Minnesota River Area Agency on Aging Area Plan January 1 ...

Area Plan 2021 Minnesota River Area Agency on Aging

Minnesota River Area Agency on Aging

Area Plan

January 1 to December 31, 2021

Jason Swanson Minnesota River Area Agency on Aging

Printed On: 13 August 2020 Area Plan 2021 1

Minnesota River Area Agency on Aging, Inc.Area Plan 2021

Minnesota River Area Agency on AgingMr. Jason W Swanson 201 N. Broad St.Suite 102Mankato, MN 56001 O: 507-387-1256 x105

Mr. Jason W Swanson 201 N Broad Street, Suite 102Mankato, MN 56001 [email protected]: 507-387-1256 x103



Application Form

GENERAL INSTRUCTIONSCY 2021 AREA PLAN INSTRUCTIONS FOR AREA AGENCIES ON AGINGGENERAL INSTRUCTIONS

Release date: June 2, 20201. This document, and related attachments, contains instructions for the Calendar Year (CY) 2021 Area Plan. This plan covers the period from January 1, 2021 through December 31, 2021.2. The Area Plan, including all attachments, must be submitted using the online Foundant Application by 4:00 PM Central Time on August 4, 2020.3. Inquiries on Sections A, B, & C, must be submitted in writing via email to [email protected] prior to 4:00 PM Central Time on July 21, 2020.4. Every attempt will be made to provide answers timely, with the intent that they are posted to the MBA Extranet by July 28, 2020.Two Area Agency on Aging Area Plan WebEx Conferences will be held on June 16th at 9:00 am Central Time and July 7th at 1:00 pm Central Time.The WebEx Conference will serve as an opportunity for Area Agency on Aging staff to ask specific questions of MBA state staff concerning the Area Plan. Attendance at the Conference is not mandatory but is recommended. Oral answers given at the WebEx conferences are non-binding. Written responses to questions asked at the WebEx conferences will be posted to the Extranet.

Note: As you are filling out this application, please refer to your previous year's application by clicking "Organization History" on the top banner of your screen, then selecting the "Documents" Tab. From this page, you will be able to download your prior year's application, your application cover page, as well as "Demographic and service utilization data" to be used later on in the application.For Section A, please copy and paste your last year's answer into the space provided by the question, make any necessary edits, and select the option which designates whether there have been changes made from the prior year.Submittal letter*Please complete a Submittal Letter and upload here.AreaPlanSubmittalLetterSIGNED.pdf



Counties in Planning and Service AreaBig Stone CountyBlue Earth CountyBrown CountyChippewa CountyCottonwood CountyFaribault CountyJackson CountyKandiyohi CountyLac qui Parle CountyLe Sueur CountyLincoln CountyLyon CountyMartin CountyMcLeod CountyMeeker CountyMurray CountyNicollet CountyNobles CountyPipestone CountyRedwood CountyRenville CountyRock CountySibley CountySwift CountyWaseca CountyWatonwan CountyYellow Medicine CountyTribal Nations in Planning and Service AreaLower Sioux Indian CommunityUpper Sioux Community

A - 1 INTRODUCTIONThe Older Americans Act, Section 306 (OAA) states that, “each area agency on aging designated under section 305(a)(2)(A) shall, in order to be approved by the State agency, prepare and develop an area plan for a planning and service area for a two-, three-, or four-year period determined by the State agency, with such annual adjustments as may be necessary.”

The Minnesota Board on Aging (MBA) and the statewide network of 7 Area Agencies on Aging (AAA) share responsibility for planning for Minnesota’s present and future aging and long-term services and support needs. The strategic priorities of AAAs’ Area Plans (AP), the Minnesota Board on Aging and MN Department of Human



Services (DHS) will improve and strengthen Minnesota’s publicly funded long term care system together establish a framework for how the AAAs and MBA/DHS will deliver services to Minnesota’s diverse population.

The MBA, in partnership with the Minnesota DHS, is looking ahead to 2030. Today marks the midpoint between our original vision for long-term services and supports and the year that baby boomers start turning 85. It is truly a transformative time in our communities. To that end, we’re revisiting our multi-year commitment to prepare for a permanently older society.

The AP describes the AAA’s future activities in planning for MN2030 through a multiyear effort. In it, the AAA describes its efforts to identify the needs of older adults, and their family, friends, and neighbors caregiving. The AAA, with the active involvement of its Advisory Council(s) and utilization of public input, then describes its plan for developing coordinated and accessible systems of care to address community needs and prioritize and develop services for older adults, and their family, friends, and neighbors caregiving.

Area Plan*Please Enter as Follows inserting YOUR AGENCY NAME:___________ Agency on Aging Area Plan OR __________ on Aging Area Plan.For example: 'Southeast Minnesota Area Agency on Aging Area Plan' as the Area Plan NameMinnesota River Area Agency on Aging, Inc.A1 (1) Introduction - Description of Agency and Activities*This section should introduce the Area Agency on Aging (AAA) and the Area Plan. Briefly describe the agency and other pertinent introductory information applicable to the Planning and Service Area (PSA), and the nature of the programs provided. This section may also be used to describe activities provided by the AAA that may not be covered elsewhere in the plan (Limit to 5000 characters).The Minnesota River Area Agency on Aging®, Inc. (MNRAAA) has been the designated area agency on aging for the Southwest Planning and Service Area (SW PSA) since 2007. The service area includes the following twenty-seven counties: Big Stone, Blue Earth, Brown, Chippewa, Cottonwood, Faribault, Jackson, Kandiyohi, Lac qui Parle, Le Sueur, Lincoln, Lyon, Martin, McLeod, Meeker, Murray, Nicollet, Nobles, Pipestone, Redwood, Renville, Rock, Sibley, Swift, Waseca, Watonwan and Yellow Medicine.MNRAAA is a 501 (c)(3) organization, governed by a Board of Directors, with the following standing committees: Executive, Finance, Nominating and Governance, Audit, and Planning (serves as the advisory council). It currently employs thirty-nine staff. Because of MNRAAA’s vast geographic area, it has offices located in Mankato and Slayton. To reduce windshield-time and mileage costs, staff are strategically located around the service area and work from home. This has been a successful working arrangement, in part due to utilizing GoToMeeting web conferencing for weekly departmental meetings and monthly staff meetings. MNRAAA has been able to continue to work during the COVID-19 pandemic, this was accomplished due to our ability to have all staff telecommute. Meetings, presentations and other group activities were moved to a virtual platform. MNRAAA will continue to offer presentations and classes virtually as long as necessary.MNRAAA utilizes 24 volunteers, located throughout its service area, who are either trained to volunteer with the Senior LinkAge Line® or help with general office duties. The nature of the Title III programs currently funded by MNRAAA reflect the high-priority gaps identified in the 2015 Gaps Analysis Report: medical transportation, non-medical transportation, chore and respite care. In addition to legal and nutrition services, MNRAAA funds the following services: homemaker, chore, transportation, assisted transportation, respite, caregiver support, special access, telephone reassurance and evidence-based health promotion.



MNRAAA offers several presentations and classes for agency staff, businesses and consumers. Examples include: Welcome to Medicare, Senior Surf Day, MinnesotaHelp Network™, Dementia Friends, Caregivers in the Workplace, and Caring for Family Caregivers.MNRAAA provides four programs not included in the Area Plan:• Client Services Center (CSC): works on behalf of all Minnesota Senior LinkAge Line Contact Centers. CSC staffs the MinnesotaHelp NOW® live chat and works directly with the Minnesota Department of Human Services, pharmacies, Medicare plans and the Centers for Medicare and Medicaid to resolve consumer issues.• Outreach and Marketing Grant: manages contracts on behalf of MBA.• Veterans Directed Care: partners with the Sioux Falls Veterans Health Care System to provide services in an 11-county area to veterans determined to need nursing home level of care. The services help the veteran remain in his/her home or the home of a loved one with the support of paid caregivers and person-centered purchased services. • Juniper® Your Health. Your Community.: participates in a network of community organizations that delivers evidence-based programs to help individuals manage chronic health conditions, prevent falls, and foster well-being. MNRAAA understands there are challenges in meeting the needs of older adults and caregivers in rural Minnesota. It will continue to build relationships and engage communities and non-traditional partners. Through these efforts, new strategies will be developed that expand and strengthen the current capacity so that individuals can age well and live well. A1 (1) updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesA1 (ii) Agency Mission Statement*This section should reflect the mission of the AAA. It may be an excerpt of the mission statement with a summary of the guiding principles under which the AAA operates (Limit to 5000 characters).Mission: The Minnesota River Area Agency on Aging provides advocacy, information, resources and assistance so that older adults can maintain the lifestyle of their choice. Vision: To assist older adults to thrive in Southwest Minnesota.MNRAAA’s foundation is based on its Theory of Change – the change it hopes to make in Southwest Minnesota: Services are available for older adults and caregivers.Resources are available to communities and providers serving older adults and caregivers.Older adults and caregivers have the information and assistance they need to access services.Adults are prepared for long-term care costs.Adults are successful caregivers.Adults are safe from exploitation.Older adults are able to maintain the lifestyle of their choice.Older adults thrive in Southwest Minnesota.



