jewish Family Services, CARES, the Suncoast Center, and 

the Area Agency on Aging of Pasco-Pinellas will determine an organizational structure for and develop a corporate entity 

that could partner with a managed care organization or become its own MCO to provide integrated long-term care 

services for elders. Project activities target three state-funded community-based agencies and the local Area Agency on 

Aging. Ultimately, the project is meant to benefit the Medicaid-eligible low income and minority elders that these 

agencies serve. Anticipated outcomes include: 1) creation of a corporate entity that will partner with an MCO or become 

an MCO; 2) risk-sharing partnership with an MCO or HMO for integrated long-term care services for elders; 3) 

assessment of how services to the severely mentally ill may fit into managed care.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 51,714

14041 Icot Boulevard 

Gulf Coast Jewish Family Services, Inc.

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 46 of 261 

90AM3045 San Mateo County Aging and Adult Services Integrated Information

San Mateo, CA 94403

Contact: Heather M Ledesma (650)573-2236

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, San Mateo County Aging and Adult Services established the Integrated Information Project, 

a component of the effort to achieve a fully capitated Medicare/Medicaid long-term care system. The Integrated 

Information Project involves implementation of a uniform assessment tool using a single automated case management 

system for all members of the target population entering home and community-based long-term care services in the 

county. FY2005 funding will be used to continue implementation and testing of the uniform assessment tool. The target 

population includes clients of the San Mateo County Aging and Adult Services. The population of San Mateo County is 

ethnically and culturally diverse, with a high proportion of Hispanic and Asian residents. Anticipated outcomes: 1) 20% 

reduction in worker hours needed to complete client assessment; 2) 100% of clients assessed on entry into system, 

regardless of eligibility; 3) improved quality of assessment across all case management programs; 4) reduction in time 

between referral and assessment and reduction in early admission to skilled nursing facilities for Aging and Adult 

Services clients.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 60,000

225 37th Avenue 

SAN MATEO COUNTY

Program: Aging Services Network Integrated Care Management Grants Program

90AM3046 Integration of Medicare Managed Care and CBLTC (Community Based Long-Term Care)

Uniontown, OH 44685

Contact: Phyllis M Yoders (800)421-7277

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, AAA 10B partnered with SummaCare to develop and implement a High Risk Screening 

Tool and Risk Score Calculation Model to identify dual-eligible clients at high risk for permanent nursing home 

placement. FY2005 funding would be used to measure the predictive power and accuracy of the High Risk Screening 

Tool, implement the risk-based protocols and a high risk care model integrating both organizations' previously separate 

care plans via a web-based system, and develop a geriatrician led interdisciplinary care management team. The target 

population for this intervention includes PASSPORT consumers in a 4 county region in Northeast Ohio. Individuals 

eligible for PASSPORT include low-income (Medicaid eligible), frail (Medicaid nursing home eligible) older adults over 

the age of 60 who need assistance with at least 2 activities of daily living and 3 instrumental activities of daily living. 

About 86% of the AAA 10B PASSPORT enrollees are dually eligible for Medicare and Medicaid. Anticipated outcomes 

include: 1) reduced PASSPORT program discharge due to permanent nursing home placement; 2) increased length of 

stay in the PASSPORT Home Care Program for those identified as "at risk" and "high risk;" and 3) a Community-Based 

Long-Term Care and Medicare MCO integrated care and service delivery model.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 75,000

1550 Corporate Woods Parkway PASSPORT Division

Area Agency on Aging 10B, Inc.

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 47 of 261 

90AM3047 Health Enhancement Program

Seattle, WA 98136

Contact: Susan Snyder (206)727-6927

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, Senior Services of Seattle/King County partnered with the Group Health Cooperative 

(GHC) Burien and Northgate Medical Centers to offer the health centers' senior population the Health Enhancement 

Program. FY2005 funding would be used to expand the services offered to include a health and wellness package of 

community services to be offered at 4 senior centers. Ultimately, the partners would determine a prepaid cost per 

individual for access to a set of agreed upon services within the health and wellness package. The project targets older 

adults served by the GHC Burien and Northgate Medical Centers. This client population includes a large proportion of 

lower-income, ethnically diverse older adults. Anticipated outcomes: 1) social services model with a competitive 

capitation rate for health and wellness services; 2) increase in client referrals from Group Health; 3) increased enrollment 

and graduation rates of GHC members in health and wellness programs offered at senior centers.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 70,000

2208 Second Avenue 

SENIOR SERVICES OF SEATTLE/KING COUNTY

Program: Aging Services Network Integrated Care Management Grants Program

90AM3048 Access Atlanta

Atlanta, GA 30303

Contact: Cathie Berger (404)463-3235

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, the Atlanta Regional Commission established a partnership with Evercare Assist Managed 

Care Programs, the Visiting Nurse Health Systems, and Project Open Hand/Atlanta to provide integrated case 

management to persons with End Stage Renal Disease. With FY2005 funding, the partners would expand the project to 

provide integrated case management to older patients with chronic illnesses. The project will focus largely on home 

monitoring of patients, communication between partners for status updates and referrals, and promotion of chronic 

disease self-management. The project will target all shared patients (those enrolled in Evercare managed care and 

receiving services through the aging services network) with one or more chronic conditions in DeKalb and Fulton 

Counties. Anticipated outcomes include: 1) integrated case management services provided to 60 patients; 2) records 

maintained on the number of interactions between Evercare and the long-term care system to assess effectiveness of 

communication; 3) number of hospitalizations tracked and classified as "avoidable," "unavoidable, but potentially 

preventable," or "appropriate;" and 3) increased referral of long-term care services by Evercare medical staff.

Project Period: 09/30/2005 - 03/31/2007

FY Grant Amount

FY 2005 43,103

40 Courtland St., NE 

Atlanta Regional Commission

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 48 of 261 

90AM3049 Provide "Be Well" Fitness and Nutrition Classes to Seniors with Chronic Diseases

Inglewood, CA 90301

Contact: Skip Halloran (310)412-4381

The proposed project is a Program Enhancement of a project funded by a FY2004 AoA Integrated Care Management 

grant. Under year 1 funding, the City of Inglewood partnered with Kaiser Permanente to provide the "Be Well" fitness 

and nutrition program to seniors. FY2005 funding will be used to formalize the partnership and provide the "Be Well" 

program to 50 seniors. The project will target elderly people in Inglewood and Lennox in Los Angeles County, CA. 

African American and Latino seniors are likely to make up a large proportion of participants. Anticipated outcomes 

include: 1) a model created for sustaining a nutrition and fitness program for seniors through collaboration with a 

managed care organization; 2) a formal relationship established between City of Inglewood and Kaiser Permanente; and 

3) improved health outcomes for program participants.

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 49,720

One Manchester Boulevard 

CITY OF INGLEWOOD

Program: Aging Services Network Integrated Care Management Grants Program

90AM3050 Healthcare Partners-Alzheimer's Association Dementia Care Project

Los Angeles, CA 90036

Contact: Debra Cherry (323)938-3379

The Alzheimer's Association will partner with HealthCare Partners Medical Group, a mixed staff/PPO model Medicare 

managed care organization, to create an evaluation-based intervention to reduce expenses while improving quality of 

care given to people with dementia and their caregivers. The project will replicate and adapt an evidence-based model 

of care outlined in a replication manual the Alzheimer's Association produced in partnership with Kaiser Permanente 

under a FY2004 Integrated Care Management grant. The Association requests funding for the first year of what is meant 

to be a self-sustaining 3-year project. During year 1, the partners will develop a plan and materials for implementing a 

care management intervention for people with dementia being served in a managed care organization, and their 

caregivers. The target population includes older adults with a diagnosis of dementing disease who are HealthCare 

Partners members and involved, non-paid caregiver. Anticipated outcomes include: 1) development of a provider 

education curriculum on evidence-based guidelines for dementia diagnosis, treatment, and management; 2) 

development of a care management protocol for use by care managers at HealthCare Partners; and 3) development of 

educational materials and programs for people with dementia and their caregivers who are served in a managed care 

organization.

Project Period: 09/30/2005 - 03/31/2007

FY Grant Amount

FY 2005 77,748

5900 Wilshire Blvd, Suite 1100 

Alzheimer's Disease & Related Disorders Association of

Los Angeles

Program: Aging Services Network Integrated Care Management Grants Program
FY2005 Compendium - Page 49 of 261 

90AZ2766 National Alzheimer's Call Center

Chicago, IL 60601

Contact: Catherine Sewell (312)335-5191

The Alzheimer's Association will enter a cooperative agreement with the Administration on Aging to operate an 

Alzheimer's National Call Center to individuals with Alzheimer's disease and their families, delivering personalized, timely 

information, care consultation, crisis intervention, and referral to local services, 24 hours a day, 7 days a week. A single 

1-800 line, web site, and e-mail address will link callers seamlessly to information experts and care consultants in local 

Association chapters nationwide, with default to the national Center when local responders are unavailable. All national 

and local Center personnel will receive uniform training and retraining and utilize a common computer-based repository 

of information, care protocols, and materials. The Center's goal is to improve the quality of life of persons with 

Alzheimer's and their caregivers. Callers will have an increased understanding of and ability to deal with Alzheimer's and 

success in finding local services. Center performance will exceed industry standards. The Center will expand its reach to 

consumers, particularly in minority and limited English-speaking populations.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

993,500

1,001,177

979,104

977,130

225 N. Michigan Avenue, 17th Floor 

ALZHEIMER'S DISEASE AND RELATED DISORDERS

ASSOCIATION, INC.

Program: Alzheimer's National Call Center

90AZ2791 Alzheimer's Disease Social Research Project

New York, NY 10007

Contact: Ali Hodin Baier (212)442-1375

The Aging in New York Fund (ANYF), in collaboration with the New York City Department for the Aging (DFTA) and its 

partners at Zachary and Elizabeth M. Fisher Center for Alzheimer's Research Foundation (FCARF), New York University 

(NYU), and Rockefeller University (RU), will work to address the complex needs of New York City's diverse Alzheimer's 

community through education, technology, and research. These partnerships will address the needs of both patients and 

families via a variety of approaches, advancing research and service provision. The objectives and approach are: 1) to 

educate the multicultural community on Alzheimer's disease (AD), caregiving, and related long-term care issues 

(ANYF/DFTA); 2) to develop and strengthen AD knowledge in the aging workforce (ANYF/DFTA); 3) to measure the 

effectiveness of professional trainings through research and knowledge tests (ANYF/DFTA); 4) to conduct a national 

marketing and outreach campaign for the alzinfo.org website (FCARF); 5) to develop AD awareness programs for MDs 

and the general public (FCARF); 6) to explore the efficacy of individualized comprehensive, patient-centered care (NYU); 

and 7) to continue laboratory research to develop more effective treatment methods targeting agitation in AD (RU). 

Expected outcomes are: increased awareness in the multicultural community on AD, caregiving, and related long-term 

care issues; growth in an AD educated aging workforce and community; increased access to information through 

technology and consumer and physician education; evidence of the efficacy of non-pharmacologic therapies to improve 

patient care; and advanced understanding of the brains' function and responses. Products from this project will include: 

reports; analyses of dementia workforce development and non-pharmacologic research; multilingual AD materials; 

articles for publication; and abstracts and presentations for conferences.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

2,943,530

2,937,312

2,931,390

2 Lafayette Street 

AGING IN NEW YORK FUND, INC.

Program: Alzheimers Disease Social Research Project
FY2005 Compendium - Page 50 of 261 

The Eldercare Locator Program & the National Aging Information & Referral Support 

Center

90AM2746

Washington, DC 20036

Contact: Helen M Eltzeroth (202)296-8130

The National Association of Area Agencies on Aging (N4A), in partnership with the National Association of State Units on 

Aging (NASUA), is executing a project to provide older persons and their caregivers access to a premier national 

information and referral/assistance system capable of providing the information, assistance, decision-supports and 

advocacy needed to secure services. To achieve this goal, N4A will ensure quality operation of the Eldercare Locator, a 

toll-free number and website that links older people and their caregivers to State and local resources. In addition, N4A 

will increase public awareness of the service through strategic partnerships and marketing campaigns. Targeted 

marketing will focus on increasing service usage by minority populations, with an emphasis on better serving Native 

Americans elders. Products will include a call center procedures manual, resource and educations guides, and 

promotional materials. 

NASUA will operate the National Aging Information & Referral Support Center to promote continued enhancement of 

aging information and referral/assistance (I&R/A) systems; facilitate ongoing quality improvements in I&R/A service 

delivery; and provide ongoing training and technical assistance. Methods will include a resource website, technical 

assistance products, training materials, webinars, and conferences.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

1,174,979

1,374,937

1,174,937

1,201,230

1730 Rhode Island Avenue, NW, Suite 1200 

NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING

Program: Eldercare Locator Program and the National Aging Information & Referral

90AM2903 Livable Communities for All Ages:Identifying Leading Models & Best Practice

New York, NY 10021

Contact: Penny Feldman (212)609-1543 0

Building on five years of experience in developing measures of livable communities and working with diverse 

communities to plan and implement positive change, the Center for Home Care Policy and Research worked with AoA to 

identify leading models of livable communities for all ages and to disseminate information designed to help communities 

replicate promising models and practices. Specifically, the Center, along with two principal partners - the American 

Planning Association (APA) and the International City/County Management Association (ICMA), and others: (1) 

implemented a competitive process to identify the top eight models of livable communities for all ages; (2) developed a 

"case studies" document with descriptions of the winning model communities and related technical assistance materials; 

and (3) disseminated these materials to change agents in communities around the country. The purpose of this initiative 

was to raise awareness and motivate action among stakeholders to improve the livability of their communities for people 

of all ages and abilities. The long-term expected outcomes of this initiative are: (a) widespread awareness and 

acceptance of the livable communities concept; (b) large-scale replication of livable communities best practices; and as a 

result, (c) improved communities where people of all ages and abilities have their needs and aspirations met equally well.

Project Period: 09/29/2004 - 12/31/2005

FY Grant Amount

FY 2004

FY 2006

124,770

15,000 107 East 70th Street 

Visiting Nurse Service of New York

Center for Home Care Policy and Research

Program: Livable Communities Initiative
FY2005 Compendium - Page 51 of 261 

90AM2801 Center to Educate Women About Retirement Security

Washington, DC 20006-1401

Contact: Cindy Hounsell (202)393-5452

WISER, with assistance from strategic public-private coalitions, is organizing a one stop information gateway that can 

provide traditionally hard to reach women (i.e. average and low income women, women of color and women with limited 

English proficiency), "user friendly" financial management tools. The ultimate goal of the 36 month project is to provide 

women with access to information that promotes their efforts to attain secure retirements. A state-of-the-art 

clearinghouse/lending library and satellite resource centers accessible to the Aging Network, faith-based organizations 

(FBO), state & community agencies, financial institutions, business and government agencies are being established. 

Staff conduct training sessions and information panels nationwide; and provide access to a variety of financial planning 

tools, including fact sheets & other online resources. Major partnerships and coalitions have been formed with a range of 

private sector organizations to target low-income and minority women. Private sector organizations are as diverse as 

MANA, National Latina Women's Organization, Mother's Voices/Multi-Ethnic Community Retirement Project, Coalition of 

100 Black Women, General Federation of Women's Clubs, Profit Sharing Council of America, MetLife, MFS Investment 

Management, and the Society of Actuaries. Public sector partners include FDIC, SSA, US DoL Women's Bureau, USDA 

Extension Service, and Comptroller General of the US. Year two plans: continue strengthening public and private 

partnerships at the national & community levels; establish satellite resource centers accessible by community-based 

organizations (CBO), FBOs, non-profits, finance and business to encourage inclusion of women's financial security as an 

integral part of the agenda; initiate 2 new programs on a) financial planning for health care in retirement, and b) senior 

indebtedness; partner with insurance companies to develop materials about annuities for women; and continue outreach.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

248,376

248,376

248,376

248,376

1725 K Street, NW - Second Floor 

WOMENS' INSTITUTE FOR A SECURE RETIREMENT

Program: Retirement Planning and Assistance for Women

90AM2808 Bridging the Gap Developing a Seamless Entry into Community Based Nutrition Services

Alexandria, VA 22314

Contact: 

The importance of senior nutrition programs' integration into the long term continuum of care cannot be overstated. 

Delays in initiation of nutrition services following hospital discharge compromises the functional status of older adults. 

Meals On Wheels Association of America (MOWAA), a national organization representing both public and privately 

funded senior nutrition programs, is ideally positioned to facilitate such integration. By identifying best practices and 

barriers programs are facing, conducting a forum to identity solutions, and by providing technical assistance and training, 

a prompt, seamless entry into community-based nutrition services can be achieved.

Project Period: 09/30/2003 - 12/31/2004

FY Grant Amount

FY 2003 145,000

1414 Prince Street, Suite 302 

MEALS ON WHEELS ASSOCIATION OF AMERICA

Program: Unsolicited
FY2005 Compendium - Page 52 of 261 

90AM2773 Chronic Disease Self-Management with African-American Urban Elders

Philadelphia, PA 19130-3409

Contact: Bethea Eichwald (215)765-9000

Philadelphia Corporation for Aging, Center in the Park, Albert Einstein Healthcare Network, and the Community and 

Homecare Research Division, Jefferson College of Health Professions, will demonstrate an evidence-based disease 

prevention program (the Chronic Disease Self-Management Program, developed by Stanford Patient Education 

Research Center), with a target population of African American urban elders. Five hundred elders will participate over 

three years. The goal is to enable participants to assume a major role in managing their chronic health conditions. The 

objectives are: to increase lifestyle skills that assist in managing chronic conditions; to increase knowledge of personal 

risk factors associated with chronic disease; and to increase personal responsibility in the management of chronic 

disease. Expected outcomes are: improved health status, behavioral change, improved self-efficacy, and reduced health 

care utilization. A team approach to chronic disease self management, that can be replicated within the aging network, 

will be demonstrated. Results will be disseminated.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

180,000

180,000

180,000

50,000

642 North Broad Street 

PHILADELPHIA CORPORATION FOR AGING

Program: Evidence Based Prevention Program

90AM2774 Preventive Nutrition Education Cardiovascular Disease Program

Miami, FL 33130

Contact: Ramon Perez-Dorrbecker (305)858-0887

Little Havana Activities and Nutrition Centers of Dade County, Inc. (LHANC) is conducting an evidence-based nutrition 

and cardiovascular health program targeting Hispanic elders, a group at high risk for cardiovascular disease and obesity. 

Specifically, this program will target the 1,800+ Hispanic elderly participants of the 14 LHANC senior centers throughout 

Miami-Dade County, Florida. The goals of this project are: to increase knowledge of nutrition among Hispanic elders 

who are at risk for cardiovascular disease and obesity; to foster behavior change through group sessions and interactive 

activities; and to test whether the American Heart Association guidelines and materials can be utilized in a dietitian led 

model targeted to Hispanic elders. Participants will be screened for cholesterol and weight, and 100 to 125 seniors at risk 

for cardiovascular disease will be included in an intensive nutrition education and counseling program. Anticipated 

outcomes include: 1) a reduction in participants' dietary fat consumption, saturated fat and cholesterol, using the 

American Heart Association Eating Plan for Healthy Americans; 2) a reduction in participants' body weight by 5% and/or 

BMI to 27 or less; and 3) lowered participants' total cholesterol by 6%.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

200,000

200,000

200,000

50,000

700 SW 8th Street 

LITTLE HAVANA ACTIVITIES & NUTRITION CENTERS OF DADE CO

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 53 of 261 

90AM2776 Activity Centers for Seniors - Evidence Based Prevention

Bellaire, TX 77401-1389

Contact: Chris Pollet (713)669-5260

Neighborhood Centers Inc. (NCI) will demonstrate the efficacy of evidenced-based preventive physical activity 

interventions among elderly residents of low-income neighborhoods in Houston, Texas Senior Centers. The intervention 

selected for replication in Houston represents an integration of individual, group and community-wide participation. NCI's 

goal is to demonstrate, within impoverished, urban settings, that the Aging Services Network can efficiently improve the 

quality, effectiveness, availability, and convenience of evidence-based disability and disease prevention programs for the 

elderly.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

200,000

200,000

200,000

50,000

4500 Bissonnet, Suite 200 

NEIGHBORHOOD CENTERS INC.

Program: Evidence Based Prevention Program

90AM2777 Evidence-based Prevention Program: Nutrition

San Antonio, TX 78217

Contact: Al Notzon (210)362-5201

The Bexar Area Agency on Aging, in partnership with the City of San Antonio Department of Community Initiatives, the 

Texas Diabetes Institute, Our Lady of the Lake University, and OASIS proposes to provide culturally sensitive low 

glycemic meals and nutrition education, diabetes health screening and education, and physical activity education to 500 

low-income, poorly educated Hispanic seniors in the Title IIIC1 congregate meals program in churches and senior 

centers in San Antonio. The goal of this program is to prevent or delay the onset of type 2 diabetes among Hispanic 

elders. Participants will attempt to achieve a 7 percent weight loss and at least 150 minutes of physical activity per week 

during the first year and maintain these changes for 2 additional years. Outcomes will include an increase in participant 

knowledge of the relationship between nutrition, exercise and diabetes management, and increased adherence to 

lifestyle modifications that reduce risk factors for diabetes. Products will include a Spanish television documentary and a 

"Tex-mex" cookbook of taste-test approved, low-glycemic recipes and menus.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

200,000

200,000

200,000

50,000

8700 Tesoro Drive - Suite 700 

ALAMO AREA COUNCIL OF GOVERNMENTS

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 54 of 261 

90AM2778 A Community-Based Medication Management Intervention

San Fernando, CA 91340

Contact: W. June Simmons (818)837-3775

Partners In Care Foundation will conduct a 3-year medication management project for seniors receiving a continuum of 

community-based social service programs in Los Angeles. The goal of the evidence-based Medication Management 

Intervention is to identify, prevent, and resolve medication errors among seniors identified at high-risk. The objectives 

are: to implement the intervention in at least 3 Senior Centers and at least 2 Medicaid-waiver programs; to evaluate the 

outcomes of the intervention that include assessment and recommendations and follow-up by a pharmacist; and to 

disseminate findings and lessons learned through a medication management website and other strategies. Products 

include a software screening tool, a comprehensive web-based Toolkit, evaluation tools, a final report, and manuscripts 

for publication. These products will be disseminated to direct service organizations and Area Agencies on Aging.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

200,000

200,000

200,000

50,000

732 Mott Street, Suite 150 

PARTNERS IN CARE FOUNDATION, INC

Program: Evidence Based Prevention Program

90AM2779 Active Start! Increasing Physical Activity Among Sedentary Older Adults in Los Angeles

Los Angeles, CA 90010

Contact: Laura Trejo (213)252-4023

The City of Los Angeles Department of Aging will implement a project to increase physical activity among sedentary 

older adults over a three year period. The project will recruit older adults in the West Adams/West Wilshire area of Los 

Angeles through OASIS centers, Jewish Family Services and Delta Sigma Theta Center for Life Development nutrition 

centers, and Tenet California's Brotman and Centinela Medical Centers. Health classes and activities will encourage 

them to incorporate physical activity into their lives. Expected outcomes include: an increased number of older adults 

indicating an intention to increase physical activity in order to help control and/or manage existing chronic health 

conditions; increased fitness levels in older adults participating in exercise classes; improved attitudes toward physical 

activity; and increased time (minutes) engaged in weekly physical activity. Products will include recruitment materials 

through a community-wide public awareness campaign, a refined project curriculum, evaluation tools and methodologies 

for practical application, web page information, and manuscripts for publication and professional conference 

presentations. These products will be made available throughout the aging services network.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

125,000

125,000

125,000

50,000

3580 Wilshire Boulevard, Suite 300 

CITY OF LOS ANGELES DEPARTMENT OF AGING

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 55 of 261 

90AM2780 A Matter of Balance: A Volunteer Lay Leader Model

Scarborough, ME 04074

Contact: Laurence Gross (207)396-6501

Southern Maine Agency on Aging (SMAA) and its partners propose to address the issue of fall prevention using "A 

Matter of Balance" (MOB), the evidence-based intervention for fear of falling. SMAA and its collaborators propose 

translating the intervention, which currently uses health care professionals as facilitators, into a lay leader model 

facilitated by community based volunteers (MOBVLL). This will reduce the cost of the intervention, allowing MOBVLL to 

be offered more frequently, in a variety of settings, reaching a significantly higher number of older adults than would 

otherwise be possible. This proposal will: develop quality control mechanisms for the translation, monitoring the 

consistency of this adaptation; measure the outcomes among participants; standardize the cost of establishing and 

offering the MOBVLL intervention; and detail the challenges and successes of disseminating this model to diverse 

socio-economic populations, diverse geographic areas, and in a variety of community settings. The outcomes of the 

MOBVLL intervention will be: reduced fear of falling; increased falls self-efficacy; and increased activity in community 

dwelling older adults. The MOBVLL will be disseminated throughout the aging network.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

125,000

125,000

125,000

50,000

136 U.S. Route 1 

SOUTHERN MAINE AGENCY ON AGING

Program: Evidence Based Prevention Program

90AM2781 "Women Take PRIDE in Managing Heart Diease"

Albany, NY 12210

Contact: Daniel Hogan (518)465-3322

Senior Services of the Albany Area, Inc., (dba Senior Services of Albany) will implement a research-based, 

self-management heart disease education program with four collaborating organizations. The "Women Take PRIDE" 

(WTP) intervention was developed and tested by researchers at the University of Michigan School of Public Health. The 

WTP targets women 60 years of age or older who have been diagnosed with heart disease. The project seeks to 

demonstrate the effectiveness of providing the intervention, and recruiting participants from a community setting, as well 

as from health care providers. WTP is a four-week education program focused on: (1) improving functional status, both 

physical and social; (2) improving the symptom experience and general health outcomes; and (3) improving the 

knowledge of and access to community resources. An extensive process evaluation will be conducted throughout the 

implementation period in order to evaluate the outcome measures and document lessons learned in the program 

implementation.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

192,000

125,000

125,000

50,000

25 Delaware Avenue 

SENIOR SERVICE CENTERS OF THE ALBANY AREA, INC.

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 56 of 261 

90AM2782 Evidence-Based Fall Prevention Services in Senior Centers

Hartford, CT 06106-5129

Contact: Robin Harper-Gulley (860)724-6443

The goal of this 3-year project is to embed a sustainable evidence-based fall prevention strategy within greater Hartford 

senior centers by enhancing fall prevention-related knowledge and behavior and building or enhancing relationships 

between senior centers and relevant community and health care organizations. Project objectives are to develop, 

implement, evaluate, and disseminate a fall prevention program, based on Yale FICSIT ( Frailty and Injuries: 

Cooperative Studies of Intervention Techniques ) and other randomized controlled trials (RCTs). The fall prevention 

program will target balance, gait and vision impairments, postural hypotension, multiple medication use, and home 

hazards. The partners include North Central Area Agency on Aging (NCAAA), Connecticut Hospital 

Association/Connecticut Association for Home Care (CHA/CAHC), Hartford area senior centers, and the Center on 

Aging, University of Connecticut Health Center. Primary outcomes include reduced falls in senior center clients and 

increased fall prevention knowledge and behaviors in center staff and clients. Products include a replicable model of 

community-based fall prevention, print and web-based procedure manuals, peer-reviewed publications, and 

multidisciplinary expertise available to other community-based providers.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

220,000

220,000

220,000

50,000

2 Hartford Square West, Suite 101 

NORTH CENTRAL AREA AGENCY ON AGING, INC

Program: Evidence Based Prevention Program

90AM2793 Evidence-Based Prevention Programs for the Elderly-National Resource Center

Washington, DC 20024

Contact: Nancy A Whitelaw,PH. D. (202)479-6612

The National Council on the Aging has established a National Resource Center to support prevention demonstration 

grantees to successfully implement evidence-based disability and disease prevention programs; engage the aging 

services network (and others) in evidence-based programs and facilitate their adoption; and assist AoA to further 

develop an evidence-based prevention program. The outcomes of this 3-year project will be replicable programs that can 

positively affect the health and function of older adults, and increased support for the aging network's contributions in 

addressing prevention needs. The Center will leverage NCOA's experience in strengthening the capacity of aging 

service providers to offer evidence-based programming and provide multiple types of resources and technical 

assistance. Bringing complementary skills and knowledge are the Center's partners - the Aging Blueprint Office, the 

Healthy Aging Research Network of CDC's Prevention Research Centers, UCLA's Geriatric Medicine and Gerontology 

Program, a leading communications and dissemination firm, and leading national aging organizations.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

600,000

600,000

685,000

687,500

300 D Street, SW, Suite 801 

NATIONAL COUNCIL ON THE AGING

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 57 of 261 

Increasing Seniors' Access to Disease Self-management and Disability Prevention 

Services

90AM2809

Seattle, WA 98121

Contact: Susan Synder (206)727-6297

Senior Services of Seattle/King County proposes to offer a disease self-management and disability prevention program, 

the Health Enhancement Program, for three-years to 2,037 older adults with chronic health conditions. The primary 

project objective is to increase participation of seniors at existing and new sites in King County, Washington. This will be 

done by working closely with a health care system to generate referrals, and by increasing the number and type of 

program sites, especially those that have a track record of serving seniors of color or those who are limited English 

speaking. Project partners include a university, an Area Agency on Aging, a staff model health maintenance 

organization, a public hospital, and a county health department. New partnerships with revenue generating potential will 

also be established in order to increase the likelihood that this model program will be adopted on a national basis in the 

future. The participant outcome is that 80% of those enrolled for at least six months will improve or maintain at least one 

of the following: physical activity, depression, falls, and hospitalizations.

Project Period: 09/30/2003 - 03/31/2005

FY Grant Amount

FY 2003 100,000

2208 First Avenue, Suite 100 

Senior Services of Seattle/King County

Program: Evidence Based Prevention Program

90AM2810 Improving Self Management of Chronic Disease in the Elderly

Grand Rapids, MI 49503-9503

Contact: Nora Barkey (616)222-7012

The Area Agency on Aging of Western Michigan, partnering with a managed care plan, four community aging services 

providers, and a university evaluator, will conduct a 3-year program using the Chronic Disease Self-Management 

Program (CDSMP) and enhanced outreach. The project seeks to show how the aging network, in partnership with a 

health care plan, can improve the health outcomes for older adults. Six hundred adults 60 and older with one of four 

common chronic conditions will be randomly assigned to receive standard care from managed care or aging services 

providers or to receive the CDSMP and enhanced outreach intervention, 200 per group. Measures of health outcomes 

will be taken at 3 time intervals. Expected outcomes are: positive inter-system collaboration; increased chronic disease 

self management knowledge and skills for the community aging service provider (CASP) workers; positive health 

behaviors, self-efficacy, and health outcomes for participants compared to non-participants; and demonstrated cost and 

service benefits for older adults. Products will include the final report, manuscripts for publication, and presentations to 

both aging and health care audiences.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

150,000

125,000

125,000

50,000

1279 Cedar NE 

AREA AGENCY ON AGING OF WESTERN MICHIGAN

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 58 of 261 

90AM2811 Healthy Changes: A Community-Based Diabetes Education and Support Program

Portland, OR 97204

Contact: Vicki Hersen (503)823-5269

Elders in Action, a community-based non-profit, and Providence Health System's Center on Aging will conduct a 3-year 

education and support program for older adults with diabetes. The goal is to increase the ability of program participants 

to self-manage, on a day-to-day basis, diet and physical activity aspects of their diabetes. Program elements include: 

weekly classes and support meetings held in a total of 16 community sites; community outreach and presentations 

provided by trained volunteer community educators; and one-to-one advocacy and problem solving assistance provided 

by trained volunteer Ombudsmen. Seniors age 55+ with diabetes will be served with services specially targeted to 

ethnically and geographically diverse, and low income seniors. Multnomah County Aging and Disability Services (AAA) 

will facilitate linkage of program elements with the greater senior network, and Oregon Research Institute will conduct the 

project evaluation. Products will include a curriculum manual, project publications and reports, evaluation tools and 

report, a final report, and web page information. These products will be disseminated to senior organizations, nationwide.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

150,000

125,000

125,000

50,000

501 SW Washington Street 

ELDERS IN ACTION

Program: Evidence Based Prevention Program

90AM2812 Healthy Ideas: Evidenced-Based Disease Self-management for Depression

Houston, TX 77025

Contact: Jane Bavineau (713)685-6506

The overall goal of this 3 year initiative is to build on the Healthy IDEAS (Identifying Depression, Empowering Activities 

for Seniors) program developed by a regional team of professionals in aging services, geriatric care, mental health and 

health services research and introduced into the Houston community in 2002. This project targets community dwelling 

elders, with a special focus on underserved and minority subgroups. The specific goals of this proposal are: to prevent or 

detect depression through effective, evidence-based screening and health promotion education; to promote more 

effective treatment through appropriate mental health referrals; to decrease symptomatology and improve functioning in 

depressed elders who participate in the depression self-management program; to improve linkages between community 

aging service providers (CASPs) and community-based healthcare practitioners; and to prevent recurrence of the 

disease through regular depression screening. Expected outcomes include: more effective partnerships among 

community aging service providers, healthcare organizations, academic researchers and consumers; and refinement of 

the evidence-based depression self-management intervention to increase recognition, promote effective treatment, and 

prevent excessive functional disability due to depression. Evaluation outcomes, intervention materials and educational 

products will be disseminated among CASPs, community health providers, consumer advocacy/support groups.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

150,000

125,000

125,000

50,000

3838 Aberdeen Way 

SHELTERING ARMS SENIOR SERVICES

Program: Evidence Based Prevention Program
FY2005 Compendium - Page 59 of 261 

90AM2772 Preventing Diabetes: Healthy Living for American Indian Elders

Albuquerque, NM 87111-3851

Contact: Alvin Rafelito (505)292-2001

Under AoA's priority of eliminating health disparities among elderly individuals, the National Indian Council on Aging was 

funded to address preventing diabetes in American Indian elders. In partnership with American Indian Tribes and elder 

organizations throughout the country, this project will identify best practices and effective interventions for healthy living. 

New tools to prevent diabetes in American Indian/Alaska Native elders will be developed and disseminated based on the 

best practices identified.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

129,155

159,155

129,155

50,000

10501 Montgomery Blvd, NE, STE 210 

NATIONAL INDIAN COUNCIL ON AGING, INC

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

90AM2802 The Healing Zone: Community Health Action & Advocacy Training Project

Washington, DC 20005

Contact: Aundrenette J Boddie (202)624-1137

The National Caucus and Center on Black Aged (NCBA) is conducting a 3-year faith-based community health leadership 

program to reduce obesity as a leading risk factor for chronic disease in African American seniors. Activities designed to 

increase knowledge about self-care strategies related to overweight and obesity will include foci on cardiovascular 

disease, hypertension, kidney failure, and diabetes. Church-based aging and health advocacy committees are being 

established to disseminate health promotion information on weight reduction, improved nutrition & increase physical 

activity. NCBA is collaborating with its network of chapters & field offices, and the National Aging Network. It is 

establishing links with community-based organizations, including Group Ministries of Baltimore & Group Ministries of 

Buffalo, NY; the MD Center of Bowie State University (an HBCU); Area Agencies on Aging in Richmond, VA, Detroit, MI 

and Jackson, MS, a rural site; as well as the American Kidney Fund. The project expects to reach 300 + seniors through 

30 churches with six coalitions each. To date, community coalitions have developed & implemented action plans; 4 sites 

are established, each with 3 to 5 churches enlisted as participants; and 2 issues of a quarterly newsletter have been 

published. In year 2, links will be strengthened or established with evidence-based projects, e.g. AARP and Robert 

Wood Johnson (RWJ), et al and a Web site will be launched. Church-based aging and health advocacy committees will 

be established at each project site to engage in grassroots health initiatives, public discourse, and policy-level 

discussions. Products include an Implementation Tool Kit, and an Outcome Study. The Tool Kit will include a participant 

work book, facilitator's guide, personal health journal, and fact sheets, and will be available to participating churches, 

grassroots organizations, the aging network and members of local health coalitions.

Project Period: 09/30/2003 - 09/29/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

298,050

368,050

298,050

1220 L Street, N.W., Suite 800 

NATIONAL CAUCUS & CENTER ON BLACK AGED, INC.

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.
FY2005 Compendium - Page 60 of 261 

90AM2803 Addressing Health Disparities Among Asian and Pacific Islander Elders

Seattle, WA 98101

Contact: Ken Bostock (206)624-1221

The National Asian Pacific Center on Aging (NAPCA) is conducting a 3 year demonstration that targets health disparities 

among Asian American and Pacific Islander (AAPI) elders. NAPCA is identifying health promotion materials on Cancer, 

Diabetes and Cardiovascular disease; analyzing cultural relevance; and translating them to appropriate languages for 

dissemination to 13 major urban communities with concentrations of AAPI elders. Using its network of 1000 

community-based organizations (CBOs) and Senior Community Service Employment Programs, NAPCA expects to 

reach target communities in CA, IL, MA, NY, PA, TX, Washington DC and WA. A series of interventions, focusing on 

health disparities experienced by AAPI elders, range from the distribution of linguistically & culturally appropriate 

educational materials, to a healthy lifestyle program of disease-specific seminars, lifestyle programs, screening for early 

detection and case referrals. Enactment of the Medicare Modernization Act significantly impacts low-income AAPI 

elders. Accordingly, the project addresses the critical lack of useful, understandable and timely information on health 

promotion/ disease prevention and affordable health care programs for vulnerable, underserved, multicultural AAPI 

elders with limited English proficiency. Ethnic-specific interventions include assessment and dissemination of linguistic 

and culturally appropriate materials for elders and their caregivers; strengthening effective health care advocacy efforts 

in AAPI communities; establishing collaborative partnerships among AAPI community-based organizations, community 

health centers and mainstream health information & assistance resources to assure access to accurate & reliable 

information; and enhanced AAPI involvement in, and sustained linkages among, AAPI CBOs, Community Health Centers 

(CHC) and Health Industry Claims and Payment Services (HICAP) for ongoing access to health information, assistance 

and advocacy resources.

Project Period: 09/30/2003 - 09/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

356,365

436,365

356,365

1511 Third Avenue, Suite 914 

NATIONAL ASIAN PACIFIC CENTER ON AGING

Melbourne Tower

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

90AM2804 Project Salud A La Vida

Pasadena, CA 91101

Contact: Carmela Lacayo (626)564-1988

Asociacion Nacional Pro Personas Mayores (ANPPM) is designing health interventions for older Hispanic men and 

women that promote understanding and awareness of nutrition as it relates to the prevention of diabetes, cardiovascular 

disease, cancer & prostate cancer in older Hispanic men. ANPPM's education campaign will teach older individuals the 

importance of immunizations, and help existing Medicare- Approved Drug Discount Card (MADDC) outreach programs 

educate older Hispanic beneficiaries on obtaining Medicare Drug Discount Cards or accessing the transitional assistance 

program. Model health interventions that demonstrate multi- language, culturally-based approaches to health education 

and disease prevention are being designed in the Fotonovela format. Community health providers in Tucson, Kansas 

City, Philadelphia, and New Orleans are collaborating on package development to ensure information critical for 

promoting positive health practices & wellness among older Hispanic individuals. Health education modules are being 

designed specifically to assist older Hispanic adults make better decisions about personal health. Modules include 

written materials & audio cassettes on cardiovascular disease and prostate cancer, targeted to older persons with 

literacy problems. A community health education flip chart & manual for each health topic is being developed for 

community health clinics, migrant worker health centers & other CBO's. The immunization campaign directed at Hispanic 

elders includes Spanish/English 30-second radio spots and plans for establishing community-based health alliances. 

Local Hispanic media and traditional Hispanic business, e.g. panaderias (Latino bakeries), tortilla factories, etc. are being 

enlisted to promote the immunization campaign. Target populations include monolingual older Hispanic immigrants who 

have recently arrived in the U.S., and migrated to areas of the country that are now seeing the arrival of large numbers of 

Hispanic immigrants.

Project Period: 09/30/2003 - 09/29/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

298,050

368,050

298,050

234 E. Colorado BIvd., Suite 300 

Asociacion Nacional Pro Personas Mayores

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.
FY2005 Compendium - Page 61 of 261 

90AM2768 Nutrition, Physical Activity and Aging-National Resource Center

Miami, FL 33199

Contact: Nancy Wellman (305)348-1517

The goal of the National Resource Center on Nutrition, Physical Activity and Aging (Center) is to expand and strengthen 

the knowledge and service delivery capability of Older Americans Act (OAA) Nutrition Programs and the Aging Network 

in nutrition and physical activity programs for older adults. The objectives are to provide training and technical assistance 

to enable mini-grant awardees to implement programs and document outcomes from nutrition and physical activity 

programs; disseminate information through the Center's website and build knowledge through publications and 

presentations; and provide training and technical assistance to the aging network on nutrition issues. Year 1 products 

include: (1) ten $10000 mini-grant projects with measurable outcomes; (2) annual report of Nutrition and Physical Activity 

Mini-Grant Projects; (3) National Mini-Grantee Workshop -Town Hall meetings at National Association of Nutrition and 

Aging Services Programs, Meals on Wheels Association of America, National Association of Area Agencies on Aging; 

(4) website that comprehensively covers nutrition, physical activity, aging; posting biweekly highlights to 3 

Center-managed Listservs; 5) regularly updated Older Americans Nutrition ProgramToolkit, and (6) at least 2 journal, 4 

newsletter, 2 Ask the Experts articles; 1 set of meeting backgrounders, proceedings; & 4 Aging Network presentations. 

In addition, the Center will provide technical assistance to the aging services network through telephone calls, e-mails, 

as well as meeting consultations.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

460,369

460,369

460,369

11200 SW 8th Street, OE 200 

THE FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES

Program: Nutrition, Physical Activity and Aging-Nat'l Resource Center

90AM2751 National Resource Center on Native American Aging - University of North Dakota

Grand Forks, ND 58201-9037

Contact: Alan Allery (701)777-3859

The goal of the National Resource Center on Native American Aging (NRCNAA), funded by AoA since 1994, is to raise 

American Indian elder life quality to the highest level thru research, technical assistance & training. Objectives: 1) 

monitoring native elder needs thru tribal and national assessments; 2) translating research into practice, promoting 

vitality for native elders thru health promotion training and technical assistance; 3) communication thru newsletters, fact 

sheets, and electronic media; and 4) a health literacy project with published results. NRCNAA has been a leader in 

research & needs assessments with American Indians, Tribes, and older Americans for almost 10 years, & will continue 

the next 3 years of the proposed cooperative agreement. NRCNAA provides an array of training & technical assistance 

to various groups regionally and nationally. They collaborate with Title III & Title VI providers and will continue by 

connecting with AoA Regional Offices to assist with regional and national training and technical assistance. NRCNAA will 

continue collaborating with federal & state recognized tribes; Alaskan Native corporations and villages; Native 

Hawaiians; urban Indian organizations; the National Indian Council on Aging, & other prominent aging groups. NRCNAA 

has the only national database on American Indian elder needs & may be the only source for trend data on functional 

limitations, chronic disease, and health risks data for Native elders. 9,296 + elders at 88 sites represent 132 tribes in 22 

states, & 11 Indian Health Service areas. NRCNAA will help: 1) seniors access an integrated array of health and long 

term care services; 2) elders stay active and healthy; 3) support families caring for loved ones in their home and 

community; and 4) promote effective, responsive management/best practices, which will be disseminated to Native 

elders and Councils, & providers via e-mail, fact sheets, web, newsletter, articles, an 800 # and direct inquiry.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

345,000

345,000

345,000

86,000

501 N. Columbia Road, P.O. Box 9037 

UNIVERSITY OF NORTH DAKOTA

National Resource Center on Native American Aging

Program: Older Indians National Resource Centers
FY2005 Compendium - Page 62 of 261 

90AM2752 National Resource Center for American Indians, Alaska Natives and Native Hawaiians

Anchorage, AK 99508-4614

Contact: Cheryl Easley (907)486-6597

The National Resource Center for American Indian, Alaska Native and Native Hawaiian Elders at the University of 

Alaska, Anchorage will report to an advisory board of native leaders on three goals: 1) empowering native communities 

to incorporate traditional ways of treating elders within community care systems, in keeping with community heritages; 2) 

providing technical information to promote culturally sensitive and appropriate services to maintain social well being 

within a spiritual elder-focused environment; and 3) increasing national visibility of native eldercare issues. Outcomes will 

include: 1) defined native elder values to better understand appropriate native eldercare standards; 2) defined clinical 

and behavioral needs; 3) assistance to native communities in conducting assessments of elder desires for their own 

care; and 4) identification and research of "best or promising practices" of the current incorporation of culture-based 

native eldercare services.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

344,155

344,155

344,155

3211 Providence Drive 

UNIVERSITY OF ALASKA ANCHORAGE

Program: Older Indians National Resource Centers

The Potential of Senior Centers to Improve Health & Independence of Older Adults: A 

National Blueprint for the Future

90AM2813

Washington, DC 20024

Contact: Barbara Rayner 

The National Council on the Aging (NCOA) and the National Institute of Senior Centers (NISC) propose to develop a 

national blue print for maximizing the use of the country's senior centers to deliver proven and promising innovations that 

increase the health, independence and continuing contributions of older adults. We plan to identify 6-8 of the most 

promising innovations, assess the capacity of senior centers in 10 key states to implement these innovations, and 

develop national, state and local strategies for achieving widespread diffusion of these innovations through local and 

regional networks of senior centers. This 15 month-project will leverage NCOA's experience, current work and large 

network of national, state and local leaders and organizations to strengthen the capacity of senior centers to offer 

evidence-based and other promising programming in health promotion, disease and disability prevention, civic 

engagement, consumer direction and other community-based long-term care services. NCOA is engaging Barbara 

Rayner to direct this project. Barbara brings extensive experience successfully heading the Rhode Island State Unit on 

Aging and earlier experience directing senior centers and collaborating with NCOA in establishing and developing the 

National Institute of Senior Centers.

Project Period: 09/30/2003 - 05/31/2005

FY Grant Amount

FY 2003 125,000

300 D Street, SW, Suite 801 

NATIONAL COUNCIL ON THE AGING

Program: Unsolicited
FY2005 Compendium - Page 63 of 261 

Virginia Alzheimer's Disease Response Project:Collaboration, Service Models, and 

Education

90AZ2367

Richmond, VA 23229

Contact: Bill Peterson 

The goal of this rural demonstration project is to develop new, holistic models of care for persons with Alzheimer's 

disease. These holistic demonstration models will address the service and health care needs of persons with Alzheimer's 

disease (AD), as well as their emotional and spiritual needs. The objective of this rural AD demonstration project is to 

provide education and training in effective methods of dementia care to certified nursing assistants (CNAs). The partners 

are Catholic Charities, St. Mary's Bon Secours Parish Nurse Program, AD Association, Virginia Department of Human 

Resource Management, Virginia Hospital Association, Senior Companion Program, Public Service Groups--fire 

departments, rescue squads, EMS, etc. The expected outcomes of this rural AD demonstration project are: a statewide 

AD Response Task Force; 13 subgrants to demonstrate a holistic approach to AD; a CNA dementia training program, 

manuals and mechanisms; dementia education for communities of faith; a curriculum to train parish nurses about AD, 

dementia, and Virginia's LTC system; an Older Adult Ministry Rural Workshop for Clergy; an AD curriculum for 

physicians; and emergency room staff educated on AD. The products of this rural AD project are a final report; new 

holistic rural AD models; education and training materials for CNAs; and a published article for physicians.

Project Period: 07/01/2000 - 06/28/2005

FY Grant Amount

FY 2000

FY 2001

FY 2002

FY 2003

350,000

350,000

375,000

350,000

1600 Forest Ave., Suite 102 

Commonwealth of Virginia

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2457 Springfield Multicultural Alzheimer's Service Project

Boston, MA 02108-2108

Contact: Eliza Lake 

The goal of this 3 year Alzheimer's Disease (AD) demonstration project is to provide access to appropriate information 

and services for Springfield's Latinos and African Americans with AD and their families and caregivers through multiple 

community and faith-based organizations. The objectives of this AD project are: 1) to develop outreach to Latinos and 

African Americans with AD; 2) to create a partnership between the Alzheimer Association (AA), the local AAA/ASAP, the 

local Visiting Nurses Association (VNA), and community organizations that will remove service barriers for those who are 

currently underserved; 3) to provide direct services through the Massachusetts Respite Care Program (MRCP); 4) to 

create new programs for Latinos and African Americans; 5) to provide education, training, support and respite to client 

families/caregivers; 6) to provide cultural competency training to all providers; and 7) to perform a project evaluation. The 

anticipated outcomes are: outreach to target populations; access for underserved; expanded respite and support AD 

services to Latinos and African Americans; direct services via MRCP and VNA; creation of new programs; cultural 

competency training; an evaluation; and removal of service barriers. The products of this AD project are a final report, 

and AD Spanish materials.

Project Period: 07/01/2001 - 06/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

350,000

350,000

350,000

One Ashburton Place 

Commonwealth of Massachusetts

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 64 of 261 

Alzheimer's Arts, Education and Caregiver Initiative - A Kansas Strength-Based Respite 

Model

90AZ2572

Topeka, KS 66603

Contact: Cindy Miller 

This is a three year Alzheimer's Disease (AD) demonstration project, whose goal is to develop a model day program to 

provide art and care for persons with AD in an effort to nurture their remaining strengths. The objectives are: 1) to create 

an environment that offers art and creativity through the development of an Arts and Inspiration Center; 2) to increase 

access through respite mini-grants program, a consumer-directed respite grant program which will target rural and 

Hispanic elders; 3) to develop a statewide education and information campaign, including Breakfast Clubs, a generally 

effective model of caregiver support groups in rural areas; 4) to educate and support family caregivers in venues where 

caregivers naturally congregate; 5) to pilot this program in several communities; 6) to evaluate this program; and 7) to 

replicate it statewide. The partners include: Kansas Dept. on Aging; Kansas Association for AAAs; Health Care 

Association; Alzheimer Disease Association Chapters; and Kansas Association of Homes and Services for the Aging. 

The anticipated outcomes are: Hispanic respite mini-grants; the Hispanic Arts and Inspiration Center; an AD Hispanic 

model day program; a Hispanic breakfast club model; arts-based respite opportunities for families coping with AD; 

availability and access to respite services for rural and low income elders and their caregivers; consumer directed respite 

care for rural Kansans; Hispanic support groups; and AD information and education. The products are a final report and 

a replication manual.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

225,000

225,000

225,000

503 S. Kansas Avenue 

Kansas Department on Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2573 Pennsylvania Memory Loss Screening Program

Harrisburg, PA 17101-1919

Contact: Velma E Carter-Dryer 

This is a three year Dementia demonstration project, whose goal is to develop the Pennsylvania Memory Loss Screening 

(MLS) Program. The MLS program is designed to create dementia screening and service delivery focusing on serving 

Latino/Hispanic American, Asian-American, African American and rural Pennsylvanians. The objectives of this MLS 

project are: 1) to develop models of community based service delivery; 2) to target the integration of medical and social 

support services; 3) to provide facility based, in-home and overnight respite and adult day care; 4) to serve people with 

early on-set dementia (before the age of 60) regardless of race; and 5) to provide direct services, e.g., facility based, 

in-home and overnight respite and adult day care. The Community-based organizations involved in this MLS program 

include Area Agencies on Aging, PA Dept. of Health, PA Dept. of Public Welfare, Univ. of PA Health System (Memory 

Disorders Clinic), PA Intra-governmental Council on LTC, Hahnemann University, and Alzheimer's Association chapters 

of PA. The anticipated outcomes are: a cadre of volunteers; a dementia screening service for AD minorities and rural 

elders; improved client health; improved responsiveness of all agencies; greater access to services and 

community-based supports; improved referrals, screenings, and education forums; and partnership with corporate and 

private foundations. The products are: a final report; an MLS model of community-based service delivery to minorities; a 

replication manual; and multi-language materials.

Project Period: 07/01/2002 - 06/30/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

349,012

349,012

349,012

555 Walnut Street, 5th Floor 

PENNSYLVANIA DEPARTMENT OF AGING

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 65 of 261 

Implementing Changes to Improve Dementia Care in Home, Community and Health 

Service Organizations

90AZ2574

Lansing, MI 48913-8913

Contact: Irene Kazieczko (517)335-0252

This is a three year demonstration project that will focus on rural populations and will help the State of Michigan to take a 

systems integration approach to improving care for families coping with Alzheimer's Disease (AD). The four goals of this 

project are: 1) to replicate a model program of assistance designed to improve access and coordination of care between 

physicians, people with dementing illnesses, their families, and voluntary health organizations (VHO); 2) to implement 

two models of assistance in home and community-based service organizations that improve their responsiveness to the 

needs of people with dementing illnesses and their families; 3) to implement the current statewide capacity of VHOs for 

Alzheimer, Huntington and Parkinson diseases to follow-up on inquiry calls, provide care consultation and link callers 

with other supportive services; and 4) to identify components of each model of assistance that have potential for 

replication or integration by other similar organizations and disseminate key results, lessons, protocols and service 

methodologies to units of state government, Area Agencies on Aging, VHOs and interested health care providers. The 

anticipated results of this AD program are: a state model; better understanding of Alzheimer patients' illness; increased 

level of knowledge and confidence in caring for the patients; and use of new protocols. A product of this AD program is a 

final report.

Project Period: 07/01/2002 - 06/30/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

282,373

272,355

257,224

320 South Walnut Street 

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2575 Coordinated Care Alzheimer's Demonstration Project

Albany, NY 12223-1251

Contact: Marcus Harazin (518)474-5478

This three year Developmental Disabilities (DD) and Alzheimer's Disease (AD) project goal is to develop direct services 

to low income persons with DD/AD in rural areas. It is designed to help them remain in family homes and group homes in 

their communities. The community-based organizations (CBOs) involved are the State Office on Aging; Health Dept., 

Office on Mental Retardation and DD; AAAs, Alzheimer's Association chapters; chapters of the Association of Retarded 

Citizens (ARC), the University of NY at Albany and local DD service providers. The objectives of this DD/AD project are: 

1) to find and identify individuals with DD/AD; 2) to provide current information, education, training; 3) to develop support 

group services to family caregivers; 4) to develop comprehensive professional training programs; 5) to create an DD/AD 

competent workforce for DD service providers, AAAs and chapters of the Alzheimer's Assn.; 6) to disseminate the 

models of services and training to other regions in NY state; and 7) to plan for long-term funding development. The 

anticipated outcomes are: 40 persons with DD/AD identified and served; in one year, support groups formed in 10 group 

homes and 3 regions, and 15 groups established in year two; 150 home care staff and family caregivers trained; and a 

review of Medicaid waivers and other funding mechanisms to help with DD/AD persons. The products are a final report, 

a family resource directory, and training materials.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

305,000

266,883

224,676

3 Empire State Plaza 

NEW YORK STATE OFFICE FOR THE AGING

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 66 of 261 

90AZ2576 West Virginia Alzheimer's Disease Demonstration Project

Charleston, WV 25305-5305

Contact: Jan Bowen (304)558-3317

This is a 3 year Alzheimer's Disease (AD) demonstration project whose goal is to identify and address needs of rural and 

low-income West Virginia Appalachian and other WV families struggling with AD. The Community-based organizations 

(CBO) involved are: the Alzheimer's Disease Association; Office of Health Facilities Licensure and Certification; local 

scouts; 4-H programs and faith-based youth groups; and local senior centers. The objectives are: 1) to issue start-up 

grants to senior centers that will work with community coalitions; 2) to establish or enhance local adult day care 

centers/facilities; 3) to issue grants to county senior centers and local service organizations to provide in-home respite 

care; 4) to develop a consumer directed respite care approach by issuing respite care grants directly to families; 5) to 

create a statewide toll-free help- line; 6) to update the CNA training curriculums to include dementia training; 7) to 

change CNA licensure requirements to require education and experience in assisting persons with dementia; and 8) to 

develop merit badges in AD, dementia and the aging process in collaboration with local civic, community and faith-based 

groups. The anticipated outcomes are: a sustainable collaborative process to help rural AD persons; increased access to 

and availability of rural respite care and rural adult day care services; 24 CNA training programs state-wide and reduction 

in CNA turnover in LTC settings; dementia training for licensure; an AD Merit Badge program; and a statewide 

centralized toll-free help line.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

250,000

250,000

250,000

1900 Kanawha Blvd. East, Bldg. 10 

West Virginia Bureau of Senior Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2577 Helping Rural Colorado Families Access Supportive Services for Alzheimer's Disease

Fort Collins, CO 80523-0523

Contact: Paul Bell (970)491-7215

Acting through Colorado State University, the goal of this 3 year Alzheimer's Disease (AD) rural and Hispanic 

demonstration project is to increase the availability of home health care, companion services, personal care, respite 

care, adult day care, support groups, and related services to individuals and families with dementia and their families in 

rural Colorado. The objectives of this AD project are: 1) to demonstrate various models of respite care provided by 

faith-based groups, civic organizations; 2) to develop a cadre of volunteers as respite providers; 3) to develop and 

provide family and professional training in the Savvy Caregiver Program; 4) to recruit and coordinate with the 

Cooperative Extension Service (CES) Gerontology team, AAAs, AD Association, and service providers; and 5) to create 

a Coordination Task Force that will assimilate feedback from the project, and monitor the project's progress. The 

anticipated outcomes are: 500+ families trained to use supportive services to prevent caregiver burnout; an expanded 

24/7 English/Spanish AD Helpline; stigma of AD's in rural areas eliminated; private sector funding of support services 

developed; caregiver screening tools developed; caregiver burden reduced; a community coalition developed; and 

access to home and community-based care services improved.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

350,000

350,000

350,000

202 Johnson Hall 

STATE BRD OF AGRICULTURE ACTING BY & THRU CO STATE UNIV

State Board of Agriculture, acting by and through

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 67 of 261 

90AZ2578 Oklahoma Alzheimer's Coalition Project

Oklahoma City, OK 73105-3105

Contact: Norma Goff (405)522-4510

This three year Alzheimer's Disease (AD) demonstration project goal is to develop an in-home respite and companion 

visitation recruitment and support program using mentors and volunteers, working in teams, to provide direct home and 

community-based (HCB) services targeted to African American, Native American and rurally isolated populations. The 

community-based organizations involved in this project are the Methodist Church; the Presbyterian Church; Tulsa AAA; 

Osage County nutritional sites and day care and home health; and others. The objectives are: 1) to train students to 

deliver specialized dementia care; 2) to support their on-the-job training program; 3) to prepare ten mentors and on-site 

front line workers (nurses, aides, etc.) for adult day care (ADC) and respite programs; and, 4) to replicate the program in 

faith-based and community/civic groups. The anticipated outcomes are: a multi-level health profession career ladder for 

front-line community based care staff; increased staff retention; increased access to direct services for African American 

and Native American AD persons; increased supply of LTC home and community based care workers; increased supply 

of volunteer workers; and a replication volunteer model. The product is a final report.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

338,363

338,363

338,363

312 NE 28th Street - LC #150 

OKLAHOMA DEPARTMENT OF HUMAN SERVICES

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2579 The Alzheimer's Disease Project of Mississippi

Jackson, MS 39201-9201

Contact: Jennie Hillman (601)359-1288

This is a 3 year Alzheimer's Disease (AD) African American demonstration project. The goal is to develop 

volunteer-staffed day respite programs with targeted outreach and service delivery to African Americans. The involved 

community-based organizations include the MS Dept of Mental Health, AD Association, Area Agencies on Aging, Baptist 

Health System, RSVP, First Friends Adult Day Care Center, MS Senior Companion program, and others. The objectives 

are: 1) to expand the capacities of existing in-home and group respite, homemakers, and personal care services; 2) to 

improve the long-term care workforce by providing educational training programs; 3) to develop and improve the use of 

Senior Companions Program; 4) to improve the retention of the workforce through training programs for direct care 

workers (Certified Nursing Assistants, home health aides, sitters, companions); 5) to provide special training for staff on 

ways to work with and support the independence of AD clients who live alone; and, 6) to strengthen a volunteer program. 

The anticipated outcomes are: expanded service availability for AD persons; an increased volunteer workforce; an 

increased capacity of the care system; increased AD /Dementia trainings; and integration of mental health and aging 

network services. The products are a final report and AD brochures.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

252,000

239,223

239,223

1101 Robert E. Lee Building 

Mississippi Department of Mental Health

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 68 of 261 

90AZ2692 Consumer-Directed Services for Families of Persons with Alzheimer Disease

Lincoln, NE 68509-5044

Contact: Janice Price (402)471-9106

This project will use a consumer-directed approach to serve persons with mild to moderate forms of Alzheimer's Disease 

(AD), and their caregivers. The first goal of the project will be to enable consumers to make effective decisions about 

care for their relatives and allow them to remain at home as long as possible. The second goal of this project is to offer 

caregivers a mentor who will provide information and support, mental health support, if needed, and expanded 

education/training opportunities. Partnerships will be formed with existing community services and religious and rural 

coalitions to coordinate and enhance services for caregivers and to reach the currently under-served population of 

caregivers in a five county area. The anticipated outcomes are: consumer-directed approach for AD patients; caregivers 

for AD patients; family and relative integration; increased support for AD persons to stay at home and in their community; 

a mentor assigned for each AD person; and mental health support for each AD person. The product is a final report.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

326,000

278,300

150,000

100,000

PO Box 95044 

Nebraska Department of Health and Human Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2693 Dementia Outreach Lexington: Diagnosis/Treatment and Services for African-Americans

Frankfort, KY 40621

Contact: Phyllis E. Culp (502)564-7194

Kentucky's Office of Aging Services, in collaboration with the Sanders Brown Center on Aging and the Greater Kentucky 

and Southern Indiana Chapter of the Alzheimer's Association, will conduct a three-year program to increase awareness 

of dementia and utilization of dementia care services by the African-American community. The objectives of the project 

are: (1) to increase awareness of dementia in the Lexington/Fayette County African-American population; (2) to provide 

dementia diagnostic services for African-Americans in their community setting; and (3) to offer two separate services 

through churches, e.g., support groups and a Best Friends care program - to complement programs already in place. 

Expected outcomes are: increased use of diagnostic and treatment services already in place in an African-American 

neighborhood, and an increase in sense of satisfaction with caregiving efforts. Products are: a final report; informational 

materials on dementia and available services; training materials for coaching caregivers and patients; evaluation tools; 

and manuscripts for publication.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

212,970

189,029

189,029

189,029

275 E. Main Street, 3 W-F 

Kentucky Cabinet for Health and Family Services

Human Support Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 69 of 261 

90AZ2694 Rural Respite Program - Group Socialization and In-home Respite

Salt Lake City, UT 84103

Contact: Sonnie Yudell 

This project plans to expand access to community-based respite services and to develop a system of in-home respite 

care that is volunteer driven, for persons with Alzheimer's disease (AD) and related dementias and their caregivers within 

rural areas of the state and/or minority communities where no such program exists. The goal is to develop relationships 

with diverse organizations and faith based programs to mobilize and train volunteer respite companions. Culturally 

sensitive volunteer training materials will be developed to reach a wide range of volunteers and clients. The objectives 

are: 1) to train volunteer companions who will provide respite care supplemented by home health care; 2) to prepare 

professionals to teach basic dementia care to participating families; 3) to develop a model for a two-pronged program 

with parallel development of a plan for community awareness and educational presentations and a program for recruiting 

and training volunteers and clients; and 4) to provide respite for caregivers, while providing care and socialization for 

their family member with Alzheimer's. The expected outcomes are: increased access to community-based and in-home 

respite services; increased use of volunteers for AD persons; increased number of rural caregivers; trainings for AD 

volunteers and caregivers; and improved access to dementia care services for families with AD persons. The product is 

a final report.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

300,000

300,000

300,000

120 North 200 West, Room 319 

Utah Department of Human Services

Aging and Adult Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2695 Early Intervention and Continuous Supportive Services Project

Boise, ID 83720-0007

Contact: Lois S Bauer (208)334-3833

Idaho's Alzheimer's Disease (AD) Project creates a collaborative model, the "Stand By You Program". The goal is to 

provide a network of services and a single point of entry for people with AD and their families. The objectives are: 1) to 

offer, through a family advisor, an array of community services; 2) to offer monthly orientations to Alzheimer's Disease 

and nine-week in-depth training courses; 3) to offer individual, couple and family counseling; and, 4) to offer access to 

responsive paid and informal respite and companion services. The anticipated outcomes are: dementia-specific training 

for the network of providers and a peer group; shared best practices; quality improvement processes explored; 

sustainability and capacity building methods implemented; and purpose and values of the "Stand By You Program" 

articulated by a professional, community advisory group, to the professional communities they represent. The products 

are: a final report, and training materials on AD.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

320,348

305,298

293,217

287,174

PO Box 83720 

IDAHO COMMISSION ON AGING

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 70 of 261 

Home And Community Based Support Services for Hispanic Cultured Persons with 

Alzheimer's Disease and their Caregivers

90AZ2696

San Juan, PR 00919-1179

Contact: Rossana Lopez-Leon (787)721-4560

The Office for Elderly Affairs for the Commonwealth of Puerto Rico will conduct a 3-year demonstration project with two 

primary goals: 1) to develop and provide a comprehensive home-based support model for Hispanic Persons with 

Alzheimer's Disease (AD) and their Caregivers; and 2) to improve receptiveness of existing Senior Centers and the 

long-term care service networks toward persons with AD and related disorders (ADRD). The objectives are: 1) to provide 

a variety of respite services, home health care, companionship, homemaker services and case management; 2) to 

provide information and training to strengthen their skills and well-being; 3) to provide both community service networks 

with "know-how" information and training, which will result in increased knowledge, sensitivity and receptiveness of 

persons with AD; and 4) to incorporate community organizations and government agencies as part of its Advisory 

Council, which will play an active role in planning, implementation and evaluation activities. The expected outcomes are: 

increased family home support for Hispanics with AD in Puerto Rico; and increased sensitivity towards Hispanics with 

ADRD. The products are a final report, and AD Hispanic training materials.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

300,000

300,000

300,000

300,000

P. O. Box 191179 Old San Juan Station

Puerto Rico Ombudsman for the Elderly

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2723 Reaching and Empowering Alzheimer's Clients Together (REACT)

Hartford, CT 06106

Contact: Kathy Bruni (860)424-5872

The Connecticut Department of Social Services is developing this 3-year Alzheimer's Disease (AD) project in partnership 

with the Connecticut AD Association., AAA, and the Capitol Region Conference of Churches. The goal of this AD project 

is to conduct community outreach, awareness, and clinical supportive services for AD persons and their families. The 

objectives are: 1) to provide community based and in-home clinical assessment/counseling/treatment; 2) to develop 

materials and treatment strategies; 3) to conduct outreach and increase participation of underserved populations; 4) to 

conduct program and service integration; and 5) to expand current services/support systems. The projected outcomes 

are: increased participation of underserved seniors; creation and dissemination of outreach and educational materials; 

fewer barriers, inc. access and availability of resources and services to families; expanded service/care/support network; 

increased services and treatments; and connected to services for isolated self-neglecting AD persons. The program 

products are web accessible and include final report; brochures; evaluation/assessment tools; training manuals; and 

treatment manual.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

250,000

250,000

250,000

250,000

25 Sigourney Street 

Connecticut Department of Social Services

Social Work and Prevention

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 71 of 261 

90AZ2767 North Dakota Alzheimer's Demonstration Project: Working Together

Bismarck, ND 58505-0250

Contact: Sheryl R.H. Pfliger (701)328-4645

The goal of the North Dakota Working Together project is to build an alliance between the medical community, parish 

nurses, OAA and community services to increase dementia identification, treatment and caregiver respite, with a special 

focus on rural areas and American Indian reservations. A University of North Dakota dementia curriculum will be used to 

train a pool of Qualified Service Providers (QSPs) with expertise in dementia care. Two medical systems will provide 

protocols, tools and training to the medical community to facilitate assessment, treatment and referral for enhanced 

respite services.

Project Period: 07/01/2004 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

261,150

261,150

261,150

600 East Blvd. Ave., Dept. 325 

ND ST DEPT OF HUMAN SERVICES

Aging Services Division

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2768 Staying the Course in Alzheimer's Care

Waterbury, VT 05671-1601

Contact: Maria Mireault (802)241-3738

The Vermont Department of Aging and Independent Living (DAIL) will develop and implement a three-year project that 

provides supportive, educational and/or direct service interventions for caregivers of people with Alzheimer's Disease 

and Related Disorders (ADRD), helping those with ADRD remain in their homes and communities. The project will serve 

450 households, targeting family caregivers with low incomes, caregivers residing in rural, underserved areas of the 

state, and supportive services teams caring for people with ADRD and developmental disabilities. Vermont's DAIL will 

link project activities to Vermont's community-based long-term system, enhancing existing services and developing new 

resources, such as case management and eldercare mental health within primary care practices; dementia care capable 

developmental service teams; and caregiver wellness and supportive services projects.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

103 South Main Street 

Vermont Department of Aging and Independent Living

Disability and Aging Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 72 of 261 

90AZ2769 Alzheimer's Demonstration Program: Coordinating Care in Wyoming

Cheyenne, WY 82002

Contact: Beverly J Morrow 

The Aging Division will engage in a one-year pilot project to greatly improve the coordination of outreach to, and services 

for, people with Alzheimer's Disease/dementia and their caregivers. The goals are to: better understand the need of AD 

families in Wyoming; increase knowledge bases regarding AD; raise awareness of available resources; and create a 

more effective, responsive network of services that strengthen community-based in-home care recipients and support 

the needs of caregivers. Expected outcomes include: increased support and stress reduction for caregivers; 

coordinated services that improve care and effectiveness, leading to prolonged avoidance of premature 

institutionalization; and increased awareness and knowledge among professionals and the public. Products will include 

dementia resource manuals, a reliable needs assessment, a Web resource and final report.

Project Period: 07/01/2004 - 06/30/2006

FY Grant Amount

FY 2004 150,000

6101 Yellowstone Road Room 259B 

WY ST DEPARTMENT OF HEALTH

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2770 Alzheimer's Disease Demonstration Grant

Pierre, SD 57501

Contact: Pat Miller 

Through this one-year grant, the South Dakota Office of Adult Services and Aging will identify the needs of individuals 

with Alzheimer's Disease and related dementia and their paid and unpaid family caregivers. Once the needs have been 

identified, a coordinated system of care and training to meet these needs will be developed. First, a meeting will be held 

to identify partner agencies and organizations that work with individuals with Alzheimer's Disease. These partner 

agencies will form the planning committee. A main focus of the planning committee will be the identification of the 

number of people with this disease who live in South Dakota and their location, as well as measurements of the 

effectiveness of the current support system. Training for paid and unpaid caregivers will be developed and a program 

that offers direct supportive services for caregivers will be a priority.

Project Period: 07/01/2004 - 06/30/2006

FY Grant Amount

FY 2004 225,000

State Office Bldg. 700 Governors Drive

SD ST DEPARTMENT OF SOCIAL SERVICES

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 73 of 261 

90AZ2771 AoA Alzheimer's Demonstration Grant

Richmond, VA 23229

Contact: Janet H Schaefer (804)662-9333

Based upon the feedback that the Virginia Department for the Aging (VDA) received during its first Alzheimer's Disease 

Demonstration Grants to States Program (ADDGS), VDA will initiate three new projects to improve services to the 

107,403 older Virginians and their families impacted by Alzheimer's disease and related disorders (AD), and to better 

integrate Alzheimer's disease programs into the long-term care services system. The first project will award grants to the 

four Alzheimer's Association chapters in Virginia to provide respite care to families caring for persons with AD. The 

second project will demonstrate the viability of the systems changes that will result from the development of a 

Comprehensive Virtual Center on Alzheimer's Disease. The third and final project will initiate the development of 

affordable driver assessment and rehabilitation programs in Virginia targeted to drivers in the very early stages of AD. 

