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 2006
Compendium of Active Grants FY 2006 

 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 2006 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 43 

Alzheimer’s Disease Social Research Project 43 

Eldercare Locator Program and the National Aging Information & Referral 44 

Livable Communities Initiative 44 

Retirement Planning and Assistance for Women 45 

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

Program Page 

 

Evidence Based Prevention Program 45

Health Disparities among Minority Elders -Technical Assistance Center 60

 Nutrition, Physical Activity and Aging - National Resource Center 65 

Older Indians National Resource Centers 65 

 

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) 68 

 Family Friends 89 

National Family Caregivers Support Program 89 

 Educating State Legislators about Caregiver Support 91 

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

exploitation. 

Program Page 

 Legal Assistance and Technical Projects 91 

 National Center on Elder Abuse 96 

 National Consumer Protection Technical Resource Center 96 

 National Long-term Care Ombudsman Program 97 

National Legal Assistance and Elder Rights 98 

 Pension Information Counseling Projects 100

 Pension Technical Assistance Project 103 

 Senior Legal Services - Enhancement of Access 104 

 Senior Medicare Patrol Program Integration 109 

 Senior Medicare Patrol Project 125 

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

resources and grant funds. 

Program Page 

 Performance Outcomes Measures Project 173 

 Planning Grants Project 189 

 Choices for Independence 194 

Systems-building in State Family Caregiver Support and Promotion Programs 194 

Congressional Mandates Page 

 Congressional directed funding of special projects for specific purposes 195 
FY2006 Compendium - Page 1 of 240 

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 

Program: Aging and Disability Resource Center

Governor's Office Elderly Affairs

PO Box 61

90AM2753 Aging and Disability Resource Center
FY2006 Compendium - Page 2 of 240 

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 

Program: Aging and Disability Resource Center

WEST VIRGINIA BUREAU OF SENIOR SERVICES

90AM2754 Aging and Disability Resource Center
FY2006 Compendium - Page 3 of 240 

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 

Program: Aging and Disability Resource Center

MARYLAND DEPARTMENT OF AGING

90AM2755 Aging and Disability Resource Center
FY2006 Compendium - Page 4 of 240 

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 

Program: Aging and Disability Resource Center

Lieutenant Governor's Office on Aging

90AM2756 Aging and Disability Resource Center
FY2006 Compendium - Page 5 of 240 

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 

Program: Aging and Disability Resource Center

MINNESOTA BOARD ON AGING

PO Box 64976

90AM2757 Aging and Disability Resource Center
FY2006 Compendium - Page 6 of 240 

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 

Program: Aging and Disability Resource Center

NEW JERSEY DEPARTMENT OF HEALTH & SENIOR SERVICES

Division of Aging & Community Services

90AM2759 Aging and Disabilty Resource Center
FY2006 Compendium - Page 7 of 240 

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 was developed and utilized by a team of intake workers from community partners, 

who provided comprehensive and coordinated information, referral and case management. Community service partners 

were 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 

Program: Aging and Disability Resource Center

Massachusetts Executive Office of Elder Affairs

Policy and Program Development

90AM2760 Aging and Disability Resource Center
FY2006 Compendium - Page 8 of 240 

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 

Program: Aging and Disability Resource Center

RHODE ISLAND DEPARTMENT OF ELDER AFFAIRS

John O. Pastore Complex

90AM2761 Aging and Disability Resource Center
FY2006 Compendium - Page 9 of 240 

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 

Program: Aging and Disability Resource Center

Department of Public Health & Human Services

90AM2762 Aging and Disability Resource Center
FY2006 Compendium - Page 10 of 240 

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 

Program: Aging and Disability Resource Center

MAINE DEPARTMENT OF HEALTH & HUMAN SERVICES

Office of Elder Services

90AM2763 Aging and Disability Resource Center
FY2006 Compendium - Page 11 of 240 

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; and 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 

Program: Aging and Disability Resource Center

UNIVERSITY OF NEW HAMPSHIRE

Office of Sponsored Research

90AM2764 Aging and Disability Resource Center Project

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

FY 2007

396,631

48,000

85,000

200,000

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

Program: Aging and Disability Resource Center

ARKANSAS DEPARTMENT OF HUMAN SERVICES

90AM2820 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 12 of 240 

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

FY 2007

400,000

85,000

200,000

510 East 12th Street - Suite #2 200 10th Street

Program: Aging and Disability Resource Center

STATE OF IOWA

Iowa Department of Elder Affairs

90AM2821 Aging and Disability Resource Center Initiative

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 consumers 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2007

100,000

75,000 Caller Box 10007 

Program: Aging and Disability Resource Center

NORTHERN MARIANA ISLANDS DEPT OF COMM & CULTURAL AFFAIR

90AM2822 Aging & Disability Resource Center
FY2006 Compendium - Page 13 of 240 

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 providing assistance with 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

FY 2007

399,450

48,000

85,000

191,000

2550 Cerrillos Road 

Program: Aging and Disability Resource Center

New Mexico Aging and Long-Term Services Department

90AM2823 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 14 of 240 

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 - A 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

FY 2007

400,000

48,000

85,000

200,000

2101 Mail Service Center 

Program: Aging and Disability Resource Center

NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

90AM2824 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 15 of 240 

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

FY 2007

399,999

48,000

85,000

200,000

9th Floor 

Program: Aging and Disability Resource Center

GEORGIA DEPARTMENT OF HUMAN RESOURCES

Two Peachtree Street, NW

90AM2825 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 16 of 240 

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

FY 2007

400,000

48,000

85,000

200,000

421 East Capitol Avenue, Suite 100 

Program: Aging and Disability Resource Center

Illinois Department on Aging

90AM2826 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 17 of 240 

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 by 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. 

Products: 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

FY 2007

400,000

85,000

200,000

P.O. Box 7851 Room 450

Program: Aging and Disability Resource Center

WISCONSIN DEPARTMENT OF HEALTH AND FAMILY SERVICES

1 West Wilson Street

90AM2827 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 18 of 240 

Indianapolis, IN 46204

Contact: Natalie Angel (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; and 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

FY 2007

389,405

48,000

84,744

200,000

402 West Washington St. MS-21

Program: Aging and Disability Resource Center

DISABILITY, AGING AND REHABILITATIVE SERVICES

90AM2828 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, with both private pay and public pay individuals referred by 

physicians and other professionals. Resource Centers will have the ability to 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

FY 2007

399,999

83,724

200,000

1300 National Drive, Suite 200 

Program: Aging and Disability Resource Center

STATE OF CALIFORNIA - DEPARTMENT OF AGING

90AM2829 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 19 of 240 

Tallahassee, FL 32399-7000

Contact: Sandi Smith (850)414-2000

Florida will develop and implement Resource Centers in 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 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 - ADRC 

customers express satisfaction with ease of accessing Resource Center services; responsiveness - 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) by 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

FY 2007

399,973

48,000

85,000

200,000

4040 Esplanade Way, Suite 280 

Program: Aging and Disability Resource Center

FLORIDA DEPARTMENT OF ELDER AFFAIRS

90AM2830 Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 20 of 240 

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

FY 2007

399,791

200,000 PO Box 101020 

Program: Aging and Disability Resource Center

ALASKA HOUSING FINANCE CORPORATION

90AM2831 Alaska's Aging and Disabilities Resource Center
FY2006 Compendium - Page 21 of 240 

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; and 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 

Program: Aging and Disability Resource Center

Department of Executive Offices

Commonwealth of PA, Ofc. of Health Care Reform

90AM2919 Aging and Disability Resource Center
FY2006 Compendium - Page 22 of 240 

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 a 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 to 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; and 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

Program: Aging and Disability Resource Center

Alabama Department of Senior Services

State Unit on Aging

90AM2993 Alabama Aging and Disability Resource Centers
FY2006 Compendium - Page 23 of 240 

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

Program: Aging and Disability Resource Center

Arizona Department of Economic Security

Aging & Adult Administration

90AM2994 Arizona Aging & 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 site. The ADRC 

will be implemented by developing an online 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 

Program: Aging and Disability Resource Center

COLORADO DEPARTMENT OF HUMAN SERVICES

90AM2995 Colorado State Unit on Aging Application for the Aging and Disability Resource Center
FY2006 Compendium - Page 24 of 240 

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 

Program: Aging and Disability Resource Center

District of Columbia, Department of Health (DOH)

Medical Assistance Administration (MAA)

90AM2996 DC Aging and Disability Resource Center
FY2006 Compendium - Page 25 of 240 

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

Program: Aging and Disability Resource Center

GUAM DEPARTMENT OF INTEGRATED SERVICES FOR

Individuals With Disabilities

90AM2997 Community Choice Resource Center Network
FY2006 Compendium - Page 26 of 240 

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 

Program: Aging and Disability Resource Center

EXECUTIVE OFFICE ON AGING

State of Hawaii Department of Health

90AM2998 Hawaii 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 

Program: Aging and Disability Resource Center

IDAHO DEPARTMENT OF HEALTH AND WELFARE

90AM2999 Community-based Aging and Disability Resource Center
FY2006 Compendium - Page 27 of 240 

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 

Program: Aging and Disability Resource Center

KANSAS DEPARTMENT ON AGING

90AM3000 Aging and Disability Resource Center

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 

Program: Aging and Disability Resource Center

KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES

Aging Services

90AM3001 Aging and Disability Resource Center Grant Initiative
FY2006 Compendium - Page 28 of 240 

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 

Program: Aging and Disability Resource Center

Michigan Department of Community Health

90AM3002 Aging and Disability Resource Center
FY2006 Compendium - Page 29 of 240 

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 

Program: Aging and Disability Resource Center

Mississippi Department of Human Services

Division of Aging

90AM3003 Aging and Disability Resource Center

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 and housing, and will 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 

Program: Aging and Disability Resource Center

State of Nevada

Health and Human Services

90AM3004 Nevada Long-Term Care Connection
FY2006 Compendium - Page 30 of 240 

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 

Program: Aging and Disability Resource Center

Ohio Department of Aging

90AM3005 Building Seamless Entry Points for Consumers: Establishing Aging and Disability Resource Centers for Ohio
FY2006 Compendium - Page 31 of 240 

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 bring 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 

Program: Aging and Disability Resource Center

Tennessee Commission on Aging and Disability

90AM3006 Aging and Disability Resource Center Grant Initiative
FY2006 Compendium - Page 32 of 240 

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 

Program: Aging and Disability Resource Center

Texas Department of Aging and Disability Services

Access and Intake

90AM3007 Texas Aging and Disability Resource Centers Program
FY2006 Compendium - Page 33 of 240 

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 

Program: Aging and Disability Resource Center

Vermont Department of Disabilities, Aging &

Independent Living

90AM3008 Vermont Aging & Disability Resource Center (ADRC) Program
FY2006 Compendium - Page 34 of 240 

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 

Program: Aging and Disability Resource Center

Commonwealth of Virginia

Department for the Aging

90AM3009 Aging and Disability Resource Center Grant Initiative
FY2006 Compendium - Page 35 of 240 

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 

Program: Aging and Disability Resource Center

WA DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Aging and Disability Services

90AM3010 Washington State Aging and Disability Resource Center Initiative
FY2006 Compendium - Page 36 of 240 

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, and 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 

Program: Aging and Disability Resource Center

UNIVERSITY OF WYOMING

Wyoming Insitute for Disabilities

90AM3011 Wyoming Aging and Disability Resource Center
FY2006 Compendium - Page 37 of 240 

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. 

Program: Aging Services Network Integrated Care Management Grants Program

Jewish Family and Children's Service

Senior Services

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

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 

Program: Aging Services Network Integrated Care Management Grants Program

Eric County Department of Senior Services

90AM2891 Partnership for Fall Prevention
FY2006 Compendium - Page 38 of 240 

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 allowed 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 was 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 

Program: Aging Services Network Integrated Care Management Grants Program

BENJAMIN ROSE INSTITUTE

90AM3041 Care Consultation Results in More Effective Utilization and Patient/Caregiver Psychosocial

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 Managed Care Initiative later expanded 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 

Program: Aging Services Network Integrated Care Management Grants Program

Chinese American Service League, Inc.

Elderly Services Department

90AM3042 Managed Care Initiative - Access to Benefits for Chinese-Speaking Elderly
FY2006 Compendium - Page 39 of 240 

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 

Program: Aging Services Network Integrated Care Management Grants Program

Kenosha County Department of Human Services

Division of Aging

90AM3043 Falls Prevention and Chronic Disease Management: From Evidence to Action

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 was 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 

Program: Aging Services Network Integrated Care Management Grants Program

Gulf Coast Jewish Family Services, Inc.

90AM3044 Pasco-Pinellas Long-Term Care Partnership
FY2006 Compendium - Page 40 of 240 

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 was 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; and 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 

Program: Aging Services Network Integrated Care Management Grants Program

SAN MATEO COUNTY

90AM3045 San Mateo County Aging and Adult Services Integrated Information

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 was 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), and 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

Program: Aging Services Network Integrated Care Management Grants Program

Area Agency on Aging 10B, Inc.

90AM3046 Integration of Medicare Managed Care and CBLTC (Community Based Long-Term Care)
FY2006 Compendium - Page 41 of 240 

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 was 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) a social services model with a competitive

capitation rate for health and wellness services; 2) increase in client referrals from Group Health; and 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 

Program: Aging Services Network Integrated Care Management Grants Program

SENIOR SERVICES OF SEATTLE/KING COUNTY

90AM3047 Health Enhancement Program

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 expanded 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 

Program: Aging Services Network Integrated Care Management Grants Program

Atlanta Regional Commission

90AM3048 Access Atlanta
FY2006 Compendium - Page 42 of 240 

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 was 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 

Program: Aging Services Network Integrated Care Management Grants Program

CITY OF INGLEWOOD

90AM3049 Provide "Be Well" Fitness and Nutrition Classes to Seniors with Chronic Diseases

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 requested funding for the first year of what is 

meant to be a self-sustaining 3-year project. During year 1, the partners developed 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 

Program: Aging Services Network Integrated Care Management Grants Program

Alzheimer's Disease & Related Disorders Association of

Los Angeles

90AM3050 Healthcare Partners-Alzheimer's Association Dementia Care Project
FY2006 Compendium - Page 43 of 240 

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 for 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: 08/01/2003 - 07/31/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

993,500

1,001,177

979,104

977,130

963,500

225 N. Michigan Avenue, 17th Floor 

Program: Alzheimer's National Call Center

ALZHEIMER'S DISEASE AND RELATED DISORDERS

ASSOCIATION, INC.

90AZ2766 National Alzheimer's Call Center

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 brain's 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 

Program: Alzheimers Disease Social Research Project

AGING IN NEW YORK FUND, INC.

90AZ2791 Alzheimer's Disease Social Research Project
FY2006 Compendium - Page 44 of 240 

Washington, DC 20036

Contact: Helen M Eltzeroth (202)872-0888

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 - 07/31/2010

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

1,174,979

1,374,937

1,174,937

1,201,230

812,176

1730 Rhode Island Avenue, NW, Suite 1200 

Program: Eldercare Locator Program and the National Aging Information & Referral

NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING

90AM2746 The Eldercare Locator Program & the National Aging Information & Referral Support Center

New York, NY 10021

Contact: Penny Feldman (212)609-1531

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 

Program: Livable Communities Initiative

VISiTING NURSE Service of New York

Center for Home Care Policy and Research

90AM2903 Livable Communities for All Ages:Identifying Leading Models & Best Practice
FY2006 Compendium - Page 45 of 240 

Washington, DC 20036

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 - 09/29/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

248,376

248,376

248,376

248,376

1146 19th Street, NW Suite 700 

Program: Retirement Planning and Assistance for Women

WOMENS' INSTITUTE FOR A SECURE RETIREMENT

90AM2801 Center to Educate Women About Retirement Security

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 

Program: Evidence Based Prevention Program

PHILADELPHIA CORPORATION FOR AGING

90AM2773 Chronic Disease Self-Management with African-American Urban Elders
FY2006 Compendium - Page 46 of 240 

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 

Program: Evidence Based Prevention Program

LITTLE HAVANA ACTIVITIES & NUTRITION CENTERS OF DADE CO

90AM2774 Preventive Nutrition Education Cardiovascular Disease Program

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 

Program: Evidence Based Prevention Program

NEIGHBORHOOD CENTERS INC.

90AM2776 Activity Centers for Seniors - Evidence Based Prevention
FY2006 Compendium - Page 47 of 240 

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 propose 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 seven percent weight loss and at least 150 minutes of physical activity per 

week during the first year and maintain these changes for two 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 

Program: Evidence Based Prevention Program

ALAMO AREA COUNCIL OF GOVERNMENTS

90AM2777 Evidence-Based Prevention Program: Nutrition

San Fernando, CA 91340

Contact: W. June Simmons (818)837-3775

Partners In Care Foundation will conduct a three-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 three senior centers and at least two 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 

Program: Evidence Based Prevention Program

PARTNERS IN CARE FOUNDATION, INC

90AM2778 A Community-Based Medication Management Intervention
FY2006 Compendium - Page 48 of 240 

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 

Program: Evidence Based Prevention Program

CITY OF LOS ANGELES DEPARTMENT OF AGING

90AM2779 Active Start! Increasing Physical Activity Among Sedentary Older Adults in Los Angeles

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 (MOB/VLL). This will reduce the cost of the intervention, allowing MOB/VLL 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 MOB/VLL 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 

MOB/VLL intervention will be: reduced fear of falling; increased falls self-efficacy; and increased activity in community 

dwelling older adults. The MOB/VLL 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 

Program: Evidence Based Prevention Program

SOUTHERN MAINE AGENCY ON AGING

90AM2780 A Matter of Balance: A Volunteer Lay Leader Model
FY2006 Compendium - Page 49 of 240 

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 

Program: Evidence Based Prevention Program

SENIOR SERVICE CENTERS OF THE ALBANY AREA, INC.

90AM2781 "Women Take PRIDE in Managing Heart Disease"

Hartford, CT 06106-5129

Contact: Robin Harper-Gulley (860)724-6443

The goal of this three-year project is to embed a sustainable evidence-based fall prevention strategy within greater 

Hartford senior centers by enhancing fall prevention-related knowledge and behaviors 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 

Program: Evidence Based Prevention Program

NORTH CENTRAL AREA AGENCY ON AGING, INC

90AM2782 Evidence-Based Fall Prevention Services in Senior Centers
FY2006 Compendium - Page 50 of 240 

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 

Program: Evidence Based Prevention Program

NATIONAL COUNCIL ON THE AGING

90AM2793 Evidence-Based Prevention Programs-National Resource Center

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 three-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 ages 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 three 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 

Program: Evidence Based Prevention Program

AREA AGENCY ON AGING OF WESTERN MICHIGAN

90AM2810 Improving Self Management of Chronic Disease in the Elderly
FY2006 Compendium - Page 51 of 240 

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 

three-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 

Program: Evidence Based Prevention Program

ELDERS IN ACTION

90AM2811 Healthy Changes: A Community-Based Diabetes Education Program

Houston, TX 77025

Contact: Jane Bavineau (713)685-6506

The overall goal of this three 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 symptoms 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 

Program: Evidence Based Prevention Program

SHELTERING ARMS SENIOR SERVICES

90AM2812 Healthy Ideas: Evidenced-Based Disease Self-Management for Depression
FY2006 Compendium - Page 52 of 240 

Madison, WI 53708-7850

Contact: Gail Schwersenska (608)266-7803

The Wisconsin Department of Health and Family Service's Divisions of Disability and Elder Services and Public Health 

(Arthritis Program, Diabetes Prevention and Control Program, and Injury Prevention Program), in collaboration with four 

AAAs, local county/tribal aging agencies, public health departments, health care providers, and the Wisconsin Medical 

Society are collaborating to accomplish the following goals and objectives. The primary goal is to develop state

infrastructure to support evidence-based prevention programs that feature the widespread availability of Chronic Disease 

Self-Management (CDSMP) and Fall Prevention (Stepping On) workshops. These sessions will empower adults 60 years 

and older to carry out healthy behaviors that reduce the risk for chronic conditions, improve self-management of 

diseases and conditions, reduce risk and fear of falls, and increase quality of life. Objectives are to: 1) promote 

self-management of chronic conditions through the CDSMP by building and enhancing the existing infrastructure; 2) 

develop and provide culturally competent CDSMP for Hispanic and Native American populations; 3) implement Stepping 

On in at least one planning service area; 4) evaluate program infrastructure, and monitor workshop fidelity; and 5) design 

a network to increase program awareness, and disseminate material. Expected outcomes are: 1) 116 additional active 

trainers, health professionals and lay leaders; and, 2) an additional 1,700 older persons will attend CDSMP sessions and 

560 older persons will attend Stepping On sessions.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 1 West Wilson Street PO Box 7850

Program: Evidence Based Prevention Program

Wisconsin Department of Health and Family Services

Health and Family Services

90AM3111 Living Well in Wisconsin

Springfield, IL 62761

Contact: Thomas J Schafer (217)782-3300

The Illinois Department of Public Health, in partnership with the Department on Aging, proposes to implement 

evidence-based disease prevention programs for older adults. The goal is to provide the Chronic Disease 

Self-Management Program (CDSMP) and the Strong for Life (SFL) exercise program to persons over age 60 through 

community-level, not-for-profit aging services provider organizations. The objectives are: 1) to begin implementing the 

CDSMP in three, and the SFL program in one, Planning and Service Area (PSA) as defined by the Older Americans Act, 

through AAAs; 2) to begin developing the infrastructure and partnerships necessary to effectively embed these programs 

for the elderly within statewide systems of health and long-term care; 3) to promote and refer to clinical preventive 

services through these programs; 4) to evaluate the efforts and monitor the fidelity of each program; and 5) to 

disseminate the results and findings. The expected long-term outcomes will be: the potential for improving the quality of 

life for older people; reducing older people's risk of disease, disability and injury; helping older people to make lifestyle 

and behavioral changes; reducing the use and cost of health care over time; and the increased availability and 

accessibility of evidence-based programs for older persons at the community-level.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 535 West Jefferson 

Program: Evidence Based Prevention Program

Illinois Department of Public Health

Office of Health Promotion

90AM3112 IL: Empowering Older People To Take More Control of Their Health
FY2006 Compendium - Page 53 of 240 

Oklahoma City, OK 73125

Contact: Beth Batman (405)521-2907

The Oklahoma Department of Human Services Aging Services Division, in partnership with the State Department of 

Health, will develop and implement the Living Longer, Living Stronger project for persons 60 years and older in four rural 

regions. The partnership includes AAAs, aging services nonprofit providers, the Chickasaw Nation, and others within the 

collaborative network. The goal of the project is to increase the quality of life and decrease the complications of arthritis, 

heart disease, stroke, and obesity among persons residing in Oklahoma by providing the EnhanceFitness and Chronic 

Disease Self Management Programs. 

The project objectives are to: 1) develop and sustain quality implementation of two evidenced-based health prevention 

programs for individuals 60 years of age and above; 2) improve collaboration in providing services among health, public 

health, and aging services network agencies at the state and local level; and

3) evaluate the program, document activities, and disseminate the results.

Project outcomes are to: 1) provide evidenced-based health prevention programs to 2,800 individuals over 60; 2) 

develop over 100 permanent program sites over three years; 3) improve health outcomes among 80% of participants; 

and 4) sustain the program once federal funding ends. The Oklahoma Project will produce an interagency advisory 

committee; a final report; marketing materials; articles for publication; data reflecting participants in Oklahoma; models 

for rural and tribal regions; and abstracts and workshops for national conferences.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 2400 North Lincoln Blvd. State Capitol Complex - Sequoyah Building

Program: Evidence Based Prevention Program

Oklahoma Department of Human Services

Aging Services

90AM3113 Living Longer, Living Stronger: The Oklahoma Project

Austin, TX 78751

Contact: Michael P Wilson (512)438-5471

The State of Texas, through the Department of Aging and Disability Services and the Department of State Health 

Services, under the umbrella of "Aging Texas Well," and in cooperation with the Bexar AAA, the Brazos Valley AAA and 

Neighborhood Centers Inc., propose to expand regional public/private evidence-based health promotion to help seniors 

take control of their lives and reduce their risk of disease and disability. The goal is to create a focal point at the state 

level for evidence-based programs under the Aging Texas Well (ATW) Initiative and expand the scope of these 

programs through the faith-based community, in rural areas, and non-traditional partnerships. The planned interventions 

are the Chronic Disease Self-Management Program, the Matter of Balance fall prevention program, and EnhanceFitness.

The objectives are: (1) to develop a foundation of knowledge of the risks associated with chronic disease and the

benefits of a healthier lifestyle; (2) to help older persons learn to take responsibility for day to-day self management of 

their disease; (3) to increase awareness of local resources for a healthier lifestyle; (4) to reduce the burden of chronic 

illness across the participating regions of Texas; (5) to incorporate a more comprehensive approach to chronic disease

management as part of ATW; and (6) to disseminate project information at the conclusion of the grant term. The 

outcomes will be: improved self-efficacy (for chronic disease management), improved self-reported health status and 

symptom management, improved health behaviors, reduced utilization of healthcare resources, and stronger community 

resources to support non-medical chronic disease management.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 701 W. 51st St. 

Program: Evidence Based Prevention Program

Texas Department of Aging and Disability Services

Policy Analysis and Support- Mail Code W-578

90AM3114 Texas Healthy Lifestyles
FY2006 Compendium - Page 54 of 240 

Salem, OR 97301-1076

Contact: Lee A Girard (503)947-1199

The Oregon Dept. of Human Services, Seniors & People with Disabilities and the Dept. of Human Services, Health 

Promotion, and Chronic Disease Prevention propose to implement an evidence-based (EB) disease prevention initiative 

with the goal of promoting health and independence of community-living older adults in four diverse areas in Oregon. 

The interventions: Tai Chi and the Chronic Disease Self-Management Program will promote active self-management of 

chronic conditions, promote physical activity, and reduce falls. The objectives are to: 1) reach at-risk seniors with EB 

programs through new and expanded partnerships between aging, health, private, and public agencies; 2) maintain 

fidelity to the design and research outcomes associated with the selected interventions; 3) increase awareness and use

of EB health promotion programs focused on older adults; and 4) develop systems that can be used in sustaining, 

replicating, and expanding the use of such programs in Oregon. The anticipated outcomes are: new and expanded 

community partnering to offer EB to at risk older adults; increased participation by high risk older adults in EB programs 

to impact chronic disease self-management, physical activity, and falls prevention; and expansion of the three projects to 

additional counties, as a result of dissemination efforts. Products: final report, including data on participation & reach, and 

systems development; articles that may be written about the project; logic model for implementation of each program. 

Abstracts for any conference presentations on the project.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 500 Summer St. NE, E-10 

Program: Evidence Based Prevention Program

Dept. of Human Services, Seniors People w/ Disabilities

90AM3115 Evidence-Based Prevention Programs for Older Adults in Oregon

Trenton, NJ 08625-0000

Contact: Geraldine Mackenzie (609)943-3499

The NJ Dept. of Health and Senior Services (DHSS) proposes to develop statewide capacity for local delivery of 

low-cost, evidence-based disease prevention programs (EBDPP). The grant will build upon NJ's model for healthy aging, 

which is based upon leadership and coordination within the Area Agency on Aging, program delivery through local 

community-based providers, and strategic partnerships with public health & other health care providers to assure the 

quality of health-related activities. Year 1 goal: empower seniors to reduce modifiable risk factors for disease and 

disability by establishing the infrastructure to effectively deliver the Chronic Disease Self-Management Program 

(CDSMP) in Atlantic, Cape May and Warren Counties, and the Healthy IDEAS program in Essex and Union Co. 

Objectives include: 1) establishing local partnerships for service delivery; 2) certifying master trainers and class leaders 

for CDSMP; 3) developing and delivering training for Healthy IDEAS; 4) implementing programs and integrating them 

into the counties' service delivery system; and 5) conducting a comprehensive evaluation. In addition, state level intra 

and inter-departmental partnerships will establish CDSMP in related networks, including Medicaid, Disabilities and 

Chronic Disease Services. Outcomes will be achieved on three levels: 1) participants will be empowered to better

manage their chronic diseases through skill development and enhanced self-confidence; 2) the local service delivery

system will have strengthened provider relationships and integrated delivery of EBDPP; and 3) the state will have a more 

fully developed model to support healthy aging statewide. Target audiences are underserved populations, including 

African-Americans, Latinos, frail individuals and those with access barriers. Products include: evaluated templates for 

model replication, reports detailing evaluation outcomes, & written materials distributed electronically via listservs and 

websites. 

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

192,300

192,300 PO Box 360 

Program: Evidence Based Prevention Program

New Jersey Department of Health and Senior Services

NJ Dept. of Health & Senior Services

90AM3116 NJ Empowering Older People To Take More Control of Their Health
FY2006 Compendium - Page 55 of 240 

Honolulu, HI 96813-2831

Contact: Shirley Kidani (808)586-7321

Hawaii's Executive Office on Aging (EOA), in partnership with the Department of Health, three of Hawaii's four AAAs 

(Honolulu's Elderly Affairs Division, Hawaii County Office of Aging, Kauai's Agency on Elderly Affairs), and OAA-funded 

service providers and health and research partners in each of these three counties, propose to implement an Healthy 

Aging Partnership-Empowering Elders (HAP-EE) initiative. This project builds on Hawaii`s Healthy Aging Partnership 

(HAP), a broad partnership established in 2003 to improve older adult health by building aging network capacity to 

implement evidence-based (EB) prevention programs in Hawaii's multi-ethnic environment. Since its inception, HAP has 

trained 40 aging network partners in four counties (in needs assessment, EB programming, logic modeling, and 

evaluation), and three of four counties successfully piloted programs to enhance physical activity and healthy eating 

among meal site participants. Our current statewide goals are to: 1) continue building the aging network capacity in EB 

programming; and 2) effectively embed 2 EB programs: Stanford's Chronic Disease Self-Management Program 

(CDSMP) and the EnhanceFitness (EF) Program in our Aging Network. Over 3 years, we will: 1) expand the HAP

Steering Committee and Evaluation Subcommittee; 2) enhance planning and evaluation skills of 40 Aging Network 

partners; 3) develop 30 leaders and/or master trainers for CDSMP and EF; 4) replicate with fidelity CDSMP by five 

OAA-funded providers in Honolulu County, and EF in eight nutrition sites in Hawaii County and six nutrition/recreation 

sites in Kauai County; and 5) engage 460 older adults in EB programs, 180 in CDSMP and 280 in EF.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 No. 1 Capitol District 250 S. Hotel Street, Suite 406

Program: Evidence Based Prevention Program

Executive Office on Aging

Hawaii Department of Health

90AM3117 Healthy Aging Partnership - Empowering Elders (HAP-EE)

Columbia, SC 29201

Contact: Terri Whirrett (803)734-9908

The SC Lt. Governor's Office on Aging and its partner, the Department of Health and Environmental Control will continue 

to provide proven prevention programs with the following goals and objectives: Goal 1) - Increasing the quality and 

years of life for older adults with chronic diseases or fear of falling. The objectives for goal one are to: 1) expand the 

Chronic Disease Self-Management Program (CDSMP) statewide; 2) implement A Matter of Balance fall prevention

program (MOB) in two regions; 3) train additional Group Leaders and Master Trainers; and 4) expand health promotion 

strategies and materials to reach diverse groups, including underserved populations; and 5) continue to evaluate the 

reach, fidelity, and impact of the programs. Goal 2) - Maintaining and expanding the infrastructure of partnerships to 

embed these programs in state health and long-term care systems. The objectives for goal two are to: 1) strengthen and 

expand the local partnership base; 2) provide leadership, consultation, and ongoing support to local partners; 3) sustain 

and expand the commitment of funds and resources from public and private sectors; and 4) strengthen and expand the 

SC Partnership for Healthy Aging. Participant Outcomes: CDSMP participants will report increased self-confidence,

improved health status, and increased self-management behaviors. MOB participants will demonstrate a reduced fear of 

falling and increased mobility. System Outcomes: increased number and reach of evidence-based prevention programs 

for older adults in the state and reductions in health care utilization and costs. 