MNRAAA operates under the following Guiding Principles:Integrity – Be true to mission; be respectful, honest, transparent and fair.Stewardship – Honor and protect resources; be efficient and effective.Collaboration – Advance inter- and intra-sector partnerships that benefit the Southwest Planning and Service Area.Inclusion – Value the perspectives of older adults and caregivers and elicit and elevate their voices.Leadership – Strengthen the Southwest Planning and Service Area’s aging network with knowledge-sharing, network-building and innovation.A1 (ii) updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesA1 (iii) Planning and Review Process*In this section, please describe the process used to assess the needs in your PSA, develop your Plan, and to review draft(s) prior to adoption (Limit to 5000 characters).Assess Needs: The 2013-2014 and 2015-2016 Gaps Analyses were used in the assessment of needs in the SW PSA. The most significant gaps identified in the 2013-2014 Gaps Analysis Study were personal care assistance, medical transportation, non-medical transportation, chore services, respite care, and adult day services.The 2015-2016 Gaps Analysis identified chore services, in-home respite and nonmedical transportation as the top three gaps for older adults in Blue Earth, Brown, Faribault, Le Sueur, Martin, Nicollet, Sibley and Watonwan counties (Waseca County was included in the Region 10 data because they are part of a service consortium predominantly located in Region 10). Companion, personal care assistance and respite were the top three gaps identified for older adults in Big Stone, Chippewa, Cottonwood, Jackson, Kandiyohi, Lac qui Parle, Lincoln, Lyon, McLeod, Meeker, Murray, Nobles, Pipestone, Redwood, Renville, Rock, Swift and Yellow Medicine counties. During 2017, MNRAAA conducted 11 MN2030 Community Conversations. The following were the top services/programs identified as either not working well or where resources are needed to effectively activate the ideas proposed during the Conversations: funding, for a variety of purposes (100%); staffing shortages, such as home health and personal care assistance (73%); technology, including broadband, and information about available resources (64%); transportation, and coordinated structure for services, rather than organizational, siloed, structures (55%); education about how to use technology; and chore services (45%). Develop Plan: The development of additional transportation/medical transportation, chore, respite and caregiver support services are being addressed through the technical assistance provided by MNRAAA’s Eldercare Development Partnership staff. Title III funding to support these services will be available through the Area Plan. The Area Plan was developed based on: Goals and Strategic Priorities provided by the Minnesota Board on Aging; 2019 – 2022 Minnesota Board on Aging State Plan; 2018 – 2020 MNRAAA Strategic Plan; findings from the Gaps Analyses; results from local MN2030 Conversations; input from Program Development staff who work with communities and local agencies/organizations; input from Information and Assistance staff who work with older adults, caregivers and providers; Homelessness in Minnesota study, Wilder Research;



Courageous Conversations: Minnesota’s Aging Workforce, the Humphrey School of Public Affairs; and demographics from the Administration for Community Living’s Aging Integrated Database. Review draft prior to adoption: The draft Area Plan was reviewed by key staff to ensure key information was included and that specific measures for the Goals and Strategic Priorities were reasonable and achievable. A Request for Public Review and Comment on the Proposal for Program Development and Coordination funding and the Proposal for Title III Cost Sharing was sent to older adults, providers and other stakeholders on June 24. It solicited comments on the proposals, which could be emailed to MNRAAA or provided at the Public Hearing held on July 15. On July 14, the Planning Committee (MNRAAA’s advisory council) reviewed and provided feedback on the development roles and corresponding measure(s) for each Goal, and on the proposal for cost sharing. The MNRAAA Board reviewed and approved the Area Plan at the July 15 Board meeting. Please provide a CY2020 update if applicableMNRAAA will identify local gaps by working with community stakeholders through informal surveys and conversations. At our recent staff retreat, MNRAAA gathered information relating to potential gaps in services throughout our Planning and Service Area.MNRAAA, in collaboration with Wilder Research and Minnesota Department of Human Services hosted a Gaps Analysis Study in Regions 6, 8 and 9 to occur in the fall of 2019. Study results will be utilized to identify areas where improvement is needed.MNRAAA partnered with Minnesota State University - Mankato in the spring of 2020 to develop a survey to send to professionals in Southwest Minnesota. MNRAAA is currently developing a survey to send to consumers and caregivers in 2020. Through these surveys, MNRAAA will be able to get a clearer picture of gaps in services. MNRAAA will then be able to update our plans accordingly.A1 (iii) updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?

YesA1 (IV) Prioritization of Program Development & Coordination Funding*This section should describe the 2021 priorities for program development and coordination in spending OAA Title IIIB funds (Limit to 5000 characters).

Complete the Request to Allocate OAA Title IIIB funds for PD&C. In addition, Sec 306(a)(11)(B) of the OAA directs each AAA Area Plan to provide information concerning services to older American Indians and assure the Area Agency will coordinate services with those provided under OAA Title VI.The 2019 priorities for program development and coordination were developed based on 2019 Area Plan Goals 1 - 4.Title III-B Program Development and Coordination spending strategic priorities:• Older people are connected to their communities and engaged in activities that offer social connections and reduce social isolation through strengthened capacity of Senior Corps.• A range of healthy aging programs are available for older people. Grassroots efforts promoted, technical assistance provided, and Title III-D funded program fidelity is monitored.



• Healthy aging programs and nutrition services address disparities and reach unserved or underserved populations through piloting a model for community-based partners offering evidence-based health promotion programs that address disparities and reach underrepresented populations.• Nutrition services delivery model is efficient, sustainable and increases choice. Underserved communities are identified, and potential resources/solutions sought to address nutrition needs, including participation in state-led development of nutrition business plan.• Family caregivers have increased access to caregiver consultation and resources. Partnerships with cultural, ethnic communities to develop caregiver models that best meet their needs and preferences are explored.• Informal caregiver network capacity is expanded through promotion of CARE Act, identification of potential caregiver consultants, Powerful Tool for Caregiver leaders, dementia education opportunities and Respite Education and Support Tools (REST).• Respite options support family and friend caregivers facilitated by regional care coalition.• Working caregivers are supported by employers to mitigate caregiver stress and burden.• Affordable home maintenance, modifications and in-home services are available to older low-income homeowners who wish to age in community through coordination of existing programs and home and community-based services.• Affordable and subsidized congregate housing options for older people have coordinated funding support and service provisions. Home and community-based service providers offer services and supports in congregate housing settings.• Home and community-based services support older people who wish to age in community through improved Older Americans Act core services, Elderly Waiver, Alternative Care and Essential Community Supports by dissemination of information through identification of cultural, ethnic communities.• Life cycle housing is supported by communities through education and technical assistance.In compliance with Sec 306(a)(11)(B) of the Older Americans Act, MNRAAA assures it will, to the maximum extent practicable, coordinate the services the agency provides under Title III with services provided under Title VI. MNRAAA will continue to build relationships with tribes within the SW PSA to be able to offer coordination of services for American Indian Elders, specifically Title VI grantees, while learning about tribal protocols and the nature of Title VI grants, in coordination with MBA’s Indian Elder Desk staff, Leonard Geshick. Please provide a CY2020 update if applicableThe 2020 priorities for Program Development and Coordination were developed based on 2020 Area Plan Goals 1 - 4.Title III-B Program Development and Coordination spending strategic priorities:• Older people are connected to their communities and engaged in activities that offer social connections and reduce social isolation.• Employers increase the number of older people (those 50+) actively recruited and retained.• A range of healthy aging programs are available for older people. Program providers are cultivated, gaps are identified and development to fill gaps promoted, and Title III-D funded program fidelity is monitored.• Healthy aging programs and nutrition services address disparities and reach unserved or under-served populations through identifying best practices and partnering with community-based programs to address disparities and reach underrepresented populations.• Nutrition services delivery model is efficient, sustainable and increases choice. Under-served communities are identified, and potential resources/solutions sought to address nutrition needs, including participation in state-led development of nutrition business plan.• Family caregivers have increased access to caregiver programs and services. Partnerships with cultural, ethnic communities to develop caregiver models that best meet their needs and preferences are explored.• Informal caregiver network capacity is expanded through promotion of CARE Act, identification of potential caregiver consultants, Powerful Tool for Caregiver leaders, Resources for Enhancing Alzheimer’s Caregiver Health (REACH) consultants and Respite Education and Support Tools (REST) providers.• Increased caregiver use of respite and other support services through identification of challenges and successful strategies.• Working caregivers are supported by employers to mitigate caregiver stress and burden.



• Affordable home maintenance, modifications and in-home services are available to older low-income homeowners who wish to age in community through coordination of existing programs and home and community-based services.• Affordable and subsidized congregate housing options for older people have coordinated funding support and service provisions. Home and community-based service providers offer services and supports in congregate housing settings.• Home and community-based services support older people who wish to age in community through improved Older Americans Act core services, Elderly Waiver, Alternative Care and Essential Community Supports by dissemination of information through identification of cultural, ethnic communities.• Life cycle housing is supported by communities through education and technical assistance.In compliance with Sec 306(a)(11)(B) of the Older Americans Act, MNRAAA assures it will, to the maximum extent practicable, coordinate the services the agency provides under Title III with services provided under Title VI. MNRAAA will continue to build relationships with tribes within the SW PSA to be able to offer coordination of services for American Indian Elders, specifically Title VI grantees, while learning about tribal protocols and the nature of Title VI grants, in coordination with MBA’s Indian Elder Desk staff, Leonard Geshick.A1 (IV) updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes

A - 1 PROGRAM DEVELOPMENT AND COORDINATIONProgram Development and Coordination (PD&C) includes specific areas of focus designed to address the needs of older adults & caregivers in culturally and geographically isolated areas. This is a way to explore new approaches in HCBS development, and to develop and support core home and HCBS providers. Development & coordination of services includes, but not limited engaging a broad range of service providers, including nursing homes, assisted living providers, affordable housing providers, current HCBS or LTSS providers, and other, non-traditional partners, such as fiscal support entities, grocery stores, and pharmacists. PD&C encourages alignment with other development efforts spearheaded in the community, including leveraging limited resources to work in partnership to build age-friendly efforts.