VDA will also reactivate the state-level Alzheimer's Disease Response Task Force (ADRTF), created under the 

department's first ADDGS grant, to provide ongoing guidance during the implementation and evaluation of the three 

projects.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

1610 Forest Ave., Suite 100 

Commonwealth of Virginia

Virginia Department for the Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2772 Alzheimer's Community Outreach, Education and Capacity-building Project

St. Paul, MN 55164

Contact: Jean Wood (651)431-2565

The goal of the Minnesota Working Together project is to engage in a three-year systems change effort to connect the 

medical and community care systems to create an integrated service system for caregivers and individuals with 

dementia, in order to increase dementia identification, assessment, treatment and caregiver respite.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

PO Box 64976 

Minnesota Board on Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 74 of 261 

90AZ2773 Alzheimer's Demonstration Grant

Baton Rouge, LA 70802-

Contact: Sharon Buchert (225)342-7100

The Governor's Office of Elderly Affairs and community partners, the Alzheimer's Association and Alzheimer's Service of 

the Capital Area, will improve the responsiveness of Louisiana's overall system of home and community-based care to 

the needs and preferences of persons with Alzheimer's Disease and their caregivers. The major objectives of the 

partnership are: to streamline access to information and services that support persons with Alzheimer's Disease and 

their caregivers; increase consumer control in service options; empower individuals and their caregivers with increased 

skills and tools to self-advocate and manage needs; and increase services to the underserved through outreach to rural 

and minority residents. The expected outcome is that persons with Alzheimer's Disease and their caregivers will have 

increased access to information and services that are culturally appropriate and geographically/physically convenient. 

The proposed activities to achieve these objectives include: more availability and consumer direction for National Family 

Caregiver Support Program participants; increased respite services and caregiver education; diversity outreach efforts 

for minority and rural caregivers; and mobile day services to offer innovative respite options.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

412 North 4th Street - 3rd Floor 

State of Louisana Governor's Office of Elderly Affairs

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Expanding Culturally Appropriate Adult Day Care to Minorities and Mid-Late Stage 

Clients.

90AZ2774

Des Moines, IA 50319

Contact: Jayne Walke (515)725-3309

The Iowa Department of Elder Affairs (IDEA) will conduct a three-year program to increase the capacity of Adult Day 

Health and Respite (ADR) providers to deliver culturally appropriate service to persons with dementia and to emerging 

minority populations in rural settings. Goals include: 1) convene statewide committee to evaluate and develop ADR 

training; 2) increase use of direct services for ADR care; 3) assessment and intervention services and staff education to 

ADR provided by a Memory Loss Nurse Specialist (MLNS); and 4) evaluate and develop culturally sensitive education, 

training materials, classes, and services. Expected outcomes include: increased numbers of higher level dementia 

clients receiving adult day/respite services from trained staff; expertise of a MLNS for assessment and education; 

dementia specific adult day/respite centers meeting new state rules and regulations; and increased client/family 

satisfaction with services. Products will include a web site, culturally specific training manual, educational and evaluation 

tools, and research manuscripts. These will be disseminated to community colleges, direct service organizations and 

Area Agencies on Aging and introduced at state, local and national conferences.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

510 East 12th Street, Suite 2 

State of Iowa

Iowa Department of Elders Affairs

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 75 of 261 

90AZ2775 Focus on Families

Little Rock, AR 72203

Contact: Susie Keesling (501)682-2441

The Arkansas Division of Aging and Adult Services' project is called Focus on Families. The project combines models of 

direct care for underserved populations, use of faith-based and other volunteer organizations, plus innovative methods 

for improving access to services, information, and supports. The goals are: to focus services/support at the home and 

community level for people with Alzheimer's Disease (AD)/related disorders and their family caregivers; develop 

additional services; and make access to services easier and resource information more readily available. Major 

objectives include: developing and implementing a bridge fund to make home and community-based waiver services 

available pending eligibility determination; developing a Web-based information system; implementing two models of 

direct care; providing faith-based volunteer services; televising family caregiver training; holding annual symposiums for 

AD caregivers; and exploring the needs of people who have both AD and developmental disability through a 

stakeholders' committee. The overall approach includes enhancement of current systems change initiatives, focus on 

minority and rural populations, and collaboration with key partners and community organizations. Products from the 

project include broadcast-based training materials, Web-based information, direct care and volunteer service models, 

bridge fund procedures/outcomes, symposiums, and reports.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

281,150

275,754

275,754

PO Box 1437, Slot S530 

ARKANSAS DEPARTMENT OF HUMAN SERVICES

Division of Aging and Adult Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2776 Walk of Friendship Program

Phoenix, AZ 85007

Contact: Henry Blanco (602)542-4446

The Arizona Department of Economic Security, Aging and Adult Administration will build upon its Walk of Friendship 

model of assistance to address the need for care systems that are dementia-capable and culturally sensitive for 

individuals with dementia, their families, and their caregivers. The goals of the program are to expand culturally sensitive 

and linguistically appropriate services and materials for persons with dementia and their caregivers and to improve 

coordination and service delivery of home and community-based services at the state and local level. Expected 

outcomes are: underserved populations with the disease and their caregivers will have increased assess to 

dementia-capable services; family caregivers will have an increased awareness and knowledge of Alzheimer's disease 

and available resources; individuals and families will better cope with and plan for disease progression and memory loss; 

persons with the disease and their family caregiver will have enhanced quality of life and better social supports; and 

community engagement in dementia capable delivery of services will be improved. Products will include an evaluation 

report, final report, and web page information.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

276,059

276,059 1789 West Jefferson Street (950A) 

AZ ST DEPT OF ECONOMIC SECURITY

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 76 of 261 

90AZ2777 DE Memory Loss Screening Demonstration Project

New Castle, DE 19720

Contact: Carol Barnett (302)255-9390

The Alzheimer's Association Delaware Valley Chapter, Delaware Regional Office, has planned and will implement the 

Delaware Memory Loss Screening Demonstration Project. The memory loss screening tool was developed by the 

University of Pennsylvania Memory Loss Clinic and is a proven instrument to identify possible neurological problems. 

The project will target populations that are confronted with substantial barriers to accessing memory loss screening and 

support services. This is a community-based, education and service program that will bring memory loss screenings and 

dementia-related services directly to people in their communities.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

161,150

161,150

161,092

1901 N DuPont Highway, Main Annex 

DE DEPARTMENT OF HEALTH & SOCIAL SERVICES

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2778 D.C. Awareness and Care Program (DC AACP)

Washington, DC 20001

Contact: Roxanne Ando (202)724-5622

The District of Columbia Office on Aging (DC OoA) plans to conduct a three-year program mobilizing the African 

American faith community to create community coalitions that elevate awareness of Alzheimer's disease and related 

disorders (ADRD) and increase utilization of services by African Americans. Goals include: reaching African Americans 

who are not linked to services; testing an approach to link caregivers to direct services; and providing Montessori-based 

Activities for Persons with Dementia (MBAP) at adult day care centers. Expected outcomes are: amplified awareness of 

ADRD; increased number of caregivers linked to services; and improved level of functioning in ADRD elders. Products 

include educational videos, culturally sensitive training manual, assessment/evaluation tools, and web page information 

that are disseminated to public and private service organizations. Key partners include Home Care Partners, Alzheimer's 

Association, and DC OoA lead agencies and day care programs.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

263,768

263,768

263,768

441 Fourth Street, NW, Suite 900 South 

District of Columbia Office on Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 77 of 261 

90AZ2779 Alzheimer's Demonstration Project

Jefferson City, MO 65109

Contact: Diane Brown (573)751-6014

This initiative will focus on promoting the climate for a systems change. Efforts will be directed to improving the quality of 

life for persons in Missouri, through expansion of real options to individuals, as they make choices about their lives. It 

will embark on the following three components:

-- "Empowerment Groups" - An innovative community respite model for individuals in the earlier stages of Alzheimer's, 

based on their capacity to self-direct care, and supporting a sense of purpose and value for the individual.

-- A security support program addressing difficulties with wandering behavior.

-- "Staying Home" grant funding to expand care support options for those individuals in the later stages of a dementia.

Contracting with the four chapters of the Alzheimer's Association, Missouri will strengthen the mounting movement 

towards strength-based care, responsiveness to individual philosophy of life and bolstering opportunities to remain in the 

home longer.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

230,523

230,523

230,523

920 Wildwood Drive - P.O. Box 570 

State of Missouri

Missouri Dept of Health and Senior Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2780 (STARS and Beyond) Support through Alzheimer's Relief Systems and Beyond

Tallahassee, FL 32399-7000

Contact: Terressa Franklin (850)414-2000

The goal of the Florida Department of Elder Affairs proposed Alzheimer's Demonstration Project, "Support through 

Alzheimer's Relief Systems (STARS) and Beyond," is to increase access to services for individuals with dementia, their 

caregivers and families residing in traditionally underserved rural, minority and culturally diverse communities. Project 

objectives are: providing direct services, wanderer registration and related services for dementia clients and their 

caregivers; developing a prioritization system for improving services to dementia clients and caregivers; recruiting 

faith-based organizations to conduct community-outreach activities; conducting community outreach activities through 

faith-based organization volunteers; conducting community education presentations; establishing a task force of 

professionals and agencies serving dementia clients; and expanding 24/7 crisis-intervention, information and referral 

telephone services. The project approach will emphasize collaborative partnerships among service agencies to minority, 

elderly and culturally diverse dementia clients and their caregivers in rural areas, found in the nine service counties. 

Major products will include culturally sensitive dementia awareness and services brochures, and an Alzheimer's Disease 

"caregiver sensitive" service prioritization form.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

4040 Esplanade Way, Suite 280D 

State of Florida Department of Elder Affairs

Division of Volunteer & Community Based Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 78 of 261 

90AZ2781 Alzheimer's Disease in Rural Maine

Augusta, ME 04333

Contact: Romaine M Turyn (207)287-9214

The Bureau of Elder and Adult Services proposes to increase access to an array of services provided to caregivers of 

people with Alzheimer's Disease (AD) in rural Maine through a collaboration between providers within Maine's Home and 

Community Based Care System (HBCS), the Aging Network, and Real Choice System Change Initiatives. The project 

will expand the pilot caregiver companion program to rural counties and add mental health, end of life care and hospice 

referral services for clients/families affected by AD, served by the HBCS and Area Agencies on Aging. The project will 

expand the focus of the ADRC's to include family caregivers. Priority will be on increasing end of life care and hospice 

services in aging programs. Finally, the project will recognize direct care workers trained in dementia care, in 

collaboration with the Direct Care Workforce Demonstration. Outcomes include: an increase in the numbers of 

caregivers receiving companion services, mental health counseling and hospice services; and a reduction in the degree 

of caregiver burden, stress and depression. Products include screening tools, training materials, Web site information 

and intervention strategies that reduce stress.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

297,121

297,121

297,121

442 Civic Center Drive 

Maine Dept. of Health and Human Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2782 Project Care (Caregivers Running on Empty)

Raleigh, NC 27699-2101

Contact: Karisa Derence (919)733-8390

The North Carolina Division of Aging and Adult Services will implement a new three-year program of consumer-directed 

respite for dementia caregivers in ten counties, building upon prior successes. The program goal is to improve the 

quality, access, choice, and use of respite services. The aging service delivery system will be bolstered by the 

integration of dementia-capable resources into the Family Caregiver Support Program, the new Aging and Disability 

Resource Centers, and the State long-term care plan. Expected outcomes include: 1) expanded availability of 

dementia-specific training, education, and resources; 2) increased family awareness of the value and availability of 

respite; 3) greater family control over services; and 4) increased use of dementia-specific respite care services by 

low-income rural and minority families. Products to be disseminated include: dementia-specific materials on family 

decision-making and consumer-directed service use; guidelines on how to respond to caregiver anger; materials on 

rural and minority family care topics; visiting tips for faith-based volunteers; and a policy paper based on the grant 

experience and literature review. Project staff will report findings to local evaluation and planning committees.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

2101 Mail Service Center 

North Carolina Department of Health and Human Services

Aging and Adult Services Division

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 79 of 261 

90AZ2783 Alzheimer's Disease Demonstration Grants to States.

Montgomery, AL 36130

Contact: Lori Frazier (334)242-5743

The State of Alabama, Department of Senior Services will conduct a three-year program to: (1) improve direct services 

available to family caregivers by incorporating Resources for Enhancing Alzheimer's Caregiver's Health (REACH) 

evidence-based, in-home social and behavioral interventions, which promote skill building; and (2) improve Alabama's 

overall system of care by a) incorporating the needs and preferences of persons with dementia into the State's long term 

care system, b) by expanding volunteer services, to include "Caring Teams" that partner with faith-based communities to 

provide in-home and supportive services to families, and c) through Leadership Institutes for Older Adults, which provide 

systems advocacy and volunteer service. Expected outcomes are: a decrease in caregiver burden, as measured by 

feeling of self-efficacy, anxiety and depression; and an increase in access to and knowledge about available services. 

Products will include training manuals on REACH interventions, Alzheimer's Caring Teams, and Leadership Institutes. 

Other products include evaluation tools, Web page information, a final report, and published reports on the impact of the 

Leadership Institute. These products will be disseminated through state and national conferences, to direct service 

organizations and to the Area Agencies on Aging.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

770 Washington Ave, Suite 470 

Alabama Department of Senior Services

State Unit on Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2784 ADDGS Project Expansion and Integration in Nevada

Las Vegas, NV 89102

Contact: Melvin L Phillips (702)486-3545

Nevada's Division of Aging Services will fund and coordinate four dementia-related service providers. These providers 

will target Nevada's rural residents, those with early state dementia, and both urban and rural underserved minorities. 

These and all other dementia-related services will be integrated into all home and community-based services (HCBS) 

networks through the Division's computerized Single Point of Entry (SPE) system. SPE is based on a robust software 

platform ("SYNERGY") that integrates databases, including those providing resources and referral options.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

3100 W. Sahara Avenue, Suite 103 

NEVADA DEPT OF HUMAN RESOURCES

Division of Aging Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 80 of 261 

90AZ2785 Memory Care Connections

Madison, WI 53707

Contact: Cathy Kehoe (608)266-2907

This Wisconsin Department of Health and Family Services (DHFS) will fund four demonstrations of Memory Care 

Connections, a model of local collaboration aligning dementia services provided by diagnostic clinics, Aging/Disability 

Resource Centers, Alzheimer's Association chapters and service providers. The goal is to provide individuals and 

families affected by Alzheimer's disease with the information, medical diagnosis and management, caregiver support and 

services needed to achieve improved quality of life through closely connected local dementia services networks. Local 

sites will be funded to deploy nurses/social workers to link consumers with the dementia service network.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

1 West Wilson Street 

Wisconsin Department of Health and Family Services

Disability and Elder Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Tennessee Alzheimer's Demonstration: System Building through Adaption of Best 

Practices

90AZ2786

Nashville, TN 37243-0860

Contact: Tabitha Satterfield (615)741-2056

The Tennessee Commission on Aging and Disability will provide respite services for about 300 persons with Alzheimer's 

Disease and their caregivers in five (5) counties. Also, this demonstration brings about the following system level 

outcomes: implementation of the coping with caregiving REACH (Resources for Enhancing Alzheimer's Caregiver 

Health) model in Tennessee; health promotion/disease prevention provided to Alzheimer's caregivers in collaboration 

with the National Family Caregiving Support Program; a media campaign to assist the project; implementation of 

family-directed care in the Tennessee Aging Services; and exploration of potential program enhancements for 

Tennessee in-home services, making them more responsive to the needs of caregivers. Project evaluation will be the 

responsibility of the Tennessee Commission on Aging and Disability.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

500 Deaderick St., Suite 825 

Tennessee Commission on Aging and Disability

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 81 of 261 

90AZ2787 Asian and Pacific Islander Dementia Care Networks

Sacramento, CA 95834-1992

Contact: Denise Crandall (916)322-5290

The California Department of Aging (CDA), in coordination with the California Department of Health Services (CDHS) 

and a coalition of community organizations, proposes to develop and expand culturally and linguistically competent 

services for Asian-American, dementia-affected families in Northern and Southern California. The project's goal is to 

enhance the capacity of local health and social service providers to serve Vietnamese, Korean and Chinese 

dementia-affected families. The project's strategy is to build community capacity through coordination of 

community-based collaboratives; training for ethnically diverse professional providers; and service coordination for 

caregiving families via bi-cultural, paraprofessional Care Advocates. Products will include linguistically appropriate 

educational materials, an updated replication manual, tip-sheets for working with the target populations derived from 

focus group findings, and a manuscript on culturally competent dementia services for Asian-Americans.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

1300 National Drive, Suite 200 

State of California

Department of Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2788 Continuing Partners in Care

Cranston, RI 02920

Contact: Joan M D'Agostino (401)462-0507

The Rhode Island Department of Elderly Affairs (DEA), in partnership with three community-based services 

organizations, will support RI's Systems Change Initiatives, particularly the new Aging and Disability Resource Center, by 

developing and strengthening statewide resources for Alzheimer's Disease (AD) families, especially minority families and 

those at or near the poverty line. Changes in RI's overall home and community-based system of long-term care will result 

from streamlining access to services and family caregiver support services for AD families. An interagency Project 

Advisory Group, comprised of advocates and consumers, as well as AD and aging professionals, will guide and oversee 

this three-year effort. Process and outcome evaluation will be performed; best practices models will be developed; and 

results will be disseminated locally and nationally.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

294,050

294,050

294,050

35 Howard Avenue 

Rhode Island Department of Ederly Affairs

John O. Pastore Center

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 82 of 261 

90AZ2789 (INDIANA) Alzheimer's Disease Demonstration Grant to States

Indianapolis, IN 46207-7083

Contact: Patty Matkovic (317)232-0811

Indiana's Bureau of Aging and In-Home Services will enhance support to the Alzheimer's Disease caregivers in Indiana. 

The objectives of this project involve the expansion of the video monitoring technology that allows caregivers to monitor 

persons with Alzheimer's Disease through video cameras and computer software from an off-site location. Indiana will 

seek funding approval through the In-Home Services network, including Medicaid Waivers for the technological services 

that will assist with long-term viability of these services. The Powerful Tools Training that "trains the trainer" will be 

offered statewide to Area Agency on Aging and state staff. Caregivers will learn how to take care of themselves, and to 

access help and community services. Development of a Volunteer Respite Program that targets Alzheimer's caregivers 

will further increase the support tools available. A volunteer coordinator will recruit community help to provide respite 

care. The availability of these support programs will enhance the support statewide for the caregiver.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

402 West Washington Street MS-21 PO Box 7083

Indiana Disability, Aging and Rehabilitation Services

Bureau of Aging & In-Home Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2790 New Mexico Alzheimer's Program

Santa Fe, NM 87505

Contact: Lynne Anker-Unnever (505)222-4503

The State of New Mexico Aging and Long-Term Services Department (ALTSD) proposes to develop and implement 

respite care services, particularly community-based adult day care, targeting underserved communities and tribes in rural 

New Mexico. ALTSD will provide regional caregiver support services to be coordinated by Area Agencies on Aging 

throughout New Mexico. AAAs will employ regional care coordinators, who will provide individual client services, 

training and advocacy. Care coordinators will receive many of their referrals from the ALTSD Aging and Disability 

Resource Center.

Project Period: 07/01/2004 - 06/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

2550 Cerrillos Road 

New Mexico Aging and Long-Term Services Department

Community Involvment Bureau

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 83 of 261 

Empowering Underserved Colorado Alzheimer's Families through Training, Support, and 

Respite

90AZ2792

Fort Collins, CO 80523

Contact: Bo Bogdanski (970)491-5574

The State of Colorado's Colorado State University Tri-Ethnic Center for Prevention Research will conduct a three year 

Alzheimer's training, targeting family caregivers of rural, Hispanic, African-American, and developmentally disabled 

adults with dementia. Families recruited for the project (500 total) may receive grants (up to $1000 annually) as 

reimbursement for adult day care, in-home care, or short-term overnight respite. With the goal of expanding the 

Alzheimer's Association CO Chapter (AACC) services to underserved populations, objectives include: training 

caregivers; providing follow-up supportive services; starting new adult day care programs; promoting respite through the 

grants to individual families; exploring service delivery across state lines; and using a Coordination Task Force to 

recommend policies for streamlining service delivery. Expected outcomes include expanded AACC services to 

underserved populations and improved well-being and use of services by participating families.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

290,000 2002 Campus Delivery 

State of Colorado/Colorado State University

Tri-Ethnic Center, Psychology

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2793 IL Rural and LEP Alzheimer's Disease Demonstration Project

Springfield, IL 62761-0001

Contact: Claude A Jacob (217)782-4977

The Illinois Department of Public Health and their partners will incorporate a systems change approach to expand and 

build on existing systems by coordinating and integrating services for persons with Alzheimer's Disease and related 

dementias (ADRD) and their families/caregivers. The project will expand on knowledge gained from the past project 

about effective methods of reaching and educating underserved populations. The goal of the project is to support the 

person with ADRD and their family/caregivers through increased access and use of home and community-based 

services.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

290,000 535 West Jefferson 

Illinois Department of Public Health

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 84 of 261 

90AZ2794 MD Respite, Outreach, Support and Education (ROSE) Project

Baltimore, MD 21201

Contact: Sue Vaeth (410)767-1102

The Maryland Department of Aging will conduct a three-year program of interventions emphasizing active engagement of 

Alzheimer's family caregivers. The goal of the ROSE Project is to work within the National Family Caregivers Support 

Program (NFCSP) to enable families to develop and rely on natural supports within their families and communities, 

developing community partners that are capable of assisting families with dementia.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

290,000 301 West Preston Street, Suite 1007 

Maryland Department of Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2795 Alzheimer's Disease Demonstration Grant

Lansing, MI 48913

Contact: Marcia J Cameron (517)335-0226

The Michigan Department of Community Mental Health (MDCH) will promote a collaborative approach among mental 

health, public health and aging services systems; primary care physicians; and Alzheimer's Association chapters in 

developing community models of support for people with dementia and family members involved in their care. The 

project builds upon strategies outlined in the Michigan Dementia Plan, fits with MDCH systems change objectives and 

incorporates strategies posed by the Governor's Medicaid Long-Term Care Task Force. It is designed to ensure the 

needs of individuals with dementia and their caregivers are incorporated in the emerging infrastructure of Michigan's 

Long-Term Care System.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

241,597

241,597 320 S. Walnut Street, 5th Floor 5th Floor

Michigan Department of Community Health

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 85 of 261 

90AZ2796 Montana Proposal for an Alzheimer's Demonstration Grant

Helena, MT 59604

Contact: Traci Clark (406)444-6995

The Montana Department of Health and Human Services will develop sustainable respite care programs and provide 

caregiver support services for a frontier/rural population. Thiswill be accomplished by: (1) addressing systemic issues 

that impede the efficient delivery of respite services; (2) increasing awareness to respite care in frontier/rural areas by 

implementing mechanisms for consumers to share in the cost of providing respite care; and (3) educating Alzheimer's 

caregivers and the general public about the disease, the need and availability of respite services, and providing 

caregivers skill-based training.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

290,000 P.O. Box 4210 111 Sanders

Montana Department of Public Health and Human Services

Senior and Long-Term Care Division

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2797 Coordinated Care Alzheimer Demonstration Project

Albany, NY 12223-1251

Contact: Marcus Harazin (518)473-5705

The project goal is to enable New York State to integrate services for persons with Alzheimer's Disease or related 

disorders (ADRDs), who are living in rural and ethnically diverse small cities, into the State's long-term care systems 

change initiatives. Key objectives address: integration in system change efforts; delivery of evidence-based direct 

services; meeting identified needs; workforce development; disseminating project findings; and attracting alternative 

funds. Two counties at the forefront of Point of Entry development will work with partners to develop a new model for 

ADRD care that advances systems change and diversion from institutional care.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

258,933 2 Empire State Plaza 

New York State Office for the Aging

Local Program Operations

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 86 of 261 

90AZ2798 Texas Alzheimer's Disease Demonstration Project

Austin, TX 78751-2312

Contact: Jeffery Seider (512)438-2481

This project will expand service options and improve access to information, training and support services. The 

overarching project goal is to improve the ability of informal caregivers to sustain their caregiving role by expanding 

service options, and streamlining system access to improve service delivery by reducing duplication and eliminating 

silos. The project will implement innovative approaches and serve as a vehicle for advancing changes to the state's 

overall system of home and community-based care. Major objectives include the development of collaborative 

partnerships; implementation of a "system navigator;" expanded service options, including education and training; and 

program evaluation to determine the effectiveness of the project. Products will include intake and assessment tools, 

outreach, training and resource materials, reports, surveys and project evaluations, which will be shared with the aging 

network.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

225,000

225,000 701 W. 51st Street W352

Texas Department of Aging and Disability Services

Access and Intake - Area Agencies on Aging

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2799 Dementia Partnerships for Service Integration

Lacey, WA 98503-1045

Contact: Lynne Korte (360)725-2545

This project will improve the responsiveness of Washington State's system of home and community-based services to 

the needs and preferences of individuals with dementia and their family caregivers by integrating dementia capable 

services into existing state systems. These new and expanded services will be closely connected through local 

dementia partnerships that work collaboratively to utilize the infrastructure of the statewide Family Caregiver Support 

Program, the expertise of the Alzheimer's specific organizations, and the service potential of the model dementia day 

service providers. Objectives include a local dementia partnership model to improve access to and utilization of family 

caregiver support and respite care services; dementia day services; dementia-specific family consultation services; and 

family caregiver counseling services. Products will include standards of care for dementia day services; a "How-to" 

Guide for each dementia-specific service; recommended indicators for referral to each service; assessment and 

evaluation tools; and a final report on project outcomes.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

290,000 P.O. Box 45600 

Washington State Department of Social & Health Services

Aging and Disability Services Administration

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 87 of 261 

90AZ2800 West Virginia Alzheimer's Disease Demonstration Grant

Charleston, WV 25305-9169

Contact: Jan Bowen (304)558-3317

The objectives of the WV Alzheimer's Disease Demonstration Grant are: to develop and implement a multi-faceted 

project that will address the challenge of providing a continuum of information in order to increase the knowledge and 

coping skills of up to 500 families of persons with Alzheimer's Disease (AD) in the most rural areas of the state; to initiate 

a re-assessment of Hospice admitting criteria for people with AD in two counties and provide earlier access to grief and 

bereavement counseling to families; and to continue to support, enhance and/or expand respite care in up to 16 

counties. This project will build upon and become an integral part of the state systems change initiatives for their home 

and community-based services. This includes the AoA/CMS ADRC grant and The Robert Wood Johnson Cash and 

Counseling grant. Products will include a project manual; assessment and evaluation tools; and a late stage Alzheimer's 

care curriculum.

Project Period: 07/01/2005 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

290,000

290,000 1900 Kanawha Boulevard East 

West Virginia Bureau of Senior Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

90AZ2801 Environmental Tools for Dementia Care

Trenton, NJ 08625-0807

Contact: Barbara Fuller (609)292-7874

This multi-intervention project will work to improve access to dementia-related education, support and services for 

individuals with Alzheimer's Disease and related disorders (ADRD) living in low-income, underserved African-American 

communities in Camden and Salem counties and Hispanic/Latino communities in Middlesex County. The project will 

promote changes in the state's home and community-based service system, to achieve more culturally and linguistically 

competent services for individuals with ADRD and their caregivers from diverse populations. Products will include a 

project evaluation, and a report with recommendations from a state-level task force for sustaining and replicating 

successful project components.

Project Period: 07/01/2005 - 06/30/2007

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 P.O. Box 807 

New Jersey Department of Health and Senior Services

Division of Aging & Community Services

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)
FY2005 Compendium - Page 88 of 261 

90AM2770 The National Center for Family and Friends

Washington, DC 20024

Contact: Adam Brunner 

The National Council on the Aging, Inc., in partnership with Temple University Center for Intergenerational Learning, 

proposes to enhance the Family Friends program through the development, operation, and management of the National 

Center for Family Friends. In brief, Center objectives are: 1) to establish 6 or 7 new model Family Friends projects; 2) 

facilitate viable Family Friends projects through effective, training, technical assistance and guidance; 3) design and test 

an expansion of the Family Friends model that uses senior volunteers to assist at-risk youth; and 4) improve the 

well-being of older volunteers, parents, and children/youth participating in Family Friends sites and to increase the 

understanding of the impact of the program on Family Friends participants. Anticipated outcomes include: 1) expansion 

of a national network of viable Family Friends projects; 2) more effective strategies of older volunteers helping at-risk 

children and youth, improved NCFF and project performance; and 3) a positive impact on program volunteers, families 

and children. Products include an improved web and e-group sites, a lessons learned manual, a program evaluation, 

annual conferences, orientations for program directors, site visits to projects, training/technical assistance, and 

publications such as Newsline and E-/FaxNews.

Project Period: 09/30/2003 - 05/31/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

980,584

980,584

980,584

980,584

300 D Street, SW, Suite 801 

The National Council on the Aging

Program: Family Friends

90CG2509 Taking Care of Each Other in the Blackfeet Community Focusing on Elders

Browning, MT 59417-9417

Contact: Connie Bremner (406)338-7257

The Blackfeet Nation was awarded a Native American Caregiver Support Program (NACSP) demonstration grant to 

focus on building networks and assisting grandparents caring for grandchildren. Core values to be used in developing 

the Blackfeet Nation NACSP will include: 1) restoring the Blackfeet traditional family values; 2) rebuilding the Blackfeet 

tradition of respect, love, and honor; and 3) taking care of each other in the Blackfeet community. A cornerstone of the 

program will be the development of a network of community service providers to: 1) share expertise across the network; 

2) support family caregivers, including grandparents taking care of grandchildren; and 3) provide assistance to 

caregivers to improve the quality of care for elders. A Caregiver Training Manual and a Grandparents Raising 

Grandchildren Support Group Training Manual, incorporating Blackfeet traditional and cultural values, will be developed 

and used to train both family caregivers and grandparents caring for their grandchildren. Each manual will contain 

training sessions, activities for each session, and an evaluation form.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

100,000

100,000

P.O. Box 76 

BLACKFEET TRIBAL BUSINESS COUNCIL

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 89 of 261 

90CG2510 Native American Caregiver Support Program - Discretionary Grant

Oneida, WI 54155-4155

Contact: Tina Pospychala (920)869-2448

This project envisions a team approach for creating an alliance with all twelve Indian Tribes in Wisconsin. This alliance 

will develop a better understanding of caregiver needs in order to work together to leverage additional funding at the 

Tribal, county, state and Federal levels to better serve American Indian caregivers throughout Wisconsin. The goals of 

this project include: 1) creating a solid caregiver network of American Indian aging service professionals, organizations, 

and programs; 2) coordinating and creating an American Indian specific resource manual to include Tribal, non-Tribal, 

local, county, and state resources; 3) reducing barriers to caregivers by providing appropriate information on access to 

resources; and 4) advocating and leveraging funding for Tribal communities. To achieve these goals the program will: 1) 

develop a resource manual and video to target the Tribal population; 2) develop a website and LISTSERV for caregivers 

to get information and access resources and services; 3) review and support a training curriculum on caregiving; and 4) 

determine future needs of family caregivers and generate ideas to help smaller Tribes meet their needs today and 

prepare for the future.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

100,000

100,000

P.O. Box 365 

ONEIDA TRIBE OF INDIANS OF WISCONSIN

Program: National Family Caregivers Support Program

90CG2511 Alaska

Juneau, AK 99801-9983

Contact: Francine Jones (907)586-1432

The goal of this project is to increase the level of access to caregiver support services for the Native elderly and their 

caregivers within Southeast Alaska. This program has the following objectives: 1) assess the current status of caregiver 

support within the region, including cultural, financial and geographical barriers; 2) inventory resources that are currently 

available to provide respite care and training to caregivers; 3) develop a program model for caregiver support that 

reflects the unique needs and circumstances and cultural values of the Native elders within the region in need of care; 

and 4) share information with others facing similar challenges in the area of caregiver support. A resource manual will 

be available at the end of the project.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

100,000

100,000

320 W. Willoughby S 300

CENTRAL COUNCIL TLINGIT AND HAIDA INDIAN TRIBES

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 90 of 261 

90CG2512 Native American Caregiver Support Program

Pablo, MT 59855-9855

Contact: Jane Clairmont (406)675-2700

The goal of this project is to develop a comprehensive, consumer friendly delivery system to provide services for 

caregivers. The project will provide culturally sensitive services and systems to sustain the efforts of family and other 

informal caregivers. The project has the following goals: 1) bring together all existing in-home service providers to 

brainstorm how they can work together; 2) plan ways to work together as a team; 3) revise current services to meet the 

needs of the caregiver; 4) develop a one-stop service delivery system; and 5) develop policies and procedures and a 

Home Care Attendant Handbook Manual to share with others.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

100,000

100,000

P.O. Box 278 

CONFEDERATED SALISH AND KOOTENAI TRIBES

Program: National Family Caregivers Support Program

90CG2514 Caregivers Support Program - Discretionary Funds

Honolulu, HI 96813-5125

Contact: Tara McKenzie (808)535-6705

Alu Like, Inc. plans to develop quality standards and mechanisms of accountability for their Caregiver program. The goal 

of this Caregiver project is to establish a multifaceted Native American Caregiver Support Pilot Program consisting of a 

workshop, user friendly/culturally appropriate manuals, direct services, satisfaction surveys and utilization surveys. The 

objectives of this Caregiver project are: 1) to examine the effects of direct services; 2) to provide direct services to 

support family caregivers; 3) to provide financial incentives and compensation in the form of compensations for respite 

care; 4) to conduct pre and post surveys; 5) to conduct periodic surveys to determine the extent of implementation in the 

homes; and 6) to conduct assessments of the effectiveness and levels of satisfaction. The expected outcomes of this 

caregiver project are: caregiver quality standards and mechanisms of accountability; a caregiver pilot program; 

educational workshop; caregiver direct services; respite care; and assessments.

Project Period: 09/30/2001 - 09/29/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

100,000

100,000

458 Keawe Street 

ALU LIKE, INC.

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 91 of 261 

90CG2516 Kapuna Caregiver Support Program

Hana, HI 96713-6713

Contact: Cheryl Vasconcellos (808)248-7515

The goal of this project is to increase access to available support services and develop additional support services 

needed by caregivers. This will be accomplished by: 1) supporting and enhancing the capability of caregivers to meet 

the functional and health care needs of elders by developing caregiver skills; 2) providing periods of respite for family 

members caring for frail elders; 3) improving the health and quality of life for caregivers; and 4) enabling elders to safely 

remain in their homes and community for the duration of their lives by caring for the caregiver. The Kupuna Caregiver 

Support Program will develop an intensive training curriculum for family caregivers. To participate in the training, family 

caregivers will have to make a commitment to the program by participating in 40 hours of training; attend monthly 

support group meetings; complete evaluations and other surveys; provide care to family members and request 

assistance from the program as needed. The program, in turn, will offer hands-on training experience; monthly support 

group meetings; case management services; and assistance to support family caregivers and a monthly stipend to assist 

family caregivers in their role as caregivers.

Project Period: 09/30/2001 - 09/29/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

99,918

100,000

P.O. Box 807 

HANA COMMUNITY HEALTH CENTER, INC.

Program: National Family Caregivers Support Program

Redefining Family Group Conferencing Model for Elder/Caregiver/Families/Tribal 

Communities

90CG2517

Sequim, WA 98382-8382

Contact: Elizabeth Mueller (360)683-1109

The purpose of the "Empowering Caregivers of Elders" is to provide caregiver support services to families, while 

maintaining the highest degree of elder self-determination. Jamestown S'Klallam will develop a support program for 

caregivers by adapting Family Group Conferencing and matching the approach with the best of family support practices 

for on-going services. The conference allows the development of a plan for the caregiver and the leader that is agreed 

on and supported by the entire family, by creating a "talking circle". Family Group Conferencing empowers those who 

participate by bringing families together and giving them the credit for being able to make good decisions for those who 

are vulnerable. A training manual, "Empowering Caregivers of Elders" will be available at the end of the project. The 

manual will introduce you to the steps in the model and walk you through the process. It will include forms, checklists, 

tips, vignettes and other useful information.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

100,000

100,000

100,000

1033 Old Blyn Hwy 

THE JAMESTOWN S'KLALLAM TRIBE

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 92 of 261 

Collaboration between Profit/Non-Profit Business that Addresses Workplace Caregiver 

Issues

90CG2529

St. Louis, MO 63130-3130

Contact: Ann R. R Barnes (314)726-5766

The grantee manages this three year National Family Caregivers Support Program (NFCSP) entitled "A Collaboration 

Between Businesses for Profit and Non-Profit that Addresses Workplace Caregivers Issues." The target populations are 

the caregivers and their employers. The goal is to address the challenges that employed caregivers and their employers 

face and to create a cost-effective model to allow caregivers to provide quality care while remaining productive on the 

job. The objectives of the project are: 1) to identify employer's awareness of the issues and barriers to their participation; 

2) to quantify the costs of employee caregiving; 3) to collaborate with organizations to design cost-effective eldercare 

management approaches; 4) to improve access to services and support; 5) to educate employers on caregiver burden 

issues and its impact on them. The outcomes are: employer/caregiver surveys and analyzed data; 1000 employed 

caregivers will have access to a menu of approaches to comprehensive workplace-delivered eldercare management 

services; employers will be more aware of and receptive to workplace eldercare management programs; a model/pilot 

program for employers of all sizes called "The Caring Workplace"; cost-effective eldercare management approaches; a 

business advisory council; a general business education campaign; and a more employer-friendly workplace. The 

products of this project are a final report; and a pilot project with 10 employers.

Project Period: 09/30/2001 - 11/30/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

178,800

178,800

178,800

6633 Delmar Blvd. 

ST. ANDREWS RESOURCES FOR SENIORS

Program: National Family Caregivers Support Program

Supporting Older African American Caregivers: Assess Needs, Build Skills, Maintain 

Health

90CG2530

Philadelphia, PA 19130-3409

Contact: Rodney D. D Williams (215)765-9000

This is a three year demonstration project managed by PCA. The goal of this Caregiver project (FCSP) is to demonstrate 

an innovative model of supplemental services and interventions for older African American female caregivers 65 years 

and older who are caring for a spouse. The objectives of the project are: 1) to improve the caregiver's physical health, 

functional, and emotional health; 2) to disseminate information; 3) to develop an evaluation; 4) to decrease caregiver 

stress; and 5) to implement a telemedicine program. The anticipated outcomes are: maintain and improve caregiver 

health; enhance performance of caregiving tasks, decrease caregiver stress; increase quality of life; a telemedicine 

intervention using in-home telecommunication technology; a demonstration with a short-term nursing intervention; a 

racial/ethnic flexible protocol; an outcome evaluation; prevention of premature institutionalization; training on "Cultural 

Implications of Assessment"; and 200 caregivers served by year three. The products of this Older African American 

Caregiver project are a final report; an evaluation; and "Supporting Older African American Caregivers."

Project Period: 09/30/2001 - 09/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

141,097

153,087

120,439

624 N. Broad Street 

PHILADELPHIA CORPORATION FOR AGING

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 93 of 261 

Caregiver Resource Center for Deaf and Late Deafened Elders: A Demonstration 

Project

90CG2531

Boston, MA 02108-2108

Contact: Eliza Lake (617)222-7477

The State Unit on Aging (SUA), i.e., the Executive Office of Elder Affairs, will manage the three year demonstration 

National Family Caregiver Support Program (NFCSP) project. The goal of the Caregivers for the Deaf project is to train 

caregivers in serving the Deaf and Late-Deafened Elders (DALDE), and Hard of Hearing Elders (HOHE). The objectives 

are: 1) to establish a Caregiver Resource Center C (CRC-DLDE); 2) to implement this project in Pilot Site #1; 3) to 

develop a public information plan; 4) to conduct a survey; and 5) to replicate the project in two other sites. The 

anticipated outcomes are: outreach; contracts between state and community partners; training programs (curricula) that 

reduce family and caregiver stress; a CRC Daycare Program; a project web site; data collection tools; and Adult Day 

Care for Deaf and Late-Deafened Elders (ADC-DLDE). The products are: a final report/annual report on the findings of 

pilot site; a Caregiver Resource Center for DALDE; a program evaluation; articles; brochure; press releases; and training 

resources.

Project Period: 09/30/2001 - 09/29/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

157,604

157,604

157,604

One Ashburton Place 

COMMONWEALTH OF MASSACHUSETTS

Program: National Family Caregivers Support Program

90CG2532 Kinship Care Resource Network

Rochester, NY 14604-1407

Contact: Irene Conveny (585)262-7153

The Catholic Family Center of the Catholic Diocese of Rochester (CCDR) is managing this three year Kinship Care 

Resource Network (KCRN) demonstration project. The goal of this project is to create an accessible, comprehensive 

continuum of services to Kinship Care Families (KCF). The objectives are: 1) to improve access to information and 

services; 2) to extend and coordinate case management services; 3) to improve knowledge and skills of kinship 

caregivers; and 4) to improve knowledge and skills of the professionals who work with the kinship caregivers and their 

families. The anticipated outcomes are: a single entry point; the Provider Resource Network; increased use of case 

management services; free legal clinic and legal consultations; support groups; seminars and workshops; service to 

Kinship caregivers; increased knowledge as kinship caregivers; professionals working with KCRN; professionals with 

increased knowledge; improved family stability; collaboration with the Salvation Army; and an Intergenerational Kinship 

Care Camp. The products are: a final report; Kinship Care conference materials; a new computer system; training 

materials for elder law attorneys; and fact sheets.

Project Period: 09/30/2001 - 11/30/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

200,000

200,000

200,000

87 North Clinton Avenue 

CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 94 of 261 

90CG2534 Cuidando Con Confianza (Caring With Confidence)

Tuscon, AZ 85711-5711

Contact: Marian Lupu (520)790-7262

This is a three year National Family Caregiver Support Program (NFCSP). The project partners include the residents and 

the City of South Tucson and COPE Behavioral Services, Inc. The goal of this Caregiver project is to develop, test and 

implement an effective, culturally appropriate and acceptable model of family caregiver support (FCS) designed by 

caregivers in South Tucson, AZ. The objectives of the project are: 1) to identify the demographic characteristics of 

Mexican-American caregivers and elders in South Tucson; 2) to reduce the stress of primary family caregivers; and 3) to 

create a replicable model employed by community caregivers to establish a culturally and linguistically appropriate, 

sustainable model of caregiver support services. The anticipated outcomes are: cooperative agreements with Safe 

Havens, police, and fire departments; trained personnel; established, community focus groups; the development of 

project materials; outreach programs; establishment of Safe Havens; recruitment of caregivers; behavioral health 

workshops; referral services and support groups; data collection; dissemination of results. The products are an 

evaluation; final report; an ea tested family caregiver support model; methods to alleviate the stress and burden 

experienced by primary caregivers; literature on the characteristics of Hispanic caregivers; and a replication manual.

Project Period: 09/30/2001 - 06/30/2006

FY Grant Amount

FY 2001

FY 2002

FY 2003

170,540

170,540

170,540

5055 East Broadway Blvd., Suite C104 

PIMA COUNCIL ON AGING

Program: National Family Caregivers Support Program

90CG2535 Serving Senior Caregivers and Their Adult Children with Developmental Disabilities

Springfield, IL 62701-1789

Contact: Jean Blaser (217)785-2870

The three year National Family Caregiver Support Project (NFCSP) will work with elderly family caregivers of adult 

children with developmental disabilities (DD). The goal of this National Caregiver project is to provide services and 

support to frail elderly caregivers and their adult children with DD to maximize independence. The objectives of the 

Caregiver project are: 1) to identify currently needed services and referrals for both the caregiver (s) and the individual 

with DD; 2) to work with DHS to improve coordination between the service programs for the aged and for DD; 3) to assist 

caregivers in planning for the future needs of the family member with DD; and 4) to expand this project to one area and 

then to another area in Northern Illinois and in Central Illinois. The anticipated outcomes are: outreach to 50 families of 

adult children with DD; identification of needed services and referrals, and identification of barriers to caregiving through 

data collection efforts; better service coordination; assistance to caregivers, including a support group; workshops; 

improved policy, practice, theory and research; and dissemination. The products of this Family Caregiver project are: an 

evaluation; a final report; workshop materials; newsletters; and conference materials.

Project Period: 09/30/2001 - 12/31/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

174,684

197,226

197,226

421 East Capitol Avenue #100 

Illinois Department on Aging

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 95 of 261 

90CG2537 Lifelong Learning and Wellness Program at Asian Community Center

Sacramento, CA 95831-5831

Contact: Donna Yee (916)393-9026

This is a three year National Family Caregivers Support Program (NFCSP) for elderly Asian families. The goal of this 

Asian Caregivers Project is to address particular, rather than generic, cultural, language, and service system challenges. 

The three objectives are: 1) to build capacity in a multi-cultural community through multi-faceted small group 

interventions and community level events that foster involvement in service oriented activities; 2) to support Asian 

American and Pacific Islanders (AAPI) caregivers to develop culturally appropriate caregiver support resources (products 

and activities); and 3) to incorporate feedback mechanisms. The anticipated outcomes are: strengthened programs and 

services that support the efforts of family caregivers (older adults); an exercise/nutrition wellness program; self-help 

products and activities; concerted assistance to improve the accessibility and linkage of services that sustain and provide 

for caregiver respite; bi-annual identification and assessment of targeted community caregiver needs; a survey of 5000 

households and findings; a small group of caregivers (intervention) recruited; and an AAPI corp of instructors and 

advisors. The products are: a final report; an AAPI Cookbook; and Health Education and Information Presentation (s) 

with materials.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

163,767

163,767

163,767

7801 Rush River Drive 

ASIAN COMMUNITY CENTER

Program: National Family Caregivers Support Program

90CG2538 Aging Caregivers and the Exceptional Child - ACE Project

Tucson, AZ 85411-5411

Contact: Ellie Ward (520)795-3108

This is a three year National Family Caregiver Support Program (NFCSP). The goal of this Aging Caregiver and the 

Exceptional Child (ACE) project is to build a multi-faceted Family Caregiver Program that will increase services to 

grandparents and aging primary caregivers who are raising children with Mental Retardation and/or Developmental 

Disabilities (MR/DD). The objectives of this ACE project are: 1) to establish the ACE administrative structure; 2) to 

identify barriers to access and utilization of support services by aging caregivers; 3) to design and implement a 

replicable, six-stage social marketing plan; 4) to establish a pilot voucher system; 5) to implement an evaluation 

component that will monitor project outcomes. The anticipated outcomes are: findings related to caregivers of children 

with MR/DD; a consumer-determined replicable model of access to services; increased awareness level and attitudinal 

shift in OAR/DD in the home; increased knowledge regarding aging caregivers and children with MR/DD; provision of 

replicable printed materials for MR/DD; national dissemination; and focus group's results. The products of this ACE 

program are a final report; Spanish project materials; printed materials.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

136,537

136,537

136,537

3941 East 29th Street, Suite 603 

UNITED CEREBRAL PALSY OF SOUTHERN ARIZONA

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 96 of 261 

90CG2540 NJ Ease for Caregivers: Building a Multi-faceted Caregiver Support System

Trenton, NJ 08625-0807

Contact: Christine Grant (609)943-3463

The goal of this project, NJ Ease for Caregivers Building a Multi-Faceted Caregiver Support System, is to develop a 

multifaceted support system concerned with the needs of caregivers, broadening the focus of the existing NJ EASE 

single entry system for senior services. The objectives of this Caregiver project are: 1) to develop and implement a 

uniform caregiver assessment; 2) to develop care planning tools; 3) to pilot a staff caregiver training; 4) to modify and 

create state policies to integrate federal and state funded caregiver services; 5) to develop critical pathways for caregiver 

decision making; 6) to develop service coordination protocols to guide worker action; 7) to set caregiver service 

standards. The anticipated outcomes of this caregivers program are: a single entry system for caregiver senior services; 

a multifaceted caregiver support system; a uniform caregiver assessment; care planning tools; caregiver training; state 

caregiver policies; caregiver protocols; and caregiver service standards. The products of this caregiver program are a 

final report; caregiver planning tools; caregiver training materials; caregivers protocols; and caregiver standards.

Project Period: 09/30/2001 - 06/30/2006

FY Grant Amount

FY 2001

FY 2002

FY 2003

250,000

250,000

250,000

P.O. Box 807 

New Jersey Department of Health and Senior Services

Program: National Family Caregivers Support Program

90CG2541 Self-Directed Care Voucher Project

Atlanta, GA 30303-3142

Contact: (404)657-5336

This project is being administered by the Georgia Department of Human Resources. The goal of this project, 

Self-Directed Care Voucher (SDCV) project, is to demonstrate a self-directed care model for family caregivers of elderly 

people. The objectives of this SDCV caregiver project are: 1) to increase service options by developing 5 self-directed 

voucher projects in rural areas that can be replicated in other states; 2) to evaluate the effects of self-directed care; 2) to 

adapt and administer a Caregiver Support and Satisfaction Survey to caregivers participating in voucher programs. The 

expected outcomes of this SDCV Caregiver program are: a self-directed care voucher; a self directed care model; 

increased services; 5 rural SDCV projects; replication of SDCV model; an evaluation; and, a SDCV survey. The products 

of this SDCV Caregiver program include a final report, a replication manual, and a professional evaluation of caregiver 

support and satisfaction.

Project Period: 09/30/2001 - 11/30/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

228,499

228,499

228,499

Two Peachtree Street, NW, Suite 9.398 

Georgia Department of Human Resources

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 97 of 261 

Care Team Model: Caregiver-Focused Service, inc. Training, Respite, & Resource 

Counseling

90CG2544

Edina, MN 55436-5436

Contact: Jean Sigford (952)929-1697

The goal of the project, Care Team Model - A Project Offering Caregiver-Focused Services, managed by the grantee, 

Normandale Ministry for Healing and Wholeness, is to offer caregiver-focused services. The objectives of the Caregiver 

program are: 1) to conduct caregiver training, respite and resource counseling; 2) to match each caregiver with a care 

team of volunteers; 3) to offer one-on-one counseling designed to assist caregivers in navigating the system of 

resources; 4) to arrange for community services; 5) to provide training for 30 caregivers through the Red Cross; 6) to 

seek partnership with government; and 7) to seek replication of the model in the greater metropolitan communities of St. 

Paul and Minneapolis. The expected outcomes of the Caregiver program are: increased caregiver services; caregiver 

training; respite training; resource counseling; caregivers matched with a volunteer; one-on-one counseling; Red Cross 

collaboration; and replication of the model. The products of this Caregiver program include: a final report; new 

assessment protocols; measurement of caregiver stress; Care Team Model Manual; caregiver resource and education 

materials; and videotapes.

Project Period: 09/30/2001 - 11/30/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

77,000

77,000

77,000

6100 Normandale Way 

NORMANDALE MINISTRY FOR HEALING AND WHOLENESS

Program: National Family Caregivers Support Program

90CG2545 Strengthening the Caregiving Process: Care-Receiver Efficacy Intervention

Denver, CO 80208-0208

Contact: Enid Cox (303)871-4018

The goal of this project is to examine the knowledge, attitudes, and behaviors of care receivers. The objectives of this 

Caregiver project are: 1) to apply both medical and social science research affirmations of the importance of a sense of 

efficacy and an active role by patients/clients in their care, to positive health and mental health outcomes; 2) to establish 

the central importance of the caregiver/care-receiver relationship in the care process, as noted in caregiver research 

targeting eldercare. (limited focus has been given to interventions that assist older individuals in defining and developing 

competencies in their care receiving role); 3) to demonstrate an empowerment-oriented intervention that increases the 

efficacy of older care receivers in self-care, use of services and support networks, communication skills, and other 

aspects of care receiving; and 4) to assist their caregivers and improve the quality of the overall care process. The 

expected intervention outcomes include increased competency of elders and reduced caregiver stress. The deliverable 

products of this Caregiver program include: a final report; an intervention manual; a training outline for intervention 

workers; and a comprehensive program evaluation report.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

138,666

138,666

138,666

2199 So. University Blvd. 

University of Denver (Colorado Seminary)

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 98 of 261 

90CG2547 Outreach and Support for Male Caregivers

Richmond, VA 23229

Contact: Bill Peterson (804)662-9325

The goal of this Caregivers project is to demonstrate the results of using special caregiver ombudsmen to reach out to 

and initiate one-on-one contact with male caregivers in 3 regions of Virginia, and to develop outreach strategies targeted 

to male caregivers. This grant is focused on male caregivers, particularly retired military personnel and men living in rural 

farming communities. The objectives of this caregiver project are: 1) to have ombudsmen work with male caregivers, 

helping them share concerns about their role as a care provider; 2) to utilize services that will help them continue in their 

role as an effective caregiver; 3) to disseminate an evaluation report to AAAs in Virginia; 4) to disseminate nationally 

through the N4A and NASUA; and 5) to make a special effort to have the report available to veterans organizations and 

farm groups. The expected outcomes of this male caregiver program include: a trained caregiver ombudsmen for male 

caregivers; one-on-one contacts in 3 regions of Virginia; outreach strategies to serve male caregivers; strengthened 

caregiver services by retired military males; and trainings in the male role as caregiver. The products of this male 

caregiver program are: a final report; a cadre of male care providers; and an evaluation report.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

200,000

100,000

200,000

1600 Forest Ave., Suite 102 

Commonwealth of Virginia

Program: National Family Caregivers Support Program

90CG2548 End of Life Planning for Multiethnic Caregivers

Honolulu, HI 96822-2319

Contact: Kathryn Braun (808)956-5768

The goal of this project, administered by the University of Hawaii at Manoa (UHM), entitled "End of Life (EOL) Planning 

for Multiethnic Caregiver", is to explore the impact of group targeted messages and individually tailored support on EOL 

planning by multiethnic caregivers receiving Long-Term Care services. The objectives of this Caregiver End of Life 

program are: 1) to identify the caregiving "stage" of participants; 2) to provide 600 caregivers with appropriate message 

booklets and their choice of supplemental support; 3) to track changes in End Of Life knowledge, attitudes, and 

behaviors (KAB); 4) to document culturally linked barriers to End Of Life planning and strategies to address them; 5) to 

compare the costs of each approach; and 6) to disseminate information to State Units on Aging (SUA). The anticipated 

outcomes of the program include support and information to multiethnic caregivers; an awareness of caregiving "stages" 

of EOL caregivers; assistance to 600 caregivers; changes in EOL KABs; identification of culture barriers to EOL 

planning; and strategies to overcome identified cultural barriers. The products of the project include: a final report; 

booklets on death and dying; and a description of the intervention.

Project Period: 09/30/2001 - 12/31/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

128,246

128,246

128,246

2530 Dole Street, SAG D200 

UNIVERSITY OF HAWAII AT MANOA

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 99 of 261 

90CG2549 Telephone Support Groups for Caregivers

Albany, NY 12210-2210

Contact: Ann Disarro (518)465-3322

The goal of this project, entitled Telephone Support Groups for Caregivers, is to assess the effectiveness of telephone 

support groups (TSG) for caregivers of frail elderly care recipients. The grantee, Senior Service Centers of the Albany 

Area, Inc., will administer this grant. The objectives of this TSG program are: 1) to establish a multi-component group 

program that includes emotion-focused coping strategies and support; 2) to implement eight weekly, one and a half-hour 

telephone group sessions; and 3) to assess Caregivers about health status, emotional well-being, social support 

burden, pressing problems associated with caregiving, and knowledge and use of community resources for caregiving. 

The anticipated outcomes of this TSG project are: Telephone Support Groups; a cadre of caregivers for frail elderly care 

recipients; emotion-focused coping strategies; 8 weekly one and a half-hour TSG sessions; a caregiver assessment; and 

dissemination of results and replication of this model. The products include a final report, a manual, and an assessment.

Project Period: 09/30/2001 - 01/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

193,381

199,277

199,277

25 Delaware Avenue 

SENIOR SERVICE CENTERS OF THE ALBANY AREA, INC.

Program: National Family Caregivers Support Program

90CG2550 An Outcome Based System for Enhancing the Quality of Caregiver Support Services

Columbus, OH 43215-5928

Contact: Richard LeBlanc (614)644-7967

The Ohio Department of Aging (SUA) is charged with the administration of the "Outcome Based System for Enhancing 

the Quality of Caregiver Support Services" (CS). The goal of this CS project is to design and test an outcome-focused 

quality monitoring system for the range of OAA services that benefit caregivers. The objectives of this CS project are: 1) 

to develop a quality monitoring system (QMS) with input from caregivers, older consumers, the aging network, and 

service providers; 2) to design it with primary emphasis on caregiver needs; 3) to base the principles and standards for 

quality of service on outcomes identified by all the stakeholders; 4) to evaluate a quality assessment system for 

effectiveness and feasibility; 5) to develop recommendations based on caregiver and stakeholder input and the results of 

the evaluation; and 6) to use these recommendations to develop a guide for states, area agencies, and providers 

interested in improving the quality of caregiver support services delivered through the aging network. The expected 

outcomes include: an outcome-focused quality monitoring system(QMS); outcomes identified by the stakeholders; and 

recommendations. The products of this CS program are a final report; an evaluation; an assessment; an evaluation; and 

a State, AAA's guide.

Project Period: 09/30/2001 - 03/29/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

198,173

198,173

198,173

50 West Broad Street, 9th Floor 

Ohio Department of Aging

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 100 of 261 

90CG2560 Transforming Caregiver Experience at End of Life: A National Train-the-Trainer Program

Largo, FL 33770-3770

Contact: Kathleen Egan (727)586-4434

The goal of this Train the Trainer (TTT) Caregiver project is to provide specialized training for family caregivers providing 

care for persons at the end of life (EOL). The objectives of this TTT Caregiver project are: 1) to assess family caregiver 

needs; 2) to design the Caregiver program; 3) to implement this Caregiver program; 4) to evaluate the program; 5) to 

provide in-depth training so that hospice and palliative care professionals and family caregivers nationwide can have the 

necessary information regarding caregiving issues particularly at the end of life; 6) to produce a toolkit for all participants 

in the train the trainer program; and 7) to provide the training directly to 210 hospice and palliative care professionals 

and reach approximately 10,000 family caregivers. The expected outcomes of this Caregiver program are: a TTT 

program specialized training for family caregivers who serve EOL persons; and trained 210 professionals and 10,000 

family caregivers. The products include: a final report; train-the-trainer materials; an assessment; an evaluation; and a 

toolkit.

Project Period: 09/30/2001 - 03/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

199,998

199,965

197,545

300 East Bay Drive 

THE HOSPICE INSTITUTE OF FLORIDA SUNCOAST

Program: National Family Caregivers Support Program

90CG2563 National Family Caregiver Support Program

Miami, FL 33156-3156

Contact: Steven Weisberg (305)670-6500

The National Family Caregiver Support Program ( NFCSP) is administered by the Alliance for Aging, of Miami Florida. 

The goal of this project is to demonstrate a 24 hour crisis respite and referral program for caregivers of elders and 

disabled adults in Miami-Dade County, Florida. The objectives of the National Family Caregiver Support program are: 1) 

to establish a demonstration Caregiver model program; 2) to provide 24 hour crisis, respite services and referral 

services for caregivers; 3) to provide training for caregivers of elders and disabled adults; 4) to provide access to 

unscheduled crisis respite services; and 5) to conduct an evaluation. The expected outcomes of this NFCSP project are 

a 24 hour crisis respite and referral program for caregivers, and training for caregivers. The major products of this 

NFCSP program include: a replicable model for unscheduled crisis, for respite services; training materials; caregiver 

policies; and caregiver procedures; an evaluation; a caregiver model; and a guide. The evaluation component will 

produce data regarding system effectiveness and the degree to which the model program meets stated goals and 

objectives.

Project Period: 09/30/2001 - 12/31/2004

FY Grant Amount

FY 2001

FY 2002

FY 2003

190,000

190,000

190,000

9500 S, Dadeland Boulevard, Suite 400 

ALLIANCE FOR AGING

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 101 of 261 

90CG2564 Providing Assistance to Caregivers in Transition (PACT)

Martinez, CA 94553-4553

Contact: (925)335-8727

This project, entitled Providing Assistance to Caregivers in Transition (PACT), is administered by the grantee, Contra 

Costa County Employment and Human Services. The goal of this Caregiver project is to support, educate, and empower 

family caregivers who have family members aged 60+, who have recently been placed in a skilled nursing facility (SNF). 

The objectives are: 1) to provide various levels of care coordination for caregivers whose care recipient chooses to 

transition back to the community, as well as to those who remain in the SNF; 2) to evaluate the PACT program; 3) to 

distribute the evaluation report to the aging network. The anticipated outcomes of this program are: empowered family 

caregivers; educated family caregivers serving family members recently placed in an SNF; care coordination for 

caregivers whose care recipient chooses to transition back to the community and for those who remain in the SNF; and 

dissemination of reports to the aging network. The products of this PACT program are a final report, a program 

evaluation report, and training materials.

Project Period: 09/30/2001 - 06/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

203,409

203,409

203,409

49 Douglas Drive 

CONTRA COSTA COUNTY EMPLOYMENT AND HUMAN SERVICES

Program: National Family Caregivers Support Program

90CG2565 A Multi-State Family Caregiver Mediation Project

Ann Arbor, MI 48103-8103

Contact: Penelope Hommel (734)665-1126

The goal is to effectively manage A Multi-State Family Caregiver Mediation project. The objectives of this Multi-State 

Family Caregiver project are: 1) to use mediation to assist frail older persons and their family caregivers; 2) to address 

and resolve problems and disputes, which all too frequently arise when families face the physical, emotional, and 

financial demands of providing long term care to an older family member; 3) to develop a replication manual; 4) to 

develop and disseminate the model during year three; 5) to provide technical assistance and training to State (SUA) 

and Area Agencies on Aging (AAAs) in other states on how to replicate the caregiver mediation projects; 6) to replicate 

this caregiver mediation model; and 7) to evaluate this model program. The expected outcomes of this Family Caregiver 

program are: mediation as an effective caregiver tool that will assist frail elderly and their family caregivers; resolution of 

family problems and disputes; a Family Caregiver Mediation model; and technical assistance and trainings to SUAs and 

AAAs. The products of this program are a final report; caregiver mediation as a planning tool; a replication manual; a 

mediation model; an evaluation report; and technical assistance and training materials.

Project Period: 09/30/2001 - 03/31/2006

FY Grant Amount

FY 2001

FY 2002

FY 2003

215,664

215,664

215,664

2307 Shelby Avenue 

THE CENTER FOR SOCIAL GERONTOLOGY, INC.

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 102 of 261 

90CG2566 Early Diagnosis of Dementia: Dyadic Counseling for Family Caregivers and Parents

University Park, PA 16802-6802

Contact: (814)863-9980

The goal of the Pennsylvania State University Dementia project is to provide a structured, time-limited program of dyadic 

counseling to family caregivers and care recipients who are in the early stages of dementia. The objectives of this 

Dementia project are: 1) to develop positive communication patterns between the care giver and the care recipient; 2) to 

increase knowledge and understanding about available services, preferences for care, care values; 3) to increase the 

care recipients active participation in his/her care plan; and 4) to disseminate the products to direct service organizations 

and the AAAs. The expected outcomes of this program are: a structured, time-limited Dyadic Counseling; assistance to 

caregivers who work with dementia cases; positive communications between the caregiver and the dementia patient; 

care for those in the early stages of dementia; increased knowledge; and the increased participation in their care plan. 

The products include: a final report; the EDDI treatment manual; care preferences assessment tools; the evaluation 

tools; manuscripts for publication in appropriate journals; and web page information of the results.

Project Period: 09/30/2001 - 03/31/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

150,000

181,000

181,000

110 Technology Center Building 

THE PENNSYLVANIA STATE UNIVERSITY

Program: National Family Caregivers Support Program

90CG2626 Promoting Systemic Development of State Family Caregiver Support Programs

Washington, DC 20005-0005

Contact: Viginia Dize (202)898-2578

This 3 year, cooperative agreement, SFCSP project will assist State Units on Aging (SUA) in the systemic development 

of their Family Caregiver Support Programs (FCSP). The goal of this project is to develop a step-by-step method 

designed to bring the system components, i.e. service package, coordination, continuity, quality and effectiveness, into a 

coherent whole. The objectives of this project are: 1) to integrate the state FCSP with home and community-based 

services programs; 2) to provide caregivers with customized services and supports; and 3) to use a knowledge 

development process involving experts representing policy, research, administration and advocacy. The anticipated 

outcomes include a cadre of experts and a Project Advisory committee (PAC). The products of this project are: a final 

report; TA materials; a guide; State Experience Reports; power point presentations; fact sheets; symposia materials; 

executive summaries; a self-assessment tool; and research briefs.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002

FY 2003

185,000

185,000 1201 15th Street, NW, Suite 350 

National Association of State Units on Aging (NASUA)

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 103 of 261 

90CG2627 Caregiver Coalitions Research Project

Washington, DC 20049-0049

Contact: Ellen Lebowitz (202)434-2787

The grantee, the AARP Foundation, is managing this 2 year cooperative agreement entitled Caregiver Coalitions 

Research Project (CCRP). The goal of this CCRP project is to support the implementation of the National Family 

Caregiver Support Program (NFCSP) by fostering the development of caregiver coalitions at the state and community 

levels. The objectives of this project are: 1) to research the benefits of caregiver coalitions; 2) to promote expansion of 

the program; 3) to conduct outreach; 4) to perform an evaluation of caregiver services; 5) to collaborate with AoA; 6) to 

present trainings at local, state, regional and national aging conferences; and 7) to develop and disseminate publications 

and technical assistance tools. The expected outcomes of this AARP project are: a literature review; research; caregiving 

coalitions; six focus groups; and an expanded website. The products of this project are: a final report; results of 

research; a compendium; an inventory of program materials; a TA Log; training materials; a guide; and conference 

materials.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

150,000

150,000 601 E Street NW 

AARP FOUNDATION

Program: National Family Caregivers Support Program

90CG2628 Caregiver Adaptations To Reduce Environmental Stress (CARES)

Los Angeles, CA 90089--114

Contact: George-Ann Cleary (213)740-6062

The two-year cooperative agreement between AoA and the University of Southern California (USC) provides for 

substantial involvement and collaboration with AoA. The goal of this Caregivers project is to create and stimulate 

improved systems of supportive services that increase caregiver utilization of environmental coping strategies (ECS) to 

reduce physical burden and strain. The objectives of this project are: 1) to assess caregiver awareness, as well as aging 

network knowledge, strategies and activities designed to assist caregivers in utilizing ECS in their own homes or in the 

homes of care recipients; 2) to educate aging network service providers on how to effect systems change in delivering 

special services; 3) to stimulate aging network activities that address physical caregiver burdens and stresses, including 

collaborating with other key entities such as Centers for Independent Living; and 4) to test and evaluate strategies by 

service providers to enhance caregiver ECS for dissemination and replication by others. The expected outcomes are: 1) 

Four focus groups of caregivers; 2) new knowledge to AAAs; 3) caregiver workshops and on-line training; and 4) 

reduced caregivers burden and strain using ECS To Caregivers. The products of this project are: a final report; all 

relevant products and documents on website; workshop materials; fact sheets and a "Best Practices" booklet; 

teleconference materials; and a literature review.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002

FY 2003

150,000

148,991 Department of Contracts and Grants University Park, Mail Code 1147

UNIVERSITY OF SOUTHERN CALIFORNIA

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 104 of 261 

90CG2629 Educating, Training and Supporting Informal Caregivers in Their Homes

Cincinnati, OH 45203-5203

Contact: Arlene de Silva (513)345-8611

This is a two-year cooperative agreement between AoA and the Council on Aging of Southwestern Ohio (COA). The 

AAA No.7 is a subcontractor to the grantee, the COA. A second sub-contract is with Scripps Gerontology Center at 

Miami University, who will do the evaluation. The goal of the project is to reduce caregiver stress, burden, and injuries, 

and increase caregiver knowledge of appropriate care strategies, thereby allowing caregivers to continue in the role and 

to improve the quality of the care they provide. The target group for this program will be the referrals from discharge 

planning social workers at hospitals and nursing homes, adult day centers, senior centers and social service agencies. 

The objectives of this Caregivers project are: 1) to support the National Family Caregiver Support Program (NFCSP); 2) 

to design programs for family caregivers; 3) to implement programs for family caregivers; 4) to evaluate an in-home 

training program for family caregivers; 5) to conduct trainings at aging conferences; and 6) to provide skills to family 

caregivers. The expected outcomes are: identification of caregivers at community sites; 150 caregivers trained in their 

home; evaluation on the reduction of stress, depression and reduced injuries; an increase in knowledge, skills and 

confidence (KSC) in their caregiving skills; and all relevant products and documents on website. The products of this 

project are a final report; training materials; an evaluation; a caregiver training manual; and a TA log.

Project Period: 09/30/2002 - 03/31/2005

FY Grant Amount

FY 2002

FY 2003

150,000

150,000 644 Linn Street Suite 1100 

COUNCIL ON AGING OF SOUTHWESTERN OHIO

Program: National Family Caregivers Support Program

90CG2630 Caregiver Awareness through Resources and Education for Professionals

San Francisco, CA 94103-4103

Contact: Jim Emerman (415)974-9628

The cooperative agreement between AoA and the American Society on Aging (ASA) is a three-year project. The goal is 

to increase the ability of healthcare professionals, specifically social workers, occupational therapists and nurses, to 

identify the needs of family caregivers they encounter in daily practice; and to link these family caregivers to needed 

services, including those provided through the NFCSP program and the aging network. The objectives of this Caregiver 

project are: 1) to develop and disseminate a CD-ROM and web-based self study program; 2) to provide training at 

national and regional conferences; 3) to provide training through 12 phone/Web live e-seminars; 4) to survey social 

workers, nurses and OTs to access awareness of NFCSP and family caregiving issues. The expected outcomes of this 

project are 10,000 professionals trained; assess the training needs of nurses, social workers and OTs; survey data; 7 

Module curriculum on family caregiving; training materials; continuing education credits (CEC) for nurses and others; 

series of 3-5 e-learning programs on website; TA Log; all relevant products and documents on website; recognition of 

Family Caregivers as a group with distinct needs; Continuing Education Credits; and an evaluation. The products of this 

project are: a final report; 16,000 copies of the CD-ROM program; dissemination; training workshops materials; CECs; a 

7 Module curriculum; and 3-5 e-learning programs on website.

Project Period: 09/30/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

184,846

234,346

25,000

833 Market St, Suite 511 

AMERICAN SOCIETY ON AGING

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 105 of 261 

90CG2631 The State of the States in Family Caregiver Support

San Francisco, CA 94104-4104

Contact: Lynn Friss Feinberg (415)434-3388

This project, entitled The State of the States in Family Caregiver Support, is a three-year cooperative agreement 

between AoA and the Family Caregiver Alliance (FCA). The goal of this FCA Caregiver project is to stimulate 

development of public policies and programs that support family and informal caregivers of the elderly and persons with 

disabilities. The objectives of the project are: 1) to increase understanding of the range and scope of federal and state 

funded caregivers support programs in each of the 50 states; 2) to assist the aging network in program development 

and identification of best practices; and 3) to collect data on caregiver services under the NFCSP, Medicaid waivers, 

State General Funds, System Change grants, and other State funding streams. The anticipated outcomes are: a three 

year state legislative trend analysis; a state-specific database; an updated FCA website; and all relevant products and 

documents on its website. The products of this project are an FCA TA Log; a final report; a 50 State survey; and briefing 

materials.