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 1301 Main Street, Suite 200 

Program: Evidence Based Prevention Program

Lieutenant Governor's Office on Aging

90AM3118 SC: Implementation of Evidence-Based Intervention Programs Statewide
FY2006 Compendium - Page 56 of 240 

Columbus, OH 43215-3363

Contact: Marcus J Molea (614)752-9167

The Ohio Departments of Aging (ODA) and Health (ODH), AAAs and community-based health care and aging service 

organizations are working to build a collaborative infrastructure aimed at improving the health of older Ohioans by 

implementing evidence-based prevention programs at the local level. We are proposing to implement and evaluate 

three different interventions focusing on Chronic Disease Self-Care, Physical Activity, and Fall Prevention in multiple 

regions of the state. In Chronic Disease Self-Care, the Stanford Chronic Disease Self-management Program (CDSMP) 

will be extended to four regions of Ohio. Over the three year period, we will conduct 113 CDSMP courses, reaching 1165 

older adults. Our Physical Activity intervention intends to sustain and expand the Active Living Every Day Program 

(a.k.a. Active for Life) in Southeastern Ohio. Over the three year period, we will conduct 15 Active Living Every Day 

courses, reaching 225 older adults. The Fall Prevention intervention will offer A Matter of Balance/ Volunteer Lay Leader 

program in Cuyahoga County. Over the three year period we will conduct 56 Matter of Balance courses, reaching 420 

older adults. Six regional coalitions have joined ODA and ODH to implement these interventions, including Cleveland 

(PSA 10A), Akron (PSA 10B), Cincinnati (PSA 1), Columbus (PSA 6), Toledo (PSA 4) and Southeastern Appalachian 

Ohio (PSA 8).

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 50 W. Broad Street 9th Floor 

Program: Evidence Based Prevention Program

Ohio Department of Aging

90AM3119 Ohio's Evidence-Based Prevention Program Initiatives

Augusta, ME 04333

Contact: Mary Walsh (207)287-9207

The Office of Elder Services (Maine's State Unit on Aging) submits this proposal with the full commitment of the Maine 

Center of Disease Control and Prevention (the State Health Agency known as the Maine CDCP). Goal: to empower older 

people to take more control of their health and reduce their risk of disease and disability. Objectives: 1) expand access to 

and delivery of four evidence-based prevention programs; 2) expand and develop a network of volunteers trained to 

deliver the Matter of Balance/Volunteer Lay Leaders (MOB/VLL) program and the Chronic Disease Self Management 

Program (CDSMP); 3) develop four new EnhanceFitness sites; 3) expand EnhanceWellness to one new site; and 4) 

further develop the system of communication among health care providers, community service organizations, aging and 

disability resource centers, and the aging and long term care system. Target Population: older people with chronic 

conditions, who could improve their health through participation in these programs. Significant Partners: the Maine 

CDCP; AAAs; MaineHealth's Partnership for Healthy Aging; Aging and Disability Resource Centers; and community

organizations already participating in evidence-based wellness programs. Proposed Activities: 1) cross-train existing 

MOB/VLL coaches to administer the CDSMP and develop a network of sites at which both programs are co-located and

available; and 2) expand EnhanceFitness and EnhanceWellness programs at pilot sites. Outcomes anticipated: 

increased number of older Mainers who make healthy lifestyle changes; a network of people skilled and available to 

coach older Mainers in attaining and maintaining a healthy lifestyle; and increased communication and referrals among 

health care providers, community service organizations, and older adults.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 11 State House Station 442 Civic Center Drive

Program: Evidence Based Prevention Program

Maine Dept. of Health & Human Services/Office of Elder

Maine Office of Elder Services

90AM3120 Empowering Older Mainers to Take More Control of Their Health
FY2006 Compendium - Page 57 of 240 

Tallahassee, FL 32399-1729

Contact: Gail Henderson (850)245-4365

The Florida Department of Health and the Florida Department of Elder Affairs are collaborating to implement 

evidence-based prevention programs for older adults. The goal is to provide interventions for arthritis and other chronic 

conditions to a maximum number of people age 60 + who are at risk and can benefit from the interventions. The 

objectives are to: 1) conduct master trainer and leader trainings for the Chronic Disease Self-Management Program 

(CDSMP) in three counties within three Planning Service Areas (PSA); 2) conduct leader training for the Spanish Arthritis 

Self-Management Program (SASMP) in Miami-Dade and Palm Beach counties; 3) conduct CDSMP and SASMP classes; 

4) evaluate the course through pre/post-tests and satisfaction surveys; 5) ensure the fidelity of the implementation of the 

courses through direct observation of the classes and leader checklists; and 6) disseminate project results. The expected

outcomes are: 1) for the CDSMP, positive changes in health care utilization, social/role activities limitations, disability, 

energy/fatigue, self-rated health, exercise behaviors, cognitive symptom management, communication with physicians, 

and health distress; 2) for the SASMP, positive changes in self-efficacy, health care utilization, depression, disability, 

pain, energy/fatigue, self-rated health, exercise, cognitive symptom management, and use of mental stress 

management/relaxation techniques. The products from this project are: interim reports; a final report, including evaluation 

results; and abstracts for national conferences.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 4052 Bald Cypress Way, Bin B-20 

Program: Evidence Based Prevention Program

Florida Department of Health

Family Health Services

90AM3121 Implementation of Evidence-Based Prevention Programs in Florida

Sacramento, CA 95834

Contact: Janet Tedesco (916)419-7500

The California State Departments of Aging and Health Services, local AAAs, public health and non-profits throughout the 

state, are proposing to implement the Stanford Chronic Disease Self-Management Program (CDSMP) and/or Matter of 

Balance (MOB), a fall prevention program in five geographic areas and in several Multipurpose Senior Services 

Programs, introducing Medication Management and Healthy Moves. The goal is to create an effective infrastructure that 

includes both state and local partnerships to implement sustainable evidence-based prevention programs for older 

people within the state's aging network. The objectives are to:

implement the CDSMP and/or MOB in geographic areas that represent 40% of the state's seniors; disseminate two 

additional evidence-based programs for frail, dually eligible seniors in at least six communities; and provide technical 

assistance to the identified local partnerships as prototypes for further expansion. The anticipated outcomes are to create 

a sustainable network to provide community education and evidence-based programs for diverse older adults; integrate 

evidence-based programs into at least five geographic regions; and conduct outreach that will successfully recruit 

approximately 6,000 high risk seniors to the initiative .

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 1300 National Drive, Suite 200 

Program: Evidence Based Prevention Program

California Department of Aging

90AM3122 CA Initiative to Empower Older Adults to Better Manage Their Health
FY2006 Compendium - Page 58 of 240 

Des Moines, IA 50319

Contact: Kay Corriere (515)725-3330

The Iowa Department of Elder Affairs (DEA) and Department of Public Health (IDPH) have partnered with the following 

three Planning Service Areas (PSA): Aging Resources of Central Iowa, Heritage Area Agency on Aging and Hawkeye 

Valley Area Agency on Aging to implement the Stanford Chronic Disease Self-Management Program (CDSMP) and 

EnhanceFitness. The initiative will be called the Iowa Healthy Links and its goal is improving the health of older Iowans 

with chronic diseases and increasing Iowa's capacity to provide evidence-based health promotion programs for older 

adults.

All three areas will participate in program evaluation, creating the benchmarks and measuring the changes in 

participant's quality of life, health care utilization, chronic disease self-efficacy, fruit and vegetable consumption, physical 

activity and strength, along with program sustainability, dispersion, and capacity building. The Des Moines University will 

coordinate program evaluation. Anticipated outcomes include improvement in quality of life measures, health behaviors 

and a reduction in health care utilization, which will facilitate system development for sustainability. Results from the 

evaluation will be provided to the Iowa Department of Human Services (state Medicaid agency), Senior Living

Coordinating Unit, State Board of Health, State Legislature and private organizations to impact polices and obtain 

funding for sustaining evidence-based preventive programs. The Iowa Healthy Links will provide a model for 

implementing evidence-based health promotion programs in other PSA's with other community partners. 

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 510 East 12th Street Jessie Parker Bldg. Suite 2

Program: Evidence Based Prevention Program

Iowa Department of Elder Affairs

90AM3123 Iowa Healthy LINKS

Albany, NY 12223-1251

Contact: Marcus Harazin (518)474-6101

The NY State Office for the Aging and its partner, the Department of Health, propose to implement evidence-based 

health promotion programs with the goal of building the capacity of local service delivery systems in New York State to 

incorporate and sustain implementation of the Chronic Disease Self- Management Program (CDSMP) and the Active

Choices, physical activity program. Objectives: (1) successfully implement CDSMP and Active Choices programs in 

three regions and reach 1,800 persons over age 60 over a three year period for CDSMP, and 3,300 persons for Active 

Choices; (2) ensure fidelity to program protocols, encourage on-going quality improvement and guide systems change at 

the state and local level, thereby increasing the likelihood of sustainability upon the completion of the project's funding; 

and (3) disseminate a model for implementation and sustainability of evidence-based programs. 

Anticipated Outcomes: (1) improvement in health promotion participation and outcomes for residents over age 60; (2) 

integration of evidence-based programs into the health promotion offerings of the State and particularly in Point of Entry 

(POE) and Naturally Occurring Retirement Community Supportive Services Program Development; (3) greater 

integration of AAA and County Health Department efforts; and (4) new public/private support for evidence-based health 

promotion programs. 

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 2 Empire State Plaza 

Program: Evidence Based Prevention Program

New York State Office for the Aging

90AM3124 Empowering Older New Yorkers To Take More Control of their Health
FY2006 Compendium - Page 59 of 240 

Baltimore , MD 21201-2374

Contact: Sue Vaeth (410)767-1108

The Maryland Department of Aging and its partners, the Department of Health and Mental Hygiene, the Governor's 

Office of Community Initiatives, Office of Service and Volunteerism, Rural Maryland Council, Towson University, and two 

health insurance companies will implement this initiative. The goal is to encourage older people to take charge of their 

health through the Chronic Disease Self-Management Program (CDSMP) in six Planning Service Areas (PSAs), and the 

Active for Life program in one of those six. The approach is to develop state and local partnerships, including AAAs, 

aging services provider organizations (ASPO), local health departments (LHD), health care providers, faith-based 

organizations, and other agencies in their jurisdictions to provide the CDSMP in many settings, promoting the program 

and making it widely available. The objectives are to: 1) enhance capacity to provide the CDSMP through licensing and 

training; 2) develop new and enhance existing partnerships for broad application of the CDSMP and for sustainability; 3) 

provide opportunities for 2,661 participants in CDSMP and 75 in Active for Life; 4) develop outreach and referral for 

potential leaders and participants; 5) evaluate the projects for quality and effectiveness; and 6) disseminate project 

information nationally and statewide. The expected outcomes include: 1) CDSMP will be available to participants in a 

variety of settings; 2) health care providers will make referrals to the EB projects; 3) participants will demonstrate 

outcomes as expected by the interventions; and 4) local partnerships, led by AAAs, ASPOs, and LHDs, will act as 

mentors to non-participating jurisdictions to enable them to develop EB projects in their areas.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 301 West Preston Street Suite 1007

Program: Evidence Based Prevention Program

Maryland Department of Aging

90AM3125 Living Well -Take Charge of Your Health

Denver, CO 80246

Contact: Normie M Voillequ (303)692-2505

The Colorado State Unit on Aging (SUA) and the Dept. of Public Health and Environment (CDPHE) support this Healthy 

Aging Partnership Project in collaboration with the Consortium for Older Adult Wellness (COAW). The goal: expand the 

existing infrastructure of the partnership of the SUA, CDPHE, and COAW to implement and sustain the delivery of 

evidence-based (EB) prevention programs through community aging service providers. The objectives: 1) create a 

sustainable delivery system for EB program training and implementation, coordination, technical support & fidelity 

oversight of the Chronic Disease Self- Management Program (CDSMP) and A Matter of Balance (MOB) in three 

geographical areas of Colorado, and all 16 AAA regions by August '07; 2) modify significant factors caused by chronic 

diseases or conditions in a minimum of 68% of participants who enroll in CDSMP and/or MOB, by project's end; 3) 

expand the communication network of OAA community-based service providers that encourages the sharing of 

resources and increases the opportunity for collaboration; and 4) make this expanded system sustainable by and beyond 

August '09. Expected outcomes: 1) expand accessibility for older adults to the CDSMP and other evidence-based 

programs (EBP); 2) embed an EBP service system into three regional health service providers that collaborate with 

regional communities for training, networking, and resource sharing; 3) train ten certified, regional, Master trainers in 

CDSMP and 50 paired community leaders per year, who will implement the program; 4) reach 3,500 participants in 

CDSMP/Matter of Balance; 5) obtain AAA support to sustain EB programs by using Title III-D funds/private funding; 6) 

analyze data for evaluation on health indicators, participant reach, and program satisfaction through evidence-based 

disease prevention software; and 7) build upon existing networks with additional EB self-management interventions in 

physical activity, nutrition, and fall prevention.

Project Period: 09/30/2006 - 07/31/2009

FY Grant Amount

FY 2006

FY 2007

250,000

250,000 PSD-COPAN-A5 4300 Cherry Creek Drive South

Program: Evidence Based Prevention Program

Colorado Department of Public Health and Environment

Public Health and Environment

90AM3130 Empowering Older People to Take More Control of Their Health: Evidence-Based Prevention
FY2006 Compendium - Page 60 of 240 

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 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

NATIONAL INDIAN COUNCIL ON AGING, INC

90AM2772 Preventing Diabetes: Healthy Living for American Indian Elders

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 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

NATIONAL CAUCUS & CENTER ON BLACK AGED, INC.

90AM2802 The Healing Zone: Community Health Action & Advocacy Training Project
FY2006 Compendium - Page 61 of 240 

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, and 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 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

NATIONAL ASIAN PACIFIC CENTER ON AGING

Melbourne Tower

90AM2803 Addressing Health Disparities Among Asian and Pacific Islander Elders
FY2006 Compendium - Page 62 of 240 

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 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

Asociacion Nacional Pro Personas Mayores

90AM2804 Project Salud A La Vida

Phoenix, AZ 85004

Contact: Lee Begay (602)258-4822

The goal of this project is to develop accessibility of current and newly developed health promotional materials and 

disease prevention strategies for American Indian Elders, caregivers and Tribal, State and National Aging Programs. 

The objectives are: 1) to establish partnerships and coordination with three community based and statewide 

organizations to pilot and adopt two successful models to provide accessibility to health promotional materials; 2) to 

develop a comprehensive plan to identify two existing health promotional materials and to replicate those programs to 

make them accessible nationwide; 3) to promote the availability of three quality health promotion materials for American 

Indian elders by cooperating with the broader health, supportive services, academic and professional communities to 

reach an increased number of elders with limited English speaking proficiency; 4) to develop three culturally competent 

and linguistically appropriate health promotional materials and make them available to American Indian elders; and 5) to 

target training and educational materials to isolated and hard-to- reach American Indian communities.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

127,669

127,669 2214 North Central Avenue, Suite 100 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

INTER TRIBAL COUNCIL OF ARIZONA, INC.

90AM3127 The National Minority Aging Organizations Technical Assistance Centers Program
FY2006 Compendium - Page 63 of 240 

Pasadena, CA 91101

Contact: Carmela G Lacayo (626)564-1988

The project goal is to design a community-based health intervention project for limited English proficient Hispanic elders 

and their families, i.e. older Hispanic individuals and families with low income and low literacy. Objectives will promote 

the concept that knowledge is the best medicine by using diverse language and cultural competence approaches to 

disease prevention, health education and training. Major objectives include: 1) designing health promotion materials that 

emphasize appropriate cultural literacy levels for use by older Hispanics and their families; 2) enhancing the aging 

network¿s ability to provide culturally competent services to Hispanic older individuals; 3) enhancing the services of 

established faith-based (FBO) church volunteer programs as a community support system for low-income older 

Hispanics; and 4) establishing and sustaining partnerships with local targeted health care and Hispanic CBOs to develop 

and implement the goal and objectives of Project Puente. The project is being conducted in collaboration with national 

organizations and networks of the American Society on Aging, the N4A, Eastern Washington University Center on the 

Studies of Aging, Hispanic and FBOs, the Senior Community Service Employment Program partner national sponsors 

and their networks of multiple community health centers and non profit hospitals who have signed host agency 

agreements.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

294,622

294,622 234 E Colorado Blvd, Ste 300 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

ASOCIACION NACIONAL PRO PERSONAS MAYORES

90AM3128 The National Minority Organizations Technical Assistance Centers Program

Washington, DC 20005

Contact: Aundrenette J Boddie (202)637-8400

The project goal is to reduce obesity as a risk factor leading to chronic diseases among older African Americans. The 

project focus is on reducing the risk for conditions such as cardiovascular disease, hypertension, diabetes, kidney failure, 

glaucoma, and other obesity related diseases. Strategy is based on the concept formally known as compression of 

morbidity. The concept is expressed in the reduction of the total period of disability, which is the main goal of prevention 

initiatives targeted to older individuals. Lifestyle changes that complement the strategy often reduce the risk of one 

disease, while delaying or reducing the risk of others as well. Project objectives: 1) increase the level of knowledge of 

African American seniors about self care strategies related to overweight and obesity; 2) increase awareness of African 

American seniors about health disparities in their communities; 3) achieve active weight loss among the seniors 

participating in the Healing Circle component of the project; 4) increase the level of physical activity among seniors 

participating in the project; and 5) engage healing circle participants in community health advocacy activities. Also, 

NCBA will implement the web site "Senior Health News Network" (SHNN) to serve as a realtime information portal for 

disseminating late breaking news, health and wellness related stories. The target population includes African American 

individuals age 50 and above, their families and caregivers. Partners include Group Ministries of Baltimore, MD and 

Buffalo, NY, AAAs in Richmond, VA, Detroit, MI, and Hinds County, MS, the Aging and Title V Senior Community Service 

Networks. 

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

294,622

294,622 1220 L Street, NW, Suite 800 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

The National Caucus & Ctr. on Black Aged

90AM3129 The National Minority Aging Organizations Technical Assistance Centers Program
FY2006 Compendium - Page 64 of 240 

Falls Church, VA 22041

Contact: Nguyen D Thang (703)538-2190

The project goal is to increase senior's awareness, affect their attitudes and sustain behavioral changes regarding health 

by disseminating information about diseases most prevalent among three (3) Indochinese subgroups of Asian American

seniors: Vietnamese, Cambodians and Laotians. Through the IRIS Center and partnerships at the local level, BPSOS 

plans to focus on cancer, hepatitis B, diabetes, mental health and cardiovascular disease. Objectives are: 1) to provide 

Indochinese seniors accurate information about health issues and services in appropriate formats; 2) using the BPSOS

network of branch offices, serve as a gateway to the Center's information on health ; 3) facilitate family members 

capacity as health advocates and navigators; 4) encourage senior associations and self-help groups to incorporate 

health-focused workshops into their regular activities; 5) facilitate faith-based and community organizations efforts to 

convey program messages to their respective constituents; and 6) assist local and state health care providers to 

disseminate linguistically appropriate health messages. The proposal builds on a pilot project funded by CareFirst, being 

implemented in the Washington DC metro area. In addition to funds provided by SAMHSA, HRSA, and the U.S. 

Department of Commerce, National Telecommunications and Information Administration and the assistance of 

AmeriCorps, local partners include 12 branch offices that house technology centers. The project also plans to utilize 

collaborations established through the Senior Medicare Patrol project.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

102,273

102,273 6066 Leesburg Pike, Suite 100 

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

Boat People SOS, Inc.

Family Services Department

90AM3131 The National Minority Aging Organizations Technical Assistance Centers Program

Seattle, WA 98101

Contact: Kenneth J Bostock (206)838-8166

The project goals are to improve the health care outcomes and the quality of life for API seniors, as well as reduce API 

senior health care costs. Objectives will build on the strategy initiated with Medicare Prescription Drug outreach efforts 

by using a national multi-language toll free help line to provide assistance in four API languages. Three objectives are: 

1) strengthen the effectiveness of health care advocacy efforts in API communities through healthy lifestyle promotion, 

disease prevention and outreach to improve health care success and health care outcomes for API seniors; 2) build 

national and local community capacity to address and reduce health disparities, and provide information, education and 

assistance; and 3) build partnerships to establish an inclusive network of API community-based health and service 

organizations and mainstream organizations that can provide information and technical assistance. The target 

population includes older Asian Americans and Pacific Islanders in 13 API communities nationwide. Clayton Fong, 

Executive Director of NAPCA, is a member of the CMS national consumer advisory committee. Seattle based Project 

staff serve on the National Diabetes Education Program Older Adult Work Group. NAPCA staff based in Los Angeles 

serve on the boards of Pacific Islander Community Health Task Force, and the Los Angeles County AAA Advisory 

Committee.

Project Period: 06/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

285,000

285,000 1511 Third Avenue Suite 914

Program: Health Disparities among Minority Elders-Tech. Assistance Ctr.

National Asian Pacific Center on Aging

90AM3132 The National Minority Aging Organizations Technical Assistance Centers Program
FY2006 Compendium - Page 65 of 240 

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 journals, 4 

newsletters, and 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 - 09/30/2007

FY Grant Amount

FY 2003

FY 2004

FY 2005

460,369

460,369

460,369

11200 SW 8th Street, OE 200 

Program: Nutrition, Physical Activity and Aging-Nat'l Resource Center

THE FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES

90AM2768 Nutrition, Physical Activity and Aging-National Resource Center

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 

Program: Older Indians National Resource Centers

UNIVERSITY OF NORTH DAKOTA

National Resource Center on Native American Aging

90AM2751 National Resource Center on Native American Aging - University of North Dakota
FY2006 Compendium - Page 66 of 240 

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 

Program: Older Indians National Resource Centers

UNIVERSITY OF ALASKA ANCHORAGE

90AM2752 National Resource Center for American Indians, Alaska Natives and Native Hawaiians

Honolulu, HI 96822

Contact: Paul Kakugawa (808)956-4054

The University of Hawaii at Manoa proposes a project to establish Ha Kupuna, the National Resource Center for Native 

American Elders - focusing on Native Hawaiians - in collaboration with national and regional community partners and 

elders. Our goal is the development and dissemination of knowledge on Hawaian elders and their health and long-term 

care preferences and patterns, in order to improve access to and the delivery of services to them. Our objectives are to: 

1) establish a sustainable core organizational structure to achieve the vision and direction of this Center; 2) begin to 

establish a national database of Native Hawiian elders and their caregivers in health and long-term care; and 5) enhance 

the community's knowledge of Native Hawaiian health and long-term care needs through the dissemination of research, 

and the provision of training and technical assistance to professionals. Our outcomes include increased collaboration

among providers of eldercare and Native leaders in Hawaii and increased knowledge of providers of eldercare services 

about Native elders and Native civic leaders about aging. Our products include a database and Resource website on 

Native Hawaiian elders and their caregivers in long-term care; national and regional conference abstracts; a report, 

including project evaluation; and articles for publication.

Project Period: 09/01/2006 - 06/30/2009

FY Grant Amount

FY 2006

FY 2007

120,000

120,000 Sakamaki Hall D-200 

Program: Older Indians National Resource Centers

University of Hawaii

2530 Dole Street

90AM3079 National Resource Centers on Older Indians, Alaska Natives and Native Hawaiians
FY2006 Compendium - Page 67 of 240 

Grand Forks, ND 58202

Contact: Alan J Allery (701)777-3859

The National Resource Center on Native American Aging, located at the Center for Rural Health, University of North 

Dakota School of Medicine and Health Sciences has been of service to American Indian, Alaska Native, and Native 

Hawaiians since 1994. The Center's efforts have concentrated on the goal of "raising the quality of life for Native elders 

to the highest possible level" through technical assistance, training, conducting needs assessments, and research. To 

reach that goal the Center is proposing four continuing objectives: 1) continue to assist an increasing number of the 561 

federally recognized tribes and tribal organizations with determining the needs of their elders by conducting the 

Identifying Our Needs: A Survey of Elders. Assist with new locations and with those who have already conducted the 

needs assessment by re-administering the survey to help collect longitudinal data during the 2006 - 2009 project period; 

2) continue to provide feedback for those who have conducted the Identifying Our Needs: A Survey of Elders and to 

improve that feedback by providing information regarding best practices, exemplary projects and promising innovations; 

and 3) continue to conduct training for service providers working with elders on a regular basis at national and regional 

conferences and monthly seminars hosted by, but not limited to, the Administration on Aging Regional Offices, Kauffman 

and Associates and the National Indian Council on Aging.

Project Period: 09/01/2006 - 06/30/2009

FY Grant Amount

FY 2006

FY 2007

341,995

341,995 501 North Columbia Road 

Program: Older Indians National Resource Centers

University of North Dakota

School of Medicine and Health Sciences

90AM3080 National Resource Centers on Older Indians, Alaska Natives and Native Hawaiians

Anchorage, AK 99508

Contact: Kanaqlak (George ) P Charles (907)786-4329

The National Resource Center for American Indians, Alaska Natives and Native Hawaiian Elders at the University of 

Alaska, Anchorage will have three goals: 1) empowering Native communities to incorporate traditional ways of treating 

Elders within community care systems; 2) providing technical information to promote culturally sensitive and appropriate 

services to maintain social well being within a spiritually Elder-focused environment; and 3) increasing visibility of Native 

Elder-care issues. Outcomes will include: 1) defining Native Elder values to better understand appropriate Native 

Elder-care standards; 2) defining clinical and behavioral needs of Native communities and assisting them in conducting 

assessments of Elder's desires for their own care; and 3) identifying "best, promising and emerging practices" of the 

current culturally based Native Elder-care services. Products will include: 1) conferences of Elders to gather cultural 

value narratives; 2) an Elder-care needs assessment and technical assistance "tool box" for use by Native 

Communities; 3) summer field institute to train families and health care professionals working with Elders; 4) narratives 

describing cultural values and summary papers on "best, promising and emerging practices", "Elder 

mistreatment/prevention" and "long-term care"; and 5) a web site to further disseminate all information produced.

Project Period: 09/01/2006 - 06/30/2009

FY Grant Amount

FY 2006

FY 2007

221,995

221,995 3211 Providence Drive, Suite 205 

Program: Older Indians National Resource Centers

University of Alaska Anchorage

College of Health and Social Welfare

90AM3081 National Resource Centers on Older Indians, Alaska Natives and Native Hawaiians
FY2006 Compendium - Page 68 of 240 

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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

PENNSYLVANIA DEPARTMENT OF AGING

90AZ2573 Pennsylvania Memory Loss Screening Program

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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

90AZ2574 Implementing Changes to Improve Dementia Care in Home, Community and Health Service Organizations
FY2006 Compendium - Page 69 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

326,000

278,300

150,000

100,000

225,000

PO Box 95044 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Nebraska Department of Health and Human Services

90AZ2692 Consumer-Directed Services for Families of Persons with Alzheimer Disease

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 - 06/30/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

212,970

189,029

189,029

189,029

294,394

275 E. Main Street, 3 W-F 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Kentucky Cabinet for Health and Family Services

Human Support Services

90AZ2693 Dementia Outreach Lexington: Diagnosis/Treatment and Services for African-Americans
FY2006 Compendium - Page 70 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

300,000

300,000

300,000

120 North 200 West, Room 319 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Utah Department of Human Services

Aging and Adult Services

90AZ2694 Rural Respite Program - Group Socialization and In-home Respite

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 - 06/30/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

320,348

305,298

293,217

287,174

PO Box 83720 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

IDAHO COMMISSION ON AGING

90AZ2695 Early Intervention and Continuous Supportive Services Project
FY2006 Compendium - Page 71 of 240 

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 titled: 

Home and Community-Based Support Services for Hispanic Cultured Persons with Alzheimer's Disease and their 

Caregivers. The two primary goals are to: 1) develop and provide a comprehensive home-based support model for 

Hispanic Persons with Alzheimer's Disease (AD) and their Caregivers; and 2) improve receptiveness of existing Senior 

Centers and the long-term care service networks toward persons with AD and related disorders (ADRD). The objectives 

are to: 1) provide a variety of respite services, home health care, companionship, homemaker services and case 

management; 2) provide information and training to strengthen their skills and well-being; 3) 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) 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 - 06/30/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

300,000

300,000

300,000

300,000

300,000

P. O. Box 191179 Old San Juan Station

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Puerto Rico Ombudsman for the Elderly

90AZ2696 Home And Community Based Support Services for Hispanic Cultured Persons with Alzheimer's Disease and their C

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 a connection to services for isolated self-neglecting AD persons. The program 

products are web accessible and include a final report; brochures; evaluation/assessment tools; training manuals; and a 

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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Connecticut Department of Social Services

Social Work and Prevention

90AZ2723 Reaching and Empowering Alzheimer's Clients Together (REACT)
FY2006 Compendium - Page 72 of 240 

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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

ND ST DEPT OF HUMAN SERVICES

Aging Services Division

90AZ2767 North Dakota Alzheimer's Demonstration Project: Working Together

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

325,000

103 South Main Street 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Vermont Department of Aging and Independent Living

Disability and Aging Services

90AZ2768 Staying the Course in Alzheimer's Care
FY2006 Compendium - Page 73 of 240 

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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

WY ST DEPARTMENT OF HEALTH

90AZ2769 Alzheimer's Demonstration Program: Coordinating Care in Wyoming

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

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

SD ST DEPARTMENT OF SOCIAL SERVICES

90AZ2770 Alzheimer's Disease Demonstration Grant
FY2006 Compendium - Page 74 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

304,473

1610 Forest Ave., Suite 100 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Commonwealth of Virginia

Virginia Department for the Aging

90AZ2771 AoA Alzheimer's Demonstration Grant

St. Paul, MN 55164

Contact: Donna K Walberg (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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

325,000

PO Box 64976 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Minnesota Board on Aging

90AZ2772 Alzheimer's Community Outreach, Education and Capacity-building Project
FY2006 Compendium - Page 75 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

412 North 4th Street - 3rd Floor 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

State of Louisana Governor's Office of Elderly Affairs

90AZ2773 Alzheimer's Demonstration Grant

Des Moines, IA 50319

Contact: Terry Hornbuckle (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) provide 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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

325,000

510 East 12th Street, Suite 2 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

State of Iowa

Iowa Department of Elders Affairs

90AZ2774 Expanding Culturally Appropriate Adult Day Care to Minorities and Mid-Late Stage Clients.
FY2006 Compendium - Page 76 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

281,150

275,754

275,754

PO Box 1437, Slot S530 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

ARKANSAS DEPARTMENT OF HUMAN SERVICES

Division of Aging and Adult Services

90AZ2775 Focus on Families

Phoenix, AZ 85007

Contact: Rex Critchfield (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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2007

276,059

276,059

317,024

1789 West Jefferson Street (950A) 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

AZ ST DEPT OF ECONOMIC SECURITY

90AZ2776 Walk of Friendship Program
FY2006 Compendium - Page 77 of 240 

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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

DE DEPARTMENT OF HEALTH & SOCIAL SERVICES

90AZ2777 DE Memory Loss Screening Demonstration Project

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

263,768

263,768

263,768

249,961

441 Fourth Street, NW, Suite 900 South 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

District of Columbia Office on Aging

90AZ2778 D.C. Awareness and Care Program (DC AACP)
FY2006 Compendium - Page 78 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

230,523

230,523

230,523

325,000

920 Wildwood Drive - P.O. Box 570 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

State of Missouri

Missouri Dept of Health and Senior Services

90AZ2779 Alzheimer's Demonstration Project

Tallahassee, FL 32399-7000

Contact: Jay Breeze (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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

325,000

4040 Esplanade Way, Suite 315 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

State of Florida Department of Elder Affairs

Division of Volunteer & Community Based Services

90AZ2780 (STARS and Beyond) Support through Alzheimer's Relief Systems and Beyond
FY2006 Compendium - Page 79 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

297,121

297,121

297,121

300,000

442 Civic Center Drive 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Maine Dept. of Health and Human Services

90AZ2781 Alzheimer's Disease in Rural Maine

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

325,000

2101 Mail Service Center 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

North Carolina Department of Health and Human Services

Aging and Adult Services Division

90AZ2782 Project Care (Caregivers Running on Empty)
FY2006 Compendium - Page 80 of 240 

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) 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 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Alabama Department of Senior Services

State Unit on Aging

90AZ2783 Alzheimer's Disease Demonstration Grants to States.