Program Development & Coordination : § 1321.17 45 CFR Ch. XIII (10–1–10 Edition): (14)(i) The State agency will not fund program development and coordinated activities as a cost of supportive services (Title IIIB) for the administration of area plans until it has first spent 10 percent of the total of its combined allotments under Title III on the administration of area plans; (ii) State and area agencies on aging will, consistent with budgeting cycles (annually, biannually, or otherwise), submit the details of proposals to pay for program development and coordination as a cost of supportive services, to the general public for review and comment;

and (iii) The State agency certifies that any such expenditure by an area agency will have a direct and positive impact on the enhancement of services for older persons in the planning and service area. (15) The State agency will assure that where there is a significant population of older Indians in any planning and service area that the area agency will provide for outreach as required by section 306(a)(6)(N) of the Act.



Operations Manual for Area Agencies on Aging; C-9 Program Development and Coordination MBA, when awarding funds, shall use the following definitions: i. In general, Program Development activities are: 1. Time limited, generally 2-3 years in length 2. Work that is tied to identified service(s) or service delivery gap(s), based on demographic trends or AAA assessment of needs or issues, and identified in the Area Plan;

Estimated PD & C Amount*$143,245.00Estimated PD&C*Percentage cannot exceed 25% of new obligational authority. Enter a whole number without % sign.25*A minimum of 10% must be allocated to each Title III service category. **Planned activity & coordination efforts must be detailed in Area Plan strategic priorities/outcomes %

The following will describe the planned activities to be supported by the above amount:Title III FundsB: (chore, homemaker, home mods, assisted transportation, transportation, special access, legal, and information & assistance)C1 & C2: nutritionD: Evidence based health promotionE: (caregiver services and supports)Other: (including development and coordination for age-friendly efforts)

How Many PD & C Activities Are You Recording?*7

PD&C ACTIVITY 1Activity 1 Title III Fund Designations*B > Home ModsActivity 1 Title III Other DescriptionIf you have designated this service as "Other", please describe it in detail below (limit to 250 characters).



Activity 1 Staff Person*List the name of the staff person heading up this service or activity.Jason W. Swanson, Betty Christensen, Molly Peterson, Kelly McDonoughActivity 1 FTE Percentage*list percentage in decimal format.

Example:.99 = 99%.05Activity 1 Focus Area*Check all that Apply.Service Delivery GapsDemographic TrendsAAA Assessment of Need or IssuesActivity 1 Continuation?*Will this service be a continuation from last year?YesActivity 1 Description*If this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters).Promote services through Community Action Partnerships, Habitat for Humanity, CAPABLE programs and other services for affordable home maintenance, modifications and in-home services. Advocate for community leaders to learn about what a Community for a Lifetime (CFL) is, to complete CFL assessment and to access technical assistance to become a CFL.

PD&C ACTIVITY 2Activity 2 Title III Fund Designations*B > Information and Assistance



Activity 2 Title III Other DescriptionIf you have designated this service as "Other", please describe it in detail below (limit to 250 characters).

Activity 2 Staff Person*List the name of the staff person heading up this service or activity.Betty Christensen, Molly Peterson, Kelly McDonough, Rhonda Hiller Fjeldberg, Krista EichhorstActivity 2 FTE Percentage*list percentage in decimal format.

Example:.99 = 99%.05Activity 2 Focus AreaCheck all that apply.Service Delivery GapsDemographic TrendsAAA Assessment of Need or IssuesActivity 2 Continuation?*Will this be a continuation from last year?YesActivity 2 DescriptionIf this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters).Encourage Title III providers to target their outreach and services to older adults living in congregate housing settings; provide technical assistance to providers wishing to co-locate their services. Develop new partnerships that encourage home and community-based service providers to locate/offer their services and supports in congregate housing settings. Partner with leaders from cultural and ethnic communities to disseminate information and increase awareness about home and community-based services available through Title III, Elderly Waiver, Alternative Care, et. Al.



PD&C ACTIVITY 3Activity 3 Title III Fund Designations*C > Congregate mealsActivity 3 Title III Other DescriptionIf you have designated this service as "Other", please describe it in detail below (limit to 250 characters).

Activity 3 Staff Person*List the name of the staff person heading up this service or activity.Betty Christensen, Molly Peterson, Kelly McDonough, Rhonda Hiller FjeldbergActivity 3 FTE Percentage*list percentage in decimal format.

Example:.99 = 99%.05Activity 3 Focus area*Check all that apply.Service Delivery GapsDemographic TrendsAAA Assessment of Need or IssuesActivity 3 Continuation?*Will this be a continuation from last year?YesActivity 3 DescriptionIf this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters .Collaborate with Lutheran Social Service and Prairie Five Community Action Council to identify nutritionally under-served communities and identify innovative resources and solutions for providing service in those areas; provide Title III-C and/or COVID-19 funding to support solutions, as feasible and allowable.Encourage Title III providers to target their outreach and services to older adults living in congregate housing settings; provide technical assistance to providers wishing to co-locate their services.Develop new partnerships that encourage home and community-based service providers to locate/offer their services and supports in congregate housing settings.



Partner with leaders from cultural and ethnic communities to disseminate information and increase awareness about home and community-based services available through Title III, Elderly Waiver, Alternative Care, et. Al.

PD&C ACTIVITY 4Activity 4 Title III Fund Designations*C > Home delivered mealsActivity 4 Title III Other DescriptionIf you have designated this service as "Other", please describe it in detail below (limit to 250 characters).

Activity 4 Staff Person*List the name of the staff person heading up this service or activity.Betty Christensen, Molly Peterson, Kelly McDonough, Rhonda Hiller FjeldbergActivity 4 FTE Percentage*list percentage in decimal format.

Example:.99 = 99%.10Activity 4 Focus Area*Check all that Apply.Service Delivery GapsDemographic TrendsAAA Assessment of Need or IssuesActivity 4 Continuation?*Will this service be a continuation from last year?Yes



Activity 4 DescriptionIf this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters).Collaborate with Lutheran Social Service and Prairie Five Community Action Council to identify nutritionally under-served communities and identify innovative resources and solutions for providing service in those areas; provide Title III-C funding to support solutions, as feasible and allowable.Partner with leaders from cultural and ethnic communities to disseminate information and increase awareness about home and community-based services available through Title III, Elderly Waiver, Alternative Care, et. Al.

PD&C ACTIVITY 5Activity 5 Title III Fund Designations*D > Evidence Based Health PromotionActivity 5 Other descriptionIf you have designated this service as "Other", please describe it in detail below (limit to 250 characters).

Activity 5 Staff Person*List the name of the staff person heading up this service or activity.Betty Christensen, Molly Peterson, Kelly McDonough, Krista EichhorstActivity 5 FTE Percentage*list percentage in decimal format.

Example:.99 = 99%.15Activity 5 Focus Area*Check all that Apply.Service Delivery GapsDemographic TrendsAAA Assessment of Need or Issues



Activity 5 Continuation?*Will this service be a continuation from last year?YesActivity 5 DescriptionIf this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters).Promote mini-grant funding opportunities for expansion of health promotion programs. Partner with evidence-based community-based organization to explore pilot project models that address evidence-based program disparities and underrepresented populations.Encourage Title III providers to target their outreach and services to older adults living in congregate housing settings; provide technical assistance to providers wishing to co-locate their services. Develop new partnerships that encourage home and community-based service providers to locate/offer their services and supports in congregate housing settings.

PD&C ACTIVITY 6Activity 6 Title III Fund Designations*E > Caregiver Services and SupportsActivity 6 Other DescriptionIf you have designated this service as "Other", please describe it in detail below (limit to 250 characters).

Activity 6 Staff Person*List the name of the staff person heading up this service or activity.Betty Christensen, Molly Peterson, Kelly McDonough, Jason W. Swanson, Krista EichhorstActivity 6 FTE Percentage*list percentage in decimal format.

Example:.99 = 99%.5



Activity 6 Focus Area*Check all that Apply.Service Delivery GapsDemographic TrendsAAA Assessment of Need or IssuesActivity 6 Continuation?*Will this service be a continuation from last year?YesActivity 6 DescriptionIf this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters).Advocate that employers recruit and retain older workers utilizing strategies such as workplace flexibility and phased or delayed retirement through Workforce Trends: Aging and Caregiving in the Workplace presentations.Advocate for employers to sign the AARP Employer Pledge Program. Educate caregivers on caregiving support infrastructure through caregiver presentations, community meetings, social media, MNRAAA news etc. Conduct outreach to promote the Caregiver Advise, Record, Enable (CARE) Act though community meetings, social media, MNRAAA news, etc. Promote development of caregiver programs and services in identified gap areas including exploring partnerships with cultural, ethnic communities to develop caregiver models that best meet their needs and preferences.Provide caregiver consultant training and refresher training as needed. Provide family meeting training and refresher training as needed. Develop caregiver presentation regarding respite services and accessibility. Conduct caregiver presentation regarding respite services, accessibility and referrals to the Senior LinkAge Line. Participate in statewide Respite Coalition and assist in developing and promoting respite public service announcements. Partner with leaders from cultural and ethnic communities to disseminate information and increase awareness about home and community-based services available through Title III, Elderly Waiver, Alternative Care, et. Al.



PD&C ACTIVITY 7Activity 7 Title III Fund Designations*Other > I agree to describe my "Other" designated service in the question belowActivity 7 Title III Other Description*If you have designated this service as "Other", please describe it in detail below (limit to 250 characters).Analyze Senior Corps presence in region and build on service capacity.Offer TA to new RSVP state-funded grantees (for contract year starting July 1, 2019).Activity 7 Staff Person*List the name of the staff person heading up this service or activity. Betty Christensen, Molly Peterson, Kelly McDonough, Jason W. Swanson, Krista EichhorstActivity 7 FTE Percentage*list percentage in decimal format.