Project Period: 09/30/2002 - 11/30/2004

FY Grant Amount

FY 2002

FY 2003

191,400

191,400 690 Market Street, Suite 600 

FAMILY CAREGIVER ALLIANCE

Program: National Family Caregivers Support Program

90CG2632 Communicating Effectively with Healthcare Professionals Project

Kensington, MD 20895-0895

Contact: Andrew T. T Zovko (301)942-6430

The goal of this two-year Caregiver project is to train family caregivers to advocate on behalf of their loved ones with 

health care professionals, and to deliver a continuity of care and access to the health care resources needed by both the 

caregiver and the care recipient. The objectives of this project are: 1) to provide caregivers with specific communication 

skills; 2) to allow family caregivers to function as a member of the health care team; 3) to conduct regional 

train-the-trainer (TTT) workshops; and 4) to establish a national cadre of experts who can train caregivers. The expected 

outcomes of this project are: a trained network of 500 workshop leaders; 250 persons trained each year; trainers to train 

15,000 family caregivers in two years; one workshop leader training conference in each of AoA's 10 regions; feedback 

from trainers and caregivers; trainer and caregiver evaluations; quarterly AoA project teleconference calls; and an 

updated website. The products of this Caregiver project are a final report; a national cadre of experts; a curriculum; 

training materials; and a TA Log.

Project Period: 09/30/2002 - 02/28/2005

FY Grant Amount

FY 2002

FY 2003

150,000

150,000 10400 Connecticut Avenue, Suite 500 

NATIONAL FAMILY CAREGIVERS ASSOCIATION

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 106 of 261 

90CG2633 National Center on Grandparents and Other Relatives Raising Children

Washington, DC 20001-0001

Contact: Ana Beltran (202)638-0259

The goal of this three-year cooperative agreement between AoA and the grantee is to implement the National Family 

Caregivers Support Program (NFCSP) by establishing a National Center on Grandparent and other Relatives Raising 

Children. The objectives of this project are: 1) to recruit a national network of experts; 2) to provide training and technical 

assistance to the aging network; 3) to collaborate with AoA; 4) to present trainings at local, state, regional and national 

aging conferences; 5) to develop and disseminate publications and TA Tools; and 6) to provide skills to the aging 

network to more appropriately respond to the needs of these caregivers. The expected outcomes of this project are a 

survey; increased network of expert trainers; provision of TA to 350 individual requests by year two; dissemination of fact 

sheets; and an updated website. The products of this Caregiver project are a final report; a technical assistance log; 

conferences materials; training materials; publications; TA tools; a literature review; fact sheets; a manual; a tool kit; and 

products and documents on the website.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002

FY 2003

185,000

185,000 122 C Street, NW, Suite 820 

GENERATIONS UNITED

Program: National Family Caregivers Support Program

90CG2648 Applying the NFCSP to Caregivers of Persons with Developmental Disabilities

Silver Spring, MD 20910-0910

Contact: Sharon Davis (301)565-5456

The goals of this three-year cooperative agreement, a Developmental Disabilities (DD) Caregiver project, are: to assist 

the State Units on Aging (SUA) with the implementation of the National Family Caregivers Support Program (NFCSP) 

project and to integrate these services into the existing aging and home and community-based service system. This 

project will enhance awareness and abilities of SUAs, AAAs, and local provider agencies to provide these services to 

grandparents and related caregivers of children and adults with DD. The objectives of this DD Caregiver project are: 1) to 

provide a collaborative training program for the aging network; 2) to provide TA to SUAs, AAAs and service provider 

organizations; 3) to work for the adoption of culturally and ethnically sensitive outreach and service delivery; 4) to identify 

best practice approaches to service delivery for family caregivers; and 5) to disseminate project resource materials to 

additional audiences. The expected outcomes are: TA and training; training workshops at 2-3 national meetings; an 

aging family caregiver model; and an updated ARC website. The products of this Caregiver project are: a final report; TA 

and training materials, including Internet resources; and State best practices in service delivery to Caregivers.

Project Period: 09/30/2002 - 03/31/2005

FY Grant Amount

FY 2002

FY 2003

184,997

184,997 1010 Wayne Ave. Suite 650

THE ARC OF THE UNITED STATES

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 107 of 261 

90CG2649 Transportation Solutions for Caregivers

Chicago, IL 60606-0606

Contact: Lisa Peters (312)551-7189

The goal of this three-year Caregiver cooperative agreement is to enhance the aging network's capacity to address 

transportation issues of caregivers and their loved ones. The objectives of this project are: 1) to provide specialized 

services that address the fears of elders and their caregivers; 2) to plan for transportation alternatives; 3) to provide 

community planning to serve transportation-dependent individuals; 4) to provide volunteer-based, low-fare services; 5) to 

provide education for caregivers on mobility alternatives; 6) to enhance the networks expertise through tools, training 

and technical assistance; and 7) to recommend policy changes that encourage coordination and flexibility. The expected 

outcomes include: 15 national partners in the National Advisory Council; five train-the-trainer workshops; trainings for 

200 Faith-in-Action organizations; TA and Peer Mentoring for all Trainers; and workshops at four national conferences. 

The products of this Caregiver project are a final report; a Transportation Tool Kit for Caregivers in Spanish; a 

Transportation Solutions package for practitioners; Train-the-Trainer Workshop materials; and TA and Peer Mentoring 

materials.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002

FY 2003

184,997

199,983 230 West Monroe Street, Suite 1800 

EASTER SEALS, INC.

Program: National Family Caregivers Support Program

90CG2650 Making the Link: Connecting Caregivers with Services through Physicians

Washington, DC 20036

Contact: Adrienne Dern (202)296-8130

This is a two year Caregiver, cooperative agreement between the Administration on Aging (AoA) and the National 

Association of Area Agencies on Aging (NAAAA). The goal is to strengthen the ability of Area Agencies on Aging (AAAs) 

and Title VI (OAA) Native American aging programs to serve family caregivers via a campaign to involve physicians in 

identifying caregivers and then referring them to National Family Caregivers Support Program (NFCSP) services. The 

objectives of this project are: 1) to create the strategies and tools AAA and Title VI (OAA) need to collaborate with local 

physicians; 2) to promote within the medical community the concept that caregiving is a public health issue; 3) to 

increase awareness among physicians of the important health care role of family caregivers; and 4) to enhance the 

ability of physicians to connect caregivers with NFSCP services. The expected outcomes are linkages between AAA and 

Title VI programs and local physicians; linkages between physicians and family caregivers to connect caregivers with 

services; an Advisory Board; and a team of 120 AAAs and Title VI programs. The products are: a final report; TA 

materials; training materials; Caregiver Resource Packets for Physicians; a questionnaire; a strategy kit; and conference 

materials.

Project Period: 09/30/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

149,950

149,950 1730 Rhode Island Avenue, NW, Suite 1200 

NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING

Program: National Family Caregivers Support Program
FY2005 Compendium - Page 108 of 261 

90AM2834 Educating State Legislators about Caregiver Support

Washington , DC 20005

Contact: Virigina L Dize (202)898-2578

The National Association of State Units on Aging (NASUA) and the National Conference of State Legislatures (NCSL) 

submitted an unsolicited proposal to train state legislators and staff on caregiving issues. This one year grant will have 

the following outcomes:

1. Focus groups of state legislators conducted.

2. State specific profiles on caregiving statistics prepared for state legislators, and placed on NASUA and NCSL 

websites with other caregiving materials.

3. An NCSL session on caregiving at their annual conference, with AoA as an invited exhibitor.

4. Articles on caregiving in the NCSL State Health News.

5. Information disseminated to legislators for inclusion in speeches, newsletters, and bulletins.

Project Period: 09/30/2004 - 12/31/2005

FY Grant Amount

FY 2004 100,000

1201 15th Street N.W. Suite 350

NATIONAL ASSOCIATION OF STATE UNITS ON AGING

Center for the Advancement of State Community Service

Program: Unsolicited

90AM2805 Research on Young Caregivers

Bethesda, MD 20814

Contact: Gail Gibson Hune (301)718-8444

The National Alliance for Caregiving (NAC), in collaboration with the United Hospital Fund (UHF), will conduct research 

to: 1) determine the nationwide prevalence of children ages 8-18 who are caregivers; 2) learn what role children play in 

giving care and; 3) learn how the caregiving role impacts the life of a child. Nearly all studies of U.S. caregivers have 

focused on adults who provide care. Very little is known about the prevalence of children serving as caregivers in this 

country. This research will be a starting point for determining the impact of caregiving on young people and developing 

policy solutions to meet their needs. After collecting the data, the project partners will prepare a report that will be 

released at a conference in Washington. DC., for professionals with an interest in family caregiving, members of the 

press, and Congressional staff. The final report will also be disseminated to NAC members, UHF's mailing lists, AoA's 

aging network, and Congressional offices. The report will also be made available on the NAC, UH, and AoA web sites. 

The anticipated outcome of this project will be to increase awareness of the issues facing young caregivers, with the goal 

of adapting or creating services to accommodate their special needs.

Project Period: 09/30/2003 - 12/31/2004

FY Grant Amount

FY 2003 124,970

4720 Montgomery Lane, 5th Floor 

National Alliance for Caregiving

Program: Unsolicited
FY2005 Compendium - Page 109 of 261 

90AM2467 Technical Assistance Project for Statewide Legal Hotlines

Washington, DC 20049-0049

Contact: (202)434-2787

The goal of the AARP Foundation project is to provide training, capacity building and technical assistance to the Senior 

Legal Hotlines (SLH ) network, as well as to programs planning the development of legal hotlines to maintain the quality 

and integrity of the legal hotline service delivery model. The Foundation proposes to combine new and proven 

techniques to achieve its purpose. The objectives of this SLH program are: 1) to build program capacity; 2) to maintain 

the integrity of the legal hotline model; 3) to provide training and technical assistance (T and TA) to the newly funded 

grantees from their development and operation phases through their transitional phase; 4) to guarantee to become 

self-supporting at the conclusion of Administration on Aging funding; 5) to support existing statewide senior hotlines via 

site visits, on-call technical support, teleconferences, web sites, interactive web board, and newsletters; 6) to promote 

knowledge and support of legal hotlines through expansion of the Legal Hotline Technical Assistance Library, Web 

boards, newsletters, and conference presentations; 7) to promote the adoption of the American Bar Association's (ABA) 

proposed standards governing legal hotlines; and 8) to use these standards as a quality assurance tool. The outcomes 

are: a stronger SLH network; and a SLH service delivery model; and training and TA. The products are a final report and 

website materials.

Project Period: 08/01/2001 - 09/29/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

FY 2004

100,000

100,000

100,000

100,000

601 E Street NW 

AARP FOUNDATION

Program: Legal Assistance and Technical Projects

90AM2668 Legal Helpline for Elder Kentuckians

Lexington, KY 40508

Contact: Jamie Odle Hamon (859)255-9913

The grantee for this three-year Legal Hotlines project will target low-income seniors in remote, rural Kentucky, seniors 

with low-literacy levels and the disabled. The Legal Hotline project will partner with the State library system, senior center 

staff, nursing home ombudsman program staff and other senior services staff. The goal of this Legal Hotline project is to 

provide legal and non-legal advice and referral, while expanding and strengthening the existing hotline to low-income 

rural seniors. The objectives of this Legal Hotline project are: 1) to expand and strengthen the HelpLine's services by 

emphasizing the use of technology; 2) to design a Pilot Rural Outreach Project; and 3) to establish a program to assist 

seniors, and provide training to volunteer attorneys. The anticipated outcomes are: legal assistance provided to 13,100 

seniors over three years; statistical data provided by the Pilot Rural Outreach Project; methodology and data 

disseminated to other senior legal hotlines, the Administration on Aging, AARP, and other stakeholders in the senior 

hotline community; educational materials for seniors provided; service providers and volunteer attorneys consulted on 

consumer law issues; and a legal assistance hotline will be established and helpline services will be available. The 

products are a final report; dissemination materials; and training materials on predatory lending.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

100,000

100,000

100,000

535 West Second Street, Suite 101 

ACCESS TO JUSTICE FOUNDATION

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 110 of 261 

90AM2669 Senior Hotline Innovation Project

Washington, DC 20049-0049

Contact: Wayne Moore (202)434-2149

This is a three year Statewide Legal Hotline Innovation Project that will serve Washington DC's ethnic and racial minority 

seniors, especially African Americans and persons with low-incomes. The Legal Counsel for the Elderly has opened an 

outreach office in a multi-service community agency serving seniors. The agency also works closely with the DC Office 

on Aging, the Legal Aid Society, Catholic Charities and the Washington Legal Clinic for the Homeless. The goal of this 

Legal Hotline project is to provide and deliver legal assistance to elderly African-Americans who want and need legal 

advice and referral. The objectives are: 1) to double the productivity of Hotline staff; 2) to use staff-supervised 

non-attorney volunteers to resolve brief services cases; and 3) to use staff-supervised non-attorney volunteers to provide 

legal services to African American and other minority seniors at community agencies and faith-based organizations; 4) to 

evaluate in-house and disseminate to legal/aging network. The anticipated outcomes are: increased productivity and 

decreased the cost per case of hotlines; a new way of handling brief services; a low-cost method of targeting hotline 

services for disadvantaged populations developed by using non-legal volunteers to assist seniors via a website; three 

legal innovations; and a volunteer corp of non-attorneys. The products are a final report and an evaluation. .

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

110,000

110,000

110,000

601 E Street, NW 

Legal Counsel for the Elderly

Program: Legal Assistance and Technical Projects

90AM2670 Legal Hotline for Michigan Seniors Coordinated Economic Assistance Project

Lansing, MI 48933-8933

Contact: Kate White (517)485-9164

This three year project has close ties with local legal services providers, Area Agencies on Aging, insurance counseling 

programs, AARP, senior centers, law schools, veterans programs, and the state and local ombudsman programs. 

Targeted populations are Seniors over 60, disadvantaged elders, elders with limited English proficiency, and low income 

and rural elders. The goal of this Legal Hotline project is to increase the number of seniors served and educated on how 

to protect themselves from debt and steps to resolve indebtedness. The objectives of the project are: 1) to serve seniors 

with an expanded traditional hotline; 2) to provide opportunities for seniors to find new resources for health care; 3) to 

improve their economic well being; 4) to use a new comprehensive Coordinated Economic Assistance Screening Tool; 5) 

to focus on Veterans benefits, unclaimed pensions, Medicare/Medicaid, state tax credits, and other benefits; 6) to provide 

brief services for bankruptcy and debt protections; and 7) to use retired social workers. The anticipated outcomes are: a 

list of seniors out of debt; an increased awareness in seniors on how to protect themselves from debt and steps to 

reduce indebtedness; opportunities for seniors to find new resources for health care and other benefits; increased legal 

services to a significant number of seniors; and trained law students, retired social workers and legislative staff. The 

product is a final report.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

149,711

149,711

149,711

221 N. Pine Street 

ELDER LAW OF MICHIGAN, INC.

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 111 of 261 

90AM2671 Maryland Senior Legal Hotline

Baltimore, MD 21202-1202

Contact: William Stokes (410)539-5340

This three year, well-established Maryland Senior Legal Hotline project will serve socially and economically 

disadvantaged seniors over age 60, with special emphasis on Asian Americans, Spanish-speaking seniors and seniors 

with low literacy levels. The Legal Aid Bureau will partner with various Asian American and Spanish advocacy and 

community groups. The goal of this Legal Hotline project is to provide accessible, high-quality legal information and 

assistance to seniors. The objectives of the project are: 1) to improve services to non-English seniors; 2) to provide 

callers at intake/access points with up-to-date legal information; 3) to educate seniors in debt collection and garnishment 

cases. The anticipated outcomes are: improved legal services; provision of the most accurate, up-to-date elder law 

information; 600 seniors receiving advice on debt collection issues each year; updated law outlines; product 

dissemination; and an expanded hotline. The products of this project are a final report, an evaluation, and a website.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

125,000

125,000

125,000

500 East Lexington Street 

Legal Aid Bureau, Inc.

Program: Legal Assistance and Technical Projects

90AM2672 Statewide Senior Legal Helpline

Augusta, ME 04338-2723

Contact: Jennifer Minkowitz (207)621-0087

This is a three year project targeted to rural, low literacy and limited English language elders, victims of elder abuse and 

legally challenged seniors. The Legal Services for the Elderly will work with Area Agencies on Aging and community 

health centers, the Elder Abuse Task force of Mid-Coast Maine, Adult Protective Services, AARP, Family Crisis Service, 

Volunteers of America, local law enforcement agencies, and clergy. The goal is to improve access to legal assistance. 

The objectives of the project are: 1) to improve client service delivery system; 2) to use an outcomes-based model; 3) to 

create new legal resources; 4) to expand access in rural areas; 5) to build a coalition of community and law enforcement 

organizations; 6) to conduct elder abuse outreach and education; 7) to implement a pilot program to reduce barriers 

towards uses of telephone services. The outcomes of this project are: positive outcomes for seniors using Hotline 

services; seniors knowledgeable about legal issues; identification and prevention of legal problems; local legal 

community resources for seniors; available community organizations; more knowledgeable caregivers; seniors for whom 

telephone service presents barriers have greater access to legal services; rural community health center kiosks; new 

legal resources; a coalition of partners; a pilot program on telephone service. The product is a final report.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

110,000

110,000

110,000

9 Green Street, P.O. Box 2723 

LEGAL SERVICES FOR THE ELDERLY

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 112 of 261 

90AM2673 Connecticut Legal Services Consumer Law Project for Elders

Middletown, CT 06457-6457

Contact: Kevin Brophy (203)756-8074

This three year Statewide Legal Hotlines project serves seniors who have consumer law problems, with a focus on 

Hispanic, African American, rural elderly, and members of faith-based organizations. Partners in planning and 

implementing this project include Area Agencies on Aging (AAAs), sister legal services organizations and the Episcopal 

Diocese. The goal of this project is develop a hotline that will provide telephone access and high quality legal services to 

seniors who have legal consumer problems. The objectives are: 1) to make the system easy for clients to access hotline 

staff through direct calls or referrals; 2) to train AAAs to spot issues; 3) to make cross referral of clients; 4) to develop 

extensive outreach to minorities and rural elderly clients, and to faith based organizations; and 5) to provide a full service 

response to hotline clients. The anticipated outcomes are: enhanced collaboration and synergy among senior consumer 

law providers; increased capacities and capabilities of AAAs and other non-legal service partners to identify consumer 

law issues and make appropriate referrals; improved quality and accessibility; and friendly telephone access. The 

products of this project are a final report, an evaluation, and training materials.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

125,000

125,000

125,000

62 Washington Street 

CONNECTICUT LEGAL SERVICES, INC.

Program: Legal Assistance and Technical Projects

90AM2674 Serve Our Seniors Legal Telephone Hotline

Columbia, SC 29202

Contact: Teresa Cosby (864)679-3232

This is a three year Statewide Senior Hotline project to serve seniors over 60, low-income, isolated rural poor, 

limited-English speaking, seniors victimized by crime, and seniors with disabilities. This grantee has a Memorandum of 

Partnership signed by over 50 aging service providers including Area Agencies on Aging, every Council on Aging, 

numerous senior centers, housing programs, Adult Protective Services programs, United Way, YWCA and other 

non-legal agencies. The goal of this project is to enhance access to and improve the current legal services intake 

system. The objectives are: 1) to place the hotline in the Legal Aid Telephone Intake Service; 2) to provide counsel and 

advice and extended service for those senior callers with legal needs; 3) to refer callers to senior service organizations 

with non-legal needs; and 4) to produce an employee and volunteer training manual, a senior resource guide for callers. 

The anticipated outcomes are: resolved senior's legal issues; 1152 seniors to have called the hotline per year; 875 

seniors will have received counsel and advice; 277 seniors will have received extended services through Serve Our 

Seniors; and the outreach component of the hotline will have reached 3000 seniors. The products are a final report; a 

training manual; a resource guide; and public relations materials.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

104,040

104,040

104,040

2109 Bull Street 

THE SOUTH CAROLINA CENTERS FOR EQUAL JUSTICE

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 113 of 261 

Establish and Operate a Statewide Senior Hotline in Idaho, the Third Most Rural State in 

the Nation

90AM2675

Boise, ID 83702-3702

Contact: Kelly Miller (208)336-8980

This is a three year statewide Legal Hotline project that will serve the rural elderly, with an emphasis on those in the 

greatest social and economic need, Hispanic and Native American seniors, and seniors with disabilities. The 

collaborators will include the six Area Agencies on Aging in the state, Idaho Hispanic Commission, Idaho State Library 

system, state and local nursing home ombudsmen, AARP Senior Programs, Meals on Wheels, over 100 senior centers 

and meal providers, senior housing and Home Health Care agencies and tribal governments. The goal of the project is to 

establish a Legal Hotline to include non-legal referrals for those seniors in need. The objectives of this project are: 1) to 

support a vigorous outreach via a Hotline Community Advisory Team; 2) to develop a legal interactive electronic website; 

3) to advertise access to senior computers via local libraries; 4) to develop legal materials via a Senior Law Advisory 

Team; and 5) to use the hotline as a feedback source. The anticipated outcomes are: increased access; outreach; a 

combined website and hotline; double the number of senior citizens receiving legal assistance; and increased 

collaboration via the Idaho Senior Hotline Community Advisory Committee. The products are a final report; an 

evaluation; a legal hotline and joint website; an Advisory Team report; electronic brochures; surveys (3); and a 

dissemination plan.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

110,000

110,000

110,000

310 North 5th Street 

IDAHO LEGAL AID SERVICES, INC.

Program: Legal Assistance and Technical Projects

90AM3023 AARP Foundation Technical Support for Legal Assistance Grants

Washington, DC 20049

Contact: Shoshanna Ehrlich (954)472-0997

The AARP Foundation proposes to provide training, capacity building and technical assistance to the Administration on 

Aging (AoA) funded legal assistance grants around the country. The goal of the project is to increase access to legal 

assistance for seniors by supporting legal services providers in their innovative delivery of the highest quality legal 

services. The Technical Support Project is integral to assuring that the delivery innovations planned by the legal 

assistance grantees operate efficiently and adhere to proven effective practices. The objectives are: to provide 

technical support to AoA legal assistance grantees via site visits, on-call and e-mail consultation, telephone and live web 

conferences, websites, e-groups, and newsletters; and to expand knowledge and support of grantee innovations through 

outreach to and collaboration with Title IIIB providers via the legal helpline library, website, e-groups, newsletters, 

conference presentations, data collection, and legal needs and client outcome studies. The target population is older 

Americans, with particular emphasis upon low-income, minority, rural, homebound and limited-English speaking 

populations. Anticipated outcomes include provision of assistance to the AoA Legal Assistance grantees in their work to 

increase access to senior legal services, as measured by a Project Evaluation Survey; and increased acquisition of 

knowledge by the aging and legal services network on the legal needs of seniors and the effectiveness of the legal 

assistance grants, through original research conducted by the project. The AARP Foundation and its Technical 

Assistance Project for Legal Assistance Grants are integrally involved with community-based organizations in each state 

which are instrumental in helping older individuals find solutions to their legal problems. Major products include a Project 

Evaluation Survey and Senior Legal Hotlines Annual Reports.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

100,000

100,000 601 E Street, NW 

AARP Foundation

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 114 of 261 

90AM3033 Legal Helpline for Michigan Seniors Integrated V.I.R.T.U.A.L. Communities

Lansing, MI 48917

Contact: Katherine B White (517)485-9164 236

Elder Law of Michigan, Inc. proposes to increase the autonomy, independence and financial well-being of seniors by 

placing new emphasis on identity theft, the reduction of unnecessary guardianships, and elder abuse/financial 

exploitation. The project will utilize the highly effective legal helpline for Michigan seniors and standard, traditional 

relationships, coupled with targeted outreach and new technology for training, information-sharing and communications. 

Part of this strategy is to support "first responders," professionals and lay people at the local level who are likely to learn 

of a crime against a senior or of an inappropriate guardianship request. An expected increase in statewide legal 

assistance will be achieved through training, legal information, and expanded legal resources. Target populations are 

older Michigan elders, with particular emphasis upon minorities, rural individuals, non-English speaking, low-income, 

homebound, and those lacking transportation. The major anticipated outcome is an increase in Michigan seniors' 

autonomy, economic security and the freedom to have and exercise choices later in life. In addition to partnering with the 

traditional aging, legal, and human services networks (including social services, legislators, health professionals and 

caregivers), the project will cultivate relationships with other groups of professionals, such as funeral directors, court 

personnel, parish nurses and caregiver ministries, hospice, medical personnel, religious advisors, community mental 

health providers, minority college students at area universities, and others who come in contact with isolated, rural, 

low-income and minority elders. Products to be completed include a report, Protecting America's Elders; a short "Guide 

to Michigan's Aging Network" for grandchildren to share with their grandparents and other older people in their 

communities; three training modules; and new FAQs targeted to caregivers and helping professionals.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 3815 W. St. Joseph St. - Suite C-200 

Elder Law of Michigan, Inc.

Program: Legal Assistance and Technical Projects

90AM3034 Enhancing Legal Access for Pennsylvania's Underserved and Vulnerable Older Adults

Philadelphia, PA 19110

Contact: Karen C Buck (215)701-3201

SeniorLAW Center proposes to expand and improve access to legal services for older Pennsylvanians focusing on 

seniors of color, language and cultural minorities, the homebound and disabled, and rural and low-income populations. 

The objectives are: 1) to expand the new Pennsylvania Helpline to provide accessible legal advice, information, and 

education to increased numbers of Pennsylvania seniors and their families, implementing established best practices; 2) 

to provide focused outreach and education to target language and cultural minorities to increase their use of the helpline 

and related services; 3) to strengthen linkages with and increase referrals from community, faith-based, and immigrant 

organizations; and 4) to develop new educational and pro bono resources to serve Pennsylvania seniors, using new 

technological tools. An enhanced, accessible multilingual helpline will be offered; extensive outreach and education in 

multiple languages to diverse communities across the state will be conducted; an interactive website and e-newsletter 

will be launched; a Consumer Law Pro Bono Attorney Panel will be developed; and a Legal Resources Directory for 

Older Pennsylvanians will be created. Anticipated outcomes include: 1) increased numbers of seniors will have access 

to legal services and education in their own languages, homes and communities; and 2) increased numbers of seniors 

will be empowered to resolve legal issues, remain in their homes, fight abuse and exploitation, combat fraud, and 

understand planning options. SeniorLAW partners include faith-based organizations, immigrant and cultural groups and 

providers, and legal and aging service colleagues and coalitions. Products will include a Legal Resources Directory for 

Older Pennsylvanians.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 100 South Broad Street, Suite 1810 

SeniorLAW Center

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 115 of 261 

90AM3035 New York Seniors Legal Assistance Project

New York, NY 10036-7902

Contact: Ann Biddle (646)442-3302

The goal of this project is to resolve more legal problems for low-income seniors by providing them with more access to 

legal assistance. The project will target those areas most likely to benefit this group, such as income security issues; 

health care issues; advance directives (living wills, health care proxies, and wills); consumer issues; nursing home 

transition issues; and other elder law issues, such as guardianships. Target populations include older New Yorkers, with 

particular emphasis upon those most at risk of losing their independence or ability to live in the community, i.e. 

low-income seniors, seniors of color, language and cultural minorities, the homebound and disabled, and rural seniors. 

The project's objectives are to provide seniors with more legal assistance and more referrals for extended legal or other 

services from local agencies; to use technology to create a centralized point of access for seniors across the state; and 

to reach more homebound and limited-English speaking seniors. Anticipated outcomes include: increased numbers of 

seniors will have their legal problems resolved, empowering them to remain in their homes, make critical choices, and 

retain their independence; increased numbers of limited-English speaking seniors will be reached through prioritized 

services connecting them with the Spanish-speaking project coordinator and one other Spanish-speaking attorney; and 

increased numbers of homebound and isolated seniors will be reached by creating a technology portal to more 

comprehensively serve this group. Legal Services for the Elderly partners with those community-based organizations in 

each New York county that serve seniors, including senior centers, nutrition sites, senior clubs, faith-based organizations, 

and interfaith councils. A major product of this project will be Senior LawHelp, a statewide database of organizations 

serving seniors, accessible on the Internet.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 130 West 42nd Street, 17th Floor 

LEGAL SERVICES FOR THE ELDERLY

Program: Legal Assistance and Technical Projects

90AM3036 Florida Senior Legal Helpline

Tampa, FL 33603

Contact: Mary E Haberland (813)232-1222 114

The project goal is to provide underserved, elderly residents of Florida a convenient point of access to receive 

high-quality legal advice, information, and referrals to Title IIIB legal services providers statewide for extended 

representation. Bay Area Legal Services' objectives are to: 1) work with the Legal Services Developer for the Florida 

Dept. of Elder Affairs and State Title III-B providers to develop and implement the first statewide referral matrix; 2) 

include Area Agencies on Aging and community and faith-based organizations statewide in this partnership, to identify 

the neediest populations of elderly residents; 3) promote helpline services gradually while building capacity, starting with 

identified, underserved populations of seniors; and 4) staff the helpline with experienced elder law advocates, adding 

student legal interns and volunteers to expand resources. The target population is older Floridians, with particular 

emphasis upon elders living in poverty, non-English speaking and minority seniors, rural, homebound and disabled 

seniors. Anticipated outcomes are: 1) increased numbers of seniors will have access to legal services; 2) increased 

streamlining of service and increased numbers of referrals to local Title III-B providers for further assistance; 3) 

increased service to underserved seniors; and 4) increased information flow to seniors by establishing partnerships with 

two Florida law schools. Bay Area will seek the assistance of the community and faith-based organizations 

recommended by the partners from their regions. Products include a final report.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 829 W. Dr. Martin Luther King Jr. Blvd., 2nd Floor 

Bay Area Legal Services, Inc.

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 116 of 261 

90AM3037 Connecticut Legal Services Consumer Law Project for Elders

Middletown, CT 06457

Contact: Kevin Brophy (203)756-8074

Connecticut Legal Services proposes to strengthen significantly the state's system for providing consumer law 

assistance and information to vulnerable seniors to help them avoid or solve problems of fraud and insupportable debt 

that threaten their well-being and independence. The objectives include the expansion of services to underserved, 

disadvantaged client groups and enhanced ability of seniors to adapt to changes in consumer law and patterns of 

consumer fraud and abuse. To achieve these goals, the applicant will: create a Mobile Law Unit using Geographic 

Information System (GIS) technology to increase access to homebound seniors; provide screening and advice on the 

new Medicare Part D prescription drug subsidy; and inform and train clients and partners about the changing consumer 

law environment and patterns of fraud and abuse. The target population is traditionally underserved and disadvantaged 

seniors in Connecticut, to whom consumer law problems pose very serious threats to their independence, including 

African American and Hispanic seniors, and isolated home-bound seniors. Anticipated outcomes include increased 

accessibility, quantity, and effectiveness of legal assistance and information available to help traditionally underserved 

seniors solve consumer problems; increased awareness among seniors of consumer fraud, governmental support to 

avoid or minimize consumer debt, their changing set of consumer rights, and the project's availability to help solve 

problems; and expanded synergy among state, national, community, and faith-based organizations, aging services 

providers, and elder rights professionals to help seniors with consumer problems. Connecticut Legal Services partners 

with the State Unit on Aging, Area Agencies on Aging, Office of the Attorney General, the CT Department of Consumer 

Protection, the Episcopal Diocese of Connecticut, and sister legal services organizations. Products include a final 

report. 

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

110,000

110,000 62 Washington Street 

Connecticut Legal Services, Inc.

Program: Legal Assistance and Technical Projects

90AM3038 Coordinated Legal Assistance to Seniors

Burlington, VT 05402

Contact: Michael Benvenuto (802)863-5620

Vermont Legal Aid proposes to develop a model for integrated service delivery between legal services and Area 

Agencies on Aging (AAAs) in rural areas with a high percentage of seniors. The goal of this project is to provide a 

seamless and comprehensive system of delivering information, legal advice, and full representation to seniors 

throughout Vermont. The objectives are: 1) to expand and improve communication among AAAs and the Senior 

HelpLine, Legal Services Law Line of Vermont, and the Senior Citizens Law Project of Vermont Legal Aid; 2) to expand 

outreach and access to legal services for seniors by establishing regular and periodic legal advice clinics targeted to 

seniors; and 3) to develop comprehensive legal information for seniors on the web that can serve as a vital resource for 

clients, advocates, and family members. The primary target populations include rural residents and homebound 

seniors. Anticipated outcomes include: 1) increased numbers of seniors directly referred to the Senior Citizens Law 

Project by AAAs; 2) increased numbers of seniors provided legal representation, advice and brief service; and 3) 

increased numbers of seniors with access to legal services through the establishment of legal advice clinics throughout 

the state, expansion of pro bono legal services, and an increased number of visitors to the website seeking legal 

information for seniors. In addition to partnering with the traditional aging, legal, and human services networks, Vermont 

Legal Aid collaborates with AAA "Choice for Care" case managers, the Vermont Refugee Resettlement Program, elder 

specialists for the Vietnamese community, senior centers, and faith-based organizations. Among the major expected 

products is an evaluation and report of the different methods for referral from the Senior HelpLine to the Senior Citizens 

Law Project to be piloted by the applicant.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

110,000

110,000 P.O. Box 1367 

Vermont Legal Aid, Inc.

264 North Winooski Avenue

Program: Legal Assistance and Technical Projects
FY2005 Compendium - Page 117 of 261 

90AM3039 Elder Line Project

Omaha, NE 68102-2521

Contact: Annette Farnan (402)348-1069 224

Legal Aid of Nebraska proposes to provide older Nebraskans (particularly minority, low-income, rural, homebound, and 

socially isolated seniors) and their caregivers, with enhanced access to legal services. This goal will be accomplished 

through the ElderAccessLine, an augmentation of the existing statewide AccessLine. The applicant's objectives are to: 

1) modify existing statewide AccessLine legal service provision to be user-friendly for targeted older adults; 2) utilize 

phone-based translation services encompassing 150 languages; 3) implement an outreach plan to target underserved 

minority (including Native American) and immigrant older adults; 4) assist older adult callers with enrolling in the 

Medicare prescription drug benefit program; and 5) enhance referral partnerships with Title III-B providers and with other 

Older Americans Act (OAA) and elder abuse/neglect programs. Legal Aid of Nebraska will partner with the Nebraska 

Association of Community Action Agencies, Department of Aging, AARP, Commissions on Indian Affairs, 

Mexican-American and Women, and Interchurch Ministries of Nebraska. Anticipated outcomes are: 1) increased 

numbers of older adults receiving legal services; 2) increased access to legal services for Native American elders; 3) 

increased numbers of minority and/or limited-English speaking seniors will be targeted and served through outreach; 4) 

increased numbers of rural or homebound older adults, or seniors lacking in transportation, will have increased access 

through outreach; and 5) enhanced referral protocol will be established with Title III-B and other Administration on Aging 

programs. Among the major expected products is a final report.

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005

FY 2006

110,000

110,000 500 South 18th Street 

Legal Aid of Nebraska

Program: Legal Assistance and Technical Projects

90AM2792 National Center on Elder Abuse

Washington, DC 20005-2842

Contact: Diane Justice (202)898-2578

The National Association of State Units on Aging, in partnership with an alliance of four nationally recognized and 

respected collaborating organizations representing the many disciplines in elder abuse prevention, will execute a 3-year 

program to continue the work of the National Center on Elder Abuse. The continuing goal is to provide information, 

training, and technical assistance about elder abuse trends, policy and legislative developments, research that impacts 

on prevention, promising practices, and key issues for the field - in a variety of formats, to all segments of the population. 

The expected outcomes are: 1) timely, high quality information to support state and local capacity building and 

innovation; 2) increased professionalization of adult protection and elder abuse service networks; and 3) increased 

knowledge of the extent and causes of elder abuse and skills and practices for prevention. Products include: a 

comprehensive web site, monthly newsletter, listserve for professional dialogue and exchange, a web-based 

clearinghouse, a searchable database of promising practices, a training lending library, specialized workshops and best 

practice exchange, state statutory analysis, issue briefs on local and state network development and outreach to rural 

and minority communities, a brochure and PowerPoint module for faith-based communities, and other support materials.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

815,250

815,250

815,250

815,250

1201 15th Street, NW, Suite 350 

NATIONAL ASSOCIATION OF STATE UNITS ON AGING

Program: National Center on Elder Abuse
FY2005 Compendium - Page 118 of 261 

90AM2806 National Consumer Protection Technical Resource Center

Washington, DC 20036

Contact: Jolie Crowder 

This is the third year of a three year grant to the American Health Quality Foundation, in partnership with the Hawkeye 

Valley Area Agency on Aging to support and maximize the effectiveness of Senior Medicare Patrols (SMPs) through 

operation of the Resource Center. The "Center" objectives are to: assess SMP needs/capabilities; inform SMPs about 

top Medicare/Medicaid fraud and abuse issues; ensure SMPs can effectively reach special target populations; and 

support SMPs in addressing volunteer and program management issues. Deliverables include: a written profile of SMP 

needs and capabilities; a written summary of top error, fraud and abuse issues; a national Online Resource Center with a 

Best Practices and FAQ database; project Toolkits; and materials translated for special populations. The Center has 

been in the forefront of informing SMPs about the provisions of the 2003 Medicare Modernization Act and the new 

prescription drug benefit. The Center has also introduced a mentoring program, which matches new project directors 

with more experienced directors to provide a forum for lessons learned.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

300,000

300,000

368,750

300,000

1155 21st Street, NW, Suite 202 

AMERICAN HEALTH QUALITY FOUNDATION

Program: National Consumer Protection Technical Resource Center

90AM2807 National Consumer Protection Technical Resource Center

Waterloo, IA 50702

Contact: Shirley Merner 

This is the third year of a three year grant to staff the National Consumer Protection Technical Resource Center. The 

grantee will work in partnership with the American Health Quality Foundation to provide technical assistance to Senior 

Medicare Patrol projects (SMPs) nationwide. There is at least one project in each state, the District of Columbia and 

Puerto Rico. These projects recruit and train professionals to work in their communities to educate Medicare/Medicaid 

recipients and their families about health care fraud, error and abuse. The goals of the "Center" are: 1) to provide 

advice, guidance, and technical assistance which enhances SMP project's abilities to conduct outreach to beneficiaries 

and their families and caregivers - particularly those with limited English proficiency, disabilities, or who reside in rural 

areas - and to reduce or recoup improper payments; and 2) insure that best-practices are shared in a wide variety of 

platforms, such as National Conferences, Web- based seminars, or other online or offline resources.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

300,000

300,000

300,000

300,000

2101 Kimball Avenue, Suite 320 

HAWKEYE VALLEY AREA AGENCY ON AGING

Program: National Consumer Protection Technical Resource Center
FY2005 Compendium - Page 119 of 261 

90AP2375 Consumer Protection Technical Assistance Resource Center

Albany, NY 12223-1251

Contact: Faith Fish (518)474-5478

This is one of four "National Consumer Protection Technical Assistance Resource Centers" (NCPTARC) that was 

consolidated into one Center in 2003. This center focused on partnership strategies to involve health care provider, 

family caregivers, and state and local government agencies in outreach and education activities related to Medicare and 

Medicaid fraud (MMF), waste and abuse. The goal is to give advice, guidance and technical assistance (TA) to Senior 

Medicare Projects (SMP) Nationwide, and to raise consumer awareness about Medicare/Medicaid Fraud (MMF), waste 

and abuse. The objectives are: 1) to support these four NCPTARC projects regarding MMF issues; 2) to disseminate 

educational materials; 3) to replicate best practice strategies for promoting consumer awareness regarding waste, fraud, 

and abuse in Medicare and Medicaid (MMF); 4) to provide outreach to minority and non-English speaking individuals 

(MNESI); and 5) to provide education to MNESI. The anticipated outcomes of this MMF program are: an increased 

awareness of beneficiaries regarding the detection and reporting of MMF, error, and abuse; advice, guidance and TA to 

elderly consumers; a Consumer Protection Resource Center (CPRC); and partnership strategies. The products of this 

MMF project are a final report; a CPRC; SMP and MMF materials; educational materials and a national SMP conference 

call to discuss the partnership training manual.

Project Period: 08/01/2000 - 07/31/2005

FY Grant Amount

FY 2000

FY 2001

FY 2002

159,000

155,000

135,000

3 Empire State Plaza 

NEW YORK STATE OFFICE FOR THE AGING

Program: National Consumer Protection Technical Resource Center

90AM2690 National Long Term Care Ombudsman Resource Center

Washington, DC 20036

Contact: Alice H Hedt (202)332-2275

This is a three year cooperative agreement between AoA and the National Citizens' Coalition for Nursing Home Reform. 

The project goal is to equip the long-term care ombudsmen to carry out their responsibilities under the Older Americans 

Act as the ombudsman. Responsibilities are to: 1) address the problems and complaints of residents of long-term care 

facilities; and 2) represent residents needs and interests. To attain these goals, the Center will provide support, training 

and technical assistance to the ombudsman network that daily responds to requests for assistance from facility residents, 

their families and the public. The five objectives are: 1) to direct training and training materials to enhance ombudsman 

skills; 2) to develop specific products and dialogue forums; 3) to conduct daily technical assistance, and information and 

referral services on program management, program promotion, training and pertinent national and state long-term care 

issues; 4) to promote the ombudsman program; and 5) to collaborate efforts to strengthen ombudsman involvement in 

state and national initiatives. The anticipated outcomes include: transmittal of current and accurate information to 

ombudsmen and State Agencies on Aging directors, to improve their state training, management, program promotion 

and advocacy functions; and full utilization of the Center's technical assistance and products. Products include a final 

report; training materials; data base enhancements; and conference materials.

Project Period: 06/01/2003 - 05/31/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

550,000

550,000

550,000

550,000

1828 L Street, NW, Suite 801 

NATIONAL CITIZEN'S COALITION FOR NURSING HOME REFORM

Program: National Long-Term Ombudsman Program
FY2005 Compendium - Page 120 of 261 

90AP2640 National Legal Resource Initiative for Financially Distressed Elders

Boston, MA 02110-1006

Contact: Nancy M. M Coleman (617)542-8010

This three year project is managed by the National Consumer Law Center (NCLC), which will partner with private bar 

associations, volunteer attorneys, and others. The goal of this National Legal Assistance and Elder Rights project is to 

help older Americans avoid or remedy economic exploitation, understand their financial options, and make reasoned, 

informed consumer decisions to prolong their independence. The objectives of this NLAER program are: 1) to increase 

the number of qualified local providers; 2) to share NCLC's consumer law expertise with legal assistance providers 

representing elderly clients; 3) to disseminate legal and consumer education materials (designed to empower elders) to 

attorneys and advocates regarding the pressing consumer law needs of older Americans; 4) to improve communication 

and coordination on consumer law topics; 5) to expand NCLC expertise; and 6) to evaluate NCLC effectiveness in 

meeting the consumer law needs of older Americans. The expected outcomes are: specialized legal training; advice and 

co-counseling; an improvement in the quality and accessibility of legal assistance for older Americans; a decreased 

number of elders who fall prey to consumer scams and abuses in the marketplace; and intensive, substantive 

workshops. The products are a final report, an evaluation, detailed practice manuals with legal pleadings, a report on 

Lessons Learned, and other publications and brochures.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

150,000

149,025

149,025

77 Summer Street, 10th Floor 

NATIONAL CONSUMER LAW CENTER

Program: National Legal Assistance and Elder Rights

Strengthening Leadership and Quality and Accessibility of Legal Assistance and Elder 

Rights Activities

90AP2641

Ann Arbor, MI 48103-8103

Contact: Penelope Hommel (734)665-1126

The goal of this National Legal Assistance and Elder Rights Project (NLAER) project is to enhance legal assistance and 

elder rights advocacy programs to ensure seniors' access to essential services and benefits. The objectives are: 1) to 

enhance the leadership capacity of State and Area Agencies on Aging to support elder rights activities; 2) to improve the 

quality and accessibility of the legal assistance provided to older people; and 3) to coordinate and collaborate with AoA, 

the Legal Services Corporation (LSC), other NLAERPs, and other non-legal organizations. The anticipated outcomes 

are: enhanced leadership of state Legal Assistance Developers; increased focus/resources by the LSC; outcome 

measures for legal assistance programs; critical guidance to state and local legal programs through an 

expanded/updated Comprehensive Guide to the Delivery of Legal Services; and enhanced coordination of legal 

assistance and community-based long-term care programs.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

150,000

149,025

149,025

2307 Shelby Avenue 

THE CENTER FOR SOCIAL GERONTOLOGY, INC.

Program: National Legal Assistance and Elder Rights
FY2005 Compendium - Page 121 of 261 

90AP2642 Legal Assistance in a Time of Change

Washington, DC 20005

Contact: Holly Robinson 

The ABA Fund for Justice and Education is the grantee for this three year National Legal Assistance and Elder Rights 

(NLAER) Project. The goal is to enhance State (SUA) and Area Agencies on Aging (AAA) capacity to support elder rights 

and improve the quality and accessibility of legal assistance for vulnerable elders and limited-English speakers. The 

objectives are: 1) to identify issues and resources and provide a forum for consultations; 2) to enhance elder rights using 

education and training; 3) to provide assistance on substantive legal and ethical issues; 4) to support legal assistance 

and elder rights advocacy systems. The anticipated outcomes of this NLAER project are: 1) State and Area Agencies, 

Title IIIB (Older American Act) attorneys, private attorneys and state bar associates will have improved their knowledge 

and awareness of legal issues and resources affecting older persons; 2) Legal Assistance Developers, State Long-Term 

Care Ombudsmen, and bar section and committee chairs will have received legal publications; 3) consumers will have 

benefited from materials and technical assistance to advocates by retaining housing, preserving health or financial 

decision-making authority, receiving benefits to which they are entitled, and avoiding scams. The products of this NLAER 

program are a final report, bulletins, publications, fact sheets, consumer's tool kits, brochures (Spanish), and articles.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

150,000

149,025

149,025

740 15th Street, NW 

AMERICAN BAR ASSOCIATION FUND FOR JUSTICE AND EDUCATION

Program: National Legal Assistance and Elder Rights

90AP2643 National Legal Assistance and Elder Rights Project

Washington, DC 20049

Contact: Ellen Lebowitz (202)434-2787

The AARP Foundation is managing this three year National Legal Assistance and Elder Rights (NLAER) Project. The 

goal of the National Training Project (NTP) is to enhance the leadership capacity of State and Area Agencies on Aging in 

order to support vulnerable elder rights and to improve the quality and accessibility of legal assistance and information 

provided to elders. This will be accomplished by offering training and materials to advocates and elders, and by 

coordinating National Conferences on Law and Aging. The objectives are: 1) to conduct 15 trainings annually on issues 

of law, advocacy skills, and strategic planning; 2) to train 2,460 and 3,360 advocates during the three year grant period; 

3) to conduct 2 coalition building events each year; 4) to update modules on nine areas of the law; 5) to update modules 

on three advocacy skills; and 6) to publish 51 state-specific planning for incapacity booklets. The anticipated outcome is 

an increase in the number of individuals with enhanced knowledge of elder law and advocacy issues. The products are a 

final report, on-line modules, overhead presentations, enhanced website, newsletters and booklets, conference 

materials, and materials in Spanish.

Project Period: 09/30/2002 - 09/29/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

150,000

149,025

149,025

601 E Street NW 

AARP FOUNDATION

Foundation Programs

Program: National Legal Assistance and Elder Rights
FY2005 Compendium - Page 122 of 261 

90AP2644 National Support for Legal Assistance and Elder Rights

Washington, DC 20005-0005

Contact: Edward C King (202)289-6976

This a three year National Legal Assistance and Elder Rights Project. The goal is to increase the well-being of older 

persons by enhancing the quality and accessibility of legal assistance and advocacy available to them, especially the 

most vulnerable, including minorities and limited-English speaking populations. The objectives are to: 1) publicize the 

availability of substantive assistance; 2) provide effective case consultations; 3) produce and disseminate written 

information to the aging network; 4) offer training workshops; 5) facilitate, review, assess, and work to improve this 

system; 6) conduct a two-year Pilot Project in a state, convening interested parties; and 7) produce a report of the Pilot 

Project. The target populations are Hispanics, Native Americans and African Americans. The project outcomes are: 

providing reliable information; supporting training and assistance to aging network advocates; and assessing and 

enhancing legal delivery systems. The products of the NLAER program are manuals and guides, specialized mailings, 

enhanced website, reports, and analyses.

Project Period: 09/01/2002 - 08/31/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

150,000

149,025

149,025

1101 14th Street, NW - Suite 400 

NATIONAL SENIOR CITIZENS LAW CENTER

Program: National Legal Assistance and Elder Rights

90AP2645 Furthering a Commitment to Legal Services

Washington, DC 20005

Contact: Holly Robinson (202)662-8694

The ABA Fund for Justice and Education is the grantee for this three year National Legal Assistance and Elder Rights 

(NLAER) Project. The goal is to enhance State and Area Agencies on Aging capacity to support elder rights and improve 

the quality and accessibility of legal assistance for vulnerable elders and limited-English speakers. The objectives are: 1) 

to identify issues and resources and provide a forum for consultations; 2) to enhance elder rights using education and 

training; 3) to provide assistance on substantive legal and ethical issues; and 4) to support legal assistance and elder 

rights advocacy systems. The anticipated outcomes of this NLAER project are: 1) State and Area Agencies, Title IIIB 

(Older American Act) attorneys, private attorneys and state bar associates will have improved their knowledge and 

awareness of legal issues and resources affecting older persons; 2) Legal Assistance Developers, State Long-Term 

Care Ombudsmen, and bar section and committee chairs will have received legal publications; and 3) consumers will 

have benefited from materials and technical assistance to advocates by retaining housing, preserving health or financial 

decision-making authority, receiving benefits to which they are entitled, and avoiding scams. The products of this NLAER 

program are a final report, bulletins, publications, fact sheets, consumer's tool kits, brochures (Spanish), and articles.

Project Period: 09/30/2005 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 740 15th Street, NW 

American Bar Association Fund for Justice and Education

Commission on Law and Aging

Program: National Legal Assistance and Elder Rights
FY2005 Compendium - Page 123 of 261 

90AP2646 AARP Foundation National Legal Training Program

Washington, DC 20049

Contact: Marcy Gouge (202)434-2197

The AARP Foundation is managing this three year National Legal Assistance and Elder Rights (NLAER) Project. The 

AARP Foundations National Legal Training Project (NLTP) provides comprehensive training to legal service providers, 

AAA staff, and other advocates through national on-site and web-based trainings, quality written training documents, and 

periodic national conferences. In addition to direct training, the project provides follow-up technical assistance to training 

participants through individualized help and free materials. The goal of the NLTP is to enhance the leadership capacity 

of State and Area Agencies on Aging in order to support vulnerable elder rights and to improve the quality and 

accessibility of legal assistance and information provided to elders. Yearly anticipated outcomes are: 1) 1000-1,600 

advocates will have increased knowledge and confidence in their ability to use their legal knowledge and advocacy skills 

in their work as elder advocates; 2) 5,000 users of NLTP legal materials will have increased knowledge of elder rights 

issues; and 3) 16,000 advocates will have increased knowledge of resources and tools available to assist their clients. 

These outcomes will be achieved by: delivering 15-20 customized, on-site trainings in elder law and advocacy skills; 

expanding use of training module "Law Enforcement and the Elderly" to bank tellers and staff; "Reach Out to Indian 

Country" project for American Indian and Alaskan Natives; providing TA to past training participants and to those seeking 

TA in strategic planning and coalition building; developing and updating written materials on elder law topics and 

advocacy skills; publishing and disseminating quarterly newsletter; maintaining website with information; and serving as 

lead coordinator for the National Aging and Law Conference.

Project Period: 09/30/2005 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 601 E Street, NW - Suite B4--240 

AARP Foundation

Program: National Legal Assistance and Elder Rights

90AP2647 National Legal Resource Initiative for Financially Distressed Elders

Boston, MA 02110

Contact: Willard P Ogburn (617)542-8010

This three year project is managed by the National Consumer Law Center (NCLC), which will partner with private bar 

associations, volunteer attorneys, and others. The goal of this National Legal Assistance and Elder Rights project is to 

help older Americans avoid or remedy economic exploitation, understand their financial options, and make reasoned, 

informed consumer decisions to prolong their independence. The objectives of this NLAER program are: 1) to increase 

the number of qualified local providers; 2) to share NCLC's consumer law expertise with legal assistance providers 

representing elderly clients; 3) to disseminate legal and consumer education materials (designed to empower elders) to 

attorneys and advocates regarding the pressing consumer law needs of older Americans; 4) to improve communication 

and coordination on consumer law topics; 5) to expand NCLC expertise; and 6) to evaluate NCLC effectiveness in 

meeting the consumer law needs of older Americans. The expected outcomes are: specialized legal training; advice and 

co-counseling; an improvement in the quality and accessibility of legal assistance for older Americans; a decreased 

number of elders who fall prey to consumer scams and abuses in the marketplace; and intensive, substantive 

workshops. The products are a final report, an evaluation, detailed practice manuals with legal pleadings, and other 

publications and brochures.

Project Period: 09/30/2005 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 77 Summer Street, 10th Floor 

National Consumer Law Center

Program: National Legal Assistance and Elder Rights
FY2005 Compendium - Page 124 of 261 

90AP2648 National Legal Assistance and Elder Rights

Ann Arbor, MI 48103

Contact: Penelope A Hommel (734)665-1126

The goal of this National Legal Assistance and Elder Rights Project (NLAER) project is to enhance legal assistance and 

elder rights advocacy programs to ensure seniors' access to essential services and benefits. The objectives are: 1) to 

enhance the leadership capacity of State and Area Agencies on Aging to support elder rights activities; 2) to improve the 

quality and accessibility of the legal assistance provided to older people; and 3) to coordinate and collaborate with AoA, 

the Legal Services Corporation (LSC), other NLAERPs, and other non-legal organizations. The anticipated outcomes 

are: enhanced leadership of state Legal Assistance Developers; increased focus/resources by the LSC; outcome 

measures for legal assistance programs; critical guidance to state and local legal programs through an 

expanded/updated Comprehensive Guide to the Delivery of Legal Services; and enhanced coordination of legal 

assistance and community-based long-term care programs.

Project Period: 09/30/2005 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 2307 Shelby Avenue 

THE CENTER FOR SOCIAL GERONTOLOGY, INC

Program: National Legal Assistance and Elder Rights

90AP2649 National Support for Legal Assistance and Elder Rights

Washington, DC 20005

Contact: Edward C King (202)289-6976

This a three year National Legal Assistance and Elder Rights Project. The goal is to increase the well-being of older 

persons by enhancing the quality and accessibility of legal assistance and advocacy available to them, especially the 

most vulnerable, including minorities and limited-English speaking populations. The objectives are: 1) publicize the 

availability of substantive assistance; 2) provide effective case consultations; 3) produce and disseminate written 

information to the aging network; 4) offer training workshops; and 5) facilitate, review, assess, and work to improve this 

system. The target populations are attorneys and other advocates working with legal assistance providers funded under 

Title III, and constituents of the National Caucus and Center on Black Aged, Inc., National Indian Council on Aging 

(NICOA), the National Health Care Association (NHCA), and the National Asian Pacific Center on Aging. The project 

outcomes are: enhanced leadership capacity of State and Area Agencies on Aging and faith-based organizations to 

support elder rights activities and improve the quality and accessibility of the legal assistance provided to older people. 

Examples of products to meet these outcomes are: producing a model consumer guide to assisted living; producing a 

newsletter and 4 practice issue alerts with updates on new legal developments; outreach and technical assistance to 

state and local area agencies on aging; technical assistance and case consultations to legal assistance providers for at 

least 500 individual cases per year; and trainings for the network.

Project Period: 09/30/2005 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 1101 14th Street, NW Ste 400 

NATIONAL SENIOR CITIZENS LAW CENTER

Program: National Legal Assistance and Elder Rights
FY2005 Compendium - Page 125 of 261 

90AM2435 Pension Counseling Through Law School Clinics

Tuscaloosa, AL 35487-0104

Contact: Norman Stein 

The University of Alabama, the grantee, will manage this Pension Counseling project. The new Law School Clinic project 

will employ volunteer students. The project director will be responsible for the day-to-day operation of the clinic and serve 

as a resource to the students on some of the less complex cases. The goal of the project is to assist seniors and provide 

them with pension counseling and information about life course planning and legal questions on retirement. The 

objectives of the project are: 1) to provide information to seniors on pensions; 2) to use student volunteers to counsel 

seniors on less complex legal cases; 3) to provide technical assistance to other pension projects; 4) to provide on-site 

training to law students who help seniors; 5) to provide supervision for the more complicated cases; and 6) to conduct 

research on pension counseling. The anticipated outcomes are: outreach activities; a cadre of Law School Clinic 

volunteers; Pension Rights Center activities in DC; training for all of the pension projects staff; and research into gaps in 

the law and utilization of Pension Counseling Clinics. The products are a final report, Law School clinic materials, and 

volunteer student reports.

Project Period: 09/30/2000 - 12/31/2004

FY Grant Amount

FY 2000

FY 2001

FY 2002

74,928

74,989

73,408

Box 870104 

THE UNIVERSITY OF ALABAMA

Program: Pension Information Counseling Projects

90AM2799 Midwest Pension Rights Project

St. Louis, MO 63139

Contact: Suzanne Lagomarcino (314)725-5862

The Gateway Chapter (St. Louis, MO) of the Older Women's League will create the regional Midwest Pension Rights 

Project by combining the experience and resources of the Pension Benefits Project (Missouri) and the Chicago Pension 

Information Effort Project, along with new partners. The transition will be seamless for persons currently being served by 

the Projects, while expanding services to the region. The goal is to provide workers and retirees with a full range of 

pension counseling services concerning private and government plans. The objectives are: 1) offer comprehensive 

counseling, advocacy and referral services to individuals; 2) conduct outreach targeting low-income women, minorities 

and non-English speaking populations; 3) build on the experience of the Missouri and Chicago projects, incorporating 

"best practices" in casework and coalition building; and 4) educate workers about the value of saving for retirement. 

Outcomes will be: improved economic security and peace of mind for clients; increased awareness of pension rights; 

and workers saving for retirement. Successful strategies and educational materials will be shared at the Washington DC 

Conference and on the PensionHelp America Web site. Products include a final report, educational materials, and 

website resources.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

149,614

149,902

149,972

149,853

2165 Hampton Avenue 

OWL, THE VOICE OF MIDLIFE AND OLDER WOMEN

Program: Pension Information Counseling Projects
FY2005 Compendium - Page 126 of 261 

90AM2800 Mid-Atlantic Pension Counseling Project

New York, NY 10036

Contact: Ann Biddle (212)391-0120

Legal Services for the Elderly of New York City (LSE) will establish the Mid-Atlantic Pension Counseling Project to deliver 

pension counseling and advocacy to the States of New York and New Jersey. In the first year, LSE will serve New York, 

with special emphasis on rural counties, and in the second year LSE will expand to serve all of New Jersey. In addition, 

LSE will serve pensioners who no longer reside in New York or New Jersey, but whose employers were headquartered 

in these states. The major objective will be resolution of clients' pension problems. Outcomes will include development 

of powerful, state-of-the-art technology for high-quality, low-cost voice, fax, data transfer, video teleconferencing, and 

broadband Internet access. The low cost will permit LSE to invest substantial resources immediately in experienced staff. 

The sophisticated network will allow staff to perform many tasks quickly and efficiently; will allow staff to train advocates 

in remote locations in real-time video sessions; and will allow LSE to add services in New Jersey seamlessly. In sum, the 

technology will enable LSE to bring pension counseling to more people. LSE will partner with The Rural Law Center of 

New York (RLC) to expand outreach in New York's rural counties. Products will include a replicable protocol to 

investigate "lost pensions" for distribution to all legal services providers in the region, as well as to other pension 

counseling projects, and non-English products for the New York markets, to be refined for release in New Jersey.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

149,974

149,974

149,974

149,974

130 West 42nd Street, 17th Floor 

Legal Services for the Elderly

Program: Pension Information Counseling Projects

90AM2899 New England Pension Assistance Project (NEPAP)

Boston, MA 02125

Contact: Ellen A Bruce (617)287-7300

The New England Pension Assistance Project proposes to increase workers' and retirees' knowledge of and access to 

retirement benefits in the six New England states (Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island, 

and Vermont). The applicant's objectives are: 1) to maximize individuals' retirement standard of living; 2) to educate 

older workers, retirees, and the community about different types of pensions and retirement income, as well as issues 

affecting eligibility; 3) to identify recurring problems faced by workers in obtaining adequate pensions; and 4) to target 

outreach to women, low-income and minority workers and retirees, and elders with limited English proficiency. The 

project proposes to accomplish its goal through a program of individual counseling and referrals, case investigation, legal 

research, community education, and outreach. Products will include a final report.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

137,000

159,064

150,000

UNIVERSITY OF MASSACHUSETTS BOSTON

100 Morrissey Boulevard

Program: Pension Information Counseling Projects
FY2005 Compendium - Page 127 of 261 

90AM2900 Great Lakes Pension Rights Project

Lansing, MI 48917

Contact: Katherine B White (517)853-2375

Elder Law of Michigan proposes to continue the services currently rendered by the regional Great Lakes Pension Rights 

Project. The primary goal is to maintain and expand pension counseling services in Michigan and Ohio by increasing 

expertise in public pension plans. The secondary goal is to expand service to additional states by using referral partners, 

primarily Senior Law Center of Pennsylvania and the Access to Justice Foundation (Kentucky), to identify 

pension-related cases through their senior legal helplines for referral to Michigan and Ohio. Products for development 

include flyers for national dissemination, web-based information on state and local pension issues, and a training outline 

to help other projects train and support law student volunteers in pension work. 

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

137,000

150,000

150,000

3815 W. St. Joseph St., Suite C-200 

ELDER LAW OF MICHIGAN, INC

Program: Pension Information Counseling Projects

90AM2901 Upper Midwest Pension Rights Project

St. Paul, MN 55104

Contact: Mary Browning (651)645-0261 121

The Upper Midwest Pension Rights Project proposes to serve workers and retirees with high-quality, comprehensive and 

cost-effective pension information, counseling, advocacy and referral services through a coordinated, multi-state, 

regional service delivery model. The five-state region to be served will include Minnesota, Wisconsin, Iowa, North 

Dakota and South Dakota. Outreach through the creative use of PensionNet, a comprehensive web of state and 

regional service networks serving the needs of seniors, women and minorities, will be enhanced by comprehensive 

media plans and training programs. National initiatives will be supported through the sharing of information and lessons 

learned with other pension counseling projects nationwide. Products will include a final report and a comprehensive 

website with links to fact sheets, resources, and information regarding public plans for the five-state region.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

137,000

150,000

150,000

1885 University Avenue, Suite 171 

Minnesota Senior Federation

State Office

Program: Pension Information Counseling Projects
FY2005 Compendium - Page 128 of 261 

90AM2902 Pension Information Counseling and Assistance Program of the Southwest

Austin, TX 78701

Contact: Paula J Pierce (888)343-4414

Texas Legal Services Center will implement the Pension Information, Counseling & Assistance Program of the 

Southwest (PICAPS). PICAPS will provide assistance to individuals with pension problems and questions in Texas and 

surrounding southwestern states. Under PICAPS, the benefits counseling partnership between Texas Legal Services 

Center and the Area Agencies on Aging will be expanded to include pension counseling. PICAPS' goal is to assist 

workers, retirees, and beneficiaries in their ability to secure enforcement of legal rights under pension and retirement 

savings plans. Through targeted outreach, PICAPS' efforts will be focused on reaching low-income individuals, 

minorities, Native Americans, women, and non-English speaking individuals. Products will include statistical reports 

(outreach, referral source, benefits, demographics, plan and sponsor type, recoveries, etc.); a final report; and data 

collection regarding cash benefits recovered.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

50,000

65,000

65,000

815 Brazos, Suite 1100 

Texas Legal Services Center, Inc.

Legal Hotline for Texans

Program: Pension Information Counseling Projects

90AM2798 National Pension Assistance Resource Center

Washington, DC 20036

Contact: John Hotz (202)296-3776

The Pension Rights Center is in the process of expanding its Technical Assistance Project into a National Pension 

Assistance Resource Center, supporting not only AoA's Pension Counseling and Information Program, but a nationwide 

pension information and assistance network as well. Goals of the applicant are to: 1) strengthen pension counseling 

skills and capacities of AoA's Pension Counseling Projects, State and Area Agencies on Aging, and legal service 

providers for older Americans; and 2) design and implement PensionHelp America, the first nationwide network of 

pension information and assistance resources, accessible through the Internet. Objectives are: to provide technical 

support services through training events, onsite consultations, telephone, and e-mail communications to develop a 

nationwide dataset of pension assistance resources; and to produce a basic set of recommendations and strategies for 

advancing pension assistance on a national level. Products will include training manuals and videos, e-newsletters, and 

a national pension assistance database.

Project Period: 09/30/2003 - 09/29/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

400,000

400,000

346,000

346,000

1350 Connecticut Avene, N.W, Suite 206 

PENSION RIGHTS CENTER

Program: Pension Technical Assistance Project
FY2005 Compendium - Page 129 of 261 

90AM2794 Consumer Law Project for Seniors

Manchester, NH 03101

Contact: John/Cheryl Tobin/Driscoll (603)644-5393

New Hampshire Legal Assistance (NHLA), in collaboration with key legal, community, and faith-based organizations, will 

develop a 3-year project titled The Consumer Law Project for Seniors (CLPS), to improve and expand the delivery of 

legal services to New Hampshire seniors victimized by consumer-related abuses and financial exploitation. The project 

will train service providers, police, and judges; outreach to minority and rural elderly and legislators; create a pilot 

consumer law clinic and self-help office; and recruit and train private attorneys to handle pro bono and reduced fee 

consumer cases. NHLA anticipates the following outcomes: 1) increased availability of affordable legal services to 

seniors in consumer areas; 2) increased referrals to the Advice Line/CLPS by service providers, police, and judges; and 

3) increased prevention and remediation of consumer abuses and financial exploitation of seniors in New Hampshire. 

NHLA target audiences will include rural, isolated elderly; non-English speaking elderly; elder care providers; social 

workers; police and other law enforcement officials; district court judges; private attorneys; Health Insurance Counseling, 

Education Assistance Services network; and the Division of Adult and Elderly Services. Products will include a final 

report.

Project Period: 09/30/2003 - 09/30/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

90,000

90,000

90,000

1361 Elm Street, Suite 307 

NEW HAMPSHIRE LEGAL ASSISTANCE

Program: Senior Legal Services-Enhancement of Access

90AM2795 Statewide Senior Legal Hotline

Seattle, WA 98104

Contact: Joan Kleinberg (206)464-1519

Northwest Justice Project (NJP) proposes a 3-year project to pilot an "enhanced" statewide legal service delivery system 

that offers broad telephonic access to legal assistance, exploring the most effective and efficient ways to act on the 

findings of the 2002 Hotline Outcomes study and the 2003 Senior Statewide Legal Hotlines Client Outcomes Study. 

NJP's test of these study recommendations will provide the legal community with information about the extent to which 

such measures actually improve client outcomes, and NJP will also develop tools to assist programs in implementing 

such an "enhanced" hotline model. NJP anticipates the following outcomes: 1) preservation of tenancy in rental housing; 

2) eligibility for coverage of medical care through Medicaid or Medicare; 3) ending collection activity on alleged 

indebtedness; and 4) preservation of income. Target audiences include: seniors of limited literacy; seniors with mental 

or physical disabilities; geographically isolated seniors; limited-English speaking seniors, especially Spanish and 

Vietnamese speaking; seniors of the lowest education levels; and social service providers. It is anticipated that there will 

be a 20% increase in the number of seniors who favorably resolve legal problems affecting housing, income and benefits 

preservation, safety and independence, and consumer protection. Products will include a final report.

Project Period: 09/30/2003 - 09/29/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

100,000

100,000

100,000

401 Second Avenue South - Suite 407 

NORTHWEST JUSTICE PROJECT

Program: Senior Legal Services-Enhancement of Access
FY2005 Compendium - Page 130 of 261 

90AM2796 Senior Legal Hotline

Sacramento, CA 95814

Contact: David Mandel (916)551-2142

Legal Services of Northern California proposes to expand to a statewide senior legal services program over the next 3 

years. In collaboration with various legal service providers, area ombudsmen, Area Agencies on Aging, the State Bar, 

law schools, and local community and faith-based organizations, the Senior Legal Hotline Plus (SLH) will reach out to 

needy seniors throughout California, especially those who are low income, disabled, isolated, or non-English speaking. 

Legal Services of Northern California anticipates the following measurable outcomes as a result of statewide expansion: 

1) an increase in the number of seniors who receive income from all sources for which they are eligible and in the 

number who avoid home loss, consumer rip-offs, scams, and other financial abuse; 2) an increase in the number of 

seniors able to plan their estates as they wish, including the maintenance of maximum independence; 3) more seniors 

who are raising grandchildren able to navigate the legal system; and 4) improved services for seniors from other legal 

call centers as a result of SLH activities and dissemination of information. Products will include a final report.

Project Period: 09/30/2003 - 09/29/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

135,000

135,000

135,000

444 North 12th St. Suite 312 

LEGAL SERVICES OF NORTHERN CALIFORNIA

Program: Senior Legal Services-Enhancement of Access

90AM2797 Predatory Lending

Hammond, LA 70404-0404

Contact: Brian Lenard (985)345-2130

Southeast Louisiana Legal Services Corp. (SLLS) proposes a three year project to prevent Louisiana seniors from losing 

their homes to predatory mortgage companies. The objectives are: 1) to provide representation to owners of homes in 

foreclosure; 2) to educate the elderly to the dangers that can arise in mortgaging their homes; and 3) to train public 

interest and pro bono attorneys to challenge foreclosures. These objectives will be pursued by a consortium of 

programs, both governmental and community-based, and the target audiences will include rural seniors; monolingual 

Spanish, Vietnamese, and French-speaking seniors; and state and local attorneys. The core providers of service will be 

one intake paralegal and two attorneys. They will provide representation in these cases, and expertise/assistance to 

others throughout the state handling these cases. Expected outcomes are that 400 homes will be saved from 

foreclosure and, in another 100 cases some other material benefit to the client will be achieved. Products include training 

materials, form pleadings, annual reports, publications and outreach/educational materials addressing this critical 

problem. These will be distributed locally and nationally to direct service providers.

Project Period: 09/30/2003 - 09/29/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

95,000

95,000

95,000

PO Drawer 2867 

Southeast LA Legal Services Corp.

