Aging & Disability

Online Screening Tool

Aging & Disability

The Area Agency on Aging & Disability was established as part of the Older Americans Act of 1965, an act to provide assistance in the development of new or improved programs to help older persons, and to establish within the Department of Health, Education, and Welfare and Operating agency to be designated as the Administration on Aging. The Southwest Tennessee Development District was designated by the Tennessee Commission as the Area Agency on Aging. The planning and service area encompasses Chester, Decatur, Hardin, Hardeman, Haywood, Henderson, Madison and McNairy.

In 2000, the Tennessee Aging Network expanded its efforts to service other adults with disabilities. Thus, the name was changed to the Area Agency on Aging & Disability (AAAD). The primary goal of the AAAD is to develop a network of services to assist residents achieve the highest possible level of independence, and works through an Advisory Council and the SWTDD Executive Committee to develop a plan of action to be implemented in its planning and service area.

The AAAD administers service coordination and assessment activities, awards annual grants to organizations providing services, sponsors activities established under the National Family Caregiver Support Program, operates a public guardianship program for the elderly, and organizes special activities/events in the region. The AAAD also conducts annual compliance reviews of grantee agencies and advocates at the national, state, and local levels on behalf of older adults and persons with disabilities.

Agency on Aging & Disability Provides Funds

The Area Agency on Aging & Disability Provides Funds to Support:

Caregiver Support Groups & Education, Homemaker Services, Long Term Care Ombudsman Program Nutrition Program, Respite Care, Senior Centers, Senior Citizens Law Project, Transportation Program

Assistive Technology, In-home Respite, Pest Control, Personal Care Assistance/Attendant, and Adult Day Care

The Area Agency on Aging & Disability’s Partnerships in Community Awareness and Planning Include the Following Agencies:

Programs

National Family Caregiver Support Program

The Older Americans Act (OAA) Amendments of 2000 authorized the creation of the National Family Caregiver Support Program (NFCSP) to help many thousands of family members with the care of their older loved ones.

Caregivers can be family members or other individuals who provide unpaid care to an older person who needs supportive services. A caregiver can assist with needs such as bathing, dressing, shopping, transportation, preparing meals, medication assistance, and many other daily activities of maintaining an independent lifestyle at home.

Under the NFCSP, the AAAD provides caregivers with information and assistance, case management, support groups, personal care, in-home respite (short-term sitters), and homemaker services.

If you are interested, you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Information, Assistance, and Referral

For information and assistance on services provided through the Area Agency on Aging & Disability, call the statewide toll-free number at 1-866-836-6678 or in Madison County (731) 668-6967.

Ombudsman Program

The Ombudsman Program staff serves as a liaison between long-term care facilities and residents and families of residents to resolve issues surrounding resident care, resident rights, financial information and admission/discharge.

The program also includes a Volunteer Ombudsman Representative component to recruit and train volunteers to serve as advocates for long-term care facility residents.

For more information about the long term care Ombudsman for Southwest Tennessee, contact call or email Norma Bell at (731) 668-6411.

OPTIONS for Community Living

The OPTIONS for Community Living Program administered by the AAAD is a home and community based project to provide services to older adults and other adults with disabilities who are at risk of losing their independence. The OPTIONS Program is a state funded program that includes Homemaker, Home Delivered Meals, and Personal Care Assistance.

Homemaker – Light housekeeping services that include sweeping, mopping, vacuuming, dusting, changing linens, cleaning the bathroom and other services on a case-by-case basis.

Home-Delivered Meals – A nutritionally balanced meal one time a day five days a week.

Personal Care Assistance – Stand by or cue assistance for the individual or caregiver for personal needs such as bathing or grooming.

If you are interested you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Information, Assistance, and Referral

For information and assistance on services provided through the Area Agency on Aging & Disability, call the State wide toll-free number at 1-866-836-6678 or in Madison County (731) 668-6967.

Senior Centers

Ten senior centers in Southwest Tennessee provide a variety of opportunities for older adults to remain as active and resourceful citizens in the community. Service and activities available at centers include such things as recreational activities, educational programs, health screenings and other health promoting activities, physical fitness activities, assistance to caregivers, outreach, telephone reassurance programs to ensure the safety of isolated older adults, and personal visitation. Activities offered vary by center. Call your local senior center for specific information.