Example:.99 = 99% .1Activity 7 Focus Area*Check all that Apply. Service Delivery GapsDemographic TrendsAAA Assessment of Need or IssuesActivity 7 Continuation?*Will this service be a continuation from last year? YesActivity 7 Description*If this service is a continuation from last year, please Copy/Paste the previous year's response and update if needed (limit to 5,000 characters).Advocate that Senior Corps programs build on service capacity and facilitate the promotion of Senior Corps programs through community meetings, social media, MNRAAA news, etc. (Jan 1, 2021 - Dec 31, 2021)



Offer technical assistance to newly-funded RSVP state-funded grantees (Jan 1, 2021 - Dec 31, 2021)

A - 2 POPULATION PROFILEPlease view " Demographic and Service Utilization Data" when completing the following section, by clicking "Organization History" on the top banner of your screen, then selecting the "Documents" Tab.A2 (i) Demographic Information*Using, at a minimum, the demographic information provided, describe the current demographics, emerging trends and additional information to understand the populations of people who are aging and in your PSA. This section should include local analysis of the changes in the number of older individuals and target populations and the associated impact on the AAA and providers within the aging and disability network. Also address how your plan is using this data to target outreach and services to those at greatest risk and describe the methods used to satisfy the service needs of minority older adults. (Limit to 10,000 Characters)Current demographics, emerging trends, additional information: According to the Administration for Community Living’s Aging Integrated Database (AGID), the total 60+ population in the SW PSA in 2015 was 125,289; 91.2% live in rural areas. The SW PSA includes one Metropolitan Statistical Area (urban core of at least 50,000 or more population): the Mankato-North Mankato metro area which includes Nicollet and Blue Earth counties. It has six Micropolitan Statistical Areas (urban core of at least 10,000, but less than 50,000 population): Hutchinson, Marshall, New Ulm, Willmar, Worthington and Fairmont (respectively, the counties of McLeod, Lyon, Brown, Kandiyohi, Nobles, and Martin).According to the Minnesota State Demographic Center, between 2010 and 2015, all but the following five counties lost population – Kandiyohi, Blue Earth, Nicollet, Renville and Nobles. Eight of the 20 counties that are the smallest in Minnesota (under 5,000 to 9,999 individuals) are in the SW PSA: Big Stone, Swift, Lac qui Parle, Yellow Medicine, Lincoln, Pipestone, Murray and Rock.Even though the SW PSA includes the Upper Sioux Community, Lower Sioux Indian Community and Nobles County, where over 20% of its total population is nonwhite or Latino (The State of Rural Minnesota 2018, Center for Rural Policy and Development), the total 60+ population not classified as White Alone totals fewer than 3,500 individuals (AGID). The SW PSA has the least diverse population of any of the area agencies on aging in Minnesota (MN2030 Cultural Responsiveness Policy Brief).Local analysis and impact: Between 2010 and 2015, there was a 9.7% increase in the 60+ population, 1.4% increase in the 60+ minority population and an increase from three to seven in the number of counties with over 30% of its population age 60+. It will continue to be challenging to serve the 60+ population because of the relatively low number of 60+ individuals in many counties (ranges from 1,688 to 12,203) and the resulting lack of an “economy of scale”. Many counties have very low numbers of minority elders (ranges from 9 to 427) and generally, there is an absence of “communities of color”. Targeting outreach and services: MNRAAA’s goal is to maintain and/or increase the number of diverse elders served with Older Americans Act services. All applicants for Title III funds, including registered and non-registered services, are required to include an outcome in their application that addresses targeting and service to low-income minority elders/caregivers and to report on their progress quarterly. In addition, applicants are required to address targeting and service to minority elders/caregivers in their application narrative.

AAA regional

total2019

Estimated 2020

Service goals 2021

2019Estimated

2020

Service goals 2021

2019Estimated

2020

Service goals 2021

2019Estimated

2020

Service goals 2021

2019Estimated

2020

Service goals 2021

125,289 71 90 81 5,566 5,308 5,699 2,090 4,152 3,737 332 288 322 13,101 12,983 13,431

Under 60 382,931 0 0 0 177 188 197 45 143 128 50 35 51 1,207 1,560 1,37060 - 74 80,034 21 20 20 1,964 1,906 2,007 551 1,338 1,198 127 91 116 4,720 4,479 4,70175 - 84 28,820 27 36 32 2,077 1,943 2,115 682 1,407 1,261 110 117 108 3,292 3,485 3,38785+ 16,435 23 33 29 1,346 1,275 1,379 812 1,281 1,148 45 50 47 3,688 3,244 3,503

Race2 or More Races 263 0 0 0 9 14 13 6 12 11 1 1 2 65 109 98Amer Ind/Alaskan Native 280 1 0 0 15 9 13 11 12 11 0 0 0 17 24 22Asian 709 0 0 0 11 13 12 9 14 13 0 0 0 24 17 24Black or African American 437 0 0 0 72 83 74 3 0 2 0 0 0 36 45 45Native Hawaiian/Other Pacific Islander 24 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1Other Race N/A 0 0 0 21 19 25 4 13 12 0 0 1 30 7 24White Hispanic 1,596 2 0 1 59 46 56 46 58 53 18 21 19 0 0 0White not Hispanic 121,980 66 85 75 5,041 4,714 5,089 1,868 3,597 3,283 306 261 293 11,183 11,173 11,649

EthnicityHispanic/Latino 1,596 2 0 1 45 42 42 32 54 49 15 17 15 118 84 103Not Hispanic/Latino 123,693 66 85 73 4,953 4,596 5,004 1,867 3,618 3,240 301 253 291 11,357 11,367 11,770

Rural 114,210 69 84 80 5,441 5,206 5,573 1,920 3,922 3,566 317 261 295 11,534 11,435 11,810No 6,235 0 0 0 103 80 99 133 164 149 8 27 23 1,424 1,431 1,478

GenderFemale 66,986 47 62 57 3,602 3,306 3,652 1,310 2,480 2,234 250 218 244 7,824 7,452 7,955Male 58,303 19 22 21 1,818 1,835 1,922 718 1,511 1,361 76 64 73 4,951 5,170 5,087

Lives WithAlone 31,455 46 62 55 2,358 2,171 2,386 1,248 2,183 1,970 49 38 50 4,029 4,540 4,138With Others 88,985 20 26 23 2,809 2,723 2,879 696 1,628 1,470 179 149 172 5,567 4,972 5,666

Poverty Level100 (<=100) 9,115 9 7 9 861 777 850 534 931 824 46 33 44 0 0 0150 (101-150) 11,700 24 27 24 1,706 1,651 1,856 690 1,331 1,178 76 56 79 931 0 766200 (151-200) 11,750 15 19 17 835 765 836 284 599 530 61 51 59 1,490 981 1,564NA (>200) 82,735 20 28 25 1,186 1,134 1,170 319 669 592 53 46 49 0 0 0

Services provided by funding source(fill in for

your specific PSA)

SLL (multiple funding) - Persons served

Registered ServicesDemographics (unduplicated client counts) OAA Supportive Services

(IIIB) - Persons servedOAA Congregate Meals

(IIIC1) - Persons servedOAA Home Delivered

(IIIC2) - Persons servedOAA Caregiver Services (IIIE) - Persons served

Total Persons 60+Age

Rural

Minnesota River AAA

Chore, Homemaker, Assisted Transportation, Special Access

Congregate MealsHome Delivered Meals, Self

Directed Service

Counseling, Respite, Training and Education, Support

Groups, AccessInformation and assistance

Section A2 – DEMOGRAPHIC DATA AND SERVICE UTILIZATION 2019-2021



Methods to satisfy needs of minority older adults: MNRAAA employs a bi-cultural/bi-lingual Spanish-speaking specialist. Her responsibilities include answering the Senior LinkAge Line, staffing outreach sites and translating presentations for Spanish-speaking audiences. MNRAAA awards Title III-B funding for a special access project that annually serves over 90 elders from diverse backgrounds. In 2019, a Title III-D project will secure leaders from diverse populations for evidence-based programs and a Title III-E project will develop a Spanish-language caregiver class/support group.Please provide a CY2020 update if applicable Current demographics, emerging trends, additional information: Based on estimates from the U.S. Census Bureau, the twenty-seven (27) county service area which MNRAAA serves shows that the percentage of individuals over the age of sixty (60) is not only increasing (24.3% in 2010 to 27.84% in 2018), but also remains higher than the State of Minnesota (27.84% in MNRAAA area versus 22.26% across Minnesota in 2018). As this trend continues, MNRAAA will continue providing advocacy, information resources and assistance so older adults can maintain the lifestyle of their choice.Local Analysis: The demographics have stayed relatively the same as stated in 2019, with a low minority population within our service area. However, through outreach programs we have identified communities with minority populations where we will continue to build and maintain partnerships. Targeting outreach and services: MNRAAA SLL outreach teams will continue to work with development staff to address the needs of minority older adults and caregivers. MNRAAA continues to employ a bi-cultural/bi-lingual Spanish-speaking specialist. She is responsible for providing phone-based and in-person assistance to individual consumers and caregivers needing assistance from a Spanish-speaking specialist. MNRAAA will provide diversity and implicit bias training for Title III providers.Methods to satisfy needs of minority older adults: MNRAAA awards Title III-B funding for a special access project that annually serves 70-90 elders from diverse backgrounds. In 2019, a Title III-D project has worked toward securing and training leaders from diverse populations for conducting evidence-based programs; they anticipate beginning classes in 2020. In 2019, a Title III-E project developed a Spanish-language caregiver class/support group averaging 6-7 attendees. This project anticipates growth in 2020. Also in 2020, MNRAAA’s Title III-B Legal Services provider will approach the Upper Sioux Community and Lower Sioux Agency offering to conduct legal education presentations. In addition to addressing the needs of Spanish-speaking consumers, MNRAAA outreach teams are planning and implementing targeted outreach to East African older adults and caregivers in the northeast part of our service area. Outreach teams will work with development staff to plan and implement targeted outreach to the Upper Sioux Community and the Lower Sioux Agency. Also within the Upper Sioux Community and Lower Sioux Agency, Program Development staff are providing outreach regarding evidenced based health programs. Program Development staff are assisting the community of Milan with a Community for a Lifetime (CFL) assessment with an anticipation project completion date of spring 2020. The community of Milan is 50% Micronesian; more than half of the CFL community team is Micronesian, including Micronesian elders.CY2021 UpdateAs a result of the Coronavirus pandemic, the number of Title III persons served and units provided in 2020 are significantly lower than projected for most services. MNRAAA has worked with Title III providers to develop opportunities for older adults and caregivers to access services, including technical assistance with virtual services, offering GoTo Meeting and Zoom access, funding tablets/data plans, personal protective equipment and Telephone Reassurance.Methods to satisfy needs of minority older adults:In 2021, MNRAAA's Title III-B special access project will continue the work it started in 2020 to expand outreach to Hispanic elders and increase the number of elders served from this population. MNRAAA’s Title III-B Legal Services provider will approach the Upper Sioux Community and Lower Sioux Agency in 2021 to offer them legal education presentations. MNRAAA's Title III-D project has five Spanish-speaking leaders trained in Self-Management Programs and is planning to offer two virtual and/or in-person DSMP classes