Program: Senior Legal Services-Enhancement of Access
FY2005 Compendium - Page 131 of 261 

90AM2905 Senior Medicare Patrol Program Integration Grant (TierII)

Madison, WI 53718-6751

Contact: Helen M Dicks (608)224-0606

This is the second year of a two-year grant to integrate the state Senior Medicare Patrol program into the fabric of the 

aging services network. The goal of the project is to complete development of a comprehensive training and compliance 

program for allied health care professionals. Self study and lecture-based material will instruct social workers, 

pharmacists, nurses and physicians on the public benefits and resources for assisting patients with benefits, and for 

protecting these benefits from error, fraud, and abuse. Interest in Medicare part D has provided opportunities to partner 

with other community groups, volunteer programs and professional associations. Target population: Medicare 

beneficiaries. Collaborators: WI SHIP, WI Multi- Agency Response to Part D, various community organizations, 

professional associations and the law enforcement community. FY 2004 Anticipated Outcomes: Developed and 

disseminated Agents and Deceptive Practices booklet about reporting and detection procedures; and coordinated roll-out 

of Wisconsin-specific Medicare Modernization Act (MMA) media campaign, including press releases, talk shows etc. 

The results of this project will be disseminated to all Senior Medicare Patrol projects through AoA's SMP resource center.

Project Period: 09/30/2004 - 12/31/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 2850 Dairy Drive, Suite 100 

Coalition of Wisconsin Aging Groups

Program: Senior Medicare Patrol Program Integration

90AM2906 Senior Medicare Patrol Integration Project For Rural Hispanic Communities (SM-PIP)

Washington, DC 20036

Contact: Charles Mendoza Ph.D.,J.D. (202)265-1228

This is the second year of a two-year project to increase knowledge and provide the skills necessary for Hispanic senior 

participants to understand and utilize the new Medicare Modernization Act (MMA) benefits and to avoid fraudulent 

schemes that may be associated with discount drug cards or preventive services. The project has promoted MMA and 

prevention efforts through the training of peer advocates, launching a community-based education campaign, 

establishing new partnerships with organizations that serve the Hispanic community and disseminating lessons learned 

and outcomes through a network of organizations, consumers and service providers. In addition, NHCOA recognizes the 

role of the family in getting their message to seniors, who are often very close to and involved with family members.

Collaborators: University of TX- Pan American, RSVP, City of La Joya, KLJS TV 17, Our Lady Queen of Angels Parish, 

La Voz Del Anciano, and Senior Companion program.

Anticipated activities/outcomes: bilingual peer volunteers, project staff and advisory committee members provided for 

media MMA events; web site enhanced to include links to local and national resources related to benefits and fraud 

control; new partnerships developed with health and social service providers, representatives of local area aging 

network, senior center staff and community leaders; and participated in one media event quarterly using materials 

adapted to local language and culture.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

95,509

95,509 1341 Connecticut Avenue, N.W., Suite 4.2 

The National Hispanic Council on Aging

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 132 of 261 

90AM2907 Operation Restore Trust of Iowa SMP Integration Grant

Des Moines, IA 50309

Contact: Shirley Merner (515)242-3333

This is the second year of a two-year project to create and disseminate curriculum focused on increasing the number of 

fraud referrals made to the Iowa Medicaid Fraud Control Unit (MFCU) and the number of dollars recouped in Medicaid 

fraud due to divestiture (arrangement of assets to become Medicaid eligible). Hamilton College, the Iowa MFCU and the 

grantee have united to achieve this goal. The intervention will consist of a public education campaign to help identify 

people in their communities who may be using Medicaid as an inheritance protection plan. Target Population: Iowa's 

Medicaid beneficiaries will be reached through outreach and education at AAA sites. Products and Project Outcomes: 

increased Medicaid recovery as awareness of divestiture increases; Iowa Law Enforcement Needs Assessment Survey 

developed; and Medicaid divestiture fraud (MDF) case curriculum & training package developed. Dissemination: a 

statewide television campaign will be conducted to reach those unable to attend community education events. The 

results of divestiture education will be provided to AoA in the final report.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 200 Tenth Street 

Iowa Department of Elder Affairs

Program: Senior Medicare Patrol Program Integration

90AM2908 Senior Medicare Patrol Integration Continuation Project

Sacramento, CA 95819

Contact: Julie Schoen (714)560-0309

This is the second year of a two-year project to develop a partnership with the California Department of Justice (DOJ) 

that will expand the Senior Medicare Projects capacity and begin to educate consumers regarding Medi-Cal (Medicaid). 

This project has not previously dealt with Medicaid fraud, which accounts for more than $29 billion in annual 

expenditures - nearly one-quarter of the State's entire budget. Currently, beneficiaries get their information about MMA 

from their local pharmacy. A secondary goal will be to establish a private sector fraud-based education program on MMA 

by establishing a relationship with a nationwide pharmacy chain. The project has contacted Walgreen's corporate 

headquarters to promote fraud education outreach using a private-sector partner. Special populations and organizations: 

the project has strong relationships with Latino Health Access, The National Association of Pacific Islanders, and State 

and Federal agencies serving these populations, including the CA Dept of Aging and CMS. CHA established and hosts 

the CA Medicare coalition, which meets 6 times per year in regional meetings. Collaborators: California Department of 

Justice Bureau of Medi-Cal Fraud and Elder Abuse, and the Orange County Council on Aging. FY 2004 anticipated 

outcomes: changed, observable behavior of Medi-Cal recipients to detect and report fraud and abuse complaints, and 

established links between the DOJ and the CHA/Scams websites to coordinate "Fraud Alerts"; also, provision of 

consumer education and increased awareness of related issues to 2,500 English speaking pharmacy partner customers.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 5380 Elvas Ave., Suite 104 

California Health Advocates

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 133 of 261 

90AM2909 Senior Medicare Patrol Project Integration

Philadelphia, PA 19103

Contact: Rebecca Nurick (215)545-5728

This is the second year of a two-year project to develop and implement a curriculum targeting home health care fraud in 

Medicare. The project has reached out to: homebound older Pennsylvanians through "Meals on Wheels" providers; 

Russian-speaking dual eligible clients through the Family Caregiver support program; and visually impaired individuals 

from Associated Services for the Blind. Volunteers have completed pre- and post-test training to evaluate their 

knowledge of the material and ability to conduct the presentation. Evaluations collected to date, after/at "Healthy at 

Home" presentations, indicate participants learned something new about Medicare home health benefits, and 98% 

agreed that they will use the fraud prevention tips. Distribution of the presentation was conducted with the Delaware 

Valley Access to Benefits Coalition and the Coalition of Philadelphia APPRISE counselors to promote discount drug card 

information. A summary of all lessons learned will be reported to AoA in the final 2006 report. Partners and 

community-based organizations include: CMS-Region III; OIG-Region III; Pennsylvania Dept. of Aging; AARP PA; 

Philadelphia Corp. for Aging; Community Legal Services; Pharmacia & Upjohn; Podiatrist and professor emeritus at 

Temple University; Albert Einstein Medical Center-APPRISE program (PA's SHIP program); APPRISE of Schuylkill 

County; RSVP of Chester, Montgomery, Bucks, Capital Region, Lehigh Region, Somerset and Schuylkill County, 

Philadelphia East and RSVP. FY 2004 Outcomes: Based on the results of beneficiaries surveyed, the project expects 

that as a result of the curriculum developed there will be an increased awareness of home health care fraud and 

increased reporting of potential fraud in home health, as well as MMA in the long term.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 100 North 17th Street, Suite 600 

Center for Advocacy for the Rights and Interests

of the Elderly

Program: Senior Medicare Patrol Program Integration

90AM2910 The Great Lakes Inter-Tribal Council Senior Medicare Patrol Integration

Lac Du Flambeau, WI 54538

Contact: Wendell Holt (715)588-3324

This is the second year of a two-year project to fully integrate State Medicaid and Indian Health Service (IHS) partners 

into the fabric of Wisconsin's American Indian communities for education, outreach and reporting of health care fraud. 

Tribal, Federal/State partners will work cooperatively to diminish fraud in those American Indian Communities. 

Specifically integrated training on home health and other areas under Medicaid will be offered to tribal aging unit staff, 

who will then train elders and program recipients in their community. A manual documenting this model will be 

disseminated to other tribal communities to replicate this model project. The manual will also be distributed to the SMP 

resource center. Tribal elders and Benefit Specialists will work with the American tribes within their communities to teach 

them about health care fraud. For instance, the Great Lakes Native American Elders Association serving WI and MN 

tribes will be participating in this project. FY 2004 Outcomes: established collaborative relationships with Federal and 

State for a Medicare Part D tribal workgroup; and increased awareness of the issues through the Tribal benefits network, 

a key element of which is a vehicle to communicate CMS findings.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 2932 Highway 47 North 

Great Lakes Inter-Tribal Council, Inc.

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 134 of 261 

90AM2911 Puerto Rico ALF Network Integration Initiative

San Juan, PR 00919-1179

Contact: Rossana Lopez-Leon (787)721-6121

This is the second year of a two-year project to enhance the capability of the current Senior Medicare Project (SMP) in 

Puerto Rico (PR) to integrate its Medicare fraud awareness prevention and reporting activities into the fabric of the aging 

service network at the community level and within the fraud prevention network island-wide. The project is focused on 

Non-English speaking Hispanic senior Medicare beneficiaries. Process and outcome oriented evaluation procedures will 

continue as proposed for year two of the project. All training materials were developed in Spanish and were distributed 

to Center Directors. Collaborators and community-based organizations (CBOs) include: the Centers for Medicare & 

Medicaid Services (CMS) PR field office, and PR Health Assistance Program (IMEDICAID), PR Quality Improvement 

Organization (QIO), Catholic Social Services, Alzheimer's Assoc., PR Diabetes Association, and Asociacion De 

Pensionasos. 100 volunteers from various Senior Centers will be trained to serve as center-based coordinators. FY 

2005 outcomes: strategic project plan developed; monthly workshops conducted for members of the fraud taskforce; 

and 2,000 senior center beneficiaries registered as Medicare Fraud Prevention team members.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 P.O. Box 191179 

Puerto Rico Office of the Ombudsman for the Elderly

Program: Senior Medicare Patrol Program Integration

90AM2912 Senior Medicare Patrol Program Integration

Little Rock, AR 72203-1437

Contact: Herb Sanderson (501)682-2441

This is the second year of a two-year project of the Arkansas Senior Medicare Patrol (SMP) to work with their regional 

partners to expand awareness of SMP activities and make fraud prevention strategies and activities an integral part of 

the state government. Specific goals have been set for each region, i.e., number of individuals in each targeted 

population to be reached by our intervention. To evaluate the effectiveness of this approach the project will track each of 

the Health and Human Services (HHS) Office of the Inspector General (OIG) performance measures by county and or 

zip code. Part of the OIG data collected is on beneficiaries educated and complaints received based on project 

outreach. The results will be disseminated quarterly in a report to all partners. Material has also been developed for 

outreach to nursing home residents and distribution of this material is under way. Collaborators are the University of 

Arkansas, local senior centers, libraries, Catholic Charities, Division of Medical Services, and the Arkansas Foundation 

for Medical Care, the Quality Improvement Organization (QIO). FY 2004 Outcomes: contracted with the University of AR 

to use their GIS application to accurately track and target project efforts. FY 2005 Outcomes: 50% increase in the OIG 

performance measure reported semi-annually; and evaluation of the results of the GIS application tracking system tool in 

the areas with the highest concentrations of the targeted population.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

93,867

93,868 PO Box 1437, Slot S530 

Department of Human Services

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 135 of 261 

90AM2913 MOD Squad

Houston, TX 77027

Contact: Candice Twyman (713)341-6141

This is the second year of a two-year project to assist the Texas State Senior Medicare Patrol project MOD Squad 

provide education and information about the Medicare Modernization Act ( MMA ) to help older adults and their 

caregivers understand the impact of the changes and increase awareness and reporting of suspected fraud. Efforts 

include going to outlying counties and bringing together service providers and beneficiaries to make group 

presentations. Limited English speaking populations will be targeted with translated materials. Key personnel in 

communities will be trained about health care fraud in order to share the message within the community outlets. 

Community-based organizations' Ombudsmen are used to evaluate training methods and track potential abuse in their 

communities. FY 2005 Outcomes: MOD Squad has reached over 22,000 older adults on 91 occasions with information 

about the changes in MMA, making those individuals less susceptible to fraud or errors. Five training sessions were 

conducted to increase the awareness of 137 professionals; training materials have been disseminated in English and 

Spanish to increase awareness of the Medicare changes; and a checklist has been developed for use by providers to 

point out clues that may indicate fraud.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

55,000

55,000 1333 West Loop South, Suite 1200 

Better Business Bureau Education Foundation

Program: Senior Medicare Patrol Program Integration

90AM2914 Indiana Senior Medicare Patrol Integration Project - Senior ESP

Indianapolis, IN 46205

Contact: Melissa A Durr (317)202-0500

This is the second year of a two-year project to develop an innovative model of health care fraud education, with 

emphasis on Medicare Part D, that will be embedded by the Senior Medicare Patrol (SMP) into the Indiana aging 

network . Partnering with the SHIIP, the Medicaid Fraud Unit and a pharmacy chain, the project will develop a training 

module which will include a message for the public regarding fraud. This module will be fully integrated into training for 

AAA case managers, I & E staff, SHIIP counselors and project volunteers. The target population will include rural and low 

income seniors. Collaborators include the Senior Health Insurance Information program, Hoosier RX and the IN Medicaid 

Fraud Control Unit (MFCU). Anticipated activities/outcomes: a fully integrated training module for AAA case managers; 

and a decision tree tool to help project volunteers and others to determine if fraud exists. Dissemination activities will 

include: brochures and other messages in English and Spanish developed at the fourth grade reading level, with a 

consistent and accessible message; and an Email communications network to discuss outreach and other project 

activities. The MFCU will provide guidance on the accuracy of messages developed. The results of this project will be 

provided to AoA, our partners and other interested organizations.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 2506 Willowbrook Pkwy., Suite 250 

IAAAA Education Institute, Inc.

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 136 of 261 

90AM2915 SMP Integration of Medicare and Medicaid

Edsion, NJ 08817-2598

Contact: Charles Clarkson (732)777-1940

This is the second year of a two-year project to integrate the Senior Medicare Patrol project into the state aging services 

network. Emphasis is placed on reaching minority and low-income populations that have traditionally been hard to 

reach. The grantee will develop new statewide collaborations, coalitions and other integration efforts, emulating 

successful practices of established programs and developing new approaches designed to meet the unique needs of the 

state's older population. It will specifically integrate Medicaid and Medicare fraud messages regarding the Medicare 

Modernization Act of 2003 targeting MEDICAID recipients. Collaborators include: NJ Housing and Mortgage Finance 

Agency Services; Healthcare QIO; NJ HHS; AARP; Rutgers Coop Extension; NJ Triad; and NJ Medicaid Fraud Control 

Unit. Anticipated activities/outcomes: 200 beneficiaries and providers and conference attendees will report that 80% 

found it worthwhile; 25 additional potential cases of fraud will be identified; and 8,000 seniors will attend communitybased education. Dissemination activities will reach 650,000 beneficiaries through a media campaign. Products will be 

translated into Spanish, Korean, one Indian dialect, as well as printed in Braille or large print. The results of this effort will 

be reported to AoA, the SMP resource center and others.

.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 515 Plainfield Ave., Suite 201 

Jewish Family & Vocational Service of Middlesex County,

Inc.

Program: Senior Medicare Patrol Program Integration

90AM2916 Illinois Senior Medicare Patrol Integration Program

Oak Park, IL 60301

Contact: Kim B Blechschmidt (708)383-0258

This is the second year of a two-year project to integrate the Illinois Senior Medicare Patrol Project into the Aging 

Services Network. The overall project design will be to develop an innovative model of health care fraud education, with 

emphasis on Medicare Part D, that will be embedded in the aging network across the state of Indiana. Partnering with 

SHIIP, the Medicaid Fraud Unit and a pharmacy chain, the project will develop a training module which will include a 

message for the public regarding fraud. This module will be fully integrated into training for AAA case managers, I & E 

staff, SHIIP counselors and project volunteers. The project will schedule presentations and displays for senior groups, 

professional groups, senior advocate, conferences and seminars. The target population is rural and low income seniors. 

The project coordinator will evaluate and improve training materials as necessary. Collaborators: Senior Health 

Insurance Information program, Hoosier RX and MFCU. The project will involve community-based organizations (CBOs) 

which serve senior groups for educational presentations. FY 2005 Outcomes: increased knowledge and awareness of 

how to prevent, identify and report suspected fraud and abuse through staff, volunteers, and seniors. Products will 

include a training manual and curriculum, brochure on potential Medicare Modernization Fraud, placemats, posters, 

news releases, and fraud alerts to partner organizations.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004

FY 2005

100,000

100,000 1048 Lake Street, Suite 300 

Suburban Area Agency on Aging

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 137 of 261 

90AM2917 SORT Integration Tier I Project

Warrensburg, MO 64093

Contact: Rona J McNally (660)747-5447

This is the second year of a two year project award for the Missouri Senior Medicare Patrol Project to develop new 

statewide collaborations, coalitions and other integration efforts, emulating successful practices of established Senior 

Medicare Patrol programs.This integration project will develop a comprehensive statewide approach to increase 

awareness and detection of MEDICAID fraud among providers, recipients and caregivers. The target population is rural 

and low income individuals. Collaborators include: Missouri Alliance of Area Agencies on Aging, Missouri Attorney 

General's Office, Division of Medical Services Department of Health and Senior Services, Ombudsman Program and 

CLAIM (Missouri's SHIP). Anticipated activities/outcomes: The grantee anticipates that 75% of education seminar 

attendees surveyed will indicate a willingness to report concerns; 90% attending trainings will state that the information 

increased their ability to recognize Medicaid fraud and take appropriate action; and 80% of the Senior Medicare Patrol 

projects receiving materials produced by the project will report those materials useful. Products include a Missouri 

Medicaid manual for professionals and recipients; a senior consumer protection brochure; a consumer pamphlet, 

"Medicaid and You"; home care journal and quarterly tip sheets for Medicaid recipients; a video on pharmacy fraud; and 

information about reading and understanding the Explanation of Benefits (EOB) statement.

Project Period: 09/30/2004 - 11/30/2006

FY Grant Amount

FY 2004

FY 2005

99,857

99,784 106 W. Young Street 

District III Area Agency on Aging

dba Care Connection for Aging Services

Program: Senior Medicare Patrol Program Integration

90AM2918 Senior Medicare Patrol Integration, Tier II

Boise, ID 83706

Contact: Lois S Bauer 

This is the second year of a two year project to integrate Medicare error and fraud awareness and prevention knowledge 

within two rural, underserved regions in Idaho, and hire Fraud Education Specialists to assist beneficiaries understand 

the Medicare Modernization Act of 2004 ( MMA), cultivate new partnerships and help resolve billing errors/fraud 

complaints. The target populations in rural communities will be Hispanic and Native American people. Collaborators will 

include: WA Office of the Insurance Commissioner, Eastern Idaho Special Services Agency, Inc., and Area II Agency 

on Aging. Anticipated activities and outcomes: Medicare beneficiaries and their families and advocates will scrutinize 

Medicare bills and report fraud, error and abuse; and trained volunteers will be used to assist with one-to-one assistance 

with beneficiaries. A local contact list and reporting process will be developed to evaluate the progress of this project. 

The results will be reported to AoA and other interested parties.

.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

96,508

96,508 3380 Americana Terrace, Suite 120 

Idaho Commission on Aging

Program: Senior Medicare Patrol Program Integration
FY2005 Compendium - Page 138 of 261 

90AM2447 Senior Medicare Patrol Project

Edison, NJ 08817-8817

Contact: Irene Stolzenberg (732)777-1940

The Senior Medicare Patrol, NJ Healthcare Advocacy Volunteer Effort (NJHAVE), is in the third year of a three year 

cooperative agreement project administered by the Jewish Family and Vocational Service of Middlesex County, Inc. The 

goal of NJHAVE is to improve the quality of health care for senior citizens provided in New Jersey by addressing 

Medicare, Medicaid and other health insurance discrepancies, including but not limited to waste, fraud and abuse, 

through the use of trained retired persons as volunteers. The objectives of this project are: 1) to continue and expand 

working relationships with local aging and community service agencies; 2) train new Training Associate Agencies; 3) 

recruit and train volunteers; 4) increase awareness of Medicare and Medicaid beneficiaries and their caregivers through 

community and media events; 5) identify and report new potential cases of health insurance discrepancies; 6) evaluate 

effectiveness of the project; and 7) work in collaboration with the NJ State Health Insurance Assistance Program (NJ 

SHIP) on Medicare issues. To achieve the objectives of this project, NJHAVE will collaborate with NJ SHIP, Retired 

Senior Volunteer Programs, NJ Triad Association, NJ Association of Area Agencies on Aging, NJ Housing and Mortgage 

Finance Agency, and Empire Medicare Services. The target populations of the project are Medicare and Medicaid 

beneficiaries, with special outreach to the visually and hearing impaired senior populations. The expected outcomes are: 

increased awareness of fraud; and an increase of reported cases and continued increase of informed health care 

consumers throughout the state. The major products of the project are new and/or revised educational and training 

materials, and outreach and educational materials available in various languages, Braille and large print for the visually 

impaired.

Project Period: 07/01/2001 - 06/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

FY 2004

180,000

180,000

202,000

180,000

515 Plainfield Avenue 

JEWISH FAMILY & VOCATIONAL SERVICE OF MIDDLESEX COUNTY

Program: Senior Medicare Patrol Project

90AM2448 Kentucky Association of Senior Service Corps Senior Medicare Patrol Project

Frankfort, KY 40601

Contact: Judy Cederholm 

This three-year cooperative agreement is a Senior Medicare Patrol (SMP) project managed by the grantee. The 

Kentucky Association of Senior Service Corps collaborated with the local AAAs, State Medicaid Fraud Unit, LTC 

Ombudsman and the Project Advisory Councils. The target population of this SMP project is Kentucky seniors in 40 

counties. The goal of this project is to develop and strengthen the SMP program by making seniors aware of 

Medicare/Medicaid (MMF) waste, fraud, error and abuse and educating seniors on the detection and reporting of fraud 

and abuse, relative to the Medicare statement and services received. The objective of the program is to establish a state 

SMP through the existing Retired Senior Volunteer Program (RSVP). The expected outcome is an SMP Program. The 

products of this project are a final report, training materials, and an RSVP evaluation.

Project Period: 07/01/2001 - 06/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

FY 2004

187,176

164,176

186,176

164,176

3445 Versailles Road #A 

KENTUCKY ASSOCIATION OF SENIOR SERVICE CORPS

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 139 of 261 

90AM2449 Senior Medicare Patrol Project

Cookeville, TN 38506-8506

Contact: Nancy C. C Peace 

The Senior Medicare Patrol (SMP) Project is a three-year cooperative agreement managed by the grantee, the Upper 

Cumberland Development District/AAA. The collaborators of this SMP project are the Area Agency on Aging (AAA), the 

AAA Senior Centers, AARP, Tennessee (TN) Aging and Disability Network, CIGNA, and the LTC Ombudsman. The 

target population is the Senior Centers' individuals. The goal of this project is to develop and support an SMP which will 

prepare and make seniors aware of Medicare/Medicaid waste, fraud, error and abuse. The objective of this program is 

to recruit and train retired persons who will serve as volunteer community experts and develop resources in combating 

health care fraud, waste and abuse. The anticipated outcomes of this project are: recruitment of a cadre of volunteers; 

educational workshops, inc. Agricultural Extension Services workshops; and FBI (TBI-Tennessee Bureau of 

Investigation) trainers. The products of this project are a final report, educational materials, and training materials.

Project Period: 07/01/2001 - 06/30/2005

FY Grant Amount

FY 2001

FY 2002

FY 2003

FY 2004

201,000

180,000

202,000

180,000

1225 South Willow Avenue 

UPPER CUMBERLAND DEVELOPMENT DISTRICT/AAA

Program: Senior Medicare Patrol Project

90AM2580 Senior Medicare Patrol Project

Montgomery, AL 36130-1851

Contact: Judy Meeks 

The Senior Medicare Patrol (SMP) Project is in its third year of a cooperative agreement sponsored by the grantee, 

Alabama Department of Senior Services. The grantee collaborated with Blue Cross Blue Shield (BCBS), NAACP, 

AARP, RSVP, Alabama Nursing Home Association, Association of Home Health Agencies, and the Medicaid Fraud Unit 

of the Attorney General. The goal of this SMP project is to educate seniors about detecting and reporting health care 

error, fraud and abuse. The objective of this SMP program is to work with all 67 counties in the state in order to train 

minorities, the disabled and rural seniors, with the support of the 13 Area Agencies on Aging (AAA), to be aware of, 

detect, and report cases, complaints of error, fraud and abuse in their Medicare/Medicaid billings. The major outcomes 

are: a regional advisory committee of three volunteers each to serve as educators; and increased referral of cases to the 

Medicaid Fraud Unit. The products of this SMP project are: a final report; a volunteer recruitment kit; and a reporting 

system to collect data on evaluation.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

160,000

160,000

770 Washington Avenue, Suite 470 

Alabama Department of Senior Services

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 140 of 261 

90AM2581 Senior Medicare Patrol Project: Volunteer Program

Columbus, OH 43215-3215

Contact: Lisa Durham (614)645-3382

This Senior Medicare Error Patrol (SMP) project is the third year of a three-year cooperative agreement. The 

collaborators are the Ohio Department of Aging workgroup; the Attorney General Office (Victim Assistance, Senior 

Protection Initiative, and Senior Pro Bono project); Council on Aging of Southwestern Ohio; Adult Protective Services; 

and others. The goal of this SMP project is to develop the Senior Medicare Error Patrol by enabling Medicare/Medicaid 

(M/M) beneficiaries to detect and report fraud, error and abuse. The objective of this SMP project is to train and support 

eligible M/M senior in SW Ohio. The major expected outcomes are: a Senior Medicare Patrol established; data collection 

and reporting forms developed; 30 senior volunteers assisting M/M beneficiaries, recruited and trained; and 5000 

seniors reached. The products of this SMP program are a final report; a Senior Medicare Patrol; and project data forms.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

123,128

145,128

123,128

174 E Long Street 

Central Ohio Area Agency on Aging

Program: Senior Medicare Patrol Project

Collaborative SW OH Volunteer Training & Support for Public Education, Counseling & 

Referral for Medicare/Medicaid Fraud

90AM2582

Cincinnati, OH 45237-3838

Contact: Rhonda Y Moore (513)458-5506

This is a three year, co-operative agreement, Senior Medicare Patrol Project (SMP) supported by the grantee, Pro 

Seniors, Inc., in collaboration with the National Council for the Prevention of Elder Abuse, Council on Aging of 

Southwestern Ohio, Adult Protective Services, Office of the Attorney General, Coalition for Nursing Home Reform and 

many others. The target population is eligible Medicare/Medicaid (M/M) persons in SW Ohio. The goal of this SMP 

project is to develop and strengthen the Senior Medicare Error Patrol, who will make seniors aware of and educated 

about combating M/M waste, fraud, error and abuse. The objective of this SMP program is to train and educate senior 

volunteers on M/M fraud. The expected and major outcomes of this SMP program are: a Senior Medicare Patrol Project 

established; project forms developed; data collected; 30 volunteers trained to help others; and 5000 individuals 

contacted through outreach. The products of this project are: a final report; training materials; project forms; and a data 

bank of fraud cases.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

124,863

124,863

124,863

7162 Reading Road Suite 1150

PRO SENIORS, INC.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 141 of 261 

90AM2583 Senior Medicare Error Patrol Projects

Richmond, VA 23219-3219

Contact: E. Harris Spindle (804)644-2804

This Senior Medicare Patrol Project, known as the Senior Medicare Error Patrol Project, is managed by the Virginia 

Association of Area Agencies on Aging. The collaborators in this project are the 25 Area Agencies on Aging. The goal is 

to develop the Senior Medicare Error Patrol Project by educating beneficiaries about Medicare and Medicaid fraud, error 

and abuse, through senior volunteers . The objectives are: to recruit and train retired professional volunteers to educate 

the elderly population about Medicare and Medicaid and ways in which to detect and report fraud, error and abuse; and 

to provide outreach and education to the minority, rural, disabled and non English speaking elderly population. The 

expected outcomes are: increased consumer awareness of fraud and ways to report it; and decreased Medicare and 

Medicaid fraud. The products from this project are: a final report, training packages, and data collection instruments.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

160,000

24 E. Cary Street - 1st Floor 

VIRGINIA ASSOCIATION OF AREA AGENCIES ON AGING

Program: Senior Medicare Patrol Project

90AM2584 Arkansas Senior Medicare/Medicaid Fraud Patrol

Little Rock, AR 72203-1437

Contact: John V Diaz 

This three year cooperative agreement, Arkansas Senior Medicare/Medicaid Fraud Patrol (ASMP) project, is managed 

by the grantee. Collaborating with the State Unit on Aging are the local regional partners, including AAAs, RSVPs, and 

Community Action Program agencies; the UA Cooperative Extension Service; Governor's Commission on People with 

Disabilities; Attorney General's Medicaid Fraud Control Unit; the Arkansas Advocates for Nursing Home Residents 

(AANHR); the Developmental Disability Council and the DDS; Arkansas Foundation for Medical Care (the QIO); the 

SHIIP; and AARP. The goals of this SMP project are: to recruit and train retired Medicare beneficiaries, who in turn 

educate and inform other beneficiaries and local communities about the nature and extent of errors, fraud, and abuse in 

the Medicare and Medicaid programs; and to help identify and report suspected errors, fraud and abuse. The objectives 

of this project are to combat Medicare/Medicaid fraud and to educate beneficiaries, caregivers and the general 

community. The expected outcomes are: a statewide network of trained and active volunteers who reach out to local 

communities through group presentations, community education events, one-on-one counseling and mass media; an 

Advisory Council that will provide input and advice regarding various aspects of the project and assist the project in 

accomplishing its goals; nursing home fraud targeted via the state Ombudsmen, the nursing home Family Councils, and 

publication of a Consumer Handbook for Nursing Homes; a 24-hour toll-free hotline in operation to receive complaints; 

complaints documented,verified/resolved/referred; and statewide expansion. The products are: interim and final reports; 

training curricula and materials; web page; materials for use by the volunteers in community outreach; best practices 

developed and published; and performance measures documents.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

165,000

160,000

PO Box 1437, Slot S530 700 Main Street

ARKANSAS DEPARTMENT OF HUMAN SERVICES

Division of Aging and Adult Services

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 142 of 261 

90AM2585 Senior Medicare Error Patrol

Juneau, AK 99811-0209

Contact: Teresa Clark 

This is a three year cooperative agreement of an Alaska based Senior Medicare Error Patrol (SMP) project, targeted for 

Alaskan Native Medicare beneficiaries and providers. The goal of this SMP project is to save Medicare/Medicaid (M/M) 

and private dollars by providing beneficiaries education programs that will assist senior Alaskan Natives to detect and 

report error, fraud and abuse. The collaborators with this grantee are Alaskan Native Tribal Health Consortium, AARP, 

RSVP, Alaska Commission on Aging, and Older Persons Action Group. The objectives of the SMP project are to assist 

Alaskan Natives in reviewing their medical billings, and to assist providers in solving difficult billings before they enter the 

system. The expected outcomes are: a corp of 60-75 volunteers; medical billing students assisting providers; behavior 

change in seniors so they review their bills; fraud and abuse cases detected, reported and solved; findings of dollars 

saved; increased number of Alaskan Native beneficiaries assisted; and increased number of providers assisted. The 

products of this SMP program are a final report; lessons learned; and a classroom curriculum.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

149,482

149,482

149,482

PO Box 110209 

ALASKA COMMISSION ON AGING

Program: Senior Medicare Patrol Project

Medicare Overpayment Detectives or the MOD Squad Volunteers Will Educate Other 

Older Adults about Medicare Fraud & Abuse

90AM2586

Houston, TX 77027

Contact: Candice Twyman (713)341-6141

This Texas project is a three year cooperative agreement Senior Medicare Patrol (SMP) project that is managed by the 

grantee, the Better Business Bureau Education Foundation (BBBEF). The collaborators in this SMP project are 

TeleMundo (Spanish television), Hispanic Chamber of Commerce, Houston AAA, AARP, Asian American Family 

Counseling Center, and the Indochinese Cultural Center (Vietnamese). The goal of this SMP project is to train minority 

seniors to detect and report Medicare/Medicaid (M/M) fraud, error and abuse. The objective of this MMF project is to 

recruit and train diverse retired professional volunteers to educate groups of Medicare beneficiaries on detecting and 

reporting M/M fraud (MMF), error and abuse. The anticipated outcomes of this MMF project are: education and 

information to change behavior; a corp of volunteers engaged in continuing education; a reporting system developed. 

The products of this MMF program are a final report; materials in Spanish; pre and post presentation quizzes; train the 

trainer materials; planned presentations; a reporting system for data; and a self-defense kit.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

101,165

108,665

101,165

1333 West Loop South Suite 1200

Better Business Bureau Education Foundation

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 143 of 261 

90AM2587 Combating Health Care Waste, Fraud and Abuse

Lansing, MI 48917-4850

Contact: Mary M Ablan (517)886-1029

The Area Agencies on Aging (AAA) Association of Michigan is the grantee for this three year, cooperative agreement 

Senior Medicare Patrol (SMP) project, in collaboration with the Centers for Medicare and Medicaid Services, the 

Michigan Office of Services to the Aging and the Michigan Peer Review Organization (PRO). The target populations of 

this project are the Medicare/Medicaid (M/M) beneficiaries and their caregivers in the state of Michigan. The goal of this 

SMP project is to combat health care waste, fraud (MMF) and abuse. The objective of this SMP project is to train a 

statewide network of volunteers in M/M waste, fraud and abuse and receive support from volunteer coordinators. The 

anticipated outcomes of this MMF project are: enhanced awareness of detecting and reporting health care waste, fraud 

and abuse; enhanced reporting by volunteers; increased # of toll-free hotline calls; and increased skills of beneficiaries in 

detecting and reporting. The products of this SMP project are a final report, and project data collection.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

202,000

160,000

160,000

6105 West St. Joseph, Suite 209 

AREA AGENCIES ON AGING ASSOCIATION OF MICHIGAN

Program: Senior Medicare Patrol Project

90AM2588 Massachusetts Medicare, Outreach and Education Project

Lawrence, MA 01843-3740

Contact: Carolyn Hubers (978)683-7747

This is the third year of a three year cooperative agreement for a Massachusetts based Senior Medicare Patrol (SMP) 

project managed by the grantee, Elder Services of the Merrimack Valley, Inc., an Area Agency on Aging (AAA). The AAA 

will collaborate with the Executive Office of Elder Affairs, the State Unit on Aging (SUA) and MA SHIP program, the 

Mystic Valley Elder Services, Minuteman Elder Services, Minuteman Home Care and Danvers Council on Aging. The 

goal is to build the capacity of the 12 MA SHIP programs and to educate and bring awareness to the Medicare/Medicaid 

fraud (MMF), error and abuse to the vulnerable Medicare beneficiaries. The objective is to recruit and train retired 

professional volunteers to educate groups of M/M beneficiaries about detecting and reporting M/M fraud, error and 

abuse. The major outcomes are: self-assured and less intimidated consumers, when interacting with M/M programs; a 

survey of consumers counseled to identify error, fraud or abuse; a mini-grant process building the capacity of AHIP SHIP 

sites to provide outreach and education; a media campaign; and statistical data collected from minority organization on 

the number of error, fraud or abuse cases. The products are a final report, Public Service Announcements, and 

newsletters.

Project Period: 07/01/2002 - 12/31/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

218,152

198,152

176,152

360 Merrimack Street, Building #5 

ELDER SERVICES OF THE MERRIMACK VALLEY, INC.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 144 of 261 

90AM2589 SUMMIT Medicare/Medicaid Fraud, Abuse and Waste Reduction Program

Oklahoma City, OK 73152-3408

Contact: Cindy A Brown (405)521-6632

This three year cooperative agreement, Senior Medicare Patrol (SMP) project, is sponsored by the grantee, the 

Oklahoma Insurance Department (OID). The collaborators with the grantee are the State/Federal Fraud Investigators, 

AARP Oklahoma, Oklahoma Indian Council on Aging, Long-Term Care Ombudsman Program, Oklahoma Association 

for Senior Centers, Oklahoma Area Aging Agencies, and the Oklahoma Senior Health Insurance Counseling Program. 

The goal of this MMF project is to reduce Medicare/Medicaid fraud (MMF), abuse and errors for Oklahoma Hispanic, 

American Indians, rural and isolated senior populations. The objective of the MMF program is to recruit and train retired 

professionals, family caregivers, and people who work in the aging field to educate groups of Medicare beneficiaries 

about detecting and reporting MMF, error and abuse. The expected outcomes are: MMF information for homebound 

Oklahoma seniors; trained volunteers; M/M education programs; and minority participants. The products of this SMP 

project are: a final report; rural public service announcements; print ads for rural newspapers, professional and 

organizational newsletters, the Oklahoma Viet Times, and for Viva Oklahoma Hispanic news; MMF findings by the 

State/Federal Fraud Investigators; a video in Creek Nation language for Creek Nation Indians; and an evaluation.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

212,523

PO Box 53408 

STATE OF OKLAHOMA INSURANCE DEPARTMENT

Program: Senior Medicare Patrol Project

90AM2590 A Medicare Fraud Patrol Project in Rural Latino Communities

Washington, DC 20036

Contact: Jose L Velasco (202)265-1288

This is the third year of a co-operative agreement. The Senior Medicare Fraud Patrol (SMP) project is managed by the 

grantee, the National Hispanic Council on Aging (NHCoA), located in Washington, D.C. The project was carried out in El 

Paso, TX; Dallas, TX; La Joya, TX; and Brownsville, TX. The goal of this project was to develop the Senior Medicare 

Waste Patrol in the Latino Communities by reporting waste in the Medicare/Medicaid (M/M) health programs. The 

objective of the project was to recruit and train peer advocates (Voceros-Voices) toward the success of the Medicare 

Waste patrol project. The project targeted the population of rural persons with very low income, resources and 

educational level. The major outcomes of this project are established study circles, and established partnerships and 

linkages. The products of this program are a final report, and educational materials for 25,000 seniors.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

191,497

191,497

191,462

1341 Connecticut Ave., NW Suite 4-A

NATIONAL HISPANIC COUNCIL ON AGING

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 145 of 261 

90AM2591 Colorado Anti-Fraud Education Project

Denver, CO 80202-0202

Contact: Robert Pierce (303)894-7552

This is the third year of a three year cooperative agreement to establish a Colorado based Senior Medicare Patrol (SMP) 

grant project, managed by the Colorado Division of Insurance, in collaboration with the State Long-Term Care 

Ombudsman program, Colorado Coalition for Elder Right and Adult Protection, and the Colorado SHIP program. The 

goal of this project is to continue public education about Medicare and Medicaid fraud. The objectives of this program are 

to: ensure consumer awareness of Medicare and Medicaid error, fraud and abuse; educate on suspected fraud detection 

and reporting; provide individual counseling evaluation of fraud reports; measure the understanding of Medicare fraud; 

and address literacy, language, and disability access barriers. Providers and consumers who are Spanish speaking, 

vulnerable or geographically isolated will be targeted for this program. The major outcomes are: a new publication to 

inform consumers about health billing processes and avoiding overpayment; measures of pre and post improved 

understanding of what constitutes fraud; identification of methods for removing rural access barriers; a reduction in 

literacy, language and disability access barriers; increased number of Medicare and Medicaid fraud referrals. Products 

are: a final report; an evaluation; a new publication to inform consumers about health billing processes and avoiding 

overpayment; a video entitled "Paying your Bills Right'; and twelve educational presentations.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

189,279

211,417

189,417

1560 Broadway #850 

COLORADO DIVISION OF INSURANCE, DORA

Program: Senior Medicare Patrol Project

90AM2592 Statewide Health Insurance Benefits Advisors (SHIBA) Helpline

Seattle, WA 98104-8104

Contact: Joan . R Lewis (206)389-2752

This is a three-year cooperative agreement to operate a Washington State based Senior Medicare Patrol Project, 

managed by the Washington Office of the Insurance Commissioner (WOIC). The collaboration will be with Statewide 

Health Insurance Benefits Advisors (SHIBA) statewide sponsors. The target populations are the non-English speaking 

and the minority communities. The goal of this project is to develop and support a Senior Medicare Patrol, which will 

prepare seniors to combat Medicare/Medicaid (M/M) fraud, error and abuse. The objective of this program is to train 

retired senior professional volunteers to handle complex Medicare fraud cases and to report them. The major products 

are: a data collection and retrieval system; a SHIBA Helpline in the Asian-Pacific Islander community; a fraud web page; 

training workshops; and a final report.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

205,000

182,000

160,000

810 Third Avenue, Suite 650 

WASHINGTON STATE OFFICE OF THE INSURANCE COMMISSIONER

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 146 of 261 

90AM2593 Senior Medicare Error Patrol Project

Santa Fe, NM 87501-7501

Contact: Debbie Armstrong 

The grantee, the New Mexico Aging and Long Term Services Department (SUA), will support this three-year cooperative 

agreement Senior Medicare Patrol (SMP) project in collaboration with the Medicaid Fraud Unit, New Mexico Medical 

Review Association (Peer Review Organization) PRO, Senior Citizens Law Office, New Mexico State Bar, Attorney 

General, AARP, Ombudsman, RSVP, and many other partners on the federal and state level. The target population 

includes Medicare and Medicaid (M/M) recipients in New Mexico and their caregivers. The goal of this project is to 

educate the senior and disabled M/M beneficiaries on how to detect and report M/M error, waste, fraud and abuse. The 

objectives of this project are to recruit and train retired senior professional volunteers to assist the vulnerable 

senior/disabled individual on how to detect and report M/M fraud, error and abuse; and establish a consortia. The major 

outcomes are: an enhanced Consortium; empowered self-advocacy; and a positive impact on all of the six (6) Planning 

and Services Areas (PSAs) of New Mexico. The products are a final report and an evaluation.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

242,000

222,000

200,000

228 East Palace Avenue 

NEW MEXICO STATE AGENCY ON AGING

Program: Senior Medicare Patrol Project

90AM2594 Idaho Medicare Education Partnership

Boise, ID 83720-0007

Contact: Donna Denney 

The Idaho Medicare Education Partnership is a three year cooperative agreement Senior Medicare Patrol (SMP) grant 

supported by the grantee, the Idaho Commission on Aging. The collaborators are four Native American Tribal Councils, 

Migratory Council, Cigna Senior Health Insurance Advisors, and RSVP. The goal of this project is to establish a corp of 

elderly volunteers who will prepare senior Medicare/Medicaid (M/M) beneficiaries to detect and report error, fraud and 

abuse in these health programs. The objective of the project is to produce a statewide volunteer corp of retired rural 

seniors to teach M/M beneficiaries to understand and analyze their billing and detect and report error, fraud and abuse. 

This project will target rural Idahoans who are frail and low income. Major outcomes in this SMP project are: increased 

outreach efforts; evaluation of program; volunteer stations in rural communities; work with migrant councils to solicit 

volunteers; and recruitment of Native American volunteers through Tribal Councils. Products of this SMP program are: a 

final report; a list of Native American statewide corp of retired volunteers; a report on savings from combating M/M waste; 

and a report on number of cases of fraud and abuse, error and waste.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

205,000

160,000

160,000

PO Box 83720 

Idaho Commission on Aging

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 147 of 261 

90AM2595 Maine Medicare Education Partnership

Augusta, ME 04333-4333

Contact: Betty Balderston 

This is a three year cooperative agreement entitled Maine Medicare Education Partnership, sponsored by the grantee. 

The goal of this project is to prepare the at-risk vulnerable elderly to be responsible consumers and to encourage them to 

report suspected Medicare and Medicaid health care fraud (MMF), error and abuse. The project populations are the rural 

and French speaking elderly. The objective of the program is to train and educate rural and French speaking older 

volunteers to help Maine Medicare and Medicaid (MMF) beneficiaries to report error, fraud and abuse in these two health 

programs. The collaborators are five (5) AAAs in Maine and the Legal Services for the Elderly (LSE) and the LTC 

Ombudsman program. The anticipated outcomes and products of this MMF program are: 1) seniors educated on how to 

reduce costs attributed to health care errors, fraud and abuse; 2) improved presentation skills of the volunteers; 3) new 

posters; 4) a Community Medicare Advocate Handbook; 5) a 45-minute training video; and 6) a statewide conference 

abstract.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

160,000

35 Anthony Avenue - 11 State House Station 

MAINE DEPARTMENT OF HUMAN SERVICES

Program: Senior Medicare Patrol Project

90AM2596 Senior Medicare Patrol Project

Salem, OR 97301-7301

Contact: GayLynn Pack (503)947-5042

This Oregon based Senior Medicare Patrol (SMP) Project is a three-year cooperative agreement sponsored by the 

grantee, in collaboration with the Oregon Association of Area Agencies on Aging, OR Department of Consumer and 

Business Services, AARP, and the Oregon Library System. The goal of this project is to recruit and train seniors to 

combat Medicare and Medicaid fraud (MMF) billings errors, fraud and abuse. The objective of this MMF project is to 

recruit and train retired professional volunteers to educate groups of Medicare beneficiaries about the importance of 

recognizing and reporting Medicare/Medicaid fraud, error and abuse. The major outcomes of this MMF project are: 

ensured diversity; increased outreach; a publicized, toll-free telephone number for the Oregon Fraud Reporting Line; an 

increase by 5,000 in the number of aware seniors; and a greater understanding of Medicare will be reported by 75% of 

the seniors. The products of this MMF program are a final report; a toll-free telephone; brochures, flyers, health care 

journals; a data collection instrument; and CREEK tribal presentation materials.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

160,000

500 Summer Street NE E-95 

SENIORS AND PEOPLE WITH DISABILITIES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 148 of 261 

90AM2597 Atlanta Senior Medicare Patrol Project

Atlanta, GA 30303-0303

Contact: Victoria Shanahan (404)463-3220

This project, entitled the Atlanta Senior Medicare Patrol (SMP) Project, is the third year of a three year cooperative 

agreement for a Senior Medicare Patrol Project sponsored by the grantee, the Atlanta Regional Commission (ARC). The 

collaborators that will work with ARC are AARP, Jewish Family and Career Services, Christian Methodist Episcopal 

Church, Center for Pan Asian Community Services, DeKalb County, Center for Positive Aging, and the Council on Aging 

. The goal of this project is to use volunteers to help beneficiaries of Medicare and Medicaid (MMF) identify and report 

error, fraud and abuse. The objective of the MMF project is to use 22 trained volunteers to help low income and minority 

elderly and disabled adults to identify and report error, fraud and abuse. Major outcomes of this program are: changes in 

behavior of M/M beneficiaries who are taking responsibility to assess their Medicare bills and take action; increased 

confidence among the eight partner agencies; 3,250 presentations and 31,520 persons educated on M/M uses; and Area 

Agencies on Aging (AAA) replication strategies. The products of this MMF program are: a final report; a report on error, 

fraud and abuse cases uncovered; the Georgia Generations magazine; and "Aging Connection", a program manual 

describing the "Pass it on Campaign".

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

160,000

40 Courtland Street 

ATLANTA REGIONAL COMMISSION

Program: Senior Medicare Patrol Project

90AM2598 Senior Medicare Error Patrol Project

Washington, DC 20049-0049

Contact: Brian Bullock (202)434-2153

The Senior Medicare Error Patrol Project (SMEPP) is in the third year of a three year cooperative agreement project 

administered by the Legal Counsel for the Elderly, Inc. (LCE). The goal of the SMEPP is to enhance its current model of 

utilizing retired persons as volunteer resources and educators of Medicare and Medicaid beneficiaries to combat health 

care error, fraud and abuse throughout the District of Columbia. Since 1975, LCE has been an integral partner in the 

District's coalition of community organizations serving the elderly and the aging network of the DC Office on Aging. LCE 

will build on its presence in the community and partner with the aging network, George Washington University - Health 

Insurance Counseling Project, the American Association of Retired Persons and other community organizations to 

achieve the goal of the SMEPP. The objectives of the project are: 1) to recruit and train new volunteers to inform and 

educate beneficiaries on detecting and reporting error, fraud and abuse; 2) design and update health care fraud 

materials; 3) serve as liaison to the health care and aging networks to establish linkages with additional public and 

private agencies to address systemic issues; 4) expand outreach to beneficiaries and the aging and other service 

provider networks; and 5) expand and refine the current intake and reporting system. The target populations of the 

SMEPP are Medicare and Medicaid beneficiaries, with special outreach to the non-English speaking Spanish and 

Chinese communities and low-income elderly. The major outcome of the project will be an increase in knowledge for 

beneficiaries and the public, to enable them to prevent and/or report health care fraud and errors, which will be evaluated 

through a three tier approach. The products of the project are: new and/or updated training and educational materials; 

bi-lingual outreach and educational materials; quarterly newsletters; and a Medicaid consumer handbook.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

160,000

601 E Street, NW 

Legal Counsel for the Elderly

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 149 of 261 

90AM2599 Ferret Out Fraud - Senior Patrol Project

Phoenix, AZ 85007-5007

Contact: Martha Taylor 

The grantee, the Arizona Department of Economic Security, is the State Unit on Aging that manages this third year of a 

three-year cooperative agreement for the Senior Medicare Patrol (SMP) Project. The collaborators are the Inter-tribal 

Council of Arizona, Navajo Nation, AZ Office of Attorney General, Better Business Bureau(BBB), and the AZ Department 

of Insurance. The goal of this MMF project is to assist Hispanic seniors to detect and report Medicare/Medicaid (MMF) 

fraud, error and abuse. The objective of this MMF project is to investigate and prosecute M/M fraud. The major outcomes 

of this MMF project are: M/M Hispanic beneficiaries educated on ways to detect and report billings fraud; a list of 

identified complaints; increased knowledge and skills; an expanded fraud coalition through work with fraud partners and 

identification of new partners; an advisory committee of beneficiaries; volunteers matched with mentors; a large 

technical assistance and support group; continuing education units (CEU) for beneficiaries; resolution of cases of fraud, 

error and abuse identified by this project. The products of the MMF program are: a final report; materials in Spanish; 

results of collaborators efforts; a trainers program; a list of the fraud coalition; a list of new partners in outreach; and a 

list of new volunteers with mentors.

Project Period: 07/01/2002 - 06/30/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

159,931

181,943

159,943

1789 West Jefferson - 905A 

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

Program: Senior Medicare Patrol Project

90AM2600 Senior Medicare & Medicaid Patrol Project

Tallahassee, FL 32399-7000

Contact: Don Holmes 

This Senior Medicare Patrol (SMP) Project is a three year cooperative agreement supported by the grantee, the Florida 

State Unit on Aging (SUA). The collaborators for this program are Area Agencies on Aging (AAA) in Fort Myers, Tarpon 

Springs, St. Petersburg, Pinellas Park and Gulfport. The goal of this project is to develop and implement a Senior 

Medicare and Medicaid Fraud (MMF) Patrol project for low-income elders and minorities. The objective of the MMF 

project is to reduce Medicare losses due to errors, fraud and abuse using retired professionals. The major outcomes are: 

Increased awareness of Medicare fraud among at risk Hispanic beneficiaries through a partnership with Hispanic cable 

television; and 60 retired professionals with diverse backgrounds recruited and trained to serve as volunteers. The 

products of this MMF program are: a final report, including the number of Medicare losses due to errors; an impact 

survey of multi-lingual findings from a group of 60 retired Hispanic professionals; an SMP cable television presentation; 

Hispanic promotional materials; and a database tracking system for inquiries.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

202,000

158,500

158,500

4040 Esplanade Way 

FLORIDA DEPARTMENT OF ELDER AFFAIRS

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 150 of 261 

90AM2601 Senior Medicare Patrol Project

Atlanta, GA 30303-0303

Contact: Erika Lawson (404)657-5253

This is a three year Senior Medicare Patrol (SMP) Project sponsored by the grantee, the Georgia Department of Elder 

Affairs, the State Unit on Aging (SUA). The goal of this project is to educate and inform three million elders, their families, 

caregivers, friends and professionals in Georgia about Medicare/Medicaid (MMF) fraud, error and abuse. The objective 

of the MMF project is to enhance and expand this effort thoughout the state and local areas using volunteers from retired 

professionals groups, targeting rural populations and limited English speaking persons. Collaborators with the grantee, 

the Georgia Department of Elder Affairs, are: Cigna Health Care Medicare Administration, the LTC Ombudsman, the 

University of Georgia, and 12 Area Agencies on Aging (AAA). The major outcomes of this MMF project are: lowered 

costs for Medicare/Medicaid use after error, fraud and abuse cases are uncovered; project cost savings through the use 

of volunteers; better records of complaints of error, fraud and abuse; a corp of professional volunteers; additional models 

for outreach; innovative training models; and a professional volunteer recruitment steering committee. The products of 

this MMF program are a final report; training models; and models for outreach.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

160,000

160,000

Two Peachtree Street, NW, Suite 9-398 

GA Department of Human Resources

Program: Senior Medicare Patrol Project

90AM2602 Medi$ave Program

Hartford, CT 06106-6106

Contact: Mimi Peck-Llewellyn (860)424-5862

The vulnerable at-risk elderly will be protected in this third year of a three-year cooperative agreement project that will 

prevent Medicare/Medicaid (MMF) fraud, waste and abuse. The goal of this MMF project is to increase beneficiary 

awareness of Medicare and Medicaid fraud and abuse, including understanding health care statements (bills). The 

objectives of this MMF project are: 1) to expand current programming for recruiting, training and maintaining retired 

seniors and other professionals in the aging network; 2) to increase beneficiary awareness of M/M fraud and abuse, 

including understanding health care statements (bills) and the importance of keeping track of medical appointments and 

procedures; 3) to further educate the medical community on M/M related issues; and 4) to establish a collaboration with 

the medical community to reduce billing errors. The anticipated outcomes of this MMF are: a pilot project that will train 

and assist medical professionals to address servicing concerns; office training for billing and front desk staff of three 

local physician groups; mailing of project brochures to all Medicaid coverage groups who are elderly and/or disabled; and 

an established fraud, waste and abuse tracking system. The products of the MMF program are a final report; project 

brochures; a statewide health journal; and data tracking system.

Project Period: 07/01/2002 - 06/30/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

FY 2005

160,000

160,000

160,000

40,000

25 Sigourney Street, 10th Floor 

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES

Elderly Services Division

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 151 of 261 

90AM2603 Puerto Rico Project Alert to Fraud

San Juan, PR 00902

Contact: Rossana Lopez Leon (787)721-4560

This is the third year of a Senior Medicare Patrol Project, known as Project ALF, managed by the Governor's Office of 

Elderly Affairs, a State Unit on Aging in Puerto Rico. It is run under a cooperative agreement with the Administration on 

Aging for a three year period. Goal: to develop a Senior Medicare Patrol which will combat Medicare and Medicaid 

fraud, error and abuse. Objective: to recruit and train retired professional volunteers in order to educate the Hispanic 

population on the island about Medicaid and Medicare and how to detect and report fraud, error and abuse. Outcomes: 

an information system developed; informal orientation sessions conducted; dollars lost to Medicaid and Medicare, as a 

result of fraud and abuse, recovered; a public education plan created; a cadre of 50 retired volunteers recruited and 

trained; outreach strategies implemented; training seminars conducted for 200 aging network staff, providers and 

recipients; partnership established with state Medicare experts; and prevention information provided to an estimate of 

5,000 older persons. Products: final report, outreach strategy, and materials for training seminars.

Project Period: 07/01/2002 - 05/30/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

182,000

160,000

Po Box 50063 Old San Juan Station

GOVERNOR'S OFFICE FOR ELDERLY AFFAIRS

Program: Senior Medicare Patrol Project

90AM2604 Delaware Medicare Patrol Project

New Castle, DE 19720-9720

Contact: Carol Barnett (302)577-4791

This is the third year of a grant whose purpose is to educate Delaware Medicare beneficiaries, caregivers and 

professionals about the different agencies available to help them make informed decisions regarding Medicare and 

issues they may encounter. Objectives: recruit and train volunteers to assist in educating Delaware's caregivers and 

Medicare beneficiaries; establish and promote Spanish Call Line; increase awareness and educate new and existing 

partners and the public though newsletters, media outreach and presentations at conferences; and strengthen existing 

partnerships. Outcomes: successful ways created to reach people on Medicare and those approaching Medicare age, 

as well as those caring for a Medicare beneficiary; Medicare Road Show; 7 events structured to focus on education 

about the Medicare Prescription Improvement and Modernization Act of 2003; and presentations on the various drug 

cards and CMS break out sessions. Collaborators: this statewide cooperative effort includes Delaware Medicare Fraud 

Alert, Delaware Medicare Partners Coalition, Quality Insights of Delaware, ElderInfo (Ship Program), Senator Carper's 

and Senator Biden's Offices, Congressman Castle's office, CMS, TrailBlazer Health Enterprises, SSA, Dept. of Veteran 

Affairs, Nemours Clinic, CareDelaware, Delaware Prescription Assistance Program, and Empire Medical Services. 

Products: Spanish hotline, media materials, newsletters, presentations, and the Medicare Road Show.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

160,000

160,000

160,000

1901 N. DuPont Highway 

DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 152 of 261 

90AM2605 Senior Nevada Advocates on Guard (SNAG)

Las Vegas, NV 89101-9101

Contact: JoAnne C Embry (702)486-3154

This is a three year cooperative agreement with the Nevada Office of the Attorney General. The collaborators are: the 

Nevada Division for Aging Services ( DAS ) and SHIP, the Nevada Attorney General, AARP, Medicare Advisory 

Foundation, FBI, Center for Medicaid and Medicare (M/M) Services, Family Resource Centers, Clark County Senior and 

Advocate Program. The goal of this MMF project is to develop the Senior Medicare Patrol (SMP) by preparing senior 

consumers to be aware of Medicare/Medicaid fraud (MMF), error and abuse. The objective of this MMF project is to 

recruit and train retired professional seniors to educate M/M beneficiaries to detect and report fraud, error and abuse. 

The major outcomes of this MMF project are: 60 volunteers trained; 40 senior centers and senior agencies contacted; 

information disseminated to the frail, homebound and rural; Hispanic SMP volunteer educators recruited; and training 

materials developed for outreach through the Family Resource Centers. The products of the MMF program are a final 

report and outreach training materials.

Project Period: 07/01/2002 - 06/30/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

FY 2005

160,000

190,000

168,000

42,000

555 East Washington Avenue, Suite 3900 

NEVADA OFFICE OF THE ATTORNEY GENERAL

Program: Senior Medicare Patrol Project

90AM2606 Montana Medicare Waste Project

Missoula, MT 59801-9801

Contact: Susan Kohler (406)728-7682

This is the third year of a three year cooperative agreement for a Montana based Senior Medicare Patrol (SMP) project 

managed by the Missoula Area Agency on Aging (AAA). The collaborators are the State Health Insurance and 

Counseling Program (SHIP); the U.S. Attorney for Montana; Area Agencies on Aging (AAAs); Senior Citizen Centers; 

and Blue Cross/Blue Shield of Montana. The goal of this Medicare/Medicaid Fraud project is to bring awareness to 

Medicare/Medicaid (M/M) beneficiaries and their caregivers in Montana about error, fraud and abuse in these M/M 

programs. The objective of this MMF project is to recruit and train 50 rural senior volunteers to equip 6000 Medicare 

beneficiaries to detect and report cases of error, fraud and abuse. The major outcomes of this MMF program are: an 

alliance of public, private, and charitable organizations; increased volunteer resources and educators; 50 newly trained 

rural volunteers; 6000 Medicare beneficiaries trained; strengthened community coalitions; involved AAAs; a strong 

collaboration effort; and a strong information and assistance network. The products will be listed in the final report.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

200,000

222,000

200,000

337 Stephens Ave 

Missoula Area Agency on Aging

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 153 of 261 

90AM2608 Senior Medicare Patrol Project of the District of Columbia

Washington, DC 20003-0003

Contact: Joe Harris (202)675-9242

This is a three year cooperative agreement for a Senior Medicare Patrol (SMP) Project of the District of Columbia 

administered by the grantee, the Friendship House Association, Inc. The collaborator with the Friendship House 

Association, Inc. is the Greater Washington Urban League, Inc. The goal of this Medicare/Medicaid Fraud (MMF) project 

is to increase the awareness of low income and limited education individuals on methods to reduce or prevent the 

incidence of MMF fraudulent practices. The objective of this MMF project is to educate the hard-to-serve seniors in 

Wards 5-8 to detect and report error, fraud and abuse in these health programs. The major outcomes of this MMF project 

are: a replicable model; standardized measures to evaluate program; improved knowledge on MMF; referral of fraud 

cases to the Medicare hotline; and increased awareness of SMP program to seniors and to service providers. The 

products of this MMF program are: a final report; and a report on the number of complaints of error, fraud, and abuse in 

Wards 5-8.

Project Period: 07/01/2002 - 06/30/2005

FY Grant Amount

FY 2002

FY 2003

FY 2004

159,970

159,970

159,970

619 D Street SE 

FRIENDSHIP HOUSE ASSOCIATION, INC.

Program: Senior Medicare Patrol Project

90AM2697 Maryland Curb Abuse in Medicare and Medicaid (CAMM)

Baltimore, MD 21201-2374

Contact: Michelle Holzer (301)767-1100

The Maryland Department of Aging's "Senior Medicare Patrol Project", known as the CAMM (Curb Abuse in Medicare 

and Medicaid) Project will achieve the following objectives: 1) maintain a volunteer corps of at least 50 individuals' 

(during the reporting period, a monthly average of 94 volunteers were registered) who will provide education to their 

communities about Medicare and Medicaid fraud, waste, and abuse (during the reporting period ending 12/31/2004, 

2,966 one-on-one sessions with clients occurred) ; 2) increase public awareness about the problem of fraud and abuse 

(14,570 people were reached through media events and 428 complaints were received); and 3) determine the project's 

effectiveness through measurable outputs. Program outcomes will be: 1) volunteer recruitment, outreach, assistance and 

community education targeted to vulnerable populations; and 2) a strong partnership developed between service 

agencies, advocacy groups, and enforcement and regulatory agencies. The Maryland Department of Aging will heighten 

public awareness of Medicare and Medicaid fraud, waste, and abuse through the use of media and public presentations 

conducted throughout the grant service area, by a corps of well-trained, retired volunteers, working in concert with 

thirteen Area Agencies on Aging. Products will be listed in the final report.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

301 West Preston Street, Suite 1007 

MARYLAND DEPARTMENT OF AGING

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 154 of 261 

90AM2698 Senior Medicare Patrol Project

Raleigh, NC 27604

Contact: Kevin Robertson (919)733-0111

The North Carolina Department of Insurance (DOI) began its Senior Medicare Patrol Project ("Medicare Lookout") 

through their Seniors' Health Insurance Information Program (SHIIP). The goal is to enable Medicare beneficiaries to 

understand the Medicare system better, to understand their Medicare notices, and to report problems to the appropriate 

project partner. Our statewide focus will build upon the North Carolina Division of Aging (DOA) Senior Medicare Patrol 

Project. We will use core Specialists (community-based organizations, senior volunteers) to form 6-12 regional core 

Medicare Lookout initiatives. These Specialists will recruit exemplary SHIIP volunteers to overcome the barriers to 

reaching Medicare beneficiaries identified by DOA's project and by those of other states. We will build upon DOA's 

successes by expanding the innovative presentations using skits and plays throughout the state, targeting special 

populations, and concentrating outreach through a dedicated core of volunteers. DOA will assist in our start-up and will 

continue to support the project through its duration. Our Medicare mission and vast network make us a logical home for 

this project. By the middle of the 3rd project year, we will have in place a plan and structure to continue the effort without 

AoA funds.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

111 Seaboard Avenue 

NORTH CAROLINA DEPARTMENT OF INSURANCE

Program: Senior Medicare Patrol Project

90AM2699 Statewide Medicare/Medicaid Fraud Project Utilizing WSHIIP Staff and Volunteers

Cheyenne, WY 82002

Contact: Joan Franklin 

For the past three years, the Wyoming Department of Health, Aging Division (AD), a single state planning and service 

area, has collaborated and subcontracted with Wyoming Senior Citizens, Inc. (WSCI), a statewide nonprofit agency, 

implementing and administering the Wyoming Senior Medicare/Medicaid Error Patrol Project. The Aging Division and 

WSCI propose to continue and expand this statewide project through this grant. Wyoming's vastly rural demographics, 

coupled with the fact that Wyoming has the 7th fastest growing aging population per capita in the nation, has presented 

numerous challenges in combating Medicare/Medicaid error, fraud and abuse. The Aging Division and WSCI have 

implemented a systematic, four-part project that educates and provides a referral network on Medicare/Medicaid error, 

fraud and abuse to Wyoming's 39,000 Medicare and 3,700 Medicaid recipients. The Aging Division and WSCI will 

continue and expand on the four-part project during the next three year funding period. The four-part project will focus on 

information and technology; training; referral and direct services; and public information.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

6101 Yellowstone Road, Room 259B 

WYOMING DEPARTMENT OF HEALTH

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 155 of 261 

90AM2700 Mississippi Medicare Assistance Patrol Project (MsMAPP)

Jackson, MS 39202

Contact: Betty Green (601)359-4925

The Governor of Mississippi designated the Mississippi Department of Human Services (MDHS), Division of Aging and 

Adult Services (DAAS) the unit of the State government to work with the Administration on Aging (AoA) through the Older 

Americans Act, to direct services to the age 60+ population and other Medicare beneficiaries. Consistent with the 

mission of the DAAS, the Mississippi Medicare Assistance Patrol Project (MsMAPP) will establish a network of trained 

persons to serve in their communities as volunteer experts to assist in combating health care error, fraud, and abuse. 

The MsMAPP organizational structure will be led by the MsMAPP program coordinator. The MDHS State Office staff 

oversees the implementation and reporting needs of the grant. The project will incorporate partnerships with three AAAs 

(Central Mississippi, South Delta, and Southern Mississippi) and a legal services provider, the North Mississippi Rural 

Legal Services (NMRLS). Coordination of this grant will occur with the State Health Insurance Program, which is referred 

to as the Mississippi Insurance Counseling and Assistance Program (MICAP) in this state. This coordination between the 

MsMAPP and the MICAP program is an important link in rural Mississippi. Each AAA in Mississippi has an existing 

MICAP program and the three AAAs identified in this grant have a broad program base. The staff person employed by 

the NMRLS is a consulting professional for Medicare and Medicaid issues and will provide services in five AAAs in North 

Mississippi. Functionally, the MsMAPP will recruit, train, and retain a cadre of retired persons who will serve as experts 

and educators for older persons in their local communities. The project will maintain a system of tracking error, fraud, 

and abuse referrals to appropriate agencies. Products: a tracking system and a final report.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

750 North State Street 

MISSISSIPPI DEPARTMENT OF HUMAN RESOURCES

Program: Senior Medicare Patrol Project

90AM2701 Minnesota Medical Care and Anti-Fraud Demonstration Project

St. Paul, MN 55164-0976

Contact: Krista Boston (976)296-2879

Since 1997, MN Board on Aging (MBA) has partnered to decrease fraud, errors, & abuse in Medicare. The Senior 

Medicare Patrol in MN (Medicare FYI) has been fully integrated into the statewide MN State Health Insurance Assistance 

Program (SHIP). In the previous project period, MN Medicare FYI project staff spent much time researching strategies to 

expand the project to combat Medicaid fraud & recover Medicaid dollars. The evolution of the MN Senior Medicare Patrol 

Project, to include a focus on Medicaid, resulted in new partners, e.g. initial activities with the Surveillance Integrity 

Review (SIRS) Unit, MN Dept. of Human Services (DHS), and continued collaboration with MN Home Care Association. 

As a result, MBA intends to build upon these collaborations & continue efforts to decrease Medicare Fraud, with renewed 

effort at raising Medicaid fraud, errors & abuse awareness. MBA will focus on educating consumers on Medicaid fraud, 

errors & abuse by partnering with the SIRS Unit of DHS. Since many MN Medicaid clients receive limited explanation of 

services, or have a minimal understanding of benefits, educating consumers on how to keep track of their services may 

save significant Medicaid $$. The MBA plans to continue focusing Medicare FYI efforts: 1) building on the existing 

volunteer network & expanding developed activities, e.g. technology to educate seniors, caregivers and professionals; 2) 

identifying & emphasizing the importance of reporting both Medicare & Medicaid fraud; 3) distributing outreach and 

informational materials to consumers through multiple communication methods; 4) utilizing the dramatic changes 

occurring in MN long-term care system to educate seniors, their caregivers, county staff & legislators about Medicare & 

Medicaid fraud, errors, & abuse; and 5) focusing information distribution on points of entry to information including 

pharmacies, physicians, & clinics. Products will include a final report, with systems of tracking for replication.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

PO Box 64976 

MINNESOTA BOARD ON AGING

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 156 of 261 

90AM2702 Senior Medicare Patrol

Lac du Flambeau, WI 54538

Contact: Holt Wendell (715)588-3324

Great Lakes Inter-Tribal Council (GLITC) is a consortium of federally recognized Indian tribes in Wisconsin and Upper 

Michigan. Started in 1963 as a Community Action Agency under the auspices of the federal Office for Economic 

Opportunity, GLITC was a vehicle for delivery of services and programs to its member reservations and the rural Indian 

communities of Wisconsin. With the development of local tribal government capacity and the ever increasing push for 

self-determination, the member tribes have assumed the responsibility of more administration of services to their own 

communities. The role of GLITC has therefore changed from one of delivering services directly to the reservation 

community residents, to one of assisting the member tribes in a delivery system of services and programs to back up and 

supplement the tribes' own service capacity. The objectives of this project are to: I) enroll volunteers to educate their 

peers in the prevention of error, fraud, abuse, and waste of Medicare/Medicaid and other health care assistance 

programs; 2) educate the general public in the prevention of error, fraud, abuse, and waste of Medicare/ Medicaid and 

other health care assistance programs; and 3) refer Medicare/Medicaid & other health care assistance program error, 

fraud, abuse, & waste to the appropriate organization(s). Tools needed to enroll, train, & educate participants in the 

program will be developed by the staff of Great Lakes Inter-Tribal Council, (GLITC) in cooperation with Indian Health 

Service Programs, Wisconsin Judicare, Tribal Benefit Specialists and member tribes. Once these objectives have been 

addressed at the sites, we expect that 90% of Elders and other consumers at these various sites will be educated and 

aware to identify error, fraud, abuse, and waste of Medicare/Medicaid & other health care assistance programs. Data will 

be collected on an ongoing basis through contact with site volunteers. Products will be in final report.

Project Period: 07/01/2003 - 05/31/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

100,000

100,000

100,000

2932 Highway 47 North P O Box 9

GREAT LAKES INTER-TRIBAL COUNCIL, INC.