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

300,000

3100 W. Sahara Avenue, Suite 103 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

NEVADA DEPT OF HUMAN RESOURCES

Division of Aging Services

90AZ2784 ADDGS Project Expansion and Integration in Nevada
FY2006 Compendium - Page 81 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

1 West Wilson Street 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Wisconsin Department of Health and Family Services

Disability and Elder Services

90AZ2785 Memory Care Connections

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

325,000

500 Deaderick St., Suite 825 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Tennessee Commission on Aging and Disability

90AZ2786 Tennessee Alzheimer's Demonstration: System Building through Adaption of Best Practices
FY2006 Compendium - Page 82 of 240 

Sacramento, CA 95834-1992

Contact: Janet Tedesco (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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

324,925

1300 National Drive, Suite 200 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

State of California

Department of Aging

90AZ2787 Asian and Pacific Islander Dementia Care Networks

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

294,050

294,050

294,050

325,000

35 Howard Avenue 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Rhode Island Department of Ederly Affairs

John O. Pastore Center

90AZ2788 Continuing Partners in Care
FY2006 Compendium - Page 83 of 240 

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

311,150

311,150

300,000

402 West Washington Street MS-21 PO Box 7083

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Indiana Disability, Aging and Rehabilitation Services

Bureau of Aging & In-Home Services

90AZ2789 (INDIANA) Alzheimer's Disease Demonstration Grant to States

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 - 06/30/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

FY 2007

311,150

311,150

300,000

300,000

2550 Cerrillos Road 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

New Mexico Aging and Long-Term Services Department

Community Involvment Bureau

90AZ2790 New Mexico Alzheimer's Program
FY2006 Compendium - Page 84 of 240 

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

FY 2007

290,000

290,000

290,000

2002 Campus Delivery 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

State of Colorado/Colorado State University

Tri-Ethnic Center, Psychology

90AZ2792 Empowering Underserved Colorado Alzheimer's Families through Training, Support, and Respite

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

FY 2007

290,000

290,000

289,992

535 West Jefferson 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Illinois Department of Public Health

90AZ2793 IL Rural and LEP Alzheimer's Disease Demonstration Project
FY2006 Compendium - Page 85 of 240 

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

FY 2007

290,000

290,000

290,000

301 West Preston Street, Suite 1007 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Maryland Department of Aging

90AZ2794 MD Respite, Outreach, Support and Education (ROSE) Project

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

FY 2007

241,597

241,597

241,597

320 S. Walnut Street, 5th Floor

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Michigan Department of Community Health

90AZ2795 Alzheimer's Disease Demonstration Grant
FY2006 Compendium - Page 86 of 240 

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. This will 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

FY 2007

290,000

290,000

290,000

P.O. Box 4210 111 Sanders

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Montana Department of Public Health and Human Services

Senior and Long-Term Care Division

90AZ2796 Montana Proposal for an Alzheimer's Demonstration Grant

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

FY 2007

290,000

258,933

235,069

2 Empire State Plaza 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

New York State Office for the Aging

Local Program Operations

90AZ2797 Coordinated Care Alzheimer's Demonstration Project
FY2006 Compendium - Page 87 of 240 

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

FY 2007

225,000

225,000

162,112

701 W. 51st Street W352

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Texas Department of Aging and Disability Services

Access and Intake - Area Agencies on Aging

90AZ2798 Texas Alzheimer's Disease Demonstration Project

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

FY 2007

290,000

290,000

290,000

P.O. Box 45600 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

Washington State Department of Social & Health Services

Aging and Disability Services Administration

90AZ2799 Dementia Partnerships for Service Integration
FY2006 Compendium - Page 88 of 240 

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

FY 2007

290,000

290,000

290,000

1900 Kanawha Boulevard East 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

West Virginia Bureau of Senior Services

90AZ2800 West Virginia Alzheimer's Disease Demonstration Grant

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 - 06/30/2008

FY Grant Amount

FY 2005

FY 2006

150,000

150,000 P.O. Box 807 

Program: Alzheimers Disease Demonstration Grants to States (ADDGS)

New Jersey Department of Health and Senior Services

Division of Aging & Community Services

90AZ2801 Environmental Tools for Dementia Care
FY2006 Compendium - Page 89 of 240 

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 (NCFF). 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; 4) improved NCFF and project performance; and 3) a positive impact on program volunteers, 

families and children. Products include 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 - 09/30/2007

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 

Program: Family Friends

The National Council on the Aging

90AM2770 The National Center for Family and Friends

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; and dissemination of results. The products are an 

evaluation; final report; a 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 

Program: National Family Caregivers Support Program

PIMA COUNCIL ON AGING

90CG2534 Cuidando Con Confianza (Caring With Confidence)
FY2006 Compendium - Page 90 of 240 

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; and, 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 

Program: National Family Caregivers Support Program

New Jersey Department of Health and Senior Services

90CG2540 NJ Ease for Caregivers: Building a Multi-faceted Caregiver Support System

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 ways 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 

Program: National Family Caregivers Support Program

THE CENTER FOR SOCIAL GERONTOLOGY, INC.

90CG2565 A Multi-State Family Caregiver Mediation Project
FY2006 Compendium - Page 91 of 240 

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

Program: Unsolicited

NATIONAL ASSOCIATION OF STATE UNITS ON AGING

Center for the Advancement of State Community Service

90AM2834 Educating State Legislators about Caregiver Support

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 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

100,000

100,000

100,000

601 E Street, NW 

Program: Legal Assistance and Technical Projects

AARP Foundation

90AM3023 AARP Foundation Technical Support for Legal Assistance Grants
FY2006 Compendium - Page 92 of 240 

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 

Program: Legal Assistance and Technical Projects

Elder Law of Michigan, Inc.

90AM3033 Legal Helpline for Michigan Seniors Integrated V.I.R.T.U.A.L. Communities

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 

Program: Legal Assistance and Technical Projects

SeniorLAW Center

90AM3034 Enhancing Legal Access for Pennsylvania's Underserved and Vulnerable Older Adults
FY2006 Compendium - Page 93 of 240 

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 

Program: Legal Assistance and Technical Projects

LEGAL SERVICES FOR THE ELDERLY

90AM3035 New York Seniors Legal Assistance Project

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 

Program: Legal Assistance and Technical Projects

Bay Area Legal Services, Inc.

90AM3036 Florida Senior Legal Helpline
FY2006 Compendium - Page 94 of 240 

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 

Program: Legal Assistance and Technical Projects

Connecticut Legal Services, Inc.

90AM3037 Connecticut Legal Services Consumer Law Project for Elders
FY2006 Compendium - Page 95 of 240 

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 

Program: Legal Assistance and Technical Projects

Vermont Legal Aid, Inc.

264 North Winooski Avenue

90AM3038 Coordinated Legal Assistance to Seniors

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 

Program: Legal Assistance and Technical Projects

Legal Aid of Nebraska

90AM3039 Elder Line Project
FY2006 Compendium - Page 96 of 240 

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 - 11/30/2007

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 

Program: National Center on Elder Abuse

NATIONAL ASSOCIATION OF STATE UNITS ON AGING

90AM2792 National Center on Elder Abuse

Washington, DC 20036

Contact: Jolie Crowder 

The grantee, the American Health Quality Foundation, in partnership with the Hawkeye Valley Area Agency on Aging, will 

support and maximize the effectiveness of Senior Medicare Patrols (SMPs) through the 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 that 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 

Program: National Consumer Protection Technical Resource Center

AMERICAN HEALTH QUALITY FOUNDATION

90AM2806 National Consumer Protection Technical Resource Center
FY2006 Compendium - Page 97 of 240 

Waterloo, IA 50702

Contact: Shirley Merner 

This grant supports the Hawkeye Valley Area Agency on Aging in staffing 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 - 08/31/2010

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

300,000

300,000

300,000

300,000

600,000

2101 Kimball Avenue, Suite 320 

Program: National Consumer Protection Technical Resource Center

HAWKEYE VALLEY AREA AGENCY ON AGING

90AM2807 National Consumer Protection Technical 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 - 05/31/2010

FY Grant Amount

FY 2003

FY 2004

FY 2005

FY 2006

FY 2007

550,000

550,000

550,000

550,000

550,000

1828 L Street, NW, Suite 801 

Program: National Long-Term Ombudsman Program

NATIONAL CITIZEN'S COALITION FOR NURSING HOME REFORM

90AM2690 National Long-Term Care Ombudsman Resource Center
FY2006 Compendium - Page 98 of 240 

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

FY 2007

150,000

150,000

150,000

740 15th Street, NW 

Program: National Legal Assistance and Elder Rights

American Bar Association Fund for Justice and Education

Commission on Law and Aging

90AP2645 Furthering a Commitment to Legal Services

Washington, DC 20049

Contact: Julia Stephens (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; implementing a "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 a 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

FY 2007

150,000

150,000

150,000

601 E Street, NW - Suite B4--240 

Program: National Legal Assistance and Elder Rights

AARP Foundation

90AP2646 AARP Foundation National Legal Training Program
FY2006 Compendium - Page 99 of 240 

Boston, MA 02110

Contact: Willard P Ogburn (617)542-8010

The National Consumer Law Center's (NCLC) 3 year project partners with private bar associations, volunteer attorneys, 

and others. NCLC improves legal assistance to older Americans whose finances and economic independence are 

threatened by scams & abuses in the marketplace, by providing training, legal practice aids, and in-depth case 

consultations to elder law attorneys & other elderly serving advocates. This project addresses the most pressing 

consumer problems faced by the elderly, inc. challenges to sustaining home ownership, fraudulent & exploitive sales 

practices, and debt management & financial decision-making. The National Legal Assistance & Elder Rights (NLAER) 

project goal is to help older Americans avoid or remedy economic exploitation, understand their financial options, and 

make reasoned, informed consumer decisions to prolong independence. Objectives: 1) increase the # of qualified local 

providers; 2) share NCLC's consumer law expertise with legal assistance providers representing elderly clients; 3) 

disseminate legal and consumer education materials on the pressing consumer law needs of older Americans (designed 

to empower elders) to attorneys & advocates; 4) improve communication & coordination on consumer law topics; 5) 

expand NCLC expertise; and 6) evaluate NCLC effectiveness in meeting consumer law needs of older Americans. 

Expected outcomes: specialized legal training; advice and co-counseling; improvement in quality & accessibility of legal 

assistance for older Americans; a decrease in elders who fall prey to consumer scams and abuses in the marketplace; 

and intensive, substantive workshops. Products: NCLC reports, training workshops, legal practice packages, inc. 

detailed practice manuals with legal pleadings, a final report and an evaluation, as well as informational mailings, 

website postings, and other consumer education materials. 

Project Period: 09/30/2005 - 07/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

150,000

150,000

150,000

77 Summer Street, 10th Floor 

Program: National Legal Assistance and Elder Rights

National Consumer Law Center

90AP2647 National Legal Resource Initiative for Financially Distressed Elders

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

FY 2007

150,000

150,000

150,000

2307 Shelby Avenue 

Program: National Legal Assistance and Elder Rights

THE CENTER FOR SOCIAL GERONTOLOGY, INC

90AP2648 National Legal Assistance and Elder Rights
FY2006 Compendium - Page 100 of 240 

Washington, DC 20005

Contact: Thomas M Smith (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

FY 2007

150,000

150,000

150,000

1101 14th Street, NW Ste 400 

Program: National Legal Assistance and Elder Rights

NATIONAL SENIOR CITIZENS LAW CENTER

90AP2649 National Support for Legal Assistance and Elder Rights

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 

Program: Pension Information Counseling Projects

OWL, THE VOICE OF MIDLIFE AND OLDER WOMEN

90AM2799 Midwest Pension Rights Project
FY2006 Compendium - Page 101 of 240 

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 served New York, 

with special emphasis on rural counties, and in the second year LSE expanded 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 

Program: Pension Information Counseling Projects

Legal Services for the Elderly

90AM2800 Mid-Atlantic Pension Counseling Project

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

100 Morrissey Boulevard 

Program: Pension Information Counseling Projects

UNIVERSITY OF MASSACHUSETTS BOSTON

90AM2899 New England Pension Assistance Project (NEPAP)
FY2006 Compendium - Page 102 of 240 

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 

Program: Pension Information Counseling Projects

ELDER LAW OF MICHIGAN, INC

90AM2900 Great Lakes 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 

Program: Pension Information Counseling Projects

Minnesota Senior Federation

State Office

90AM2901 Upper Midwest Pension Rights Project
FY2006 Compendium - Page 103 of 240 

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 

Program: Pension Information Counseling Projects

Texas Legal Services Center, Inc.

Legal Hotline for Texans

90AM2902 Pension Information Counseling and Assistance Program of the Southwest

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 

Program: Pension Technical Assistance Project

PENSION RIGHTS CENTER

90AM2798 National Pension Assistance Resource Center
FY2006 Compendium - Page 104 of 240 

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 

Program: Senior Legal Services-Enhancement of Access

NEW HAMPSHIRE LEGAL ASSISTANCE

90AM2794 Consumer Law Project for Seniors

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 

Program: Senior Legal Services-Enhancement of Access

NORTHWEST JUSTICE PROJECT

90AM2795 Statewide Senior Legal Hotline
FY2006 Compendium - Page 105 of 240 

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 

Program: Senior Legal Services-Enhancement of Access

LEGAL SERVICES OF NORTHERN CALIFORNIA

90AM2796 Senior Legal Hotline

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 

Program: Senior Legal Services-Enhancement of Access

Southeast LA Legal Services Corp.

90AM2797 Predatory Lending
FY2006 Compendium - Page 106 of 240 

Bismarck, ND 58505-0250

Contact: Lynne Jacobson (701)328-4613

The Aging Services Division of the North Dakota Department of Human Services proposes to develop a fully-integrated 

system for the delivery of senior legal services, with particular efforts directed toward Native Americans, immigrants, rural 

and disabled seniors. Partnerships include tribal court judges, the Immigration Law Council (comprised of leaders of 

immigrants and refugees in their respective North Dakota communities), Community Access Television (CATV), 

University of North Dakota law clinics, and pro bono or reduced-fee programs. The goals of the project are integration 

and expansion of existing services. Project objectives include coordination of the efforts of all senior legal services 

providers in the state, addition of expertise in Native American and immigration law, utilization of a single toll-free 

number to access all senior legal services programs in North Dakota, aggressive and culturally-sensitive promotion of 

the helpline in the Native American, immigrant, disabled and rural communities, and increased access to pro bono and 

reduced fee-legal services. Anticipated outcomes include: 1) Native American and immigrant seniors gaining 

confidence/trust in the legal system; 2) the helpline will grow in quality and cultural competence, benefiting the target 

populations; and 3) one-stop access to legal services for seniors.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

100,000

100,000 600 East Boulevard Avenue, Department 325 

Program: Senior Legal Services-Enhancement of Access

ND Department of Human Services

Aging Services Division

90AM3097 North Dakota Senior Legal Hot Line

Montgomery, AL 36130

Contact: Kathleen Healey (334)242-5743

The goal of Alabama's Model Approach to Statewide Legal Assistance Systems is to establish a statewide low-cost legal 

assistance system which improves and expands the current delivery of legal services to better protect the rights and 

financial security of older Alabamians, enhancing their choice and independence. Partnerships include an Elder Rights 

Advisory Board, the Governor's Office of Faith-based and Community Initiatives, Hispanic Interest Coalition of Alabama, 

AARP, and several university law school clinics. Targeting will be focused on the three most vulnerable elderly

populations in the state: Hispanic, African American, and rural seniors. Alabama's Disaster Legal Hotline will be 

expanded to include an elder law helpline. Building on this model, a statewide legal assistance system will be created to 

directly challenge current barriers. Major barriers include poverty levels of Alabama seniors (3rd highest in the nation) 

and rural factors (9th highest in rural status). Anticipated outcomes include: 1) an increase in the number of seniors 

receiving statewide legal assistance, resulting in improved health and wellness among Alabama's elderly; and 2) 

professionals in various fields will have greater awareness of elder rights and remedies, thereby increasing referrals of 

seniors to appropriate service providers. An Elder Law Guidebook will be disseminated among the 13 regional Area 

Agencies on Aging and other community organizations that provide senior services. 

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

100,000

100,000 770 Washington Ave 

Program: Senior Legal Services-Enhancement of Access

Alabama Department of Senior Services

State Unit on Aging

90AM3098 Alabama's Model Approach to Statewide Legal Assistance Systems
FY2006 Compendium - Page 107 of 240 

Des Moines, IA 50319-9025

Contact: Deanna Clingan-Fischer (515)725-3319

The Iowa Senior Legal Assistance Integration Project will develop and implement an integrated and comprehensive state 

legal assistance delivery system for older Iowans that will fully integrate Iowa's existing senior legal helpline with all of 

Iowa's Title III-B legal services providers and other available resources. Target populations are older Iowans who are 

low-income, minority, non-English speaking, rural, homebound or otherwise disadvantaged or vulnerable. The Iowa 

Senior Legal Assistance Integration Project Statewide Planning Group will include Area Agencies on Aging, Iowa Legal 

Aid and the other Title III-B providers, Iowa's two law schools, the Long-Term Care Ombudsman, various volunteer 

lawyer projects, the Senior Health Insurance Information Program, the Attorney General's Office, and the Iowa 

Department of Veterans Affairs. Objectives include the expansion of services provided to older Iowans by private 

attorneys, the development of statewide standards to improve the quantity and quality of legal assistance to older 

Iowans, and an analysis of the effectiveness of follow-up services. Anticipated outcomes are: 1) many more Iowans will 

make better informed decisions regarding critical legal issues (such as health care directives and consumer protection), 

since direct legal assistance to older Iowans will increase by more than 57% over existing services; and 2) thousands of 

other older Iowans will increase their ability to deal with legal issues through increased training and community legal 

education that will provide self-help legal offices in over 200 senior centers. The project will also develop a model plan 

and materials to encourage and assist the senior networks in eight other Midwestern states to develop an integrated 

state legal assistance delivery system for older adults.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

100,000

100,000 510 E. 12th Street, Suite 2 

Program: Senior Legal Services-Enhancement of Access

State of Iowa

Iowa Dept. of Elder Affairs

90AM3099 Iowa Senior Legal Assistance Integration Project

Richmond, VA 23229

Contact: Janet James (804)662-7049

The Virginia Department for the Aging proposes to incorporate low-cost legal assistance mechanisms in a 

comprehensive, statewide program. Partnerships include AARP, seven law schools, and the Virginia Elder Rights 

Coalition. Targeting will be focused on Virginia's most vulnerable seniors, specifically those in rural areas, nursing 

homes, assisted living facilities, disabled elderly living in the community, and non-English speaking seniors. The goals of 

the project are to strengthen its existing program by involving stakeholders in statewide planning and collaboration and, 

in conjunction with these stakeholders, to create statewide standards to define measurable units of legal assistance for 

individuals aged 60 and older. The objectives are to enhance the relationship between Area Agencies on Aging and 

legal aid programs, to foster collaboration with the private bar and law schools, to establish a system to reach specific 

target populations including rural, non-English speaking and those in long-term care facilities, and to develop a statewide 

system to collect data and report performance results. Anticipated outcomes include: 1) consistent and meaningful 

participation by stakeholders in statewide planning and coordination of legal assistance services for older Virginians; and 

2) a successful model (that can be duplicated in other States) for providing seniors access to more comprehensive 

services and less frustration in obtaining legal assistance, whether directly from an Area Agency on Aging, a legal aid 

program, or a combination of both.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

92,000

92,000 1610 Forest Avenue, Suite 100 

Program: Senior Legal Services-Enhancement of Access

Virginia Department for the Aging

Long-Term Care

90AM3100 Model Approaches to Developing Statewide Legal Assistance Systems
FY2006 Compendium - Page 108 of 240 

Boise, ID 83706

Contact: Sarah Scott (208)334-3833

The goal of this project is to create an integrated, statewide legal services delivery system that will target and more 

efficiently serve larger numbers of low-income Idaho seniors and related social service organizations. The project will 

target low-income and limited-English proficiency seniors in rural areas, migrant worker seniors, Hispanic seniors, and 

Native American seniors. A Senior Legal Resources Advisory Committee will guide project implementation. 

Stakeholders will include AAAs, ombudsmen, senior centers, the Senior Health Insurance Benefits Association, the U. of 

Idaho College of Law, and the Idaho Volunteer Lawyers Program, in addition to the ID Commission on Aging and Idaho 

Legal Aid Services. Activities will include an assessment of the current legal needs of Idaho seniors, review of Idaho's 

existing legal services delivery system, and development of a plan to effectively incorporate low-cost mechanisms to 

address Idaho's seniors community needs, including: 1) re-establishment of a statewide senior legal hotline with full-time 

attorney staff; 2) creation of the nation's first web-based senior legal form library linked to document automation and 

assembly software; 3) an increase in senior-related materials available through the Idaho Legal Aid Services website 

and offices; and 4) greater coordination of services between senior legal service providers. Anticipated outcomes 

include: 1) an increase in the numbers of low-income Idaho seniors, their caregivers, and the social service organizations 

that assist them, who are served by an integrated, statewide legal services delivery system; and 2) pro bono attorneys, 

senior caregivers and service providers will be aided by the resources of the helpline and the senior library in serving 

seniors and resolving their legal problems. Products will include a senior legal form library, consisting of replicable legal 

forms and applications converted into document automation software.

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

100,000

100,000 3380 Americana Terrace, Suite 120 

Program: Senior Legal Services-Enhancement of Access

Idaho Commission on Aging

90AM3101 Model Approaches to Statewide Legal Assistance Systems

Baltimore , MD 21201

Contact: Sue Vaeth (410)767-1108

The Maryland Department of Aging, in partnership with the Legal Aid Bureau (Senior Legal Helpline and Maryland Legal 

Assistance Network), proposes to coordinate among various aging programs, Area Agencies on Aging, and legal 

services providers, a more integrated legal services system targeting underserved seniors in two critical legal areas: 

advance directives and assisted living. Additional partners include the Maryland State Bar Association, the U. of 

Maryland's Geriatric and Gerontology Education & Research Program, Johns Hopkins U. Elder Health Plus Program,

various faith-based organizations, and Mid-Atlantic LifeSpan, the largest senior care provider association in the 

Mid-Atlantic. The populations that will be specifically targeted are Spanish-speaking and Asian language seniors and 

elders living in assisted living settings. Proposed objectives include: 1) significant expansion of legal advice including 

preparation of customized documents for seniors speaking Korean, Chinese, Tagalog, Vietnamese or Spanish; 2) an 

additional 100 assisted living residents helped each year (total of 300 residents); 3) creation of an online Resource 

Center on Assisted Living targeted to assisted living providers; and 4) two law outlines on advance directives and 

assisted living issues to guide helpline attorneys. Anticipated outcomes include: 1) increased numbers of seniors will be 

educated and provided legal review and planning on advance directives and the healthcare proxy guide; 2) non-English 

and low-English proficiency seniors will receive improved legal services; and 3) assisted living residents will have

increased resolution of their legal problems. Work products will include: a statewide needs assessment; an Online 

Resource Center with model policies and procedures, law outlines, and 3,000 advance directive booklets distributed by 

healthcare, faith-based, and other providers; and multilingual materials (printed and online).

Project Period: 09/30/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

100,000

100,000 301 West Preston Street - Suite 1007 

Program: Senior Legal Services-Enhancement of Access

Maryland Department of Aging

90AM3102 Maryland Statewide Legal Assistance Project: A Collaborative Effort to Expand Maryland Legal Services
FY2006 Compendium - Page 109 of 240 

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 

Program: Senior Medicare Patrol Program Integration

Coalition of Wisconsin Aging Groups

90AM2905 Senior Medicare Patrol Program Integration Grant (TierII)

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 the Senior Companion program.

Anticipated activities/outcomes: bilingual peer volunteers, project staff and advisory committee members provided for 

media MMA events; website 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 

Program: Senior Medicare Patrol Program Integration

The National Hispanic Council on Aging

90AM2906 Senior Medicare Patrol Integration Project For Rural Hispanic Communities (SM-PIP)
FY2006 Compendium - Page 110 of 240 

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 

Program: Senior Medicare Patrol Program Integration

Iowa Department of Elder Affairs

90AM2907 Operation Restore Trust of Iowa SMP Integration Grant

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 

Program: Senior Medicare Patrol Program Integration

California Health Advocates

90AM2908 Senior Medicare Patrol Integration Continuation Project
FY2006 Compendium - Page 111 of 240 

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, and 

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 

Program: Senior Medicare Patrol Program Integration

Center for Advocacy for the Rights and Interests

of the Elderly

90AM2909 Senior Medicare Patrol Project 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 example, 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 

Program: Senior Medicare Patrol Program Integration

Great Lakes Inter-Tribal Council, Inc.

90AM2910 The Great Lakes Inter-Tribal Council Senior Medicare Patrol Integration
FY2006 Compendium - Page 112 of 240 

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 

Pensionados. 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 

Program: Senior Medicare Patrol Program Integration

Puerto Rico Office of the Ombudsman for the Elderly

90AM2911 Puerto Rico ALF Network Integration Initiative

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 

Program: Senior Medicare Patrol Program Integration

Department of Human Services

90AM2912 Senior Medicare Patrol Program Integration
FY2006 Compendium - Page 113 of 240 

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 to 

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 

Program: Senior Medicare Patrol Program Integration

Better Business Bureau Education Foundation

90AM2913 MOD Squad

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 

Program: Senior Medicare Patrol Program Integration

IAAAA Education Institute, Inc.

90AM2914 Indiana Senior Medicare Patrol Integration Project - Senior ESP
FY2006 Compendium - Page 114 of 240 

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 

Program: Senior Medicare Patrol Program Integration

Jewish Family & Vocational Service of Middlesex County,

Inc.

90AM2915 SMP Integration of Medicare and Medicaid
FY2006 Compendium - Page 115 of 240 

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 advocates, 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, a 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 

Program: Senior Medicare Patrol Program Integration

Suburban Area Agency on Aging

90AM2916 Illinois Senior Medicare Patrol Integration Program

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: 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"; a 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 

Program: Senior Medicare Patrol Program Integration

District III Area Agency on Aging

dba Care Connection for Aging Services

90AM2917 SORT Integration Tier I Project
FY2006 Compendium - Page 116 of 240 

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 the 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 

Program: Senior Medicare Patrol Program Integration

Idaho Commission on Aging

90AM2918 Senior Medicare Patrol Integration, Tier II

Falls Church, VA 22041

Contact: Nguyen D Thang (703)538-2190

This is the first year of a two year Senior Medicare Patrol (SMP) grant to support a project for the Boat People SOS, Inc. 

(BPSOS). The goal is to reduce the incidence of Medicare (and Medicaid) errors, fraud and abuses affecting 

Vietnamese seniors. The key objectives are: Vietnamese seniors among the target population will be aware of 

Medicare fraud and of fraud prevention services; Vietnamese seniors will be able to access SMP programs through 

Vietnamese-speaking staff and volunteers; Vietnamese seniors affected by or witnessing fraud will file reports; 

Vietnamese faith-based and community organizations (FBCOs) and self-help groups of seniors will take part in the 

project and will develop their own SMP services; for long-term sustainability, project activities will be incorporated into 

BPSOS' existing programs for seniors; and additional funding will be secured to support partnership between 

Vietnamese FBCOs and SMP programs. The expected outcomes are: Vietnamese seniors will become aware of the risk 

factors, be able to detect signs of fraud, and know how to protect themselves and seek help; BPSOS branch offices will 

develop the capacity to connect Vietnamese seniors with existing SMP programs; changes in attitude will occur in the 

community, including among Vietnamese-American FBCOs and media organizations; and Vietnamese seniors will 

actively identify and combat Medicare fraud and abuses. The products of this project will include: project reports, 

including evaluation results as required; a set of Vietnamese-language outreach and training materials in diverse formats 

(print, audio and video), a replication manual, a website, published articles, radio and television programs, and a training 

workshop at BPSOS annual conferences.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 6066 Leesburg Pike, Suite 100 

Program: Senior Medicare Patrol Program Integration

Boat People SOS, Inc.