prior to the end of 2020; Spanish-language classes will continue to be offered in 2021. The Spanish-language caregiver class/support groups conducted by one of MNRAAA's Title III-E providers has been suspended in 2020 due to COVID-19, however they continue to have phone contact with the Spanish-speaking caregivers. Coronavirus pandemic has hit the Hispanic population in this project's service area (Watonwan Co.) particularly hard due to many people being employed in the meat packing industry. It's anticipated in-person groups will resume in 2021.A2 (i) updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesTargeted Population and Service Need 1*Review previous years' service goals looking toward identifying first of two demographic points (limit to 5,000 characters each) in a funding area(s) (i.e.: III B Supportive services, III C1 congregate etc.) that your AAA could address in a plan that would improve one or more of the identified points. Include short narrative in Area plan with the following:• Which point(s) were chosen including the services funded for that point• What change(s) do you anticipate due to focusing on that point(s)• General statement of approachCY20191. Title III-E demographics will be addressed by increasing service to Hispanic caregivers. MNRAAA anticipates 5-10 additional Hispanic caregivers will be served by two Title III-E projects. These projects are proposing to expand their outreach and marketing to the Hispanic population through relationship-building, direct contacts and referrals. One of the projects is proposing to develop and implement a Spanish-language caregiver class/support group that will be culturally focused and facilitated by a bi-lingual/bi-cultural person. Every effort is being made to understand cultural differences in caregiving and to provide caregivers with an atmosphere that is safe and welcoming. In addition to the registered services provided in the demographic information, two non-registered services will be addressed in 2019 to improve service to minority elders.1. Title III-D demographics will be addressed by increasing evidence-based programming to minority (predominately Hispanic) elders. MNRAAA anticipates 5 – 10 additional persons from diverse backgrounds will be served through this project. The project proposes to secure and train leaders from diverse populations in evidence-based programs, i.e. Chronic Disease Self-Management and Diabetes Self-Management and to offer classes in areas with higher concentrations of diverse elders. Again, every effort is being made to understand cultural differences in disease prevention and health promotion and to provide elders with an atmosphere that is safe and welcoming.2. Title III-B demographics will be addressed by increasing special access services to Hispanic elders. MNRAAA anticipates 10 – 15 additional Hispanic elders will be served through this project. This project is well-established and experienced in serving elders from diverse backgrounds. They are proposing to expand their focus, which has predominately been on East African elders, to the Hispanic population by increasing the staff hours of their Hispanic outreach worker. No update for 2020.CY2021 UpdateTitle III-E demographics will be addressed by increasing service to Hispanic caregivers. MNRAAA anticipates 5 – 10 additional Hispanic caregivers will be served by it's Title III-E projects proposing to expand



their outreach and marketing to the Hispanic population through relationship-building, direct contacts and referrals. One of the projects developed and implemented a Spanish-language caregiver class/support group that is culturally focused and facilitated by a bi-lingual/bi-cultural person. Every effort is being made to understand cultural differences in caregiving and to provide caregivers with an atmosphere that is safe and welcoming. While this caregiver class/support group has been suspended in 2020 due to COVID-19, its re-establishment is anticipated in 2021.In addition to the registered services provided in the demographic information, a non-registered service will be addressed in 2021 to improve service to minority elders.Title III-D demographics will be addressed by increasing evidence-based programming to minority (predominately Hispanic) elders. MNRAAA anticipates 10-12 additional persons from diverse backgrounds will be served through this project. The project has secured and trained five Spanish-speaking leaders in evidence-based programs who will offer classes in 2021 in areas with higher concentrations of Spanish-speaking elders. Every effort will be made to understand cultural differences in disease prevention and health promotion and to provide elders with an atmosphere that is safe and welcoming.Targeted Population and Service Need 1 updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesTargeted Population and Service Need 2*Review previous years' service goals looking toward identifying second of two demographic points (limit to 5,000 characters each) in a funding area(s) (i.e.: III B Supportive services, III C1 congregate etc.) that your AAA could address in a plan that would improve one or more of the identified points. Include short narrative in Area plan with the following:• Which point(s) were chosen including the services funded for that point• What change(s) do you anticipate due to focusing on that point(s)• General statement of approachCY2019Senior LinkAge Line (SLL) demographics will be addressed by increasing services to Hispanic elders and caregivers. MNRAAA anticipates 10 – 20 additional Spanish-speaking elders and caregivers will be served by the SLL. MNRAAA will continue to employ a bi-cultural/bi-lingual Spanish-speaking Information and Assistance Specialist. In addition to her responsibilities of answering the SLL and staffing outreach sites, her role will be expanded to include translating and/or co-facilitating SLL and MNRAAA presentations. MNRAAA anticipates that conducting co-presentations will increase the relationship of SLL with other MNRAAA program areas, i.e. Program Development and Coordination, and will provide Hispanic elders and caregivers with an increased understanding of the resources and services available to them.No update for 2020.No update for 2021.



Targeted Population and Service Need 2 updated*Please copy and paste your previous year's response into the field above. Was this information updated from last year?No

A - 2 SERVICES & ADMINISTRATIONSnapshot of Services*Summarize all services provided by or through the AAA, either directly or through contracts with community partners.To Complete: Please download This File, fill it in to completion and upload it here.AAA_Services_and_Administration.xlsxIncrease or Decrease of Services*Describe in the narrative if the array of services offered has been increased or decreased from the previous year and if there are other resources available to provide similar services (Limit to 2,000 characters).In 2020, all Title III services (except nutrition, legal assistance/education) were opened for new applicants and the range of service options was expanded. One existing Title III-B provider chose not to submit a 2020 application for Chore services based on a change in their program focus and one existing Title III-D SAIL provider also did not submit a 2020 application. This decision was anticipated due to their only seeking one-year of funding implement the program. Three new projects were awarded funding for 2020: (1) UCAP for Assisted Transportation in 8 counties in the southwest corner of MNRAAA’s service area; (2) Generations Home Care Services for Homemaker and Assisted Transportation in Sibley County; and (3) VINE Faith in Action for Caregiver Counseling services in Blue Earth, Le Sueur and Nicollet Counties. Nutrition services were expanded to the Lower Sioux Indian Community in 2020 with MNRAAA's provider, Lutheran Social Service, delivering 1,400 frozen meals to them in May and June; FFCRA funds covered costs. Discussions continue with Lower Sioux Indian Community and Upper Sioux Community to identify and address needs of their elders. Title III-D small awards are available for Evidence-Based Health Promotion Programs. Two proposals have been submitted; one on hold due to the pandemic and one proposal is under consideration. Due to the Coronavirus, MNRAAA did not implement it's carryover plan in 2020. In addition, the 2021 Title III funding cycle was not opened for new applicants; MNRAAA's existing Title III providers were invited to submit renewal applications for 2021. MNRAAA received approval from MBA to extend all 2020 Title III projects in the fifth year of their funding cycle for one additional year. The status of the 2021 Title III funding cycle will be reviewed on an on-going basis as the pandemic evolves and funds become available. Status changes to the funding cycle will be announced through MNRAAA’s web page, social media, email, etc.



