FY 2006/2007
Goals and Objectives Overview:
The following are the goals and objectives for the Senior and Long
Term Care Division (SLTCD) for FY2006 and FY2007. Many of the objectives
reflect proposals found in the SLTCD Executive Budget request for
FY2006/2007 that will require the approval of the legislature.
· Goal: Increase the ability of
Montanans to prepare to meet their own long term care needs, or the long term
care needs of a relative or friend.
· Objectives:
1. Increase the number of requests for information on the Aging
Hotline/AAA toll free number each year;
2. Continue to develop and provide long term care education materials,
such as information included in the "Your Future is in Your Hands" packets
through multiple sources such as, web site, Governors Conferences
and paper media.
3. Produce and air 50 Aging Horizons TV shows each year of the
biennium;
4. Maintain the number of State Health Insurance Program individuals
served each year;
5. Increase the number of Information and Assistance program contacts
each year;
6. Increase the number of participants at the Governors Conference
on Aging each year;
7. SLTCD staff will conduct at least 100 public presentations each
year of the biennium;
8. Increase the number of visits to the SLTCD WEBSITE each year
of the biennium.
9. Develop a coordinated continuing public education campaign to
inform Montanans about long term care issues and options emphasizing
the need for individual long term care planning and personal responsibility
for individual health care needs.
10. Revise or update the State of Aging in Montana report each
year of the biennium.
· Goal: Ensure high quality publicly
funded long term care services to Montanans.
Objectives:
1. Pursue provider rate increases and wage initiatives for providers
that serve a high proportion of Medicaid consumers and who have
not had rate increases in several years;
2. Continue utilization of a Price –Based payment system to enhance
and stabilize Medicaid reimbursement to nursing homes over the
next biennium;
3. Continue to assist financially strapped rural county affiliated
nursing homes by increasing their Medicaid reimbursement rates
through the use of intergovernmental transfers of matching funds
to the SLTCD.
4. Maintain or increase the current percentage of reasonable costs
per day reimbursed by the Medicaid nursing home program.
· Goal: Support Montanans in their
desire to stay in there own homes or live in the smaller residential settings
for as long as possible by:
Objectives:
1. Increase the total amount of the Senior and Long Term Care Division
budget that goes to home and community services.
2. Increase the percentage of Montanans age 65 or older who live
at home or in small residential alternatives.
3. Increase the number of people served under the Medicaid Home
and Community Waiver by at least 80 over the biennium.
4. Reduce the percentage of nursing home residents under age 65.
5. Pursue waivers to allow legally responsible family members to
be paid caregivers and expand consumer directed care initiatives.
· Goal: Enhance the ability
of the state to protect senior citizens and people with disabilities who
are at risk of abuse neglect and exploitation while ensuring maximum independence
and self-determination.
Objectives:
1. Work, within budgetary constraints, to maximize services to
vulnerable individuals through continuing to pursue additional discretionary
monies to support abuse prevention activities over the next biennium.
2. Continue to support the development of Chapters affiliated with
the National Committee for the Prevention of Elder Abuse and other, similar,
prevention organizations.
3. Work to effectively decrease the number of guardianships of
incapacitated adult individuals held by state agencies by assisting in the
development of private, non-profit guardianship provider entities (eg.,
councils, individuals and other groups) and transferring appropriate guardianships
to those entities. A goal for reduction of state-held guardianships will
be 5% (approximately 10 individuals) per year over the next biennium.
4. Develop a data management and reporting system for APS to address
workload/caseload, referrals, guardianships and other protective service
needs for the protection of vulnerable adults.
· Goal: Provide efficient, effective, high quality nursing facility
services to Montana veterans, at the Montana Veterans Home (MVH) and Eastern
Montana Veterans Home (EMVH).
Objectives:
1. Meet the annual state standards necessary for licensure and
certification of nursing facilities at MVH and EMVH during each
year in the coming biennium;
2. Achieve and maintain occupancy rates equal to, or greater than,
those of other nursing facilities in the region of the state in
which each facility is located.
3. Convert existing nursing facility wing and remodel Special Care
Unit at EMVH to provide increased capacity for veterans with dementia
from 10 to 16 beds.
4. Complete landscaping and grounds enhancement projects, interior
construction and physical plant upkeep projects at EMVH and MVH.
5. Develop a shared MVH and EMVH website and newsletter to enhance
facility visibility and veteran awareness of facility services.
· Goal: Operate an efficient and cost effective long-term care system.
Objectives:
1. Maintain the total long-term care expenditures of the SLTCD
within the budget established by the legislature for each year
of the 2006/2007 biennium.
2. Pursue additional federal funding to enhance or expand services
without the need for additional state dollars.