Program: Senior Medicare Patrol Project

90AM2703 Utah Medicare Education Team

Salt Late City, UT 84103

Contact: Sallie Richardson (801)328-8891

Utah Legal Services, Inc. proposes to continue its Utah Medicare Education Team (UMET) project to educate seniors 

about Medicare and Medicaid. The project will use the services of retired professionals, who volunteer statewide, to help 

Medicare beneficiaries read and understand Medicare billing statements and identify possible errors or problems. The 

project will build on its productive network of collaborative partners to expand its outreach, especially to those age 85 

years and older, women living alone, minorities, and those with language, cultural, illiteracy, or other barriers. The project 

will seek volunteer recruits who are non-English speakers and persons in rural areas. Retention of volunteers is critical to 

the continued success of the project. Along with ongoing recruitment and training, major efforts will be taken to 

recognize, honor, and actively involve volunteers. The project plans to strengthen ties with federal and state agencies 

and organizations concerned about Medicare benefits, in an effort to maximize resources and minimize duplication. The 

project will also increase its visibility by participating in high profile media activities. Products of the renewed project will 

include training materials, UMET website, administrative forms, and brochures.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

184,000

175,000

175,000

205 North 400 West 

UTAH LEGAL SERVICES, INC.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 157 of 261 

90AM2704 South Dakota Anti-Fraud Education Project

Sioux Falls, SD 57104

Contact: Candise Gregory (605)336-2475

East River Legal Services Corporation (ERLS) has received Senior Medicare Patrol Projects since 2000. ERLS provides 

public education & one-on-one peer counseling on Medicare and Medicaid fraud throughout South Dakota to ensure 

consumer awareness of the problem, and provide knowledge on evaluating and reporting suspected fraud. To 

accomplish this goal of public education, we are utilizing our established network of partners, an advanced media 

campaign, and an established pool of very capable, well trained retired senior volunteers, many of whom have over five 

years of Medicare counseling experience. Our objectives are: 1) individual consumer counseling, evaluation of 

suspected fraud, and referral for further investigation of appropriate cases; 2) development of community partnerships 

with small local businesses in rural communities across South Dakota; 3) ongoing training for established volunteers, 

and recruitment of additional volunteers as needed; 4) dissemination of fraud educational materials to the public 

statewide; 5) fraud education on Reservation lands in South Dakota; 6) special outreach to rural areas; 7) increased 

client contacts & dissemination of fraud information; and 8) careful tracking of measurable outcomes. The ERLS/Senior 

Fraud Patrol Program provides a myriad of tools to assist partners & volunteers with project objectives. These products 

include: 2 day training for new volunteers; a training manual and resource materials for volunteer counselors; annual 

update training for existing volunteers; Personal Health Care Journal; a "How to Read your Medicare Summary Notice" 

brochure; a fraud booklet "Avoiding Scams and Fraud"; a 5-Part Anti-Fraud Video Series; and sponsorship and 

participation in major fraud events throughout the year.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

335 N Main Avenue, Suite 300 

EAST RIVER LEGAL SERVICES CORPORATION

Program: Senior Medicare Patrol Project

90AM2705 Louisiana Medicare Abuse Patrol Program

Leesville, LA 71446

Contact: Marvis Chance (887)239-0275

Since March 1, 2002, the Louisiana Medicare Abuse Patrol Program has been administered by the Vernon Parish 

Council on Aging (VPCOA). This partnership has been built upon the support of such organizations and agencies as the 

Governor's Office of Elderly Affairs, Parish Councils on Aging, (TRIAD), the Vernon Parish Sheriff's Department, and 

numerous other agencies that work on behalf of the senior citizens of Louisiana. This project has recruited and trained 

professional volunteers from fourteen parishes in the western and central sections of Louisiana. These retired 

professionals have participated in informative training sessions that have educated them to the perils faced by the 

Medicare Program due to fraud, waste and abuse. Volunteers also provide one-on-one counseling, as needed to their 

peers. This project, when funded for another three (3) years, wiII be able to move into additional parishes, thus bringing 

this valuable resource to others across the state. The Louisiana Medicare Abuse Patrol Program (LAMAPP) staff has 

been trained to respond to callers using the agency's toll free number 1-877-239-0275. Calls related to possible fraud are 

immediately documented and referred to trained LAMAPP staff members, who then refer the inquiries to their respective 

Councils on Aging, and ensure that these cases are worked until they are resolved. The Advisory Council assists the 

project director in developing training and outreach materials for use by both staff members and LAMAPP volunteers, 

and also in compiling data to measure the program's success. Consultants will assist the project director in developing 

and presenting the training and outreach curriculum, assisting in the grant writing process and helping to develop data 

collection instruments for accurate analysis and reporting of program results. Products will include training and outreach 

curriculum and data collection instruments.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

122,280

110,280

110,280

200 North Third Street 

Vernon Council on Aging, Inc.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 158 of 261 

90AM2706 Senior Medicare Patrol

Columbia, SC 29201

Contact: Gloria McDonald (803)898-2850

The mission of the SC Dept. of Health & Human Services, Bureau of Senior Services is to provide statewide services 

that address the needs of older people, including assisting Medicare/Medicaid (M/M) beneficiaries to identify waste, 

fraud, and abuse on Medicare Summary Notices (MSN). This is accomplished through a statewide aging network with 

Area Agencies on Aging and Councils on Aging in each county. The SMPP is managed in the Lt. Governor's Office, Div. 

of Aging Services.This unit is committed to meeting beneficiary needs and ensuring this service is delivered to 

appropriate clients. The Division of Aging Services will be the lead entity in implementing activities of the project, with 

identified partners, including the American Association of Retired Persons. This project will bring together agencies 

whose goal is to stop Medicare fraud and abuse by using knowledge and expertise to develop a comprehensive 

volunteer-based fraud detection system. The Div. of Aging Services will use current Insurance Counseling Assistance 

Referral for Elders (I-CARE/SHIP) volunteer insurance counselors to promote awareness, and to detect/report findings of 

fraud. An M/M fraud and abuse manual has been developed and will be expanded to include current fraudulent 

practices. Volunteers will be trained to review MSNs, and to empower beneficiaries to screen MSNs for inappropriate 

charges and services. Following training, a test will measure volunteer comprehension. Regional coordinators will 

identify fraud and submit to the Fraud Project Specialist, who will forward aggregate reports to AoA. In addition to 

counseling contact forms, information brochures and a manual, a computerized data collection system will be developed 

to track outcomes. Products will include a final report and a fraud and abuse manual and module on M/M fraud.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

1301 Gervais Street, Suite 200 

South Carolina Office of Lieutenant Governor

Office on Aging

Program: Senior Medicare Patrol Project

90AM2707 Via Christi Senior Medicare Patrol

Wichita, KS 67203-4999

Contact: Joveta Wescott 

The Via Christi Senior Medicare Patrol Project will train retired registered nurses (RNs) participating in the 

Congregational Health Ministry Network (Parish Nursing) of Via Christi to serve as expert resources and educators in the 

detection of health care errors, fraud and abuse. RNs will provide information, assistance and support to Medicare and/or 

Medicaid beneficiaries that will result in: (1) increasing knowledge of the scope of benefits and services; and (2) 

increasing knowledge of appropriate utilization by the beneficiary and subsequent accurate charges made by health 

providers to these programs. During the first phase of the project (year 1), the Via Christi Regional Medical Center (VCR 

IC), in collaboration with the Kansas Department on Aging, will establish and convene a steering committee 

representative of organizations, agencies, educational institutions and service providers committed to improving 

beneficiary abilities to detect and stop health care error, fraud and abuse. This project will complement the existing 

Senior Health Insurance Counseling for Kansas (SNICK) program and fraud prevention hotline services. During the 

second phase of the project (year 2), curriculum will be prepared, at least 50 parish nurses will receive training, and 

selection of the project service area (counties) completed. The third phase of the project (year 2 and year 3) will result in 

trained parish nurses directly providing community-based information activities and support services to beneficiaries in at 

least 15 counties of the state, with at least 10 counties located in rural areas of the state and at least three (3) counties 

possessing a recognized percentage (5% or more) of residents of minority/ethnic heritage. It is projected that at least 

1,500 beneficiaries will receive information through a minimum of 30 sessions conducted by retired parish nurses, by 

project conclusion.

Project Period: 07/01/2003 - 05/31/2005

FY Grant Amount

FY 2003

FY 2004

78,293

73,165 2622 W. Central 

VIA CHRISTI FOUNDATION, INC.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 159 of 261 

90AM2708 Indiana Senior Medicare Patrol Project

Indianapolis, IN 46250

Contact: Melissa Durr (317)598-9300

The Indiana Senior Medicare Patrol Project, sponsored by the IAAAA Education Institute (IAAAA), proposes an 

innovative project that will build upon its success as contractor to the State of Indiana for the current project. IAAAA will 

collaborate with many statewide organizations to recruit, train and support beneficiary volunteers and others to educate 

and inform Indiana residents about Medicare errors, fraud and abuse. We will use past success, best practices, and tools 

from the Technical Assistance Resource Centers to refine and develop training and outreach materials. The project will 

target homebound seniors, low-income seniors, rural seniors and low literacy seniors for intense education and 

outreach. We will develop and use tools to measure success and evaluate our progress toward our desired outcomes. 

As a result of our efforts, we will achieve the following outcomes: 1) a 33% increase in the number of complaints filed 

over the life of the project; and 2) a 10% increase in knowledge by project volunteers about Medicare errors, fraud and 

abuse. Products will consist of a final report, and training and outreach materials.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

184,000

179,000

179,000

5875 Castle Creek Parkway North Drive, Suite 315 

IAAAA EDUCATION INSTITUTE, INC

Program: Senior Medicare Patrol Project

90AM2709 New York State Operation Restore Trust

Albany, NY 12223-1251

Contact: Wanda Troche (518)474-5478

This is the third year of a three year demonstration project to recruit and train retired professional volunteers to educate 

groups of Medicare beneficiaries and their families about the importance of recognizing and reporting Medicare and 

Medicaid fraud, error and abuse. Beneficiaries, caregivers and information assistants will be trained to detect payment 

errors and procedures for reporting suspected fraud in order to recoup improper payments. Target population: minorities, 

women, low income, non-English speaking and handicapped persons. Collaborators: CMS, Hands on The Hudson 

Valley, Lifespan Ombudsman program, and the NY Commission for the Mentally Disabled. Activities/Outcomes: Training 

modules for diverse trainees and Internet training; an informed and energized public, fighting against health care fraud; 

and strengthened local community and state coalitions working to protect health care for seniors. Products: final report 

and training modules.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

2 Empire State Plaza 

New York State Office for the Aging

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 160 of 261 

90AM2710 Health Care Waste, Fraud and Abuse, Senior Medicare Patrol Project

Concord, NH 03301-3857

Contact: Lloyd Farnham 

New Hampshire's Division of Elderly and Adults Services (DEAS), in partnership with Community Services Council of 

New Hampshire (CSCNH), has successfully administered a Senior Medicare Patrol Project (SMPP) since 1997. As one 

of the first twelve local demonstration projects in the country, New Hampshire developed a unique model by combining 

SMPP with the State's Health Insurance Assistance Program (SHIP). As such, New Hampshire has operated an effective 

practice model for its seniors and people with disabilities. The following objectives are planned for this period: 1) 

increase the number of formal and informal sites for assistance, education and outreach. New and traditional information 

and counseling sites will be established in rural hospitals, low-income clinics, senior centers and local community centers 

where senior attend social programs and workshops. Informal outreach will also be extended to NH legislative 

representatives; 2) expand volunteer recruitment to rural and low-income areas in northern and western regions of the 

state, where some of the most vulnerable and isolated population resides; 3) expand education on Medicaid and other 

assistance programs for SMPP volunteers; and 4) enhance and monitor program effectiveness by developing new 

partnerships and coalitions with state/local/federal agencies and professional retiree organizations, conducting pre-and 

post tests surveys, reviewing and revising training components, and holding program evaluation meetings with contractor 

and grantee. New training materials, Medical Assistance Resource Guide, Prescription Drug Options, NH Health 

Records, and Fraud Tips will be produced.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

129 Pleasant Street 

NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES

Program: Senior Medicare Patrol Project

90AM2711 Seniors Organized to Restore Trust (SORT)

Warrensburg, MO 64093

Contact: Diana Hoemann (660)747-3107

Seniors Organized to Restore Trust (SORT), third phase, is a project that builds upon a strong organizational base and 

well-trained volunteers already in place to expand the number of seniors throughout the State of Missouri who detect, 

report and combat Medicare and Medicaid error, fraud and abuse, by adding a new component to an already successful 

program. The objectives of the project are: to train staff representatives from each of the ten Area Agencies on Aging to 

serve as SORT Coordinators in their respective areas; to maintain and expand the current pool of SORT Specialists to a 

total of 372 Specialists working one-on-one with Medicare beneficiaries; to establish a statewide speaker's bureau to 

assist with Medicare and Medicaid beneficiary training; to continue statewide outreach efforts with a particular emphasis 

on rural and minority; to update all AAA web sites in the state, as well as the Elder Services Program web site to include 

fraud and abuse information; and to expand the SORT Steering Committee. The approach includes working with the 

Missouri Alliance of Area Agencies on Aging and their 298 senior centers, and the Missouri Attorney General's Office and 

Secretary of State's office, to develop a comprehensive approach to fraud affecting seniors, including identity theft, elder 

abuse and neglect, consumer fraud and health care error, fraud and abuse. Major products resulting from SORT, the 

third phase, include improved training materials that will appeal to retired professional volunteers. Anticipated outcome: 

a project that is systematically evaluated for effectiveness and which demonstrates integration of the Senior Medicare 

Patrol project's message into the Aging Services Network.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

193,442

173,442

173,237

106 West Young, PO Box 1078 

DISTRICT III AREA AGENCY ON AGING

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 161 of 261 

90AM2712 Empowering Consumers of Healthcare Organizations (ECHO)

Lincoln, NE 68509-5044

Contact: Cindy Kadavy 

The Senior Medicare Patrol Project's overall goal is to substantially increase the involvement of older persons and the 

Aging Network in an effort to curb losses within the Medicare and Medicaid programs - losses due to error, waste or 

fraud. Nebraska's ECHO Project plans to continue working toward the following: 1) Be Aware, Be Informed - combat 

health care error, fraud and waste in Nebraska, through awareness campaigns and promotions, educational 

presentations and distribution of informational material, direct technical assistance and support of Medicare and 

Medicaid beneficiaries throughout the state; 2) Be Involved - continue the recruitment of retired professionals, who will 

serve in their communities as volunteer resources, peer educators and beneficiary advocates. Provide the training, 

coordination, support and recognition necessary to maintain their efforts and keep them involved as an integral part of 

the ECH0 Project in the effort to curb health care fraud and waste in Nebraska. Reach out to special populations, and 

provide additional outreach through the intervention of trained and certified volunteer Ombudsman Advocates, to the 

most vulnerable of Nebraska's beneficiaries, i.e. nursing home residents, one of the largest groups of consumers of 

health care services, and 3) Build Coalitions - continue to develop and expand collaborations between local, regional and 

state organizations and agencies; build and strengthen community coalitions of older Americans and service providers; 

and create partnerships working toward the same goal of combating error, fraud and waste within the Medicare and 

Medicaid systems. Products - a final report, educational presentations, campaigns and promotions.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

PO Box 95044 

NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 162 of 261 

90AM2713 Sagewatch

Honolulu, HI 96813-2831

Contact: Derrick Ariyoshi (808)586-0100

Since 1997, SageWatch has grown to be a recognized statewide organization responsible for training several hundred 

dedicated, dynamic, and highly motivated individuals to be certified SageWatch volunteers who donate hundreds of 

hours each year to make the SageWatch Program. Activities of the SageWatch Program are guided by an advisory 

council composed of representatives of health care provider associations, Medicare contractors, Medicaid investigators, 

senior health care organizations, Area Agencies on Aging, immigrant and native Hawaiian organizations, and consumer 

advocates. In addition, EOA's SAGEPLUS (SHIP) and the Long Term Care Ombudsman Programs work closely with the 

SageWatch Program. The five goals of SageWatch are: 1) to recruit, train and retain culturally diverse retired 

professionals as volunteer presenters; 2) to provide outreach to special population groups, i.e. non-English speaking and 

ethnic groups, low income, minority, women, disabled, rural, frail, and underserved; 3) to conduct a public awareness 

campaign; 4) to demonstrate collaboration among concerned agencies; and 5) to increase use of the website for 

disseminating information, recruiting volunteers, receiving reports of fraud and abuse, and receiving requests for 

presentations. Products include a final report, and outreach materials, teaching materials and copies of data collection 

tools.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

196,910

174,860

175,000

250 South Hotel St., Suite 406 

Executive Office on Aging

Program: Senior Medicare Patrol Project

90AM2714 Medicare Fraud Senior Patrol Care Project

Bismark, ND 58502-1893

Contact: Vicki Anderson (701)222-2110

This is the third year of a three-year cooperative agreement for Legal Services of North Dakota (LAND) to operate a 

Senior Medicare Patrol Project. Objectives: 1) to train staff, volunteers and Medicare beneficiaries to identify signs of 

Medicare error, fraud, and abuse, and report suspicions to a Fraud-Fighter hotline for investigation and referral; 2) to 

develop and distribute educational materials to staff, volunteers, and beneficiaries; 3) to sponsor two regional 

conferences per year and co-sponsor elder-related conferences, presentations, and exhibits; and 4) to develop media 

and website materials along with "Senior Surf Days" web training to educate partners and the public. LAND and its 

partners will accomplish all goals in a seamless way, to ensure effective use of resources. All trainings, education, 

presentations, materials developed and conferences will be worked into currently existing elder-related functions where 

possible. Expected outcomes: staff, volunteers and beneficiaries will recognize signs of potential Medicare error, fraud 

and abuse; report suspicions promptly and without fear to appropriate agencies; reduce inaccurate or inappropriate 

billings; and restore faith that funds will be available for current beneficiaries and future generations. Major products 

from this project are: a personal health care journal for use by beneficiaries; a specialized Medicare Summary Notice 

(MSN) brochure; video and audio tape training materials covering Medicare error, fraud and abuse for use by staff, 

volunteers, beneficiaries and their caregivers; and materials for the media, website, and public distribution.

Project Period: 07/01/2003 - 09/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

145,000

125,000

125,000

1025 North 3rd Street 

LEGAL SERVICES OF NORTH DAKOTA

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 163 of 261 

90AM2715 Vermont Medicare Partnership Project

Montpelier, VT 05602

Contact: Anita Hoy (802)229-4731

This is the third year of a three-year cooperative agreement to operate a state-wide Senior Medicare Patrol Project. The 

project will: (1) develop or identify "best practice" programming for recruiting, training and maintaining retired seniors and 

other professionals in Vermont's elder network for work in this project; (2) increase elders' ability to be active partners in 

health care decisions and raise beneficiary awareness of Medicare program benefits and operations, including 

understanding health care statements and keeping track of medical services; and (3) build further collaborations with 

health care providers to actively engage in planning and supporting this project, and making information given to elders 

understandable and useful. The objectives will be met by: (1) developing and implementing a statewide program with 

central coordination out of the Community of Vermont Elders (COVE) and regional program operations performed by the 

five Area Agencies on Aging (AAAs) in the state; (2) gathering information and materials from other statewide SMPP's, 

particularly those focused on rural populations, and working with technical assistance providers to identify "best 

practices" and modify programs to meet Vermont's reality and culture; and (3) creating a program advisory group, 

including seniors, advocates and providers to increase ownership of the program by involving stakeholders in its design 

and evaluation. As a result of these efforts, the project will use national best practices and the expertise of local seniors, 

advocates and providers to increase beneficiary ability to actively participate in health care decision making, including a 

greater understanding of the Medicare program. Products are a final report and project data forms.

Project Period: 07/01/2003 - 05/31/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

PO Box 1276 

COMMUNITY OF VERMONT ELDERS

Program: Senior Medicare Patrol Project

90AM2716 The Senior Medicare Patrol Project

Madison, WI 53718-6751

Contact: Elizabeth Conrad (608)224-0606

The Coalition of Wisconsin Aging Groups (CWAG) proposes to continue building on its successful six-year Senior 

Medicare Error Patrol Project. The project has been a highly collaborative effort with the cooperation and assistance of 

many statewide partners. In the last year of the current grant cycle, a volunteer coordinator was added to the team. We 

will continue to train volunteers who will be organized into regions aligned with the nine district boundaries of the 

Coalition's membership areas. The addition of the Volunteer Coordinator will allow us to place more emphasis on the 

retention of already trained volunteers and maximize their utilization in presentations statewide. In addition, new 

volunteers will be trained, organized and integrated into the new district system. Training will include: an overview of 

Medicare/Medicaid laws; methods for identifying and reporting Medicare/Medicaid fraud, waste and abuse; and 

instructions on reading a Medicare Summary Notice, and on the basics of public speaking. The targeted audience will be 

low-income, limited literacy, rural, minority and inner city elders. Volunteers will serve as local resources available to give 

presentations, answer questions and advocate for peers. Partners (Medicare contractors, U.S. Attorneys' Offices, etc.) 

will assist with training. All referrals will be received and screened via a toll-free number. Products will be a monthly 

Fraud Alert newsletters, standardized PowerPoint presentations, a volunteer manual, press releases, training materials 

and new brochures on additional subjects. The new grant cycle has two additional new features: 1) an emphasis on 

working with caregiver support groups and education forums; and 2) an expansion of the marketing and media campaign 

started in the last grant cycle. Thus the new name - "The Medicare Integrity Project" - and the tag line - "Helping to Keep 

the Promise" - on all of our materials.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

2850 Dairy Drive, Suite 100

Coalition of Wisconsin Aging Groups

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 164 of 261 

90AM2717 Senior Medicare Error Patrol Project - Operation Restore Trust Iowa

Des Moines, IA 50309-3609

Contact: Shirley Merner 

The goal of Iowa's Senior Medicare Patrol project is to recruit, train and maintain retired volunteers of diverse cultural, 

ethnic and socioeconomic backgrounds to be expert resources to help educate older persons about their health care 

expenditures under Medicare and Medicaid, and utilize strategies to detect errors, fraud and abuse, and report their 

concerns. Volunteers are instructed to effectively provide education through public events and group sessions in their 

communities. Critical to the accomplishment of this goal is collaboration with other government and private agencies. 

Operation Restore Trust (ORT) approach is through such collaborative ventures, guided by a State Advisory Committee, 

contracts with Area Agencies on Aging for local recruitment and supervision of volunteers, and partnership with the 

Senior Health Insurance Information Program for the provision of one-on-one counseling. The outcome is to increase the 

ability of Iowans to identify errors, fraud, and waste in the Medicare/Medicaid programs. This creates responsible 

consumers of the health care benefits of these programs. ORT will expand the Public Awareness Campaign to include 

major products, such as caregiver information kits, pamphlets, video news releases, and media rolodex cards. ORT's 

web site is a key piece of promotion and coordination, encouraging beneficiaries to question, learn and take an active 

role in protecting their health care benefits. The website will be expanded to include provider education, a press room kit 

and links to Medicare resources. A major product of this effort is a standardized assessment tool, which will be 

administered to measure the effectiveness of the beneficiary education provided by Senior Medicare Waste Patrol 

Project volunteers nationwide.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

200 Tenth Street 

IOWA DEPARTMENT OF ELDER AFFAIRS

Clemens Building, 3rd Floor

Program: Senior Medicare Patrol Project

90AM2718 Health Care Fraud, Waste and Abuse Senior Volunteer Education Project

Warwick, RI 02889

Contact: Lisa Purcell (401)521-7930

This is the third year of a three-year demonstration project to recruit and train retired professional volunteers to educate 

groups of Medicare beneficiaries and their families about the importance of recognizing and reporting Medicare and 

Medicaid fraud, error and abuse. Beneficiaries will be trained to detect payment errors and report suspected fraud in 

order to recoup improper payments. The target population is Medicare beneficiaries and their families. Collaborators 

include the Alliance for Better LTC in Providence, Urban League of RI, Cox Communications, US Senator Jack Reid, 

and the Rhode Island Dept. of Elderly Affairs. Anticipated activities/outcomes: volunteers recruited from culturally diverse 

communities; State Health Insurance Program (SHIP) volunteers trained to educate clients about health care fraud; 

ombudsmen trained to assist with residents in long-term care and assisted living facilities; case managers trained to 

provide one- on-one counseling of homebound Medicare beneficiaries; community awareness of the problem increased 

through workshops; and training modules developed to ensure an understanding of the Medicare Summary Notice. 

Products are a training module and a final report to AoA.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

765 West Shore Road 

AGING 2000, INC.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 165 of 261 

90AM2719 The Pennsylvania Health Care Fraud Education Project

Philadelphia, PA 19103

Contact: Rebecca Nurick (215)545-5728

This is the third year of a three-year demonstration project to recruit and train retired professionals to educate groups of 

Medicare beneficiaries and their families about the importance of recognizing and reporting Medicare and Medicaid 

fraud, error and abuse. Beneficiaries will be trained to detect payment errors and how to report suspected fraud in order 

to recoup improper payments. Target population: minority, non-English speaking, rural and isolated beneficiaries. 

Collaborators: Mayor's Commission, Philadelphia; RSVP, Harrisburg; AARP of PA; and PA Dept. of Aging. Anticipated 

Activities/Outcomes: educate the general public in the prevention of error, fraud and abuse in the Medicare and Medicaid 

program; refer cases of suspected error to the appropriate organization; enroll volunteers to educate their peers in fraud 

reduction; improve communication between law enforcement, private sector providers, and beneficiaries concerning 

fraud activities in PA; provide consultation with individual seniors, as needed, to review Medicare issues; and establish 

relationships with community leaders and service providers to educate culturally diverse elderly persons. Product will be 

included in final report to AoA.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

175,000

175,000

100 North 17th Street, Suite 600 

CENTER FOR ADVOCACY FOR THE RIGHTS AND INTERESTS

 OF THE ELDERLY

Program: Senior Medicare Patrol Project

90AM2720 SCAMS, Senior Counselors Against Medicare Swindlers

Sacramento, CA 95819

Contact: Julie R Schoen (714)560-0309

Since it's inception eight years ago, the purpose of the Senior Counselors Against Medicare Swindlers (SCAMS) project 

of California Health Advocates (CHA) has been to recruit and train senior volunteers, and to involve them in educating 

the CA community to prevent, detect and report Medicare fraud, waste and abuse. The next level of achievement will be 

to develop and utilize an Outcomes Measurement Tool to evaluate the efforts of our volunteers and build upon our solid 

foundation of statewide Health Insurance Counseling Advocacy Programs (HICAPs). This will include adult protective 

services, financial abuse strategists and others in the community throughout California, working together to protect 

Medicare and it's beneficiaries from waste, fraud and abuse. The goals of SCAMS: initiate a survey tool to measure 

education outcomes; implement a new fraud education outreach method, i.e. web-based trainings; prepare an outreach 

campaign for disabled Medicare beneficiaries; and continue to recruit, train and retain retired professional volunteer 

educators and counselors, emphasizing a culturally competent training and outreach curriculum. Major annual 

outcomes-observable end results: baseline surveys (50 surveys/mo.) designed to reflect program impact on participant's 

observable behavior; and web-based trainings by a minimum of 4 collaborative agencies - Offices on Aging, Latino 

Health Access, LTC Ombudsman Program, Financial Abuse Specialist Teams.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

197,000

175,000

175,000

5380 Elvas Avenue, Suite 104 

CALIFORNIA HEALTH ADVOCATES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 166 of 261 

90AM2721 Illinois Senior Medicare Patrol

Oak Park, IL 60301

Contact: Laura Rosenfeld (708)383-0258

The Senior Medicare Patrol (SMP) program is a collaborative effort lead by the Suburban Area Agency, in partnership 

with the Northeastern Illinois Area Agency, Chicago Department on Aging and the Southern Illinois Collegiate Common 

Market. We will build upon the solid success of the program, having been one of the original demonstration projects, to 

reach new audiences with important messages that can help to preserve the integrity of our healthcare system. The 

objectives of the project are: to increase awareness among Medicare consumers participating in the SMP program about 

how to prevent, detect, and report suspected errors and fraud; and to improve the knowledge of volunteer trainers 

regarding a) Medicare benefits and services, local options, provider concerns, and b) reading and understanding 

Medicare Summary Notices (MSNs), Explanations of Benefit (EOBs) and Advance Beneficiary notices (ABNs). We will 

use the following approaches: recruit and train retired professionals to volunteer as SMP expert resources; work with 

eight partner agencies to conduct the program throughout Illinois; develop, adapt and disseminate materials to improve 

the knowledge of trainers, volunteers and Medicare beneficiaries on the prevention, identification and reporting of 

suspected errors and fraud; and inform and educate diverse Medicare beneficiary communities through presentations 

and outreach events. A special emphasis will be placed on reaching out to rural, low functionally literate, and limited and 

non-English speaking beneficiaries utilizing partnerships with community-based organizations, and innovative and grass 

roots methods. The major products from this project will be: a "Train the Trainer" manual; a Press Kit with sample media 

messages; Fraud Alert publications in English, Spanish and possibly other languages; and a Training Video for new 

volunteers, including sample SMP presentations.

Project Period: 07/01/2003 - 06/30/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

297,000

275,000

275,000

1048 Lake Street Suite 300

SURBURBAN AREA AGENCY ON AGING

Program: Senior Medicare Patrol Project

90AM2724 West Virginia Senior Medicare Information and Error Patrol Project

Washington, DC 20049-0049

Contact: Scott Adkins (202)434-2787

AARP assumed responsibility as the new Senior Medicare Patrol project (SMPP) grantee in W.VA , 7/31/03. AARP WV 

is a SMPP Advisory Committee member, ensuring smooth transition & continued project development in the state. W. 

Virginians are especially dependent on Medicare & Medicaid (M/M) programs - and billing errors, waste, fraud, or abuse 

reduce access & availability. The goal of the WV SMIEPP is to establish systems and mechanisms to educate M/M 

beneficiaries to identify and resolve billing errors & report possible fraud/abuse, thus reducing the incidence of waste, 

fraud & abuse in vital programs and services. Objectives: 1) strengthen development of infrastructure to detect/combat 

health care billing charge errors, fraud, waste, & abuse in M/M programs; 2) recruit/train Volunteer Educators to inform 

and educate M/M beneficiaries; 3) expand partnerships thru links with public & private agencies; 4) conduct outreach & 

develop promo materials; and 5) establish Intake, Reporting, Referral & Follow-up systems. Objectives: using these 

approaches & interventions - Continue existing consortia with agencies, organizations, community groups, & individuals 

committed to increasing knowledge among M/M consumers and eliminating healthcare billing errors, waste, fraud & 

abuse; continue training individuals to serve as SMIEPP Educators; conduct consumer education, inc. at least one 

Medicare Update seminar; and develop a complaint intake, investigation, mediation, & resolution system. WV SMIEPP 

will incorporate reporting mechanisms that identify problems & suggested improvements in Medicare. Outcome: 

Medicare/Medicaid recipients and public are well-informed and educated on the prevention and/or detection and 

reporting of suspected error, fraud, or abuse. Major products: manuals; data collection & evaluation instruments; training 

packages; audio-visuals educating the public & healthcare providers on preventing potential Medicare & Medicaid error & 

fraud.

Project Period: 07/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

175,000

180,000

179,467

601 E Street NW 

AARP Foundation

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 167 of 261 

90AM2927 Combating Health Care Waste, Fraud and Abuse

Lansing, MI 48917

Contact: Mary Johnson (517)886-1339

The Area Agencies on Aging Association of Michigan will integrate a special focus on identity theft, waste, fraud and 

abuse (WFA) into the State Health Insurance and Assistance Program (SHIP) funded by the Centers for Medicare and 

Medicaid Services. Michigan's SHIP is called the Medicare/Medicaid Assistance Program (MMAP). MMAP, through its 

statewide network of volunteers, will accomplish the following objectives: l) recruit retired seniors to serve as WFA and 

identity theft specialists; 2) revise all training modules and printed materials currently in use: 3) conduct refresher and 

new trainings for current MNMAP volunteers; 4) conduct statewide outreach events (media and group presentations); 5) 

make printed materials available in seven languages via MMAP's website; 6) develop presentation kits; and 7) launch a 

media campaign to reach more beneficiaries. Anticipated outcomes: l) enhanced awareness of volunteers; 2) increased 

reporting by volunteers of suspected cases: 3) increased awareness of beneficiaries; and 4) increased skills of 

beneficiaries in detecting and reporting potential and actual identity theft and WFA situations.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

160,000

160,000 6105 W St Joseph Hightway, Ste. 209 

AREA AGENCIES ON AGING ASSOCIATION OF MICHIGAN, INC.

Program: Senior Medicare Patrol Project

90AM2928 Multnomah County Senior Medicare Fraud Education Project

Portland, OR 97204

Contact: Traci Goff 

This is a one-year project of general and targeted activities to educate seniors and their families residing in the county, 

about Medicare/Medicaid fraud. This project will collaborate with the Oregon State Senior and Disabled Services. Focus 

will be on seniors on Medicare/Medicaid and their families. Anticipated outcomes: increase in the number of trained 

volunteers and increase in the number of group training sessions.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 40,000

421 SW Oak Street, Suite 620 

Multnomah County

Department of Human Services

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 168 of 261 

90AM2929 Senior Medicare Patrol-NM Seniors Saving Medicare/Medicaid

Santa Fe, NM 87505

Contact: Deborah Armstrong (505)476-4755

The overall goal of the New Mexico Aging and Long-Term Services Department Senior Medicare Patrol program is to 

recruit and train senior professionals to be benefits counselors and fraud fighters in their communities. Other goals are 

to increase and enhance the project's volunteer base to include more Spanish and Navajo speaking counselors; 

enhance outreach strategies for vulnerable and special populations in the six Planning and Services Areas (PSAs); 

increase the project's consortia of partners and strengthen their roles in the project; and enhance the project's tools to 

measure program effectiveness and outcomes. With the assistance of some of its key partners, Medicaid Fraud Unit, 

AARP, Senior Citizen's Law Office, NM State Association for Home Care, Attorney General's Office, Navajo Area 

Agency on Aging, the project realized the following outcomes: expanded knowledge of Medicare/Medicaid waste, fraud 

and abuse through most of the state; an increase in the number of volunteers proficient in M/M issues; a high-percentage 

of seniors informed on Part D Medicare program enrollment procedures; and the recovery of thousands of dollars.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 2550 Cerrillos Road 

New Mexico Aging & Long-term Services Department

Program: Senior Medicare Patrol Project

Massachusetts Medicare & Medicaid Outreach and Education Program "Senior 

Medicare Patrol Project"

90AM2930

Lawrence, MA 01843

Contact: Lucilia Prates (978)683-7747 :326

The Elder Services of the Merrimack Valley proposes to expand the Massachusetts Medicare & Medicaid Outreach and 

Education (MORE) program statewide partnership to include the following current partners: Elder Services of the 

Merrimack Valley, Inc., Executive Office of Elder Affairs and the Massachusetts Office for Refugees and Immigrants. 

The new partners will be: Health Care for All, Home & Health Care Association of Massachusetts, Inc., the Multicultural 

Coalition on Aging, the Aging and Disability Resource Consortium of Northeastern Massachusetts and the Office of the 

Attorney General. MORE's goal will be to continue to broaden and increase its outreach and education efforts 

throughout the state to reach low income, vulnerable, isolated, and limited English-speaking (LEP) populations, 

regardless of age, about their health benefits eligibility and ways to identify Medicare/Medicaid errors, fraud, and abuse. 

Building upon the successes of the previous six years, the MORE Program has developed new levels of collaboration to 

meet the goals and objectives of the grant. MORE will develop and implement a multi-faceted, comprehensive outreach 

and education campaign designed to reach beneficiaries, caregivers and professionals about the Medicare 

Modernization Act; Medicare Prescription Drug Coverage; Medicaid; Home & Health Care; and the Senior Medicare 

Patrol Project (SMPP) message about protecting Medicare and Medicaid from errors, fraud, and abuse.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 360 Merrimack Street, Building #5 

Elder Services of the Merrimack Valley, Inc.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 169 of 261 

90AM2931 Senior Medicare Patrol Projects

Little Rock, AR 72203-1437

Contact: Herb Sanderson (501)682-2441

The Arkansas Senior Medicare Patrol (SMP) project proposes to weave the healthcare fraud and abuse message into 

the fabric of the aging and disability communities by packaging it together with information that the public needs and 

wants for distribution through community organizations and entities that consumers rely on for information and advice 

(DHS and Health Department County Offices, employee assistance programs, elder care attorneys, and investment 

planners). As a new member of the Partnership for Clear Health Communication, they will collaborate with Pfizer and the 

Arkansas Literary Councils on their existing health literacy initiatives, including AskMe3. The target populations are the 

vulnerable and underserved, such as those impacted by low literacy, low income, cultural barriers and geographical 

isolation. The Arkansas SMP will collaborate with regional partners including Retired Senior Volunteer Programs, Area 

Agencies on Aging, Community Action Councils, Literacy Councils, the Minority Health Commission and other 

community organizations, advocacy groups and entities committed to consumer education and the protection of the 

aging, minority and disabled populations of the state. Products such as educational materials, e.g. consumer guides for 

in-home care and disability services; training modules on potential fraud and abuse associated with in-home services 

and the MMA; and training curricula and modules approved for CEUs, prepared by the UALR Criminal Justice 

Department will be shared with the AoA National Consumer Protection Technical Resource Center.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

179,533

179,530 P.O. Box 1437, Slot S530 

ARKANSAS DEPARTMENT OF HEALTH & HUMAN SERVICES

Aging and Adult Services

Program: Senior Medicare Patrol Project

A Medicare Fraud Patrol Project With Underserved Rural-Urban Latino/Hispanic 

Communities

90AM2932

Washington, DC 20036

Contact: Maria Eugenia Hernandez-Lane (202)347-9733

The National Hispanic Council on Aging will mobilize Latino Medicare and Medicaid beneficiaries and collaborate with 

the Administration on Aging for training, technical assistance and support aimed at controlling health care error, waste 

and fraud. The objectives are to: use community partnerships to recruit volunteer advocates; educate Latino families on 

fraud and consumer protection using mass media; modify beneficiary knowledge, attitudes and behaviors; and assess 

program results by collecting, analyzing and using quantitative and qualitative data. The target population includes 

individuals living in underserved, rural-urban Latino/Hispanic communities. Collaborators include local Area Agencies on 

Aging, the University of Texas Pan-American, the Medicaid Fraud Control Unit in south Texas, and the Senior 

Companion program of the Lower Rio Grande Valley. Outcomes: more than 200 volunteers recruited, including 

university students; at least three media messages or public service announcements issued by project sites; several live 

television presentations and many live Q & A radio presentations delivered from La Joya, La Voz del Anciano and 

Brownsville; more than 10,000 pieces of literature in Spanish-English related to Medicare fraud and other types of fraud 

distributed.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

178,809

178,809 1341 Connecticut Ave., NW, Suite 4.2 

The National Hispanic Council on Aging

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 170 of 261 

90AM2933 Senior Medicare Patrol (SMP)

Atlanta, GA 30303

Contact: Erika Lawson (404)651-6314

Since 1999, the Georgia Department of Human Resources (DHR), Division of Aging Services (DAS), GeorgiaCares 

Senior Medicare Patrol (SMP), has been dedicated to promoting consumer awareness, preventing elder victimization, 

and working to implement community partnerships to prevent Medicare and Medicaid error, fraud, and abuse. 

GeorgiaCares SMP project's main objective is to empower Georgians to take an active role in protecting health care for 

current and future generations by becoming better consumers. During this three-year grant cycle, our project goals are 

to: increase awareness of fraud and the SMP; increase capacity of outreach through the expansion and development of 

partnerships; increase opportunities to provide new training methods to local, certified coordinators for program and 

volunteer management; and increase capacity to reach target populations. Special initiatives will be made to 

disseminate information regarding the Medicare Prescription Drug Benefit or Part D and the potential for fraud 

associated with the increased number of Medicare Advantage Plans and Medicaid Health Maintenance Organizations 

(HMOs) in Georgia. Products will consist of post cards with fraud tips and posters/signs for display to emphasize the 

importance of being good stewards of health care dollars and ways to avoid common scams experienced among 

seniors. All progress and final reports will be shared with the SMP community, aging network and the Administration on 

Aging.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 2 Peachtree Street, NW 

Georgia Department of Human Resources

Program: Senior Medicare Patrol Project

90AM2934 Atlanta Senior Medicare Patrol Project

Atlanta, GA 30303-2538

Contact: Cathie Berger (404)463-3235

The Atlanta Senior Medicare Patrol (ASMP) will focus on two new initiatives in FY 2006: educating individuals on 

Medicare to recognize and prevent fraud activities related to the Medicare Modernization Act (MMA) and educating family 

members/caregivers about these and other Medicare fraud, error and abuse issues. Additional foci will be added each 

succeeding year. Emphasis will also be placed on fraud due to motorized wheelchairs and other durable medical 

equipment, a continuing focus from the previous year. ASMP will develop new collaborations with agencies and 

organizations to increase its outreach to the most underserved individuals on Medicare in the region. These are 

individuals who: speak Chinese, Korean, Russian, Spanish and Vietnamese; are economically, educationally and 

socially disadvantaged, a majority of whom are African American; are home bound; are disabled; or are gay and lesbian. 

Trained volunteers who are retirees will provide direct outreach to 4000 individuals on Medicare. ASMP will reach an 

additional 400,000 individuals on Medicare, their families and the public through distribution of ASMP materials and 

media outreach. The ASMP fraud call line will accept calls to discuss/report potential fraud. 

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

125,000

125,000 40 Courtland St., NE 

ATLANTA REGIONAL COMMISSION

Aging Services Division

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 171 of 261 

90AM2935 Senior Medicare Patrol Project - New Jersey Healthcare Advocate Volunteer Effort

Edison, NJ 08817-2598

Contact: Marci Fineman (732)777-1940

The New Jersey Healthcare Advocate Volunteer Effort (HAVE) is designed to improve the quality of healthcare for senior 

citizens in New Jersey by educating consumers concerning Medicare and Medicaid fraud, error, and abuse. The 

emphasis of the program is on education helping seniors and their caregivers to become better health care consumers 

and empower them to take more control of their health care. Collaborators include media and community organizations 

such as the NJ Area Agencies on Aging Association, the State Division of Aging & Community Services, NJ State Triad 

Association and NJ Attorney General's Medicaid Fraud Section. The project will continue to work with D/H Perfil to 

expand outreach into the Hispanic communities throughout the state. Targeted populations include all seniors within the 

state with particular focus on the Hispanic, African-American, Korean, Russian and other minority communities. The 

Jewish Family and Vocational Service of Middlesex County (JFVS) will administer the program with the Jewish Family 

Services of Bergen and Atlantic/Cape May Counties, and several statewide agencies. The program will operate 

statewide, but initially target two regions with substantial senior populations and a third region in Central New Jersey with 

a large minority population. The HAVE Program will utilize a "train the trainer" model. Volunteers will be trained to make 

presentations to senior groups concerning awareness of healthcare discrepancies. HAVE partners will recruit a 

minimum of 30 volunteers to make 110 presentations to approximately 5,500 seniors, resulting in increased awareness 

by healthcare consumers. Community and medical events will result in reaching 160,000 beneficiaries.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 200 Metroplex Drive Suite 200

Jewish Family & Vocational Service of Middlesex County

Program: Senior Medicare Patrol Project

90AM2936 Delaware Medicare Patrol Project

New Castle, DE 19720

Contact: Carol Barnett (302)255-9390

The Delaware Medicare Fraud Alert (DMFA) is a continuation of a successful project designed to recruit and train retired 

professionals to educate culturally diverse, low literacy, rural, low income and hard-to-reach Medicare and Medicaid 

beneficiaries and their families on how to recognize and protect themselves against Medicare and Medicaid fraud and 

how to report fraud, waste and abuse to the toll free hotline. Focus will be on African-American, Hispanic, rural and low 

literate seniors. The project will collaborate with the Delaware Health and Social Services, Division of Services for Aging 

and Adults; Medicare Quality Improvement Organization (QIO); Latin American Community Center; AARP; and other 

state and local organizations. Expected outcomes are: l) an increase in calls to the fraud hotline; and 2) an increase in 

seniors who agree to read their Medicare summary notices and question any information they dio not understand or 

agree with. Products include: brochures on a 5th grade or lower reading level on specific health conditions and on 

recognizing possible fraud, quarterly newsletters and health care placemats.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

170,000

170,000 1901 N. DuPont Highway, Main Annex 

DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 172 of 261 

90AM2937 Montana Medicare Waste Project

Missoula, MT 59801

Contact: Susan Kohler (406)728-7682

Missoula Aging Services will build on it's seven years of experience in outreach and education to Medicare beneficiaries 

on the issues of waste, fraud and abuse and general consumer health care fraud through its Advocates in Medicare 

Savings (AIMS) Program. The overall goal is to identify, report and reduce errors, fraud and abuse within the Medicare 

and Medicaid systems, with a focus on the Medicare Modernization Act of 2003 (MMA) and reaching homebound and 

underserved populations by expanding and enhancing current relationships with state agencies. Primary objectives are: 

1) inform and educate Medicare beneficiaries statewide through group sessions; 2) maintain 100 older adults as 

educators, counselors and advocates for Medicare beneficiaries, their families and the public; 3) inform and educate 

regarding healthcare errors, fraud and waste; 4) produce a professional tool on advocacy for Part D beneficiaries, and 

fact sheets on healthcare fraud, for use by staff of Long Term Care (LTC) facilities. This project targets older people, 

particularly the homebound and underserved. The project will collaborate with community-based organizations through 

the Montana Partners for Medicare Advocacy, including SHIP, AARP, MT State Auditor's Office, MT Dept. of Public 

Health and Human Services, CMS, Big Sky RX, MT Sr. Citizen's Association, MT AAA Association and MT Pharmacist 

Association. Outcomes: 3,569 Medicare beneficiaries educated; 58 new volunteers trained; 1,050 one to one counseling 

sessions; and 88 community education events.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 337 Stephens Avenue 

Missoula Aging Services

Program: Senior Medicare Patrol Project

90AM2938 Oregon Senior Medicare Patrol

Salem, OR 97301-1076

Contact: Lee A Girard (503)947-1199

The grantee, DHS, Seniors and People with Disabilities, supports this three-year Senior Medicare Patrol Project in 

collaboration with Oregon SHIBA, the Oregon Home Care Commission the Governor's Commission on Senior Services, 

AARP, and the Oregon Department of Justice. The goals are to: 1) continue to provide information, outreach, education, 

resources and advocacy through utilization of retired professionals as volunteers to combat Medicare/Medicaid (M/M) 

errors, fraud, and abuse; 2) educate hard-to-reach M/M beneficiaries and those most vulnerable to elder rights violations 

by training in-home caregivers; and 3) enhance outreach to tribal and minority communities. The objectives are to: 1) 

partner and collaborate with those mentioned above; 2) make systemic changes in the way information is disseminated; 

3) continue the model program training formal and informal in-home caregivers, and 4) increase the knowledge about 

M/M fraud, errors, and abuse and the new Medicare Modernization Act (MMA) program to tribal elders and tribal 

caregivers, and elders in the Latino community. The outcomes of the project are : targeted populations able to utilize the 

benefits of the MMA and able to recognize and report M/M fraud, waste, and errors. The products will be a 

train-the-trainer packet, along with video instruction, Fraudbuster Kits, and materials for the Latino community.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 676 Church Street, NE - 2nd Floor 

OREGON DEPARTMENT OF HUMAN SERVICES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 173 of 261 

90AM2939 Senior Medicare and Medicaid Patrol of Florida.

St Petersburg, FL 33702

Contact: Sally Gronda (727)570-9696 266

This project will have as its priority reducing Medicare and Medicaid losses due to errors, fraud and abuse and the 

training of Medicare beneficiaries on Medicare Part D. The goal is to build on past experiences and expand outreach 

and education statewide through strategic partnerships that represent a variety of programs whose missions coincide 

with the Senior Medicare and Medicaid Patrol Project. The project will collaborate with Seniors vs Crime and SHINE 

programs, Florida Attorney General's Medicaid Fraud Control Unit, Florida Department of Elder Affairs, AARP, and 

community-based cultural and professional organizations. The objectives are to: develop and implement innovative 

strategies to expand outreach and education to address Medicare and Medicaid fraud, error, waste and abuse statewide; 

expand volunteer recruitment efforts in the current project areas of Pasco and Pinellas counties to enhance established 

SMMPP activities; develop and implement a marketing and outreach plan that is culturally competent; expand volunteer 

training to incorporate the new Medicare Modernization Act; and expand volunteer recognition efforts statewide. 

Anticipated outcomes are: an increase in the number of complaints to the statewide SMMPP fraud hotline as a result of 

expanded marketing and outreach campaign; an increase in the involvement of retired professionals, particularly older 

minority individuals in Medicare/Medicaid education and training; and an increased awareness and knowledge among 

seniors about fraudulent practices and Medicare Part D.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 9887 4th Street North, Suite 100 

Area Agency on Aging of Pasco-Pinellas, Inc.

Program: Senior Medicare Patrol Project

90AM2940 Senior Medicare Patrol Project

Washington, DC 20049

Contact: Jan May (202)434-2164

Legal Council for the Elderly (LCE) recruited and trained new volunteers by tapping AARP's membership to educate 

beneficiaries to be capable of detecting and reporting healthcare error, fraud and abuse. Materials, which include the 

development of a Medicaid Manual for beneficiaries and SMEPP volunteers, are designed and updated for the 

volunteers. LCE's collaborative efforts with the networks of public and private agencies in the Washington, DC area will 

be expanded to outreach beneficiaries. The system for reporting intake, referral and follow up will be continually refined 

to improve its effectiveness. The target population includes Medicare and Medicaid beneficiaries with special outreach 

to the non-English speaking Spanish and Chinese communities. They will collaborate with the District of Columbia Office 

on Aging (DCOA) and the George Washington University Health Insurance Counseling Project. Activities included 

maintaining roster of 43 SMEPP active volunteers in Wards 1 - 4; conducting 78 presentations to 1,920 beneficiaries at 

senior centers, churches, nutrition sites, senior apartment buildings, senior clubs and AARP chapters; outreach to 

approximately 5,500 seniors at health fairs and the annual DCOA events; 30-second television commercials; and a 

variety of outreach and informational materials distributed. Products included refrigerator magnetic boards, placemats 

and bags that contained a SMEPP brochure, pen, health journal and magnifying glass.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

160,000

160,000 601 E Street, NW 

Legal Counsel for the Elderly

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 174 of 261 

90AM2941 Puerto Rico Alert to Fraud Project-Senior Medicare Patrol Project (SMPP)

San Juan, PR 00919-1179

Contact: Rossana Lopez-Leon (787)721-6121

The goal of the Puerto Rico Alert to Fraud is to empower elder Medicare/Medicaid participants with the knowledge and 

skills to become active partners against wasteful, erroneous and fraudulent use of benefits. To accomplish this, the 

project has partnered with: the CMSR Field Office; Quality Improvement research organizations; the Department of 

Health; the Office of the Commissioner of Insurance; the Archdiocese of San Juan; the Employees Retirement System; 

Teachers Retirement System; the Alzheimer's Association and other community-based organizations. Anticipated 

outcomes: empowered statewide coalition with representatives from 15 community-based public and private agencies 

and organizations; training seminars facilitated for the aging network staff, volunteers and related aging service providers 

and recipients from different island regions; comprehensive public education plan on the use and misuse of health care 

benefits under Medicare; and continued improvement of an information system for collecting, assessing and referring 

fraud, waste and abuse situations to concerned federal or state investigative agencies.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 P.O. Box 191179 

PUERTO RICO OFFICE OF THE OMBUDSMAN FOR THE ELDERLY

Program: Senior Medicare Patrol Project

90AM2942 2005-2006 Senior Medicare Patrol Project Consortium

Olympia, WA 98504

Contact: Tobi Johnson (360)725-7218

The Washington State Long-Term Care Ombudsman Program headquartered at the Multi-Service Center will conduct a 

3 year program to train individuals to detect, investigate, and report fraud and abuse among vulnerable citizens receiving 

long-term care (LTC) services in nursing homes, boarding homes, adult family homes, and home-care services. Seventy 

Certified Volunteer Ombudsmen will be trained as Ombudsmen Specialists to work with LTC residents, and fifteen 

Certified Volunteer Ombudsmen will be trained to follow current LTC facility residents who move to their own homes. 

The Ombudsman Specialist mission is to educate consumers in both facilities and in home to identify and combat fraud 

and abuse. Building upon their current capacity to detect, investigate and report abuse, neglect, and poor care, 

Ombudsmen Specialists throughout Washington State will be able to link these care issues to billing and payment. 

Ultimately, more funds will be available in the Medicare and Medicaid programs as funds spent on fraudulent or unused 

services are recovered. Project outcomes will include new training materials, a permanent coalition among long-term 

care advocates and a relationship with Washington Medicaid Fraud Control Unit to assure that fraud and abuse are 

reported to federal and state prosecutorial and fund recovery agencies.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 P.O. Box 40256 

State of Washington

Office of the Insurance Commissioner

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 175 of 261 

90AM2943 West Virginia Senior Medicare Patrol Project

WASHINGTON, DC 20049

Contact: Julia Stephens (202)434-2051

The goals of the AARP Foundation, the grantee for the West Virginia Senior Medicare Patrol Project, are: 1) to reduce 

error, waste, fraud and abuse in the delivery of health care services within Medicare and Medicaid; increase the level of 

awareness of fraud, waste, error and abuse in Medicare and Medicaid; and 3) develop partnerships with and augment 

the visibility of others in the aging community who share the projects overall objectives. Special emphasis will be placed 

on recruiting, training and supporting volunteer leaders and educators in rural counties. The project will partner with key 

federal, state and local agencies in addition to health care provider associations, community and faith-based 

organizations. FY 2005 Outcomes: volunteers led more than 59 Medicare fraud workshops for 4,300 Medicare 

beneficiaries; recruited and trained 10 new volunteer educators; via media outlets, informed the general public about 

Medicare fraud, waste and abuse; developed a speakers bureau with more than 30 volunteers trained to address 

Medicare prescription scams; and collaborated with Medicare contractors to conduct Medicare compliance training 

identified by providers using Microsoft Live Meeting (web conferencing tool).

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 601 E Street, N.W. 

AARP Foundation

Program: Senior Medicare Patrol Project

90AM2944 Tennessee Senior Medicare Patrol Project

Cookeville, TN 38506

Contact: Lanelle Godsey (931)432-4111

The Upper Cumberland Development District/Area Agency on Aging and Disability (AAAD) will administer a three-year 

program focusing on fraud, waste, and abuse monitoring in the Medicare and Medicaid systems. The goal is to enhance 

and expand the existing Tennessee Senior Medicare Patrol Project by focusing on recruitment of qualified volunteers, 

strengthening our community partnerships and expanding our joint Senior Medicare Patrol Project (SMPP) and State 

Health Insurance Assistance Program (SHIP) Advisory Board. Collaborators assisting in accomplishing the goal are: 

AAAD, SHIP, Long-Term Care Ombudsman, Senior Centers, Churches, University of Tennessee Agricultural Extension 

Service, and service providers. Products used to meet the project's goal include: newsletters, pre and post-tests for 

volunteer trainings, fraud referral forms, surveys, reports, PSA's, a website, and a media campaign including billboards 

and other types of media.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 1225 South Willow Ave. 

Upper Cumberland Development District

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 176 of 261 

90AM2946 Senior Medicare Patrol Project - MOD Squad

Houston, TX 77027

Contact: Candice Twyman (713)341-6141

Over the next 3 years, the Better Business Bureau Education Foundation (BBB) will build upon the past 

accomplishments and continue to implement a collaborative effort utilizing volunteers and community stakeholders 

educating Medicare and Medicaid beneficiaries to detect and report healthcare fraud, waste and abuse. Goal: to 

increase knowledge of Medicare and Medicaid fraud, waste and abuse to an ethnically diverse population in urban, 

suburban and rural communities. Objectives include: 1) developing and maintaining collaborative efforts with eldercare 

agencies and service organizations; 2) engaging older adults to actively participate in protecting themselves from 

consumer fraud; 3) recruiting and training volunteers to provide education; 4) expanding outreach to limited 

English-speaking populations; and 5) increasing awareness and engaging agencies and professionals in promoting the 

prevention of healthcare fraud. Expected outcomes: increased understanding of Medicare benefits and fraud, increased 

detection and reporting of healthcare fraud, and increased awareness of consumer fraud. Partnerships include: Area 

Agency on Aging, Texas Cooperative Extension, law enforcement units, social service agencies and healthcare 

providers. Products include: materials for limited English-speaking populations, tools to reach low-literate beneficiaries, 

and training tools for professionals.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

125,000

125,000 1333 West Loop South, Suite 1200 

Better Business Bureau Educational Foundation

Program: Senior Medicare Patrol Project

90AM2947 Ohio Seniors Fight Fraud

Cincinnati, OH 45237

Contact: Rhonda Y Moore (513)458-5506

Pro Seniors proposes to continue its Senior Medicare Patrol Project, Ohio Seniors Fight Fraud (OSFF), in Southwestern 

Ohio. The goal of this project is to educate seniors and their caregivers on ways to become wiser health care 

consumers, so that the amount of Medicare and Medicaid fraud can be minimized. The objectives for the three year 

grant are: to maintain a roster of thirty retired volunteers and recruit at least six new volunteers in the rural counties; to 

educate at least 10,000 beneficiaries and caregivers about Medicare/Medicaid fraud, waste and abuse; and educate at 

least 5,000 Medicare beneficiaries and/or their caregivers about the Medicare prescription drug benefit. Senior 

volunteers will continue to be the key partners in our education efforts. After receiving training in Medicare and 

Medicare/Medicaid fraud, waste and abuse and Medicare prescription drug coverage, the volunteers will serve as expert 

resources and educators for older persons in their communities. Products to be developed include presentations on the 

Medicare prescription drug coverage, the Medicare IQ quiz and the pre/post tests.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

129,280

129,280 7162 Reading Road, Suite 1150 

Pro Seniors, Inc.

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 177 of 261 

90AM2948 Senior Medicare Patrol Project

Augusta, ME 04333

Contact: Mary Walsh (207)287-9200

The Bureau of Elder and Adult Services (BEAS) will conduct a 3-year Senior Medicare Patrol Project, known as the 

Maine Medicare Education Partnership (MMEP). The goal is to train volunteers to provide Medicare and MaineCare 

(Medicaid) education to Medicare beneficiaries, MaineCare participants, their families and caregivers. Collaborating with 

the State Health Insurance Assistance Program (SHIP) in Maine to provide overall health insurance education, MMEP 

will have specific focus on identifying and reporting errors, fraud and abuse in Medicare and MaineCare, including home 

health care and relevant issues from the Medicare Modernization Act (MMA). The expected outcome is to educate 

Medicare beneficiaries, MaineCare participants, their families and caregivers to become knowledgeable, responsible 

consumers and encourage the identification and reporting of suspected health care errors, fraud and abuse. Products 

will include the Community Medicare Advocate Handbook, a presentation handbook, flyers, presentations, Medicare 

Bingo, health fairs and other community events, brochures, health journals and posters.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 442 Civic Center Drive, 11 State House Station 

Maine Department of Health and Human Services

Office of Elder Services

Program: Senior Medicare Patrol Project

90AM2949 Idaho Medicare Education Partnership

Boise, ID 83706

Contact: Lois S Bauer (208)344-3833

This is the second year of a three-year cooperative agreement awarded to the Idaho Commission on Aging, entitled 

Idaho Medicare Education Partnership (IMEP). This project educates beneficiaries in understanding and analyzing their 

Medicare billing information through the use of trained volunteers. IMEP is extending its outreach efforts to the 

Hispanic/Latino population with two contracts covering the areas in Idaho more densely populated with Hispanics. IMEP 

is also extending its outreach to include family caregivers through presentations at service organizations. The target 

areas for this project are vulnerable beneficiaries, including minorities, low-income, older single person households, 

women, persons with disabilities and others who live in rural areas of Idaho. Senior Health Insurance Benefit Advisors 

(SHIBA), Retired Senior Volunteer Program (RSVP), and CIGNA Medicare are collaborators on this project. Activities 

include the use of media to advertise an 800 number as a means of reaching rural seniors, and development of an 

outreach campaign targeting Hispanics. The outcome of this project is to increase the number of trained volunteers 

resulting in more knowledgeable beneficiaries.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

180,000

180,000 3380 Americana Terrace, Suite 120 

Idaho Commission on Aging

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 178 of 261 

90AM2950 Trusted Friend Network Project A Senior Medicare Patrol Project.

Washington, DC 20003-2711

Contact: BJ Brooks (202)546-7876

The Friendship House Association, founded in 1904, is the oldest community-based social service agency in 

Washington, DC and is currently a successful Senior Medicare Patrol Project (SMPP). After five years of "grass roots" 

Medicare fraud and waste education and volunteer development experience, they are proposing to expand the "on the 

ground" SMPP program throughout the District, but focus on the hard-to-serve senior community in the poorest areas of 

the city (Wards 5, 6, 7, and 8). The goals of the project are to: 1) engage low-income and low-literacy seniors, their 

families and caretakers in the uncovering of waste, fraud and Medicare abuse practices; and 2) build awareness and 

reduce and/or prevent the incidence of such practices. To accomplish this, they will use retired business professionals 

and community activists, as volunteers and educational resources, to detect and report Medicare waste and fraud. 

Outcomes will include: 1) an expanded and well-trained volunteer base; 2) education and training tools for seniors of 

varying literacy levels; and 3) a citywide (integrated) system for achieving measurable outcomes and evaluating the 

universal impact of the SMPP in the District.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

125,000

125,000 619 D Street, SE 

Friendship House Association

Program: Senior Medicare Patrol Project

90AM2951 Anti-Fraud Education Project

Denver, CO 80202

Contact: Liz Tredennick (303)894-7552

The Colorado Division of Insurance, through its Senior Health Insurance Assistance Program (SHIP), supports the 

Senior Medicare Patrol (SMP) project in collaboration with 13 SHIP affiliates and Colorado Access to Benefits Coalition 

(ABC) members who represent over 350 organizations and more than 700 persons. The goals of the project are to: 

maximize the Medicare/Medicaid Colorado audience for effective anti-fraud messages; maximize consumer education; 

and monitor consumer fraud/abuse complaints. The approach is to expand the network of organizations and individuals 

delivering the fraud/abuse message and to assist those who suspect fraud and/or abuse has occurred. The objectives 

are: to include effective, valid messages in all applicable consumer publications; to develop and implement a successful 

media campaign; to assure an adequate number of SMP "trainers" are available to conduct education at the local level; 

and assure quality communications to the largest possible consumer base, as well as to serve as a statewide 

clearinghouse for consumer fraud/abuse complaints. The expected outcomes of the Colorado SMP project are: 1) a 

heightened awareness among persons with Medicare and their caregivers, and among social service delivery agencies 

of the possibility that fraud can happen; and 2) provision of the means, and motivation to report fraud when it occurs. 

The products are interim and final reports with evaluation data; performance charts; Colorado best practices; a viable 

presentation training product, and updated consumer-oriented materials.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

167,591

167,591 1560 Broadway Street, Suite 850 

State of Colorado

Department of Regulatory Agencies

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 179 of 261 

90AM2952 SUMMIT Medicare/Medicaid Fraud, Abuse and Waste Reduction.

Oklahoma City, OK 73107

Contact: Cindy A Brown (405)521-6632

The Summit Medicare/Medicaid Fraud, Abuse and Waste Reduction Program (SUMMIT) will direct a three-year project 

focused to reduce Medicare/Medicaid fraud, abuse and waste in Oklahoma. Goal: to implement an enhanced public 

awareness initiative through community presentations and public education, targeting unserved and underserved 

populations. Objectives: l) provide fraud information to Oklahomans using catalysts: general public (beneficiaries, family 

members, caregivers) through community presentations, public education, SUMMIT training with emphasis on 

geographically isolated rural/frontier elders; 2) provide Temporary Assistance to Needy Families (TANF) recipients 

through the Literacy Resource Office's LifeSkills module; 3) assist isolated elders through home delivered meals, the 

Oklahoma Senior Center Association, and SUMMIT, SHICP, and AARP volunteers; 4) educate college/university 

students through Oklahoma Campus Compact Service Learning; 5) inform Hispanic elders through Hispanic Chambers 

of Commerce; and 6) educate American Indians through Oklahoma Indian Council on Aging. Expected outcomes: 1) 

TANF recipients learn civic responsibility in reducing Medicaid fraud; 2) geographically isolated homebound receive 

fraud information; 3) college/university students realize urgency to preserve Medicare/Medicaid for future generations; 

and 4) Hispanic and American Indians learn fraud protection. Products: SUMMIT Training/Resource Manual; Mini 

Manual; brochures and resource flyers; lesson plan for Oklahoma Literacy Council Life Skills in audio, visual, written 

format at 4th - 6th grade reading levels; presentation for college/university Service Learning Coordinators; and handouts 

in Spanish.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

160,000

160,000 2401 NW 23, Suite 28 

Oklahoma Insurance Department

Program: Senior Medicare Patrol Project

90AM2953 Senior Medicare Patrol Program

Richmond, VA 23219

Contact: Susan Johnson (804)644-5628

The Virginia Association of Area Agencies on Aging (V4A) will manage a statewide Senior Medicare Patrol Project (SMP) 

to reduce public funds lost in Virginia due to Medicare/ Medicaid error, fraud, and abuse. The proposed project will utilize 

an established statewide collaborative network of twenty-five local Area Agencies on Aging (AAAs) and other community 

organizations targeting non-English speaking beneficiaries, rural areas, the disabled, and minorities. SMP will create a 

group of volunteer retirees who are trained about Medicare and Medicaid fraud to provide educational presentations. 

Volunteers will make presentations to civic groups, senior centers, faith communities, family caregivers and other 

organizations. The SMP Project produces materials in multiple-languages, publishes ads and articles in local 

publications, prints information on prescription bags, and solicits mass media coverage and support from partner 

organizations to inform beneficiaries about the costs of error, fraud and abuse in billing for Medicaid or Medicare 

supported services. Expected outcomes are increased beneficiary awareness and reporting of suspected fraud. All 

outcomes will be documented and Project activity results will be disseminated statewide regularly and shared with the 

SMP Technical Resource Center.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

160,000

160,000 24 E. Cary Street, Suite 100 

Virginia Association of Area Agenices on Aging

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 180 of 261 

90AM2954 Ferret Out Fraud - Senior Medicare Patrol Project

Phoenix, AZ 85007

Contact: Rex Critchfield (602)542-6572

The Arizona Department of Economic Security (DES), Aging & Adult Administration (A&AA) will build upon the existing 

Arizona Senior Medicare Patrol Project (ASMPP) to address the need to educate and disseminate information about 

Medicare/Medicaid error, fraud, and abuse in the health care system. The goals of the program are to build the capacity 

of the ASMPP to reach beneficiaries with special emphasis on expanding culturally sensitive and linguistically 

appropriate materials for beneficiaries and developing processes that will result in program improvement. The expected 

outcomes are: beneficiaries, including those who are culturally diverse, will have increased awareness and knowledge 

to detect and prevent Medicare/Medicaid error, fraud and abuse; Area Agency on Aging (AAA) staff and volunteers will 

have increased knowledge to educate beneficiaries, their families and other professionals on Medicare/Medicaid error, 

fraud and abuse; AAA staff will have increased understanding of tools to improve the ASMPP; and Arizona Beneficiaries 

Coalition and Arizona Fraud Prevention Coalition members and other organizations will have increased opportunities to 

partner in efforts to educate and prevent Medicare/Medicaid error, fraud, and abuse.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

159,943

159,943 1789 West Jefferson, 950A 

Arizona Department of Economic Security

Aging and Adult Administration

Program: Senior Medicare Patrol Project

90AM2955 Senior Medicare Patrol

Anchorage, AK 99503

Contact: Essien Ukoidemabia (907)269-3669

This is the first year of a three-year Senior Medicare Project to recruit and train local senior citizens for each group of 

communities to educate Medicare beneficiaries and their families about the importance of recognizing and reporting 

Medicare and Medicaid fraud, error and abuse. The goal of the project is to teach Medicare beneficiaries and their 

families to monitor their Medicare documents and to identify potential discrepancies. In order to reach the vulnerable, 

isolated and limited English speaking Medicare beneficiaries, the project will partner with the American Association of 

Retired Persons (AARP); Older Persons Action Group (OPAG); Alaska Native Tribal Health Consortium (ANTHC); 

Anchorage Senior Center and other local senior centers throughout the State of Alaska. Emphasis will be placed on 

recognizing Medicare Prescription Drug Card abuse and promoting the training of the trainer program. Products include 

voice enhanced CD-ROMs; power point training materials; video teleconferences; and client contact sheets.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

149,482

149,482 3601 C Street, Suite 310 

State of Alaska

Health and Social Services

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 181 of 261 

90AM2956 Senior Medicare Patrol Project

Topeka, KS 66603

Contact: Tina Langley (785)368-7331

The goal of the Kansas Senior Medicare Patrol Project is to create a statewide network of fraud experts who will educate 

beneficiaries about identifying and reporting health care errors, fraud and abuse. The objectives are: (1) to expedite the 

planning phase of the project; (2) to identify points of contact within the community; (3) to recruit working and retired 

professionals as volunteers; (4) to develop education materials to disseminate to professionals and the public; (5) to train 

volunteers and partners as fraud educators; (6) to provide education programs for beneficiaries; and (7) to evaluate the 

success of the project. The expected outcomes are that the project will provide training to at least one organization in 

every county in Kansas; that there will be at least one trained volunteer in each county; and that the project will provide 

an average of two education programs in every county. We anticipate that achieving these outcomes will lead to an 

increase in beneficiaries' understanding of fraud issues and will increase the detection and reporting of errors, fraud and 

abuse by beneficiaries. The expected products are a volunteer training manual; education materials for beneficiaries; 

outreach materials to increase public awareness of fraud and the SMP project; and documentation of successful 

strategies for use by other SMP teams.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

63,930

63,930 503 S. Kansas Ave. 

Kansas Department on Aging

Program: Senior Medicare Patrol Project

90AM2957 Guam Senior Medicare Patrol Program

Hagatna, GU 96932

Contact: Cerina Y Mariano,BSW (671)735-7382

A one- year demonstration project to provide education and awareness activities that focus on recognizing and reporting 

Medicare/Medicaid waste, fraud and abuse in Guam. State Health Insurance volunteers assisted in carrying out the 

activities of this project. The objective of this grant was to develop a systematic plan for program implementation that 

builds a proficient volunteer base to conduct educational events and disseminate information. The anticipated outcomes: 

increased awareness of fraud and beneficiaries reporting suspect cases. Guam developed partnerships to advance 

efforts of this demonstration project. Products include a standard operating procedures manual and a volunteer training 

module with an evaluation tool.

