Fiscal Year 2007 DataFiscal Year 2007 Datawith Projection Scenariowith Projection Scenario

Senior and Disabilities Services (SDS) has been working since it’s inception Senior and Disabilities Services (SDS) has been working since it’s inception in July of 2003 to develop systems with which to quantify the many services in July of 2003 to develop systems with which to quantify the many services provided by our partner’s throughout the state. More than 600 providers of provided by our partner’s throughout the state. More than 600 providers of services work with SDS to provide, track and submit the information services work with SDS to provide, track and submit the information captured in this presentation and more importantly offer essential captured in this presentation and more importantly offer essential assistance to thousands of Alaskans. SAMS (Senior Grants), STARS assistance to thousands of Alaskans. SAMS (Senior Grants), STARS (Services Tracking, Analysis and Reporting System ), and DS3 (Division of (Services Tracking, Analysis and Reporting System ), and DS3 (Division of Senior and Disabilities Data System) are the primary means currently used Senior and Disabilities Data System) are the primary means currently used by SDS for tracking services. With the current dramatic shift in by SDS for tracking services. With the current dramatic shift in demographics occurring in our state the need for sound data is essential to demographics occurring in our state the need for sound data is essential to plan for the dramatic growth in the Senior population. Because of the plan for the dramatic growth in the Senior population. Because of the timeliness of billing information in the STARS program these numbers timeliness of billing information in the STARS program these numbers should be considered initial for FY07. – SDS Policy Unit - November 5, 2007should be considered initial for FY07. – SDS Policy Unit - November 5, 2007

27,925 Duplicated Recipients27,925 Duplicated RecipientsSDS has several programs which impact the lives of Alaskans providing support in their homes and communities. SDS has several programs which impact the lives of Alaskans providing support in their homes and communities. Through partnerships with Provider Agencies these services enrich our state through improved quality of life and a Through partnerships with Provider Agencies these services enrich our state through improved quality of life and a large workforce of dedicated caregivers numbering in the thousands. large workforce of dedicated caregivers numbering in the thousands.

SDS FY07 Clients by Service Category - Duplicated

3% 5%4%

4%

1%

3%

5%

14%

55%

6%

Nursing Homes

Older Alaskan Waiver

Adults w /Physical DisabilitiesWaiver

Mental Retardation/DevelopmentalDisabilities Waiver

Children w ith Complex MedicalConditions Waiver

General Relief Assisted Living

Developmental Disabilities Grants

Personal Care

Senior Grants

Adult Protection

24,025 Unduplicated Recipients24,025 Unduplicated Recipients

All Waivers, Grants, General Relief, & Nursing Homes services were considered in this analysis. It excludes Adult All Waivers, Grants, General Relief, & Nursing Homes services were considered in this analysis. It excludes Adult Protection clients, and most of the Information and Assistance offered by various programs in SDS. Data was drawn Protection clients, and most of the Information and Assistance offered by various programs in SDS. Data was drawn from the DS3, STARS, SAMS and DD Grant Spreadsheets.from the DS3, STARS, SAMS and DD Grant Spreadsheets.

SDS All Services - FY07 - Recipients by Age

2%

3%

4%

8%

14%

32%

37%

0-9

10-19

20-34

35-54

55-64

65-74

75+

Approximately $310,000,000 in State and Federal Approximately $310,000,000 in State and Federal Funds Funds

Average costs in each SDS program were assigned to the representative age group and the results are Average costs in each SDS program were assigned to the representative age group and the results are displayed in the chart above. All Waivers, Grants, General Relief, & Nursing Homes were used for this displayed in the chart above. All Waivers, Grants, General Relief, & Nursing Homes were used for this analysis. It excludes Adult Protection clients, and most of the Information and Assistance offered by analysis. It excludes Adult Protection clients, and most of the Information and Assistance offered by various programs in SDS. Data was drawn from the DS3, STARS, SAMS and DD Grant Spreadsheets.various programs in SDS. Data was drawn from the DS3, STARS, SAMS and DD Grant Spreadsheets.