90AM3082 Health Awareness Program for Immigrants (HAPI)- Vietnamese Americans
FY2006 Compendium - Page 117 of 240 

Augusta, ME 04333-0011

Contact: Mary P Walsh (207)287-9200

This is the first year of a two-year Senior Medicare Patrol (SMP) grant to the Maine Department of Health and Human 

Services to support an integration project with the state Long-Term Care Ombudsman Program (LTCOP) and the Maine 

Attorney General's Office (AG). The goal is to further strengthen SMP's missions to educate Mainers about Medicare's 

durable medical equipment and prescription drug benefits, including the identification and reporting of errors, fraud and 

abuse. The objectives are to: operate in conjunction with the Area Agencies on Aging to provide outreach to 

communities statewide, including long-term care facilities and home health agencies; collaborate with LTCOP to 

educate their staff and volunteers and the staff of long-term care facilities statewide; continue to collaborate with Health 

Care Alliance of Maine (HCAM) to provide outreach to those receiving home health care; develop commercial television 

advertisements to reach homebound and those living in rural areas; and work with the AG's office to provide a website 

link from their health care crimes site to the existing SMP website. The expected outcome is: Medicare beneficiaries who 

receive home health services, reside in long-term care facilities or are homebound, live in rural areas of the state and 

those who utilize computers for information, as well as their families and caregivers, will have increased knowledge of 

Medicare's durable medical equipment and prescription drug benefits, including the identification and reporting of errors, 

fraud and abuse. Products will include a final report with evaluation results, new brochures on each of the two topics, 

posters, presentations, commercial television advertisements and work on new website link.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

90,000

90,000 442 Civic Center Drive 

Program: Senior Medicare Patrol Program Integration

Maine Department of Health and Human Services

11 State House Station

90AM3083 Integration of Additional Responsibilities for the Senior Medicare Patrol Project

Oklahoma City, OK 73107

Contact: Cindy Brown (405)521-6632

This is the first year of a two-year Senior Medicare Patrol (SMP) grant to the Oklahoma Insurance Department to support 

an integration project with the goal to educate Oklahoma consumers and others how to avoid becoming a victim of 

Medicaid fraud and Medicare Part D scams. The Oklahoma SMP has launched an aggressive statewide public 

awareness campaign to contact the unserved and underserved, non-English speaking, and minority populations. The

objectives are to: collaborate with Oklahoma Seniors Against Fraud (OK SAF) and the American Association of Retired 

Persons (AARP) to present two one-hour broadcasts on Oklahoma's public television station, OETA, which reaches all 

77 counties in Oklahoma; and coordinate an aggressive print ad campaign focused on rural, American Indian, and

Hispanic newspapers, and appropriate public service announcements for radio stations that serve rural, Hispanic, and 

American Indian populations. The expected outcomes include: an increased number of consumers reached through 

television, newspapers, radio, and distributed printed materials, resulting in an increased number of calls to report 

suspected attempts of fraud and scams. Products will include: videotaped PBS broadcasts, posters, brochures, flyers 

newspaper ads, radio public service announcements; and project reports, including evaluation results.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

90,000

90,000 2401 NW 23 Suite 28 

Program: Senior Medicare Patrol Program Integration

Oklahoma Insurance Department

90AM3084 SUMMIT, Medicare/Medicaid Fraud, Abuse and Waste Reduction Program
FY2006 Compendium - Page 118 of 240 

Lac du Flambeau, WI 54538

Contact: Wendell Holt (715)588-3324

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant. The goal, which is part of the "Saving 

Tribal Assets and Resources" (STAR) program, is to enhance program efforts to reach targeted rural, isolated and 

hard-to-reach American Indian and Alaskan Native (AI/AN) populations in Wisconsin, Michigan and Minnesota. The

objectives and activities are to: continue to serve the GLITC tribal service area of Wisconsin and Michigan, focusing on 

integrating Indian Health Services (IHS) and Tribal Health Plans (THP) contracted care in four communities; expand the 

project to hard-to-reach AI/AN populations residing in urban areas by including an AI/AN urban health center in the 

program; and expand the project into another state through collaboration with Minnesota Board on Aging (MBA) and the 

Minnesota Indians Area Agency on Aging (MIAAA). The expected outcomes will be: improved education and inquiry 

resolution for AI/AN beneficiaries; decreased costly billing errors; decreased fraud, and avoidance of unnecessary 

medical interventions; improved beneficiary education and inquiry resolution for IHS and THP; increased beneficiary 

education among 80-90% of AI/AN Medicare and Medicaid recipients, and 50% of all IHS recipients; increased number 

of complaints reported through improved awareness of the STAR program as a culturally sensitive avenue for the

vulnerable AI/AN; improved methods of reporting complaints by collaborating with the statewide SMP program using the 

new sponsored common reporting system. Products will include an AI/AN-specific American Indian Senior Medicare 

Patrol Integration Manual, documenting a model of health care fraud integration that can be replicated by other tribes and 

tribal organizations on a national basis and project reports, as required.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 2932 Highway 47 North; Post Office Box 9 

Program: Senior Medicare Patrol Program Integration

Great Lakes Intertribal Council, Inc.

90AM3085 American Indian and Alaskan Native Focus of the SMP Grant

Honolulu, HI 96813-2831

Contact: Cheryl Pang (800)296-9422

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant. The goal of this two-year project is to 

strengthen current outreach to Native Hawaiian, Southeast Asian and Pacific Islander communities, and caregivers by 

collaborating with stakeholders to more effectively integrate educational efforts within these underserved populations. 

The objectives are to: integrate education efforts on financial, consumer, and healthcare fraud within Native Hawaiian 

communities; integrate education efforts on financial, consumer, and healthcare fraud within Southeast Asian and Pacific 

Islander communities; and use an intergenerational approach to plan, develop and disseminate educational materials for 

family caregivers of elderly individuals to recognize and prevent healthcare fraud. The expected outcome is a

measurable increase in the number of individuals educated in consumer, financial, and healthcare fraud in Native 

Hawaiian, Southeast Asian, and Pacific Islander communities. Products will include translated brochures in Native 

Hawaiian, Ilocano, Tagalog, Samoan, and Chukeese; a video/DVD; and a web-based video and DVDs in interactive 

format.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 250 South Hotel Street, Suite 406 

Program: Senior Medicare Patrol Program Integration

Executive Office on Aging

90AM3086 SMP Program Coverage for Native Hawaiians/ Asian Pacific Islanders
FY2006 Compendium - Page 119 of 240 

New York, NY 10036

Contact: Marianne C Fahs (212)481-5420

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the Brookdale Center on Aging to 

support this project in collaboration with community partners, Asian Americans for Equality in New York City and 

Organization of Chinese Americans-New Jersey Chapter. The goal is to enhance reporting of Medicare, Medicaid and 

other health care error, fraud and abuse by expanding Medicare's SMP program to populations previously unaware of 

and/or unable to participate because of linguistic and/or cultural barriers, specifically Chinese Americans. The objectives 

are to: identify, recruit and train bilingual volunteers to assist non-English speaking Chinese Americans receiving 

Medicare, Medicaid or other health care benefits on how to recognize and report error, fraud and abuse; develop and 

translate training/outreach materials into traditional Chinese; design and carry out a media campaign using 

Chinese-language media to raise public awareness in Chinese communities; involve community-based agencies in 

outreach activities; establish procedures for non-English speaking trainees to access the assistance of bilingual 

volunteers in reporting suspected error, fraud and abuse; establish an infrastructure to track project activities; evaluate 

the impact of the project by collecting data of all reported suspected error, fraud or abuse; and disseminate project 

methods and products. The expected outcomes are: increased awareness of health care error, fraud and abuse; 

training of bilingual volunteers; increase in fraud and abuse complaints; and savings generated from Medicare/Medicaid 

complaints from Chinese American (estimate based on type of complaint/inquiry made). Products will include: final 

report; translated materials; abstracts for national conferences; and a model community partner plan. 

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 230 West 41st Street 

Program: Senior Medicare Patrol Program Integration

Research Foundation of CUNY/Hunter College of CUNY

90AM3087 Enhanced Reporting of Medicare & Medicaid Fraud & Abuse in the Chinese-American Population
FY2006 Compendium - Page 120 of 240 

Seattle, WA 98101

Contact: Kenneth J Bostock (206)838-8166

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the National Asian Pacific Center on 

Aging to support a project which targets limited English speaking seniors who face linguistic and cultural barriers, to raise 

their awareness of Medicare error, abuse and fraud. The goal is to develop outreach strategies to raise awareness of 

Medicare error, abuse and fraud in the Asian Pacific Islander (API) community in at least four states. The objectives are 

to: improve API communities' understanding of health care fraud and strengthen their effectiveness in identifying, and 

reporting error, fraud and abuse; build national and local community capacity to address and reduce health care fraud by 

providing trusted points of contact to API seniors where they can obtain information, education and assistance; and build 

partnerships to establish an inclusive network of API community-based and social services organizations and 

mainstream organizations that can share information and provide technical assistance. The expected outcomes are: the 

capacity of targeted communities will be measured to provide regular, reliable, and timely information; a resource 

network with a multilingual helpline as the core, will be established to ensure accurate and appropriate information to 

seniors and the API community; and collaborations between API community-based and social service organizations will 

be established with cognizant SMP projects. Products will include: project reports, including evaluation results; news 

articles and releases; newsletter; a listserv; and a website.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 1511 Third Avenue. Suite 914 

Program: Senior Medicare Patrol Program Integration

National Asian Pacific Center on Aging

90AM3088 Senior Medicare Patrol Project Integration

Philadelphia, PA 19103

Contact: Diane A Menio (215)545-5728

This is year 1 of a 2 year Senior Medicare Patrol (SMP) Integration grant to the Center for Advocacy for the Rights and 

Interests of the Elderly (CARIE) to partner with the Alzheimer's Assn., DE Valley Chapter (The Association). The goal: 

demonstrate an effective, replicable model of outreach & education for caregivers of persons with dementia, resulting in 

increased awareness of healthcare fraud/abuse, and increased reporting of potential fraud and savings to Medicare & 

Medicaid programs. Objectives: increase program visibility and awareness in PA, Southern NJ, and DE through on-site 

outreach activities, inc. caregiver support groups; utilize media to educate caregivers and elderly with dementia on fraud 

& abuse prevention; train support group leaders as a resource for and provide health care fraud information to 

caregivers; develop and submit articles for publication in Assn. newsletters; utilize CARIE and Assn. websites for 

consumer education & promotion; develop professional and consumer education resources and provide to the National 

Consumer Protection Technical Resource Center; provide consultation and complaint resolution resources for 

consumers, caregivers, & service providers; and achieve measurable outcomes that demonstrate the project's 

effectiveness in combating healthcare fraud, waste, & abuse. Expected outcomes: educated, caregiver support group 

leaders who will conduct group trainings; increased knowledge & ability to report healthcare fraud; increased # of 

caregivers reached with fraud information & materials through support groups, newsletter articles, and public events; 

increase in persons reached through media placements; increased caregiver reports of potentially fraudulent situations; 

and increased Medicare program savings. Products include: a caregiver flyer, 1 page calendar, group leader training 

curriculum, group participant evaluation form, Excel tracking forms, and project reports, inc. evaluation results.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 100 N. 17th Street, Suite 600 

Program: Senior Medicare Patrol Program Integration

Center for Advocacy for the Rights and Interests of the

EIderly

90AM3089 Reaching Elders with Alzheimer's Disease and Their Caregivers
FY2006 Compendium - Page 121 of 240 

Portland, OR 97220

Contact: Jeff MacDonald (503)234-1541

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the Immigrant and Refugee 

Community Organization (IRCO) to support the Russian Ukrainian SMP. The goals are to educate and empower 

isolated, non-English speaking Slavic refugees to understand their Medicare/Medicaid rights and responsibilities and to 

understand and question their Medicare Summary Notices. The objectives are to: outreach to build trust in the

community and to recruit volunteers; train volunteer trainers; recruit a target population; and provide workshops and 

education in partnership with Oregon and Washington Aging and Disability Services (ADS), and Slavic-serving churches 

and social services and business organizations. Expected outcomes are to: recruit and train at least 30 new volunteer 

trainers; provide at least 50 volunteer-led sessions; reach at least 3,000 - 5,000 people in community education and 

sessions for beneficiaries; and reach over 200,000 in media outreach. Products will include: Russian language 

materials and project reports as required, including evaluation results.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

75,000

75,000 10301 NE Glisan Street 

Program: Senior Medicare Patrol Program Integration

Immigrant and Refugee Community Organization (IRCO)

90AM3090 Russian/Ukranian Senior Medicare Patrol

Oak Park, IL 60301

Contact: Jonathan Lavin (708)383-0258

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to AgeOptions, the Suburban Area 

Agency on Aging. The goals are to: develop materials customized for the targeted population and then test the 

effectiveness of them and to disseminate these materials and increase the visibility of the SMP Integration program 

through local, state and national partners. The objectives are to: develop outreach and education materials designed to 

reach low health literacy and homebound seniors; partner with the United Sates Postal Service to reach communities in 

Illinois and Wisconsin; partner with Dominick's/Safeway Pharmacies; partner with Meals on Wheels Association of 

America (MOWAA); disseminate outreach strategies, approaches and materials developed for the target population with 

the integration grant; and evaluate ongoing strategies and approaches to the implementation of the Integration project. 

The expected outcomes are: cross-state distribution of our message through collaborations with our partners; 

improved/increased access of the SMP message to people with low health literacy levels and those who are 

homebound; increased number of people reached and acting on the SMP message; and development of best practices 

for reaching target populations. Products include: public education presentation developed for postal customers, home 

delivered meal clients and pharmaceutical customers; training protocols for postal workers and home-delivered meal 

drivers who serve as Gatekeeper; semi-annual project reports and a final report; and a printed report on the evaluation of 

best practices.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

102,000

102,000 1048 West Lake Street, Suite 300 

Program: Senior Medicare Patrol Program Integration

Suburban Area Agency on Aging

90AM3091 Senior Medicare Patrol Program for the Homebound
FY2006 Compendium - Page 122 of 240 

Providence, RI 02903

Contact: Kathleen M McKeon (401)421-7833

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the Roman Catholic Diocese of 

Providence, Rhode Island to support a project in the Diocese of Providence Office of Community Services. The goal of 

this project is to more fully integrate beneficiary education and awareness of health care error, fraud and abuse to 

homebound elders throughout the state of Rhode Island. The objectives are: to recruit and train "Friendly Visitors" 

throughout the Diocese of Providence on Medicare and Medicaid error, fraud and abuse; to develop culturally sensitive 

materials for distribution; to develop linkages with other religious, community and state agencies; to evaluate the impact 

of the project; and to disseminate project information to appropriate community, state and federal partners. The 

expected outcomes include: homebound individuals will have an increased understanding of Medicare and Medicaid 

errors, fraud and abuse; individuals will be more likely to detect and report errors, fraud and abuse; homebound 

beneficiaries will increase the number of complaints that will result in some action and savings to the Medicare and 

Medicaid programs. Products will include: a data collection tool; recruitment flyer; pamphlet on "how to start a Friendly 

Visitor program"; Diocesan newspaper articles and project advertisements; and a guidance toolkit for SMP projects; and 

project reports as required.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

40,000

40,000 184 Broad Street 

Program: Senior Medicare Patrol Program Integration

Diocese of Providence, Office of Community Service

90AM3092 Diocese of Providence Senior Medicare Patrol Integration Grant

Federal Way, WA 98093-0699

Contact: Janalee Naughton (253)835-7678

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the Multi-Service Center. The goal 

is to conduct outreach and education to the state's most vulnerable elders in order to strengthen their ability to detect and 

report potential Medicare/Medicaid fraud and abuse. Project objectives are to: develop innovative outreach methods to 

train resident leaders; provide outreach to Hispanic and Latino caregivers; determine Alaskan resident leadership 

capacity; pilot a follow-along in-home service in rural southeast Washington; expand assessment and intervention 

services; and disseminate project information. Expected outcomes: resident leaders will become fraud and abuse 

advocates and will serve as a resource for residents in their home facility; Hispanic and Latino caregivers will be

educated about Medicare/Medicaid fraud and abuse, indicators of identification, and ways to report via the Alzheimer's 

Association El Portal program; Alaskan resident leaders will be identified through a needs assessment of selected 

Alaskan long-term care facilities; and capacity will be strengthened to identify and stop abuse or refer to the criminal 

justice system those providers who continue to abuse residents. Products will include project reports as required; 

information on website; and a model outreach toolkit that can be replicated in other states, with an emphasis on rural 

residents in long-term care facilities.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 PO Box 23699 

Program: Senior Medicare Patrol Program Integration

Multi-Service Center

90AM3093 LTC Residents Focus of this Grant
FY2006 Compendium - Page 123 of 240 

Olympia, WA 98504-0256

Contact: Tobi Johnson (360)725-7218

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the Washington State Office of 

Insurance Commissioner, Statewide Health Insurance Benefits Advisors (SHIBA) HelpLine to support collaboration with 

sub-grantee contracts, state agencies, and community-based and faith-based organizations. The goal is to advance 

collaborative and innovative approaches to integrate Medicare and Medicaid fraud awareness and prevention activities in 

rural Latino/Hispanic communities in Adams, Asotin, Benton, Franklin, Garfield, Grant, and Yakima Counties (southern 

and eastern Washington) and in Clark, Minidoka, Owyhee, and Power Counties (southern Idaho). The objectives are to: 

provide public education to Latino/Hispanic seniors, their families, and community leaders about fraud, waste, and abuse 

via bi-lingual peer volunteers; develop culturally and linguistically appropriate public presentation tools, materials, and 

distribution strategies that support high-quality service; develop and maintain partnerships that increase capacity and 

support sustainability; and evaluate communication materials, strategies, and outcomes to share best practices with the 

SMP network and other stakeholders. The expected outcomes are: Latino/Hispanic Medicare beneficiaries and their 

families will be better educated on how to prevent, monitor, and report potential fraud, waste, and abuse; and trusted 

networks will exist to support Latino/Hispanic communities. Products will include: project reports as required; social 

marketing and public education tools, materials, and distribution strategies, developed specifically for the target 

audience; and service evaluation and feedback tools.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

80,000 PO Box 40256 

Program: Senior Medicare Patrol Program Integration

Washington State Office of Insurance Commissioner

90AM3094 Latino/Hispanic Health Care Disparities
FY2006 Compendium - Page 124 of 240 

Millville, NJ 08332

Contact: Harry M Paraison (609)703-5806

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to the DH/Perfil Latino TV, Inc. The 

goal of the project is to mobilize Latino Medicare and Medicaid beneficiaries and senior-serving partner organizations 

across two states (New Jersey and Delaware) in collaboration with Administration on Aging (AoA) resources for training, 

technical assistance and support aimed at controlling health care error, waste and fraud. The objectives are to: 

establish and maintain a consortium of community-based agencies in southern New Jersey (DH/Perfil Latino TV, Inc.), 

central New Jersey (New Jersey HAVE), and Delaware (Latin American Community Center) to assist in planning and 

implementing the project while working in close partnership with an interdisciplinary team of federal, state, and local 

resources; recruit, train, and support retired individuals in three communities in two states to serve as peer advocates 

and to provide public education and outreach to Latino seniors and their families in small towns and rural areas in 

Cumberland county, NJ and in New Castle county, DE; apply considerable experience and expertise with electronic and 

print media to create a culture and language-appropriate, community-based public education and information program to 

modify beneficiary knowledge, attitudes and behaviors associated with identifying and reporting health care error, abuse 

and fraud in the target populations; participate in national and local assessment of the project's process, impact and 

outcomes; and participate in AoA's system of posting program materials electronically on its anti-fraud and abuse web 

page, in order to facilitate the sharing of resources. Expected outcomes are: strong partnerships with aging and fraud 

networks that span two states, three underserved Latino communities and integration of two successful SMP programs. 

Products will include: CD ROMS of all materials and project reports, including evaluation results.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

80,000

79,747 422 Debbie Lane PO Box 935 

Program: Senior Medicare Patrol Program Integration

DH/Perfil Latino TV, Inc.

90AM3095 Senior Latino Medicare Patrol Integration Program for Medicare/Medicaid Beneficiaries
FY2006 Compendium - Page 125 of 240 

Boston, MA 02111

Contact: Ruth Blackman (617)348-6340

This is the first year of a two-year Senior Medicare Patrol (SMP) Integration grant to Action for Boston Community 

Development (ABCD) for support of an initiative for Medicare patrol access through cultural translation, the IMPACT 

Project. The goal is to engage low-income minority populations in the Senior Medicare Patrol (SMP) program. The 

objectives are to: assess the cultural and linguistic competency of participating SMP sponsors; train an initial cadre of 

outreach specialists using the cultural translation model; and test this approach through a minimum of five community 

partnerships in Massachusetts and Rhode Island. Expected outcomes are: gains in basic health literacy among 

participating minority elders; gains in basic knowledge about SMP; changes in participant attitudes about handling health 

care problems; increased participation by targeted minority communities in SMP; and increased rates of complaints 

received, and referred for follow-up, thereby resulting in Medicare dollars saved. Products will include: a checklist for 

assessing SMP agencies' cultural/linguistic capacity; instruments for community linguistic needs assessment; 

train-the-trainer manual for the IMPACT cultural translation approach; volunteer advocates training curriculum; a 

community outreach toolkit; and project reports, including evaluation results.

Project Period: 09/30/2006 - 07/31/2008

FY Grant Amount

FY 2006

FY 2007

71,587

71,587 178 Tremont Street 

Program: Senior Medicare Patrol Program Integration

Action for Boston Community Development, Inc

90AM3096 ABCD's Initiative for Minority Elders

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; an

increased number 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 an increased number of error, fraud or 

abuse cases based on statistical data collected from minority organizations. 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 

Program: Senior Medicare Patrol Project

ELDER SERVICES OF THE MERRIMACK VALLEY, INC.

90AM2588 Massachusetts Medicare, Outreach and Education Project
FY2006 Compendium - Page 126 of 240 

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; and 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 

Program: Senior Medicare Patrol Project

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

90AM2599 Ferret Out Fraud - Senior Patrol Project

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 

Program: Senior Medicare Patrol Project

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES

Elderly Services Division

90AM2602 Medi$ave Program
FY2006 Compendium - Page 127 of 240 

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 ways 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

Program: Senior Medicare Patrol Project

GOVERNOR'S OFFICE FOR ELDERLY AFFAIRS

90AM2603 Puerto Rico Project Alert to Fraud

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 

Program: Senior Medicare Patrol Project

NEVADA OFFICE OF THE ATTORNEY GENERAL

90AM2605 Senior Nevada Advocates on Guard (SNAG)
FY2006 Compendium - Page 128 of 240 

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 

Program: Senior Medicare Patrol Project

MARYLAND DEPARTMENT OF AGING

90AM2697 Maryland Curb Abuse in Medicare and Medicaid (CAMM)

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 

Program: Senior Medicare Patrol Project

NORTH CAROLINA DEPARTMENT OF INSURANCE

90AM2698 Senior Medicare Patrol Project
FY2006 Compendium - Page 129 of 240 

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 

Program: Senior Medicare Patrol Project

WYOMING DEPARTMENT OF HEALTH

90AM2699 Statewide Medicare/Medicaid Fraud Project Utilizing WSHIIP Staff and Volunteers

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 

Program: Senior Medicare Patrol Project

MISSISSIPPI DEPARTMENT OF HUMAN RESOURCES

90AM2700 Mississippi Medicare Assistance Patrol Project (MsMAPP)
FY2006 Compendium - Page 130 of 240 

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 

Program: Senior Medicare Patrol Project

MINNESOTA BOARD ON AGING

90AM2701 Minnesota Medical Care and Anti-Fraud Demonstration Project

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 the 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 PO Box 9

Program: Senior Medicare Patrol Project

GREAT LAKES INTER-TRIBAL COUNCIL, INC.

90AM2702 Senior Medicare Patrol
FY2006 Compendium - Page 131 of 240 

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 

Program: Senior Medicare Patrol Project

UTAH LEGAL SERVICES, INC.

90AM2703 Utah Medicare Education Team

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 

Program: Senior Medicare Patrol Project

EAST RIVER LEGAL SERVICES CORPORATION

90AM2704 South Dakota Anti-Fraud Education Project
FY2006 Compendium - Page 132 of 240 

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, will 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 

Program: Senior Medicare Patrol Project

Vernon Council on Aging, Inc.

90AM2705 Louisiana Medicare Abuse Patrol Program

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 

Program: Senior Medicare Patrol Project

South Carolina Office of Lieutenant Governor

Office on Aging

90AM2706 Senior Medicare Patrol
FY2006 Compendium - Page 133 of 240 

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 

Program: Senior Medicare Patrol Project

IAAAA EDUCATION INSTITUTE, INC

90AM2708 Indiana Senior Medicare Patrol Project

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 

Program: Senior Medicare Patrol Project

New York State Office for the Aging

90AM2709 New York State Operation Restore Trust
FY2006 Compendium - Page 134 of 240 

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 seniors 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 

Program: Senior Medicare Patrol Project

NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES

90AM2710 Health Care Waste, Fraud and Abuse, Senior Medicare Patrol Project

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 

Program: Senior Medicare Patrol Project

DISTRICT III AREA AGENCY ON AGING

90AM2711 Seniors Organized to Restore Trust (SORT)
FY2006 Compendium - Page 135 of 240 

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 

Program: Senior Medicare Patrol Project

NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES

90AM2712 Empowering Consumers of Healthcare Organizations (ECHO)
FY2006 Compendium - Page 136 of 240 

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 

Program: Senior Medicare Patrol Project

Executive Office on Aging

90AM2713 Sagewatch

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 

Program: Senior Medicare Patrol Project

LEGAL SERVICES OF NORTH DAKOTA

90AM2714 Medicare Fraud Senior Patrol Care Project
FY2006 Compendium - Page 137 of 240 

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 

Program: Senior Medicare Patrol Project

COMMUNITY OF VERMONT ELDERS

90AM2715 Vermont Medicare Partnership 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

Program: Senior Medicare Patrol Project

Coalition of Wisconsin Aging Groups

90AM2716 The Senior Medicare Patrol Project
FY2006 Compendium - Page 138 of 240 

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 

Program: Senior Medicare Patrol Project

IOWA DEPARTMENT OF ELDER AFFAIRS

Clemens Building, 3rd Floor

90AM2717 Senior Medicare Error Patrol Project - Operation Restore Trust Iowa

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 

Program: Senior Medicare Patrol Project

AGING 2000, INC.

90AM2718 Health Care Fraud, Waste and Abuse Senior Volunteer Education Project
FY2006 Compendium - Page 139 of 240 

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 the 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 a 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 

Program: Senior Medicare Patrol Project

CENTER FOR ADVOCACY FOR THE RIGHTS AND INTERESTS

 OF THE ELDERLY

90AM2719 The Pennsylvania Health Care Fraud Education Project

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 

Program: Senior Medicare Patrol Project

CALIFORNIA HEALTH ADVOCATES

90AM2720 SCAMS, Senior Counselors Against Medicare Swindlers
FY2006 Compendium - Page 140 of 240 

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 on 

ways 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

Program: Senior Medicare Patrol Project

SURBURBAN AREA AGENCY ON AGING

90AM2721 Illinois Senior Medicare Patrol

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. Using these approaches & 

interventions, we will strengthen the existing consortia of 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; and 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 

Program: Senior Medicare Patrol Project

AARP Foundation

90AM2724 West Virginia Senior Medicare Information and Error Patrol Project
FY2006 Compendium - Page 141 of 240 

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 

Program: Senior Medicare Patrol Project

Multnomah County

Department of Human Services

90AM2928 Multnomah County Senior Medicare Fraud Education Project

Santa Fe, NM 87505

Contact: Deborah Armstrong (505)476-4755

This is the second year of a three-year Senior Medicare Patrol (SMP) grant. The overall goal of the New Mexico Aging 

and Long-Term Services Department Senior Medicare Patrol (SMP) program is to recruit and train senior professionals 

to be benefits counselors and fraud fighters in their communities. The objectives of the project are to: increase and 

enhance the project's volunteer base to include more Spanish and Navajo speaking counselors; enhance outreach 

strategies and initiatives for vulnerable and special populations in the six Planning and Services Areas (PSAs); increase 

the project's consortium of partners and strengthen their roles in the project; and enhance the project's tools to measure 

program effectiveness and outcomes. Expected outcomes: an established presence and an active volunteer base in the 

greater Albuquerque, Santa Fe and Las Cruces areas and in some smaller communities in the state; recruitment of 

volunteers who speak Spanish and Navajo; a toll-free help line accessible throughout the state; 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. Products will include: training materials and project reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

2550 Cerrillos Road 

Program: Senior Medicare Patrol Project

New Mexico Aging & Long-term Services Department

90AM2929 Senior Medicare Patrol-NM Seniors Saving Medicare/Medicaid
FY2006 Compendium - Page 142 of 240 

Lawrence, MA 01843

Contact: Lucilia Prates (978)946-1326

The Elder Services of the Merrimack Valley, Inc. is in its second year of a three-year grant to support the Massachusetts 

Senior Medicare Patrol (MA SMP) project. The goals are 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 

about their health benefits eligibility, specifically the Medicare Modernization Act--prescription drug coverage, Medicaid 

and home and health care while educating these populations on how to identify Medicare/Medicaid errors, fraud, and 

abuse and how to address fraudulent or deceptive marketing tactics. The objectives are to: increase and broaden the 

MA SMP Program's outreach; continue to enhance the program's visibility; increase dissemination of information and the 

number of language specific community forums and presentations delivered to underserved and unserved communities 

throughout the state; and increase the cultural and linguistic capacity of the elder services networks statewide. The 

expected outcomes are: an increased number of individuals reached with information regarding the Medicare 

Modernization Act--prescription drug coverage, Medicaid, home and health care and the SMP program message; an 

increased number of volunteers recruited, trained and retained to inform and counsel LEP elders; and an increased 

number of presentations, community forums, PSAs that generate LEP community involvement. Products include: 

culturally and linguistically competent education materials; website; media packets; and required project reports and 

evaluations.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

360 Merrimack Street, Building #5 

Program: Senior Medicare Patrol Project

Elder Services of the Merrimack Valley, Inc.