Project Period: 07/01/2005 - 07/01/2006

FY Grant Amount

FY 2005 75,000

P.O. Box 2816 

DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 182 of 261 

90AM2958 Senior Medicare Patrol Projects

Charlotte Amalie, VI 00802

Contact: Michal Rhymer-Charles (340)774-8820

The Virgin Islands Senior Medicare Patrol is a one-year cooperative-agreement with AoA to recruit and train retired 

professionals as volunteers to educate Medicare and Medicaid beneficiaries and their caregivers about ways in which 

they can protect themselves from fraud and any abusive health care practices. The project goal is to develop and begin 

implementation of the SMP project, to effectively use retired persons as volunteer educators for Medicare and MAP 

beneficiaries and their caregivers, increasing awareness and educating them about the program, so that they will be able 

to identify and easily report potential fraud, waste and abuse of funds. Project objectives are to: hire an SMP program 

director; develop a comprehensive SMP program design; develop formal SMP partnerships; establish a reporting 

system; develop culturally appropriate educational materials; and recruit and train volunteers. Anticipated outcomes are: 

target populations identified; volunteers and key staff well-trained; and a system in place for reporting and following up 

on any suspected fraud or abuse. Products: educational materials in English and Spanish for visually impaired, as well 

for those with limited literacy skills.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 75,000

Knud Hansen Complex Building A 

Virgin Islands Department of Human Services

Office of the Commissioner

Program: Senior Medicare Patrol Project

90AM2959 Multi-Service Center Medicare Patrol Grant

Federal Way, WA 98093-0699

Contact: (253)835-7678

This is a one-year Senior Medicare Patrol Project operated by the Washington State Long-Term Care Ombudsman 

Program. It is headquartered at the Multi-Service Center and will train volunteer ombudsmen to detect, investigate, and 

report fraud and abuse among vulnerable citizens receiving long-term care (LTC) services in nursing homes, boarding 

homes, adult family homes, and home care services. The goal is to increase awareness of fraud, abuse and neglect for 

long-term care facility residents and Medicaid funded home care residents by training 70 Certified Volunteer 

Ombudsmen to work with LTC residents. Fifteen will be trained to follow current LTC facility residents who move into 

their own homes. Project outcomes will include new training materials, a permanent coalition among long-term care 

advocates and a relationship with Washington Medicaid Fraud Control Unit to assure that fraud and abuse are reported 

to federal and state prosecutorial and fund recovery agencies. Products include training manual and final report.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 40,000

P.O. Box 23699 

Multi-Service Center

Long Term Ombudsman Program

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 183 of 261 

90AM2960 Senior Medicare Patrol Project

Monroe, MI 48161

Contact: Sherman A Timmins (734)241-2775

This is a one year demonstration grant for the purpose of planning and implementing a Senior Medicare Patrol Project 

(SMP) that will serve residents of Monroe County, Michigan. SMP projects recruit retired professionals as volunteers to 

educate beneficiaries, their caregivers and families about Medicare/Medicaid fraud, error or abuse. The goal for this 

period is to improve the knowledge of county residents about fraud through workshops and the development of local 

county partners who may carry on this effort after this projects ends.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 40,000

1140 S Telegraph Road 

MONROE COUNTY OPPORTUNITY PROGRAM, INC

Program: Senior Medicare Patrol Project

90AM2961 AoA Senior Medicare Project

Phoenix, AZ 85004

Contact: John R Lewis (602)258-4822

This is a one year demonstration project to educate American Indian elders, caregivers and service providers about 

health care error, fraud and abuse. The goal of the project is to increase the knowledge of participants about the impact 

detection and reporting will have on the incidence of Medicare fraud. One qualified elder from ten tribes in Arizona will 

develop key messages, develop appropriate outreach strategies, and evaluate the progress of the tribe. It is anticipated 

that these outreach and education efforts will increase the overall knowledge of six thousand elders or their caregivers. 

To avoid duplication, the Inter-Tribal Council will work with other similar projects in the state. Products will include 

educational fact sheets and outreach evaluation tools, which will be distributed to AoA and other interested parties at the 

end of the project period.

Project Period: 07/01/2005 - 05/31/2007

FY Grant Amount

FY 2005 45,000

2214 N. Central Avenue, Suite 100 

INTER-TRIBAL COUNCIL OF ARIZONA, INC

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 184 of 261 

90AM2962 Senior Latino Medicare Patrol in Rural Southern New Jersey

Millville, NJ 08332

Contact: (609)703-5806

Diabeticos Hispanicos Perfil Latino will mobilize Latino beneficiaries to collaborate with AOA resources in southern New 

Jersey to pilot a one-year program for training, technical assistance and support aimed at controlling health care error, 

fraud and abuse. The project will field test evaluation tools to assess program progress in southern New Jersey. 

Expected outcomes will be to establish the best approach which can be expanded to other Latino locations, and 

establishing partnerships with the Aging network community to reach elders at least 3 times per year. Products will 

include a validated Hispanic beneficiary survey instrument which will be disseminated to all interested parties.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 44,702

422 Debbie Lane PO Box 935

DH/Perfil Latino TV, Inc.

Program: Senior Medicare Patrol Project

90AM2963 Latino Education Project

Corpus Christi, TX 78412

Contact: Frances Pawlik (361)980-0361

This is a one year demonstration project to provide Senior Medicare Patrol (SMP) program coverage to the Latino 

communities not served. The project will coordinate with other SMP in the state to avoid overlap. Bilingual volunteers 

will provide outreach to the target population through culturally appropriate materials. The anticipated outcome for this 

project is increased awareness of Medicare fraud and a willingness of beneficiaries to report such occurrences.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 40,000

1045 Airline Road, Suite 2 

LATINO EDUCATION PROJECT, INC

Program: Senior Medicare Patrol Project
FY2005 Compendium - Page 185 of 261 

90AM2964 Health Awareness Program for Immigrants (HAPI)-Medicare

Falls Church, VA 22041

Contact: Thang D Nguyen (703)538-2190

The Boat People SOS, Health Awareness Program for Immigrants, a one year project, will connect 4,500 Vietnamese 

seniors in Virginia with the existing Senior Medicare Patrol (SMP) project. The goal is to reduce the incidence of 

Medicare/Medicaid errors, fraud and abuse. The key objectives are: to expand state coverage to Vietnamese seniors; 

and to target a mass media campaign to reach half of the total number of Vietnamese seniors in Hampton, Richmond 

and Northern Virginia. The Boat People SOS will provide mini-grants to associations of Vietnamese seniors to provide 

information and referral services to their constituents. Anticipated outcomes: 30% of target population will be aware of 

SMP goals by end of the year; partnerships will be established with other Virginia SMP; existing program materials will 

be redesigned to be culturally appropriate; and bilingual staff will work to conduct outreach efforts and refer complaints to 

Virginia's primary SMP.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 44,989

6066 Leesburg Pike, Suite 100 

BOAT PEOPLE S.O.S. INC.

Program: Senior Medicare Patrol Project

90AM2653 Performance Outcome Measures Project

Tallahassee, FL 32399-7000

Contact: Horacio Soberon-Ferrer 

AoA has entered into a 24 month cooperative agreement with the Florida Department of Elder Affairs to continue the 

development of performance outcome measures (POM) that all levels of the aging network can use for program 

assessment and management purpose. The goal of the project is to improve the capability of the State Unit on Aging 

(SUA) and Area Agencies on Aging (AAA) to use POM to improve programs. The State of Florida has established a 

partnership with the following AAAs, Tallahassee, Jacksonville, St. Petersburg, Tampa, Orlando, West Palm Beach, Ft. 

Lauderdale and Miami, to work with AoA and WESTAT, Inc.. The objectives of this cooperative agreement are: 1) to 

develop POM across several programs in the Older Americans Act; 2) to conduct sample surveys using POM 

instruments; 3) to use data from the surveys to improve program management and to help justify future program 

expenditures; 4) to administer survey questionnaires in the following areas: Nutrition, Caregiver Support, Home Care 

Satisfaction, Information and Assistance, Emotional Well Being, Social Functioning, Barriers to Service, and Capacity 

Building; and 5) to make available, through a website or email list, project materials. The anticipated outcome of this 

POM program is that Florida will expand POM . The products of this POM project are a final report; data from the 

surveys; and presentations with AoA and its contractors about annual POM projects.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002 45,000

4040 Esplanade Way 

FLORIDA DEPARTMENT OF ELDER AFFAIRS

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 186 of 261 

90AM2660 Performance Outcome Measures Project - Statewide Surveys of Program Performance

Tallahassee, FL 32399-7000

Contact: Horacio Soberon-Ferrer 

This is a 24 month cooperative agreement with the Florida Department of Elder Affairs (SUA) to continue the 

development of performance outcome measures (POM) that all levels of the aging network can use for program 

assessment and management purpose. The goal of the agreement is to improve the capability of the State Unit on Aging 

(SUA) and Area Agencies on Aging (AAA) to use POM to improve programs. Florida has established a partnership with 

the University of Florida (U. of FL) to work with the Administration on Aging (AoA) and WESTAT, Inc.. The objectives of 

this project are: 1) to develop POM across several programs in the Older American Act (OAA); 2) to conduct sample 

surveys using the POM instruments; 3) to use data from the surveys to improve program management and to help justify 

future program expenditures; 4) to obtain a statistically-valid statewide sample, using data available through a statewide 

proprietary client and provider database as well as ad hoc surveys conducted by the state agency's planning and 

evaluation unit in the areas of Nutrition, Caregiver Support, Home Care Satisfaction, and Information and Assistance; 5) 

to contract with the U. of FL or another suitable contractor for data collection; and 6) to work with the AoA and its 

contractor(s) to assure that sampling plan and data collection procedures will produce data compatible with data 

produced under the second National Survey of Performance Measurement (POM). The expected outcome of this project 

is that Florida will expand POM. Products include a final report; data from the POM surveys; and presentations with AoA 

and its contractors about annual POM projects.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002 75,000

4040 Esplanade Way 

FLORIDA DEPARTMENT OF ELDER AFFAIRS

Program: Performance Outcomes Measures Project

90AM2784 Performance Outcome Measurement

Raleigh, NC 27699-8390

Contact: Phyllis Stewart 

The North Carolina Division of Aging will pilot-test performance outcome measures in three areas: (1) a statewide 

telephone survey of approximately 350 caregivers served by the Family Caregiver Support Program (FCSP), including a 

third year follow-up of a small sample of caregivers in this program initially interviewed in summer 2002; (2) a statewide 

telephone survey of about 389 cognitively intact recipients of home-delivered meals; and (3) self administered, written 

surveys of approximately 540 participants at senior centers and satellites in two Area Agency on Aging regions. This 

project will supplement previously gathered senior center management perspectives with consumer perspectives, 

improve our understanding of caregivers reached by the Family Caregiver Support Program relative to caregivers of 

traditional service recipients, provide statewide data on outcomes for home-delivered meals clients, and model the 

feasibility and value of all three surveys for future use. Project products will include supplementary training materials for 

senior center personnel, three sets of data submitted to the Administration on Aging, and printed and web-based reports 

on the findings of each survey.

Project Period: 09/30/2003 - 12/04/2004

FY Grant Amount

FY 2003 30,000

2101 Mail Service Center 

NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 187 of 261 

Building an Outcome-Based Evaluation System for Rhode Island's Aging Services 

Network: Phase IV

90AM2786

Cranston, RI 0292 -0

Contact: Donna M. M Cone 

Rhode Island Department of Elderly Affairs (RIDEA), working in partnership with four community-based provider 

agencies and the University of RI, will collaborate with other Performance Outcome Measures Project (POMP) grantees 

to achieve the goal of improved program assessment tools by: 1) revising performance measurement tools for the 

nutrition program to change the emphasis from nutritional risk to program assessment; 2) developing performance 

measurement methods for the National Family Caregiver Support Program; and 3) developing an enhanced case 

management performance measurement instrument. RIDEA and its partners will adopt and test revised forms of the 

Nutritional Survey for congregate meals and home delivered meals and the Caregiver Satisfaction Survey, as well as the 

enhanced case management performance measurement instrument, utilizing field testing based on sampling 

methodology. Products to be developed include: 1) data used by RIDEA to evaluate programs and services and 

transmitted to AoA for GPRA performance reporting; and 2) expanded and refined outcome-based evaluation system for 

Rhode Island's elder services delivery system.

Project Period: 09/30/2003 - 03/31/2005

FY Grant Amount

FY 2003 30,000

Benjamin Rush Building #55 - 35 Howard Avenue 

Rhode Island Department of Elder Affairs

Program: Performance Outcomes Measures Project

90AM2788 Performance Outcome Measure Project

Springfield, IL 62701-1789

Contact: Betsy Creamer 

The Illinois Department on Aging (IDoA) will collaborate with the Administration on Aging (AoA) to develop performance 

outcome measures which will document the impact of Aging Network services on the lives of older adults and family 

caregivers. IDoA will work with the East Central Illinois Area Agency on Aging (ECIAAA) on the Performance Outcomes 

Measures Project (POMP). Goal: Develop the foundation for a state-based system to measure outcomes of Older 

Americans Act services based on statistically-valid sampling. Objective # 1: Pilot test a state-based system to measure 

the outcomes of four service categories authorized under the Older Americans Act. These services will include: Nutrition, 

Case Management, Family Caregiver Support Program, and Senior Centers. Objective # 2: Disseminate the results of 

the POMP project to the Aging Network in Illinois to build support for a statewide system. Products: Performance 

Outcome Measure surveys and instruments will be developed in collaboration with AoA and a national research 

corporation identified by AoA. These surveys and instruments can be readily used elsewhere in Illinois and throughout 

the United States.

Project Period: 09/01/2003 - 03/31/2006

FY Grant Amount

FY 2003 30,000

421 East Capitol Avenue #100 

ILLINOIS DEPARTMENT ON AGING

Office of The Director

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 188 of 261 

90AM2789 2004 Performance Outcome Measures Project (POMP)

Tallahassee, FL 32399-7000

Contact: Jay Breeze 

The goal of the Department of Elder Affairs 2004 POMP is to identify performance measures that best capture the value 

of the benefits of home and community-based programs and services that help prevent or delay institutional placement 

of frail elders. The data required for the development and testing of the measures will come from two sources, the 

Department of Elder Affairs' proprietary client and provider database (CIRTS), and ad-hoc surveys conducted by the 

Department's Planning and Evaluation Unit. POMP objectives and overall program approach are as follows: a) develop, 

test and refine a system of practical and reliable program-measurement instruments to assess program effectiveness, 

efficiency, and sustainability in the four areas targeted in the grant announcement; b) implement 

performance-measurement instruments statewide to assess performance differences among Florida's eleven Area 

Agencies on Aging; c) strengthen monitoring capabilities to assess the performance of DOEA contractors; and d) create 

a set of nationally benchmarked, uniform, performance measurement instruments. The project outcome will be the 

development of a performance measurement system in the targeted areas.

Project Period: 09/30/2003 - 09/29/2005

FY Grant Amount

FY 2003 26,401

4040 Esplanade Way 

Florida Department of Elder Affairs

Program: Performance Outcomes Measures Project

90AM2790 Implementing Outcomes Measures in Ohio

Columbus, OH 43215-5928

Contact: Marc Molea 

The goal of the Ohio Department of Aging's (ODA) POMP V initiative is to operationalize performance outcome 

measures into aging network programs and processes. ODA will partner with Scripps Center for Gerontology, Council on 

Aging of Southwest Ohio, PSA 3 Agency on Aging, Inc., and other AAAs to: 1) utilize a modified caregiver performance 

measurement instrument to determine the extent that the services provided through selected AAA's Family Caregiver 

Support Programs are meeting the needs of family caregivers and reducing caregiver stress; 2) hold a one-day forum for 

program staff to illustrate how utilizing performance outcomes can be used to improve program quality and effectiveness; 

3) operationalize the case management performance measurement instrument; and 4) partner with AoA to develop and 

test a performance measurement instrument for recipient assessment of senior center services. ODA will use a number 

of vehicles for sharing the results of POMP V initiatives, including holding an Outcome Measures Forum and regularly 

updating AAAs, providers and the general public on POMP V progress and results through Aging Connections, ODA's 

monthly newsletter and on ODA's Web Site.

Project Period: 09/30/2003 - 12/31/2004

FY Grant Amount

FY 2003 30,000

50 West Broad Street, 9th Floor 

Ohio Department of Aging

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 189 of 261 

90AM2791 Performance Outcomes & Consumer Satisfaction Measures

Albany, NY 12223-1251

Contact: Larry Shapiro (518)474-5478

The New York State Office for the Aging will implement a collaborative approach to develop and test three outcome 

measurement instruments that measure client satisfaction and the program impact of aging network services. The goal 

of the project is to work with AoA in developing reliable and valid outcome measures that can help the aging network 

collect outcome data for budget justification and program improvement. Three outcome measures will be developed and 

tested: Nutrition, Caregiver Support and Case Management measures. Objectives are: (1) outcome measures will be 

developed to assess the value of nutrition, case management and family caregiver support programs and services; (2) 

outcome data of select outcome measures will be collected by the participating AAAs; (3) a refined sampling strategy will 

be developed and implemented; and (4) a collaborative model among state, local and research partners will be 

implemented. Products will include documentation of the survey implementation process, codebooks for outcome 

databases, evaluation tools, evaluation results and conference proceedings. These products will be disseminated to 

aging service providers and researchers at local, state and national levels.

Project Period: 09/30/2003 - 09/29/2005

FY Grant Amount

FY 2003 30,000

3 Empire State Plaza 

NEW YORK STATE OFFICE FOR THE AGING

Program: Performance Outcomes Measures Project

90AM2867 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Albany, NY 12223-1251

Contact: I-Hsin Wu (518)476-2730

New York will use a collaborative approach to develop and test a comprehensive consumer outcome instrument and a 

provider survey. The goal of the project is to continue working with performance measurement surveys to fill in gaps in 

the POMP measurement tools. The project objectives are: 1) the development of consumer and provider performance 

measurement instruments for home-based services; 2) the collection of data on consumer outcomes and provider 

characteristics; 3) recommendations regarding the consumer assessment survey for posting on the POMP website; and 

4) implementation of a collaborative model with state, local and research partners. Products will include: consumer 

outcome and provider characteristic surveys and data; documentation of the survey implementation process; evaluation 

results; and conference proceedings. These products will be disseminated to aging service providers and researchers at 

the local, state and national level.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004 50,000

2 Empire State Plaza 

New York State Office for the Aging

Special Projects

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 190 of 261 

90AM2868 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Raleigh, NC 27699-2101

Contact: Phyllis Stewart (919)733-8400

North Carolina will assist with the development and pilot testing of two performance outcome measurement surveys 

related to services provided under Title III of the Older Americans Act. These include a service provider survey and a 

survey of older adults to obtain information about services received and consumers' assessment of service impact and 

quality. The goal of the project is to increase national, state and local knowledge of services and service packages for 

the purpose of planning, outreach and improved service delivery. Project objectives include: supporting the identification 

of appropriate cross-service performance measures; pilot testing the measures by conducting interviews with clients and 

service providers in one North Carolina region; and providing usable data, sharing findings and making 

recommendations for revisions to existing instruments and approaches. Project products will include training materials, 

data sets and reports on the findings of each survey.

Project Period: 09/30/2004 - 03/31/2006

FY Grant Amount

FY 2004 50,000

2101 Mail Service Center 

North Carolina Department of Health and Human Services

Aging and Adult Services

Program: Performance Outcomes Measures Project

90AM2869 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Tallahassee, FL 32399-7000

Contact: Jay Breeze (850)414-2000

The overall goal of Florida's standard POMP project is to expand the utilization of performance outcome measurement 

by Florida's elder services network. Florida will: 1) conduct a statistical analysis of POMP developed surveys and data to 

measure the specific items that correlate most highly with a global measure of performance; 2) conduct a statistical 

analysis of the internal validity of existing POMP surveys as related to the development of: a) a composite consumer 

assessment instrument to collect data to measure home and community-based service performance, and b) a tool to 

measure the capacity of the elder-services network to meet the demand for home and community based services; and 

3) share materials and data for replication through website postings and other dissemination.

Project Period: 09/30/2004 - 09/29/2006

FY Grant Amount

FY 2004 50,000

4040 Esplanade Way, STE 280 

Florida Department of Elder Affairs

Planning and Evaluation Unit

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 191 of 261 

90AM2870 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Columbus, OH 43215-5928

Contact: Marc Molea (614)466-7246

The goal of Ohio's POMP 6 initiative is to expand the use of performance outcome measurement in in Aging Network 

programs. Ohio will partner with AoA, other states and Ohio's Area Agencies on Aging to: 1) develop inclusive survey 

instruments (recipient and provider) that can be used to measure consumer outcomes and service delivery for a wide 

range of community services, and to refine and test the surveys; 2) develop protocols to connect and compare POMP 

results with National Aging Program Information System and Census data; and 3) enhance evaluation capacity by using 

Senior Community Service Employment Program participants to administer survey instruments.

Project Period: 09/30/2004 - 07/31/2006

FY Grant Amount

FY 2004 50,000

50 West Broad Street 9th Floor 

Ohio Department of Aging

Planning, Development & Evaluation

Program: Performance Outcomes Measures Project

90AM2871 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Phoenix, AZ 85007

Contact: Henry Blanco (602)542-4446

Arizona will build upon its Arizona Performance Outcomes Measurement System (AzPOMS) to expand the use of 

performance outcome measurement to assess program effectiveness. AzPOMS is a collaboration of the state, the Area 

Agency on Aging, Region One, Inc. and its service providers. AzPOMS will accomplish the following objectives in 

Maricopa County: 1) develop, refine and field test a comprehensive service recipient survey; 2) develop, refine and field 

test service provider surveys as a means of informing the performance measurement effort; and 3) develop 

recommendations for final versions of surveys to be posted on the POMP website. Expected AzPOMS outcomes are 

field testing of the provider and recipient surveys and reliable data analysis to improve program effectiveness and 

service delivery.

Project Period: 09/30/2004 - 09/29/2005

FY Grant Amount

FY 2004 50,000

1789 W. Jefferson (950A) 

Arizona Department of Economic Security

Division of Aging and Community Services

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 192 of 261 

90AM2872 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Springfield, IL 62701-1789

Contact: Joseph Lugo (217)785-2870

Illinois will collaborate with the Administration on Aging to develop performance outcome measures that will document 

the impact of Aging Network services on the lives of older adults and caregivers. The East Central Illinois Area Agency 

on Aging will participate in the project. The goal is to develop the foundation for a state- based system to measure 

outcomes of Older Americans Act services based on statistically valid sampling. The objectives are to pilot test a 

recipient survey and a provider survey and to disseminate the results to the Aging network in Illinois to build support for a 

statewide system. Products of the projects will be the survey tools suitable for use in Illinois and throughout the United 

States.

Project Period: 09/30/2004 - 06/30/2006

FY Grant Amount

FY 2004 47,500

421 East Capitol Avenue, #100 

Illinois Department on Aging

Division of Planning, Research, and Development

Program: Performance Outcomes Measures Project

90AM2873 Performance Outcomes Measures Project - Priority Area 1: Standard POMP

Des Moines, IA 50319

Contact: Jayne Walke (515)725-3309

The Iowa Department of Elder Affairs, partnering with Hawkeye Valley Area Agency on Aging, will develop, field test and 

expand outcome measures used in Iowa's Aging Network by concentrating on: 1) developing service provider surveys; 

and 2) developing consumer assessment surveys to be posted on the POMP website. Expected outcomes are: 1) 

clients determine how services may be improved; 2) service providers receive assistance in developing outcome 

measures; 3) care recipients maintain independence longer; and 4) surveys and results are posted on Area Agencies 

websites. Products will include pilot tested service recipient and provider surveys and survey administration tools. The 

products will be disseminated to AoA, other states, the Iowa Association of Area Agencies on Aging, County Councils on 

Aging, aging partners, legislators and local officials.

Project Period: 09/30/2004 - 03/31/2007

FY Grant Amount

FY 2004 50,000

510 East 12th Street Jesse Parker Bldg

State of Iowa

Department of Elder Affairs

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 193 of 261 

90AM2874 New York Performance Outcome Measures Project: Advanced POMP

Albany, NY 12223-1251

Contact: I-Hsin Wu (518)474-4425

New York will be participating in the nursing home predictor statistical modeling component of Advanced POMP, in which 

the technical assistance contractor will work with the model developed by Florida, adjusting it consistent with data New 

York is able to provide. New York, as co-leader of the Advanced POMP workgroup, will also be working closely with the 

project officer and technical assistance contractor to identify national data sources appropriate for comparison 

purposes. The Advanced POMP goal applicable to this project is Goal 1: Demonstrate Cost Avoidance Attributed to 

Older Americans Act Services. 

Anticipated outcomes for this project are: 1) a nursing home predictor model developed and tested; and 2) appropriate 

comparison group data from national surveys identified to enable nursing home diversion estimation.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

60,000

2 Empire State Plaza 

New York State Office for the Aging

Program: Performance Outcomes Measures Project

90AM2875 North Carolina Performance Outcome Measures Project: Advanced POMP

Raleigh, NC 27699-2101

Contact: Phyllis Bridgeman (919)733-4534

North Carolina will be participating in the nursing home predictor statistical modeling component of Advanced POMP, in 

which the technical assistance contractor will work with the model developed by Florida, adjusting it consistent to data 

that North Carolina is able to provide. North Carolina plans to use 27 month retrospective data to determine service 

utilization and identify reasons for terminated service. The data set will be compared with Medicaid claims data, to 

estimate cost savings. The Advanced POMP goal applicable to this project is Goal 1: Demonstrate Cost Avoidance 

Attributed to Older Americans Act (OAA) programs. Anticipated outcomes for this project are: 1) a nursing home 

predictor model will be developed and tested; and 2) Medicaid cost savings attributed to OAA programs will be estimated.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

40,000

49,500

2101 Mail Service Center 

North Carolina Department of Health and Human Services

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 194 of 261 

90AM2876 Rhode Island Perfomance Outcome Measures Project: Advanced POMP

Cranston, RI 02920

Contact: Donna M Cone (401)462-0500

Rhode Island will be participating in the nursing home predictor statistical modeling component of Advanced POMP, in 

which the technical assistance contractor will work with the model developed by Florida, adjusting it consistent with data 

Rhode Island is able to provide. In addition, Rhode Island is developing a protocol to measure the impact of congregate 

meal program participation on targeted health outcomes, improvement of healthy behaviors and reducing known 

indicators of nutritional risk. The Advanced POMP goals applicable to this project are Goal 1: Demonstrate Cost 

Avoidance Attributed to Older Americans Act (OAA) programs, and Goal 3: Demonstrate Effectiveness of OAA 

programs. The anticipated objectives of this project are to: 1) pilot test a nursing home predictor model to demonstrate 

cost benefits of Rhode Island home and community care programs; and 2) document impacts of congregate meal 

programs and estimate cost savings related to impacts.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

44,985

46,307

35 Howard Avenue 

Rhode Island Department of Elderly Affairs

The John O. Pastore Center

Program: Performance Outcomes Measures Project

90AM2877 Florida Performance Outcome Measures Project: Advanced POMP

Tallahassee, FL 32399-7000

Contact: Jay Breeze (850)414-2000

Florida is providing project leadership by independently developing a nursing home predictor model and sharing it with 

the grantee workgroup for broader testing. Florida serves as the co-leader of the Advanced POMP workgroup and has 

developed the vision for Goal 1: Demonstrate Cost Avoidance Attributed to Older Americans Act (OAA) Programs. 

Florida is currently expanding the nursing home risk model to predict risk of other adverse events such as hospitalization, 

emergency room visits and functional decline. Objectives are to: 1) produce an algorithm to compute reductions in 

nursing home placements due to use of in-home services; 2) produce an algorithm to compute reductions in hospital use 

due to use of in-home services; and 3) produce an algorithm to compute reductions in acute medical care due to use of 

in-home services.

Project Period: 09/30/2004 - 09/30/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

59,943

4040 Esplanade Way, Suite 280 

Florida Department of Elder Affairs

Planning and Evaluation Unit

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 195 of 261 

90AM2878 Delaware Performance Outcome Measures Project: Advanced POMP

New Castle, DE 19720

Contact: Melissa A Hinton (302)255-9390

Delaware will be participating in the nursing home predictor statistical modeling component of Advanced POMP, in which 

the technical assistance contractor will work with the model developed by Florida, adjusting it consistent with data that 

Delaware is able to provide. In addition, Delaware will conduct an independent review of cost avoidance methodology 

used for social programs. The Advanced POMP goal applicable to this project is Goal 1: Demonstrate Cost Avoidance 

Attributed to Older Americans Act Programs. The anticipated outcomes of this project are: 1) a nursing home predictor 

model will be developed and tested; and 2) a report documenting the methodological review of cost avoidance studies of 

social programs will be developed.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

9,694

37,751 Main Annex First Floor 

Delaware Department of Health & Social Services

1901 N DuPont Highway

Program: Performance Outcomes Measures Project

90AM2879 Ohio Performance Outcome Measures Project: Advanced POMP

Columbus, OH 43215-3363

Contact: Marc Molea (614)466-7246

Ohio will work on the development of a nursing home predictor model, using data available in Ohio and based, in part, on 

a high risk screening tool being developed for their Medicaid waiver program. They will use key factors determined to be 

statistically significant predictors for the Medicaid waiver population and they will test the reliability of the high risk 

screening tool for the population receiving Older Americans Act (OAA) services. Once the tool is validated and 

introduced into use, cost savings estimates can be generated. The Advanced POMP goal applicable to this project is 

Goal 1: Demonstrate Cost Avoidance Attributed to OAA Programs. The anticipated outcomes for this project are: 1) a 

nursing home predictor model will be developed and tested; and 2) a high risk screening tool for OAA programs will be 

developed and tested.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

40,000

50,000

50 West Broad Street, 9th Floor 

Ohio Department of Aging

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 196 of 261 

90AM2880 Arizona Performance Outcome Measures Project: Advanced POMP

Phoenix, AZ 85007

Contact: Rex Critchfield (602)542-4446

Arizona's Advanced POMP project is focusing on the efficacy of senior centers. They will conduct a 24 month 

longitudinal study of new senior center clients to assess the impacts of nutrition and health promotion/ disease 

prevention programs. The Advanced POMP goal applicable to this project is Goal 3: Demonstrate the Effectiveness of 

Older Americans Act Programs. The anticipated outcome of the project is the design of a methodology to demonstrate 

the positive impact of select senior center services.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

39,000

1717 W. Jefferson, Site Code 010A 

Arizona Department of Economic Security

Program: Performance Outcomes Measures Project

90AM2881 Georgia Performance Outcome Measures Project: Advanced POMP

Atlanta, GA 30303

Contact: Arvine R Brown (404)651-6314

Georgia will be participating in the nursing home predictor statistical modeling component of Advanced POMP, in which 

the technical assistance contractor will work with the model developed by Florida, adjusting it consistent with data that 

Georgia is able to provide. Georgia will be the first state to test the Florida model. In addition, Georgia has an extensive 

database with detailed information on waiting list clients which can be used to establish a comparison group. The 

applicable Advanced POMP goal for this project is Goal 1: Demonstrate Cost Avoidance Attributed to Older Americans 

Act Programs. The anticipated outcomes of this project are: 1) a nursing home predictor model will be developed and 

tested; and 2) waiting lists will be used as a comparison group to enable nursing home diversion estimation.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

11,250

18,772

21,381

2 Peachtree Street, NW, Suite 9 

Georgia Department of Human Resources

Division of Aging Services

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 197 of 261 

90AM2882 Iowa Performance Outcome Measures Project: Advanced POMP

Des Moines, IA 50319

Contact: Jayne Walke (515)242-3301

Iowa will be participating in the nursing home predictor statistical modeling component of Advanced POMP, in which the 

technical assistance contractor will work with the model developed by Florida, adjusting it consistent with data that Iowa 

is able to provide. In addition, Iowa will conduct an independent analysis of the optimal service case mix using data 

collected by the recipient survey conducted during an earlier POMP project, as well as administrative data. The 

applicable Advanced POMP goals for this project are Goal 1: Demonstrate Cost Avoidance Attributed to Older 

Americans Act (OAA) Programs and Goal 2: Demonstrate the Efficiency of OAA Programs. The anticipated outcomes of 

this project are: 1) a nursing home predictor model will be developed; and 2) the most efficient service mixes will be 

identified.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

40,000

60,000

510 East 12th St., Jesse Parker Bldg. Suite 2 

Iowa Department of Elder Affairs

Program: Performance Outcomes Measures Project

90AM2883 South Carolina Performance Outcomes Measures Project: Advanced Pomp

Columbia, SC 29201

Contact: Bruce E Bondo (803)734-9870

For Advanced POMP, South Carolina has developed an independent analysis path to follow, predicated on their rich 

database of health services utilization. They will examine the relationship between select older Americans Act services 

and the use of hospital or emergency room services for conditions such as dehydration and pneumonia. They will then 

examine service thresholds to determine if the amount of service impacts emergency room or inpatient hospitalization. 

Finally, they will examine health care expenditure records for the OAA population vs. the Medicaid non-OAA population 

to estimate savings in health care costs attributed to OAA services. The Advanced POMP goals applicable to this project 

are: 1) demonstrate cost avoidance attributed to OAA programs; and 2) demonstrate program effectiveness. The 

anticipated outcomes for this project are: 1) a methodology will be developed to demonstrate a reduction in hospital visits 

due to OAA services; 2) service effectiveness thresholds will be developed for select services; and 3) health care cost 

savings attributed to OAA programs will be identified.

Project Period: 09/30/2004 - 09/29/2007

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

60,000

1301 Gervais Street, Suite 200 

Lieutenant Governor's Office on Aging

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 198 of 261 

90AM3015 Performance Outcomes Measurements Program

Albany, NY 12223-1251

Contact: I-Hsin Wu (518)474-4425

New York addressed each of the Standard POMP 7 objectives, indicating they will work: 1) independently within the 

State and develop a sampling methodology for statewide performance measurement; 2) collaboratively with the POMP 

workgroup to finalize performance measurement surveys; and 3) their dissemination strategy will prominently feature the 

Finger Lakes Geriatric Education Center and training that identifies "do's" and "don'ts" of performance measurement. 

The anticipated outcome for all the POMP projects is enhanced performance measurement throughout the Aging 

Network. Objectives for Standard POMP 7 projects are to: 

1) Develop a methodology for statewide performance measurement

2) Develop final versions of performance measurement surveys

3) Develop performance measurement dissemination plan

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005 40,000

2 Empire State Plaza 

New York State Office for the Aging

Program: Performance Outcomes Measures Project

90AM3016 Standard Performance Outcome Measures Project

Raleigh, NC 27699-2101

Contact: Phyllis Bridgeman 

North Carolina addressed each of the Standard POMP 7 objectives, indicating they will work: 1) independently within the 

State and collaboratively at the national level to develop a sampling methodology for statewide performance 

measurement; 2) collaboratively with the POMP workgroup to finalize performance measurement surveys: and 3) their 

dissemination strategy will be heavily dependent on identifying what makes performance measurement attractive to 

AAAs. The anticipated outcome for all the POMP projects is enhanced performance measurement throughout the Aging 

Network. Objectives for Standard POMP 7 projects are:

1) Develop a methodology for statewide performance measurement

2) Develop final versions of performance measurement surveys

3) Develop performance measurement dissemination plan

Project Period: 09/30/2005 - 03/31/2007

FY Grant Amount

FY 2005 40,000

2101 Mail Service Center 

NC Department of Health and Human Services

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 199 of 261 

Implementing Outcome Measures in Ohio Standard POMP 7-Enhancing Outcomes 

Performance

90AM3017

Columbus, OH 43215-3363

Contact: Bob Lucas (614)728-9133

Ohio addressed each of the Standard POMP 7 objectives, indicating they will: 1) work collaboratively at the national level 

to develop a sampling methodology for statewide performance measurement, and they are working within Ohio to 

develop a performance measurement infrastructure by training participants in Ohio's OAA/Title V program to conduct 

survey interviews; 2) work collaboratively with the POMP workgroup to finalize performance measurement surveys (they 

volunteered to take the lead on the senior center and provider surveys); and 3) their dissemination strategy consists of 

their commitment to develop materials for dissemination and website posting. The anticipated outcome for all the POMP 

projects is enhanced performance measurement throughout the aging network. Objectives for Standard POMP 7 

projects are:

1) Develop a methodology for statewide performance measurement

2) Develop final versions of performance measurement surveys

3) Develop performance measurement dissemination plan

Project Period: 09/30/2005 - 03/31/2007

FY Grant Amount

FY 2005 40,000

50 West Broad Street, 9th Floor 

Ohio Department of Aging

Program: Performance Outcomes Measures Project

90AM3018 2005 Standard POMP

Tallahassee, FL 32399-7000

Contact: Jay Breeze (850)414-2000

Florida addressed each of the Standard POMP 7 objectives, indicating they will: 1) work collaboratively at the national 

level to develop a methodology for statewide performance measurement, and they are working within Florida to develop 

a senior center performance measurement toolkit; 2) they will work collaboratively with the POMP workgroup to finalize 

performance measurement surveys and; 3) they plan to work independently in the development of a dissemination 

strategy in which they are committing to national presentations. The anticipated outcome for all the POMP projects is 

enhanced performance measurement throughout the Aging Network. Objectives for Standard POMP 7 projects are:

1) Develop a methodology for statewide performance measurement

2) Develop final versions of performance measurement surveys

3) Develop performance measurement dissemination plan

Project Period: 09/30/2005 - 09/29/2007

FY Grant Amount

FY 2005 40,000

4040 Esplanade Way, Suite 280 

Florida Department of Elder Affairs

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 200 of 261 

90AM3019 Arizona Performance Outcomes Measurement System AzPOMS-Priority 1

Phoenix, AZ 85007

Contact: Rex Critchfield (602)542-5678

Arizona addressed each of the Standard POMP 7 objectives, indicating they will: 1) work collaboratively with other 

grantees to develop reporting tools for statewide performance measurement; 2) work collaboratively with the POMP 

workgroup to finalize performance measurement surveys, where they will rely on years of previous POMP experiences to 

identify problematic survey items and; 3) they plan to work collaboratively in the development of a dissemination plan. 

The anticipated outcome for all the POMP projects is enhanced performance measurement throughout the Aging 

Network. Objectives for Standard POMP 7 projects are:

1) to develop a methodology for statewide performance measurement

2) to develop final versions of performance measurement surveys

3) to develop a performance measurement dissemination plan

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 40,000

1789 W. Jefferson (950A) 

Arizona Department of Economic Security

Program: Performance Outcomes Measures Project

90AM3020 POMP 7--Developing/Refining Consumer Performance Measurement Tools

Des Moines, IA 50309

Contact: Jayne Walke (515)242-3333

Iowa addressed each of the Standard POMP 7 objectives, indicating they will: 1) work with the participating AAA to 

develop reporting tools for statewide performance measurement, beginning with their case managed clients; 2) work 

collaboratively with the POMP workgroup to finalize performance measurement surveys; and 3) work independently in 

the development of a dissemination strategy which will feature mentoring other states/AAAs. The anticipated outcome for 

all the POMP projects is enhanced performance measurement throughout the aging network. Objectives for Standard 

POMP 7 projects are:

1) to develop a methodology for statewide performance measurement

2) to develop final versions of performance measurement surveys

3) to develop performance measurement dissemination plan

Project Period: 09/30/2005 - 12/31/2006

FY Grant Amount

FY 2005 40,000

200 10th Street, Clemens Bldg., 3rd Floor 

State of Iowa

Iowa Department of Elder Affairs

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 201 of 261 

90AM3021 Standard POMP Performance Outcome Measures Project

Atlanta, GA 30303-3142

Contact: Patricia A Haley (404)651-6314

Georgia addressed each of the Standard POMP 7 objectives, indicating they will: 1) work collaboratively at the national 

level to develop a statewide performance measurement methodology, and they are working within Georgia to develop a 

provider scorecard; 2) work collaboratively with the POMP workgroup to finalize performance measurement surveys 

(they noted a caregiver burden scale which would enhance the POMP instrument); and 3) they plan to work 

collaboratively to develop a dissemination strategy. The anticipated outcome for all the POMP projects is enhanced 

performance measurement throughout the Aging Network. Objectives for Standard POMP 7 projects are:

1) Develop a methodology for statewide performance measurement

2) Develop final versions of performance measurement surveys

3) Develop performance measurement dissemination plan

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 20,791

2 Peachtree St., NW, Suite 9-398 

Georgia Department of Human Resources

Program: Performance Outcomes Measures Project

90AM3022 Standard Performance Outcomes Measures Project (POMP)

Oklahoma City, OK 73107

Contact: Kimberly K Quigley 

Oklahoma indicated that they will work independently to revise the POMP nutrition surveys and implement the revised 

instruments statewide. They will share their recommendations for revisions with the POMP workgroup. Their 

dissemination strategy is limited to dissemination of the revised nutrition surveys.

The anticipated outcome for all the POMP projects is enhanced performance measurement throughout the Aging 

Network. Objectives for Standard POMP 7 projects are:

1) Develop a methodology for statewide performance measurement

2) Develop final versions of performance measurement surveys

3) Develop performance measurement dissemination plan

Project Period: 09/30/2005 - 09/29/2006

FY Grant Amount

FY 2005 13,890

2401 NW 23rd Street, Suite 40 

Oklahoma Department of Human Services

Aging Services Division

Program: Performance Outcomes Measures Project
FY2005 Compendium - Page 202 of 261 

90AM3024 Planning Grants Project (PGP)

Tallahassee, FL 32399-7000

Contact: Jay Breeze (850)414-2000

The applicant, the Florida Department of Elder Affairs (DOEA) will develop a comprehensive planning model: (1) suitable 

for replication by all State Units on Aging (SUAs) and Area Agencies on Aging (AAAs); (2) characterized by uniform data 

collection, needs assessment and outcome-measurement methodologies; and (3) reflecting coordination/collaboration 

among partner agencies and elder services providers. Project objectives will be the development of the planning model, 

and development of a web-accessible national planning database. The applicant will partner with the Florida Association 

of AAAs, and the AAAs in planning and service areas 3 and 4. DOEA will convene a planners' retreat and a steering 

committee to obtain AAA and stakeholder input concerning planning objectives, including preparation of Florida's 

2008-2010 State Plan on Aging. The DOEA website will be a primary means of making planning grants project 

information available.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

40,000

39,750 4040 Esplanade Way, Suite 280 

Florida Department of Elder Affairs

Program: Planning Grants Project

90AM3025 The State Unit and AAAs Planning Grant Project

Raleigh, NC 27699-2101

Contact: Lea Slaton (919)733-0440

The applicant, the North Carolina Division of Aging and Adult Services (NC-DAAS), will develop a coordinated planning 

model for State and area plans on aging by adapting a logic model to focus on client outcomes and effective use of 

lessons learned. NC-DAAS plans to tap its experience with the AoA POMP project in the development of its planning 

model. The model will start with a population framework, tie that to a logic model, and integrate performance outcome 

measures to form the foundation of effective planning. The project will involve five objectives: (1) collaborate with AoA 

and the national work group to develop a comprehensive planning model; (2) develop a well-coordinated NC State/area 

plan model, based on a logic model approach, with emphasis on assisting disadvantaged and vulnerable populations; (3) 

integrate POMP into the NC State/area plan model; (4) link goals and features of the AoA Strategic Action Plan to State 

and AAA planning; and (5) establish a sound evaluation method.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

40,000

40,000 2101 Mail Service Center 

North Carolina Department of Health and Human Services

Program: Planning Grants Project
FY2005 Compendium - Page 203 of 261 

90AM3026 Indiana Planning Grants Project (PGP)

Indianapolis, IN 46207-7083

Contact: Anna Deahl 

The applicant will test the effectiveness of the AdvantAge Initiative as a planning model on a statewide level. AdvantAge 

Initiative has been used as a model community development and strategic planning process to foster an "elder-friendly" 

community at the local level, but has never been used at the state planning level. The applicant will develop and utilize a 

demographic database for planning purposes, conduct a statewide telephone survey of Indiana elders using the 

AdvantAge Initiative survey, and utilize local steering committees to create Area Agency on Aging plans that will inform 

the State Plan. The grantee will partner with Self-Advocates of Indiana, Inc. and the Indiana Association of Area 

Agencies on Aging, and contract with the Center on Aging and community of Indiana University to customize and 

implement the model planning process. The applicant will disseminate results through a variety of vehicles, including 

conference presentations, publications, media releases, and websites. The applicant anticipates reaching non-traditional 

audiences through presentations at meetings of The American Planning Association, International City Managers 

Association, The Council on Foundations, Governors Conference on Aging, and others. Results will be shared with other 

grant recipients and project participants through "Oncourse" an online learning environment offered at Indiana University, 

which is designed to create collaborative work space for researchers conducting community-based programs and 

research.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

40,000

39,750 P.O. Box 7083, MS-21 

Indiana Division of Disability, Aging &

Rehabilitative Services

Program: Planning Grants Project

90AM3027 Pennsylvania Department of Aging Planning Grants Project

Harrisburg, PA 17101

Contact: Robert McNamara (717)783-6207

The applicant will contribute to the development of standardized state planning processes through improving 

measurement strategies to track State Plan on Aging outcomes. The Pennsylvania Department of Aging will use its Plan 

on Aging's ten priority areas to develop standardized performance measures for priority area outcomes; work with 

selected Area Agencies on Aging to incorporate performance measures into their plans; and implement performance 

measurement in the priority area of cultural inclusion. The applicant plans to work with the Pennsylvania Association of 

Area Agencies on Aging (P4A) and several AAA's, including the Union-Snyder Agency on Aging and New Populations 

Inc. The Pennsylvania Department of Aging will work with P4A to disseminate results to the state's 52 AAAs. Other 

dissemination activities include public announcements, web site postings, the Department on Aging's quarterly 

newsletter, electronic and direct mailings to aging service organizations at national, state and local levels, and 

presentations at conferences (e.g. ASA, N4A and NASUA).

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

40,000

39,940 555 Walnut Street 

Pennsylvania Department of Aging

Program: Planning Grants Project
FY2005 Compendium - Page 204 of 261 

90AM3028 Arizona Planning Project

Phoenix, AZ 85007

Contact: Lynn B Larson 

The applicant, the Arizona Department of Economic Security, Aging and Adult Administration (ADES-A&AA), together 

with the Arizona Area Agencies on Aging (AAAs), will build on the existing strengths of its current planning process in 

order to design a coordinated, systematic and consistent planning process for State and area plans on aging. 

ADES-A&AA's Aging 2020 plan referenced in the application is well underway and has utilized solid planning strategies, 

such as needs and resources assessment, input from all identified stakeholders, analysis of existing planning data, e.g. 

census data, and incorporation of area agency goals into the State plan on aging. Objectives of the project are to: (1) 

improve consistency and coordination in the planning process; and (2) use the designed State and area plans as 

strategic documents to strengthen organizational capacity of service systems to meet current and future service needs. 

These objectives will be aligned with the current Performance Outcomes Measurement Project (POMP) and the Arizona 

Aging and Disability Resource Center (AzADRC).

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

39,998

40,000 1789 W. Jefferson 

Arizona Department of Economic Security

Program: Planning Grants Project

Minnesota Collaborative Planning Model: A Cross-System Approach for Health 

Promotion

90AM3029

St. Paul, MN 55164-0976

Contact: Jean Wood (651)297-5459

The applicant, the Minnesota Board on Aging (MBA) will develop a collaborative model that (1) integrates Federal, State 

and local priorities; (2) links strategic partners; and (3) results in new and effective system change. Participation of key 

partners at the State, Area Agency on Aging (AAA) and local level is critical to the project. The focus of the project will 

be the development of evidence-based health promotion programming, a topic identified as a priority at the Federal, 

State and local level. The approach refines and expands MBA's current planning model to develop an inter-system, 

collaborative model for system change and service development across multiple agencies and multiple funding sources. 

In addition, MBA will develop and implement specific outcome measures and a web based management information 

system to monitor performance at two levels: (1) service development - measures of new, expanded or redesigned 

community services; and (2) service outcomes - the direct effects of these services or interventions in the lives of older 

individuals.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

35,200

35,600 P.O. Box 64976 

Minnesota Board on Aging

Program: Planning Grants Project
FY2005 Compendium - Page 205 of 261 

90AM3030 Planning Grant Proposal for NJ Senior Nutrition Program

Trenton, NJ 08625

Contact: Geraldine Mackenzie (609)943-3499

The applicant will contribute to the development of a national comprehensive planning process by developing three 

replicable models for nutrition program planning in the areas of: 1) cost effective and efficient program operations; 2) 

integration of nutrition plans into the ADRC initiative; and 3) service delivery for diverse populations. The grantee will 

work with Stockton College, New Jersey's Mission Nutrition Blue Ribbon Panel and the Nutrition Directors Advisory 

Group, Atlantic and Warren County AAA's, plus AAA representation on work groups. The evaluation plan will have three 

components to assess outcomes, process and project context. It will include a logic model linking goals, objectives, 

activities and outcomes and an impact model for each team. Reports and best practice guides that result from the project 

will be disseminated via the grantees' web sites, a health aging listserv, direct mailings to national, state and local 

organizations, as well as SUAs, presentations at conferences and articles published in professional journals.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

29,656

39,686 PO Box 360

New Jersey Department of Health and Senior Services

Program: Planning Grants Project

90AM3031 The Kentucky Division of Aging Services Planning Grant Project

Frankfort, KY 40621

Contact: Phyllis E Culp (502)564-6930

The applicant, the Kentucky Division of Aging Services (DAS), will develop a comprehensive and coordinated State and 

area planning process that is outcomes driven and utilizes evidenced based practices. Objectives of the project are to: 

(1) evaluate the current process for improvements; (2) assemble a project work group consisting of State staff, Area 

Agency on Aging (AAA) staff, consumers, and providers; (3) develop statewide outcomes; (4) design a process that will 

relate the regional area plans to the State plan; and (5) incorporate new information technology systems into the plan 

design. DAS will incorporate its new client data collection system, SAMS, into the development of a planning model. In 

addition, DAS will build on its already existing strategic plan and outcomes based contracting procedures. DAS is 

currently utilizing outcomes based monitoring in its National Family Caregiver Support Program.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

15,675

40,000 275 East Main Street 3 W-F 

Kentucky Cabinet for Health and Family Services

Program: Planning Grants Project
FY2005 Compendium - Page 206 of 261 

90AM3032 Technical Assistance Support Center: Comprehensive Planning for Aging Services

Washington, DC 20005

Contact: Virginia Dize (202)898-2578

This project will enhance the capacity of State Agencies on Aging to develop comprehensive plans through the 

development of a model planning process(es) adaptable to each state's unique needs. Objectives include: (1) 

developing a planning model(s) that addresses OAA program compliance and builds upon the comprehensive planning 

efforts of SUAs and AAAs; (2) providing technical assistance to the State Planning Grantees and other SUAs; and (3) 

facilitating pilot testing, refinement and adoption of the planning model(s) by grantees and the aging network. The 

applicant will provide support and work closely with the State Planning Grantees to develop comprehensive, coordinated 

planning systems. The approach will be both interactive, facilitating idea and experience exchange among grantees, and 

process-oriented, making use of expert guidance and the grantees' knowledge and experiences to develop the planning 

model(s) and plan formats.

Target Population: State and Area Agencies on Aging, local providers, and the seniors they serve.

Anticipated Outcomes: model(s) of State planning process(es); model(s) of Area planning process(es);	model(s) of 

State plan format(s); model(s) of Area plan formats; and coordination of a 3 day orientation meeting. Involvement of the 

following community based organizations (CBOs) is anticipated: National Association of Area Agencies on Aging (N4A); 

consumer groups, such as the Alzheimer's Association; and provider organizations, such as the National Association of 

Nutrition Service Providers (NANSP), AARP, and the National Family Caregiver Alliance.

Project Period: 09/30/2005 - 09/29/2008

FY Grant Amount

FY 2005

FY 2006

200,000

250,000 Suite 350 

National Association of State Units on Aging

1201 15th Street, NW

Program: Planning Grants Project

90AM2666 Systems-Building in State Family Caregiver Support and Health Promotion Programs

Washington, DC 20005-0005

Contact: James Whaley (202)898-2578

The goal of this demonstration project is to build state capacity in collaboration with AoA. The second goal of the project 

is to assist the State Units on Aging (SUA) to compile and disseminate information about the Older Americans Act and 

other programs which they administer. The purpose of this activity is to develop a database software product for use by 

SUAs in their reporting under the National Aging Program Information System. The product is intended to facilitate the 

submission of this report in a timely manner to AoA, with the least possible burden to SUAs. The objectives of this 

program are: 1) to develop a software application for use by AAAs to facilitate state transmission of state program 

reports; 2) to provide training and technical assistance when the application is made available to the states; and 3) 

conduct a study of state agency and area agency management information systems and innovative approaches to 

streamlining data collection activities. The expected outcomes of the program include: transmission of information 

eased; training and technical assistance provided; and software reporting tools developed (edit and validity checking). 

The products include software for all State Units on Aging, a final report and recommendations for management 

information systems.

Project Period: 09/30/2002 - 09/29/2007

FY Grant Amount

FY 2002

FY 2003

FY 2004

FY 2005

250,000

400,000

295,632

75,000

1201 15th Street, NW, Suite 350 

NATIONAL ASSOCIATION OF STATE UNITS ON AGING (NASUA)

Program: Unsolicited
FY2005 Compendium - Page 207 of 261 

90AM2328 Establishment of the National Center for Seniors' Housing Research

Upper Marlboro, MD 20774-0774

Contact: 

Under this cooperative agreement, the grantee, the National Research Center (NRC), has established a National Center 

for Seniors' Housing Research (NCSHR) to assist older Americans to live comfortably, safely and independently in their 

own homes as they age, regardless of income or ability-level. The goal of this Center is to develop innovative solutions to 

accommodate changing housing needs for older Americans who wish to age in place. This information is available to the 

home building industry, particularly to remodelers, to consumers and to the Aging Network. Project activities for this 

Center include: web-based information about the value and application of universal design principles; available products 

which enhance independent living; support and analysis of the National Older Adults Housing Survey; examination of the 

cost and safe techniques for home modification for an aging population, with improved training for building contractors 

about the needs of the aging population; an annual student design competition to stimulate innovative residential design 

for aging in place; stimulating partnerships between the Aging Network and the home building industry to foster user 

friendly environments; and use of assistive technology and replication of the features incorporated in the new "Life-Wise" 

house.

Project Period: 03/01/2000 - 01/01/2006

FY Grant Amount

FY 2000

FY 2002

FY 2003

553,285

930,699

445,113

400 Prince Georges' Blvd. 

NAHB RESEARCH CENTER, INC.

Program: Congressional Mandates

Advancing Volunteerism Role in Delivering Home Modification Services to Aging 

Population

90AM2334

Washington, DC 20036-0036

Contact: 

This is a continuation of a Title IV discretionary grant that was initially funded in June 2000. Rebuilding Together 

continues to expand the scope of the "Safe at Home" grant activities through its 269 affiliate members. Of special 

emphasis this year are falls prevention and supporting home modifications for aging-in-place. Expanding partnerships 

between the affiliate chapters and the Aging Network is an overarching goal. Part of the partnership and coalition 

building centers around joint training activities to help the affiliates gain increased understanding of universal design that 

helps seniors remain at home, and to help the Aging Network gain new and valued partners for helping low-income 

seniors. 

FY 2005 Outcomes: Rebuilding Together will disseminate a new brochure and toolbox to stimulate greater public 

attention about the value of home modification in helping seniors and their caregivers with continued independence. An 

additional 2,000 people will be trained in home safety assessments. Twenty to forty affiliates will expand their home 

modification programs for the seniors. Funds will be used to leverage an additional $250,000 in product discounts and 

donations for the home modification efforts. The grant efforts this year will benefit some 4,000 sites for safe 

aging-in-place. This organization will continue to exhibit and make presentations at major aging conferences throughout 

the year, both nationally and locally. Rebuilding Together collaborates with the organizations sponsoring Aging-in-Place 

week in November, the National Home Modifications Action Coalition and the NCOA falls prevention programs. 

Project Period: 06/01/2000 - 07/31/2007

FY Grant Amount

FY 2000

FY 2002

FY 2003

FY 2005

322,756

493,500

392,234

391,642

1536 16th Street, NW 

REBUILDING TOGETHER, INC.

Program: Congressional Mandates
FY2005 Compendium - Page 208 of 261 

90AM2378 Aging and Research Training Project

Lubbock, TX 79430-9430

Contact: 

The goal is to research the elderly and to provide training through the use of an interdisciplinary baseline survey about 

memory disorders, diabetes and heart disease. The project's objectives are: 1) to conduct an interdisciplinary baseline 

survey of 5000 elderly residents of the 108-county West Texas region served by the Texas Tech University Health 

Sciences Center; 2) to establish a Balanced Assessment Laboratory and a Memory Disorders Clinic; 3) to demonstrate 

the capacity of a community network of 20 pharmacies to effectively identify and screen elderly and Hispanic West 

Texans at risk of diabetes and cardiovascular disease; 4) to conduct a study of health literacy and the risk of medication 

misuse among the elderly; 5) to perform research on the prevalence of depression, anxiety, functional impairment, 

cognitive impairment, physical illness, and the utilization/misutilization of alcohol and prescription/over-the-counter drugs; 

6) to develop a model project to maintain or enhance healthy aging among elderly West Texans and their caregivers by 

creating a community profile of attitudes toward healthy aging in three rural underserved communities; 7) to support the 

geriatric educational and curriculum development activities and programs in the Schools of Medicine, Pharmacy, Allied 

Health, and Nursing. The anticipated outcomes are new knowledge and new training materials on memory disorders, 

diabetes and heart disease; new research data; and a 5000 elderly survey. The products of this project are a final report; 

a survey; and research findings.

Project Period: 08/01/2000 - 08/31/2005

FY Grant Amount

FY 2000

FY 2001

FY 2002

1,857,786

948,507

987,000

3601 4th Street 

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER

School of Medicine

Program: Congressional Mandates

90AM2388 Partners in Long-term Care Initiative

Philadelphia, PA 19141

Contact: Christopher Minnick 

The Albert Einstein Medical Center established a comprehensive community-based and integrated service system for 

frail and chronically ill elders and their caregivers by establishing linkages with aging services partners in the 

Southeastern Pennsylvania region. Through the project, Einstein intended to enhance the quality of existing relationships 

and to stimulate the development of new linkages to better meet the needs of older persons. The prototype system had 

three components, a PACE model life Center to provide a continuum of care system of services to the frail elderly; a 

Personal Care Partnership Program (PCPP) for personal care home residents; and a culturally appropriate training 

program for Korean American caregivers. Project objectives were concentrated in the areas of planning, developing and 

establishing an infrastructure for this comprehensive community based system. Einstein documented planning of the 

system to contribute to the body of knowledge in the field. Anticipated outcomes included: a system of care for elderly; a 

PACE model; a Korean-American training module; and an adult care facility for low income elders. Major products 

included a culturally appropriate training module for Korean-American caregivers, a comprehensive assessment and a 

final report.

Project Period: 09/30/2000 - 10/31/2005

FY Grant Amount

FY 2000

FY 2001

920,000

493,500 5501 Old York Road 

ALBERT EINSTEIN MEDICAL CENTER

Program: Congressional Mandates
FY2005 Compendium - Page 209 of 261 

90AM2478 St. Louis Aging Services Academy

St. Louis, MO 63105-3105

Contact: 

The St. Louis County Department of Human Services conducted the pilot for an Aging Services Academy that would 

deliver customized training to prospective and recent retirees in the age group 50 to 59 years. The project served as a 

vehicle for developing curriculum that could provide at least 50 older individuals with customized training, resources and 

support to pursue expanded retirement opportunities. The strategy was to develop core curricula for classroom 

instruction in basic gerontology and basic computer skills and computer literacy, thereby empowering aging individuals. 

Partners include the Mid-East AAA Title V Employment Program, the St. Louis County Older Residents Program, and St. 

Louis Senior Computer Training. Training was reinforced through paid internships with eldercare organizations. Expected 

outcomes included: a model Aging Services Academy with curricula for three core learning components (including 

computer training); customized classroom instructional and marketing materials; a cadre of mature workers to serve as a 

model for countering negative stereotypes; a limited number of paid internships; and strengthened partnerships with 

community and older worker programs in the area. Initially, the project was scheduled to cover a 17 month period, 

however after successfully securing private funding, it remained active for more than 36 months. At termination of the 

federal project period, the project was to be operated by the State. The products for dissemination include a final report, 

curricula, conferences materials and a project guide.

Project Period: 09/30/2001 - 02/28/2005

FY Grant Amount

FY 2001 418,950

121 S. Meramec Avenue, 3rd Floor 

Saint Louis County Government

Program: Congressional Mandates

90AM2611 Supportive Neighborhoods

Baltimore, MD 21215

Contact: Mary Pivawer (410)466-1990

The Senior Friendly Neighborhoods program provides enriched supportive services for older adults age 62 and over 

living in naturally occurring retirement communities in the mixed housing residential Upper Park Heights and Millbrook 

neighborhoods of northeast Baltimore. Included within the catchment area are 8 apartment complexes ranging from 25 

to 730 units, which offer on-site program activities. Other residents have access to activities in 6 "warm houses" and 

programming in two community centers and three congregate meal sites and a para-transit transportation service. 

Program goals include enhancement of community cohesion, increased resident independence, identification of "at risk" 

elderly and decreased loneliness and isolation of individuals living alone. The non-profit Comprehensive Housing 

Assistance agency coordinates services in partnership with Jewish Family Services, the LifeBridge Health System, the 

Jewish Community Center and the Edward A. Myerberg Senior Center. For a small membership fee, residents have 

access to activity programs, social work services, health education, home repair services and transportation for 

shopping, medical appointments and recreational activities. Additional funding support is provided by the City of 

Baltimore, the County of Baltimore, the Harry and Jeanette Weinberg Foundation and the Associated Jewish Community 

Federation of Baltimore.

Project Period: 08/01/2002 - 11/30/2007

FY Grant Amount

FY 2002

FY 2003

FY 2005

987,000

513,826

697,122

5721 Park Heights Avenue 

Comprehensive Housing Assistance, Inc.

Senior Friendly Neighborhoods

Program: Congressional Mandates
FY2005 Compendium - Page 210 of 261 

90AM2612 Naturally Occurring Retirement Communities

St. Louis, MO 63146

Contact: Karen Berry-Elbert (314)432-0020

The Jewish Community Center, the Jewish Family and Children's Service and the Washington University Center for 

Aging are demonstrating a supportive service program for aging in place in a community of 12 St. Louis neighborhoods 

with high concentrations of older adults. The goal is to promote healthy aging of older adults in their own homes by 

providing opportunities for meaningful community involvement and increased access to support services. It emphasizes 

connecting residents to their community by meeting their essential and non-essential needs and offering increased 

socialization and intellectual opportunities to contribute. Resident councils in each community advise staff teams who 

coordinate services and programs, including home-maker services, home modifications, minor home repair, case 

management, social nutrition and access to fitness and health classes. Objectives include: 1) creation of an alternative 

transportation service for residents to shop and make medical appointments; 2) increasing resident participation in "The 

Gathering Place" events and activities; 3) offering a 7 week Community Connections for Successful Aging course to 

train community resident volunteer leadership; 4) exploring concept of an adult children's support group; 5) convening 

management and owners of complexes to explore potential areas of collaboration and future support; and 6) 

collaborating with community organizations to perform home repairs. Assessment and performance evaluation studies 

are being conducted by the Center on Aging at Washington University in St. Louis.

Project Period: 08/01/2002 - 04/30/2007

FY Grant Amount

FY 2002

FY 2005

1,263,360

220,298 12 Millstone Campus Drive 

Jewish Federation of St. Louis

Program: Congressional Mandates

90AM2613 Integrated Comprehensive Service Model in Six Downtown Condominiums

Philadelphia, PA 19103

Contact: Lenore Wasserman (215)496-9700

The Jewish Family and Children's Service of Greater Philadelphia and its community partners provide psychosocial, 

spiritual, and medical services to 6 apartment and condo complexes and 5 residential neighborhoods surrounding 

community centers, with the goal of creating a safe, dignified living environment for adults age 60 and over so that they 

remain in their homes as long as possible. Five objectives are pursued: 1) to provide comprehensive, coordinate care 

through interdisciplinary teams providing social services, nursing, chaplaincy, and psychiatry; 2) to provide low-cost, 

practical interventions such as group lunches and workshops, home maintenance and repair, and support groups; 3) to 

increase participation of residents through such activities as the recruitment and support of volunteers and 

transportation; 4) to evaluate the impact of services; and 5) to disseminate information locally and nationwide. An 

important component of the project is an ongoing evaluation conducted by the Department of Health Policy at Thomas 

Jefferson University, measuring improvements in the health and wellness of participants.

Project Period: 08/01/2002 - 07/31/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

FY 2005

196,300

245,146

196,235

293,731

2100 Arch Street 

JEWISH FAMILY AND CHILDREN'S SERVICE OF

Greater Philadelphia

Program: Congressional Mandates
FY2005 Compendium - Page 211 of 261 

90AM2620 Elder Abuse Education Program

Wheaton, IL 60187-0187

Contact: Mary Lee Tomsa/Mary Persinger (620)682-6924

This demonstration will develop an Elder Abuse Education (EAE) program and deliver it to local professionals. This EAE 

program will include information on the indicators of elder abuse, the stresses associated with caregiving, the dynamics 

of "elder domestic violence", and how to report abuse and get help to those at risk. The goal of this project is to provide 

educational sessions to law enforcement, health care, and senior service professionals in order to increase their 

knowledge of indicators of elder abuse, neglect, and exploitation, and awareness of intervention options. The major 

objectives are: 1) to hire and train a qualified Case Manager Coordinator; 2) to develop an education program and 

materials; 3) to provide 35 educational sessions; and 4) to analyze evaluation survey results to measure the 

effectiveness of the educational program. The expected outcomes are: trained professionals will show a 70% increased 

awareness of elder abuse indicators and interventions; and dissemination. The products of this project are a final report; 

a presentation; a program evaluation and evaluation tools; training materials and handouts; a survey; and a curriculum.

Project Period: 09/01/2002 - 12/31/2004

FY Grant Amount

FY 2002 98,700

421 N. County Farm Road 

DuPage County Department of Human Resources

Program: Congressional Mandates

90AM2622 Iowa Seamless Project

Des Moines, IA 50309-3609

Contact: Greg Anliker 

This is a 3 year demonstration that will improve the system of home and community based services (HCBS) in Iowa. The 

goal is a consumer-directed, seamless delivery system of community based long-term care options for Iowa's 

consumers. The crux of this grant involves planning and consensus building and the development of a unified 

information system. Letters of support from the state Medicaid agency and the state Health department document their 

commitment to work with the State Unit on Aging (SUA) toward a more unified system of services. The objectives are: 1) 

to design a data management and service delivery system and gain consensus from key partners; 2) to develop 

reasonable and fair criteria for eligibility and participation in HCBS provided, including fees where appropriate; and 3) to 

determine rules, regulations, and laws to be revised and/or waived. Outcomes of the project are a data management 

system that allows better access to programs funded and administered through 3 state departments to elders and their 

caregivers in Iowa; client participation criteria developed for programs funded through the 3 state departments; rules, 

regulations, and laws identified to be changed and/or waived to improve access and efficiencies for elders and their 

caregivers, service providers, and government entities; increased personal empowerment and/or family control in 

planning and directing care; increased consumer and caregiver satisfaction; and a reasonable and fair criteria for 

eligibility. The products are a final report, an evaluation, and a unified data management information system.

Project Period: 09/01/2002 - 02/28/2006

FY Grant Amount

FY 2002

FY 2003

FY 2004

1,480,500

980,584

981,177

Clemens Building, 3rd Floor 200 10th Street

IOWA DEPARTMENT OF ELDER AFFAIRS

Program: Congressional Mandates
FY2005 Compendium - Page 212 of 261 

90AM2623 F.A.S.T. - Facilitating Access Through Senior Technology

Hot Springs, AR 71913-3491

Contact: Sherial Bradley (501)321-2811

This is a two year seniors computer technology demonstration project. The Area Agency on Aging for West Central 

Arkansas will work in five rural counties. The goal of the program is to utilize modern technology in this poor, rural, 

underserved area to improve access to computers, and improve the perception of and deliver services to seniors. 

Interventions will include the utilization of lap-top computers when performing in-home visits, to gather data and quickly 

determine eligibility for services. The objectives of this Senior Computer program are: 1) to develop a research plan; 2) to 

conduct a minimum of three site visits; 3) to utilize information from site visits to formulate specifications for a central 

database; 4) to put into operation software, lap top/desk top computers, and barcode scanners to provide access to a 

central database; and 5) to evaluate and disseminate the effectiveness of the project. Outcomes of this Seniors 

Computer program are: introduction of technology into seniors' homes, resulting in increased information and service 

accessibility; and the implementation of barcode scanning, eliminating costly and cumbersome paper forms. The 

products of the Senior Computer project are: a final report; project information and research data; project summary; 

pre/post research analysis; abstracts for Arkansas Aging Conference; and data questionnaires.

Project Period: 09/01/2002 - 12/31/2004

FY Grant Amount

FY 2002 449,085

905 West Grand Avenue 

Area Agency on Aging of West Central Arkansas

Program: Congressional Mandates

90AM2624 Developing a Universal Kitchen Design

Ames, IA 50011-0011

Contact: Ronald Cox (515)294-9592

Iowa State's intended goal is to aid older persons who want to remain independent by developing a prototype universal 

design kitchen system of appliances and cabinets. The key evaluation question addressed was whether the refined 

kitchen could be manufactured at an affordable price for the mass market. It appears that the grantee successfully 

completed project objectives. A model cabinet system was developed. Focus groups were conducted to test the 

universal usability of the kitchen prototype and subjects were videotaped to evaluate market appeal. Based on 

demographic data that indicates women have a longer life span than men, a greater likelihood exists for women to find 

themselves living alone as they age. Therefore, during year 1, focus groups were composed exclusively of women, age 

65 plus. However, during year 2, focus groups were expanded to include both genders, persons of diverse abilities and 

age groups 20-29, 40-49, and 60 plus. Further, rural and urban residents participated in the project. Data collected was 

transcribed and analyzed. Consultations were conducted with Maytag Corporation and Bertch Cabinet Manufacturing 

regarding feasibility of manufacturing a prototype system; assessment of the market appeal of the prototype to 

consumers and providers; and evaluation of the manufacture of the prototype for a mass market. Partners included 

community representatives and Progress Industries Foundation. A report was prepared and findings disseminated.

Project Period: 09/30/2002 - 12/31/2004

FY Grant Amount

FY 2002

FY 2003

197,400

294,175 2272 Howe Hall, Suite 2620 

Iowa State University of Science & Technology

Program: Congressional Mandates
FY2005 Compendium - Page 213 of 261 

90AM2637 Older Adults Intervention Systems (OASIS)

Los Angeles, CA 90015-0095

Contact: Moeed N. N Khan (818)883-6015

This is a one year Older Adults Intervention Systems (OASIS) demonstration project managed by a faith-based 

organization at the Guadalupe Community Center in Canoga Park, CA.. The goal of this OASIS project is to implement a 

multi-pronged approach that is relevant and effective in meeting the social and family needs of older adults and their 

caregivers, particularly those with limited English proficiency. The objectives of the OASIS demonstration project are: 1) 

to conduct a needs assessment study; 2) to provide the delivery of direct services; and (3) to establish and implement 

faith-based outreach teams; 4) to develop a needs assessment survey of providers serving older adults to determine the 

use and availability of services; 5) to identify the barriers to the use of those services; and 6) to identify gaps and unmet 

needs in the catchment area. The anticipated outcomes of the OASIS project are: direct service delivery; 500 older 

adults and their caregivers will be provided information and referral services; and faith-based outreach teams will provide 

supportive assistance to about 700 older adults. The products of the OASIS program are a final report; and a needs 

assessment study and survey.

Project Period: 09/30/2003 - 02/28/2005

FY Grant Amount

FY 2003 434,119

PO Box 15095 James M. Wood Blvd.

CATHOLIC CHARITIES OF LOS ANGELES, INC.

Program: Congressional Mandates

90AM2639 Legal Backup/Financial Elder Abuse Attorney Project

Madison, WI 53718-6751

Contact: (608)224-0606

The Elder Law Center of the Coalition of Wisconsin Aging Groups (CWAG) will support an attorney who will work 

half-time as a legal backup attorney to reduce existing case loads, and half-time to develop an educational program on 

financial elder abuse. The objectives of this legal project are: 1) to employ four attorneys who provide legal backup to 75 

benefit specialists (paralegals) in 65 Wisconsin counties; 2) to use benefit specialists, partially funded through the Older 

Americans Act, to represent elderly individuals on issues of public benefits; 3) to coordinate with the benefit specialists; 

4) to disseminate information on financial elder abuse; and 5) to set up programs in counties to educate people on 

prevention and remedies for elder abuse. The anticipated outcomes of this legal program are: a reduction of existing 

case loads; a new educational program on financial elder abuse; four attorneys for legal backup; 75 benefit specialist 

(paralegals) to represent the elderly; legal assistance in 65 counties; dissemination of financial elder abuse cases; 

prevention and remedies for elder abuse; and an educational program on financial elder abuse.