A - 3 STATEWIDE INITIATIVEStatewide Initiatives*MN 2030 Looking Forward planning effort emphasizes the concept of reframing aging. Describe efforts to continue reframing communication efforts and address ageism within your agency, Also. Describe current initiatives to make Minnesota Communities Age-Friendly. Consider building on previous MN2030 efforts, Communities For a Lifetime partners and Dementia Friendly accomplishments (Limit to 2,000 characters).“Experts and the public view aging from starkly different perspectives. Experts assume that aging is normal, lifelong, and cumulative-a ubiquitous, continuous process of human development that extends across the life span. They note that older age brings new opportunities for growth, contribution and self-expression. This observation also speaks to the expert view that aging is not synonymous with decline, disease, or disability.” “The American public, by contrast, views aging as almost wholly negative, tantamount to a decline that ends in dependency.” (Finding the Frame: An Empirical Approach to Reframing Aging and Ageism. A FrameWorks Research Report, February 2017). Efforts to reframe communication efforts and address ageism within MNRAAA: Staff will participate in education about reframing aging, available from FrameWorks Institute. They will view Reframing Aging – an overview of reframing research and read Gaining Momentum: A Communications Toolkit (2017). It includes communication themes to avoid and alternatives to use, approaches to use for changing the public’s thinking about aging, and sample communications to use for written and oral communications. Each section of the Toolkit will be discussed at monthly all-staff meetings. MNRAAA’s Board members have been provided with information relating to reframing aging and how to utilize and share the information with organizations.MNRAAA will share FrameWorks Institute information with agencies, organizations and providers and will provider an update as appropriate.In 2020, MNRAAA plans to collaborate with the Minnesota Board on Aging to create an Age Friendly State as recognized by the World Health Organization (WHO) and American Association of Retired Persons (AARP).MNRAAA is providing technical assistance to five (5) rural communities; Adrian, DeGraff, Echo, Milan and Tyler to create age friendly communities with a grant from the Southwest Initiative Foundation (SWIF).Statewide Initiatives update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes



Indian Country Defined: Minnesota Indian Country consisting of; Indian reservations, Dependent Indian communities and Indian allotments. In addition this includes rural communities, towns and cities where American Indian Elders reside and caregiving supports from friends, family and/or neighbors are needed or currently exist.

Tribal Coordination (Serving Older Indians)*The AAA must identify and describe how it will coordinate with each of the tribe(s) or AI/AN communities within its PSA to provide services for AI/AN Elders, specifically Older Americans Act Title VI grantees and/or Indian Country. (see Indian Country definition)

Best practices in this focus area could include a description of the process for planning and coordinating with each of the tribes and/or AI/ AN communities within its PSA to provide services for AI/AN Elders. Any services provided to AI/AN Elders should be provided in a culturally responsive manner. Best practices also include steps taken to build relationships with individual tribes and/or AI/AN communities, while respecting Tribal Sovereignty, and any collaboration efforts and/or challenges that may be unique to planning and service delivery with Minnesota Tribal Nations and AI/AN communities (Indian Country, limit to 5,000 characters).MNRAAA will learn about tribal protocols and the nature of Title VI grants, in coordination with MBA’s Indian Elder Desk staff, Leonard Geshick. MNRAAA offers collaboration and technical assistance to tribes within the SW PSA to provide American Indian Elders living on and off the reservation opportunities for services such as evidence-based programs (2.2), dementia friends information, rapid screen presentations, and Live Well at Home grant technical assistance. Program Development and Coordination staff have cultivated relationships with receptive contacts within the tribes, to the maximum extent practicable, and will build on relationships to explore partnerships to identify caregivers (3.1) and explore development of a caregiver model to best meet their needs and cultural preferences. In coordination with MBA’s Indian Elder Desk staff, Leonard Geshick, MNRAAA will offer assistance to the Upper Sioux Community in developing a Title VI grant request.



Title III providers continue efforts to build relationships and share information about their services at both the Upper and Lower Sioux Communities, while respecting the sovereignty of the communities and the cultural preferences of the elders. A Chore program located in Granite Falls is investigating the possibility of securing volunteers who reside in the Upper Sioux Community to provide Chore services to the community’s elders. It is anticipated that volunteers from their community will increase the elders' comfort-level with the service. As relationships are built, additional Title III services will be offered to elders living on and off the Upper and Lower Sioux Communities.Please provide a CY2020 update if applicable MNRAAA continues its partnership with the Lower Sioux Indian Community in 2020 as they utilize their Live Well at Home Grant in building an intergenerational center.MNRAAA has met with representatives from the Upper Sioux Community and introduced the Title VI program to them. MNRAAA will work with the community on establishing working relationships through presentations and classes to the elders.The Title III Chore program located in Granite Falls did not submit an application for renewal funding in 2020. Consequently, their efforts with the Upper Sioux Community, as outlined in the 2019 Area Plan, are ending. In 2020, MNRAAA’s Title III-B Legal Services provider will approach the Upper Sioux Community and Lower Sioux Indian Community offering to conduct legal education presentations.MNRAAA scheduled a Medicare Fraud presentation with the Minnesota Department of Commerce to be held at the Upper Sioux Community in the Fall of 2019.MNRAAA partnered with Lutheran Social Services (LSS) to provide additional meals to the Lower Sioux Agency during the COVID-19 pandemic. MNRAAA has reached out on a regular basis to the Lower Sioux Agency and the Upper Sioux Community to provide assistance during the pandemic. MNRAAA continues to provide technical assistance to the Lower Sioux Indian Community in relation to evidenced-based classes.Tribal Coordination (Serving Older Indians) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes

A – 4 AREA PLAN OUTCOMES GOAL 1Goals, Strategic Priorities and Measurable OutcomesThroughout all the strategic priorities, please embed the following MN2030 values:INCLUSION We start with compassion and empathy, pursuing solutions that support the dignity of all people. We’ll address ageism and work towards a future where citizens of all ages are valued and included.INGENUITY We will be boundless in our vision and creative in developing new approaches. We commit to developing resourceful solutions where collaboration and partnership foster ideas that serve all well.IMPACT We want to make a meaningful difference in every community across Minnesota. We aim to impact individuals, families, communities in a measurable way.The strategic priorities reflect the goals identified in the MBA State Plan on Aging 2019-2022.



Goal 1: Leverage the experience, expertise and energy of older MinnesotansPlease provide specific measures for the TWO (2) Priorities Below:

Strategic Priority 1.1 Specific Measures (Development)*1.1 Facilitate opportunities to connect older people to their communities and engage them in the activities that offer them social connections.Specific Measures (include projected start & end dates)AAA Role: Development

Analyze Senior Corp presence in region and build on service capacity.

Offer TA to new RSVP state-funded grantees (for contract year starting July 1, 2019).

Advocate that Senior Corps programs build on service capacity and facilitate the promotion of Senior Corps programs through community meetings, social media, MNRAAA news, etc. (Jan 1, 2021 - Dec 31, 2021)Offer technical assistance to newly-funded RSVP state-funded grantees (Jan 1, 2021 - Dec 31, 2021)

Specific Measures 1.1 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 1.2 Specific Measures (Advocacy)*1.2 Work with employers to increase the number of older people (those 50+) who are actively recruited and retained as part of an overall workforce strategy.Specific Measures (include projected start & end dates)AAA Role: Advocacy

Educate employers, secondary (primary avenue will be through education regarding working caregivers).Advocate that employers recruit and retain older workers utilizing strategies such as workplace flexibility and phased or delayed retirement through Workforce Trends: Aging and Caregiving in the Workplace presentations. (Jan 1, 2021 - Dec 31, 2021)Advocate to policy makers to begin exploring and researching incentives regarding hiring and/or retaining older workers. (Jan 1, 2021 - Dec 31, 2021)Advocate for employers to sign the AARP Employer Pledge Program. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 1.2 (Advocacy) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes



A – 4 AREA PLAN OUTCOMES GOAL 2Goal 2: Equip older Minnesotans with the tools to take charge of their health and make informed decisions about services when they need them

Strategic Priority 2.1 Specific Measures (Administrative)*2.1 Achieve statewide availability of a range of healthy aging programs.Specific Measures (include projected start & end dates)AAA Role: Administrative

Administration of III D evidence based programs

Analysis of AAA EBHP data quarterly

Identify staff and participate in MBA quarterly data analysis

Fidelity monitoring and technical assistance for Title IIID administered funds• Promote funding opportunities, including mini-grants (</= $5,000), for expansion of health promotion programs. (Jan 1, 2021 - Dec 31, 2021)• Administer Title III-D funds through distribution of funds, review of financial, program and statistical reports, on-going project monitoring and formal project assessment. (Jan 1, 2021 - Dec 31, 2021)• Analyze data reported by Title III-D providers on a quarterly basis; maximize the use of data to drive continuous program improvements. (Jan 1, 2021 - Dec 31, 2021)• Participate in MBA quarterly data analysis, as requested and arranged by MBA. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 2.1 (Administrative) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 2.1 Specific Measures (Advocacy)*2.1 Achieve statewide availability of a range of healthy aging programs.Specific Measures (include projected start & end dates)AAA Role: Advocacy

In conjunction with MBA, HCBS providers and other state agencies support a statewide grassroots effortto promote health and wellness options for older adults

Continue to advocate for mental health services for older adults• Advocate for increased mental health services for older adults, both at the State and Federal levels. (Jan 1, 2021 - Dec 31, 2021)• Participate in statewide grassroots efforts to promote health and wellness options for older adults, including Your Juniper. (Jan 1, 2021 - Dec 31, 2021)• Advocate for older adults by meeting with elected officials and other area community based organizations. (Jan 1, 2021 - Dec 31, 2021)



Specific Measures 2.1 (Advocacy) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 2.2 Specific Measures (Administrative)*2.2 Pursue new opportunities to address disparities and reach currently unserved or underserved populations with healthy aging programs and nutrition services.Specific Measures (include projected start & end dates)AAA Role: Administrative

Contract/grant management: provide technical assistance and monitor progress of Title III providers. Conduct on-site assessment visits using AAA’s own analysis for prioritizing selected projects.