90AM2930 Massachusetts Medicare & Medicaid Outreach and Education Program "Senior Medicare Patrol Project"

Little Rock, AR 72203-1437

Contact: Herb Sanderson (501)682-2441

This is the second year of the three-year grant to the Arkansas Division of Aging & Adult Services to administer the 

Senior Medicare Patrol (SMP) project in collaboration with regional partners committed to consumer education and the 

protection of the aging and disabled populations of the state. The goal of the project is to empower senior beneficiaries 

to identify, prevent, and report healthcare fraud, waste and abuse. The target populations are the vulnerable and 

underserved, such as those impacted by low literacy, low income, cultural barriers and geographical isolation. The 

objectives are to: train partners and volunteers to present the Arkansas SMP (ASMP) message; educate and empower 

seniors to prevent healthcare fraud; collaborate with the aging, minority and disability communities to reach underserved 

populations regarding healthcare fraud and health literacy; package the ASMP healthcare fraud and abuse message and 

health literacy message together with information the public wants and needs; and share all educational materials 

developed with seniors across the state and with other SMPs. The expected outcomes are: increased beneficiary 

awareness of healthcare fraud and tools for combating it, as measured by the standard SMP data sets; measurable 

change in beneficiary behavior regarding both health care fraud and health literacy; and increased competency of project 

partners and volunteers. Products from this project are: final reports, including outcome results; improved website 

providing access to pertinent information; relevant publications to include a quarterly newsletter, and updated nursing 

home consumer guide; updated children with disabilities consumer guide; and up-to-date consumer information on 

Medicare Part D and enrollment assistance for seniors.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

179,533

179,530

179,530

P.O. Box 1437, Slot S530 

Program: Senior Medicare Patrol Project

ARKANSAS DEPARTMENT OF HEALTH & HUMAN SERVICES

Aging and Adult Services

90AM2931 Senior Medicare Patrol Projects
FY2006 Compendium - Page 143 of 240 

Washington, DC 20036

Contact: Maria Eugenia Hernandez-Lane (202)347-9733

This is the second year of a three-year grant to the National Hispanic Council on Aging to support the Senior Medicare 

Patrol (SMP) with Underserved Rural Latinos. The goals of the project are to mobilize senior Latino Medicare and 

Medicaid beneficiaries and to collaborate with AoA resources for training, technical assistance, and support services 

aimed at identifying, reporting, and reducing health care error, waste, and fraud. The objectives are to: recruit and 

provide training to volunteer peer advocates; establish and maintain partnerships and linkages with community-based 

organizations; develop a culture and language appropriate community-based public education and information program 

to reach older and disabled Latinos; assess project goals using process, impact and outcome measures; and 

disseminate project activities and outcomes through a national network of organizations, consumers, service providers 

and Medicare beneficiaries. Expected outcomes are: increased number of peer advocates recruited, trained for each 

site; established new partnerships at the community level for each site; and increased number of beneficiaries and 

family members detecting and reporting fraud and waste. Products will include: case studies on lessons learned from 

partnerships; culturally-appropriate education materials; tips on training/managing volunteers; a validated Hispanic 

beneficiary survey instrument; survey results with "before" and "after" and demographic comparisons; and project reports 

as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

178,809

178,809

178,809

1341 Connecticut Ave., NW, Suite 4.2 

Program: Senior Medicare Patrol Project

The National Hispanic Council on Aging

90AM2932 A Medicare Fraud Patrol Project With Underserved Rural-Urban Latino/Hispanic Communities

Atlanta, GA 30303

Contact: Erika Lawson (404)651-6314

This is the second year of a three-year grant to the Georgia Department of Human Resources (DHR), GeorgiaCares 

Senior Medicare Patrol (SMP) project. The goal of this project is to empower Georgians to take an active role in 

protecting healthcare for current and future generations by becoming better consumers. The project objectives are to: 

increase awareness of fraud and the SMP among Georgia's citizens; increase capacity of outreach through the 

expansion and development of partnerships; increase the number of active recruited volunteers; 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. Expected outcomes: 100% of

all persons completing beneficiary surveys and training evaluations after attending SMP trainings and/or community 

education sessions will demonstrate an increase in awareness of Medicare and Medicaid error, fraud and abuse; 

increased number of active, recruited volunteers entered into the Aging Information Management System (AIMS); 

increased program outcomes entered into SmartFacts, AoA's web-based data management system; increased outreach 

activities; increased capacity to reach target populations. Products will consist of newly developed healthcare journals, 

brochures, playing cards with fraud and consumer protection tips, keychain stress balls, and banner stands. All 

progress and final reports will be shared with the SMP community, Georgia's aging network and the U.S. Administration 

on Aging.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

2 Peachtree Street, NW 

Program: Senior Medicare Patrol Project

Georgia Department of Human Resources

90AM2933 Senior Medicare Patrol (SMP)
FY2006 Compendium - Page 144 of 240 

Atlanta, GA 30303-2538

Contact: Cathie Berger (404)463-3235

This is the second year of a three-year grant to the Atlanta Regional Commission to support the Atlanta Senior Medicare 

Patrol (ASMP). The project's goal is to change behavior of people on Medicare and others by educating them to take 

action to recognize, prevent and/or report potential healthcare/Medicare/Medicare fraud and scams. The objectives are 

to: educate seniors and others through presentations, one-on-one sessions and media outreach; provide outreach to a 

very diverse population of African-Americans, Asian-Americans (Chinese, Korean and Vietnamese), Caucasians, 

Hispanic-Americans, and Russian-Americans, and seniors who are socio-economically disadvantaged or underserved; 

add new component to educate about the fraud and scams that have occurred in the region during sales efforts by 

Medicare Advantage agents; and additional collaboration with Atlanta's GeorgiaCares unit. Expected outcomes are: 

2,800 individuals will receive ASMP presentations about Medicare fraud, errors an abuse; 278,000 people on Medicare, 

their family members/caregivers and the general public will be educated about Medicare fraud, errors and abuse; at least 

94% of presentation attendees will state they understand importance of protecting Medicare; and at least 95% of 

presentation attendees will state they will read MSNs in the future. Products will include: educational materials; ASMP 

fraud call line; and reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

125,000

125,000

125,000

40 Courtland St., NE 

Program: Senior Medicare Patrol Project

ATLANTA REGIONAL COMMISSION

Aging Services Division

90AM2934 Atlanta Senior Medicare Patrol Project

Edison, NJ 08817-2598

Contact: Marci Fineman (732)777-1940

This is the second year of a three-year Senior Medicare Patrol (SMP) grant to the New Jersey Healthcare Advocate 

Volunteer Effort (HAVE) designed to improve the quality of healthcare for senior citizens in New Jersey. The goal is to 

provide information so that older adults can take the appropriate steps to protect themselves from becoming victims of 

fraud by educating consumers concerning Medicare and Medicaid fraud, error, and abuse. The objectives are to: utilize 

trained volunteers to reach as many seniors in the State of New Jersey as possible; partner with professionals in the 

aging services network, law enforcement and other areas to promote awareness of Medicare and Medicaid fraud, waste 

and abuse; develop and/or disseminate consumer educational materials about Medicare and Medicaid fraud, waste and 

abuse; provide counseling and serve as consumer advocate to resolve billing disputes and errors; and receive 

complaints about suspected fraud, waste and abuse, and make referrals to appropriate agencies. The expected 

outcomes are: seniors in New Jersey will become aware of the extent of fraud, waste and abuse in the Medicare and 

Medicaid programs; seniors will review their Medicare Summary Notices to ensure that they are receiving the services for 

which Medicare is paying; seniors will take the necessary steps to call their providers to correct any billing disputes and 

errors; and seniors will report suspected cases of fraud, waste and abuse. The products will include: an education 

outcome measurement survey; press releases; public relations tools, including articles for publication, television 

interviews, public service announcements on radio and television, brochures, flyers and tips sheets; and project reports 

as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

200 Metroplex Drive Suite 200

Program: Senior Medicare Patrol Project

Jewish Family & Vocational Service of Middlesex County

90AM2935 Senior Medicare Patrol Project - New Jersey Healthcare Advocate Volunteer Effort
FY2006 Compendium - Page 145 of 240 

New Castle, DE 19720

Contact: Carol Barnett (302)255-9390

The Delaware Medicare Fraud Alert (DMFA) is in the second year of a three-year SMP project. The goal of the project is 

to continue to reach vulnerable and hard-to-reach Medicare and Medicaid beneficiaries with our message about 

becoming a good health care consumer and self advocate. The objectives are to: recruit and train senior professional 

retirees about how to recognize and investigate possible health care fraud; establish and maintain widespread 

partnerships with other entities to support our efforts; and offer a comprehensive statewide outreach campaign to 

encourage Medicare beneficiaries to become better health care consumers. Expected outcomes are: documentation of 

behavioral change by Medicare beneficiaries who agree to review their Medicare statements following our presentations; 

an increase in inquiries to our 800 number; an increase in the number of volunteers and presentations statewide during 

the project year; an increase in the number of readers receiving the project newsletter; and an increase in the quantity 

and quality of the health care fraud information available on the division's website. Products include: a final report; 

brochures about aspects of health care waste, fraud an abuse; Delaware SMP newsletters focusing on timely issues and 

the division's programs; a Medicare fraud bookmark; and a placemat with Medicare facts and graphics.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

170,000

170,000

170,000

1901 N. DuPont Highway, Main Annex 

Program: Senior Medicare Patrol Project

DELAWARE DEPARTMENT OF HEALTH AND SOCIAL SERVICES

90AM2936 Delaware Medicare Patrol Project

Missoula, MT 59801

Contact: Susan Kohler (406)728-7682

Missoula Aging Services will build on its eight years of experience in outreach and education to Medicare beneficiaries 

on the issues of waste, fraud and abuse and general consumer healthcare fraud through the Senior Medicare Patrol 

(SMP). The overall goals are to identify, report and reduce errors, fraud and abuse within the Medicare and Medicaid 

systems and to reach homebound and underserved populations by expanding and enhancing current relationships with

state agencies. The objectives are to: inform and educate Medicare beneficiaries statewide to identify potential 

healthcare error, fraud and abuse; maintain 100 older adults as educators, counselors and advocates for Medicare 

beneficiaries, their families and the public; educate 5,000 older adults, their families and the community regarding 

healthcare errors, waste and fraud; and develop and enhance relationships with state agencies and organizations that 

serve seniors on issues of healthcare fraud. The expected outcome is the education of at least 3,300 Medicare 

beneficiaries by May 31, 2008. Products will include: project reports as required; abstracts for state and national 

conferences; and training manuals for partners and volunteers.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

337 Stephens Avenue 

Program: Senior Medicare Patrol Project

Missoula Aging Services

90AM2937 Montana Medicare Waste Project
FY2006 Compendium - Page 146 of 240 

Salem, OR 97301-1076

Contact: Lee A Girard (503)947-1199

This is the second year of a three-year Senior Medicare Patrol (SMP) grant to the Oregon Department of Human 

Services to support the SMP 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 expected outcome of the 

project is: 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 include a train-the-trainer packet, along with video instruction, Fraudbuster Kits, materials 

for the Latino community and required reports.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

676 Church Street, NE - 2nd Floor 

Program: Senior Medicare Patrol Project

OREGON DEPARTMENT OF HUMAN SERVICES

90AM2938 Oregon Senior Medicare Patrol

St Petersburg, FL 33702

Contact: Sally Gronda (727)570-9696 266

This is the second year of a three-year project of the Area Agency on Aging of Pasco-Pinellas, Inc. (AAAPP) Senior 

Medicare Patrol (SMP) program. The goal is to build upon past experiences and expand outreach statewide through 

strategic partnerships representing a variety of programs whose missions coincide with the SMP. The objectives are to: 

expand the Steering Committee statewide; establish new partnerships/collaborations to assist in expanding the program 

statewide and reaching underserved populations; develop and implement a marketing and outreach plan that is culturally 

competent; develop and implement innovative strategies to expand outreach and education statewide; expand volunteer 

recruitment efforts in the current project areas of Pasco and Pinellas counties; expand volunteer training to incorporate 

the new Medicare Modernization Act; and expand volunteer recognition efforts statewide. Expected outcomes include: 

an increase in the number of complaints to the statewide SMP fraud hotline as a result of an expanded marketing and 

outreach campaign; a substantial increase in the involvement of retired professionals, particularly older minority 

individuals, in Medicare/Medicaid education and training; and an increased awareness/knowledge among seniors about 

fraudulent practices and Medicare Part D. Products include: a webpage; brochures and posters; data/results of 

community education; articles and interviews for publication; and a final report, including evaluation results.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

9887 4th Street North, Suite 100 

Program: Senior Medicare Patrol Project

Area Agency on Aging of Pasco-Pinellas, Inc.

90AM2939 Senior Medicare and Medicaid Patrol of Florida.
FY2006 Compendium - Page 147 of 240 

Washington, DC 20049

Contact: Jan May (202)434-2164

This is the second year of a three-year grant to the Legal Counsel for the Elderly (LCE) to recruit and train volunteers by 

tapping AARP's membership to educate beneficiaries to be capable of detecting and reporting healthcare error, fraud 

and abuse. The objectives are to: recruit and train 10 new volunteers to educate beneficiaries to detect and report error, 

fraud and abuse; design training and revise/update materials on healthcare fraud for volunteers; train volunteers to 

educate Medicare/Medicaid beneficiaries; expand training of social services providers to serve as a resource for their 

perspective social service agencies and organizations; expand outreach activities to reach Medicare and Medicaid 

beneficiaries; and expand and refine current intake and reporting, referral and follow-up system. The expected outcome 

is informed and educated Medicare/Medicaid beneficiaries and the public on preventing and/or detecting and reporting 

suspected errors, fraud or abuse, for investigation and outcome determinations. Products will include nutrition site 

placemats, brochures, wallet sized information cards, information bag with project materials, radio and television 

advertisements, quarterly newsletter, Medicare bingo, refrigerator magnetic boards, and required project reports, 

including evaluation results.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

160,000

160,000

160,000

601 E Street, NW 

Program: Senior Medicare Patrol Project

Legal Counsel for the Elderly

90AM2940 Senior Medicare Patrol Project

San Juan, PR 00919-1179

Contact: Rossana Lopez-Leon (787)721-6121

This is the second year of a three-year grant to the Puerto Rico Office of the Ombudsman for the Elderly to support a 

Senior Medicare Patrol (SMP) project. The goal of the Puerto Rico Alert to Fraud is to empower elder Medicare/Medicaid 

participants, their families and the community in general with the knowledge and skills to become active allies against 

wasteful, erroneous and fraudulent use of traditional Medicare and the new Medicare Modernization Act of 2003 (MMA) 

programs. The objectives are to: maintain a statewide coalition with representatives from at least 15 community, 

faith-based organizations, public and private sector programs and agencies; continue developing a well-trained staff and 

a group of at least 17 retired professional volunteers to provide education to Medicare-Medicaid participants; implement 

a multi-target outreach educational campaign to promote awareness of the PR-ALF/SMP Project and share information 

on fraud prevention, identification and reporting; and conduct a public education campaign to alert seniors and the 

community in general against misinformation or improper marketing techniques, fraud, waste and abuse of 

Medicare-Medicaid programs. The expected outcome is increased island wide educational activities to develop 

knowledge and skills among Medicare beneficiaries leading to fraud and abuse prevention, consumer awareness and 

reporting improper marketing practices by health and medical plans. Products from the project will include: required 

project reports, including evaluation results; educational materials; brochures and articles for publication in Spanish.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

P.O. Box 191179 

Program: Senior Medicare Patrol Project

PUERTO RICO OFFICE OF THE OMBUDSMAN FOR THE ELDERLY

90AM2941 Puerto Rico Alert to Fraud Project-Senior Medicare Patrol Project (SMPP)
FY2006 Compendium - Page 148 of 240 

Olympia, WA 98504

Contact: Tobi Johnson (360)725-7218

The grantee, the Statewide Health Insurance Benefits Advisors (SHIBA) HelplLine, at the Washington State Office of the 

Insurance Commissioner, supports this second year of the Washington State Senior Medicare Patrol (SMP) project. The 

goal of the project is to prevent Medicare fraud, abuse, and waste by educating consumers on how to better monitor 

what is paid on their behalf, and to identify and report potential discrepancies. The objectives are to: recruit, train, and 

place undergraduate social work interns and retired individuals to provide service; provide public education and outreach 

to seniors and their caregivers about fraud, waste, and abuse; develop and disseminate fraud education and consumer 

protection information to the public, targeting rural, diverse and limited-English speaking populations; develop effective 

training curricula that supports high-quality service provision; address the information technology gap by recruiting 

technically-savvy volunteers and ensuring appropriate equipment and connections are available, where possible; and 

develop and maintain community partnerships that increase program capacity and sustainability. The expected 

outcomes are: better educate Medicare beneficiaries and their caregivers on how to prevent, monitor and report 

potential fraud, waste, and abuse; more efficient tracking of fraud and abuse incidences and trends; more support for 

existing rural, diverse, and limited-English speaking communities. Products from this project will include: semi-annual 

performance and financial reports; social marketing, public education, and volunteer training materials; and key 

consumer materials translated into five languages (Spanish, Chinese, Vietnamese, Korean, and Russian).

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

P.O. Box 40256 

Program: Senior Medicare Patrol Project

State of Washington

Office of the Insurance Commissioner

90AM2942 2005-2006 Senior Medicare Patrol Project Consortium

WASHINGTON, DC 20049

Contact: Julia Stephens (202)434-2051

The AARP Foundation, the grantee for the West Virginia Senior Medicare Patrol Project, is in the second year of a 

three-year project. The goals are 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 

develop partnerships with and augment the visibility of others in the aging community who share the projects overall 

objectives. The project objectives are to: recruit, train and support volunteer leaders and educators to provide 

education, training, and consultation about health care fraud and abuse to their peers in rural counties; conduct a media 

campaign to promote the project and toll-free hotline using newspaper, radio, and television; provide education to 

Medicare and Medicaid beneficiaries; and provide assistance through complaint resolution to those reporting suspected 

health care fraud and abuse. Expected outcomes: reduction in error, waste, fraud, and abuse in the delivery of health 

care services within Medicare and Medicaid; increased number of volunteer led workshops, beneficiaries educated, 

complaints received, providers trained, and savings to the Medicare and Medicaid programs; and an increase in the

number of people reached through public relations and marketing activities. Products will include a training film aired on 

cable access television, and required project reports.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

601 E Street, N.W. 

Program: Senior Medicare Patrol Project

AARP Foundation

90AM2943 West Virginia Senior Medicare Patrol Project
FY2006 Compendium - Page 149 of 240 

Cookeville, TN 38506

Contact: Lanelle Godsey (931)432-4111

This is the second year of a grant to the Upper Cumberland Development District/Area Agency on Aging and Disability 

(AAAD) to administer a three-year Senior Medicare Patrol (SMP) 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 (SMP) and State Health Insurance Assistance Program (SHIP) 

Advisory Board. The objectives are to: expand and enhance the joint SMP/SHIP Advisory Board; hold statewide 

volunteer trainings to increase the volunteer base; develop new outcome measurement tools; produce a quarterly

newsletter; enhance the SMP website; enhance media exposure; disseminate project information; and provide 

semi-annual reports to AoA. The expected outcome is increased awareness of the Tennessee SMP program. Products 

from this project are: required reports, including evaluation results; magnifying glasses, fraud playing cards, and other 

volunteer recognition items.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

1225 South Willow Ave. 

Program: Senior Medicare Patrol Project

Upper Cumberland Development District

90AM2944 Tennessee Senior Medicare Patrol Project

Houston, TX 77027

Contact: Candice Twyman (713)341-6141

Over the past 4 years, the Better Business Bureau Education Foundation (BBB) has accomplished and continued to 

implement a collaborative effort utilizing volunteers and community stakeholders educating Medicare and Medicaid 

beneficiaries to detect and report healthcare fraud, waste and abuse. The goal for the project is to combat Medicare 

fraud and waste by recruiting and training retired professionals as volunteer educators to reach other older adults 

throughout the Greater Houston area and empower them to become partners in the effort to end Medicare fraud, waste 

and abuse. The objectives are to: develop and maintain collaborative efforts with eldercare agencies and service 

organizations; engage older adults to actively participate in protecting themselves from consumer fraud; recruit and train 

volunteers to provide education; expand outreach to limited English-speaking populations; increase awareness and 

engage 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. Products will include: educational materials for limited English-speaking populations; 

tools to reach low-literate beneficiaries; training tools for professionals; napkins containing simple Medicare fraud 

message; playing cards containing fraud messages; and project reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

125,000

125,000

125,000

1333 West Loop South, Suite 1200 

Program: Senior Medicare Patrol Project

Better Business Bureau Educational Foundation

90AM2946 Senior Medicare Patrol Project - MOD Squad
FY2006 Compendium - Page 150 of 240 

Cincinnati, OH 45237

Contact: Rhonda Y Moore (513)458-5506

This is the second year of a three-year grant to Pro Seniors 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 and 

professionals on how to protect, detect and report healthcare fraud and to empower seniors to prevent healthcare fraud. 

The objectives are to: achieve and maintain a roster of thirty retired volunteers, including six new rural volunteers; 

educate at least 3,334 beneficiaries and/or caregivers about Medicare/Medicaid fraud, waste and abuse; and educate at 

least 1,000 Medicare beneficiaries and/or their caregivers about the Medicare prescription drug benefit. Expected 

outcomes are: thirty volunteers will conduct at least one Medicare fraud education activity per year; ten volunteers will 

educate Medicare beneficiaries about the Medicare prescription drug program; 3,334 Medicare beneficiaries and/or their 

caregivers will attend the Medicare fraud presentations; 1,000 Medicare beneficiaries will receive education about the 

Medicare prescription drug program; and eight complaints regarding fraud will result in referrals to appropriate 

authorities. Products will include: required project reports; pre- and post-tests to measure the increased knowledge of 

presentation attendees; volunteer newsletters; an updated Medicare Part D and fraud presentation; educational

handouts, such as the Personal Health Care Journal; and radio public service announcements.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

129,280

129,280

129,280

7162 Reading Road, Suite 1150 

Program: Senior Medicare Patrol Project

Pro Seniors, Inc.

90AM2947 Ohio Seniors Fight Fraud

Augusta, ME 04333

Contact: Mary Walsh (207)287-9200

This is the second year of a three-year Senior Medicare Patrol Project, known as the Maine Medicare Education 

Partnership (MMEP), conducted by the Bureau of Elder and Adult Services (BEAS). The goal is to train volunteers 

statewide to provide Medicare and MaineCare (Medicaid) education to Medicare beneficiaries, Medicaid 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 outcomes are: to train 35 new volunteers and reach 5,000 beneficiaries. Products will include the 

final report, Community Medicare Advocate Handbook, a presentation handbook, flyers, presentations, Medicare Bingo, 

brochures, health journals and posters, and an abstract for the SMP National Conference.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

442 Civic Center Drive, 11 State House Station 

Program: Senior Medicare Patrol Project

Maine Department of Health and Human Services

Office of Elder Services

90AM2948 Senior Medicare Patrol Project
FY2006 Compendium - Page 151 of 240 

Boise, ID 83706

Contact: Kim Toryanski (208)344-3833

This is the second year of a three-year cooperative agreement awarded to the Idaho Commission on Aging. The Idaho 

Senior Medicare Patrol Project works with Senior Health Insurance Benefit Advisors (SHIBA), Pocatello Area Agency on 

Aging, and Hispanic Outreach Division of Canyon County Office on Aging to use trained volunteers to educate 

beneficiaries in understanding and analyzing their Medicare billing information. The goal is to help Medicare 

beneficiaries become empowered by having the knowledge necessary to actively manage their health care expenses, 

reduce the level of stress relating to billing issues, and know where to get help when needed. The objectives are to: 

update training for staff and volunteers; increase program awareness with existing and new partners; reach out to those 

in greatest need--minorities, low-income, women, persons with disabilities and those living alone. Expected outcomes 

are: an increased number of Medicare beneficiaries who will know whom to call if they have questions about their 

Medicare benefits and an increased knowledge about how to protect their personal identity to reduce the amount of 

identity theft and fraud. Products will include: powerpoint training presentation and reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

180,000

180,000

180,000

3380 Americana Terrace, Suite 120 

Program: Senior Medicare Patrol Project

Idaho Commission on Aging

90AM2949 Idaho Medicare Education Partnership

Washington, DC 20003-2711

Contact: BJ Brooks (202)546-7876

This is the second year of a three-year grant to the Friendship House Association, a community-based social service 

agency in Washington, DC, to support a Senior Medicare Patrol Project (SMPP). The goals of the project are to: 

increase the awareness of the hard-to-reach senior community in Wards 5, 6, 7 and 8 about fraudulent health care 

practices and scams; build on the heightened level of awareness to change attitudes, beliefs, and behaviors; develop 

vehicles which serve to reduce and/or prevent the incidence of such practices; and evaluate the impact of SMPP 

activities. The objectives are to: utilize retired persons to serve in the communities as volunteer experts, resources and 

educators to teach beneficiaries to detect and report error, fraud and waste in the Medicare system; increase public 

awareness of fraudulent practices; reduce and prevent the incidence of fraudulent practices; detect and punish 

wrongdoing; and create Washington Metro Area SMP Resource Guide and database for seniors and local 

community-based providers. The expected outcomes will include: an expanded and well-trained volunteer base; 

education and training tools for seniors of varying literacy levels; and a citywide (integrated) system for achieving 

measurable outcomes and evaluating the universal impact of the SMPP in the District. Products will include project 

reports, including evaluation results; a community-based program model for replication; universal training and education 

materials; and standardized measures to evaluate and assess the program's effectiveness.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

125,000

125,000

125,000

619 D Street, SE 

Program: Senior Medicare Patrol Project

Friendship House Association

90AM2950 Trusted Friend Network Project A Senior Medicare Patrol Project.
FY2006 Compendium - Page 152 of 240 

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 16 SHIP affiliates and Colorado Access to Benefits Coalition 

(ABC) members. The goals of the project are to provide consumer education on anti-fraud messages, assist consumers 

with fraud/abuse complaints, decrease the number of cases of undetected fraud/abuse and increase the resolution of 

cases when fraud/abuse occurs. 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 expand Colorado's network for dissemination of 

anti-fraud messages through the media, organizations and individuals; to assure an adequate number of SMP "trainers" 

are available to conduct education at the local level; and to 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: increased awareness of potential Medicare fraud among Colorado 

consumers; a decrease in the incidence of undetected cases of Medicare fraud/abuse in the State; and an increase in 

the resolution of reported cases of suspected fraud and/or abuse. The products from this project are SMP brochures, 

Personal Healthcare Journals, fraud alerts, consumer presentations, fraud messages in partner consumer-oriented 

materials, semi-annual narrative reports with evaluation data and financial reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

167,591

167,591

167,591

1560 Broadway Street, Suite 850 

Program: Senior Medicare Patrol Project

State of Colorado

Department of Regulatory Agencies

90AM2951 Anti-Fraud Education Project

Oklahoma City, OK 73107

Contact: Cindy A Brown (405)521-6632

This is the second year of a three-year grant for the Senior Medicare Patrol (SMP) program, Summit Medicare/Medicaid 

Fraud, Abuse and Waste Reduction Program (SUMMIT) focused on reducing Medicare/Medicaid fraud, abuse and waste 

in Oklahoma. The goal is to reduce Medicare/Medicaid fraud, abuse and waste in Oklahoma. The objectives are to: 

provide fraud information to Oklahomans using catalysts: general public (beneficiaries, family members, caregivers) 

through community presentations, public education, SMP training, with emphasis on geographically isolated rural/frontier 

elders; provide Temporary Assistance to Needy Families (TANF) recipients through the Literacy Resource Office's Life 

Skills module; assist isolated elders through home delivered meals by utilizing the Oklahoma Senior Center Association, 

and SUMMIT, SHICP, and AARP volunteers; educate college/university students through Oklahoma Campus Compact 

Service Learning; inform Hispanic elders through Hispanic Chambers of Commerce; and educate American Indians 

through Oklahoma Indian Council on Aging. The expected outcomes are: TANF recipients learn civic responsibility in 

reducing Medicaid fraud; college/university students realize urgency to preserve Medicare/Medicaid for future 

generations; and all Oklahomans, including Hispanics, American Indians, isolated rural/frontier and homebound 

beneficiaries learn self-protection against healthcare fraud. Products: training/resource manual; brochures and

resource flyers; lesson plan for Oklahoma Literacy Council Life Skills in audio and visual; fraud booklet written at 4th - 

6th grade reading levels; a presentation for college/university Service Learning Coordinators; handouts in Spanish; and 

required reports, including evaluation results.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

160,000

160,000

160,000

2401 NW 23, Suite 28 

Program: Senior Medicare Patrol Project

Oklahoma Insurance Department

90AM2952 SUMMIT Medicare/Medicaid Fraud, Abuse and Waste Reduction.
FY2006 Compendium - Page 153 of 240 

Richmond, VA 23219

Contact: Susan Johnson (804)644-5628

The Virginia Association of Area Agencies on Aging (V4A) is in its second year of a three-year grant to manage a 

statewide Senior Medicare Patrol Project (SMP) to reduce public funds lost in Virginia due to Medicare/Medicaid error, 

fraud, and abuse. The goal of V4A is to further reduce public funds lost to Medicare and Medicaid error, fraud and abuse 

by continuing to educate Virginians. Area Agencies on Aging are community focal points in all planning and service 

areas, and these local agencies will continue to be our partners for community education and training. The objectives 

are to: coordinate efforts with 24 local Area Agencies on Aging staff throughout the state of Virginia; enhance ability to 

reach older Virginians in rural areas, the disabled and minorities; increase SMP volunteer recruitment and training 

efforts; increase outreach to beneficiaries; and increase calls to the 1-800 toll-free number by 20%. The expected 

outcomes are increased beneficiary awareness and increased reporting of suspected fraud. Products from this project 

will include: PSAs, articles, brochures, bags, pens, journals, and required reports, including evaluation results. 

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

160,000

160,000

160,000

24 E. Cary Street, Suite 100 

Program: Senior Medicare Patrol Project

Virginia Association of Area Agenices on Aging

90AM2953 Senior Medicare Patrol Program

Phoenix, AZ 85007

Contact: Rex Critchfield (602)542-6572

This is the second year of the Arizona Department of Economic Security (DES), Aging & Adult Administration (A&AA), 

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 develop 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. Products of this project include: 

required reports; evaluation materials; and Spanish brochures.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

159,943

159,943

159,943

1789 West Jefferson, 950A 

Program: Senior Medicare Patrol Project

Arizona Department of Economic Security

Aging and Adult Administration

90AM2954 Ferret Out Fraud - Senior Medicare Patrol Project
FY2006 Compendium - Page 154 of 240 

Anchorage, AK 99503

Contact: Essien Ukoidemabia (907)269-3669

This is the second 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 and report potential discrepancies. The objectives are to: 

reach the vulnerable, isolated and limited English speaking Medicare beneficiaries, through partnering 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. Expected outcome 

is: increased comprehensive training for volunteers through holding a large networking training conference in

Anchorage. Products will include voice enhanced CD-ROMs; power point training materials; video teleconferences; and 

reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

149,482

149,482

149,482

3601 C Street, Suite 310 

Program: Senior Medicare Patrol Project

State of Alaska

Health and Social Services

90AM2955 Senior Medicare Patrol

Topeka, KS 66603

Contact: Tina Langley (785)368-7331

This is the second year of a three-year grant with the Kansas Department on Aging. 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 to: expedite the planning phase of the project; 

identify points of contact within the community; recruit working and retired professionals as volunteers; develop 

education materials to disseminate to professionals and the public; train volunteers and partners as fraud educators; 

provide education programs for beneficiaries; and evaluate the success of the project. Expected outcomes are: the 

project will provide training to at least one organization in every county in Kansas; there will be at least one trained 

volunteer in each county; and 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 products will include: a volunteer 

training manual; education materials for beneficiaries; outreach materials to increase public awareness of fraud and the 

SMP project; documentation of successful strategies for use by other SMP teams, and reports as required.