Project Period: 09/01/2002 - 12/31/2004

FY Grant Amount

FY 2002

FY 2003

134,232

98,058 2850 Dairy Drive Suite 100

COALITION OF WISCONSIN AGING GROUPS

Program: Congressional Mandates
FY2005 Compendium - Page 214 of 261 

SOS Nutrition Project: MNT and Therapeutic Meals for Homebound Seniors with Three 

Chronic Diagnoses

90AM2665

Charlotte, NC 28211-8211

Contact: Carol Baker (704)336-3258

The grantee, the Mecklenburg County Department of Social Services, supports this clinical trial of community- based 

medical nutrition therapy (MNT), in collaboration with the University of North Carolina Charlotte. Medical nutrition therapy 

is a benefit under Medicare that provides nutrition counseling for specific diseases, diabetes and renal disease. There is 

interest from Congress and the medical profession to also cover cardiovascular disease, specifically hypertension and 

dyslipidemia. The goal of this grant is to test two different community interventions associated with medical nutrition 

therapy. Project A is a controlled, randomized clinical trial with the goal of determining the efficacy/cost-effectiveness of 

medical nutrition therapy and therapeutic meals for homebound seniors with hypertension and dyslipidemia. Project B is 

a feasibility/demonstration project for the provision of Medicare reimbursed medical nutrition therapy and therapeutic 

meals to homebound seniors diagnosed with pre-end stage renal disease and/or diabetes. Project B will demonstrate 

how public social service agencies can establish and manage this Medicare funded service and demonstrate the ability 

of the aging network to integrate social and medical services. The evaluation of Project A will be an analysis of change 

in serum cholesterol and blood pressure, changes in food and nutrient intake, and cost-effectiveness. The evaluation of 

Project B will be a process evaluation for the implementation of medical nutrition therapy and therapeutic meals in the 

community. The expected outcomes of the two projects are improved community-based nutrition service interventions for 

older adults. Products are: a final report; an evaluation for Projects A and B; presentations at conferences, publications 

in peer-reviewed journals; and a "How-To" manual for the aging network.

Project Period: 09/30/2002 - 08/15/2006

FY Grant Amount

FY 2002

FY 2004

927,973

686,049 301 Billingsly Road 

MECKLENBURG COUNTY DEPARTMENT OF SOCIAL SERVICES

Program: Congressional Mandates

90AM2726 Seniors Parenting Again Program

Chicago, IL 60604

Contact: Colleen M Jones (312)986-4135

Metropolitan Family Services proposes a one-year community-based program for low to moderate income seniors who 

are primary caregivers for children and adolescents. This office and home-based program will be located on the south 

side of Chicago, Illinois and target older adult residents of the Roseland, Pullman, West Pullman, Washington Heights, 

Morgan Park and Riverdale communities. The goal of the Seniors Parenting Again Program is to increase the capacity of 

senior caregivers to cope with their "parenting again" responsibilities. Program objectives are to: 1) reduce stress, 

depression, and anxiety, and 2) increase general well being of caregivers raising children and adolescents. Products will 

include: family stabilization plans for senior parenting families; a senior parenting resource guide tailored to the specific 

communities in which families live; assessment tools, and evaluation tools. Products will be disseminated to the State, 

service providers, and seniors in the community.

Project Period: 09/01/2003 - 07/01/2006

FY Grant Amount

FY 2003 220,631

14 E. Jackson Blvd., Suite 1400 

METROPOLITAN FAMILY SERVICES

Program: Congressional Mandates
FY2005 Compendium - Page 215 of 261 

90AM2727 Development of a National Data Collection System for Improving at the End of Life

Cary, NC 27513

Contact: Larry Smith (919)677-4115

The Carolinas Center for Hospice and End of Life Care will conduct a 3-year project to gather and report data on the 

experience of death and dying. The goal is to develop an accessible database of measures that provides actionable 

information for healthcare providers, community service providers, health services researchers, and state policy makers. 

Data elements that currently exist in several databases will be obtained for the new dataset and we will partner with state 

centers for health statistics and/or academic research centers to collect new measures via ongoing data collection 

efforts. The primary outcome will be an accessible dataset hosted on the Internet by The National Hospice and Palliative 

Care Organization. Products will include complete data for North and South Carolina and a procedure manual for other 

states to collect and contribute data to the dataset. The products will be disseminated via newsletters, journal articles, 

professional conferences, and the Internet.

Project Period: 09/01/2003 - 08/31/2005

FY Grant Amount

FY 2003 245,146

2400 Weston Parkway 

THE CAROLINAS CENTER FOR HOSPICE AND END OF LIFE CARE

Program: Congressional Mandates

90AM2728 Creating a Seamless System of Care for Iowa's Aging Population

Des Moines, IA 50312-0312

Contact: Alice Breemer (515)271-1657

The two primary purposes for this grant are: 1) to support the development of a comprehensive repository of information 

about Iowa's aging population; and 2) to create a web-based educational program for caregivers who provide daily 

services to Iowa's aging population. The curriculum of this training will be based on the needs profiled from the data 

repository. Two of the products resulting from this project will include: 1) a data warehouse, in which numerous 

databases containing information on the health care needs of older Iowans are stored and integrated; and 2) a 

web-based training program, for caregivers providing daily services for older Iowans. The availability of these products 

will be disseminated to all organizations participating in the project and to interested organizations outside of Iowa.

Project Period: 09/01/2003 - 01/31/2006

FY Grant Amount

FY 2003 481,078

3200 Grand Avenue 

DES MOINES UNIVERSITY

Program: Congressional Mandates
FY2005 Compendium - Page 216 of 261 

90AM2729 Caregiver Resource Center - Fountain Square

Indianapolis, IN 46227

Contact: Connie Beran 

Caring for a loved one who is suffering from dementia, Alzheimer's, or any number of debilitating conditions or diseases 

is a labor of love. The Center for Aging and Community at the University of Indianapolis will create the Indianapolis 

Caregivers Resource Center-Fountain Square (ICRC-FS). ICRC-FS will provide holistic resources and support services 

to individuals and families assuming a caregiver role. Partnering with other community organizations in the 

southeast-side Indianapolis urban neighborhood of Fountain Square, ICRC-FS will identify caregivers in need of support 

and provide services to meet those needs. The overall objective of this ongoing program is to provide needed tools of 

intervention for caregivers in Fountain Square by involving and engaging multiple community organizations. Outcomes 

include increased knowledge of care and community resources, coping skills, the importance of self-care, and avoiding 

burnout; and decreased self-reported incidences of caregiver burnout and elderly mistreatment (self-neglect, abuse, and 

exploitation).

Project Period: 09/01/2003 - 08/31/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

196,117

152,082

313,313

1400 East Hanna Avenue 

UNIVERSITY OF INDIANAPOLIS

Program: Congressional Mandates

90AM2730 Senior Center Healthcare Coordinator Program

St. Louis, MO 63103

Contact: David P. P Sykora 

The St. Louis Area Agency on Aging (AAA) will develop and implement a Senior Center Healthcare Coordinator Program 

that will create an organized system of health, wellness and nutrition programs, as well as medical and information 

services to improve the quality of life for seniors living in the City of St. Louis. The program's objectives are: 1) to 

increase the knowledge and understanding of healthcare issues by senior citizens; 2) to enhance the community 

services provided by senior centers; 3) to develop a supportive referral network; and 4) to provide community healthcare 

related education programs. The anticipated outcomes include: increased wellness of seniors; increased usage of 

healthcare providers; and improved ability of seniors to manage their own healthcare. The program will incorporate a 

recommended care plan, and a resource data bank. Upon completion of the 12-month project, information will be 

disseminated to partners, universities, community organizations and Area Agencies on Aging. The products are a final 

report; evaluation tools; assessment tools; and manuscripts.

Project Period: 09/01/2003 - 02/28/2007

FY Grant Amount

FY 2003 147,088

634 N. Grand - Seventh Floor 

CITY OF ST. LOUIS

Department of Human Services

Program: Congressional Mandates
FY2005 Compendium - Page 217 of 261 

90AM2734 Southcare Home Services

Glenside, PA 19038-0513

Contact: David Dobson (215)205-1754

Southcare Home Service (SHS) will demonstrate an innovative model of home-based care for the elderly, focused on 

enhancing health, safety and quality of life for frail, isolated seniors, while lowering the cost and facilitating 

consumer-directed care. The project will emphasize highly targeted nutritional and home safety interventions that will 

significantly reduce the risk of nursing home placement and costly hospital stays. SHS will provide an integrated 

"umbrella" program including: 1) home delivered meals and nutritional counseling and support focused on reducing 

obesity and diabetic problems; 2) non-medical homemaker and companion services, as well as respite for caregivers; 3) 

handyman services for minor home repairs, safety modifications, and general life safety maintenance of owner occupied 

housing; and 4) transportation to aid in the prevention of medical and nutritional problems. The project is expected to 

demonstrate an innovative model of service delivery, which will reduce the cost of services. In addition, it also will 

demonstrate opportunities for senior employment, volunteerism, and activity to improve the quality of life.

Project Period: 09/01/2003 - 08/31/2007

FY Grant Amount

FY 2003

FY 2005

490,292

24,478 PO Box 967 

SOUTHCARE NURSING CENTER INC.

Program: Congressional Mandates

90AM2735 NORC Demonstration -- Chicago

Chicago, IL 60606-0606

Contact: Donna Puzzuto (312)357-4944

The Jewish Federation of Metropolitan Chicago, through its affiliate, the Council for Jewish Elderly, is conducting a 

demonstration of supportive services for seniors aging in place in two communities. One is in a condo neighborhood on 

the north side of the City of Chicago and the second is in a condo complex in a Southside Chicago suburb. The program 

goals are to: (1) enhance the ability of seniors in the targeted Naturally Occurring Retirement Community (NORC) 

buildings to continue living independently in the community through increased access to needed supportive services; (2) 

enhance healthy aging for older adults through NORC services, programs and community involvement; and (3) establish 

a framework that will facilitate senior's use of the services/programs and sustain their involvement. The project 

objectives are: (1) create a project infrastructure; (2) select NORC sites; (3) develop connections with community, social 

and recreational service providers; (3) establish relationship with building residents and assess needs; (5) provide on-site 

service provision; (6) enhance program through continual assessment, evaluation and collaboration with local community 

organizations; and (7) disseminate information about the program. Anticipated outcomes at the time of project 

completion are: (1) 80 percent of NORC residents surveyed will indicate that their awareness of an ability to access 

services and programs has increased; (2) 80 percent of NORC residents will indicate that their knowledge of aging 

issues has increased; and (3) 70 percent of NORC residents will indicate that they perceive an opportunity for expanded 

involvement in their building community and the community at large. Program products include presentations at local, 

state and national organizations; a monthly calendar and a quarterly newsletter for resident participants; web pages, and 

a final report that includes data and analysis of resident assessment and program impact evaluation.

Project Period: 09/01/2003 - 09/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

245,146

98,118

146,866

One South Franklin Street 

JEWISH FEDERATION OF METROPOLITAN CHICAGO

Program: Congressional Mandates
FY2005 Compendium - Page 218 of 261 

90AM2736 NORC Continuation Grant

Miami, FL 33137-3279

Contact: Michael Winograd (305)576-4000

The Greater Miami Jewish Federation, along with the Jewish Federations of Broward County, South Palm Beach County 

and Palm Beach, are conducting a demonstration of the provision of services and activities in five age-restricted 

residential communities in four counties in Southeastern Florida. The goal is to increase resident access to services, 

which improve their quality of life and enable them to function more effectively in their homes, thereby reducing the need 

for extended institutional long term care. Objectives include: 1) establishment of agreements and working relationships 

with apartment and condominium management agencies and boards for on-site location of staff and creation of program 

services and activities; 2) assessment of resident needs and priorities for group activities and individual services; 3) 

planning and delivery of activities and services for each program site; 4) expansion and use neighborhood councils to 

promote information about services and assist in outreach; 5) recruitment, training and support of volunteers to assist 

residents; 6) evaluation of program implementation and resident involvement; and 7) dissemination of program findings 

and achievements. Anticipated program outcomes include: 1) a demonstration that neighborhood organization of 

services reaches more people and is more efficient than existing and traditional forms of service delivery; 2) a 

demonstration that community support and involvement improves access and utilization of services; and 3) increased 

community and resident awareness of the availability and value of aging in place services and activities. Anticipated 

products include information materials and a final report.

Project Period: 09/01/2003 - 02/28/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

490,292

245,294

97,910

4200 Biscayne Blvd. 

GREATER MIAMI JEWISH FEDERATION

Program: Congressional Mandates

90AM2738 Las Vegas Senior Lifeline

Las Vegas, NV 89119

Contact: Beth Miller (702)732-0556

The Jewish Federation of Las Vegas and its partners are conducting a project demonstration creating a supportive 

service program for older adults aging in place in Las Vegas neighborhoods. The goal of the project is to provide senior 

citizens the necessary tools and support systems to continue living an independent lifestyle in their own homes with an 

increased quality of life as they age in place. Service components include congregate and delivered meals, medical 

prescription and supplies, homemaker services, transportation, environmental home improvement, and home 

technology. Objectives are: 1) to improve the quality and direction of services being delivered in the key areas of 

component services; and 2) to compile, evaluate and disseminate information about the development and the 

effectiveness of Las Vegas Senior Lifeline. Anticipated outcomes are: 1) a network of services for older adults; and 2) 

identification and evaluation of cost effective high tech resources which contribute to seniors remaining in their own 

home. Key partners are the United Way of Southern Nevada, Catholic Charities of Southern Nevada, the University of 

Nevada at Las Vegas, Intel Corporation, Nevada State Department of Aging, and the Regional Transportation Authority. 

Anticipated products include assessment and evaluation tools, web pages, and a final report.

Project Period: 09/01/2003 - 08/31/2006

FY Grant Amount

FY 2003

FY 2005

637,380

244,776 2317 Renaissance Drive 

Jewish Federation of Las Vegas

Program: Congressional Mandates
FY2005 Compendium - Page 219 of 261 

90AM2739 Supportive Communities

Bloomfield Hills, MI 48301

Contact: Perry Oren (248)642-4260

The Jewish Federation of Metropolitan Detroit's Commission on Jewish Eldercare Services (COJES) is conducting a 

demonstration of supportive services to older adults aging in place in the suburban communities of Oak Park and 

Southfield, Michigan. The project goal is to develop programming in Naturally Occurring Retirement Communities 

(NORCs) which will: 1) enable older adults to age in place; 2) enhance their quality of life; and 3) involve older adults in 

and strengthen their community. Major objectives: 1) maintain a team of professional staff and partnership agencies to 

provide supportive services; 2) empower older adult residents through resident councils, volunteer opportunities and 

community events; 3) develop and maintain neighborhood partnerships and collaborations; 4) develop intergenerational 

and older adult programming activities; 5) provide social services and link older residents to community resources; 5) 

provide transportation services; 6) explore and develop new programming; and 6) evaluate and disseminate information 

about the program to local and national audiences. Measurable outcomes include: 1) increased ability of older adults to 

live in their own homes through access and use of services; 2) increased engagement of non-senior community 

residents with older adult neighbors; and 3) increased involvement of older adults in their community; 4) non-senior 

community residents more involved, providing more supports for older residents; and 6) the latter group more involved & 

contributing to the community.The plan is to create a replicable model, conduct formal evaluation with AoA and NORC 

grantees & disseminate results to community groups seeking ways to support older adults to remain in the community.

Project Period: 09/01/2003 - 10/31/2007

FY Grant Amount

FY 2003

FY 2005

441,263

489,552 6735 Telegraph Road 

JEWISH FEDERATION OF METROPOLITAN DETROIT

Program: Congressional Mandates

90AM2740 Atlanta NORC Demonstration Projects

Atlanta, GA 30309

Contact: Deborah Akstein (404)873-1661

The Jewish Federation of Greater Atlanta, together with a coalition of community, state, and county partners, is 

conducting a supportive service demonstration to meet the needs of communities in Greater Atlanta and Savannah, 

Georgia, which have high concentrations of older adults living in their homes. The project's goal is to build the capacity 

of older adults to age in place and the community's capacity to support them in this process. The project is working in 

four sites in Atlanta, three with disproportionately high percentage of older adults over the age of 85, and one with a high 

percentage of older adults living below the poverty line. Major objectives are: 1) building individual capacity to age at 

home through addressing service provision and environmental issues; 2) building neighborhood capacity to support 

aging at home through support networks and a neighborhood advisory council; and 3) building a more "elder friendly" 

community through working with organization, businesses and religious institutions to more effectively service older 

adults. Anticipated outcomes are: 1) an assessment of the needs and resources of older adults in each community; 2) 

an identification of service gaps and establishment of new initiatives to meet them; 3) neighborhood institutions with a 

better understanding of their older adult consumers' needs; and 4) new partnerships and volunteer opportunities that 

address the needs of older adults. The project will share its best practices and evaluation findings being conducted by 

Georgia State University with local, state and national audiences.

Project Period: 09/01/2003 - 12/31/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

98,058

73,588

97,910

1440 Spring Street, NW 

JEWISH FEDERATION OF GREATER ALTANTA, INC.

Program: Congressional Mandates
FY2005 Compendium - Page 220 of 261 

90AM2741 AgeWell - Promoting Senior Independence Through Community NORC Interventions

Pittsburgh, PA 15213

Contact: Alexis Mancuso (412)992-5544

The United Jewish Federation of Pittsburgh and its partners, the Jewish Association on Aging, the Jewish Community 

Center of Greater Pittsburgh, and the Jewish Family and Children's Service, are conducting a four year demonstration 

project of service delivery to older adults aging in place in selected census tract neighborhoods of Pittsburgh. The 

program goal is to assure that older adults and their families are aware of, and have access to all available programs and 

services that will help older adults remain independent and safe for as long as possible in their own homes. Project 

objectives are: 1) assess the needs for supportive services of at risk older residents; 2) provide support for caregivers of 

frail older adults; 3) strengthen the capacity and relationships between program partners; 4) support service access 

activities including case management and information referral services; and 5) evaluate and disseminates information 

about the program. Anticipated outcomes include: 1) older adults and their families will demonstrate a high degree of 

awareness of available services and the ability to access them; and 2) the AgeWell model will be expanded, improved 

and marketed to the public as a virtual seamless program of services and not as a collaborative effort of different 

agencies. Products will include development of materials for presentation to local organizations, government agencies, 

foundations and national professional organizations; a final report of care teams; and continued work with Unicentric to 

enhance the database and system reporting capabilities.

Project Period: 08/01/2003 - 07/31/2006

FY Grant Amount

FY 2003

FY 2004

FY 2005

245,146

245,294

97,910

234 McKee Place 

UNITED JEWISH FEDERATION OF GREATER PITTSBURGH

Program: Congressional Mandates

90AM2742 Comprehensive Approach to Aging in Place (CAP)

Rockville, MD 20852

Contact: Beth Shapiro (301)230-7200

The Jewish Federation of Washington and its community partners are conducting a multi-year demonstration program of 

supportive services to older residents aging in place in suburban apts. & condominiums. Goals: help seniors age 60 and 

over cope with daily activities; feel personally safe; engage in social, educational & recreational activities; and ensure 

access & availability of wellness services, enabling independent living in their own homes as long as feasible. 

Objectives include: 1) develop and implement services and supports for seniors in accordance with the program goal, 

and transitioning into a fee for service model; 2) recruit and train intergenerational volunteers to provide support to senior 

neighbors; 3) reach out to residents of Naturally Occurring Retirement Communities to promote programs and services, 

provide information/referrals, and address neighborhood issues impacting quality of life; 4) involve community 

organizations and landlords in support and participation with seniors; 5) provide transportation to increase independence 

and community engagement; and 6) evaluate program components and their impact on participants & disseminate 

findings to local, state & national audiences. Anticipated outcomes: 1) improved availability and effectiveness of 

necessary and desired services for seniors living in targeted residential buildings; 2) identification of the value seniors 

place on for fee services; and 3) determination of the value landlords & management companies place on ensuring 

tenant stability through customized service provision. The Research Institute on Aging of the Hebrew Home of Greater 

Washington conducted a formal needs assessment of older residents in five apartments in Silver Spring and Rockville, 

MD. This information& data has been used to develop programming and modify delivery of services, and will be used to 

evaluate the impact of programming on the behavior and perceived changes in participant quality of life.

Project Period: 09/01/2003 - 08/31/2007

FY Grant Amount

FY 2003

FY 2005

1,176,701

979,104 6101 Montrose Road 

JEWISH FEDERATION OF GREATER WASHINGTON

Program: Congressional Mandates
FY2005 Compendium - Page 221 of 261 

90AM2743 Older Communities in Transition

Los Angeles, CA 90048

Contact: LIda Soulikhan (323)761-8800

The Living Independently in a Friendly Environment program gives older adults the resources and support needed to 

remain independent in their community as they age in place. The program was initiated with support of an AoA earmark 

FY2003 grant and continues its implementation objectives, which are: 1) collaborating with other service providers to 

enhance existing services and build new ones; 2) increasing access to services; and 3) disseminating information to 

increase community awareness and support of aging adults. The program is being implemented in two geographically 

defined urban communities within the greater Los Angeles area, each with very different cultural and residential profiles. 

The City of West Hollywood includes 6,400 older adults 65 years and older. While predominately white, more than half 

of 882 responding to an assessment speak Russian as their primary language. The apartment community of Park La 

Brea includes 1,500 older persons age 65 and older. Also predominately white, less than 25% of Park La Brea elderly 

who responded to an assessment indicated they spoke Russian, and less than 2 percent spoke it as a primary 

language. Program implementation stresses a proactive approach to empowering seniors to become decision makers in 

their communities, with emphasis on their involvement in program planning, implementation and volunteer support of 

services. The program offers a "basket of services" to enrollees, that includes educational programs and brochures, 

health and wellness activities, information and referral, socialization/recreational activities, transportation, volunteer 

programs, fall prevention programs, outreach to homebound and underserved populations, and home safety assistance. 

Evaluation of program outcomes is being conducted by the University of Southern California. Targeted outcomes: 

decreased isolation, increased home safety, increased access to healthcare, and creation of more integrated service 

delivery systems.

Project Period: 09/01/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2005

490,292

636,418 6505 Wilshire Blvd., Suite 500 

JEWISH FAMILY SERVICES OF LOS ANGELES

Program: Congressional Mandates

90AM2744 St. Louis Park: A Nurturing Community for Seniors

Minnetonka, MN 55305

Contact: Annette Sandler (952)546-0616

The Jewish Family and Children's Service of Minneapolis and its 13 organizational partners are conducting a 

demonstration of supportive services and activities for older residents of two suburbs and a county adjacent to the City of 

Minneapolis - the Cities of St. Louis Park and Hopkins and Carver County, Minnesota. The project goal is to create an 

environment that nurtures healthy aging and helps older adults remain independent for as long as possible in their own 

homes with the activities and services they need to be healthy, safe, engaged citizens. Current project objectives are to: 

1) reach out to isolated seniors in need of community support; 2) enhance information and referral through education and 

technology; 3) encourage and support intergenerational special projects; 4) create and encourage a self-sustain service 

program model; 5) evaluate program outcomes; and 6) write a replication guide. Measurable outcomes are: 1) data 

from a community survey measuring participant involvement and outcomes; 2) completion of a replication guide; 3) 

documentation of coordinated and enhanced resources for seniors; 4) numbers of isolated seniors connected to activities 

and services; 5) operation of intergenerational special project; and 6) identification and engagement of community 

stakeholders to assume responsibility for sustaining program activity after federal funding. The project focuses on 

health, safety and personal engagement as the pivotal areas that will prevent premature institutional placement, and 

targets the most isolated residents, while involving the whole community.

Project Period: 09/01/2003 - 02/28/2007

FY Grant Amount

FY 2003

FY 2005

833,497

97,910 13100 Wayzata Blvd., Suite 400 

JEWISH FAMILY AND CHILDREN'S SERVICES OF MINNEAPOLIS

Program: Congressional Mandates
FY2005 Compendium - Page 222 of 261 

90AM2747 Technology Supported Health Promotions for Community Based Seniors: Healthy Town

Cleveland, OH 44115-3204

Contact: Shelia Niles,R.N.,MSN 

The Visiting Nurse Association Healthcare Partners of Ohio, in collaboration with the University of Akron and three Ohio 

Area Agencies on Aging, will conduct a 17-month community-based program for older adults. The goal of the project is to 

deliver health promotion/disease prevention interventions to 800 older adults who reside in a 13-county target area in 

Ohio. Outreach workers will conduct interventions using innovative software on laptop computers. Participants will be 

screened for adherence to disease prevention guidelines and risks related to mental health, falls, nutrition and injury. 

Expected outcomes include: improved prevention behaviors by individual participants, comprehensive prevention health 

planning for the regional target age group, and the development of a standardized intervention. Evaluation will include a 

follow-up survey conducted by University of Akron researchers. The intervention software, final report, manuscripts for 

publication and web page information will be made available to direct service organizations and Area Agencies on Aging.

Project Period: 09/30/2003 - 06/30/2007

FY Grant Amount

FY 2003

FY 2005

490,221

244,775 2500 East 22nd Street 

VISITING NURSE ASSOCIATION HEALTHCARE PARTNERS OF OHIO

Program: Congressional Mandates

90AM2749 Senior Wellness

Flossmoor, IL 60422

Contact: Samuel Hinkle (708)957-9555

CHAMPIONS FOR CHANGE will initiate a Senior Wellness Program in Fall 2003 for seniors residing in south suburban 

Chicago communities. The program will be housed in a new multipurpose complex in Olympia Fields, Illinois. Several 

programs highlighting wellness will be offered for 50-60 seniors, in collaboration with Governor's State University 

(University Park, Illinois) Department of Health Services. The primary goal of the program is to enhance social service 

options for seniors in south Cook County. Activities will include recreation, social outings, health/safety seminars, 

physical fitness, mentoring programs for youth, nutrition planning, health screenings and monitoring. Seniors will also 

participate in a community theater group and will be responsible for an annual drama production. Another feature of the 

program will be the Grammpie Buddy Bear Club, which will involve daily interactions between seniors and preschoolers 

at a childcare center housed in the same facility.

Project Period: 09/01/2003 - 08/31/2005

FY Grant Amount

FY 2003 98,058

3200 Flossmoor Road, P.O. Box 427 

CHAMPIONS FOR CHANGE

Program: Congressional Mandates
FY2005 Compendium - Page 223 of 261 

90AM2750 Florida's Minority Elders: An Assessment of Physical and Mental Health Service Needs

Tampa, FL 33670-7900

Contact: Kathryn Hyer 

Disparities in the health and service utilization patterns of ethnic minority groups are evident in the research literature. 

Policymakers, however, lack data on the key indictors of physical and mental health needs and the barriers to services 

faced by these elders. The current project will address this problem by collecting such data through a survey of a 

representative sample of older African Americans, Cubans, other Hispanics, and Caucasians. A carefully designed, 

culturally appropriated instrument will be used to conduct telephone interviews (in English and Spanish) with a sample of 

2600 respondents (650 of each group). Data collected from the participants will be used to identify differences between 

ethnic groups and subgroups, physical and mental health disparities, and service needs and barriers to services. The 

results will be disseminated to government agencies, organizations, academics, and the public through reports. The 

findings will be used to develop policies and practices that reduce gaps between health and long-term care needs and 

services, which will begin to ameliorate disparities of health status among elderly in different ethnic minority populations. 

As the first step in the development of a minority aging program involving five Florida universities (USF, FSU, UF, FM, 

and FMU), this project will be used to create an agenda for the program, including additional research, policy analyses, 

and development of public education initiatives to be conducted in the coming years.

Project Period: 09/30/2003 - 12/31/2007

FY Grant Amount

FY 2003

FY 2005

392,234

979,104 4202 E. Fowler Avenue, FAO 126 

UNIVERSITY OF SOUTH FLORIDA

Division of Research Grants

Program: Congressional Mandates

90AM2769 Center for Gerontological Studies at Northern Michigan University

Marquette, MI 49855

Contact: Patricia K Cianciolo 

Northern Michigan University will establish a Center for Gerontological Studies. The goal is to combine research, 

educational programming, and collaboration with community service providers, as a means to benefit older adults in the 

rural Upper Peninsula. The Center's objectives are: 1) to promote interest in careers in aging; 2) to stimulate faculty 

research on rural aging; 3) to provide opportunities for education and collaboration with community service providers 

and professionals; and 4) to inform public policy about the needs of rural older adults. Expected outcomes are: 1) to 

establish the Center as a model for rural Center development; 2) to provide data from a needs assessment; 3) to partner 

with community providers and establish gerontology institutes to initiate joint projects for future funding; 4) to make 

presentations; and 5) to produce publications. Products will be disseminated to service providers, elected officials, 

educational institutions, AoA and the gerontology field at large.

Project Period: 09/30/2003 - 03/30/2005

FY Grant Amount

FY 2003 196,117

1401 Presque Isle Avenue 

NORTHERN MICHIGAN UNIVERSITY

Program: Congressional Mandates
FY2005 Compendium - Page 224 of 261 

90AM2775 Senior Rx Program for Dale County, Alabama

Ozark, AL 36360

Contact: Julie Jones (334)774-6025

The goal of this Dale County proposal is to use the program to assist Senior Citizens, who live within the ten 

municipalities in Dale County, to obtain free medications or pay a lower price for their prescriptions. There are seven 

counties (Barbour, Coffee, Covington, Dale, Geneva, Henry and Houston) participating in this program. The objectives 

are: 1) to accept applications to employ 4 to 5 employees; and 2) to conduct two training seminars in order for the 

employees to be qualified to process the applications for the applicants. The applicants will be given a full description of 

the program by radio, television, telephone, etc. The program will be managed by Julie Jones, (Clerk/Supervisor) who is 

employed by Dale County Commission, and also has worked with the elderly on different programs for over seventeen 

years. The number of clients processed daily and other information will be kept on file. Within the seven counties, results 

of the program will be shared quarterly at our Southern Alabama Regional Council On Aging/Area Agency meetings. 

Work Plans Daily will be filled out and followed. The overall Senior Rx Program is to assist low income elderly persons 

with their prescription drugs.

Project Period: 09/30/2003 - 09/29/2006

FY Grant Amount

FY 2003 39,223

202 Highway 123 South Suite C

DALE COUNTY COMMISSION

Program: Congressional Mandates

90AM2818 New Mexico NORC Project

Albuquerque, NM 87109

Contact: Arthur Fine (505)291-1818

The Jewish Family Service in Albuquerque is conducting a three year demonstration project of supportive services 

programs for older adults aging in place in four urban, suburban and rural communities in New Mexico. The project goal 

is to enhance physical and emotional well-being through social, educational, and health related services identified with 

community partners and community residents. The project objectives are to: 1) develop and sustain collaborative 

partnerships with neighborhood associations, housing facilities, for and not-for profit organizations, and with state and 

local government agencies; 2) implement project in four locations, which include three rent supported apartments in 

Albuquerque, a 250 unity condominium in the nearby town of Rio Rancho, a 250 home single family housing 

development in Albuquerque, and the rural isolated community of Ft. Sumner; 3) implement enhanced 

homemaker/housekeeper and handyman services; 4) develop on-site mental health counseling services; 5) enhance 

on-site fitness programming to minimalize fall-related injuries; 6) create a recognizable name for the program which 

includes outreach, case management and services; and 7) evaluate and disseminate information that measures changes 

in participant's health behaviors and emotional well- being and the quality of service delivery. Periodic assessments of 

service and activity participants are conducted to determine quality and effectiveness in meeting project objectives and 

the goal of enhancing physical and emotional well-being. Project progress, results and lessons learned will be 

distributed to local, state and national audiences, including the New Mexico state legislature and Department of Aging 

and Long-Term Care Services.

Project Period: 09/01/2003 - 08/31/2007

FY Grant Amount

FY 2004

FY 2005

514,984

489,552 5520 Wyoming Blvd., NE, Suite 200 

JEWISH FAMILY SERVICE

Program: Congressional Mandates
FY2005 Compendium - Page 225 of 261 

90AM2832 New York Summit on Elder Abuse

Rochester, NY 14618

Contact: Karen M Grella (585)244-8400 143

Lifespan will convene the first New York State Summit on Elder Abuse on May 10-12, 2004, in Albany, New York. The 

goal is for 80 to 100 participants to develop a range of recommendations designed to address the problem of elder 

abuse in New York State. Invited participants include representatives from government, direct service providers, 

academia, health care, law enforcement, and legal and financial services providers. The objective is to raise awareness 

about elder abuse and to begin planning for a possible statewide elder abuse prevalence study. The products will be the 

creation of a New York State Coalition on Elder Abuse and a Summit Report, Action Agenda, and "white paper," which 

will be disseminated broadly to guide future efforts.

Project Period: 04/01/2004 - 03/31/2005

FY Grant Amount

FY 2004 98,118

1900 South Clinton Avenue 

LIFESPAN of Greater Rochester - Rochester, NY

Elder Abuse Prevention Program

Program: Congressional Mandates

90AM2833 A Demonstration Project to Increase Access to Social Services by Indian Elders

Albuquerque, NM 87111

Contact: Traci McClellan (505)292-2001

The primary goal of the National Indian Council on Aging's (NICOA) Washington State Demonstration Project is to 

increase the number of Indian elders who access needed health and social services (including Veterans benefits) in the 

State of Washington. Providing individualized training and support to members of Indian communities to enable them to 

identify, contact and effectively assist elders in obtaining benefits, has the potential to simultaneously address many of 

the barriers faced. This strategy will allow needs identification and responses to be customized for each community, 

acknowledging that generalized training and service approaches are often limited in addressing the unique sets of needs 

and behaviors of individual tribes. Although the proposed demonstration project is only for the state of Washington, 

NICOA expects that the methods and strategies developed, tested and documented through this project can be 

replicated by American Indian and Alaska Native tribes nationally.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 735,883

10501 Montgomery Blvd, NE 

NATIONAL INDIAN COUNCIL ON AGING

Administration

Program: Congressional Mandates
FY2005 Compendium - Page 226 of 261 

90AM2835 Naturally Occurring Retirement Community Targeting Riviera and Warwick Facilities

Margate, NJ 08402

Contact: David Nussbaum (609)822-4404

Jewish Federation of Atlantic and Cape May Counties in New Jersey will conduct a 17 month demonstration of social, 

health and case management service delivery to older adult residents of two apartment buildings on the Southern edge 

of Atlantic City, New Jersey. Nearly 60% of the residents of the Riviera Apartments and Warwick Condominiums are age 

60. Many of them were displaced in their 40's and 50's with the expansion of gambling casinos. The project will include 

partnership with the Atlantic County's Office of Aging, Jewish Family Service, Beron Jewish Older Adult Services, 

Seashore Gardens Living Center and the Jewish Community Center, with the guidance of a governing council. To attain 

its goals of sustaining resident functioning, increasing socialization, and community tenure, the project will organize 

residents and provide support for addressing their social, medical and emotional issues. A care coordinator will serve 

as a focal point for provider access, and staff the governing council consisting of residents (as majority members) and 

representatives of partnering organizations. Recreational, meal and other community services will be provided in the 

neighborhood community center. Chore, emergency homecare, home delivered meals and visiting nurse services will 

be delivered in the residences by professionals and a cadre of volunteers. Special attention will be given to care 

management of resident's transition home following a hospitalization. Evaluation activities will focus on ten areas of 

functioning, on the monitoring of medical hospitalizations and community tenure, and tracking connectedness of 

residents with respect to volunteer and recreational activities.

Project Period: 09/01/2004 - 06/30/2006

FY Grant Amount

FY 2004 122,647

501 N. Jerome Avenue 

Jewish Federation of Atlantic & Cape May Counties

Program: Congressional Mandates

90AM2836 Independence for Seniors

Richmond, VA 23226-3914

Contact: Larry D Jackson (804)282-5644

Jewish Family Services, Inc. of Richmond, Virginia and its collaborative agencies, Commonwealth Catholic Charities and 

Richmond Better Housing Coalition, will conduct a 17 month demonstration project of services to low and fixed income 

older adults in two Richmond neighborhoods in order to keep them independent and healthy in their own homes, as long 

as possible. A third site, in Southwestern Virginia (Roanoke), will be included in project activities through affiliation with 

Commonwealth Catholic Charities. In all sites, the goal of maintaining independence will be met by integrating social 

services, socialization and educational activities, and health and wellness in the daily lives of residents. Key elements of 

the project include outreach and involvement of residents and management stakeholders, and formation of resident 

advisory boards at each site. They will help project staff conduct and interpret needs assessment surveys of residents to 

identify priority, resident specific services, which are expected to include case management, bill paying, transportation, 

in-home care, heath and wellness activities, and educational and recreational activities promoting socialization.

Project Period: 09/01/2004 - 10/31/2006

FY Grant Amount

FY 2004 196,235

6718 Patterson Avenue 

Jewish Family Services, Inc.

Program: Congressional Mandates
FY2005 Compendium - Page 227 of 261 

90AM2837 Naturally Occurring Retirement Community Tidewater Demonstration Project

Virginia Beach, VA 23462

Contact: Betty Ann Levy (754)893-111

Jewish Family Service of Tidewater of Norfolk, Virginia, and its partnership agencies, the Jewish Community Center of 

South Hampton Roads and Senior Services of Southeastern Virginia, will conduct a 17 month demonstration project of 

services to isolated older residents in two apartment complexes in Norfolk and Virginia Beach, Virginia. A 2003 study of 

elderly in the Tidewater region revealed over 10,000 with a self-care disability and 15,000 elderly over age 75 living 

alone. Analysis of these findings revealed a number of locations with unusually high concentrations of profiled adults 

with limited access to community services, accentuated by language and cultural differences. Based on the experience 

of work with subsidized apartments and lessons from other urban NORC (Naturally Occurring Retirement Communities) 

programs, this project will work with community service providers, property owners, businesses and other neighborhood 

residents to bring social, health care and recreational services to the residents of Colony Point in Norfolk and Old 

Donation in Virginia Beach. Guidance for development of programs in each facility will be given by community advisory 

committees, including representation of residents and collaborating agencies and organizations. One of the key 

partnerships is with the local Area Agency on Aging for expanded transportation services - both for instrumental needs, 

such as grocery shopping and medical appointments, and to reach community activity centers. Volunteers will be 

recruited from residents and neighbors to strengthen intergenerational ties, while providing services.

Project Period: 09/01/2004 - 10/31/2007

FY Grant Amount

FY 2004 171,705

260 Grayson Rd 

Jewish Family Service of Tidewater, Inc.

Program: Congressional Mandates

A Caring Approach to a Commonplace Continuum: Aging in Place in the Suburbs of 

New Jersey

90AM2838

Whippany, NJ 07981

Contact: Diane Klein (973)929-3094

United Jewish Communities of MetroWest New Jersey will conduct a 12 month demonstration project in community 

organization, service coordination and service provision for well and frail elderly in a section of suburban Parsippany, 

New Jersey, with the goal of maximizing their independence and having them remain in their own homes as long as 

possible. The project will be a testing ground for a suburban services model of supportive services in Naturally 

Occurring Retirement Communities developed in urban settings. The challenge for addressing older adults in suburban 

areas, in terms of structuring community building and integrated service delivery, is their critical mass. This project 

borders 5 census tracts, and is 4 miles long and 2 miles wide. This includes approximately 1,150 adults age 75 and 

older, with varying levels of disability, income and English speaking ability. Metro-West will work with the Morris County 

Division on Aging and the Parsippany Department of Human Services, with local service providers, and churches and 

synagogues to increase a sense of community and increase outreach to the most isolated. Key partners in interpreting 

assessment data and planning services are the Jewish Community Center, Jewish Vocational Service, Jewish Family 

Service, Daughters of Israel and Volunteers of Morris County. Initial assessments indicate that priority needs will be 

case management, companion and chore services, friendly visitation, geriatric nurse practitioner home visits, 

transportation, and telephone reassurance. A featured activity will be working with other United Jewish Federations and 

local AARP chapters in New Jersey to develop a cadre of advocates for seniors in the state.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 196,235

901 Route 10 

United Jewish Communities of MetroWest, New Jersey

Planning Program Services

Program: Congressional Mandates
FY2005 Compendium - Page 228 of 261 

90AM2839 The Jewish Family and Children's Service Senior Community Care Program

Tucson, AZ 85711-2016

Contact: Nancy A Alexander 

Jewish Family and Children's Service of Southern Arizona is conducting a demonstration of supportive services for 

elderly residents in the east central area of Tucson, Arizona, using concepts developed in other Naturally Occurring 

Retirement Community (NORC) settings. The goal is to empower the community to engage and recognize older adults 

as valued members of the community and enable them to continue to maintain their independence while aging in place. 

This project addresses these issues using community organization and consumer-direction as key elements, looking at 

older neighborhoods of the east-central region of Tucson, which typically have single-family homes and small rental units 

built before 1980, but which include several age segregated senior Housing and Urban Development projects. 

Residents living within the geographic boundaries of the project have lower than average incomes, and higher rates of 

disability and impairments. The neighborhoods have limited transportation and community services (e.g. no senior 

center) and have concentrations of immigrants from the former Soviet Union with language and acculturation issues. An 

advisory board of residents and community partners, including the Pima Council on Aging, Handmaker Jewish Services 

for the Aging, the Jewish Community Center, United Way, Pima Health Systems, Family Counseling Agency, and the 

University of Arizona Center on Aging, help identify specific needs, create community involvement and plan delivery of 

services. The major challenges are lack of transportation, and linking residents to information about neighborhood 

services and resources in culturally and linguistically appropriate ways.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 196,235

4301 East Fifth Street 

JEWISH FAMILY & CHILDREN'S SERVICE OF

SOUTHERN ARIZONA, INC.

Program: Congressional Mandates

90AM2840 Supportive Senior Outreach Program

Sarasota, FL 34237

Contact: Pam Baron (941)366-2224

Jewish Family & Children's Service of Sarasota-Manatee, Inc. in Sarasota, Florida and its collaborative partners, Catholic 

Charities, and Senior Friendship Center are conducting a supportive services demonstration project for older adults in 

selected age restricted complexes and communities in Sarasota County, enabling them to remain in their own homes. 

Nearly a third of residents in the county (30%) are age 75 with nearly half living alone. Despite this high proportion, the 

county does not have definable neighborhoods with higher concentrations of elders, making it difficult reach those who 

are isolated and unaware of community resources, to determine their needs and coordinate necessary services. The 

partners have established a Supportive Seniors Outreach Council to plan outreach activities and help the grantee 

engage other organizations, agencies, institutions and businesses in volunteer and educational activities concerning the 

challenges of older adults living alone. One emphasis is on reaching older adults who have, or are at risk of, depression 

and other emotional disorders, and on providing counseling, case management, volunteer visitations and/or emergency 

financial assistance to them. An evaluation of the first year's performance, conducted by the University of South Florida, 

indicates that participants are satisfied with the programs activities and services and believe they are helpful in 

maintaining their independence.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004

FY 2005

220,764

73,433 2688 Fruitville Road 

Jewish Family & Childrens Service of Sarasota-Manatee,

Program: Congressional Mandates
FY2005 Compendium - Page 229 of 261 

90AM2841 Crossroads NORC Demonstration Project

Seattle, WA 98122

Contact: Donald R Armstrong (206)861-3165

Jewish Family Service of Seattle, Washington, will conduct a 17 month comprehensive health promotion demonstration 

project in the Crossroads neighborhood of Bellevue, Washington. The three residential areas targeted within this 

neighborhood have a high concentration of older adults, but are diverse in their type of housing, place of birth and facility 

with the English language. They include immigrant elders from the former Soviet Union who live in two apartment 

complexes (Elbert House and Cascadian Apartments), and East Asians and American born elders predominately living 

in single family residents within a geographically defined census block. A variety of health promotional activities will be 

offered through partnership with the management of the apartment houses, the local Area Agency on Aging, and the 

School of Nursing at the University of Washington. Bi-lingual outreach workers and staff of the Asian Counseling and 

Referral Service will help a nurse practitioner access older residents to conduct on-site health screenings and provide 

referral and advocacy services. Other activities planned include collection and development of multilingual health 

education materials, health fairs, short educational programs, physical fitness program and implementation of a fall 

prevention program.

Project Period: 09/01/2004 - 01/31/2006

FY Grant Amount

FY 2004 147,177

1601 16th Avenue 

Jewish Family Service

Program: Congressional Mandates

90AM2842 Services to Naturally Occurring Retirement Community Seniors in Indianapolis

Indianapolis, IN 46260

Contact: Ann Allen (317)259-6822

The Jewish Federation of Greater Indianapolis, Eldersource, and the Jewish Community Relations Council of 

Indianapolis are collaborating in a demonstration project of two supportive service aging in place models for older adults 

living in the Indianapolis Metropolitan area. Using lessons learned from other Naturally Occurring Retirement 

Communities (NORCs), one model is targeting and delivering services to older residents of an apartment complex. A 

second model is serving a geographic area with a mixed array of single family and multi-family housing. Both models 

share the goal of decreasing isolation, promoting independence and increasing access to community organizations and 

services. Intergenerational support networks, created with the assistance of neighborhood councils, are recruiting 

volunteers who will assist in the operation and conduct of transportation, social activities, dissemination of information on 

programs and services, and in-home services. Service needs of individuals mediated by care coordinators will be met by 

both the collaborative agencies and other community organizations who are members of an advisory committee, 

including St. Vincent's Hospital, United Way of Central Indiana, Home Services Unlimited, and the University of 

Indianapolis' Center on Aging, CICOA In-Home Services, Hooverwood, Park Regency, and ATTAIN. a technology 

assistance agency created by the Indiana Division of Disability, Aging and Rehabilitative Services.

Project Period: 09/01/2004 - 01/31/2007

FY Grant Amount

FY 2004 829,094

6905 Hoover Road 

Jewish Federation of Greater Indianapolis

Program: Congressional Mandates
FY2005 Compendium - Page 230 of 261 

90AM2843 Aging in Place - In Search of Community

Buffalo, NY 14209

Contact: Marlene A Schillinger (716)883-1914

Jewish Family Service of Buffalo and Erie County is collaborating with partner agencies, the Amherst Center for Senior 

Services and the Jewish Community Center of Greater Buffalo, to conduct a demonstration of supportive services for 

older adults living in two conjoining neighborhoods. These neighborhoods are in the central corridor of Buffalo and a 

suburban community within the Township of Amherst, located immediately northeast of the city. The project goal is to 

promote maximum independence and encourage community awareness, social integration, and volunteerism, in order to 

support aging in place of older residents. Project objectives are: 1) outreach to neighborhood organizations and 

businesses to become program supporters and partners; 2) outreach to older adult residents, assessing their needs and 

making referrals and linkages to supportive services; 3) increase opportunities for social inclusion and promote volunteer 

initiatives; and 4) compile and disseminate information about the development, implementation and evaluation of a 

Naturally Occurring Retirement Community (NORC) without walls service model. Anticipated outcomes are: 1) needs 

assessment data on older residents; 2) indicators that the community and its organizations have increased their support 

for aging in place; and 3) evaluation data supporting the efficacy of the NORC without walls intervention.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004

FY 2005

98,118

48,955 70 Barker Street 

Jewish Family Service of Buffalo and Erie County

Program: Congressional Mandates

90AM2844 Falls Prevention Program

Providence, RI 02906-5212

Contact: Susette Rabinowitz (401)351-4750

The Jewish Seniors Agency of Rhode Island will conduct a 17 month falls prevention program for residents of a 153 unit, 

two apartment building complex in Providence, Rhode Island. Residents will be visited by graduate students from the 

University of Rhode Island Geriatric Education Center and the College of Pharmacy Outreach Program, who will identify 

environmental hazards and conduct comprehensive prescription drug reviews in order to avoid interactions known to be 

risk factors associated with falls. The senior housing complex will also be a test site for a Tai Chi exercise program, 

under sponsorship of the Rhode Island Long-Term Care Coordination Council, to strengthen muscle tone, improve gait 

and increase balance. A final report will document participant gains in balance and agility and reduction of falls during 

the grant period.

Project Period: 09/01/2004 - 01/31/2006

FY Grant Amount

FY 2004 49,059

229 Waterman Street 

Jewish Seniors Agency of Rhode Island

Program: Congressional Mandates
FY2005 Compendium - Page 231 of 261 

90AM2845 Providing Services to Facilitate Aging in Place

Denver, CO 80246-8136

Contact: Cathy Grimm (303)316-6490

Allied Jewish Federation of Colorado, in partnership with Jewish Family Service of Colorado, conducted an aging in 

place, supportive services demonstration for older adult residents in two Denver, Colorado high-rise apartment 

complexes. The primary goal of the project was to enhance physical and emotional well-being of resident older adults to 

sustain their independence. Allied Jewish Apartments is an age segregated (age 62 and over), low income apartment 

complex of approximately 400 units with 420 residents in its three buildings. Most (3/4ths) residents are age 70 and 

over, with half born in the old Soviet Union. It has a relatively high turnover rate created by residents leaving for higher 

care facilities. Crestmoor Downs Apartments is a moderate income, age-integrated complex of seven low rise 

apartments and townhouses with 300 older residents. An advisory committee, consisting of residents, apartment 

complex staff and administrators and project staff, was formed in each complex for the purpose of defining goals, 

identifying interventions, and providing oversight. Services were coordinated through care managers, who worked 

directly with residents and helped them identify and select service needs, including residence modification, home and 

personal care, transportation, medical care, and recreational and educational opportunities. Residents had access to 

information, referral and advocacy services to help them understand the services and resources in the community, and 

provide assistance with applications for benefits. A final report, written by the Center for Policy Research, included 

information on 307 seniors who participated in the demonstration, as well as post-program assessments of 80 residents 

reported levels of participation and satisfaction with services.

Project Period: 09/01/2004 - 01/31/2006

FY Grant Amount

FY 2004 194,924

300 S. Dahila St. Suite 300

Allied Jewish Federation of Colorado

Program: Congressional Mandates

90AM2846 Naturally Occurring Retirement Community Supportive Services Program

Rochester, NY 14607

Contact: Janet Sunkin (585)461-0110

Jewish Family Service of Rochester, in partnership with other community organizations, is conducting a demonstration of 

supportive services for older adults aging in place in two apartment complexes in suburban areas of Rochester, New 

York. The project goal is to enable older adults to access a continuum of supportive services, including transportation, 

social services and activities, which will keep them independent and connected to their community. Project objectives 

are: 1) conduct outreach to residents; 2) create resident's councils; 3) provide information and referral to social services 

and community resources; and 4) increase opportunities for volunteer activities. Anticipated outcomes are: 1) an 

increase in the ability of older adult residents to conduct activities of daily living and stay connected to their community; 

and 2) an increase in the ability of older adult residents to access services and engage in activities that improve their 

physical and mental well-being. Project evaluation is being performed by the University of Rochester Graduate School of 

Nursing.

Project Period: 09/01/2004 - 08/31/2007

FY Grant Amount

FY 2004

FY 2005

98,118

48,955 441 East Avenue 

Jewish Family Service of Rochester, Inc.

Program: Congressional Mandates
FY2005 Compendium - Page 232 of 261 

90AM2847 Aging in Place in Bergen County, New Jersey

River Edge, NJ 07661

Contact: Alan P Sweifach (201)488-6800 364

United Jewish Appeal Federation of Northern New Jersey will conduct a 17 month demonstration project of health and 

supportive services for adults aging in place in suburban neighborhoods and towns. UJA provide programs and services 

for residents of low and high rise urban apartments buildings and complexes within traditional Naturally Occurring 

Retirement Communities (NORCS). The goal is to deliver locally based, in or near-home, services that improve and 

maintain the physical well-being, socialization and general quality of life for older adults within the catchment area served 

by the Federation, which includes more than 10,000 persons over the age of 85. A major challenge for residents of the 4 

towns targeted in this suburban area is limited public transportation, which seldom crosses municipal lines. Older adults, 

who are frail and/or living alone with a minimal social support network, will be provided access to an array of services, 

including case management; social, cultural, educational, recreational, and wellness programs; nutritionally balanced 

meals; adult daycare; home health care; and outpatient rehabilitation. Service delivery will build on the existing 

partnership between the Federation and beneficiary agencies and expand to include local and county government, 

additional social service agencies and older adult social and advocacy groups. Project collaboration will be guided by 

members of the Federation's Council for Older Adults, who include staff and lay leaders of the Bergen County Young 

Jewish Community Center, Jewish Community Center on the Palisades, Jewish Family Service, and the Jewish Home 

and Rehabilitation Center.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 196,235

11 Kinderkamack Road 

UJA Federation of Northern New Jersey

Strategic Planning and Allocation

Program: Congressional Mandates

90AM2848 Naturally Occurring Retirement Community Demonstration Project

Lakewood, NJ 08701

Contact: Danny Goldberg (732)363-0530

The Jewish Federation of Ocean County, New Jersey will conduct a 17 month demonstration of social, health and case 

management service delivery to older adult residents living in three "gated", age-restricted adult communities built prior 

to 1985 in Ocean County. A 2002 needs assessment of older adults living in Ocean County found that as residents of 

active adult communities age, they become increasingly isolated from friends and neighborhood services, in part 

because public transportation routes do not extend into their communities. This project will create a model for 

connecting at risk and frail residents of gated communities with supportive services of local institutions, resident 

associations and local businesses. Partnership organizations include Caregivers, Inc., Ocean County Community 

College, Community Services, Inc., and the Ocean County Department of Senior Services. The project will feature the 

development of new volunteer opportunities for older residents working with existing resident councils, including training 

to assist in planning new programs for socialization, health and wellness, learning and nutrition. A primary role for 

resident volunteers will be to help form caregiver, bereavement and social support groups which are available for 

isolated individuals living outside of gated communities. Special efforts will be made to reconnect residents to the 

services and organizations supported by the Ocean County Senior Services (Area Agency on Aging). Anticipated 

challenges to the success of the project include the cost of transportation to county activity and service centers, the 

ability to maintain positive relationships with the community resident councils who wish to retain their community (and 

property value) images as active adult communities, and the sustainability of the project after federal funding.

Project Period: 09/01/2004 - 02/28/2007

FY Grant Amount

FY 2004 245,294

301 Madison Avenue 

Jewish Federation of Ocean County

Program: Congressional Mandates
FY2005 Compendium - Page 233 of 261 

90AM2849 The Madison Area Continuing Care Consortium (MACCC) NORC Project

Madison, WI 53705

Contact: John A Noreika (608)692-8486

The Madison Area Continuing Care Consortium, with its member organization Oakwood Lutheran Homes serving as 

fiscal agent, will conduct a 17 month demonstration project developing a community-based supportive services program 

for a five census tract residential urban area in Dane County, Wisconsin, which includes 3,442 residents age 65 and 

older. The demonstration will also fund the extension of this program to two low-income neighborhoods in a second 

phase which will be completed with foundation and private funding. The goal of developing a comprehensive integrated 

community-based system of care for older adults will be reached through coordination of the consortium's three 

continuing care retirement communities with community-based providers, and establishment of associations of residents 

living outside the consortium communities. The faculty and students of University of Wisconsin and Edgewood College 

will facilitate the integration process through all phases of the program, and beyond federal funding. To meet the goal of 

improving the quality of life of older adults and reduce the cost of care through improved coordination between medical 

and social service providers, the project expects to enroll at least 2,000 residents as members of a senior association. It 

is hoped that by invoking a modest sliding scale fee that guarantees core services and offering wellness and prevention 

activities, more affluent elders will become members and help subsidize the participation costs of lower income 

participants.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 343,412

6201 Mineral Point Road 

Oakwood Lutheran Homes Association, Inc.

Program: Congressional Mandates

90AM2850 Supportive Services in Naturally Occurring Retirement Communities

Boston, MA 02114

Contact: Rimma Zelfand (617)784-8274

The Jewish Family and Children's Service of Boston will conduct a 17 month demonstration project that brings supportive 

services to three neighborhoods and housing developments in the greater Boston Metropolitan Area (Brookline, Malden 

and Swampscott), where the majority of residents are over age 65. The goal is to enable residents to live in their homes 

for as long as possible, with dignity and avoiding preventable nursing home placement. The typical resident in these 

settings is a widowed woman living alone, age 75 or older, with multiple chronic conditions that limit her mobility and 

ability to maintain her independence. The project will offer a comprehensive array of affordable health, mental health, 

fitness, social, educational, recreational and personal care services delivered through on-site care planning and case 

management and collaborative relationships between established local service provider agencies, property managers 

and residents. Resident councils will be formed at each site and volunteer participation of younger and older resident 

and neighborhood volunteers will be encouraged. Information for residents will be prepared in English and Russian and 

a secured access website will be created for resident family members and service professionals to facilitate development 

and monitoring of care plans. Partners include the Jewish Family Services of the North Shore, the Urban Medical Group, 

Springwell Area Agency on Aging, Mystic Valley Elder Services, Greater Lynn Senior Services, Brookline Council on 

Aging and Senior Center, Russian Community Association of Massachusetts, and the National Center on Women and 

Aging.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 686,824

31 New Chardon Street 

Jewish Family & Children's Service, Inc., Boston, MA

Senior Service

Program: Congressional Mandates
FY2005 Compendium - Page 234 of 261 

90AM2851 Elder Consumer Protection Education Project

Gulfport, FL 33707

Contact: Rebecca C Morgan 

Stetson University College of Law conducted a one-year consumer protection education project for elders, their families, 

and professionals. The goal was to develop an elder consumer protection statewide education program that will educate 

elder consumers, their families, and professionals about consumer fraud and how to minimize the risk of becoming 

victims. Stetson conducted community outreach and educational programs, e.g. community presentations at local senior 

centers, for elders and their families and for professionals; held consumer forums on the campuses of the Law Center, 

churches and other venues; held monthly walk-in clinics at senior centers; developed a webpage for consumers and 

professionals; designed an elder-friendly courtroom; developed, in collaboration with the Florida Department of Law 

Enforcement, statewide professional education training for law enforcement and investigators on ways in which to 

investigate cases of health care and consumer fraud; and developed follow-up data collection activities. A national 

symposium on health care fraud and consumer fraud, financial exploitation, specifically targeted at the elderly was held.

Project Period: 09/01/2004 - 03/31/2006

FY Grant Amount

FY 2004 981,177

1401 61st Street South 

STETSON UNIVERSITY COLLEGE OF LAW

Program: Congressional Mandates

90AM2852 Geriatric Assessment Program-Rapid Response

Lapeer, MI 48446

Contact: Ruth A Schalm (810)667-5579

This project is a one year assessment education program called Rapid Response, the goal of which is to improve 

knowledge of community resources and options by the elderly population, families and professional caregivers. The 

Community Based Organizations (CBOs) involved include: local home health agencies, local retirement groups, local 

newspapers, local nursing homes, county senior coalition groups, local unions, and the business community. The target 

population is elderly persons 60 years and older, which includes 20 homebound elderly who are frail, with chronic health 

problems, isolated and with limited knowledge of community resources and options. There are 3 interventions for 20 

elderly for a 3-month period to enable them remain at home: 1) an in-home visit and assessment by the social worker or 

nurse; 2) a telephone call and assessment with information and referral to community resources; and 3) (six) verbal 

and written education sessions with home health agencies and retirement groups, and education and outreach for the 

general public, and articles for local newspapers. The Senior Resource Directory is to be used for all interventions. 

Anticipated outcomes: 1) a pre-post test to measure new knowledge; 2) a client satisfaction survey on effectiveness of 

(GAP) Rapid Response program; 3) home visits and telephone contacts each month; 4) a Senior Resource Directory; 

4) an evaluation; and 5) dissemination to senior coalitions for replication of the program. 

Project Period: 09/01/2004 - 02/28/2006

FY Grant Amount

FY 2004 58,870

1375 N. Main Street 

Lapeer Regional Hospital

Program: Congressional Mandates
FY2005 Compendium - Page 235 of 261 

90AM2853 Rural Geriatric Healthcare Initiative (RGHI)

Putnam, CT 06260

Contact: Annmarie Errichetti 

The Rural Geriatric Healthcare Initiative at Day Kimball Hospital in Putnam, Connecticut was designed to create a 

comprehensive geriatric assessment, planning and services program to ensure that seniors have access to timely and 

appropriate health care. The initiative proposes to take a community approach to primary health care, with provision of 

support and training for both family caregivers and professionals. Project objectives include: increase patient, family, 

and community awareness and use of available services to the elderly; decrease caregiver stress and therefore burnout; 

provide a resource to primary care physicians for the management of complex elderly patients; assist older adults to 

better manage their health through prevention and education; and, expand home health resources and home supports 

for the elderly, including case management for chronic illness. The Rural Geriatric Healthcare Initiative anticipates the 

following outcomes: increased awareness and knowledge of available services for the elderly; increased understanding 

among family caregivers of their relative's preferences and values; increased understanding of coping strategies for 

avoiding caregiver stress; establishment of a consultative, comprehensive geriatric assessment program; reduction in 

adverse events and medical errors among the elderly due to use of multiple pharmacies, and; reduction in unplanned 

hospitalizations and unnecessary emergency room visits.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 588,706

320 Pomfret Street 

DAY KIMBALL HOSPITAL

Program: Congressional Mandates

90AM2854 Enhancing Life Satisfaction of Older Adults

Dallas, PA 18612

Contact: Renee G Zehel (570)674-6307

This project was originally designed for one year and it has been granted a second year to complete the planned work. 

The original plan goal was to conduct two complimentary studies that focus on the ways in which the Internet can 

enhance life satisfaction for institutionalized older adults. The two studies will examine: 1) the potential impact of 

Internet/e-mail communication use by older people who are depressed and socially isolated; and 2) the impact that 

website design has on older people's accessibility to the Internet. The first study will involve 10 seniors with physical 

and/or sensory impairments at Mercy Center and twenty seniors at Summit Health Care without such impairments, who 

will receive specially designed training and then use the Internet to determine its impact on their levels of cognition, 

depression, and social isolation. The second study will involve testing 120 able-bodied seniors on information access 

using an existing website, versus a website re-built according to Section 508 and W3C standards. In addition to the 

original plan, the second year goal will be to expand the population to include community-dwelling elders experiencing 

the changes associated with normal aging. Objectives include developing, testing and disseminating information on the 

settings and adjustments of operating systems that will result in maximally effective computer interface. Products will 

include: assessment/evaluation tools; training protocols; webpage information and a final report.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004

FY 2005

196,235

97,910 301 Lake Street 

COLLEGE MISERICORDIA

Assistive Technology Research Institute

Program: Congressional Mandates
FY2005 Compendium - Page 236 of 261 

90AM2855 The Pennsylvania Model Advanced Care of Families and Persons with Dementia

Harrisburg, PA 17104

Contact: Donald E Walkovich (814)472-2852

The Pennsylvania Occupational Therapy Association will work with partners Thomas Jefferson University (TJU) and the 

American Occupational Therapy Association (AOTA) to develop and provide advanced training to a select group of fifty 

occupational therapists and occupational therapy assistants in Pennsylvania, in treatment of Alzheimer's Disease and 

Related Dementias (ADRD). The first component of the training will be to access an existing basic ADRD training module 

produced by AOTA. The second component will be two one-day training sessions in Pennsylvania, in areas lacking 

services, where there is great need for service, where there is interest in training, or in a geographic area that is 

underserved. The focus will be to provide interventions with families, individuals with dementia and formal providers in 

settings such as hospitals, nursing homes, home health, community centers, day programs and assisted living 

programs. The Pennsylvania Occupational Therapy Association will evaluate the use of pre-post assessment of 

participant knowledge and skills.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 73,588

100 S 21st Street 

Pennsylvania Occupational Therapy Association

Program: Congressional Mandates

90AM2856 North Philadelphia Development Center

Philadelphia, PA 19122

Contact: Paul J Ruddy (215)787-2930

This is a computer-focused program for low-income seniors age 60 and older. The goal is to provide 56 senior citizens 

with an opportunity for seven weeks of computer training and access to technology that will enhance their lives, 

encourage activity, and enable them to communicate with their family members and friends. Completion of the training 

will allow the seniors to apply their education towards employment or volunteerism in their community.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 98,118

1313 N. 4th Street 

Olde Kensington Redevelopment Corporation

Program: Congressional Mandates
FY2005 Compendium - Page 237 of 261 

90AM2857 The N.E.W. (Nutrition, Exercise Wellness of Spirit) Project

Moorefield, WV 26836

Contact: Phyllis L Helmick 

The project aims to develop a wellness program to increase health promotion behavior and health indices in an 

Appalachian population of Appalachian seniors (60+) who are obese, sedentary, have high cholesterol, elevated blood 

pressure, or diabetes. One hundred seniors who are at-risk will be selected and assigned to the program. Utilizing a 

nutritionist, menus will be developed to address their "geoculture perspective", and will meet all current FDA guidelines 

for elderly nutrition. Participants will be required to eat at a Senior Nutrition Site at least three times a week, exercise 

three times a week for one hour at a Wellness Center, and attend monthly health screening seminars. (Individual 

exercise plans will be developed and attendance for all activities will be documented.) In addition, interns from West 

Virginia University School of Medicine will provide scheduled monthly educational programs for them. It is anticipated 

that seniors will improve their understanding of food value, exercise more, and increase their sense of self-worth. 

Products will include: assessment tools, personal wellness profiles, exercise/wellness plans of care, an evaluation tool, 

an updated web page, and a final report.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 73,588

PO Box 632 

HARDY COUNTY COMMITTEE ON AGING, INC

Program: Congressional Mandates

90AM2858 The Copper Ridge Institute Model of Care

Sykesville, MD 21784-7650

Contact: Joyce Kroeller (410)970-2062

Copper Ridge Institute proposes to deliver an evidence-based model of care for people with Alzheimer's Disease (AD) 

and other forms of dementia in a facility in Maryland that was not created or designed to provide care to patients with AD. 

The goal is to enhance the quality of care provided in this facility. The model involves intensive staff training and the use 

of specially designed patient protocols. The expected outcomes at this facility are nursing assessments, higher 

patient/family satisfaction, improved Maryland State Survey results, and lower staff turnover. The issues identified and 

lessons learned during this project will form the basis for future research, planning and education efforts. Products will 

include an evaluation of the CD-ROM training tool "'Dementia Care", an article and a strategic and marketing plan for the 

dissemination of the model of care.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 98,118

710 Obrecht Road 

The Copper Ridge Institute

Program: Congressional Mandates
FY2005 Compendium - Page 238 of 261 

90AM2859 The Use of Complementary and Alternative Medicine (CAM)

Winchester, VA 22601

Contact: Tara N Lescalleet 

The Adult Day Center proposes to use and advance the complementary and alternative medicine (CAM) model for a 

broad range of health-related needs for persons with probable Alzheimer's Disease and Related Disorders (ADRD). It 

plans to develop a 12-month CAM program and provide in-service training for staff and family caregivers on the use of 

CAM approaches relevant for persons with ADRD. The CAM modalities for intervention include: body work (therapeutic 

touch, shiatsu, massage therapy, and tai chi); creative arts therapies (music, art, dance, and drama therapy); natural 

environment (horticulture therapy, aromatherapy, and herbal medicine); the modality of spiritual/religious expression; and 

finally bibliotherapy (poetry therapy). This program will be presented to individuals, agencies, and organizations 

associated with geriatric care. Experts from eleven CAM disciples will convene to identify research and practice-based 

CAM approaches of potential application to adult day health care. A CAM model program will be implemented, including 

articulation of protocol for program planning, assessment and evaluation. Special emphasis will be given to the role of 

CAM practitioners, as consultants to administrators, family, direct care staff and volunteers using an interactive 

consultation model. Products include: six CAM-based in-service trainings, Alzheimer's Disease workshops for agencies, 

and an in-service training monograph.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 98,118

115 Wolfe Street 

Adult Care Center of the Northern Shenandoah Valley Inc

Program: Congressional Mandates

90AM2860 Development of an Actively Therapeutic Dementia Specific Day Program

Boca Raton, FL 33431-0991

Contact: Ruth M Tappen 

The University plans to open a new dementia-specific day program, which it believes will provide relief for caregivers and 

will have a potentially therapeutic effect on participants. The proposed day program will open in the new Louis and Anne 

Green Memory and Wellness Center building. It will offer therapeutic, wellness-oriented activities and services within a 

caring environment to individuals with mild and moderate levels of impairment. An interdisciplinary Planning Committee 

will be formed to develop and establish the new program. Expert consultants will review both the programming and 

operational aspects of the plan before implementation. Assessments of caregivers and clients will be conducted to 

collect data on the effectiveness of the proposed program. Anticipated outcomes of this project are to: 1) establish a 

financially sustainable dementia-specific day program; 2) provide respite by reducing demands on caregivers; and 3) 

improve the function and well-being of participants in the program.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 122,647

777 Glades Road, RD07 

FLORIDA ATLANTIC UNIVERSITY

Program: Congressional Mandates
FY2005 Compendium - Page 239 of 261 

90AM2861 Montessori-based Programs to Seniors with Dementia

Manassas, VA 20110

Contact: Phyllis Watson (703)361-5843

This is a senior adult day healthcare center with therapeutic recreational programs. Hearth and Home Senior Adult Day 

Healthcare Center plans to conduct a one-year project whereby 20 to 40 participants diagnosed with early to late stage 

dementia will participate in Montessori-based activities throughout the day, while attending the Center. The goal is to 

develop high self-esteem and promote the highest level of function possible in all participants, while in the Center and in 

the home environment. Objectives include: independence; positive engagement; ability to make choices; and ability to 

learn through meaningful activities and influence home environment. Center staff, and later family caregivers, will be 

taught methods to use so that goals achieved at the Center are reinforced at home. Products include: a final report; 

manuscripts for publication; a web page information; and assessment and evaluations.

Project Period: 09/01/2004 - 12/31/2005

FY Grant Amount

FY 2004 240,388

8730 Sudley Road 

Hearth and Home Senior Adult Day Healthcare Center

Program: Congressional Mandates

90AM2862 Maine Center for End of Life Care

Augusta, ME 04338-2239

Contact: Kandyce Powell (800)438-5936

The purpose of this proposal is to create a Center for End of Life Care in Maine. The overall goals are to increase 

knowledge and improve delivery systems for end of life. The Center's mission (and objective) will be to act as an 

incubator for change by exercising responsible stewardship and promoting innovation in the following focus (priority) 

areas: 1) community engagement; 2) clinical improvement; 3) research and data collection; 4) professional education; 

and 5) advocacy. Four data collection projects will be designed and implemented to assess the state of dying in Maine, 

and its efforts to benchmark the Center's progress toward improving end of life care. An interdisciplinary mentoring 

program for end-of-life (EOL) care, including hospice and palliative care, will be created. It will develop and continue to 

be a role-modeling program, which is critical to the care of and sensitivity to the dying and/or bereaved.

Project Period: 09/01/2004 - 12/31/2006

FY Grant Amount

FY 2004 245,294

P.O. Box 2239 

Maine Hospice Council, Inc.