Chester Co. Senior Center
Emma Hopper, Director
247 East Main Street
Henderson, TN 38340
P | (731) 989-7434
F | (731) 989-5834
McNairy Co. Senior Center
Cindy Thrasher, Director
408 Park Street
Adamsville, TN 38310
P | (731) 632-0302
F | (731) 632-0302
The Town Of Scotts Hill Senior Center
Sheila Adams, Director
96 Hwy 114 South
Scotts Hill, TN 38374
P | (731) 549-3720
F | (731) 549-3720
Henderson County Senior Center
Carol Rice, Director
145 South Main
Lexington TN 38351
P | (731) 968-4222
F | (731) 968-4222
Hardin County Senior Center
Angie Barnhill, Director
9380 Hwy 128
Savannah TN 38372
P | (731) 925-2210
F | (731) 925-3874
Decatur Co. Senior Center
Rita Moore, Director
1738 Georgia Ave. South
Parsons, TN 38363
P | (731) 847-7212
F | (731) 847-7837
Sardis Senior Center
Wanda Western, Director
PO Box 85
Sardis TN 38371
P | (731) 858-2633
F | (731) 858-2633
Selmer Senior Center
Rowena Pope, Director
230 North 5th Street
Selmer TN 38375
P | (731) 645-7843
F | (731) 645-8628
West Madison Senior Center
Rose Yarbrough, Director
806 Huntersville Denmark Rd
Denmark TN 38391
P | (731) 422-4771
F | (731) 427-9651
Brownsville/Haywood Co. Senior Center
Reba Ward, Director
127 North Grand
Brownsville TN 38012
P | (731) 772-2438
F | (731) 772-1126

Senior Citizens Law Project

Legal advice, representation and education – subject to staff availability – in these matters: food stamps, Social Security, SSI, Medicaid, TennCare, nursing home care and access, boarding home care, federally subsidized housing, utilities, age discrimination, cases involving the immediate risk of loss of housing; adult abuse, neglect, and exploitation; and medical collection actions threatening access to health care.

Additionally, it offers advice, education and preparation of health care power of attorney and living will documents for elderly who are homebound, institutionalized or terminally ill. Representation is available to assist persons who wish to contest or defend against conservatorship actions. Also project staff may serve as guardian-ad-litem in conservatorship actions.

For more information, contact West Tennessee Legal Services (731) 426-0616 or visit www.wtls.org.

CHOICES

What is CHOICES?

TennCare CHOICES in Long-Term Care (or "CHOICES" for short) is TennCare's program for long-term care services.  Long-term care includes help doing everyday activities that you may no longer be able to do for yourself as you grow older or – if you have a disability – help with activities like bathing, dressing, getting around your home, preparing meals, or doing household chores. Long-term care services can include care in a nursing home. Long-term care also includes care in your own home or the community that may keep you from having to go to a nursing home for as long as safely possible. These are called Home and Community Based Services or HCBS.


Who can qualify to enroll in CHOICES?                      

For now, there are two (2) groups of people who can qualify to enroll in CHOICES.

CHOICES Group 1

CHOICES Group 1 is for people of all ages who receive nursing home care.

To qualify in CHOICES Group 1, you must:

  • Need the level of care provided in a nursing home;
  • AND qualify for Medicaid long-term care.

CHOICES Group 2

CHOICES Group 2 is for certain people who receive home care instead of nursing home care. It's only for:

  • Adults 65 years of age and older;
  • OR adults 21 years of age and older who have physical disabilities.

If you need home care services, but aren't in one of these groups, you can't be in CHOICES Group 2.

To be in CHOICES Group 2, you must also:

  • Need the level of care provided in a nursing home;
  • AND qualify for Medicaid long-term care because you receive SSI payments
  • OR because you need and will receive home care services instead of nursing home care.