Project Period: 07/01/2005 - 05/31/2008

FY Grant Amount

FY 2005

FY 2006

FY 2007

63,930

63,930

63,930

503 S. Kansas Ave. 

Program: Senior Medicare Patrol Project

Kansas Department on Aging

90AM2956 Senior Medicare Patrol Project
FY2006 Compendium - Page 155 of 240 

Hagatna, GU 96932

Contact: Cerina Y Mariano,BSW (671)735-7382

The Guam Senior Medicare Patrol Program is 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 

Program: Senior Medicare Patrol Project

DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES

90AM2957 Guam Senior Medicare Patrol Program

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 persons, 

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 

Program: Senior Medicare Patrol Project

Virgin Islands Department of Human Services

Office of the Commissioner

90AM2958 Senior Medicare Patrol Projects
FY2006 Compendium - Page 156 of 240 

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 the Washington Medicaid Fraud Control Unit to assure that fraud and abuse are 

reported to federal and state prosecutorial and fund recovery agencies. Products include a training manual and a final 

report.

Project Period: 07/01/2005 - 06/30/2006

FY Grant Amount

FY 2005 40,000

P.O. Box 23699 

Program: Senior Medicare Patrol Project

Multi-Service Center

Long Term Ombudsman Program

90AM2959 Multi-Service Center Medicare Patrol Grant

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 

Program: Senior Medicare Patrol Project

MONROE COUNTY OPPORTUNITY PROGRAM, INC

90AM2960 Senior Medicare Patrol Project
FY2006 Compendium - Page 157 of 240 

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 

Program: Senior Medicare Patrol Project

INTER-TRIBAL COUNCIL OF ARIZONA, INC

90AM2961 AoA Senior Medicare Project

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 an established, best approach which can be expanded to other Latino locations, and 

partnerships established 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

Program: Senior Medicare Patrol Project

DH/Perfil Latino TV, Inc.

90AM2962 Senior Latino Medicare Patrol in Rural Southern New Jersey
FY2006 Compendium - Page 158 of 240 

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 

Program: Senior Medicare Patrol Project

LATINO EDUCATION PROJECT, INC

90AM2963 Latino Education Project

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 the end of the year; partnerships will be established with the 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 

Program: Senior Medicare Patrol Project

BOAT PEOPLE S.O.S. INC.

90AM2964 Health Awareness Program for Immigrants (HAPI)-Medicare
FY2006 Compendium - Page 159 of 240 

Salt Lake City, UT 84103

Contact: Eric Mittelstadt (801)924-3388

This is the first year of a three-year grant to Utah Legal Services to support a Senior Medicare Patrol (SMP) project. The 

goals of the three-year project are to educate and empower Utah seniors and caregivers to prevent and report health 

care fraud by recruiting and training volunteers to conduct outreach and education and to interact with law enforcement. 

The objectives are to: increase outreach to the Native American population through our sub-grantee, Utah State 

Ombudsman Program; increase the quality and scope of community education events and one-on-one sessions; 

increase the number of inquiries and rate of resolution or reported health care fraud; gather data for grant reporting; and 

increase statewide travel. The expected outcomes are: increased awareness of health care fraud following educational 

presentations and one-on-one sessions; and an increased number of beneficiaries who read notices, report errors and

seek assistance from this project. Products will include: project reports as required; training materials; evaluation 

results; website; brochures; and a monthly newsletter. 

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 205 North 400 West 

Program: Senior Medicare Patrol Project

Utah Legal Services, Inc.

90AM3051 Senior Medicare Patrol Project (SMP)

Columbia, SC 29201

Contact: Gloria McDonald (803)734-9900

This is the first year of a three-year grant for the Senior Medicare Patrol (SMP) program administered by the Lieutenant 

Governor's Office on Aging-Division of Aging Services. The SMP program provides services that address fraud in 

Medicare/Medicaid through a statewide aging network with Area Agencies on Aging (AAAs) as service providers in each 

of the ten regions of the state. The goal of the Senior Medicare Patrol project is to provide statewide fraud education and 

seminars to individuals and groups about Medicare and Medicaid fraud, error and abuse. The objectives are to: conduct 

ongoing seminars, submit fraud alerts to the media , make home visits and telephone contacts to inform beneficiaries 

and the public at large about Medicare health care fraud; establish a system for individuals to report suspected

fraud/abuse and errors; recruit, train, and retain counselors to help individuals review and understand health care 

summary notices; collaborate with aging network, PalmettoGBA Benefits Integrity Unit and the Attorney General's Office 

to train counselors and to serve as a clearinghouse for suspected fraud; and disseminate project information, literature 

and promotional items. The outcomes of the project are to reach our diverse beneficiary's population with awareness of 

fraudulent tactics; and increase reading of or have caregivers review Medicare Summary Notices for fraud and errors. 

Products include: semi-annual reports; final report, including evaluation results; and educational and promotional 

materials. 

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 1301 Gervais Street - Suite 200 

Program: Senior Medicare Patrol Project

Lt. Governor's Office on Aging

90AM3052 SMP- BE-SMART
FY2006 Compendium - Page 160 of 240 

Jackson, MS 39202

Contact: Donald R Taylor (601)359-4500

This is the first year of a three-year Senior Medicare Patrol (SMP) grant to the Mississippi Department of Human 

Services (MDHS) Division of Aging and Adult Services (DAAS) to establish a statewide network of trained volunteers 

serving in their communities to educate and assist seniors in identifying and combating health care fraud, error and 

abuse. As the State Unit on Aging, DAAS will use oversight and coordination to provide services to Mississippi's older 

population through a system of Area Agencies on Aging (AAAs). The three-year project will incorporate statewide 

partnerships and sub-grants to serve seniors in Mississippi's 82 counties. The project goal is to educate Mississippi's 

population to recognize, report and reduce fraud and abuse of Medicare recipients. The objectives are to: foster 

national and statewide program coverage; improve beneficiary education and inquiry resolution for other areas of health 

care fraud; foster national program visibility and consistency; improve efficiency of the SMP program, while increasing 

results for both operational and quality measures; and target training and education to isolated and hard-to-reach 

populations. The expected outcomes are: increased number of trained volunteers; increased number of volunteer

presentations; increased number of Mississippians educated in fraud and abuse awareness; increased number of 

Medicare abuse/error complaint calls; and increased amount of dollars saved to Medicare, Medicaid or beneficiaries. 

Products will include: required reports, including evaluation results; low-literacy literature; and a volunteer training 

manual.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 750 North State Street 

Program: Senior Medicare Patrol Project

Mississippi Department of Human Services

90AM3053 Mississippi Senior Medicare Patrol

Honolulu, HI 96813-2831

Contact: 

This is the first year of a three-year grant, SMP Hawaii, in the State of Hawaii's Executive Office on Aging. SMP Hawaii 

works closely with partners in the aging network, law enforcement, and various community advocacy organizations. The 

goal of the project is to encourage seniors to become self-advocates, protecting themselves, their families and their 

communities from financial, consumer and healthcare fraud. Program objectives are to: establish working partnerships 

and multi-agency projects with local, state, and federal law enforcement agencies; outreach to isolated, underserved, 

and non-English populations, i.e., Native Hawaiians, Southeast Asian, homebound; develop and replicate innovative 

outreach tools; and develop volunteer recruitment, retention, and training strategies. Expected project outcomes: 

conduct four advisory council meetings with representatives from law enforcement, regulatory, consumer advocacy, and 

aging network organizations; conduct fraud prevention and resource fairs on Oahu and neighbor islands (Oahu, Hawaii, 

Maui, and Kauai); develop and replicate DVD to highlight various healthcare fraud schemes, i.e., durable medical 

equipment, home healthcare, HMO, Part D; recruit and train 10 volunteers in both Native Hawaiian and Southeast Asian 

communities; and develop and distribute a fraud prevention and awareness booklet. Products will include: a DVD; 

potholders with program information; brochures; fraud awareness and prevention booklet; and project reports, including 

evaluation results.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 250 South Hotel Street, Suite 406 

Program: Senior Medicare Patrol Project

Hawaii Office of the Governor

Executive Office on Aging

90AM3054 Senior Medicare Patrol Program
FY2006 Compendium - Page 161 of 240 

Sacramento, CA 95819-2300

Contact: Julie Schoen (714)560-0309

This is the first year of a three-year grant to the California Health Advocates (CHA). The CHA Senior Medicare Patrol 

(SMP) has statewide coverage and is beginning a national presence. The goals are to: collaborate with already 

established creditable organizations; utilize a statewide 800 number in partnership with the State Health Information 

Program (SHIP); refine relationships with other agencies to improve case tracking, communication and recoupment 

outcomes; participate in state/regional organizations; California Medicare Coalition, Latino Health Access, Asian Pacific 

Islander Coalition, Office on Aging groups; provide necessary reporting forms and training materials via Internet; identify 

high profile cases that will substantiate credibility and value of the SMPs nationwide; maintain and improve our cohesive 

case tracking system; improve the efficiency of the SMP program, while increasing results for both operational and 

quality measures; reach underserved populations by hiring staff with bi-lingual capabilities and proven track records in 

outreach and service; and be recognized collectively as a national program with the other Administration on Aging (AoA) 

SMPs and the National Technical Resource Center. The expected measurable outcomes are to: provide minimum of 12 

training session per year; ensure a volunteer base of 800 statewide; provide yearly conferences for managers 

concerning fraud and abuse issues; report a minimum of 24 cases of fraud annually; increase savings to Medicare from 

$1.5 million to $3.0 million; increase numbers of elderly educated from current average of 10,000 to 12,000 per year; 

and target training and education to isolated and hard-to-reach populations. Products will include: a newsletter; fact 

sheets; placemats; website; brochures; flyer for hard-to-reach populations; and a final report.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 5380 Elvas Ave., Suite 104 

Program: Senior Medicare Patrol Project

California Health Advocates

90AM3055 Senior Medicare Patrol Program

Las Vegas, NV 89101

Contact: JoAnne Embry (702)486-3154

This is the first year of the three-year grant to the Nevada Office of the Attorney General. The goals of the Nevada 

Senior Medicare Patrol (SMP) project are to: create training manuals and develop new materials with the new logo and 

tag line, and culturally competent materials for non-English speaking and Nevada's rural populations; maximize partner 

collaborations in order to improve outreach to Hispanic and rural populations; increase complaints to the program 

through the increased outreach; and incorporate the SmartFacts system to maximize program progress reporting. 

Expected outcomes will include increased complaints to our state-wide hotline and increased awareness of issues 

involving Medicare, Medicare Part D, and instances that may point to fraud, error or abuse. The products will include: 

brochures; training modules; placemats, key chains, pens, pencils, jar openers, notepads, refrigerator magnets, and

required reports.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 555 East Washington Ave., #3900 

Program: Senior Medicare Patrol Project

Nevada Office of the Attorney General

90AM3056 Nevada's Senior Medicare Patrol Project- Senior Nevada Advocates on Guard (SNAG)
FY2006 Compendium - Page 162 of 240 

Philadelphia, PA 19103

Contact: Diane A Menio (215)545-5728 244

This is the first year of a three-year grant to the Center for Advocacy for the Rights and Interests of the Elderly (CARIE) to 

support a Senior Medicare Patrol project for the state of Pennsylvania (PA-SMP). The goal is to detect, combat, and 

increase public awareness of health care fraud and abuse throughout the state of Pennsylvania, thereby reducing the 

incidence of such practices. The objectives are to: increase program visibility and awareness in Pennsylvania through 

onsite outreach activities; achieve comprehensive statewide coverage through a partnership with the state health 

information program (SHIP); recruit and train retired beneficiaries to provide outreach and education to their peers; 

provide consultation and complaint resolution to consumers; provide measurable outcomes and demonstrate the 

project's effectiveness; and utilize partners and an advisory committee to build a strong program. The expected

outcomes include: several thousand individuals reached at health fairs and presentations leading to increased 

awareness of fraud and its prevention; a presence in each of Pennsylvania's 67 counties through newsletter articles, 

consumer education materials and giveaways, and direct contact with consumers; new volunteers who will be trained on 

health care fraud detection and prevention; increased numbers of consumers assisted with complaint resolution; and an 

increase in reporting and savings to the Medicare program. Products will include: a semi-annual and final reports as 

required; consumer education materials, including flyers, bookmarks, promotional items, and health care calendars; 

consumer materials targeted to non-English speakers, i.e., flyers in Spanish, Chinese, etc.; volunteer newsletters and 

alerts; and a comprehensive website.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 100 N. 17th Street, Suite 600 

Program: Senior Medicare Patrol Project

Center for Advocacy for the Rights

 and Interests of the Elderly (CARIE)

90AM3057 Pennsylvania Health Care Fraud Education Project

Raleigh, NC 27603

Contact: Carla Obiol (919)733-0111

The Seniors' Health Insurance Information Program (SHIIP) received funding for the first year of a three-year grant to 

continue the North Carolina Senior Medicare Patrol (NCSMP) program. The goal of this program is to reduce 

Medicare/Medicaid error, fraud and abuse through statewide coordinated efforts of educational and promotional activities 

and to encourage reporting by Medicare/Medicaid beneficiaries and caregivers. The objectives are to: provide and 

expand education/promotional activities to Medicare/Medicaid beneficiaries, caregivers, and traditionally underserved 

populations; recruit, train and retain volunteers; received and resolve complaints of error, fraud and abuse; network with 

statewide partners to serve as advisors, trainers and to provide counseling assistance with resolving error, fraud and 

abuse issues; develop and disseminate educational materials to the SMP Resource Center and projects; participate in 

the SMP complaints management system and integration strategies; and evaluate program outcomes. The expected 

outcomes are to: evaluate the change in beneficiaries/caregivers behavior to read, understand, resolve, appeal and/or 

report the Medicare Summary Notices (MSNs), Medicare Part D Explanation of Benefits (EOBs) and/or related health 

care billing statements for errors, fraud and abuse to providers, carriers, or the NCSMP Program, providers, or carriers; 

increase the number of reported and resolved complaints; increase the number of educational materials and strategies 

that will serve as examples for other SMP projects. The products from the project are written reports and evaluations; 

educational; promotional and training materials; and education and outreach activities.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 11 South Boylan Avenue 

Program: Senior Medicare Patrol Project

North Carolina Department of Insurance

90AM3058 Senior Medicare Patrol Program
FY2006 Compendium - Page 163 of 240 

Warrensburg, MO 64093-1124

Contact: Kathy Howard (660)747-3107

This is the first year of a three-year grant to the District III Area Agency on Aging (AAA) for support of the Missouri Senior 

Medicare Patrol project (SMP). The goal of the Missouri SMP is to increase the awareness of Medicare and Medicaid 

error, fraud, and abuse among beneficiaries, their caregivers, home health and in-home workers, and hard-to-reach 

populations in the state of Missouri. The objectives are to: conduct a statewide media campaign that semi-annually will 

focus on a topic of interest to Medicare/Medicaid recipients; refine and consolidate the training materials needed to train 

SMP volunteers; contract with each Missouri AAA and the Missouri state prescription assistance program to provide 

volunteer support and training; utilize the SMP Coalition's expertise to provide direction and support for the project; 

develop an educational series focused on home health care and in-home care workers that will increase the ability of 

these professionals to recognize and report potential fraud and abuse to the appropriate agency, as well as distribute 

fraud and abuse information to their clients; and collaborate with AAA's, local community groups and the state Office on 

Minority Health to reach targeted hard-to-reach populations. Expected outcomes are: two retired senior volunteers will 

be conducting activities to educate beneficiaries about potential fraud and abuse in each county in Missouri; every county 

in the state will conduct a minimum of one group presentation and one media event; and beneficiary inquiries about 

health care error, fraud and abuse will increase by 25% in areas targeted for minority outreach. Products will include: 

educational toolkits, articles for publication, and a final report.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

179,426

179,426 106 West Young Street 

Program: Senior Medicare Patrol Project

District III Area Agency on Aging

90AM3059 Missouri SORT: New Directions

Albany, NY 12223-1251

Contact: Wanda Troche (518)474-8047

This is the first year of a three-year grant to New York State Office for the Aging to support a Senior Medicare Patrol 

(SMP) program. The goal of this project is to ensure health care fraud control outreach and education in aging, social, 

health and law enforcement networks. The objectives are to: expand already established programs; expand the number 

of certified long-term care ombudsman and health insurance information counselors who are trained SMP volunteers; 

renew contract with National Government Services, Inc. (NGS) to continue its role of maintaining a statewide toll free 

hotline; work cooperatively with the NY Connects Program, which is an ADRC-type model with regard to staff 

development and community presentations; continue work with New York State Office of Medicaid Inspector General and 

the New York State Attorney General Medicaid Fraud Unit to increase enforcement and prosecution of fraud, error and 

abuse cases; work with long standing and new partners who are committed to reaching those in most economic and 

social need who are particularly vulnerable to health care fraud, error and abuse due to social isolation; and develop 

multiple ways to disseminate SMP through a variety of conferences and symposiums. Expected outcomes are to: 

expand the network of SMP volunteers to include providers and seniors across residential and community-based 

systems; increase the awareness of isolated seniors; and reactivate the state workgroup. Products include: a final 

report consisting of a model for replication; a legislative proposal for whistleblower protection; data collection; a hotline 

number for general information; and updated outreach materials.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 2 Empire State Plaza 

Program: Senior Medicare Patrol Project

New York State Office for the Aging

90AM3060 New York State Senior Medicare Patrol Project
FY2006 Compendium - Page 164 of 240 

Leesville, LA 71446-4016

Contact: Marvis L Chance (337)239-4361

This is the first year of a three-year grant to the Vernon Council on Aging, Inc. to support the Senior Medicare Patrol 

(SMP) project, Louisiana Medicare Abuse Patrol Program (LAMAPP). The goal of the project is to educate Medicare 

beneficiaries to detect and report fraud, error and abuse through use of trained volunteers. The objectives are to: 

provide an informative "user friendly" curriculum; ensure that the LAMAPP staff and volunteers have the expertise 

needed to expand the project; act as a data collection center for incoming complaints; keep website "user friendly" for 

both volunteers and the public; educate Medicare beneficiaries so that they may have the knowledge to fight fraud, error 

and abuse; continue to evaluate the impact of LAMAPP and its effectiveness; and demonstrate that the program can 

make a difference. Expected outcomes of the project are to: recruit, train and maintain 165 volunteers; reach rural 

population through use of two to six additional billboards; increase the number of complaints received from radio 

programs; and increase usage of website by volunteers and the public. Products from the project will include: required 

project reports, website, educational materials; pamphlets and brochures; bumper stickers; and pens.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

128,900

128,900 200 North Third Street 

Program: Senior Medicare Patrol Project

Vernon Council on Aging, Inc.

90AM3061 Louisiana Medicare Abuse Patrol Program

Lincoln, NE 68509-5044

Contact: Cindy Kadavy (402)471-4684

This is the first year of a three-year grant to the Nebraska Office of Long Term Care (LTC) Ombudsman to support the 

Senior Medicare Patrol (SMP) program, Nebraska ECHO Project (Educating and Empowering Consumers of Healthcare

Organizations). The goal of the ECHO Project is to increase awareness among Nebraska's beneficiaries on how to 

identify, report and prevent Medicare and Medicaid fraud, error and waste and to empower and assist them in protecting 

their rights, including the right to be billed accurately for services received and to not be victimized by fraud schemes. 

The objectives of the Nebraska SMP are to: disseminate project information to beneficiaries, their caregivers, and the 

general public; recruit, train and support qualified volunteers and enlist their efforts on behalf of beneficiaries; develop 

and maintain a network of partnerships that will work together to eliminate healthcare fraud, error and waste; provide 

outreach and advocacy to the most vulnerable of beneficiaries; and provide targeted education to hard-to-reach

populations. The expected outcomes of this project are: beneficiaries will have an increased awareness of healthcare 

fraud, error and waste, and initiate positive changes in their behavior; additional volunteers will be recruited and trained; 

and an increased number of inquiries and complaints will be resolved or result in some action, including the savings or 

recoupment of healthcare dollars. The products from this project will include: educational and promotional materials; a 

consumer website; and a summary of project data and accomplishments.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

150,000

150,000 P.O. Box 95044 

Program: Senior Medicare Patrol Project

Nebraska Health and Human Services System

90AM3062 Nebraska ECHO Project (Educating and Empowering Consumers of Healthcare Organizations)
FY2006 Compendium - Page 165 of 240 

Mangilao, GU 96923-2816

Contact: Arthur U San Agustin, MHR (671)735-7102

In 2005, a one-year demonstration grant to establish a Senior Medicare Patrol (SMP) Project on the island of Guam was 

granted. In 2006, the Guam Senior Medicare Patrol Project (SMP) received a three-year grant. This is the first year of 

that grant. The goal of the newly established Guam SMP Project is to continue expanding and further enhancing the 

Project for the purpose of educating Medicare and Medicaid beneficiaries, family members, and caregivers to actively 

protect themselves against fraudulent, wasteful and abusive health care practices and to report suspected errors. Guam 

SMP Project objectives are to: train members of the American Association of Retired Persons, local chapter, to serve as 

Guam SMP Project volunteer resources and educators; educate and provide community awareness of 

Medicare/Medicaid waste, fraud and abuse; disseminate, in various formats, project information on Medicare/Medicaid 

waste, fraud and abuse; foster current and establish new partnerships; and evaluate project activities and communicate 

project outcomes. Expected measurable outcomes are: an increased number of proficiently trained volunteers; 

increased numbers of education beneficiaries, families and caregivers; increased tracking of inquiries and the rate of 

inquiry resolution; and increased Medicare/Medicaid savings. Products will include consumer driven, culturally 

appropriate informational materials, volunteer training items--training manual, volunteer incentives and certificates of 

appreciation, evaluation tools, and required reports.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

75,000

75,000 123 Chalan Kareta Route 10 

Program: Senior Medicare Patrol Project

Department of Public Health and Social Services

90AM3063 Senior Medicare Patrol Program

Hartford, CT 06106

Contact: Marie E Peck-Llewellyn (860)424-5244

The Connecticut Department of Social Services is in its first year of a three-year SMP project. The goal is to enable 

beneficiaries to become better health care consumers by increasing their awareness of Medicare, Medicaid, and other

potential incidences of health care fraud, errors, abuse and scams so that they may detect and reduce improper 

payments and prevent victimization of themselves and others by ferreting out fraudulent scams and practices. The

objectives are to: enhance/create partnerships utilizing volunteers; improve program visibility through an awareness 

campaign; provide education to beneficiaries and professionals, specifically targeting homecare and other isolated

and/or hard to reach populations; and improve project efficiency while increasing results for both operational and quality 

measures. Targeted areas include seniors in geographic areas, some urban and some rural, with high concentrations of 

underserved seniors, but which have produced disproportionately low number of clients; African American and Hispanic 

seniors; and isolated homebound seniors. Expected outcomes include: increased awareness among consumers of 

health care fraud, abuse and related scams; increased accessibility, quantity and effectiveness of information available 

to help targeted populations from being victimized; increased awareness of fraud and abuse issues of those 

professionals involved with homebound/homecare clients; expanded programming for and participation of volunteers in 

community initiatives; increased beneficiary inquiries and reporting of suspected fraud, waste or abuse that result in 

action and savings attributable to the project. Products from the project include a web-based training program, power 

point presentations, and outreach materials.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 25 Sigourney Street 10th Floor

Program: Senior Medicare Patrol Project

Connecticut Department of Social Services

90AM3064 CHOICES Medi$ave Project
FY2006 Compendium - Page 166 of 240 

Minot, ND 58707

Contact: Linda Madsen (701)858-3580

In the first year of a 3 year grant to Minot State University, the MSU Community Outreach Services of the N. Dakota 

Center for Persons with Disabilities (NDCPD) will collaborate with AARP, ND Disability Advocacy Consortium (NDDAC), 

Retired Senior Volunteer Program (RSVP), and the ND Senior Health Insurance Counseling (SHIC) program to help ND 

rural seniors identify and report Medicare errors, fraud & abuse through a Senior Medicare Patrol (SMP) program. The 

goal of ND SMP is to help all ND seniors, including those in the most rural counties and those with disabilities, review 

their Medicare bills to assure that no errors, fraudulent charges or abuse have occurred. Local volunteers, regional 

volunteer coordinators and disability adapted curricula will be utilized to educate underserved Medicare beneficiaries, 

including seniors in frontier counties, and individuals with disabilities on Medicare & Medicaid. Objectives are to: 

increase steering committee membership for comprehensive state input; sustain 8 regional volunteer coordinators and at 

least 80 volunteers statewide; continue training regional coordinators and volunteers to provide beneficiary assistance; 

implement SMP activities for at least 400 beneficiaries, including information dissemination, group training, and 

one-on-one beneficiary education and inquiry processes; provide ongoing guidance and technical assistance to meet 

individual needs; and evaluate the impact of the ND SMP project. Expected outcomes include: greater public awareness 

of potential Medicare errors, fraud or abuse; increased skills in examining Medicare charges; and increased inquiries and 

resolution of errors, fraud & abuse. Products will include a final report with evaluation results; an accessible website; 

web-based training materials with CD-ROM; adaptable and disability accessible volunteer and constituent training 

materials; paper and electronic presentations; and professional articles.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 500 University Avenue West 

Program: Senior Medicare Patrol Project

Minot State University

Research and Sponsored Programs

90AM3065 North Dakota Senior Medicare Patrol Projects

Oak Park, IL 60301

Contact: Jonathan Lavin (708)383-0258

This is the first year of a three-year grant to the Suburban Area Agency on Aging, AgeOptions, for the Senior Medicare 

Patrol (SMP) program for the state of Illinois. The goal of the program is to recruit and train volunteers to conduct health 

care fraud control, outreach and education. The objectives are to: foster national and statewide program coverage; 

improve beneficiary education and inquiry resolution for other areas of health care fraud; foster national program visibility 

and consistency; improve the efficiency of the SMP program, while increasing results for both operational and quality 

measures; and target training and education to isolated and hard-to-reach populations. The expected outcomes: 

statewide coverage through collaborations with all the Area Agencies in Illinois; a centralized intake system to report 

health care fraud; a statewide media campaign; expansion of the SMP message to people with disabilities through 

partnership with the Illinois Network for Centers for Independent Living (INCIL); improved targeting to ethnic and limited 

English speaking seniors through partnership with the Coalition for Limited English Speaking Elderly (CLESE); increased 

awareness about Medicare Part D and Durable Medical Equipment (DME) fraud; consistent branding of the program 

with the national SMP effort; an increased number of people reached with the SMP message; and suggested best 

practices for reaching and educating isolated and hard-to-reach populations. The products from this project are: project 

reports as required, including evaluation results; website; newsletters; SMP power point presentation; SMP posters; 

playing cards; fraud prevention toolkit; and SMP brochure.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 1048 West Lake Street, Suite 300 

Program: Senior Medicare Patrol Project

Suburban Area Agency on Aging

90AM3066 Illinois Senior Medicare Patrol Project
FY2006 Compendium - Page 167 of 240 

Concord, NH 03301-3857

Contact: Karol Dermon (603)271-4925

This is the first year of a three-year grant to the New Hampshire Department of Health and Human Services' Bureau of 

Elderly and Adult Services (BEAS) for support of a Senior Medicare Patrol (SMP) project. The goal of the project is to 

recruit, train and manage a network of volunteers and counselors statewide to educate Medicare beneficiaries and their 

families about health care error, fraud and abuse. The objectives are to: foster statewide and local SMP program 

awareness; provide outreach and education on health care fraud and abuse; conduct targeted outreach and assistance 

to people who are hard to reach; and improve operational efficiencies and to ensure consistent quality of reporting 

systems. Expected outcomes are: increased statewide awareness of Senior Medicare Patrol project; increased number 

of Medicare beneficiaries reached who are homebound, living in isolated or rural areas, who have low literacy, limited 

income and/or living with disabilities or chronic illnesses; more improved operationally efficient program; and an increase 

in the number of knowledgeable beneficiaries on matters of health care fraud, error and abuse and other scams. 

Products will include: brochures; newsletters; PowerPoint presentations; and project reports and evaluation as required.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 129 Pleasant Street 

Program: Senior Medicare Patrol Project

New Hampshire Department of Health and Human Services

Bureau of Elderly and Adult Services

90AM3067 Senior Medicare Patrol Project for State of New Hampshire

Madison, WI 53718-6751

Contact: Karen VonHuene (608)224-0606

This is the first year of a 3 year Senior Medicare Patrol (SMP) grant to the Coalition of Wisconsin Aging Groups' (CWAG) 

Elder Law Center to build on the successful volunteer and partnering programs of its 9 year Senior Medicare Patrol Grant 

("the project") and Integration Grant by expanding the project's scope to address healthcare integrity broadly. The goal is 

to train seniors to be better healthcare consumers and to increase the reports of healthcare error, fraud, waste, and 

abuse. Objectives: to enhance its statewide coverage, the project will continue to revise its volunteer structure by 

expanding the current regional system aligned with the CWAG nine districts to a county-based lead volunteer 

representative system and redesign the project's volunteer positions to reflect four distinct levels of involvement; to 

improve beneficiary education and problem resolution, staff will continue to create training materials and publications for 

use by our volunteers and project partners that teach seniors to be better healthcare consumers by identifying and 

reporting healthcare integrity problems; to foster national visibility, staff will continue to share materials and experiences 

with the National Consumer Protection Technical Resource Center; to improve the efficiency and effectiveness of the 

project through increased complaint referrals, the project will encourage WI seniors to report suspected cases of 

healthcare fraud more broadly; and continue to focus educational and training opportunities to isolated and hard-to-reach 

populations. Expected outcomes include: an increase in the number of elderly individuals educated; an increase in the 

number of inquiries to the project and rate of inquiry resolution; an increase in Medicare, Medicaid, and other healthcare 

savings. Products will include: project reports as required, evaluation results, two websites, written articles for 

publication, data on performance outcomes, and presentations at national conferences. 

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 2850 Dairy Drive, Suite 100 

Program: Senior Medicare Patrol Project

Coalition of Wisconsin Aging Groups

90AM3068 SMP Medicare Integrity Project
FY2006 Compendium - Page 168 of 240 

Riverton, WY 82501

Contact: Tamra I Ward (307)856-6880

This is the first year of a three-year grant to the Wyoming Senior Citizens, Inc. to conduct a Senior Medicare Patrol 

(SMP) project to serve isolated and rural, low income, disabled, and Native Americans on the Wind River Indian 

Reservation. The goal of this project is to educate those persons who will benefit from Medicare fraud and abuse 

information, Medicare Modernization Act and Medicare Part D changes. The objectives are to: train SMP volunteers; 

educate beneficiaries and general public about Medicare fraud; test beneficiaries' knowledge through feedback survey 

to determine if information presented was beneficial; track data on number, types and results of referrals; recruit and 

maintain retired professionals, as well as one bilingual volunteer; educate seniors who do not visit senior centers; 

establish at least one coalition partner in each county; and update educational materials. Expected outcomes are: 

increased volunteer knowledge; increased awareness of the SMP program in the general population; increased 

identification of problems on health care bills and explanation of benefits; increased efficiency in tracking data; and 

increased savings of dollars in the Medicare program. Products from the project will include: brochures, posters, 

bookmarks, health care journals, playing cards, hand sanitizers, band-aid kits and other educational materials and 

reports as required, including evaluation results.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

169,987

169,987 106 West Adams PO Box BD

Program: Senior Medicare Patrol Project

Wyoming Senior Citizens, Inc.