Program: Congressional Mandates
FY2005 Compendium - Page 240 of 261 

90AM2863 Boise State Center for the Study of Aging

Boise, ID 83725

Contact: James T Girvan (208)426-5776

The Center for the Study of Aging (CSA) will be established at Boise State University (BSU), which will assist 

stakeholders with research, educational delivery and policy to assure a healthier life for all Idahoans. The Center will 

employ the majority of strategies from the16 social sciences. It will set up a CSA infrastructure: assessing current 

gerontology activities and future needs for the aging population and the health and social sciences service providers; and 

establishing a Steering Committee, for strategic planning, and preparation for the development and delivery of training 

and education of state/local health and social sciences professionals and providers throughout the state. In concert with 

the Idaho Commission on Aging (ICOA) and the Idaho Office of the Attorney General, the Center will plan and develop 

an intervention, i.e. an aging issue/educational seminar on elder abuse and fraud for law enforcement officers and 

prosecutors.

Project Period: 09/01/2004 - 07/31/2007

FY Grant Amount

FY 2004

FY 2005

245,294

391,642 1910 University Drive 

BOISE STATE UNIVERSITY

Program: Congressional Mandates

90AM2864 La Pine Senior Nutrition Project

Bend, OR 97701

Contact: Susan Ross (541)383-6713

The goal of this project is to enhance the health and welfare of the County's disproportionately large and underserved 

elderly population through an enhanced nutrition intervention program. The County proposes to establish a local meal 

site and demonstrate how the it can effectively and efficiently increase access to healthy, nutritious, and safe meals, 

while simultaneously maintaining regular human contact with isolated and disadvantaged senior citizens. The 

intervention will promote good health and independence among isolated frail older persons.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 98,118

1130 NW Harriman 

Deschutes County Board of County Commissioners

La Pine Senior Center

Program: Congressional Mandates
FY2005 Compendium - Page 241 of 261 

90AM2865 Project Independence

Williamsburg, VA 23187

Contact: David Finifter (757)221-2468

The project will enhance the independence of older Americans by: improving community organizations' access to 

relevant research and lessons learned; providing a facility and administrative assistance to support collaborative 

interventions; improving community coordination of transportation and home support services and information; educating 

primary care physicians in the identification and evaluation of geriatric syndromes; educating in-home caregivers on the 

care of older adults; and providing the community a cardiac health education and exercise program. The overall goal is 

to demonstrate how communities can work with regional partners to develop and sustain a center that improves the 

health, dignity, and independence of older adults by integrating the research capacity of universities, colleges, and 

medical schools with the capabilities of service providers and community resources.

Project Period: 09/01/2004 - 08/31/2006

FY Grant Amount

FY 2004 392,440

Post Office Box 8795 

COLLEGE OF WILLIAM & MARY

Dean of Research and Graduate Studies

Program: Congressional Mandates

90AM2866 Advanced Practice Nursing Care Demonstration Project

Philadelphia, PA 19103

Contact: Robert M Kent (215)965-2373

The grantee, a subsidiary of the Presbyterian Foundation for Philadelphia, operates seven skilled nursing facilities. The 

goal of the project is to demonstrate that, through hiring an advanced practice nurse on a part-time basis and a student 

intern research assistant: (1) a nurse practitioner on staff will result in on-going advanced care assessments being 

conducted on site; and (2) direct communications between the on-site nurse practitioner and off-site physicians will result 

in more interventions in the nursing home and fewer trips to acute care hospitals. Anticipated outcomes are: (1) 

improved elder care and reduction of the number of co-morbid conditions requiring hospitalization; (2) reduction in the 

number of acute care hospital admissions between the study group and the control group; (3) reduction in the cost of 

acute care hospital visits, as documented between the study group and control group; and (4) improvement in the cost 

effectiveness of the nursing home health care delivery system.

Project Period: 09/01/2004 - 08/31/2005

FY Grant Amount

FY 2004 98,118

1845 Walnut Street, 12th Floor 

New Courtland Elder Services

Program: Congressional Mandates
FY2005 Compendium - Page 242 of 261 

90AM2884 Community Connections: Moving Seniors Toward Wellness

Alexandria, VA 22314

Contact: Enid A Borden 

The Meals on Wheels Association of America (MOWAA) will promote health, wellness and independence of older adults 

by transforming Senior Nutrition Programs (SNPs) from their current roles as primarily nutrition providers into core 

programs within a restructured continuum of care. The MOWAA will target older adults immediately discharged from the 

hospital, provide immediate post-discharge nutrition services and assist them in integrating back into the community 

through the provision or coordination of other health-related, "wrap-around" services. The objectives are to: 1) change 

the external environment of SNPs through enhanced community partnerships; 2) change internal environment through 

development and incorporation of new services/service delivery systems by SNPs; and 3) facilitate SNP change through 

a Leadership Institute. The outcomes for the project are: changes in targeted older adults (nutrition, social support, 

health, etc.); changes in service (timeliness, care planning, wrap-around services, etc.); organization change (program 

capacity, community collaborations, increased hospital/community integration); and increased public/private 

collaborations. Products from the project include: a final report, including evaluation results for individual and 

community interventions; SNP "Best Practices" Report; "How To" Manual for SNPs; an on-going Leadership Institute; 

presentations at national conferences; and articles for publication.

Project Period: 09/30/2004 - 02/28/2008

FY Grant Amount

FY 2004 1,569,883

203 S. Union Street 

MEALS ON WHEELS ASSOCIATION OF AMERICA

Program: Congressional Mandates

90AM2904 Regional Partnership for Older Adults

Akron, OH 44320

Contact: Todd P Rockoff (330)835-0021

The Jewish Community Centers of Akron, Canton, Cleveland and Youngstown, Ohio, will collaborate in offering social 

recreation and physical wellness activities to older members of their communities during a 12 month period. Inactive 

community members will be encouraged to serve as volunteer Center administrative support and pre-school program 

aides. Transportation will be provided for participants to and between the four Centers. Participants will be assessed for 

changes in their physical well-being. The Centers will exchange information on their success in increasing participation 

and changes in wellness and socialization of the participants. A report on "lessons learned" will be included in the final 

report.

Project Period: 09/30/2004 - 06/30/2006

FY Grant Amount

FY 2004 245,294

750 White Pond Dr. 

Shaw Jewish Community Center of Akron

Program: Congressional Mandates
FY2005 Compendium - Page 243 of 261 

90AM2920 National Center on Caregiving

San Francisco, CA 94104

Contact: Lynn F Feinberg (415)434-3388

The goal of the National Center on Caregiving at the Family Caregiver Alliance is to advance the delivery of high quality 

and cost effective policies and programs for family caregivers nationwide. It will provide focused technical assistance to 

the aging network, other program developers and policymakers to start or sustain innovative and evidence-based 

caregiver support programs. They will provide training and education to the aging network to enable them to provide 

high quality and outcome oriented caregiver support programs. Finally, they will advance research and policy analysis 

by serving as a knowledge base for practical applications of caregiver policies, identifying emerging trends, and 

highlighting promising practices.

Project Period: 05/01/2005 - 06/30/2007

FY Grant Amount

FY 2005 294,776

180 Montgomery Street, Suite 1100 Suite 1100

FAMILY CAREGIVER ALLIANCE

Program: Congressional Mandates

90AM2921 Counseling for Caregivers

North Wales, PA 19454

Contact: Frank Podietz (215)371-1800

Counseling for Caregivers will implement a 1-year project to enhance the existing educational component for caregivers. 

The objective is to mitigate caregiver burden through in-home assessment and counseling, education, care 

management, linkages to respite care and other health and social services, information and referral, and advocacy. One 

of the products to be produced is Educational Guide for Caregivers.

Project Period: 08/01/2005 - 07/31/2007

FY Grant Amount

FY 2005 73,433

1425 Horsham Road 

Madlyn and Leonard Abramson Center for Jewish Life

Program: Congressional Mandates
FY2005 Compendium - Page 244 of 261 

90AM2922 Regional, Collaborative Plan for the Long Term Care of Older Adults

Merriam, KS 66204-2739

Contact: Mitzi E McFatrich (913)789-6796

The project's goal is to develop a regional community-based, long-term care plan to provide seniors of the Kansas City 

metropolitan area with greater autonomy, more choices and better access to services. Objectives include: 1) assessing 

senior and caregiver needs, including housing, transportation and other services; 2) creating short-term strategies to 

strengthen service delivery and a long-term care plan for at-risk older adults and their caregivers; 3) collaborating with 

area nonprofit, for-profit and government senior-serving agencies to incorporate community assets in plan development 

and subsequent implementation; and 4) promoting a greater understanding of aging and caregiving issues within the 

community at large. Anticipated outcomes include: strategies to improve service delivery for the area's elders; strategies 

to improve training and support for elders' caregivers; an expanded, coordinated coalition of better informed service 

providers; among community decision makers, a greater awareness accompanied by a commitment to collaboratively 

address the identified challenges and needs of elders and their caregivers; and an outline for engaging local media in 

public education aimed at making the region "Elder Friendly."

Project Period: 08/01/2005 - 01/31/2007

FY Grant Amount

FY 2005 146,866

7312 Antioch Road 

Foundation on Aging

Program: Congressional Mandates

90AM2923 Early Interventions in Support for Alzheimer's Caregivers

Front Royal, VA 22630

Contact: Roberta Lauder (540)635-7141 210

The project will create and evaluate a series of on-going in-home interventions with caregivers of early to mid-stage 

Alzheimer's family members. The goal is to increase the receptivity of caregivers to utilizing community resources 

including social model group respite sites, adult day care and support groups.

Project Period: 08/01/2005 - 12/31/2006

FY Grant Amount

FY 2005 48,955

207 Mosby Lane 

Shenandoah Area Agency on Aging, Inc.

Program: Congressional Mandates
FY2005 Compendium - Page 245 of 261 

90AM2924 Wexner Heritage Village: VanTran Wheelchair Program

Columbus, OH 43209

Contact: Lisa Eible (614)559-0314

The goal of the program is to develop a wheelchair accessible vehicle transportation program. The objective is to 

increase access to services for the frail and disabled seniors of the Columbus East-side community. The program will 

offer much needed service to an aging population and enable seniors to remain in their own homes longer by ensuring 

that they have a way to meet their medical and shopping needs. Access to healthcare is noted to be a major barrier in 

community health. Through these trips, the program will provide opportunities for socialization that contribute greatly to 

the overall physical and mental health of seniors. Key partners are critical in the operation of the VanTran program. It 

will be evaluated by data collected quarterly with regard to ridership rates, satisfaction survey, and customer feedback. 

Dissemination plan includes program information on the website.

Project Period: 08/01/2005 - 07/31/2006

FY Grant Amount

FY 2005 48,955

1151 College Avenue 

WEXNER HERITAGE VILLAGE

Heritage at Home, VanTran

Program: Congressional Mandates

90AM2925 Medication Assistance Program

Medford, OR 97504

Contact: Patti Proctor (541)772-2273

The goal of the project is to provide comprehensive information to seniors seeking assistance with the Medicare 

Modernization Act. The objectives are to help meet the need for trained personnel in the field of aging and to increase 

awareness of the need for individuals to assume responsibility for their own longevity. The expected outcomes of the 

project are: 1) seniors educated on how to choose the medication discount program that is right for them; and 2) seniors 

helped with developing a long term plan for their medication needs. The products from this project are pre and post 

training surveys and pre and post client evaluation surveys. The target population for this project are the Medicare 

beneficiaries typically 65 years of age and older. The Medford Senior Center partnered with the local Social Security 

office, Senior and Disabled Services and Senior Health Insurance Benefits Assistance Program to provide 

comprehensive information and assistance to those seeking help.

Project Period: 08/01/2005 - 03/31/2007

FY Grant Amount

FY 2005 24,478

510 East Main Street 

Medford Senior Center

Program: Congressional Mandates
FY2005 Compendium - Page 246 of 261 

90AM2926 Senior Wellness and Transportation Program

Rancho Cucamonga, CA 91730

Contact: Paula Pachon (909)477-2762 2105

Goal of the program is to improve participation and access to health, wellness and fitness information and services for 

the senior population. Objectives include: a series of physical fitness classes; a resource library; educational workshops 

on health; an adaptive technology center; and the provision of transportation. The expected outcomes are improved 

health, physical fitness, vitality and quality of life of seniors at the Senior Center. Products include a final report and 

analysis of outcomes for distribution. The intervention is to maintain optimal physical and mental health as the key for 

healthy aging and to keep seniors engaged in society longer. The program will evaluate participants and users of 

programs, services and equipment. Results from the evaluation will be disseminated and posted on the website.

Project Period: 08/01/2005 - 08/31/2006

FY Grant Amount

FY 2005 146,866

10500 Civic Center Drive 

City of Rancho Cucamonga

Community Services Department

Program: Congressional Mandates

90AM2965 Technology and Medicare Part D

Salt Lake City, UT 84103

Contact: Sally Ann Brown 

The grantee will assist the local Area Agencies on Aging (AAA) health insurance information coordinators to develop 

local coalitions with local partners to recruit trainers and counselors to inform seniors about the benefits of the new 

Medicare program and how to obtain prescription drug coverage. This grant will provide for one staff person to inform 

and educate beneficiaries and their families about Medicare Part D. Much of the training and resource building will be 

accomplished utilizing computers and accessing various websites. Activities will be conducted in local communities to 

offer assistance to beneficiaries and their families to help them make the best choice possible concerning the Part D 

benefit. Coalitions will be organized to identify strategies to ensure that all beneficiaries are aware of this program. 

Project Period: 08/01/2005 - 07/31/2006

FY Grant Amount

FY 2005 29,373

120 North 200 West, Room 319 Room 319

Utah Department of Human Services

Program: Congressional Mandates
FY2005 Compendium - Page 247 of 261 

90AM2966 NORC Supportive Living Project

Portland, OR 97205

Contact: Marian Fenimore (503)226-7079

Jewish Family and Child Service of Portland, Oregon, will conduct, in partnership with Multnomah County Aging and 

Disability Services, Cedar Sinai Park, and the Neighborhood House, a 12 month demonstration of a supportive service 

program for seniors aging in place in a southwest Portland apartment complex. Many of the residents are recent 

immigrants from East Europe, the Mid-East, and Latin America. The project goal is to foster independent living through 

the provision of services that promote self-sufficiency and allow residents to remain in place for as long as possible. 

Project objectives are to: 1) conduct a needs assessment survey and hold provider and resident focus groups to identify 

needs and gaps in services; 2) increase senior's use of existing services through outreach; and 3) work with community 

partners to improve coordination of services, filling gaps and elimination of unnecessary duplication in services. 

Anticipated project outcomes are: 1) community partners will have a greater understanding of the needs of older adults 

and gaps in services impacting older adults ability to successfully live in independent housing; 2) seniors will have an 

increased awareness and use of exiting services; and 3) partnerships will be strengthened through provision of direct 

services, use of needs assessment data and empowerment of seniors through participation oversight of the program and 

its activities. A report on the conclusions and outcomes of the project will be prepared and shared with local agencies, 

the state legislature and conference forums.

Project Period: 09/01/2005 - 08/31/2006

FY Grant Amount

FY 2005 29,373

1130 SW Morrison St., Suite 316 

Jewish Family & Child Service

Program: Congressional Mandates

90AM2967 Sugarhouse Supportive Services Program

Salt Lake City, UT 84113

Contact: Carol Einhorn (801)581-1330

The Jewish Family Service of Salt Lake City will collaborate with the Community Services Council LifeCare Chore 

Services Program, the Valley Mental Health Masters Program, Community Nursing Services, the University of Utah 

Sugarhouse Health Center Senior Clinic and W.D. Goodwill Initiatives on Aging Program, and the Salt Lake County 

Aging Services, to conduct a 17 month demonstration. The goal of this program is to design and implement a supportive 

service program that supports positive aging-in-place for residents of an apartment complex housing low and moderate 

income seniors and a senior condominium complex, and its surrounding residential neighborhood. Project objectives are 

to: 1) develop a project infrastructure; 2) increase senior interaction; 3) decrease senior isolation; 4) strengthen 

partnerships among service providers; 5) maximize access to healthcare and social services; 6) increase awareness of 

issues and resources for older adults and their families; and 7) evaluate the impact of the project. The expected 

outcomes are that older adults will have access to a more coordinated system of service and will have received the 

assistance they need to more positively age in place. The expected products of this project are an evaluation and 

analysis of data collection, and a final written report.

Project Period: 09/01/2005 - 05/31/2007

FY Grant Amount

FY 2005 293,731

2 North Medical Drive 

Jewish Family Service

Program: Congressional Mandates
FY2005 Compendium - Page 248 of 261 

90AM2968 Skilled Nursing Facility Quality of Care Demonstration Project

Ashland, OH 44805

Contact: Tom Stofac (614)228-5200

Goal: Good Shepherd Home of Ashland, OH and STA Healthcare, Inc., will implement an automated system of Nursing 

Care Processes, based upon: disease management, measurement of disease-specific outcomes, use of standardized 

nursing processes, outcomes analysis/reporting, and continuous performance enhancement.

Objectives: Improved disease management for skilled residents; improved staff performance; increased resident and 

family satisfaction; decreased re-admission to hospital; increased discharge to more independent settings (home, 

long-term care, and assisted living); improved disease-specific clinical and process outcomes; decreased frequency of 

MDS Quality Indicators flagged/resident; increased standardization/decreased variation in care processes; and improved 

functional outcomes.

Project Outcomes: improved disease management for skilled residents; improved staff performance; increased 

resident/family satisfaction; improved functional/ADL outcomes; and decreased MDS Quality Indicators flagged.

Project Period: 07/15/2005 - 07/14/2006

FY Grant Amount

FY 2005 244,742

622 Center Street. 

The Good Shepherd Home

Program: Congressional Mandates

90AM2969 PACE CNY Program Expansion

Jamesville, NY 13078

Contact: Calvin Barrett (315)251-2662

PACE CNY proposes to improve the quality of life for frail elderly in Onondaga County, New York, through expansion of 

program enrollment by 75 to 100 new participants. The strategy is to create a third PACE CNY interdisciplinary team 

serving Onondaga County. The specific objectives are to: (1) create a project management team; (2) upgrade 

management information systems necessary for program expansion; (3) recruit and hire an interdisciplinary care team; 

(4) implement a care provider staff development program; (5) recruit new PACE CNY participants; (6) enroll 30 new 

participants by project completion; and (7) evaluate the impacts and benefits of the project. PACE will support formative 

and summative evaluation processes using internal quality assurance, participant satisfaction and project activity data 

sources collected and reviewed by both project staff and an external evaluation consultant.

Project Period: 08/01/2005 - 07/31/2006

FY Grant Amount

FY 2005 440,597

1305 Nottingham Road 

Loretto Independent Living Services

PACE CNY

Program: Congressional Mandates
FY2005 Compendium - Page 249 of 261 

90AM2970 West Philadelphia Survival of the Caregiver

Philladelphia , PA 19139

Contact: Geneva A Black (215)472-6600

Haddington Multi Services, Inc. will ease caregiver burden by providing education, relief, and access to services and 

supports necessary for caregivers to provide quality care in a home-based setting. The staff of the "Survival of the 

Caregiver Program" will develop a searchable database of various service supports. Additionally, they will undertake 

extensive outreach efforts to alert West Philadelphia's caregiving community about the extent of informational resources 

and services available. A variety of caregiver workshops will also be offered. Key partners include representatives from 

government, direct service providers, academia, health care, legal service providers, and representatives from 

faith-based organizations. This program will enhance caregivers' ability to provide care for longer periods of time, 

thereby prolonging the period during which care recipients can remain home. Evaluation efforts will focus on this 

program's effectiveness in identifying caregivers in need and in providing services and referrals. A monthly newsletter 

will be will be disseminated to over 1,000 individuals in the West Philadelphia community. Information will also be 

disseminated through a website, weekly radio broadcasts, print, television, religious institutions, social clubs, and senior 

housing developments.

Project Period: 08/01/2005 - 07/31/2006

FY Grant Amount

FY 2005 97,910

5331-41 Haverford Avenue 

Haddington Multi Services for Older Adults, Inc.

Program: Congressional Mandates

90AM2971 Vermont Senior Center Earmark Project

Waterbury, VT 05671-2301

Contact: Amy Nickerson (802)241-2400

This one year, Senior Center project of VT's Dept. of Aging and Independent Living, is a statewide effort to increase 

awareness of, access to & participation in Vermont's rural, multi-purpose Senior Center programs promoting older adult 

health, socialization, and independence. Focus: 1) evidence-based service delivery approaches/methods to meet 

emerging needs of rural senior center customers; and 2) ways to improve public perception by non-users. Goals:1) 

facilitate access to services; and 2) strengthen community-based service delivery systems and senior center 

infrastructure. Objectives: through an RFP, eligible senior centers and meal sites will collect data to: 1) improve delivery 

of OAA nutrition program services; 2) expand training and technical assistance on nutrition, health promotion and 

disease prevention programs to meal sites and senior centers; 3) develop innovative programming in senior centers; 

and 4) develop marketing strategies and build community support for senior centers. Anticipated outcomes: funded 

entities will collect & report quantitative and qualitative data to the contractor to document outcomes and evaluate 

effectiveness, replicability, and sustainability of community-based projects. Outcomes, determined by the nature of 

proposed RFP projects may include, but are not limited to: a) improved nutrient consumption & knowledge, and more 

culturally diverse meals; b) improved functional capacity thru physical activity; c) increased social engagement; d) 

increased partnership/collaboration with community-based providers; e) improved support services coordination; f) new 

or strengthened innovative programs promoting successful aging & independent living; and g) increased community 

support and participation in senior centers & meal sites. Collaborations: VT Dept. of Health; local organizations, e.g. 

COVE & Vermont AARP; senior centers; meal sites; AAA's. Dissemination products include a report on successes, 

challenges, & lessons learned.

Project Period: 08/01/2005 - 01/31/2007

FY Grant Amount

FY 2005 274,149

103 South Main Street 

Vermont Department of Aging and Independent Living

Program: Congressional Mandates
FY2005 Compendium - Page 250 of 261 

90AM2972 Innovative Senior Support Program for a Naturally Occurring Retirement Community

Sacramento, CA 95825

Contact: Jack Kennedy (916)484-4400

Jewish Family Service of Sacramento and its partners, Paratransit, Inc., California State University, Sacramento, Area 4 

Agency on Aging, Community Services Planning Council and Caring Neighbor volunteers, are establishing a supportive 

service demonstration program for aging in place seniors in Campus Commons, a large garden apartment complex in 

Sacramento. The goal is to help seniors age successfully and to prevent relocation for avoidable causes. The project 

objectives are to: 1) increase senior's awareness of supportive resources in the community; 2) reduce isolation of 

seniors to enhance life satisfaction, community connection and reduce the risks of suicide; 3) improve access to 

healthcare and supportive services; 4) ensure that neighborhood associations understand and take action to make 

Campus Commons an aging-friendly physical environment; 5) encourage seniors to take an active role in determining 

programming and services; 6) increase intergenerational connections; and 7) improve seniors knowledge of preventable 

injuries. Anticipated outcomes are: 1) improved communication and collaboration among service providers in the 

community; 2) increased awareness by seniors of supportive services in the community and how to locate them; 3) 

increased frequency of interactions with neighbors; 4) better access to health services for seniors; and 5) fewer 

homeowner association barriers to installing assistive devices in senior's homes. The project is developing and 

disseminating materials and information at local, regional and national conferences and will prepare a final report.

Project Period: 09/01/2005 - 06/30/2007

FY Grant Amount

FY 2005 195,821

2862 Arden Way, Suite 103 

Jewish Family Service of Sacramento

Program: Congressional Mandates

90AM2973 Southeast Brooklyn Supportive Services Network for the Frail Elderly

Brooklyn, NY 11223

Contact: Mark Kranczer (718)627-4300

The Sephardic Community Center (SCC) will develop a new support system for the physically disabled and frail elderly 

requiring temporary or permanent in-home services. The support system will be primarily based on the services of 

caregivers and volunteers. SCC will prepare an information brochure and post enrollment information on their website. 

Core services to be provided include case management, a caregiver support and respite center, preventative care 

measures such as blood pressure screening, reliable information and referral for caregivers, transportation, onsite 

physical exercise and cultural programming, linkage to SCC New Horizons Program, access to in-kind health 

professional services, and provide friendly volunteer visitors. Volunteer "friendly visitors" will visit homebound elderly to 

check on the status of the client, provide in-home respite for the caregiver, shopping assistance, and telephone 

reassurance. Support groups for caregivers will be held on a bi-weekly basis at the center and will include a secure 

internet based "chat room" where caregivers can post comments. The target population consists of elderly in the 

catchment area of the SCC. Anticipated outcomes: at least 60 temporarily or permanently homebound people will feel 

less isolated and have a more positive outlook of their living situation; 15 adults suffering from early stages of dementia 

will benefit from social adult day care activities; at least 10 people will be prevented from unnecessary hospitalization or 

falls; at least 40 caregivers will benefit from caregiver respite program; at least 35 volunteers will be recruited and 

trained; at least 50 caregivers will be better equipped, by the Caregivers Information Resource Center, to provide care 

and feel less stress; and a determination on the feasibility of implementing a NORC supportive services program in their 

catchment area will be determined by a NORC Feasibility Assessment.

Project Period: 09/01/2005 - 06/30/2007

FY Grant Amount

FY 2005 293,731

1901 Ocean Parkway 

Sephardic Community Center

Program: Congressional Mandates
FY2005 Compendium - Page 251 of 261 

90AM2974 Home Alone

Pawtucket, RI 02860

Contact: Joan A Crawley (401)728-7582

The goal of this project is to target older adults living in the community who do not reside in congregate housing and 

provide them with access to information about resources, programs, and services available on local, state, and federal 

levels. The objectives are to: 1) identify those older adults who are at risk in the community; 2) provide assessment and 

intervention services in the home; 3) provide ongoing case management services; 4) provide the opportunity for 

socialization by offering transportation to the Leon Mathieu Senior Center; and 5) provide transportation for such 

necessities as marketing, banking, pharmaceuticals, etc. A part-time nurse will be hired to provide medical 

assessments. Key partners include: Memorial Hospital Rhode Island, State Department of Elderly Affairs, Community 

Counseling Center, Blackstone Health, Inc., Community College of Rhode Island, and the University of Rhode Island. 

Before and after questionnaires/surveys will measure levels of social interaction of the elderly participating in this 

program. Transportation service usage will be documented. Evaluation will also include assessments of individuals' 

general physical and mental health. Newly-acquired software will collect demographics, services and programs 

accessed, case management notes, and other miscellaneous information. An analysis of the information accumulated 

from this project will be documented in a final report to be sent to the city's Department of Planning, the mayor's office, 

the Administration on Aging, and other interested parties. 

Project Period: 08/01/2005 - 12/31/2006

FY Grant Amount

FY 2005 24,478

137 Roosevelt Avenue 

City of Pawtucket

Program: Congressional Mandates

 ExperienceSeniorPower (ESP): Intergenerational Computer and Job Skills Training 

Program

90AM2975

Detroit, MI 48226-2631

Contact: Krista Bajoka (313)237-4687

ExperienceSeniorPower, an intergenerational computer learning program and one year Federal grant project, will 

significantly help close the "digital gap" that is growing between haves and have-nots in terms of access to technology. 

This digital gap tends to leave those with less money out of economic/job opportunities, with little or no access to 

resources to increase their knowledge and advance in our society. ExperienceSeniorPower is increasingly concerned 

about diversity on the Web and the recent findings on differences in computer usage among whites and people of color. 

In some of the locations, ExperienceSeniorPower programming will be introduced as after school programming for at risk 

youth, teaching the young computer and job skills. Also, children will have access to the computers on their own time to 

continue to develop the skills they need to excel both academically and in the job market. In all settings there is a 

commitment to bridging the digital divide through uniting generations, and so this after school program will come with a 

twist. Senior citizens will learn computer skills alongside children, insuring "adoptive grandparent" relationships, and 

providing children adult role models few have had opportunity to savor, while providing senior citizens a sense of 

self-worth in a society often marginalizing their contributions. 

Project Period: 08/01/2005 - 12/31/2006

FY Grant Amount

FY 2005 293,731

305 Michigan Avenue, 5th Floor 

Cyber Seniors

Program: Congressional Mandates
FY2005 Compendium - Page 252 of 261 

90AM2976 Recruit/Train 100 Volunteers to Fill Out Vital Health Records for individuals Over Age 65

Louisville, OH 44641

Contact: Eileen Baroni (330)875-7434

Through a network of faith communities with trained volunteers, our purpose is to work with and enable the frail elderly to 

maintain their independence and dignity, the goal being to promote health and wellness in persons over the age of 65, so 

they can maintain their independence and remain in their own homes for as long as possible. Faith In Action, in 

collaboration with area congregations, fire departments, medical personnel, community organizations, hospitals, and 

community agencies, will provide vital health records for individuals over the age of 65, fill these records out, and place 

them in a designated spot for any possible future need by emergency personnel. The objectives are: 1) to work with 

pastors and congregations of all faiths to recruit and train volunteers; 2) to identify individuals at risk; 3) to integrate vital 

health records in Faith In Action Programs; 4) to develop linkages with community agencies; 5) to evaluate the impact of 

added services. The expected outcomes of this project are: to improve the care of individuals in an emergency situation; 

provide medical emergency personnel with up to date data when responding to an emergency; and eliminate 

unnecessary confusion when time is of essence. The products from this project are: vital health records provided to 

individuals over 65; an evaluation; and in-home assessments.

Project Period: 08/01/2005 - 07/31/2006

FY Grant Amount

FY 2005 48,955

806 Crosswyck Circle 

Faith In Action of Central Stark County, Inc.

Program: Congressional Mandates

90AM2977 Mt. Airy Bethesda Satellite Senior Technology Education Program

Philadelphia, PA 19126-3604

Contact: Winifred W Morris (215)276-2960

This one year project will establish the Mt. Airy Bethesda Satellite Senior Technology Education Program, a computer 

literacy and Internet training project for older Americans living in inner city urban areas. The goals of this program are to 

enhance physical, educational, social, vocational, recreational and spiritual well-being of seniors through their increased 

ability to access the wealth of resources available to them through the Internet. Anticipated outcomes are: 1) prolonged 

independent living through an increase in supportive services accessible via the Internet; 2) receipt of vital information 

from the Centers for Medicare and Medicaid on revisions pertaining to the Medicare Modernization Act of 2003 

provisions on prescription drugs; and 3) increased employability skills of seniors aged 55+. The program already has a 

cooperative agreement with the Department of Labor to allow seniors 55+ to seek 20 hours of employment weekly to 

enhance their limited income. The primary communities to be served fit the profile for urban minority poverty. At the end 

of the 12 week program, participants will be interviewed to evaluate the success of this project. Results of the evaluation 

will be disseminated to AoA and other interest groups.

Project Period: 08/01/2005 - 07/31/2006

FY Grant Amount

FY 2005 293,000

6401 Ogontz Avenue 

Mt. Airy Bethesda Manor, Inc.

Program: Congressional Mandates
FY2005 Compendium - Page 253 of 261 

90AM2978 NORC Demonstration Project

Princeton, NJ 08540

Contact: Wendy C Cacacie (609)987-8100

Jewish Family and Children's Service of Mercer County will conduct a 17 month demonstration project to support and 

develop services and activities for older adults in three diverse county residential communities. The project goal is to 

prevent frail, elderly individuals from premature institutionalization by increasing functional independence and life 

enrichment in their own communities and enhance their physical and emotional well being. Project objectives are: 1) 

maximize older adults functional independence in their own homes through improved access to and utilization of health 

and human services; 2) decrease incidence of depression among older adults who are aging in place and increase their 

sense of well being; and 3) increase older adult's access to wellness and recreation programs in community-based social 

milieus through the use of volunteer "Peer Educators", and develop additional volunteer opportunities for residents. 

Anticipated outcomes are: 1) 65% of older adults contacting the program for information and referral resources will 

establish working relationships with community treatment and service providers matched to their specific needs; 2) 90% 

of older adults receiving mental health screening and referral services will experience a significant reduction in the 

presence of symptoms of depression; and 3) members of older adult communities will have a heightened awareness of 

mental health issues and treatment options. Project products include development of materials for presentations at the 

local, state and national levels, and a final report.

Project Period: 09/01/2005 - 01/31/2007

FY Grant Amount

FY 2005 122,388

707 Alexander Road, Suite 102 

Jewish Family & Children's Svc of Greater Mercer County

Senior Services

Program: Congressional Mandates

90AM2979 Aging in Place in Union County, New Jersey

Elizabeth , NJ 07208

Contact: Jerold Starr (908)352-8375

Jewish Family Service of Central New Jersey and its collaborators, the Jewish Community Center of Central New Jersey, 

the Young Men's - Young Women's Hebrew Association of Union County, the Jewish Federation of Central New Jersey, 

the Bethal American Methodist Evangelical Church, and the Union County Division of Aging Nutrition Program, will 

conduct a seventeen month demonstration project for seniors living in their own homes and private apartment complexes 

in Union county, New Jersey. The project goal is to help seniors remain in their own homes and age in place with dignity 

and with the support of the community. Project objectives are: 1) increase access to support services; 2) increase 

support services to under-served homebound and frail seniors, including Kosher home delivered meals, home care 

services, transportation and activity therapy; 3) assure feedback, through survey of the at-risk, frail older adult population 

to assess changing needs and development of a senior council; 4) monitor project development and effectiveness; and 

5) disseminate results and outcomes to other supportive service programs. Anticipated project outcomes are: 1) 80% of 

those provided services will remain in their own home for the duration of the project; and 2) 50 % of those provided 

services will report a satisfactory or improved quality of life. Products include web pages about the program, 

presentations at national conferences, local newspaper articles and a final report.

Project Period: 09/01/2005 - 01/31/2007

FY Grant Amount

FY 2005 195,821

655 Westfield Avenue 

Jewish Family Service Agency of Central New Jersey

Department of Older Adult Services

Program: Congressional Mandates
FY2005 Compendium - Page 254 of 261 

90AM2980 Aging in Place Initiative Providing Support Service Programs...Hamilton Co.

Cincinnati, OH 45249

Contact: Ann S Burke (513)766-3350

The Jewish Family Service will conduct a twelve month demonstration supportive service program for residents of two 

Naturally Occurring Retirement Communities (NORCs) in the Greater Cincinnati area, with the involvement of residents, 

funders, service providers, and property owners. The project goal is to enable seniors to remain in the comfort and 

security of their own homes for a long as possible, in accordance with their wishes, with optimal health, independence, 

and dignity. Project objectives are to: 1) help residents maintain or improve their physical and mental health status; 2) 

mitigate their isolation and loneliness; 3) provide services and programs that respond to the needs and interest 

expressed by the residents; 4) create an environment that promotes an independent lifestyle and maximizes use of 

community resources; and 5) assure sustainability of the project. Project anticipated outcomes are: 1) 80% of residents 

will maintain or improve their levels of ability to perform daily living tasks; 2) 50% of residents will be less isolated and 

lonely; and 3) 80% of residents will remain independent in their own homes for as long as possible. Products include a 

directory of service providers, a policy and procedures handbook, and a final report.

Project Period: 09/01/2005 - 08/31/2006

FY Grant Amount

FY 2005 97,910

11223 Cornell Park Drive 

Jewish Family Service of the Cincinnati Area

Senior Adult Services

Program: Congressional Mandates

90AM2981 Creating Opportunities for Older Persons (CO-OP)

San Diego, CA 92103

Contact: Craig Lambert (619)291-0473

Jewish Family Service of San Diego, in partnership with the San Diego County Department of Aging and Independence 

Services, the San Diego State University's Gerontology Department, the United Jewish Federation, the Claremont 

Friendship Center and a number of homecare agencies, is conducting an aging in place supportive services 

demonstration for older residents living in University City Village Apartments. The goal is to support residents stay in 

their own homes as long as possible, in accordance with their personal desires. Project objectives are: 1) identify 

current service gaps, needs, and barriers confronting residents; 2) create and/or enhance services to meet the needs of 

residents, based upon identified gaps, needs, and barriers; 3) provide activities that promote healthy aging and offer 

preventative measures against declining health; 4) increase social interaction, reducing isolation and symptoms of 

depression; 5) provide essential and recreational transportation; 6) offer services to meet the needs of caregivers and 

residents who may need an enhanced level of care; 7) develop volunteer opportunities for older adults who can assist in 

program provision; 8) conduct project evaluation; and 9) disseminate information. Anticipated outcomes are: 1) 80% of 

the residents surveyed at the end of the project period will indicate awareness of, and ability to access, project services; 

and 2) 70% of the residents surveyed at the end of the project period will indicate that they perceive an opportunity for 

expanded involvement in their residential community and/or the community-at- large. Products include web pages on 

the grantee's website, presentations to local and state legislative representatives and a final report.

Project Period: 09/01/2005 - 01/31/2008

FY Grant Amount

FY 2005 146,866

3715 Sixth Avenue 

Jewish Family Service of San Diego

Senior Services

Program: Congressional Mandates
FY2005 Compendium - Page 255 of 261 

NORCs -Standardizing Best Practices in Both Congregate and Individual Residential 

Settings

90AM2982

Cleveland, OH 44115

Contact: Cathy Weiss (216)566-9200 308

The Jewish Community Federation of Cleveland will conduct this twelve month study of selective naturally occurring 

retirement community (NORC) supportive service programs in the state of Ohio pursing two goals: 1) to identify and 

begin to standardize best practices and approaches to service delivery within congregate settings; and 2) identify 

principles, practices and strategies for delivering such services to people living independently in their own homes. Four 

objectives will be pursued: 1) convening groups of stakeholders for educational seminars where current practices and 

challenges can be shared, and standards for optimizing success suggested; 2) educating local and state legislators on 

identified best practices; 3) facilitating a planning process with local professional and volunteer leaders to direct efforts 

and resources to non-congregate NORC programming; and 4) surveying current baby boomers, and utilizing their insight 

and input into future planning strategies. The expected outcomes of this project are the development of models and 

structures for delivering tailored, targeted and individualized supportive services to adults who remain in congregate 

living settings and who live independently in their own homes. The products of this project include a written report on the 

needs and desires of baby boomers; a set of guidelines for non-congregate service delivery; and a written compilation of 

best practices in the delivery of support services to older adults within congregate living settings.

Project Period: 09/01/2005 - 02/28/2007

FY Grant Amount

FY 2005 48,955

1750 Euclid Avenue 

Jewish Community Federation of Cleveland

Program: Congressional Mandates

90AM2983 Help is Where the Home is: The NORC Aging in Place Initiative

Cherry Hill, NJ 08003

Contact: Ronit Boyd (856)751-9500 188

Jewish Family and Children's Services of Southern New Jersey, in partnership with the Jewish Federation of Southern 

New Jersey, is implementing a 17 month demonstration project for seniors aging in place in a Cherry Hills, New Jersey 

apartment complex. The project goal is to prevent premature placement in an institutional facility. Project objectives 

are: 1) improve health care of the elderly residents by having geriatric physicians, occupational and physical therapists 

and an on-site Registered Nurse provide professional services, promoting self-management of chronic diseases and 

improved health care literacy; 2) maintain the dignity of elderly residents by providing licensed and certified home health 

aides to assist with personal care needs; 3) decrease isolation by providing on-site socialization programming and 

transportation to community-based programs; 4) improve the nutritional intake of residents by providing congregate 

meals and/or a homemaker for grocery shopping and meal preparation; and 5) ensure overall physical and emotional 

needs of residents through coordination of care by an on-site Master's level social worker. Anticipated project outcomes 

are: 1) improved health care; 2) improved self management of chronic diseases and health care literacy; 3) decreased 

isolation; 4) improved nutritional intake; and 5) improvement in overall physical and emotional needs being met. 

Products include a quarterly newsletter, presentations at local, state and national forums, a step by step manual, and a 

final report.

Project Period: 09/01/2005 - 09/30/2007

FY Grant Amount

FY 2005 391,642

1301 Springdale Rd 

Jewish Federation of Southern New Jersey

Jewish Family and Children's Services

Program: Congressional Mandates
FY2005 Compendium - Page 256 of 261 

90AM2984 Outreach Activities for Independent Seniors (OASIS)

Des Moines, IA 50312

Contact: Berel Simpser (515)277-6321

Jewish Federation of Greater Des Moines is conducting a supportive service demo. project for aging in place, 

collaborating with Aging Resources of Central IA; Polk Co. Senior Services; Geriatric Education Center of Des Moines 

U.; United Way - Central IA; Des Moines Catholic Charities; Lutheran Social Services; Visiting Nurses of IA; IA State 

Dept. of Elder Affairs; Advocacy Network of Aging Iowans; Des Moines Community Foundation & KG InterDev, LLC. 

Goal: develop innovative, efficient and individualized services that increase seniors' ability to age safely in place in their 

homes and communities, avoiding premature and costly institutionalization. The project will create and evaluate two 

different program models of services for seniors, enabling them to live as independently as possible. An apartment 

model services a diverse, low socio-economic population of seniors located on Des Moines' east side. A targeted group 

model for two groups serves:1) urban, moderate income seniors who regularly attend Eddie Davis Comm. Center 

programs; and 2) a group of first generation, moderate to low income, immigrants mainly from Eastern Europe, who 

regularly attend Jewish Family Services senior activities programs. Project objectives: 1) develop collaborative 

partnerships with neighborhood assns., senior groups, housing facilities, for and not-for profit organizations, and state & 

local govt. agencies; 2) provide enhanced case mgmt. services to targeted populations to assess resident needs & assist 

accessing services; 3) provide individual & group social and educational activities, not limited to transportation, health, 

medical, home modification, chore svcs., visiting nurse, meals on wheels and social & educational activities; 4) conduct a 

comprehensive program evaluation. Outcomes: an MOU defining services and cost-sharing provisions; infrastructure for 

enhanced case management; reduction in isolation & greater independence; and evaluation reports widely disseminated.

Project Period: 09/01/2005 - 08/31/2007

FY Grant Amount

FY 2005 293,731

910 Polk Boulevard 

Jewish Federation of Greater Des Moines

Jewish Family Services

Program: Congressional Mandates

90AM2985 SEQUOIA: Serving the Elderly with Quality Outcomes In Community and at Home

Clifton, NJ 07012

Contact: (973)777-7638

Jewish Family Services of the Jewish Federation of Greater Clifton-Passaic will conduct a 17 month demonstration of 

supportive services for older adults living in county high-rise multi-family housing facilities. The project goal is to 

enhance the ability of seniors to age in place by increasing access to services. Project objectives are: 1) develop and 

conduct a needs assessment; 2) provide case management and social work services; 3) provide health education and 

screenings; 4) provide social, spiritual and cultural activities; 5) create an advisory council comprised of seniors; 6) 

collect data and monitor effectiveness of the project; and 7) disseminate findings to assist in sustaining and replicating 

this model. The anticipated outcome is to increase access to services for older adults not currently being assisted. 

Products include development of materials for presentations and a final report.

Project Period: 09/01/2005 - 04/30/2007

FY Grant Amount

FY 2005 195,821

199 Scoles Avenue 

Jewish Family Service of Greater Clifton - Passaic

Program: Congressional Mandates
FY2005 Compendium - Page 257 of 261 

90AM2986 Co-op City Comprehensive Community Care Project

New York, NY 10001

Contact: Amy Chalfy (718)365-4044

Jewish Association for Services for the Aged, in partnership with the Co-op City's Naturally Occurring Retirement 

Community (NORC) Supportive Services Program Network, and in collaboration with Gloria Wise Senior Services, Inc. 

and Montefiore Medical Center, will conduct a seventeen month demonstration project in a large cooperative apartment 

complex in the Bronx, New York. The project goal is to establish a community cooperative program supporting aging in 

place for elders suffering from dementia, by enlisting community residents and local businesses and service providers 

as gate-keepers and providers of professional services to meet the senior's medical and social service needs in order 

for them to remain safely at home. Project objectives are to: 1) reduce the stigma and hopelessness associated with 

dementia through a community education and awareness program; 2) create a supportive community environment for 

people with dementia and their families; 3) develop an early identification and diagnostic protocol for clinically 

appropriate care planning and service delivery; 4) expand existing NORC network services to persons with dementia and 

their family caregivers; 5) increase the competency of providers; 6) evaluate the impact of added services; and 7) 

disseminate project information. Expected outcomes: 1) the community at large will experience an increase in knowledge 

about dementia and resources for care; 2) individuals with early stage dementia will have an increased period of stable 

functioning, physical well-being, and freedom from exacerbations of psychological and behavioral disturbances; 3) 

caregivers burden will stabilize rather than increase; and 4) service delivery expertise, linkage and continuity will be 

improved. Products include a service delivery protocol for dementia stage-specific interventions and a final written report.

Project Period: 09/01/2005 - 09/30/2007

FY Grant Amount

FY 2005 244,776

132 West 31 Street 

Jewish Association of Services for the Aged

Program: Congressional Mandates

90AM2987 Wasilla Area Seniors (WAS), Inc.

Wasilla, AK 99654

Contact: Judith Wake (907)376-3104

Wasilla's 1 yr. project goals are to: 1) provide more nutritious and culturally appropriate meals to seniors in Matanuska 

Susitna Borough, and look at the relationship between mood, food associations and memory improvement; 2) make the 

Assisted Living home safer for residents and prevent wandering; 3) increase mental and physical activity level of 

residents-to stimulate, and lessen prevalence of depression; 4) improve quality and safety of campus transportation and 

ensure safety of perishable & non-perishable items, i.e. food delivered to homebound elderly, as well as local and 

remotely dwelling seniors; 5) train seniors in CPR and First Aid & natural disaster or emergency response; and 6) 

establish Community Emergency Response Teams (CERT), and share CERT training with churches, community groups, 

and senior centers. Target Populations: 1) seniors in Wasilla Area seniors assisted living facility and senior apartments 

on campus; and 2) all seniors in the Matanuska Susitna Borough, focusing on predominately low-income apartment 

dwellers, including three culturally diverse groups of Russian, Korean, and Spanish language seniors. Anticipated 

Outcomes: 1) increased nutritional value, more culturally appealing cuisine, and accommodation of special food needs 

(e.g. diabetics) through a "natural foods of Alaska program"; 2) elevated mood and improved memory; 3) safer 

environment for residents, and reduction in wandering behavior; 4) improved physical and mental well-being, and 

reduction in number of residents on anti-depressants; 5) consistent, temperature-controlled delivery of meals to 

homebound seniors in a well-equipped, multi-purpose vehicle; 6) disaster prepared, CERT certified seniors; 7) 

strengthened campus complex enabling seniors to age in place; and 8) a model "senior campus concept" to share with 

other Senior Centers. Products include "memory books" for residents; and a model, replicable "senior campus" plan.

Project Period: 08/01/2005 - 10/31/2006

FY Grant Amount

FY 2005 293,731

1300 Century Circle 

Wasilla Area Seniors Inc.

Program: Congressional Mandates
FY2005 Compendium - Page 258 of 261 

90AM2988 Training to Enhance the Capacity of a Long-term Care Workforce

Milwaukee, WI 53201

Contact: Anne D Basting (414)229-2732

A Training Research Institute (TRI) will be created to serve as a vehicle for identifying, evaluating and disseminating 

evidence-based training programs to enhance the capacity of the long-term care work force in the US. The goals for the 

first year are: 1) establish the infrastructure of the TRI; 2) conduct a statewide survey of long-term care organizations and 

direct-care workers; 3) implement and evaluate two training programs; and 4) develop scientifically appropriate and 

viable study designs to serve as evaluation templates for training programs targeted to family caregivers, direct-care 

workers, and professional care staff providing long-term care.

Project Period: 09/01/2005 - 12/31/2006

FY Grant Amount

FY 2005 293,731

P.O.Box 340 

 University of Wisconsin - Milwaukee

Program: Congressional Mandates

90AM2989 Expansion of a National Data Collection System for Improving Care at the End of Life

Cary, NC 27519

Contact: William Smith (919)677-4115

The Carolinas Center for Hospice & End of Life Care will conduct a one-year project to develop a comprehensive 

Internet-based resource for accessing data about the epidemiology and experience of end-of-life in the United States. 

During 2004/2005, The Carolinas built the EDELE (Epidemiology of Dying and End of Life Care Experience) 

website/portal that provides ready access to data about decedents and end-of-life for use by healthcare providers, health 

planners, and advocacy organizations for clinical practice improvement, informed policy change, and planning. 

This project will increase the utility of the website by: 1) adding data for two to three more states: 2) developing a 

cost-effective mechanism to add more states in the future; and 3) including information about and access to data not 

currently posted on the website. Information about the website and its uses will be disseminated via professional 

newletters and conferences and via links from websites frequented by target audiences.

Project Period: 09/01/2005 - 08/31/2007

FY Grant Amount

FY 2005 97,910

PO Box 4449 

The Carolinas Center for Hospice & End of Life Care

Program: Congressional Mandates
FY2005 Compendium - Page 259 of 261 

90AM2990 The "Aging Opportunities" Project

Winston-Salem, NC 27101

Contact: Elaine M Patterson (336)725-0907

The "Aging Opportunities" Project will demonstrate the opportunities for meaningful civic engagement and planned giving 

for aging services. The goals are to design, test, demonstrate and disseminate strategies that will: 1) utilize the 

untapped potential of older adult, younger and diverse volunteers through innovative and expanded services, thereby 

reducing costs through expanded use of unpaid workers; and 2) generate additional/stable, short-term and long-term 

funding for aging services. The objectives are: 1) to develop a simple, user friendly personnel/human resources system 

and guidebook for the administration of volunteers, student interns, and other unpaid workers; 2) to recruit, orient, train 

and engage volunteers, student interns and other unpaid workers in new and expanded ways through creative marketing 

approaches through the implementation of the personnel system; and 3) to develop a planned giving system and 

guidebook unique to the aging field which will include innovative, marketing, advertising and outreach approaches. The 

outcomes are: 1) to significantly increase the quantity and quality of volunteer engagement in the provision of aging 

services, thereby reducing costs while providing enriching opportunities; and 2) to increase community-based services to 

people who cannot afford to pay for them. The products are: 1) an Unpaid Workers Personnel Guidebook; 2) a Planned 

Giving Guidebook; 3) documentation of the approaches, successes, barriers and outcomes of the personnel and 

planned giving system; 4) samples of advertising, volunteer job description, planned giving strategies, etc.; 5) a web site 

link to the above products to provide easy access to the lessons and information; and 6) a final report.

Project Period: 09/01/2005 - 08/31/2007

FY Grant Amount

FY 2005 489,552

836 Oak Street, Suite 320 

Senior Services, Inc.

Program: Congressional Mandates

90AM2991 The Dementia Care Specialist Training

Madison, WI 53705

Contact: Paul R Rusk (608)232-3400

The Alzheimer's Association South Central Wisconsin Chapter will develop a 15-hour "Dementia Specialist" training 

curriculum to be offered to direct care facility staff around the state of Wisconsin. Each of the three Alzheimer's 

Association chapters in the state will offer this training at least twice a month. The comprehensive curriculum will address 

the most important issues related to dementia care. It will be designed to be practice-based using experiential exercises, 

interactive activities, media, and dialogue to help gain the knowledge and practical skills necessary to provide 

compassionate, person-centered care. The overall goal is to improve the quality of dementia care provided by long-term 

facilities throughout Wisconsin. The objectives are: (1) to increase the knowledge and understanding of the symptoms 

and nature of dementia among facility staff; (2) to increase person-centered care practices in long-term care facilities; 

and (3) to enhance the workplace benefits of facility staff who work under difficult conditions. Products include: (1) a 

state-of-the-art dementia specialist curriculum; (2) a final report outlining "lesson learned" and data supporting the 

premise that training improves the of quality of care in facilities; and (3) information indicating the direction of additional 

steps needed to actually change the culture in facilities.

Project Period: 09/01/2005 - 08/31/2007

FY Grant Amount

FY 2005 391,642

517 N Segoe Road, #301 

Alzheimer's Association South Central Wisconsin Chapter

Program: Congressional Mandates
FY2005 Compendium - Page 260 of 261 

Alzheimer's Association - North Central Texas Chapter, Physician Partnership - Case 

Management for Alzheimer Families

90AM3012

Fort Worth, TX 76102

Contact: Theresa Hocker (817)336-4949

The North Central Texas Chapter of the Alzheimer's Association will design, implement and evaluate a model of case 

management based on an approach developed for cancer patients and their families by Cancer Care Services, a 

non-profit agency operating in Tarrant county Texas. The goal of the project is to enhance the quality of life of person's 

with Alzheimer's Disease (AD) and their families through the timely provision of case management services. Locating 

and accessing supportive services for persons with Alzheimer's Disease can be difficult, can add to caregiver's burden 

and result in patient needs not being fully met. Caregivers frequently turn to primary care physicians for information and 

assistance obtaining services that physician's are often ill-prepared to provide. The proposed intervention will establish 

formal partnerships with two medical clinics, one metropolitan and one rural, for the provision of case management 

services. Outreach social workers will be present in the medical clinics to facilitate the provision of case management 

services and work with clinic staff to increase their knowledge and awareness of the case management needs of patients 

with AD and their families. Key partners for this project are The Fort Worth Clinic and a second clinic in rural Parker 

County. The North Central Texas Chapter plans to partner with Texas Christian University to assist with project 

evaluation. Project outcomes include: enhanced quality of life due to interventions provided through case management 

for people with AD and their family members who are providing home care; and an increased rate of referral to case 

management for AD patients and their caregivers by primary care physicians.

Project Period: 09/01/2005 - 08/31/2007

FY Grant Amount

FY 2005 97,910

101 Summit Avenue, Ste. 300 

Alzheimer's Disease and Related Disorders Association,

Inc. - North Central Texas Chapter

Program: Congressional Mandates

90AM3013 Technology to Enhance Aging in Place at Tiger Place

Columbia, MO 65211

Contact: Marilyn J Rantz (573)882-0258

Along with supportive services, enabling technology, in the form of low cost sensors, computers, and communications 

systems, has become available, making the dream of aging in place a reality. This project proposes to develop and 

evaluate technologies for use by residents at a new living facility for seniors - Tiger Place. The project goal is to develop 

the technology infrastructure at Tiger Place to enable the development and evaluation of the technologies for resident 

use. Objectives: 1) install, implement, and develop an integrated monitoring system that reliably captures data about 

elder residents and their environment in a noninvasive manner , balancing the needs of health, safety and privacy; 2) 

describe supportive health care services needed to maximize benefits of the integrated monitoring system; 3) evaluate 

usability of the technology and investigate fundamental issues in human-computer interactions for older adults; 4) and 

evaluate usability of videophone technology to increase and enhance communication between residents of Tiger Place 

and their family members separated by geographic distance, encouraging family involvement. Measurable outcomes: 1) 

technology will facilitate detection of adverse events, such as falls or major changes in health status; 2) technology will 

increase perception of safety, while providing for privacy; and 3) videophone technology will increase communication 

and family involvement in the lives of participating residents.

Project Period: 09/29/2005 - 02/28/2008

FY Grant Amount

FY 2005 979,104

310 Jesse Hall 

UNIVERSITY OF MISSOURI

Nursing

Program: Congressional Mandates
FY2005 Compendium - Page 261 of 261 

90AM3014 Office of Substitute Decision Maker

Des Moines, IA 50319

Contact: Deanna Clingan-Fischer 

The Iowa Department of Elder Affairs will develop the educational materials and training tools necessary to initiate a 

statewide Office of Substitute Decision Maker. This Office establishes a least restrictive system of substitute decision 

making services for older adults and disabled adults at least 18 years old who might be in need of a decision maker, but 

do not already have access to a guardian, conservator, representative payee, and/or attorney under a power of attorney. 

During the grant period, the Department of Elder Affairs will establish the infrastructure of the program, including training 

of staff and recruitment of local partners. The Iowa Department of Elder Affairs is simultaneously working to secure a 

new appropriation from the Iowa Legislature in order to implement and sustain the program. The proposed intervention 

will screen potential clients using intake and assessment tools that they develop. The project will be evaluated using a 

number of means. The tools, forms, and trainings developed to implement the program will be evaluated for 

effectiveness using an advisory group and focus groups.

Project Period: 09/29/2005 - 06/30/2007

FY Grant Amount

FY 2005 391,642

510 E. 12th Street, Suite 2 

IOWA ST DEPARTMENT OF ELDER AFFAIRS

Program: Congressional Mandates
Index of Grantee Organizations 

i

AARP Foundation 103, 109, 113, 121, 123, 166, 175 

Access to Justice Foundation 109 

Adult Care Center of the Northern Shenandoah Valley, Inc. 238 

Aging 2000, INC. 164 

Aging in New York Fund, Inc. 49 

Alabama Department of Senior Services 22, 79, 139 

Alamo Area Council of Governments 53 

Alaska Commission on Aging 142 

Alaska State Department of Health and Social Services 180 

Alaska Housing Finance Corporation 20 

Albert Einstein Medical Center 208 

Alliance for Aging 100 

Allied Jewish Federation of Colorado 231 

Alu Like, Inc. 90 

Alzheimer’s Disease & Related Disorders Assn., Inc.-National Ofc. Chicago 49 

Alzheimer’s Disease & Related Disorders Association, Inc. - N. Central TX 260 

Alzheimer’s Disease & Related Disorders Association of Los Angeles 43, 48 

Alzheimer’s Association South Central Wisconsin Chapter 259 

American Bar Association Fund for Justice and Education 121, 122 

American Health Quality Foundation 118 

American Society on Aging 104 

Arc of the United States 106 

Area Agencies on Aging Association of Michigan 143, 167 

Area Agency on Aging 10B, Inc. 38, 46 

Area Agency on Aging 1-B 37 

Area Agency on Aging of Pasco-Pinellas, Inc. 173 

Area Agency on Aging of West Central Arkansas 212 

Area Agency on Aging of Western Michigan 57 

Arizona Department of Economic Security 23, 75, 149, 180, 191, 196, 200, 204 

Arkansas Department of Health & Human Services 11, 75, 134, 141, 169 

Asian Community Center 95 

Asociacion Nacional Pro Personas Mayores 60 

Atlanta Regional Commission 39, 47, 148, 170 

Baltimore City Maryland 37 

Bay Area Legal Services, Inc. 115 

Benjamin Rose Institute 42, 44 

Better Business Bureau Education Foundation 135, 142, 176 

Blackfeet Tribal Business Council 88 

Boat People S.O.S. Inc. 185 

Boise State University 240 

California Department of Aging 18, 81 

California Health Advocates 132, 165 

Carolinas Center for Hospice & End of Life Care 215, 258 

Catholic Charities of Diocese of Rochester 41, 93 

Catholic Charities of Los Angeles, Inc. 213 

Center for Advocacy for the Rights and Interests 133, 165 

Center for Social Gerontology, Inc. 101, 120, 124 

Central Council Tlingit and Haida Indian Tribes 89 

Central Ohio Area Agency on Aging 140 

Champions for Change 222 

Chinese American Service League 41, 44 

City of Inglewood 43, 48 

City of Los Angeles Department of Aging 54 

City of Pawtucket 251 

City of Rancho Cucamonga 246 

City of St. Louis 216 

Coalition of Wisconsin Aging Groups 131, 163, 213 

College Misericordia 235 

College of William & Mary 241 

Colorado Department of Human Services 23 

Colorado Division of Insurance, Dept. of Regulatory Agencies (DORA) 145, 178 
Index of Grantee Organizations 

ii

Colorado State University 83 

Commonwealth of Massachusetts 63 

Commonwealth of Massachusetts, Executive Office of Elder Affairs 7, 93 

Commonwealth of Virginia 34, 63, 73, 98 

Community of Vermont Elders 163 

Comprehensive Housing Assistance, Inc. 209 

Confederated Salish and Kootenai Tribes 90 

Connecticut Department of Social Services 70, 150 

Connecticut Legal Services, Inc. 112, 116 

Contra Costa County Employment and Human Services 101 

Copper Ridge Institute 237 

Council on Aging of Southwestern Ohio 104 

Cyber Seniors 251 

Dale County Commission 224 

Day Kimball Hospital 235 

Delaware Department of Health & Social Services 76, 151, 171, 195 

Des Moines University 215 

Deschutes County Board of County Commissioners 240 

DH/Perfil Latino TV, Inc. 184 

District III Area Agency on Aging 137, 160 

District of Columbia Office on Aging 76 

District of Columbia, Department of Health (DOH) 24 

DuPage County Department of Human Resources 211 

East River Legal Services Corporation 157 

Easter Seals, Inc. 107 

Elder Law of Michigan, Inc 110, 114, 127 

Elder Services of the Merrimack Valley, Inc. 143, 168 

Elders in Action 58 

Eric County Department of Senior Services 40 

Faith in Action of Central Stark County, Inc. 252 

Family Caregiver Alliance 105, 249 

Florida Department of Elder Affairs 19, 77, 149, 185, 186, 188, 190, 194, 199, 202

Florida International University Board of Trustees 61 

Florida Atlantic University 238 

Foundation on Aging 244 

Friendship House Association 153, 178 

Generations United 106 

Georgia Department of Human Resources 15, 96, 150, 170, 196, 201 

Good Shepherd Home 248 

Governor’s Office Elderly Affairs 1, 151 

Great Lakes Inter-Tribal Council, Inc. 156 

Great Lakes Inter-Tribal Council, Inc. 133 

Greater Miami Jewish Federation 218 

Guam Department of Integrated Services for Individuals with Disabilities 25 

Guam Department of Public Health and Social Services 181 

Gulf Coast Jewish Family Services, Inc. 40, 45 

Haddington Multi Services for Older Adults, Inc. 249 

Hana Community Health Center, Inc. 91 

Hardy County Committee on Aging, Inc 237 

Hawaii State Executive Office on Aging 26, 162 

Hawkeye Valley Area Agency on Aging 118 

Hearth and Home Senior Adult Day Healthcare Center 239 

Hospice Institute of Florida Suncoast 100 

IAAAA Education Institute, Inc. 135, 159 

Idaho Commission on Aging 69, 137, 146, 177 

Idaho Department of Health and Welfare 26 

Idaho Legal Aid Services, Inc. 113 

Illinois Department of Public Health 83 

Illinois Department on Aging 16, 94, 187, 192 

Indiana Division of Disability, Aging & Rehabilitative Services 18, 82, 203 

Inter-Tribal Council of Arizona, Inc 183 
Index of Grantee Organizations 

iii

Iowa Department of Elder Affairs 12, 74, 132, 164, 192 197, 200, 211, 261 

Iowa State University of Science & Technology 212 

Jamestown S’klallam Tribe 91 

Jewish Association of Services for the Aged 257 

Jewish Community Federation of Cleveland 255 

Jewish Family & Child Service 247 

Jewish Family & Children’s Service of Greater Boston 38, 233 

Jewish Family & Children’s Service of Greater Mercer County 253 

Jewish Family and Children’s Service of Greater Philadelphia 210 

Jewish Family and Children’s Service of Minneapolis 221 

Jewish Family & Children’s Service of Sarasota-Manatee 228 

Jewish Family & Children’s Service of Southern Arizona 228 

Jewish Family Service Agency of Central New Jersey 253 

Jewish Family Service of Buffalo and Erie County 230 

Jewish Family Service of the Cincinnati Area 254 

Jewish Family Service of Greater Clifton - Passaic 256 

Jewish Family Service of Los Angeles 221 

Jewish Family Service of New Mexico 224 

Jewish Family Service of Rochester, Inc. 231 

Jewish Family Service of Sacramento 250 

Jewish Family Service of Salt Lake City 247 

Jewish Family Service of San Diego 254 

Jewish Family Service of Seattle 229 

Jewish Family Service of Tidewater, Inc. 227 

Jewish Family Services, Inc. of Richmond, VA 226 

Jewish Family & Vocational Service of Middlesex County 136, 138, 171 

Jewish Federation of Atlantic & Cape May Counties 226 

Jewish Federation of Greater Atlanta, Inc. 219 

Jewish Federation of Greater Des Moines 256 

Jewish Federation of Greater Indianapolis 229 

Jewish Federation of Greater Washington 220 

Jewish Federation of Las Vegas 218 

Jewish Federation of Metropolitan Chicago 217 

Jewish Federation of Metropolitan Detroit 219 

Jewish Federation of Ocean County 232 

Jewish Federation of Southern New Jersey 255 

Jewish Federation of St. Louis 210 

Jewish Seniors Agency of Rhode Island 230 

Kansas Department on Aging 27, 64, 181 

Kenosha County Department of Human Services 45 

Kentucky Association of Senior Service Corps 138 

Kentucky Cabinet for Health and Family Services 27, 68, 205 

Lapeer Regional Hospital 234 

Latino Education Project, Inc 184 

Legal Aid Bureau, Inc. 111 

Legal Aid of Nebraska 117 

Legal Counsel for the Elderly 110, 148, 173 

Legal Services for the Elderly 111, 115, 126 

Legal Services of North Dakota 162 

Legal Services of Northern California 130 

Lieutenant Governor’s Office on Aging 4, 197 

Lifespan of Greater Rochester - Rochester, NY 225 

Little Havana Activities & Nutrition Centers of Dade Co. 52 

Loretto Independent Living Services 248 

Louisiana Governor’s Office of Elderly Affairs 74 

Madlyn and Leonard Abramson Center for Jewish Life 243 

Maine Department of Health and Human Services 10, 78, 147, 177 

Maine Hospice Council, Inc. 239 

Maryland Department of Aging 3, 84, 153 

Meals On Wheels Association of America 51, 242 

Mecklenburg County Department of Social Services 214 
Index of Grantee Organizations 

iv

Medford Senior Center 245 

Metropolitan Family Services 214 

Michigan Department of Community Health 28, 65, 84 

Minnesota Board on Aging 5, 73, 155, 204 

Minnesota Senior Federation 127 

Mississippi Department of Human Services 29, 155 

Mississippi Department of Mental Health 67 

Missouri Department of Health and Senior Services 77 

Missoula Aging Services (Area Agency on Aging) 152, 172 

Monroe County Opportunity Program, Inc 183 

Montana Department of Public Health and Human Services 9, 85 

Mt. Airy Bethesda Manor, Inc. 252 

Multi-Service Center, WA 182 

Multnomah County Department of Human Services 167 

NAHB Research Center, Inc. 207 

National Alliance for Caregiving 108 

National Asian Pacific Center on Aging 60 

National Association of Area Agencies on Aging 50, 107 

National Association of State Units on Aging 102, 108, 117, 206 

National Caucus & Center on Black Aged, Inc. 59 

National Citizen’s Coalition for Nursing Home Reform 119 

National Consumer Law Center 120, 123 

National Council on the Aging 56, 62, 88 

National Family Caregivers Association 105 

National Hispanic Council on Aging 131, 144, 169 

National Indian Council on Aging, Inc 59, 225 

National Senior Citizens Law Center 122, 124 

Nebraska Department of Health and Human Services 68, 161 

Neighborhood Centers, Inc. 53 

Nevada Health and Human Services, Division for Aging Services 29, 79 

Nevada Office of the Attorney General 152 

New Courtland Elder Services 241 

New Hampshire Department of Health and Human Services 160 

New Hampshire Legal Assistance 129 

New Jersey Department of Health and Senior Services 6, 87, 96, 205 

New Mexico Aging & Long-Term Services Dept. (State Agency on Aging) 13, 82, 146, 168 

New York State Office for the Aging 65, 85, 119, 159, 189, 193, 198 

Normandale Ministry for Healing and Wholeness 97 

North Carolina Department of Health and Human Services 14, 78, 186, 190, 193, 198, 202 

North Carolina Department of Insurance 154 

North Central Area Agency on Aging, Inc 56 

North Dakota State Department of Human Services 71 

Northern Mariana Islands Dept. of Community & Cultural Affairs 12 

Northern Michigan University 223 

Northwest Justice Project 129 

Oakwood Lutheran Homes Association, Inc. 233 

Ohio Department of Aging 30, 99, 188, 191, 195, 199 

Oklahoma Department of Human Services 67, 201 

Oklahoma Insurance Department 144, 179 

Olde Kensington Redevelopment Corporation 236 

Oneida Tribe of Indians of Wisconsin 89 

Oregon Department of Human Services 172 

Owl, the Voice of Midlife and Older Women 125 

Partners in Care Foundation, Inc. 54 

Pennsylvania Department of Aging 64, 203 

Pennsylvania Department of Executive Offices 21 

Pennsylvania State University 102 

Pennsylvania Occupational Therapy Association 236 

Pension Rights Center 128 

Philadelphia Corporation for Aging 52, 92 

Pima Council on Aging 94 
Index of Grantee Organizations 

v

Pro Seniors, Inc. 140, 176 

Puerto Rico Office of the Ombudsman for the Elderly 70, 134, 174 

Rebuilding Together, Inc. 207 

Rhode Island Department of Elderly Affairs 8, 81, 187, 194 

Saint Louis County Government 209 

San Mateo County, Aging and Adult Services 39, 46 

Senior Service Centers of the Albany Area, Inc. 55, 99 

Senior Services, Inc. 259 

Senior Services of Seattle/King County 42, 47, 57 

SeniorLAW Center 114 

Seniors and People with Disabilities 147 

Sephardic Community Center 250 

Shaw Jewish Community Center of Akron 242 

Sheltering Arms Senior Services 58 

Shenandoah Area Agency on Aging, Inc. 244 

South Carolina Centers for Equal Justice 112 

South Carolina Office of Lieutenant Governor 158 

South Dakota State Department of Social Services 72 

Southcare Nursing Center, Inc. 217 

Southeast LA Legal Services Corp. 130 

Southern Maine Agency on Aging 55 

St. Andrews Resources for Seniors 92 

State Board of Agriculture Acting by & thru Colorado State University 66 

Stetson University College of Law 234 

Suburban Area Agency on Aging 136, 166 

Tennessee Commission on Aging and Disability 31, 80 

Texas Department of Aging and Disability Services 32, 86 

Texas Legal Services Center, Inc. 128 

Texas Tech University Health Sciences Center 208 

UJA Federation of Northern New Jersey 232 

United Cerebral Palsy of Southern Arizona 95 

United Jewish Communities of MetroWest, New Jersey 227 

United Jewish Federation of Greater Pittsburgh 220 

University of Alabama 125 

University of Alaska Anchorage 62 

University of Denver (Colorado Seminary) 97 

University of Hawaii At Manoa 98 

University of Indianapolis 216 

University of Massachusetts Boston 126 

University of Missouri 260 

University of New Hampshire 11 

University of North Dakota 61 

University of South Florida 223 

University of Southern California 103 

University of Wisconsin - Milwaukee 258 

University of Wyoming 36 

Upper Cumberland Development District 139, 175 

Utah Department of Human Services 69, 246 

Utah Legal Services, Inc. 156 

Vermont Department of Disabilities, Aging & Independent Living 33, 71, 249 

Vermont Legal Aid, Inc. 116 

Vernon Council on Aging, Inc. 157 

Via Christi Foundation, Inc. 158 

Virgin Islands Department of Human Services 182 

Virginia Association of Area Agencies on Aging 141, 179 

Visiting Nurse Association Healthcare Partners of Ohio 222 

Visiting Nurse Service of New York 50 

Washington State Department of Social & Health Services 35, 86 

Washington State, Office of the Insurance Commissioner 145, 174 

Wasilla Area Seniors Inc. 257 

West Virginia Bureau of Senior Services 2, 66, 87 
Index of Grantee Organizations 

vi

Wexner Heritage Village 245 

Wisconsin Department of Health and Family Services 17, 80 

Women’s Institute for a Secure Retirement 51 

Wyoming State Department Of Health 72, 154