Analysis of AAA data quarterly

Identify staff and participate in MBA quarterly data analysis• Provide technical assistance, fidelity monitoring and regular correspondence to Title III-D funded evidence-based programs. (Jan 1, 2021 - Dec 31, 2021)• Provide technical assistance to Title III providers as needed; conduct on-going project monitoring and formal project assessment following established protocols. (Jan 1, 2021 - Dec 31, 2021)• Analyze data reported by Title III providers on a quarterly basis; maximize the use of data to drive continuous program improvements. (Jan 1, 2021 - Dec 31, 2021)• Participate in MBA quarterly data analysis, as requested and arranged by MBA staff. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 2.2 (Administrative) Update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 2.2 Specific Measures (Development)*2.2 Pursue new opportunities to address disparities and reach currently unserved or underserved populations with healthy aging programs and nutrition services.Specific Measures (include projected start & end dates)AAA Role: Development

Pilot one or more sustainable models (including food shelves, Home Meds) for community based partners offering EBHP programs that address disparities and reach underrepresented populations.• Partner with evidence-based community-based organization to explore pilot project models that address evidence-based program disparities and underrepresented populations. (Jan 1, 2021 - Dec 31, 2021)



Specific Measures 2.2 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 2.3 Specific Measures (Administrative)2.3 Modernize the nutrition services delivery model to achieve efficiencies, promote sustainability and increase choice.Specific Measures (include projected start & end dates)AAA Role: Administrative

Title III C1 and C2 funds; Support for data collection; Data analysis/Quarterly discussion MBA/AAA; Identify staff conducting data quality analysis; Implementation (years 2-3) of a nutrition business plan (ACL grant opportunity)

Contract/grant management: provide technical assistance and monitor progress of Title III providers. Conduct on-site assessment visits using AAA’s own analysis for prioritizing selected projects.• Support and encourage Title III-C providers to collect data that is accurate and complete; analyze data reported by Title III-C providers on a quarterly basis; maximize the use of data to drive continuous program improvements; participation in MBA quarterly data analysis as requested and arranged by MBA. (Jan 1, 2021 - Dec 31, 2021)• Provide technical assistance to Title III-C providers as needed; conduct on-going project monitoring and formal project assessment following established protocols. (Jan 1, 2021 - Dec 31, 2021)

Specific Measures 2.3 (Administrative) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 2.3 Specific Measures (Development)*2.3 Modernize the nutrition services delivery model to achieve efficiencies, promote sustainability and increase choice.Specific Measures (include projected start & end dates)AAA Role: Development

Identify underserved communities and seek potential resources/solution to address nutrition needs; Participate in the development (year 1) of a nutrition business plan (ACL grant opportunity).• Collaborate with Lutheran Social Service and Prairie Five Community Action Council to identify nutritionally under-served communities and identify innovative resources and solutions for providing service in those areas; provide Title III-C and/or COVID-19 related funding to support solutions, as feasible and allowable. (Jan 1, 2021 - December 31, 2021)



Specific Measures 2.3 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 2.4 Specific Measures (Access)*2.4 Strengthen the delivery of health insurance counseling and long-term care options counseling, through the Senior LinkAge Line®.Specific Measures (include projected start & end dates)AAA Role: Access

Participate in SLL strategic planning process to define mission and vision of SLL; needs assessments to identify knowledge & other gaps (year 1) based on mission and vision; identify work priorities for years 2-3 based on needs assessment.

Utilize the baseline and additional quarterly data to continue improving upon the gathering of basic demographics which will inform equity, outreach and program improvement efforts.

Review positions and align with MBA approved positions and minimum standards.

All Senior LinkAge Line positions will be aligned with MBA approved minimum standards and reported in the budget section.

Continue to utilize zip code data to target outreach for MSP & LIS.

Utilize New to Medicare publication and new Medicare Fraud & Abuse information.Complete training for all staff1. CLS – Q1 20212. PAS – Q2 2021 & call monitoringImprove Data Collection•Decrease “not collected” in Web Referral demographics YOY by Q3 2021 through coaching and call reviews. •Collect data on housing to better identify the homeless population.Align Positions•Align position names by Q1, 2021 and submit any new position with a reference to the approved titles and responsibilities.Increase outreach for MSP & LIS•This will be measured by the number of calendar events in the calendar that include MSP and LIS outreach and the number of MSP and LIS Problem/Needs as well as number of LIS enrollments and the Native American Elders reached.Increase new to Medicare and Fraud and Abuse outreach in new and creative ways•This will be measured by the number of calendar events in the calendar for both programs and the narrative that shows new types of outreach.



Specific Measures 2.4 (Access) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes

A – 4 AREA PLAN OUTCOMES GOAL 3Goal 3: Support families and friends in their caregiving roles

Strategic Priority 3.1 Specific Measures (Administrative)*3.1 Enhance the caregiving support infrastructure to provide family caregivers with on-demand access to consultation and resources in person, by phone or online.Specific Measures (include projected start & end dates)AAA Role: Administrative

Collaboration between SLL and caregiver grantees


Analysis of AAA data quarterlyIdentify staff and participate in MBA quarterly data analysis• Provide technical assistance to Title III-E providers as needed; conduct on-going project monitoring and formal project assessment following established protocols. (Jan 1, 2021 - Dec 31, 2021)• Participate in MBA quarterly data analysis, as requested and arranged by MBA. (Jan 1, 2021 - Dec 31, 2021)• Partner with Wellspring Faith in Action to support their Spanish-language caregiver support group, ensuring the model meets culturally specific needs and preferences. (Jan 1, 2021 - Dec 31, 2021)• Continue requirement that Title III funded caregiver support providers coordinate their efforts with Senior LinkAge Line. (Jan 1, 2021 - Dec 31, 2021)

Specific Measures (Administrative) 3.1 update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 3.1 Specific Measures (Development)*3.1 Enhance the caregiving support infrastructure to provide family caregivers with on-demand access to consultation and resources in person, by phone or online.Specific Measures (include projected start & end dates)AAA Role: Development

Partner with 1-2 cultural, ethnic communities; partnerships to identify caregivers



• Through partnerships with cultural, ethnic communities; educate caregivers on caregiving support infrastructure through caregiver presentations, community meetings, social media, MNRAAA news, etc. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 3.1 (Development) Update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 3.2 Specific Measures (Administrative)*3.2 Build capacity within informal caregiver networks to enhance caregiving skills.Specific Measures (include projected start & end dates)AAA Role: Administrative

Expand triage by caregiver consultants, disseminate REST or other evidence-informed respite models.• Utilize community meetings, social media, MNRAAA News, etc. to educate caregivers on the important role of caregiving, identifying as a caregiver and connecting to community resources. (Jan 1, 2021 - Dec 31, 2021)Specific Measure 3.2 (Administrative) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 3.2 Specific Measures (Development)*3.2 Build capacity within informal caregiver networks to enhance caregiving skills.Specific Measures (include projected start & end dates)AAA Role: Development

Participate in CARE Act partnerships with State, AARP and hospital association

Develop on the ground relationships with nonprofits to identify caregiver consultants

Identify partners to be trained in Powerful Tool for Caregivers, Dementia Education and REST

AAA’s must collaborate to offer 2 statewide Dementia Capability trainings/year.• Conduct outreach to promote the Caregiver Advise, Record, Enable (CARE) Act though community meetings, social media, MNRAAA news, etc. (Jan 1, 2021 - Dec 31, 2021)• Promote development of caregiver programs and services in identified gap areas including exploring partnerships with cultural, ethnic communities to develop caregiver models that best meet their needs and preferences. (Jan 1, 2021 - Dec 31, 2021)• Provide caregiver consultant training and refresher training as needed. (Jan 1, 2021 - Dec 31, 2021)• Provide family meeting training and refresher training as needed. (Jan 1, 2021 - Dec 31, 2021)



Specific Measures 3.2 (Development) Update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 3.3 Specific Measures (Administrative)*3.3 Support family and friends who are caregiving by building respite options.Specific Measures (include projected start & end dates)AAA Role: Administrative

Fund priority models with III-E• Utilize information gained from MNRAAA's Gaps Survey, Statewide Respite Coalition, et al. to award Title III-E and/or COVID-19 related funding to new and existing providers for increasing participation rates and developing new respite/caregiver support models. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 3.3 (Administrative) updatePlease copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 3.3 Specific Measures (Development)*3.3 Support family and friends who are caregiving by building respite options.Specific Measures (include projected start & end dates)AAA Role: Development

Regional respite care coalition• Develop caregiver presentation regarding respite services and accessibility. (Jan 1, 2021 - Dec 31, 2021)• Conduct caregiver presentation regarding respite services, accessibility and referrals to the Senior LinkAge Line. (Jan 1, 2021 - Dec 31, 2021)• Participate in statewide Respite Coalition and assist in developing and promoting respite public service announcements. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 3.3 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes



Strategic Priority 3.4 Specific Measures (Advocacy)*3.4 Strengthen the statewide system for working caregivers to prevent or mitigate caregiver stress and burden.Specific Measures (include projected start & end dates)AAA Role: Advocacy

Participate in caregiver training for employers and conduct outreach with curriculum developed for statewide dissemination.