SDS Cost by Age Group FY07

3%8%

15%

16%

11%

16%

31%0-9

10-19

20-34

35-54

55-64

65-74

75+

Average Cost - All Recipients - $13,057Average Cost - All Recipients - $13,057 SDS costs per person were completed by using the average costs in each SDS program which were assigned to the SDS costs per person were completed by using the average costs in each SDS program which were assigned to the

representative age grouprepresentative age group divided by the unduplicated count of each age group. It excludes Adult Protection clients, divided by the unduplicated count of each age group. It excludes Adult Protection clients, and most of the Information and Assistance offered by various programs in SDS. Data was drawn from the DS3, and most of the Information and Assistance offered by various programs in SDS. Data was drawn from the DS3, STARS, SAMS and DD Grant Spreadsheets.STARS, SAMS and DD Grant Spreadsheets.

FY 07 - Average Cost per Person by Age Group

$22,981

$37,955

$45,257

$25,799

$10,510

$6,694

$10,545

0-9

10-19

20-34

35-54

55-64

65-74

75+

15,54815,548 Recipients RecipientsSenior Grants provide Congregate and Home Delivered Meals, Transportation, Adult Day Services, Respite, Chore, Senior Grants provide Congregate and Home Delivered Meals, Transportation, Adult Day Services, Respite, Chore, Homemaker, Care Coordination, Assisted Living, Caregiver Supports, and Mini-grants for Individuals with Alzheimer’s Homemaker, Care Coordination, Assisted Living, Caregiver Supports, and Mini-grants for Individuals with Alzheimer’s Disease and Related Disorders. This count does not include Media (Senior Voice), Information and Assistance, Legal Disease and Related Disorders. This count does not include Media (Senior Voice), Information and Assistance, Legal Services, Geriatric Education and Health promotion activities. The information came from the SAMS database.Services, Geriatric Education and Health promotion activities. The information came from the SAMS database.

Senior Grants - FY07 - Recipients by Age

1%

3%

15%

40%

41%

20-34

35-54

55-64

65-74

75+

845 Recipients 845 Recipients General Relief Assisted Living is a temporary program for individuals who are in emergency need of General Relief Assisted Living is a temporary program for individuals who are in emergency need of services and have not had an eligibility determination for other services. In FY07 845 individuals took services and have not had an eligibility determination for other services. In FY07 845 individuals took advantage of this service at one time or another with an average monthly total of 433 recipients.advantage of this service at one time or another with an average monthly total of 433 recipients.

General Relief Assissted Living - FY07 - Recipients by Age

1% 11%

27%

18%

13%

30%

10-19

20-34

35-54

55-64

65-74

75+

1,416 Recipients1,416 RecipientsDevelopmental Disabilities Grants serve Alaskans through the provision of Case Management, Respite, Chore, Day Developmental Disabilities Grants serve Alaskans through the provision of Case Management, Respite, Chore, Day Habilitation, Residential Habilitation, Mini-grants, Specialized Medical Equipment and individually requested services Habilitation, Residential Habilitation, Mini-grants, Specialized Medical Equipment and individually requested services through the STAR Program. This information was gathered using provider reporting. SDS is implementing in FY08 a through the STAR Program. This information was gathered using provider reporting. SDS is implementing in FY08 a new reporting system which will collect recipient and service information which will lead to more accurate data through new reporting system which will collect recipient and service information which will lead to more accurate data through the DS3.the DS3.

Developmental Disabilities Grants - FY07 Recipients by Age

21%

35%

29%

13%2%

0-9

10-19

20-34

35-54

55-64

215 Recipients215 RecipientsThe Children with Complex Medical Conditions Medicaid (CCMC) Waiver offers alternative home and community The Children with Complex Medical Conditions Medicaid (CCMC) Waiver offers alternative home and community services for families with children who would qualify for nursing home placement. These services include Respite, services for families with children who would qualify for nursing home placement. These services include Respite, Chore, Residential Habilitation and Day Habilitation, This waiver is open to individuals from birth to age 22 and 215 Chore, Residential Habilitation and Day Habilitation, This waiver is open to individuals from birth to age 22 and 215 recipients of service were counted in FY07. Of the 215 recipients of CCMC Waiver Services 55 or 26% also received recipients of service were counted in FY07. Of the 215 recipients of CCMC Waiver Services 55 or 26% also received Personal Care Services as well.Personal Care Services as well.