If both or those things are true, to enroll in CHOICES Group 2 and begin receiving home care services:

Your TennCare health plan (or MCO) must be able to safely meet your needs at home.
AND, the cost of your home care can't be more than the cost of nursing home care. The cost of your home care includes any home health or private duty nursing care you may need.

If your needs can't be safely met at home, OR if your care would cost more than nursing home care, you can't be in CHOICES Group 2.  But, you may still qualify for care in a nursing home. 

Limits on Enrollment into CHOICES Group 2

Not everyone who qualifies to enroll in CHOICES Group 2 may be able to enroll. There is an enrollment target for CHOICES Group 2.  It's like a limit on the number of people who can be in the group at one time. This helps to ensure that the program doesn't grow faster than the State's money to pay for home care.  It also helps to ensure that there are enough home care providers to deliver needed services.

The enrollment target for the number of slots that can be filled in CHOICES Group 2 will be set by the State in TennCare Rules.  It doesn't apply to people moving out of a nursing home. AND, it may not apply to some people who are on TennCare that would have to go into a nursing home right away if less costly home care isn't available.

Some slots will be held back (or reserved) for emergencies.  This includes things like when a person is leaving the hospital and will be admitted to a nursing home if home care isn't available. Reserved slots won't be used until all of the other slots have been filled.  The number of reserved slots and the guidelines to qualify in one of those slots will be in TennCare Rules.  If the only slots left are reserved, you'll have to meet the guidelines for reserved slots to enroll in CHOICES Group 2.

If you don't meet the guidelines for reserved slots or there are no slots available and you qualify to enroll in CHOICES Group 2, your name will be placed on a waiting list.  OR, you can choose to enroll in CHOICES Group 1 and receive nursing home care.  There is no limit on the number of people that can be enrolled in Group 1 and receive nursing home care. (But, you don't have to go into a nursing home unless you want to.  You can wait for home care instead.)

People enrolled in CHOICES Group 2 above the enrollment target must get the first slots that open up.  (Those are people who moved out of nursing homes or people already on TennCare would have gone into a nursing home if less costly home care wasn't available.)  When everyone in CHOICES Group 2 is under the enrollment target and there are still slots available, TennCare can enroll from the waiting list based on need.


Care Coordination and Role of the Care Coordinator

In CHOICES, you TennCare health plan (or MCO) will be responsible for managing all of your physical health, mental health, and long-term care needs, and the services that you receive to address these needs.  This is call care coordination.

These functions are carried out by a Care Coordinator. Your Care Coordinator will play a very important role. Your Care Coordinator is your primary contact person and is the first person that you should go to if you have any questions about your services.

After you're enrolled in CHOICES, your MCO will tell you who your care coordinator is and how to reach them.


 Federal Estate Recovery Program

Medicaid, including CHOICES, is a government program.  CHOICES pays for long-term care for people who don't have enough income and/or resources (things they own) to be able to pay for all of that care themselves.

To help the federal government pay for long-term care services, every state is required by federal law to have a Medicaid Estate Recovery Program.

An estate is property, such as money, a house, land, cars, or other things of value that a person leaves to family members or others when he or she dies.

Estate recovery applies to:

Persons of any age who receive nursing facility services.
Persons age 55 and older who receive long-term care services-nursing home services or home care (HCBS) as an alternative to nursing home care.

If a person in one of these groups receives Medicaid long-term care services, the State of Tennessee must ask for money back from that person's estate after he or she dies to help pay for certain kinds of care he or she received.  The money that is collected goes back to TennCare to help pay for long-term care services for others who need it.

In some cases, the State may wait to recover from the estate because someone else is living in the home, such as:

  • A surviving spouse.
  • A minor child.
  • A child of any age who has been blind or permanently and totally disabled since before age 18.

If the value of the estate or the cost of long-term care provided is very small, the State may not pursue recovery.

There are limited circumstances in which a hardship waiver may be requested and granted (for example, a family farm) where the property is the sole source of income for surviving relatives.

The State will never ask for more money back than it paid for services.  AND, estate recovery does not occur until after the person's death. 

 

For more information, please call toll-free at 1-866-836-6678 or locally at (731) 668-6967.