Create targeted materials for caregivers to access mental health services

Explore existing EB community and integrated care models for mental health interventions OR pilot one EB depression intervention in your region.• Advocate that employers provide working caregivers with support through Workforce Trends: Aging and Caregiving in the Workplace presentations, community meetings, social media, MNRAAA news, etc. (Jan 1, 2021 - Dec 31, 2021)• Advocate for integrated care models for mental health interventions. (Jan 1, 2021 - Dec 31, 2021)

Specific Measures 3.4 (Advocacy) UpdatePlease copy and paste your previous year's response into the field above. Was this information updated from last year?Yes

A – 4 AREA PLAN OUTCOMES GOAL 4Goal 4: Support aging in community with access to a range of services and housing options

Strategic Priority 4.1 Specific Measures (Development)*4.1 Assist older low income homeowners to age in community through affordable home maintenance, modifications and in-home services.Specific Measures (include projected start & end dates)AAA Role: Development

Understand existing options and leverage regional/local public private partnership to complete home mods, maintenance;

Coordinate HCBS with existing weatherization programs, MHFA loans, and resources with State Services for the Blind.• Promote services through Community Action Partnerships, Habitat for Humanity, CAPABLE programs and other services for affordable home maintenance, modifications and in-home services. (Jan 1, 2021 - Dec 31, 2021)



Specific Measures 4.1 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.1 Specific Measures (Access)*4.1 Assist older low income homeowners to age in community through affordable home maintenance, modifications and in-home services.Specific Measures (include projected start & end dates)AAA Role: Access

Participate in data integrity project for MinnesotaHelp.info; In collaboration with MBA, develop and implement referral and assistance protocols; Enhance knowledge of Title III providers,• Staff and volunteers to participate in outreach activities for the purposes of helping older low-income homeowners (and providers who serve them) locate services locally that help them age in place. Outreach conducted at locations such as, dinning sites, senior centers, community centers, health/senior fairs and senior expos. (Jan 1 - Sept 30, 2021)• Return to Community staff will offer information on affordable home maintenance, modifications and in-home services when completing follow-up calls with consumers. (Jan 1 – Dec 31, 2021)

Development Role 4.1 (Access) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.2 Specific Measures (Administrative)*4.2 Coordinate funding support of, and service provision in, affordable and subsidized congregate housing options for older adults, ensure Landlord Tenant Law protects older adults.Specific Measures (include projected start & end dates)AAA Role: Administrative

Title III contracts to offer priority in senior housing; co-location

Explore one partnership with public/subsidized senior housing for outreach to conduct education activities• Encourage Title III providers to target their outreach and services to older adults living in congregate housing settings; provide technical assistance to providers wishing to co-locate their services. (Jan 1, 2021 - Dec 31, 2021)• Partner with one public/subsidized senior housing and conduct education/outreach activities. (Jan 1, 2021 - Dec 31, 2021)



Specific Measures 4.2 (Administrative) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.2 Specific Measures (Development)*4.2 Coordinate funding support of, and service provision in, affordable and subsidized congregate housing options for older adults, ensure Landlord Tenant Law protects older adults.Specific Measures (include projected start & end dates)AAA Role: Development

Title III providers target outreach and services in senior housing; colocation; New partnerships to deliver services and supports in senior housing.

Establish or strengthen 2 new or existing partnerships with local providers or organizations.• Develop new partnerships that encourage home and community-based service providers to locate/offer their services and supports in congregate housing settings. (Jan 1, 2021 - Dec 31, 2021)

Administrative Role 4.2 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.3 Specific Measures (Administrative)*4.3 Assist older adults to age in community through strengthened HCBS; explore options to improve current OAA core services, Elderly Waiver, Alternative Care and Essential Community Supports.Specific Measures (include projected start & end dates)AAA Role: Administrative

Develop and pilot one new Title III contracting and service models


Analysis of AAA data quarterly

Identify staff and participate in MBA quarterly data analysis• Provide technical assistance to Title III providers as needed; conduct on-going project monitoring and formal project assessment following established protocols. (Jan 1, 2021 - Dec 31, 2021)• Analyze data reported by Title III providers on a quarterly basis; maximize the use of data to drive continuous program improvements. (Jan 1, 2021 - Dec 31, 2021)• Participate in MBA quarterly data analysis, as requested and arranged by MBA. (Jan 1, 2021 - Dec 31, 2021)



Specific Measures 4.3 (Administrative) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.3 Specific Measures (Advocacy)*4.3 Assist older adults to age in community through strengthened HCBS; explore options to improve current OAA core services, Elderly Waiver, Alternative Care and Essential Community Supports.Specific Measures (include projected start & end dates)AAA Role: Advocacy

Advocate for state-level policy changes, investments.• Advocate with elected officials for policy changes regarding the need for increased reimbursement rates for public programs for low income older adults. (Jan 1 - Dec 31, 2020).* Advocate with community leaders how to create an age friendly community. (Jan 1 - Dec 31, 2021).Administrative Role 4.3 (Advocacy) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.3 Advocacy Role (Development)*4.3 Assist older adults to age in community through strengthened HCBS; explore options to improve current OAA core services, Elderly Waiver, Alternative Care and Essential Community Supports.Specific Measures (include projected start & end dates)AAA Role: Development

Identify cultural, ethnic communities an work with community leaders to disseminate information and build awareness of services available through OAA and public programs;• Partner with leaders from cultural and ethnic communities to disseminate information and increase awareness about home and community-based services available through Title III, Elderly Waiver, Alternative Care, et. Al. (Jan 1, 2021 - Dec 31, 2021)

Advocacy Role 4.3 (Development) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes



Strategic Priority 4.4 Specific Measures (Advocacy)*4.4 Assist communities to implement life cycle housing planning and development.Specific Measures (include projected start & end dates)AAA Role: Advocacy

Educate cities, provide technical assistance• Advocate for community leaders to learn about what a Community for a Lifetime (CFL) is, to complete CFL assessment and to access technical assistance to become a CFL. (Jan 1, 2021 - Dec 31, 2021)Specific Measures 4.4 (Advocacy) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?YesStrategic Priority 4.5 Specific Measures (Access)*4.5 Through the Heading Home Together Plan, work with others to prevent and end homelessness experienced by older adults.Specific Measures (include projected start & end dates)AAA Role: Access

Determine those at risk for experiencing homelessness; Develop referral & assistance protocols; Explore SLL’s role in transition assistance

Strengthen relationships with community providers who can identify people at risk of homelessness and make referrals to SLL

Participate in data integrity project to ensure known resources relating to homelessness are in MinnesotaHelp.info

Target audiences who may be at risk of homelessness for presentations and outreach

Identify homeless or at-risk older adults in hospitals and nursing homes by strengthening existing referral paths through outreach to providers• Staff and volunteers will participate in outreach activities that target consumers who are homeless or at risk of being homeless for the purposes of providing consumers with information on both the resource options and how to locate these resources locally. (Jan 1 – Dec 31, 2021)• Outreach team members and volunteers will visit with staff at CAP agencies, food banks, mental health providers and shelters within our service area for the purpose of sharing information about the Senior LinkAge Line and how we can help the people they serve. (Jan 1 – Dec 31, 2021)• Outreach team members will develop and implement an outreach plan targeting law enforcement and emergency responders. The purpose of the outreach will be to provide information and education on the services of the Senior LinkAge Line and how we can help people who are homeless or at risk of homelessness. (Jan 1 - Dec 31, 2021)



Specific Measures 4.5 (Access) update*Please copy and paste your previous year's response into the field above. Was this information updated from last year?Yes

SECTION B - APPENDICESUpload*ASSURANCES OF COMPLIANCE, CERTIFICATIONS, DISCLOSURES AND DOCUMENTS REQUIRED BY FEDERAL LAW AND MINNESOTA BOARD ON AGING.

Please download this file, fill it out to completion and upload here.Assurances_Of_Compliance (1).pdfAPPENDIX B1: Assurances under the Older Americans Act Amendments of 2020*Please read the attached document to completion. I have read and understand the contents of the above linked document.APPENDIX B2: 2020 Standards and Assurances for the MN NAPIS Data Collection and Reporting System*Please read the attached document to completion.I have read and understand the contents of the above linked document.APPENDIX B3: Non-Conflict of Interest Assurance*Please download this file, fill it out to completion and upload here.Appendix_B3_NonConflict_of_Interest.pdfAPPENDIX B4: 2020 Standards and Assurances for the Senior LinkAge Line®*Please read the attached document to completion.I have read and understand the contents of the above linked document.APPENDIX B5: Assurances for Disaster/ Pandemic Planning, Implementation and Recovery*Please read the attached document to completion.

Area Plan 202 Area Agency on Aging 1

APPENDIX B7: Area Agency on Aging Organizational Chart

Instructions: a current organizational chart(s) for the AAA and/or host agency (if applicable). Please include a date on each chart to indicate when information was updated.

Area Plan 2021 Area Agency on Aging

APPENDIX B8: AAA Advisory Committee(s) Structures and Membership

Composition of council. The council shall include individuals and representatives of community organizations who will help to enhance the leadership role of the area agency in developing community-based systems of services. The advisory council shall be made up of: (1) More than 50 percent older persons, including minority individuals who are participants or who are eligible to participate in programs

under this part; (2) Representatives of older persons; (3) Representatives of health care provider organizations, including providers of veterans' health care (if

appropriate); (4) Representatives of supportive services providers organizations; (5) Persons with leadership experience in the private and voluntary sectors; (6)

Local elected officials; and (7) The general public.

Advisory Council Membership

Total Council Membership (includevacancies)

Number of Council Members age 60 and older

Number On

Racial/ Ethnic Ethnicity Composition Asian/Pacific Islander Black or African AmericanHispanic (any race) Native American/Alaskan Native White Other

Name and Title of Officers: Office Term Expires:

Advisory Council


Name and Title of other members: Office TermExpires:


APPENDIX B9: Non-Area Plan Revenue and Activities Identify all non-Area Plan revenue sources below

Source of funding

Amount Time period (mm/yyyy to mm/yyyy)

Description of activity

$

$

$

$

$

$

$

$

$

$

$

$


APPENDIX B18: Waiver Requests

Appendix B1 : Waiver Requests

The ____________________ requests the following waivers for 20 :

1. Request Provide detail on service that is impacted:

RationaleProvide the description of the functions that will be performed by the AAAthat support the waiver request:

the type and amount of funding involved:

impact on services for older people:


Senior LinkAge Line






Cost Share






For Profit






Direct Service






Other

Minnesota River Area Agency on Aging Area Plan January 1 ...

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