Children with Complex Medical Conditions Waiver - FY07 - Recipients by Age

57%34%

9%0-9

10-19

20-34

2560 Recipients2560 RecipientsThe Older Alaskan and Adults with Physical Disabilities Medicaid Waivers offers alternative home and community The Older Alaskan and Adults with Physical Disabilities Medicaid Waivers offers alternative home and community services for individuals who qualify for nursing home placement. In FY 07 2,560 recipients of service were counted. services for individuals who qualify for nursing home placement. In FY 07 2,560 recipients of service were counted. The services offered include Adult Day Services, Respite, Chore, Assisted Living, Meals and Transportation. Of the The services offered include Adult Day Services, Respite, Chore, Assisted Living, Meals and Transportation. Of the 2560 OA & APD Waiver recipients 1444 or 56% also received Personal Care Services.2560 OA & APD Waiver recipients 1444 or 56% also received Personal Care Services.

Older Alaskan & Adult s with Physical Disabilities Waivers FY07 by Age

0%

0%

3%

17%

16%

20%

44%

0-9

10-19

20-34

35-54

55-64

65-74

75+

3807 Recipients3807 RecipientsPersonal Care Attendant Services (PCA) is a Medicaid program which provides support with Activities of Daily Living Personal Care Attendant Services (PCA) is a Medicaid program which provides support with Activities of Daily Living (e.g. Bathing, Dressing, Locomotion, Toileting, ) and Instrumental Activities of Daily Living(e.g. Bathing, Dressing, Locomotion, Toileting, ) and Instrumental Activities of Daily Living(e.g. light housekeeping tasks, shopping, meal planning and preparation) to remain at home or prevent job loss. Of the (e.g. light housekeeping tasks, shopping, meal planning and preparation) to remain at home or prevent job loss. Of the 3807 recipients of PCA Services 1547 or 41% of these individuals also received Medicaid Waiver Services.3807 recipients of PCA Services 1547 or 41% of these individuals also received Medicaid Waiver Services.

Personal Care Medicaid - FY07 - Recipients by Age

2%

4%

16%

17%

26%

35%

10-19

20-34

35-54

55-64

65-74

75+

1005 Recipients1005 RecipientsThe Mental Retardation/ Developmental Disability Medicaid Waiver offers alternative home and community services for The Mental Retardation/ Developmental Disability Medicaid Waiver offers alternative home and community services for adults and children who qualify for intermediate care for the mentally retarded placement. These services include adults and children who qualify for intermediate care for the mentally retarded placement. These services include Respite, Chore, Residential Habilitation, Day Habilitation, and Transportation. Of the 1005 MRDD Waiver recipients 52 Respite, Chore, Residential Habilitation, Day Habilitation, and Transportation. Of the 1005 MRDD Waiver recipients 52 or 5% also received Personal Care Services.or 5% also received Personal Care Services.

Mental Retardation/Developmental Disability Waiver - FY07 - Recipients by Age

1%

24%

50%

21%

4%

0-9

10-19

20-34

35-54

55-64

What would the SDS demographics look like in 2026? What would the SDS demographics look like in 2026?

If the percentage of the statewide census served by SDS remains the same over the next 19 years the charts above show what will change. Presently, 17% of SDS clients are under age 55 – in 2026 the projection calls for

only 7% under age 55. The current unduplicated count for SDS is 24,025 and projected at 55,273 in 2026. Projected census data from the Lewin Report.

SDS All Services - FY07 - Recipients by Age

2%

3%

4%

8%

14%

32%

37%

0-9

10-19

20-34

35-54

55-64

65-74

75+

SDS All Services - FY26 - Recipients by Age1%

1%

2%

3%

7%

39%

47%

0-9

10-19

20-34

35-54

55-64

65-74

75+