Single Point of Entry (SPOE)

What is SPOE?

The AAAD serves as a Single Point of Entry (SPOE) for persons needing information on long-term care programs or services for the elderly and adults with physical disabilities.  The purpose of the SPOE is to facilitate seamless access to the broad array of long-term care programs and services available to Tennesseans who need them, including programs for persons who do not qualify for Medicaid. The SPOE serves as a "one-stop shop" for all aging and disability services. To access these services, call toll free 1-866-836-6678 or locally, (731) 668-6967.

Case Management

A Case Manager will visit regularly to ensure the services that needed are being provided. Case Management Services are available under the following programs – Older Americans Act, Options, National Family Caregiver Support Program, and the CHOICES Program.

If you are interested in these services, you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Toll Free 1-866-836-6678 or (731) 668-6967.

Home Delivered Meals Service

The Home Delivered Meals Service provides one healthy meal per day delivered to the consumer’s home. Home Delivered Meals are available under the following programs – Older Americans Act, Options, National Family Caregiver Support Program, and CHOICES.

Certain Qualifications Must Be Met To Participate.

If you are interested you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Toll Free 1-866-836-6678 or (731) 668-6967.

Homemaker Services

The program provides routine light housekeeping. The Older Americans Act, Options Program, National Family Caregiver Support Program and the CHOICES Program, offer Homemaker services.

Certain Qualifications Must Be Met To Participate.

If you are interested you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Toll Free 1-866-836-6678 or (731) 668-6967.

In-Home Respite Services

In-Home Respite Services by providing someone to stay with the care recipient for 9 days a year so the caregiver can get some rest. In-Home Respite is provided by the CHOICES Program and National Family Caregiver Support Program.

If you are interested you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Toll Free 1-866-836-6678 or (731) 668-6967.

Medication Management

Medication Management is identify and counseling regarding the medication that the individual is using, including prescription, over the counter medications and vitamins. Med Management is available on the National Family Caregiver Support Program and at Senior Centers.

If you are interested you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Toll Free 1-866-836-6678 or (731) 668-6967.

Personal Care Services

Personal Care Services provide help with activities of daily living. Personal Care is available on the Options Program, National Family Caregiver Support Program and the CHOICES Program.

If you are interested you can complete our Online Screening Tool to help us assess your needs or call our Information and Assistance Specialist.

Toll Free 1-866-836-6678 or (731) 668-6967.

Public Guardianship for the Elderly

The Public Guardianship for the Elderly program is designed to assist persons who are no longer able to make healthcare and/or financial decisions for themselves.  Clients must be at least 60 years of age or older.  The Public District Public Conservator can be appointed by the court to serve as conservator of person and/or property for persons who have no one else willing or able to make decisions on their behalf.  The Public Guardianship Program may also serve as power of attorney for persons if needed.  An application is required for the program.  For more information on the program or for an application, please call Dayle Mathis at 731-668- 6405 or Nicole Guin at 731-668- 6407.

Partners

Special Projects

The Administration on Aging recognizes the accomplishments of older Americans every other year during the month of May. The Senior Expo event always includes lunch, entertainment and vendors – who provide participants with screenings and information regarding health related issues.

The 2016 Senior Expo is May 26 at the Carl Perkins Civic Center in Jackson. The theme is “Blaze a Trail to a Lifetime of Health.”

For more information, please contact Dorothy T. Montague at (731) 668-6404.

The Caregiver Health Fair is held every year in November. Booths are available for local providers who supply attendees with information about services offered in the communities.

Additionally, there are speakers who discuss different topics of involving caregivers, door prizes and entertainment. The goal of the Caregiver Health Fair is to help seniors and their caregivers realize that resources are available in their community that they may have previously been unaware exist.

For more information or to register, please contact Terrie Adkins at (731) 668-6414.

The Future Choices Conference is held annually in November and is targeted to seniors, caregivers for seniors, or social workers who assist seniors and their families.

Speakers and Exhibitors provide information on health, social, legal and service issues to assist in making more informed decisions relative to these areas of concern.

For more information, please call Terrie Adkins at (731) 668-6414.