Vermont Department of Disabilities, Aging and Independent Living

The meeting included updates from the DAIL Commissioner on housing initiatives, workforce development, and healthcare system integration. There was a discussion on enhancing DAIL's ability to serve people who interface with the justice system, covering topics such as crisis intervention networks and therapeutic community living options. Legislative impacts, including funding and rate adjustments, were discussed, along with an update on conflict-free case management and a Medicare rate increase memo. The Assistive Technology Program was also presented.

The meeting included updates on Genesis Bankruptcy, Tier 1 Concerns, Federal Bill Impact, and Healthcare Coverage Loss. Discussions covered the impact of Genesis Bankruptcy, Medicaid Waiver Opportunities, and the GA Hotel Motel Program. A proposed Medicare Rate Increase was addressed, and group discussions were held on Transition Services, Therapeutic Schools, and Residential Care Homes. An Assisted Living and Residential Care Presentation highlighted Criminal Record Checks and Complaint Reporting. Payment Reform Updates were provided, focusing on Respite Services and Service Reductions. Public input was received regarding concerns about rate settings and the timing of processes. Next steps include a written update in August and further discussion in September.

The meeting included DAIL updates, a discussion with the Commissioner about budget instructions for 2022, COVID-19 vaccination planning, and efforts to promote flu vaccinations. The board also discussed staffing instability across the state's system of care, falls prevention among older Vermonters, and workforce development initiatives. Additionally, the Long Term Care (LTC) Ombudsman Annual Conflict of Interest Assessment and review of operational procedures edits were addressed.

The plan guides the State of Vermont in understanding and meeting the needs of older Vermonters through a comprehensive system of services and supports. It focuses on promoting health, safety, and well-being, ensuring inclusivity in programs, and bolstering support for unpaid caregivers. Key areas include core Older Americans Act programs, addressing the impact of Coronavirus, promoting equity, expanding access to home and community-based services, and enhancing caregiver support.

The 2023-2026 State Plan on Aging outlines the roles and responsibilities of the State and area agencies on aging in administering the Older Americans Act, expanded by the Older Vermonters Act to include all LTSS for Older Vermonters. It addresses key issues such as raising awareness of HCBS, combating social isolation and loneliness, reducing older adult suicide rates, and supporting housing policies. The plan also focuses on fall prevention, elder abuse awareness, transportation solutions, dementia education, bridging the digital divide, promoting DEI, and enhancing Medicare education and mental health services. Success is measured by increased awareness of AAAs, improved services for those at risk of institutionalization, availability of transportation and quality meals, support for family caregivers, and public awareness of abuse prevention.