90AM3069 Senior Medicare Patrol Program

Charlotte Amalie, VI 00802

Contact: Michal Rhymer-Charles (340)774-8820

This is the first year of a three-year grant to the Virgin Islands Department of Human Services to support a Senior 

Medicare Patrol (SMP) program to recruit and train senior citizens to include retired professionals as volunteers to 

educate Medicare and Medicaid beneficiaries and/or their caregivers on how to protect themselves from fraud and any 

abusive health care practices. The primary goal of the SMP program is to continue to expand the program territory wide 

which will include recruitment, outreach, referral, and follow up. The objectives of the project are to: identify target 

populations, such as seniors in isolated and hard-to-reach areas; develop educational materials to serve the bilingual 

and culturally diverse and visually impaired, as well as those with limited literacy skills; develop a reporting system to 

report and follow up on any suspected fraud or abuse; implement program coverage strategies such as web-based 

applications, media and outreach events; enhance beneficiaries' education through various collaboration efforts and 

group training sessions with statewide partners; and establish outreach outcomes to seniors at eight senior citizen 

centers territory wide, caregiver support groups, senior independent living communities, and assisted living facilities. 

The expected outcomes are: increased number of volunteer recruitment and trainings; increased number of 

beneficiaries reached; and an increased number of educational activities. Products will include: required reports, 

including evaluation results; brochures and educational materials.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

75,000

75,000 Knud Hansen Complex Building A 

Program: Senior Medicare Patrol Project

Virgin Islands Department of Human Services

90AM3070 Senior Medicare Patrol Projects-Cooperative Agreement
FY2006 Compendium - Page 169 of 240 

Waterloo, IA 50702

Contact: Shirley Merner (319)272-2244

The Hawkeye Valley Area Agency on Aging (HVAAA) is in its first year of a three-year Senior Medicare Patrol Project 

(SMP) grant application. The SMP's major partners include Iowa's Area Agencies on Aging (AAA), and Iowa EXPORT 

Center of Excellence on Health Disparities (Project EXPORT) located at the University of Northern Iowa. Through these 

partnerships, the SMP continues to achieve statewide coverage, expert knowledge of underserved populations, 

expertise in design of culturally-sensitive marketing and educational materials, and previously established community 

relationships. The project's goal is to recruit, train, and empower retired professionals to create responsible beneficiaries 

of healthcare statewide. The focus of this project is to increase outreach and education to include Iowa's isolated and 

hard-to-reach, underserved populations including African American, Asian, Hispanic, Native American, rural Iowans and 

other emerging populations. The objectives include: improve program efficiency statewide; foster and nurture statewide 

coverage and increase outreach to target populations; increase public awareness to underserved populations; improve 

beneficiary healthcare education by focusing on underserved populations; and foster national SMP visibility and

recognition for Iowa SMP's outreach project. The expected outcomes of this project are: our targeted elderly population 

will be equipped to be good stewards of healthcare dollars; recovery of misspent healthcare dollars will increase; and 

target populations will report healthcare concerns for resolution or investigation. The products from this continuation 

project include folders; informational handouts that are culturally sensitive; an updated ID theft brochure; give-away items 

for use at health fairs and presentations; and reports as required, including evaluation results. Project lessons learned 

will be provided to the AoA National Consumer Protection Technical Resource Center (NCPTRC).

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

175,000

175,000 2101 Kimball Avenue, Suite 320 

Program: Senior Medicare Patrol Project

Hawkeye Valley Area Agency on Aging

90AM3071 Iowa Senior Medicare Program (Operation Restore Trust of Iowa)

Baltimore, MD 21201-2374

Contact: Sue Vaeth (410)767-1108

This is the first year of a three-year Senior Medicare Patrol (SMP) Project supported by the grantee, the Maryland 

Department of Aging (MDoA). The goal of the SMP project is to increase senior awareness of health care fraud, waste, 

abuse and error, to mobilize state and community resources to work together in resolving and publicizing health care 

fraud concerns, and to support the goals of the AoA Senior Medicare Patrol. The objectives are to: develop partnerships 

and collaborations to ensure statewide program coverage; improve beneficiary education and inquiry resolution for other 

areas of health care fraud; increase awareness for beneficiaries about the problem of healthcare, fraud waste and 

abuse; identify and test best practices to reach the hard-to-reach population; target training and education to isolated 

and hard-to-reach populations; recruit and train volunteers with a variety of skills and education; foster program visibility 

and consistency; incorporate the new SMP logo and tagline in all MDoA and AAA SMP materials; and incorporate the 

use of the Smartfacts reporting system in Maryland's Senior Medicare Patrol Program. The expected outcomes are to: 

provide outreach to 12,000 Medicare and Medicaid beneficiaries and their families; receive 400 inquiries of suspected 

incidences of fraud, waste, error or abuse; document estimated savings attributable to the project; develop 3 new 

partnerships; assist 4,000 people on an individual basis; and recruit, educate and train a volunteer corps of 75 retired 

professionals. The products from the project will include: an assessment survey for Medicare beneficiaries; a paper on 

building partnerships with non-English communities; an updated training curriculum.; a new SMP brochure; and an 

enhanced web site.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 301 West Preston Street, Suite 1007 

Program: Senior Medicare Patrol Project

Maryland Department of Aging

90AM3072 Senior Medicare Patrol Project Maryland Curb Abuse in Medicare and Medicaid (CAMM)
FY2006 Compendium - Page 170 of 240 

Montpelier , VT 05601-

Contact: Dolly Fleming (802)229-4731

This is the first year of a three-year grant to provide a Senior Medicare Patrol (SMP) project, Community of Vermont 

Elders. The goals of the project are to: build upon the current structure of collaborative efforts with professionals in 

Vermont's elder network who can assist with public education, identification of Medicare error and waste and referral; 

continue to utilize the media as a primary educational strategy which effectively provides useful resource information to 

isolated and homebound beneficiaries; continue to identify opportunities to educate Vermonters about Medicare program 

benefits, rights and protections; and develop an outreach and education strategy to reach people with disabilities. The 

objectives are to: continue collaborative agreement with AAAs; collaborate with SHIP to form an educational strategy for 

people with disabilities; continue collaboration with the National Senior Service Corps; continue expansion of referral and 

reporting services; identify/train and incorporate an intern as a designated program outreach assistant; and 

strengthen/broaden representation and expertise on the Vermont SMP Advisory Council. The expected outcomes are: a 

reduction in Medicare/Medicaid error, fraud and abuse; increased number of referrals received; an increase in the 

number of volunteers engaged in education; an increase in the number of beneficiaries sand providers educated; 

addition of key stakeholders in Advisory Council; increased reporting; and increased public awareness about Vermont 

SMP and Medicare error, fraud and abuse. Products from this project will include: a final report, including evaluation 

results; public service announcements; and educational materials.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 PO BOX 1276 

Program: Senior Medicare Patrol Project

Community of Vermont Elder Affairs

90AM3073 VT Medicare Partnership Project

Indianapolis, IN 46250-4331

Contact: Melissa Durr (317)598-9300

This is the first year of a three-year grant to the Indiana Association of Area Agencies on Aging (IAAAA) Education 

Institute, Inc. to continue an education and training model, the Indiana Senior Medicare Patrol (SMP) project. The goal is 

to create an education and training model on Medicare fraud prevention, including Part D, for elder volunteers and others 

who work with underserved Medicare populations including rural, low income and African American groups. The 

objectives are to: continue working with established partners to foster national and statewide program coverage; improve 

beneficiary education and inquiry resolution for other areas of health care fraud; foster national program visibility and 

consistency; improve the efficiency of the SMP program while increasing results for both operational and quality

measures; and target training and education to isolated and hard-to-reach populations. The expected outcomes are an 

increase in the beneficiary knowledge of Medicare fraud and abuse and reporting a 10% increase in the number of 

complaints received over the life of the project. Products will include brochures, personal health care journals, Medicare 

Summary Notice (MSN) guides and informational sheets, project reports as required, including evaluation results.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 5875 Castle Creek Pkwy N Dr. 

Program: Senior Medicare Patrol Project

IAAAA Education Institute

90AM3074 Indiana Senior Medicare Patrol Project Senior ESP (Examine Services Provided)
FY2006 Compendium - Page 171 of 240 

Montgomery, AL 36130

Contact: Kathleen Healey (334)242-5743

This is the first year of a three-year Senior Medicare Patrol (SMP) project grant to the Alabama Dept. of Senior Services 

(ADSS) to support an SMP program, in collaboration with the 13 Area Agencies on Aging. The goal of the project is to 

educate beneficiaries and providers to identify errors in Medicare billing to combat healthcare waste, fraud and abuse. 

The approach is to educate beneficiaries and providers on fraud and abuse, as well as to track events and contacts on 

potential cases among older consumers. Objectives: educate beneficiaries and providers on how to identify errors in

Medicare billing; provide publications to educate beneficiaries on identifying potential fraud and abuse; publicize a 

statewide 1-800 number for assistance; establish an effective reporting mechanism to track outreach events, as well as 

potential fraud and abuse cases; build partnerships with healthcare providers, Medicare carriers and fiscal 

intermediaries; and recruit & train volunteers. Expected outcomes: more rural, low-income, and non-English speaking 

aging consumers educated and aware of Medicare waste, fraud and abuse, with contacts/assistance should they 

suspect a problem; measurable outcomes with post-evaluations at seminars will show a marked increase in the 

awareness and detection of fraud and abuse positively affecting target areas; publications, a website and increased 

publicity on waste, fraud and abuse will be available statewide; volunteers will be recruited and trained in rural and 

underserved areas; and healthcare providers will begin to be trained to identify healthcare waste, fraud and abuse. 

Products will include: website with statewide resources; reference materials on waste, fraud and abuse; and 

community-based educational programs designed to provide tips on preventing and identifying waste, fraud and abuse, 

emphasizing the importance of protecting one's personal information; and required reports, including evaluation results.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 770 Washington Ave., Suite 470 

Program: Senior Medicare Patrol Project

Alabama Department of Senior Services

90AM3075 Senior Medicare Patrol Program Grant

Sioux Falls, SD 57104

Contact: Candise H Gregory (605)336-2475

The East River Legal Services (ERLS) supports the first year continuation grant of the three-year South Dakota Senior 

Medicare Patrol (SMP) project, in collaboration with the South Dakota State Health Insurance Program (SHIPP Program, 

Cooperative Extension Services, South Dakota Division of Insurance and South Dakota Attorney General's Office. The 

goal of the project is to provide education and information relating to Medicare fraud, as well as other types of health care 

and consumer fraud. The objectives are to: recruit and train volunteers from the network; educate seniors about 

Medicare benefits and how to recognize and report suspected fraud, error, waste and abuse; expand outreach to seniors 

in all 66 counties of the state; keep seniors advised in a timely manner of issues affecting their health and well being; and 

increase inquiry resolution for seniors. The expected outcome is an increase in client contacts and households reached

through media events. Products will include a final report of project results and statistical information; an interactive 

website; the Medicare Advantage handout; scam alerts; and a targeted newspaper column and additional self-help and 

information publications and tools to assist seniors with health care matters.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 335 N. Main Ave., #300 

Program: Senior Medicare Patrol Project

East River Legal Services Corporation

90AM3076 Senior Fraud Patrol - Medicare Assistance Program
FY2006 Compendium - Page 172 of 240 

Saint Paul, MN 55164-0976

Contact: Krista Boston (651)431-2605

This is the first year of a three-year health care anti-fraud demonstration project in partnership with the seven Minnesota 

Area Agencies on Aging and related organizations serving hard-to-reach populations. The goal of the project is to 

empower individuals to identify and report instances of error, fraud and abuse in the health care system with emphasis 

placed on Medicare and Medicaid programs. Objectives of the project are to: foster national and statewide SMP

coverage; improve beneficiary education and inquiry resolution for other areas of health care fraud; foster national 

program visibility and consistency; improve the efficiency of SMP, while increasing results for operational and quality 

measures; and target training and education for hard-to-reach populations. Expected outcomes are: an increased 

number of Minnesotans who receive services from the Senior LinkAge Line who are aware of fraud, abuse and error 

issues and know how to identify and report them; increased number of consumers and professionals from helping 

agencies who know where to go for objective help with questions regarding health care fraud, errors and abuse; a 

decreased number of individuals who experience confusion and frustration when trying to report and resolve fraud, 

abuse and errors; and increased knowledge, skills and confidence of Senior LinkAge Line staff/volunteers to provide 

comprehensive health insurance counseling as it pertains to health care fraud, abuse and error. Products will include: a 

new interactive Web site; secure instant message software and voiceover IP capability; automated statewide tracking of 

health care fraud, abuse and error grievances; virtual volunteer coordinator reference handbook; a cookbook; and a 

report as required.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

180,000

180,000 P.O. Box 64976 540 Cedar Avenue

Program: Senior Medicare Patrol Project

Minnesota Board on Aging

90AM3077 Anti-Fraud Health Care Demonstration Project

Cranston, RI 02920

Contact: Delia Rodriguez (401)462-0524

This is the first year of a three-year Senior Medicare Patrol Project (SMP). The goals are to recruit and train volunteers 

to provide a comprehensive, coordinated statewide information and referral system to educate groups of 

Medicare/Medicaid beneficiaries, their families and professionals about Medicare/Medicaid fraud, error and abuse. The 

objectives are to: utilize the Rhode Island Adult and Disability Resource Center (ADRC) known as The Point as the 

central Information & Referral access for persons concerned about SMP issues; contract with six regional agencies to 

help coordinate SMP activities; partner with SHIP program by conducting a variety of co-sponsored educational 

community outreach events; recruit more counselors than expected; improve program visibility and impact (particularly in 

Providence); provide counseling to non-English speakers (especially Spanish); professionalize the training process of 

SMP counselors through structured certification; and access Dept. of Elderly Affairs' contacts and public awareness 

mechanisms in communicating the SMP message to the network and relevant community members. Expected 

outcomes will continue as the successful activities of the past year, with increased program centralization to assure that 

every week achievable and measurable activities are happening. Products from this project are: a final report, including 

evaluation results; a resource guide; press releases; newspaper articles; brochures; and abstracts for national 

conferences.

Project Period: 07/01/2006 - 05/31/2009

FY Grant Amount

FY 2006

FY 2007

170,000

170,000 35 Howard Ave 

Program: Senior Medicare Patrol Project

Rhode Island Department of Elderly Affairs

90AM3078 Senior Medicare Patrol Project
FY2006 Compendium - Page 173 of 240 

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 

Program: Performance Outcomes Measures Project

ILLINOIS DEPARTMENT ON AGING

Office of The Director

90AM2788 Performance Outcome Measure Project

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 

Program: Performance Outcomes Measures Project

New York State Office for the Aging

Special Projects

90AM2867 Performance Outcomes Measures Project - Priority Area 1: Standard POMP
FY2006 Compendium - Page 174 of 240 

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 

Program: Performance Outcomes Measures Project

North Carolina Department of Health and Human Services

Aging and Adult Services

90AM2868 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 

Program: Performance Outcomes Measures Project

Florida Department of Elder Affairs

Planning and Evaluation Unit

90AM2869 Performance Outcomes Measures Project - Priority Area 1: Standard POMP
FY2006 Compendium - Page 175 of 240 

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 

Program: Performance Outcomes Measures Project

Ohio Department of Aging

Planning, Development & Evaluation

90AM2870 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 

Program: Performance Outcomes Measures Project

Illinois Department on Aging

Division of Planning, Research, and Development

90AM2872 Performance Outcomes Measures Project - Priority Area 1: Standard POMP
FY2006 Compendium - Page 176 of 240 

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

Program: Performance Outcomes Measures Project

State of Iowa

Department of Elder Affairs

90AM2873 Performance Outcomes Measures Project - Priority Area 1: Standard 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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

60,000

2 Empire State Plaza 

Program: Performance Outcomes Measures Project

New York State Office for the Aging

90AM2874 New York Performance Outcome Measures Project: Advanced POMP
FY2006 Compendium - Page 177 of 240 

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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

40,000

49,500

2101 Mail Service Center 

Program: Performance Outcomes Measures Project

North Carolina Department of Health and Human Services

90AM2875 North Carolina Performance 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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

44,985

46,307

35 Howard Avenue 

Program: Performance Outcomes Measures Project

Rhode Island Department of Elderly Affairs

The John O. Pastore Center

90AM2876 Rhode Island Perfomance Outcome Measures Project: Advanced POMP
FY2006 Compendium - Page 178 of 240 

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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

59,943

4040 Esplanade Way, Suite 280 

Program: Performance Outcomes Measures Project

Florida Department of Elder Affairs

Planning and Evaluation Unit

90AM2877 Florida 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 

Program: Performance Outcomes Measures Project

Delaware Department of Health & Social Services

1901 N. DuPont Highway

90AM2878 Delaware Performance Outcome Measures Project: Advanced POMP
FY2006 Compendium - Page 179 of 240 

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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

40,000

50,000

50 West Broad Street, 9th Floor 

Program: Performance Outcomes Measures Project

Ohio Department of Aging

90AM2879 Ohio 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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

50,000

39,000

1717 W. Jefferson, Site Code 010A 

Program: Performance Outcomes Measures Project

Arizona Department of Economic Security

90AM2880 Arizona Performance Outcome Measures Project: Advanced POMP
FY2006 Compendium - Page 180 of 240 

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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

11,250

18,772

21,381

2 Peachtree Street, NW, Suite 9 

Program: Performance Outcomes Measures Project

Georgia Department of Human Resources

Division of Aging Services

90AM2881 Georgia 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 - 09/29/2008

FY Grant Amount

FY 2004

FY 2005

FY 2006

15,000

40,000

60,000

510 East 12th St., Jesse Parker Bldg. Suite 2 

Program: Performance Outcomes Measures Project

Iowa Department of Elder Affairs

90AM2882 Iowa Performance Outcome Measures Project: Advanced POMP
FY2006 Compendium - Page 181 of 240 

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 

Program: Performance Outcomes Measures Project

Lieutenant Governor's Office on Aging

90AM2883 South Carolina Performance Outcomes Measures Project: Advanced Pomp

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 

Program: Performance Outcomes Measures Project

New York State Office for the Aging

90AM3015 Performance Outcomes Measurements Program
FY2006 Compendium - Page 182 of 240 

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 

Program: Performance Outcomes Measures Project

NC Department of Health and Human Services

90AM3016 Standard Performance Outcome Measures Project

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 

Program: Performance Outcomes Measures Project

Ohio Department of Aging

90AM3017 Implementing Outcome Measures in Ohio Standard POMP 7-Enhancing Outcomes Performance
FY2006 Compendium - Page 183 of 240 

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 

Program: Performance Outcomes Measures Project

Florida Department of Elder Affairs

90AM3018 2005 Standard POMP

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) 

Program: Performance Outcomes Measures Project

Arizona Department of Economic Security

90AM3019 Arizona Performance Outcomes Measurement System AzPOMS-Priority 1
FY2006 Compendium - Page 184 of 240 

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 

Program: Performance Outcomes Measures Project

State of Iowa

Iowa Department of Elder Affairs

90AM3020 POMP 7--Developing/Refining Consumer Performance Measurement Tools

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 

Program: Performance Outcomes Measures Project

Georgia Department of Human Resources

90AM3021 Standard POMP Performance Outcome Measures Project
FY2006 Compendium - Page 185 of 240 

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 

Program: Performance Outcomes Measures Project

Oklahoma Department of Human Services

Aging Services Division

90AM3022 Standard Performance Outcomes Measures Project (POMP)

Albany, NY 12223-1251

Contact: I-Hsin Wu (518)486-2730

The New York State Office for the Aging will work collaboratively with local AAAs and other grantees to enhance the 

utility of the POMP surveys for the Aging Network. Specifically, they will

1. Conduct validity tests for the Caregiver Support, Case Management and Physical Functioning surveys.

2. Pilot test the statewide performance measurement methodology, and

3. Provide recommendations for performance measurement toolkits.

The products of this grant will be validated performance outcome measurement surveys, a pilot-tested statewide 

performance measurement protocol and performance measurement toolkits for posting on the POMP website.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

50,000

50,000 2 Empire State Plaza 

Program: Performance Outcomes Measures Project

New York State Office for the Aging

90AM3103 Performance Outcome Measurement Project: Standard POMP 8
FY2006 Compendium - Page 186 of 240 

Raleigh, NC 27699-2101

Contact: Phyllis Bridgeman (919)733-0440

The North Carolina Division of Aging and Adult Services will work with national and state partners toward the three 

project objectives of validity testing, piloting a statewide performance measurement methodology and the development 

of a performance measurement toolkit. All of these build on previous initiatives with the overall goal of increasing 

national, state and regional knowledge of the impact of services and service packages. Working collaboratively with the 

national workgroup they will

1, Conduct validity testing for Caregiver Support, Transportation and Senior Center Surveys

2. Pilot a methodology combining administrative data with minimal consumer surveys for statewide performance 

measurement and

3. Develop a performance measurement toolkit for use by States and AAAs.

The products will include validated performance outcome measurement survey instruments, a pilot-tested statewide 

protocol and a performance measurement toolkit for posting on the POMP website.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

50,000

50,000 2101 Mail Service Center 

Program: Performance Outcomes Measures Project

North Carolina Department of Health and Human Services

90AM3104 Performance Outcome Measurement Project: Standard POMP 8

Tallahassee, FL 32399-7000

Contact: Jay Breeze (850)414-2000

The Florida Department of Elder Affairs has an overall goal for this project of improving the ability of states to evaluate 

the effectiveness of their efforts to serve elders. The objectives/activities for their project are

1. Conduct validity tests for Caregiver Support, Case Management and Emotional Well-Being/Social Functioning 

surveys.

2. Pilot test statewide performance measurement methodology, and

3. Assist in the development of performance measurement toolkit,

Florida will work collaboratively with AAAs and other state grantees with the outcome: a model to assess program 

performance allowing comparability across states. This outcome will benefit states by providing a tested, reliable 

methodology allowing states to identify best practices and areas in need of improvement with respect to elder services.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

50,000

48,742 4040 Esplanade Way, Suite 280 

Program: Performance Outcomes Measures Project

Florida Department of Elder Affairs

90AM3105 FDOEA POMP 8
FY2006 Compendium - Page 187 of 240 

Phoenix, AZ 85007

Contact: Rex Critchfield (602)542-6324

The Arizona Department of Economic Security, Division of Aging and Adult Services (DAAS) will refine its performance 

measurement system to achieve its goal of using performance outcome measurement to assess program effectiveness. 

In collaboration with AAA, Region and Maricopa County service providers, as well as the other grantees, DAAS will 

pursue the following objectives

1. Conduct validity tests on Caregiver Support, Case Management, Information and Assistance and Social and 

Emotional Well-Being surveys.

2. Conduct pilot testing on statewide performance measurement methodology and

3. Assist in the development of performance measurement toolkits for use by the Aging Network.

The outcomes will be refined tools and methodologies for performance measurement for use at the State, local and 

national level. Products will include validated survey instruments, a statewide performance measurement methodology 

that has been pilot tested and performance measurement toolkits for national use.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

50,000

50,000 1717 W. Jefferson St, Site Code 010A 

Program: Performance Outcomes Measures Project

Arizona Department of Economic Security

90AM3106 Performance Outcome Measurement Project: Standard POMP 8

Des Moines, IA 50319

Contact: Jayne Walke (515)725-3309

The Iowa Department of Elder Affairs, working in collaboration with Hawkeye Valley Area Agency on Aging and the other 

grantees will complete work on POMP developed performance measurement surveys and enhance their usefulness for 

the Aging network by

1. Conducting validity testing for the Caregiver, Case Management and Information and Assistance surveys.

2. Pilot testing the statewide performance measurement methodology, and

3. Participating in the development of performance measurement toolkits.

The expected products of this project are the incorporation of outcome measures into existing program data tools. The 

outcomes will be enhanced and streamlined performance outcome measurement.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

49,745

49,745 510 Est 12th Street Jessie-Parker Building - Suite 2

Program: Performance Outcomes Measures Project

Iowa Department of Elder Affairs

Planning and Administration

90AM3107 Performance Outcome Measurement Project: Standard POMP 8
FY2006 Compendium - Page 188 of 240 

Columbus, OH 43215-3363

Contact: Bob Lucas (614)728-9133

The Ohio Department of Aging, working toward the goal of institutionalizing performance measures into state and local 

practice, will work collaboratively with the Council on Aging of Southwest Ohio, as well as the other grantees to pursue 

the following objectives

1. Conduct validity tests on the Caregiver Support, Home Delivered Meals and Physical Functioning surveys.

2. Conduct a pilot test of the grantee-developed statewide performance measurement methodology, and

3. Participate in the development of performance measurement toolkits.

The products will be validated survey instruments, a pilot test of the statewide performance measurement methodology 

and performance measurement toolkits suitable for use at the state and local level.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

50,000

50,000 50 West Broad Street, 9th Floor 

Program: Performance Outcomes Measures Project

Ohio Department of Aging

90AM3108 Performance Outcome Measurement Project: Standard POMP 8

Atlanta, GA 30303-3142

Contact: Charles R Edwards (229)430-6656

The Georgia Department of Human Resources, Division of Aging Services will work collaboratively with the Heart of 

Georgia/Altamaha Area Agencies on Aging and the other grantees toward the obtaining valid information to assess 

service provider performance and drive performance improvements. Specific objectives are

1. Conduct validity tests for Caregiver Support, Congregate Nutrition, Senior Center and Homemaker surveys.

2. Conduct pilot test of the grantee developed statewide performance measurement methodology, and 

3. Participate in the development of performance measurement tools to be posted on the POMP website.

The products of this project include validated survey instruments, pilot tested statewide performance measurement 

methodology and enhanced performance measurement tools. The outcome is improved and consistent performance 

measurement capacity across the Aging Network.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

18,725

18,725 2 Peachtree Street, NW, Suite 9-398 

Program: Performance Outcomes Measures Project

Georgia Department of Human Resources

90AM3109 Performance Outcome Measurement Project: Standard POMP 8
FY2006 Compendium - Page 189 of 240 

Boston, MA 02108

Contact: Wey Hsiao (617)222-7497

The Massachusetts Office of Elder Affairs is working collaboratively with local AAAs and other grantees to develop

standardized performance outcome measures, methodologies and tools for the evaluation and improvement of Federal 

and State programs. The specific approach that will be followed is:

1. Conduct validity tests for current POMP survey instruments for Congregate Meals, Information and Assistance and 

Caregiver Support.

2. Pilot test statewide performance measurement methodology

3. Develop performance measurement toolkits

The products from this project will be validated outcome measure survey instruments, a pilot-tested statewide 

performance measurement methodology with data and performance measurement toolkits for the POMP website.

Project Period: 09/30/2006 - 09/29/2008

FY Grant Amount

FY 2006

FY 2007

35,000

48,462 One Ashburton Place, Fifth Floor 

Program: Performance Outcomes Measures Project

The Executive Office of Elder Affairs

Planning/Program Development

90AM3110 Performance Outcome Measurement Project: Standard POMP 8

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

FY 2007

40,000

39,750

65,685

4040 Esplanade Way, Suite 280 

Program: Planning Grants Project

Florida Department of Elder Affairs

90AM3024 Planning Grants Project (PGP)
FY2006 Compendium - Page 190 of 240 

Raleigh, NC 27699-2101

Contact: Heather Burkhardt (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

FY 2007

40,000

40,000

14,065

2101 Mail Service Center 

Program: Planning Grants Project

North Carolina Department of Health and Human Services

90AM3025 The State Unit and AAAs Planning Grant Project

Indianapolis, IN 46204

Contact: Natalie Angel 

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

FY 2007

40,000

39,750

39,750

402 W Washington St 

Program: Planning Grants Project

Indiana Division of Disability, Aging &

Rehabilitative Services

90AM3026 Indiana Planning Grants Project (PGP)
FY2006 Compendium - Page 191 of 240 

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

FY 2007

40,000

39,940

39,940

555 Walnut Street 

Program: Planning Grants Project

Pennsylvania Department of Aging

90AM3027 Pennsylvania Department of Aging Planning Grants Project

Phoenix, AZ 85007

Contact: Rex Critchfield 

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

FY 2007

39,998

40,000

40,000

1789 W. Jefferson 

Program: Planning Grants Project

Arizona Department of Economic Security

90AM3028 Arizona Planning Project
FY2006 Compendium - Page 192 of 240 

St. Paul, MN 55164-0976

Contact: Kari Benson (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

FY 2007

35,200

35,600

35,600

P.O. Box 64976 

Program: Planning Grants Project

Minnesota Board on Aging

90AM3029 Minnesota Collaborative Planning Model: A Cross-System Approach for Health Promotion

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 public 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

FY 2007

29,656

39,686

39,686

 PO Box 360

Program: Planning Grants Project

New Jersey Department of Health and Senior Services

90AM3030 Planning Grant Proposal for NJ Senior Nutrition Program
FY2006 Compendium - Page 193 of 240 

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

FY 2007

15,675

40,000

40,000

275 East Main Street 3 W-F 

Program: Planning Grants Project

Kentucky Cabinet for Health and Family Services

90AM3031 The Kentucky Division of Aging Services Planning Grant Project

Washington, DC 20005

Contact: Theresa Lambert (202)898-2578 132

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

FY 2007

200,000

250,000

200,000

Suite 350 

Program: Planning Grants Project

National Association of State Units on Aging

1201 15th Street, NW

90AM3032 Technical Assistance Support Center: Comprehensive Planning for Aging Services
FY2006 Compendium - Page 194 of 240 

Washington, DC 20036

Contact: Robert D Logan (202)872-0888 18

To prepare to meet the goals of the Choices for Independence initiative, n4a proposes to establish a partnership with 

Scripps Gerontology Center to:

1) Develop a relevant, accessible, and comprehensive AAA and Title VI program survey for the aging network.

2) Create a National Center for Long-Term Care Business and Strategy in the Aging Network to assist the aging network 

implement AoA Choice for Independence initiative.

3) Institute a pilot program to assess the feasibility of establishing an inventory of Older Americans Act providers.

4.) Create a Web-based Board and Advisory Council Training Manual.

Project Period: 09/30/2006 - 06/30/2009

FY Grant Amount

FY 2006

FY 2007

364,839

514,345 1730 Rhode Island Avenue, NW, Suite 1200 

Program: Choices for Independence

National Association of Area Agencies on Aging (n4a)

90AM3126 Preparing the Aging Network for the Administration on Aging Choices for Independence Ini

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. A 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 

Program: Unsolicited

NATIONAL ASSOCIATION OF STATE UNITS ON AGING (NASUA)

90AM2666 Systems-Building in State Family Caregiver Support and Health Promotion Programs
FY2006 Compendium - Page 195 of 240 

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. 

