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HHS Sends $36 Million to States to Help Alzheimer’s Patients, Seniors, Veterans Stay at Home

Targets people not eligible for Medicaid, but are at high risk of nursing home placement

Sept. 29, 2008 - The U.S. Department of Health and Human Services (HHS) today announced $36 million in new grant programs to 28 states to help older Americans and veterans remain independent and to support people with Alzheimer’s disease to remain in their homes and communities. Just over $19 million of this funding involves a new collaboration with the U.S. Department of Veterans Affairs (VA).

HHS Secretary Mike Leavitt and VA Secretary James Peake, M.D., announced the joint effort to provide essential consumer-directed home and community-based services to older Americans and veterans of all ages, as part of a Nursing Home Diversion (NHD) grants program.

 

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The new initiative builds on the similar missions of HHS and the VA with regard to caring for the populations they serve. In addition, Secretary Leavitt announced a $17 million investment to improve the delivery of home and community-based services to people with Alzheimer’s disease and their family caregivers.

In announcing the collaboration, Secretary Leavitt said, “This historic HHS-VA initiative combines the expertise of the HHS’ national network of aging services providers with the resources of the Veterans Health Administration to provide more people, including our nation’s veterans, with improved long-term care options.

This unique effort supports the President’s New Freedom Initiative which calls upon all federal agencies to help people who need long-term care and prefer to live in their own homes and communities to do so. Through this joint program, many people who would have previously been placed in nursing homes will be able to remain at home.”

“Our mission is to honor and support America’s veterans, and this collaboration provides an additional opportunity to do that by offering more services, choices and control over decisions to veterans in the least restrictive environment consistent with their needs and preferences,” Secretary Peake said.

The new program will be administered by HHS’ Administration on Aging (AoA) in collaboration with the Veterans Health Administration. Under the program, $10.5 million is being provided by HHS through AoA, and $5.7 million by the states.

VA estimates purchasing at least $3 million in veteran-directed home and community-based services for older veterans and for recently returned veterans with long-term care needs. The number of veterans over age 85 has tripled during the past decade, creating a significant expansion in the need for long term care.

“The HHS funding is specifically designed to reach people who are not eligible for Medicaid, but who are at high risk of nursing home placement and spend-down to Medicaid -which often occurs when private pay individuals enter a nursing home,” said Assistant Secretary for Aging Josefina G. Carbonell.

“The program will also offer consumers more control over their long-term care, including the ability to determine the types of services they receive and the manner in which they receive them, including the option of hiring their own care workers.”

The $17 million for individuals with Alzheimer’s disease and their caregivers involves grants to 22 states under AoA’s Alzheimer’s disease demonstration programs. States were able to apply for two types of grants: Innovation Grants and Evidence-Based Program Grants. Innovation Grants will demonstrate new approaches to delivering services and supports, and the Evidence-Based Grants will support the replication of science-based interventions that have already proven to be effective at helping people with Alzheimer's Disease and Related Disorders to continue to live in the community.

Funding for the Nursing Home Diversion grants program for 2008 is as follows:

State

Federal Share

State Share

Project Total

Arkansas*

$569,437

$188,539

$757,976

Connecticut*

$649,398

$216,692

$866,090

Florida*

$927,710

$307,163

$1,234,873

Georgia

$590,755

$704,259

$1,295,014

Louisiana

$927,710

$311,080

$1,238,790

Massachusetts*

$885,165

$1,280,832

$2,165,997

Michigan*

$649,398

$741,880

$1,391,278

New Hampshire

$649,398

$216,466

$865,864

New Jersey*

$565,151

$191,963

$757,114

New York*

$927,710

$420,307

$1,348,017

Ohio

$610,265

$206,413

$816,678

Texas*

$923,708

$308,187

$1,231,895

Virginia*

$759,493

$314,436

$1,073,929

Washington*

$912,813

$302,370

$1,215,183

Grand Total

$10,548,111

$5,710,587

$16,258,698

In addition, the VA will be awarding $3 million to the States marked with an asterisk (*).

Alzheimer’s Disease Demonstration Grants to States Awards for 2008:

State

Evidence-Based Grant Federal Share

Innovation Grant Federal Share

State Share

Project Total

Alabama

 

$236,253

$94,905

$331,158

Arizona

$250,000

 

$99,437

$349,437

California

$714,311

$234,382

$610,302

$1,558,995

Florida

$733,214

 

$386,181

$1,119,395

Georgia

$730,724

$252,672

$626,113

$1,609,509

Indiana

 

$218,714

$84,299

$303,013

Louisiana

 

$236,253

$199,420

$435,673

Maine

$714,391

$236,236

$583,469

$1,534,096

Massachusetts

 

$234,627

$97,420

$332,047

Michigan

$656,193

 

$467,088

$1,123,281

Minnesota

$1,030,906

$236,253

$688,990

$1,956,149

Missouri

 

$236,327

$94,276

$330,603

Nevada

 

$110,857

$64,611

$175,468

North Carolina

$936,187

$301,672

$638,289

$1,876,148

Ohio

$680,827

$238,452

$673,174

$1,592,453

Oklahoma

 

$152,975

$59,554

$212,529

Rhode Island

 

$182,809

$90,295

$273,104

South Carolina

 

$383,912

$154,220

$538,132

Tennessee

 

$236,253

$88,201

$324,454

Utah

 

$292,355

$189,494

$481,849

Virginia

 

$236,253

$94,993

$331,246

Washington

 

$289,497

$132,046

$421,543

Grand Total

$6,446,753

$4,546,752

$6,216,777

$17,210,282

 

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