Program: Congressional Mandates

NAHB RESEARCH CENTER, INC.

90AM2328 Establishment of the National Center for Seniors' Housing Research

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 - 01/31/2008

FY Grant Amount

FY 2000

FY 2002

FY 2003

FY 2005

322,756

493,500

392,234

391,642

1536 16th Street, NW 

Program: Congressional Mandates

REBUILDING TOGETHER, INC.

90AM2334 Advancing Volunteerism Role in Delivering Home Modification Services to Aging Population
FY2006 Compendium - Page 196 of 240 

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 

Program: Congressional Mandates

Comprehensive Housing Assistance, Inc.

Senior Friendly Neighborhoods

90AM2611 Supportive Neighborhoods

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 

Program: Congressional Mandates

Jewish Federation of St. Louis

90AM2612 Naturally Occurring Retirement Communities
FY2006 Compendium - Page 197 of 240 

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 

Program: Congressional Mandates

JEWISH FAMILY AND CHILDREN'S SERVICE OF

Greater Philadelphia

90AM2613 Integrated Comprehensive Service Model in Six Downtown Condominiums

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

Program: Congressional Mandates

IOWA DEPARTMENT OF ELDER AFFAIRS

90AM2622 Iowa Seamless Project
FY2006 Compendium - Page 198 of 240 

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 

Program: Congressional Mandates

MECKLENBURG COUNTY DEPARTMENT OF SOCIAL SERVICES

90AM2665 SOS Nutrition Project: MNT and Therapeutic Meals for Homebound Seniors with Three Chronic Diagnoses

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 

Program: Congressional Mandates

METROPOLITAN FAMILY SERVICES

90AM2726 Seniors Parenting Again Program
FY2006 Compendium - Page 199 of 240 

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 

Program: Congressional Mandates

DES MOINES UNIVERSITY

90AM2728 Creating a Seamless System of Care for Iowa's Aging Population

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 

Program: Congressional Mandates

UNIVERSITY OF INDIANAPOLIS

90AM2729 Caregiver Resource Center - Fountain Square
FY2006 Compendium - Page 200 of 240 

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 

Program: Congressional Mandates

CITY OF ST. LOUIS

Department of Human Services

90AM2730 Senior Center Healthcare Coordinator Program

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 

Program: Congressional Mandates

SOUTHCARE NURSING CENTER INC.

90AM2734 Southcare Home Services
FY2006 Compendium - Page 201 of 240 

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 relationships 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 

Program: Congressional Mandates

JEWISH FEDERATION OF METROPOLITAN CHICAGO

90AM2735 NORC Demonstration -- Chicago

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 - 08/31/2008

FY Grant Amount

FY 2003

FY 2004

FY 2005

490,292

245,294

97,910

4200 Biscayne Blvd. 

Program: Congressional Mandates

GREATER MIAMI JEWISH FEDERATION

90AM2736 NORC Continuation Grant
FY2006 Compendium - Page 202 of 240 

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 

Program: Congressional Mandates

Jewish Federation of Las Vegas

90AM2738 Las Vegas Senior Lifeline

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 

Program: Congressional Mandates

JEWISH FEDERATION OF METROPOLITAN DETROIT

90AM2739 Supportive Communities
FY2006 Compendium - Page 203 of 240 

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 

Program: Congressional Mandates

JEWISH FEDERATION OF GREATER ALTANTA, INC.

90AM2740 Atlanta NORC Demonstration Projects

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 disseminate 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 

Program: Congressional Mandates

UNITED JEWISH FEDERATION OF GREATER PITTSBURGH

90AM2741 AgeWell - Promoting Senior Independence Through Community NORC Interventions
FY2006 Compendium - Page 204 of 240 

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 and 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 - 06/30/2008

FY Grant Amount

FY 2003

FY 2005

1,176,701

979,104 6101 Montrose Road 

Program: Congressional Mandates

JEWISH FEDERATION OF GREATER WASHINGTON

90AM2742 Comprehensive Approach to Aging in Place (CAP)

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 

Program: Congressional Mandates

JEWISH FAMILY SERVICES OF LOS ANGELES

90AM2743 Older Communities in Transition
FY2006 Compendium - Page 205 of 240 

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 an 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 

Program: Congressional Mandates

JEWISH FAMILY AND CHILDREN'S SERVICES OF MINNEAPOLIS

90AM2744 St. Louis Park: A Nurturing Community for Seniors

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 

Program: Congressional Mandates

VISITING NURSE ASSOCIATION HEALTHCARE PARTNERS OF OHIO

90AM2747 Technology Supported Health Promotions for Community Based Seniors: Healthy Town
FY2006 Compendium - Page 206 of 240 

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 

Program: Congressional Mandates

UNIVERSITY OF SOUTH FLORIDA

Division of Research Grants

90AM2750 Florida's Minority Elders: An Assessment of Physical and Mental Health Service Needs

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

Program: Congressional Mandates

DALE COUNTY COMMISSION

90AM2775 Senior Rx Program for Dale County, Alabama
FY2006 Compendium - Page 207 of 240 

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 the project in four locations, which includes 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 

Program: Congressional Mandates

JEWISH FAMILY SERVICE

90AM2818 New Mexico NORC Project

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 

Program: Congressional Mandates

NATIONAL INDIAN COUNCIL ON AGING

Administration

90AM2833 A Demonstration Project to Increase Access to Social Services by Indian Elders
FY2006 Compendium - Page 208 of 240 

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 will 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 

Program: Congressional Mandates

Jewish Federation of Atlantic & Cape May Counties

90AM2835 Naturally Occurring Retirement Community Targeting Riviera and Warwick Facilities

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 

Program: Congressional Mandates

Jewish Family Services, Inc.

90AM2836 Independence for Seniors
FY2006 Compendium - Page 209 of 240 

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 

Program: Congressional Mandates

Jewish Family Service of Tidewater, Inc.

90AM2837 Naturally Occurring Retirement Community Tidewater Demonstration Project

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 

Program: Congressional Mandates

United Jewish Communities of MetroWest, New Jersey

Planning Program Services

90AM2838 A Caring Approach to a Commonplace Continuum: Aging in Place in the Suburbs of New Jersey
FY2006 Compendium - Page 210 of 240 

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 

Program: Congressional Mandates

JEWISH FAMILY & CHILDREN'S SERVICE OF

SOUTHERN ARIZONA, INC.

90AM2839 The Jewish Family and Children's Service Senior Community Care 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 to reach those who 

are isolated and unaware of community resources in order 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 

Program: Congressional Mandates

Jewish Family & Childrens Service of Sarasota-Manatee,

90AM2840 Supportive Senior Outreach Program
FY2006 Compendium - Page 211 of 240 

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 residences 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, in order 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 

Program: Congressional Mandates

Jewish Family Service

90AM2841 Crossroads NORC Demonstration Project

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 on 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. 

These agencies and organizations include St. Vincent's Hospital, United Way of Central Indiana, Home Services 

Unlimited, 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 

Program: Congressional Mandates

Jewish Federation of Greater Indianapolis

90AM2842 Services to Naturally Occurring Retirement Community Seniors in Indianapolis
FY2006 Compendium - Page 212 of 240 

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 

Program: Congressional Mandates

Jewish Family Service of Buffalo and Erie County

90AM2843 Aging in Place - In Search of Community

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 

Program: Congressional Mandates

Jewish Seniors Agency of Rhode Island

90AM2844 Falls Prevention Program
FY2006 Compendium - Page 213 of 240 

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 

who reported high 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

Program: Congressional Mandates

Allied Jewish Federation of Colorado

90AM2845 Providing Services to Facilitate Aging in Place

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 

Program: Congressional Mandates

Jewish Family Service of Rochester, Inc.

90AM2846 Naturally Occurring Retirement Community Supportive Services Program
FY2006 Compendium - Page 214 of 240 

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 provides 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 

Program: Congressional Mandates

UJA Federation of Northern New Jersey

Strategic Planning and Allocation

90AM2847 Aging in Place in Bergen County, New Jersey

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 

Program: Congressional Mandates

Jewish Federation of Ocean County

90AM2848 Naturally Occurring Retirement Community Demonstration Project
FY2006 Compendium - Page 215 of 240 

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 

Program: Congressional Mandates

Oakwood Lutheran Homes Association, Inc.

90AM2849 The Madison Area Continuing Care Consortium (MACCC) NORC Project

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 

Program: Congressional Mandates

Jewish Family & Children's Service, Inc., Boston, MA

Senior Service

90AM2850 Supportive Services in Naturally Occurring Retirement Communities
FY2006 Compendium - Page 216 of 240 

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, consumer fraud, and 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 

Program: Congressional Mandates

STETSON UNIVERSITY COLLEGE OF LAW

90AM2851 Elder Consumer Protection Education Project

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. Three, 3 month interventions for 20 

elderly, to enable them to remain at home include: 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 

Program: Congressional Mandates

Lapeer Regional Hospital

90AM2852 Geriatric Assessment Program-Rapid Response
FY2006 Compendium - Page 217 of 240 

Dallas, PA 18612

Contact: Renee G Zehel (570)674-6307

This project, originally designed for one year, was 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 rebuilt 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 

Program: Congressional Mandates

COLLEGE MISERICORDIA

Assistive Technology Research Institute

90AM2854 Enhancing Life Satisfaction of Older Adults

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 

Program: Congressional Mandates

Olde Kensington Redevelopment Corporation

90AM2856 North Philadelphia Development Center
FY2006 Compendium - Page 218 of 240 

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 - 07/31/2007

FY Grant Amount

FY 2004 98,118

115 Wolfe Street 

Program: Congressional Mandates

Adult Care Center of the Northern Shenandoah Valley Inc

90AM2859 The Use of Complementary and Alternative Medicine (CAM)

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 

Program: Congressional Mandates

Hearth and Home Senior Adult Day Healthcare Center

90AM2861 Montessori-based Programs to Seniors with Dementia
FY2006 Compendium - Page 219 of 240 

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 assess 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 

Program: Congressional Mandates

Maine Hospice Council, Inc.

90AM2862 Maine Center for End of Life Care

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 the 16 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 

Program: Congressional Mandates

BOISE STATE UNIVERSITY

90AM2863 Boise State Center for the Study of Aging
FY2006 Compendium - Page 220 of 240 

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 

Program: Congressional Mandates

COLLEGE OF WILLIAM & MARY

Dean of Research and Graduate Studies

90AM2865 Project Independence

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 

Program: Congressional Mandates

MEALS ON WHEELS ASSOCIATION OF AMERICA

90AM2884 Community Connections: Moving Seniors Toward Wellness
FY2006 Compendium - Page 221 of 240 

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. 

Program: Congressional Mandates

Shaw Jewish Community Center of Akron

90AM2904 Regional Partnership for Older Adults

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

Program: Congressional Mandates

FAMILY CAREGIVER ALLIANCE

90AM2920 National Center on Caregiving
FY2006 Compendium - Page 222 of 240 

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 

Program: Congressional Mandates

Madlyn and Leonard Abramson Center for Jewish Life

90AM2921 Counseling for Caregivers

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 

Program: Congressional Mandates

Foundation on Aging

90AM2922 Regional, Collaborative Plan for the Long-Term Care of Older Adults
FY2006 Compendium - Page 223 of 240 

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 

Program: Congressional Mandates

Shenandoah Area Agency on Aging, Inc.

90AM2923 Early Interventions in Support for Alzheimer's Caregivers

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 

Program: Congressional Mandates

WEXNER HERITAGE VILLAGE

Heritage at Home, VanTran

90AM2924 Wexner Heritage Village: VanTran Wheelchair Program
FY2006 Compendium - Page 224 of 240 

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 

Program: Congressional Mandates

Medford Senior Center

90AM2925 Medication Assistance 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 

Program: Congressional Mandates

City of Rancho Cucamonga

Community Services Department

90AM2926 Senior Wellness and Transportation Program
FY2006 Compendium - Page 225 of 240 

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

Program: Congressional Mandates

Utah Department of Human Services

90AM2965 Technology and Medicare Part D

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 

Program: Congressional Mandates

Jewish Family & Child Service

90AM2966 NORC Supportive Living Project
FY2006 Compendium - Page 226 of 240 

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 

Program: Congressional Mandates

Jewish Family Service

90AM2967 Sugarhouse Supportive Services Program

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. 

Program: Congressional Mandates

The Good Shepherd Home

90AM2968 Skilled Nursing Facility Quality of Care Demonstration Project
FY2006 Compendium - Page 227 of 240 

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 

Program: Congressional Mandates

Loretto Independent Living Services

PACE CNY

90AM2969 PACE CNY Program Expansion

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 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 

Program: Congressional Mandates

Haddington Multi Services for Older Adults, Inc.

90AM2970 West Philadelphia Survival of the Caregiver
FY2006 Compendium - Page 228 of 240 

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 

Program: Congressional Mandates

Vermont Department of Aging and Independent Living

90AM2971 Vermont Senior Center Earmark Project

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 

Program: Congressional Mandates

Jewish Family Service of Sacarmento

90AM2972 Innovative Senior Support Program for a Naturally Occurring Retirement Community
FY2006 Compendium - Page 229 of 240 

Brooklyn, NY 11223

Contact: Mark Kranczer (718)627-4300

The Sephardic Community Center (SCC) will develop a new support system for 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 friendly volunteer visitors. Volunteer "friendly visitors" will check on the status of homebound 

elderly clients, provide in-home respite for the caregiver, and shopping assistance, as well as 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 on 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 

Program: Congressional Mandates

Sephardic Community Center

90AM2973 Southeast Brooklyn Supportive Services Network for the Frail Elderly

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 

Program: Congressional Mandates

City of Pawtucket

90AM2974 Home Alone
FY2006 Compendium - Page 230 of 240 

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 the 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 

Program: Congressional Mandates

Cyber Seniors

90AM2975 ExperienceSeniorPower (ESP): Intergenerational Computer and Job Skills Training Program

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; and 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 

Program: Congressional Mandates

Faith In Action of Central Stark County, Inc.

90AM2976 Recruit/Train 100 Volunteers to Fill Out Vital Health Records for individuals Over Age 65
FY2006 Compendium - Page 231 of 240 

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 

Program: Congressional Mandates

Mt. Airy Bethesda Manor, Inc.

90AM2977 Mt. Airy Bethesda Satellite Senior Technology Education Program

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 

Program: Congressional Mandates

Jewish Family & Children's Svc of Greater Mercer County

Senior Services

90AM2978 NORC Demonstration Project
FY2006 Compendium - Page 232 of 240 

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 Bethel 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 

Program: Congressional Mandates

Jewish Family Service Agency of Central New Jersey

Department of Older Adult Services

90AM2979 Aging in Place in Union County, New Jersey

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 

Program: Congressional Mandates

Jewish Family Service of the Cincinnati Area

Senior Adult Services

90AM2980 Aging in Place Initiative Providing Support Service Programs...Hamilton Co.
FY2006 Compendium - Page 233 of 240 

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 living in 

their own homes for 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 

Program: Congressional Mandates

Jewish Family Service of San Diego

Senior Services

90AM2981 Creating Opportunities for Older Persons (CO-OP)

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 

Program: Congressional Mandates

Jewish Community Federation of Cleveland

90AM2982 NORCs -Standardizing Best Practices in Both Congregate and Individual Residential Settings
FY2006 Compendium - Page 234 of 240 

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 - 11/30/2007

FY Grant Amount

FY 2005 391,642

1301 Springdale Rd 

Program: Congressional Mandates

Jewish Federation of Southern New Jersey

Jewish Family and Children's Services

90AM2983 Help is Where the Home is: The NORC Aging in Place Initiative

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 

Program: Congressional Mandates

Jewish Federation of Greater Des Moines

Jewish Family Services

90AM2984 Outreach Activities for Independent Seniors (OASIS)
FY2006 Compendium - Page 235 of 240 

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 

Program: Congressional Mandates

Jewish Family Service of Greater Clifton - Passaic

90AM2985 SEQUOIA: Serving the Elderly with Quality Outcomes In Community and at Home

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 

Program: Congressional Mandates

Jewish Association of Services for the Aged

90AM2986 Co-op City Comprehensive Community Care Project
FY2006 Compendium - Page 236 of 240 

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 

Program: Congressional Mandates

Wasilla Area Seniors Inc.

90AM2987 Wasilla Area Seniors (WAS), Inc.

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 

Program: Congressional Mandates

 University of Wisconsin - Milwaukee

90AM2988 Training to Enhance the Capacity of a Long-term Care Workforce
FY2006 Compendium - Page 237 of 240 

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 

newsletters 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 

Program: Congressional Mandates

The Carolinas Center for Hospice & End of Life Care

90AM2989 Expansion of a National Data Collection System for Improving Care at the End of Life

Winston-Salem, NC 27105

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 - 08/31/2008

FY Grant Amount

FY 2005 489,552

2895 Shorefair Dr 

Program: Congressional Mandates

Senior Services, Inc.

90AM2990 The "Aging Opportunities" Project
FY2006 Compendium - Page 238 of 240 

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 

Program: Congressional Mandates

Alzheimer's Association South Central Wisconsin Chapter

90AM2991 The Dementia Care Specialist Training

Pittsburgh, PA 15236

Contact: Deborah M Machi (412)205-6024

Jefferson Regional Medical Center plans to establish an information and referral "one-stop shop" program to match 

senior callers' needs with the available resources with the Pittsburg/Allegheny area of Pennsylvania. The goals of the 

project include: 1) coordinating the area's numerous programs and services; and 2) collaborating with the community 

resources already available to enable seniors to access the assistance they need and thereby remain independent as 

long as possible. Objectives include: 1) providing a single point of contact for the client; 2) offering information and 

referrals free of charge; 3) providing case management and follow-up; 3) supporting a database that is comprehensive 

and in categories that parallel the client's need; and 4) cultivating a relationship with the client that is caring, confidential 

and progressive. Expected outcomes include: 1) an expanded opportunity to serve the older adult by offering referrals 

in extensive categories of need; and 2) satisfaction survey relating to the program ability to help. Products and materials 

include: 1) satisfaction surveys and comments; 2) categories of need addressed by referrals.

Project Period: 09/01/2005 - 02/28/2007

FY Grant Amount

FY 2005 97,910

565 Coal Valley Road 

Program: Congressional Mandates

Jefferson Regional Medical Center

90AM2992 Senior Services Program
FY2006 Compendium - Page 239 of 240 

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 

Program: Congressional Mandates

Alzheimer's Disease and Related Disorders Association,

Inc. - North Central Texas Chapter

90AM3012 Alzheimer's Assn.-N. Central TX Chp.,Physician Partnership-Case Mgmt., Alzheimers Families

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 

Program: Congressional Mandates

UNIVERSITY OF MISSOURI

Nursing

90AM3013 Technology to Enhance Aging in Place at Tiger Place
FY2006 Compendium - Page 240 of 240 

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 - 12/31/2007

FY Grant Amount

FY 2005 391,642

510 E. 12th Street, Suite 2 

Program: Congressional Mandates

IOWA ST DEPARTMENT OF ELDER AFFAIRS

90AM3014 Office of Substitute Decision Maker
Name Page

AARP Foundation 91, 98,140,148

Action for Boston Community Development, Inc 125

Adult Care Center of the Northern Shenandoah Valley Inc 218

Aging 2000, Inc. 138

Aging in New York Fund, Inc. 43

Alabama Department of Senior Services 22,80,106,171

Alamo Area Council of Governments 47

Alaska Department of Health and Social Services 154

Alaska Housing Finance Corporation 20

Allied Jewish Federation of Colorado 213

Alzheimer's Association South Central Wisconsin Chapter 238

Alzheimer's Disease and Related Disorders Association, Inc. (Chicago) 43

Alzheimer's Disease and Related Disorders Association, Inc. (Ft. Worth) 239

Alzheimer's Disease and Related Disorders Association of Los Angeles 42

American Bar Association Fund for Justice and Education 98

American Health Quality Foundation 96

Area Agency on Aging 10B, Inc. 40

Area Agency on Aging of Pasco-Pinellas, Inc. 146

Area Agency on Aging of Western Michigan 50

Arizona Department of Economic Security 23,76,126,153,179,183,187,191

Arkansas Department of Human Services 11,76,112,142

Asociacion Nacional Pro Personas Mayores 62,63

Atlanta Regional Commission 41,144

Bay Area Legal Services, Inc. 93

Benjamin Rose Institute 38

Better Business Bureau Education Foundation 113,149

Boat People SOS, Inc. 64,116,158

Boise State University 219

California Department of Aging 18,57,82

California Health Advocates 110,139,161

Center for Advocacy for the Rights and Interests of the Elderly (CARIE) 111,120,139,162

Chinese American Service League, Inc. 38

City of Inglewood 42

City of Los Angeles Department of Aging 48

City of Pawtucket 229

City of Rancho Cucamonga Community Services Department 224

City of St. Louis Department of Human Services 200

Coalition of Wisconsin Aging Groups 109,137,167

College Misericordia 217

College of William and Mary 220

Colorado Department of Human Services 23

Colorado Department of Public Health and Environment 59

Community of Vermont Elders 137,170

Comprehensive Housing Assistance, Inc. 196

Connecticut Department of Social Services 71,126,165

Connecticut Legal Services, Inc. 94

Cyber Seniors 230

Dale County Commission 206

Delaware Department of Health & Social Services 77,145,178

Des Moines University 199

DH/Perfil Latino TV, Inc. 124,157

Diocese of Providence, Office of Community Service 122

District III Area Agency on Aging (MO) 115,134,163

District of Columbia Office on Aging 77

District of Columbia, Department of Health (DOH) 24

East River Legal Services Corporation 131,171

Elder Law of Michigan, Inc. 92,102

Elder Services of the Merrimack Valley, Inc. 125,142

Elders in Action 51

Eric County Department of Senior Services 37

Faith In Action of Central Stark County, Inc. 230

Family Caregiver Alliance 221

Florida Department of Elder Affairs 19,78,174,178,183,186,189

Index of Grantee Organizations 

i
Name Page

Florida Department of Health 57

Florida International University Board of Trustees 65

Foundation on Aging 222

Friendship House Association 151

Georgia Department of Human Resources 15,143,180,184,188

Great Lakes Inter-Tribal Council, Inc. 111,118,130

Greater Miami Jewish Federation 201

Guam Department of Integrated Services for Individuals with Disabilities 25

Guam Department of Public Health and Social Services 155,165

Gulf Coast Jewish Family Services, Inc. 39

Haddington Multi Services for Older Adults, Inc. 227

Hawaii Executive Office on Aging 26,55,118,136,160

Hawkeye Valley Area Agency on Aging 97,169

Hearth and Home Senior Adult Day Healthcare Center 218

IAAAA Education Institute, Inc. 113,133,170

Idaho Commission on Aging 70,108,116,151

Idaho Department of Health and Welfare 26

Illinois Department of Public Health 52,84

Illinois Department on Aging 16,173,175

Immigrant and Refugee Community Organization (IRCO) 121

Indiana Disability, Aging and Rehabilitative Services 18,83,190

Inter Tribal Council of Arizona, Inc. 62,157

Iowa Department of Elder Affairs 12,58,75,107,110,138,176,180,184,187,197,240

Jefferson Regional Medical Center 238

Jewish Association of Services for the Aged 235

Jewish Community Federation of Cleveland 233

Jewish Family & Child Service 225

Jewish Family & Children's Service, Inc., Boston, MA 37,215

Jewish Family & Children's Service of Greater Mercer County 231

Jewish Family and Children's Service of Greater Philadelphia 197

Jewish Family & Children's Service of Sarasota-Manatee 210

Jewish Family & Children's Service of Southern Arizona, Inc. 210

Jewish Family & Vocational Service of Middlesex County 114,144

Jewish Family and Children's Services of Minneapolis 205

Jewish Family Service(NM) 207

Jewish Family Service (UT) 226

Jewish Family Service (WA) 211

Jewish Family Service Agency of Central New Jersey 232

Jewish Family Service of Buffalo and Erie County 212

Jewish Family Service of Greater Clifton - Passaic 235

Jewish Family Service of Rochester, Inc. 213

Jewish Family Service of Sacramento 228

Jewish Family Service of San Diego 233

Jewish Family Service of the Cincinnati Area 232

Jewish Family Service of Tidewater, Inc. 209

Jewish Family Services, Inc. 208

Jewish Family Services of Los Angeles 204

Jewish Federation of Atlantic & Cape May Counties 208

Jewish Federation of Greater Atlanta, Inc. 203

Jewish Federation of Greater Des Moines 234

Jewish Federation of Greater Indianapolis 211

Jewish Federation of Greater Washington 204

Jewish Federation of Las Vegas 202

Jewish Federation of Metropolitan Chicago 201

Jewish Federation of Metropolitan Detroit 202

Jewish Federation of Ocean County 214

Jewish Federation of Southern New Jersey 234

Jewish Federation of St. Louis 196

Jewish Seniors Agency of Rhode Island 212

Kansas Department on Aging 27,154

Kenosha County Department of Human Services 39

Kentucky Cabinet for Health and Family Services 27,69,193

Lapeer Regional Hospital 216

ii
Name Page

Latino Education Project, Inc. 158

Legal Aid of Nebraska 95

Legal Counsel for the Elderly 147

Legal Services of North Dakota 136

Legal Services for the Elderly (NYC) 93,101

Legal Services of Northern California 105

Little Havana Activities & Nutrition Centers of Dade County 46

Loretto Independent Living Services 227

Louisiana Governor's Office of Elderly Affairs 1,75

Madlyn and Leonard Abramson Center for Jewish Life 222

Maine Department of Health and Human Services 10,56,79,117,150

Maine Hospice Council, Inc. 219

Maryland Department of Aging 3,59,85,108,128,169

Massachusetts Executive Office of Elder Affairs 7,189

Meals on Wheels Association of America 220

Mecklenburg County Department of Social Services 198

Medford Senior Center 224

Metropolitan Family Services 198

Michigan Department of Community Health 28,68,85

Minnesota Board on Aging 5, 74,130,172,192

Minnesota Senior Federation 102

Minot State University 166

Mississippi Department of Human Services 29,129,160

Missoula Aging Services 145

Missouri Department of Health and Senior Services 78

Monroe County Opportunity Program, Inc. 156

Montana Department of Public Health and Human Services 9,86

Mt. Airy Bethesda Manor, Inc. 231

Multi-Service Center 122,156

Multnomah County 141

NAHB Research Center, Inc. 195

National Asian Pacific Center on Aging 61,64,120

National Association of Area Agencies on Aging (n4a) 44,194

National Association of State Units on Aging 91,96,193,194

National Caucus and Center on Black Aged, Inc. 60,63

National Citizen's Coalition for Nursing Home Reform 97

National Consumer Law Center 99

National Council on the Aging 50,89

National Hispanic Council on Aging 109,143

National Indian Council on Aging, Inc. 60, 207

National Senior Citizens Law Center 100

Nebraska Department of Health and Human Services 69,135,164

Neighborhood Centers, Inc. 46

Nevada Department of Health and Human Services 29,80

Nevada Office of the Attorney General 127,161

New Hampshire Department of Health and Human Services 134,167

New Hampshire Legal Assistance 104

New Jersey Department of Health and Senior Services 6,54,88,90,192

New Mexico Aging and Long-Term Services Department 13,83,141

New York State Office for the Aging 58,86,133,163,173,176,181,185

North Carolina Department of Health and Human Services 14,174,177,182,186,190

North Carolina Department of Insurance 128,162

North Central Area Agency on Aging, Inc. 49

North Dakota Department of Human Services 72,106

Northern Mariana Islands Dept. of Community & Cultural Affairs 12

Northwest Justice Project 104

Oakwood Lutheran Homes Association, Inc. 215

Ohio Department of Aging 30,56,175,179,182,188

Oklahoma Department of Human Services 53,185

Oklahoma Insurance Department 117,152

Olde Kensington Redevelopment Corporation 217

Oregon Department of Human Services 146

Oregon Dept. of Human Services, Seniors and People with Disabilities 54

iii
Name Page

OWL, The Voice of Midlife and Older Women 100

Partners in Care Foundation, Inc. 47

Pennsylvania Department of Aging 68,191

Pennsylvania Department of Executive Offices-Health Care Reform 21

Pension Rights Center 103

Philadelphia Corporation for Aging 45

Pima Council on Aging 89

Pro Seniors, Inc. 150

Puerto Rico Governor's Office of Elderly Affairs 127

Puerto Rico Office of the Ombudsman for the Elderly 71,112,147

Rebuilding Together, Inc. 195

Research Foundation of CUNY/Hunter College of CUNY 119

Rhode Island Department of Elderly Affairs 8,82,172,177

San Mateo County 40

Senior Service Centers of the Albany Area, Inc. 49

Senior Services of Seattle/King County 41

Senior Services, Inc. 237

SeniorLAW Center 92

Sephardic Community Center 229

Shaw Jewish Community Center of Akron 221

Sheltering Arms Senior Services 51

Shenandoah Area Agency on Aging, Inc. 223

South Carolina Lieutenant Governor's Office on Aging 4,55,132,159,181

Southcare Nursing Center, Inc. 200

South Dakota State Department of Social Services 73

Southeast LA Legal Services Corp. 105

Southern Maine Agency on Aging 48

State of Colorado, Dept. of Regulatory Agencies 152

State of Colorado/Colorado State University 84

Stetson University College of Law 216

Suburban Area Agency on Aging (IL) 115,121,140,166

Tennessee Commission on Aging and Disability 31,81

Texas Department of Aging and Disability Services 32,53,87

Texas Legal Services Center, Inc. 103

The Carolinas Center for Hospice & End of Life Care 237

The Center for Social Gerontology, Inc. 90,99

The Good Shepherd Home 226

UJA Federation of Northern New Jersey 214

United Jewish Communities of MetroWest, New Jersey 209

United Jewish Federation of Greater Pittsburgh 203

University of Alaska Anchorage 66,67

University of Hawaii 66

University of Indianapolis 199

University of Massachusetts Boston 101

University of Missouri 239

University of New Hampshire 11

University of North Dakota 65,67

University of South Florida 206

University of Wisconsin - Milwaukee 236

University of Wyoming 36

Upper Cumberland Development District 149

Utah Department of Human Services 70,225

Utah Legal Services, Inc. 131,159

Vermont Department of Disabilities, Aging & Independent Living 33,72,228

Vermont Legal Aid, Inc. 95

Vernon Council on Aging, Inc. 132,164

Virgin Islands Department of Human Services 155,168

Virginia Association of Area Agencies on Aging 153

Virginia Department for the Aging 34,74,107

Visiting Nurse Association Healthcare Partners of Ohio 205

Visiting Nurse Service of New York 44

Washington State Department of Social & Health Services 35,87

Washington State Office of the Insurance Commissioner 123,148

iv
Name Page

Wasilla Area Seniors Inc. 236

West Virginia Bureau of Senior Services 2, 88

Wexner Heritage Village 223

Wisconsin Department of Health and Family Services 17,52,81

Womens' Institute for a Secure Retirement 45

Wyoming Department of Health 73,129

Wyoming Senior Citizens, Inc. 168

v