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Senior & Long Term Care Division

Facts & Figures for the Biennium
FY 2010/2011 Overview:

The following are the facts and figures for the Senior and Long Term Care Division (SLTCD) for FY2010 and FY2011.

  • 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.

  1. Increase the number of requests for information on the State Aging Hotline and AAA toll free number each year. PDF Graph

  2. Maintain or increase the number of home delivered meals served through the Aging Network. PDF Graph

  3. Increase the number of Information and Assistance program contacts each year. PDF Graph

  4. Increase the number of individuals served each year by the State Health Insurance Program (SHIP). PDF Graph

  5. Maintain the number of participants at the Governor’s Conference on Aging each year. PDF Graph

  6. SLTCD staff will conduct at least 100 public presentations each year.

  7. Increase the number of visits to the SLTCD website each year. PDF Graph

  8. 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. PDF Graph

  9. Revise or update the annual State of Aging in Montana report.
  10. Maintain or increase the average monthly visitation rates by ombudsmen to licensed nursing facilities, assisted living facilities and Critical Access Hospitals with swing beds each year. PDF Graph

  11. Increase the number of counties that have Aging and Disability Resource Centers and increase the number of clients these Centers assist with eligibility for public benefits. PDF Graph

  12. Increase the number of caregivers receiving supportive services (including respite care) and increase the project income for these services.
    PDF Graph A
    PDF Graph B
  • Increase the number of Montanans who meet some or all of their own, or someone else’s, long term care needs.

  1. Increase the number of people with long term care insurance as measured by the number of people claiming a tax deduction for long term care insurance on their state income tax returns. PDF Graph

  2. Increase the number of people taking the tax credit for caring for an elderly dependent. PDF Graph

  3. Increase the average amount of daily patient contributions paid towards Medicaid nursing home care. PDF Graph

  4. Increase the funds recovered under the Medicaid lien and estate recovery program. PDF Graph

  5. Increase the percentage of people privately paying for nursing home care each state fiscal year. PDF Graph
  • Ensure high quality publicly funded long term care services to Montanans publicly funded long term care services to Montanans.

  1. Pursue provider rate increases and direct care wage and health insurance initiatives for providers that serve a high proportion of Medicaid consumers to maintain access to services. PDF Graph

  2. Pursue avenues to maintain the current level of funding that is derived from provider taxes to enhance and stabilize Medicaid nursing facility price based reimbursement system.

  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. PDF Graph
  • Support Montanans in their desire to stay in their own homes or live in smaller community based residential settings for as long as possible.

  1. Increase the total amount of the Senior and Long Term Care Division budget that goes to home and community services. PDF Graph

  2. Increase the percentage of Montanans age 65 or older who live at home or in small residential alternatives. PDF Graph

  3. Increase the number of people served under the Medicaid Home and Community Based Services (HCBS) Waiver by at least 100 over the biennium. PDF Graph

  4. Reduce the percentage of nursing facility residents under age 65. PDF Graph

  5. Pursue grants to improve services to underserved populations and solidify quality assurance practices.

  6. Maintain the average length of stay for an individual on the HCBS Waiver waiting list at less than one year. PDF Graph

  • 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.

  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 (e.g., 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. PDF Graph

  4. Maintain and utilize the Operation Protect Montana (OPM) protective services data management and reporting system to address ongoing issues of workload/caseload, referrals, guardianships and other protective service needs for the protection of vulnerable adults.
  • Provide efficient, effective, high quality nursing facility services to Montana veterans', at the Montana Veterans' Home (MVH) and Eastern Montana Veterans' Home (EMVH).

  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. PDF Graph

  3. Continue to assess and address direct care staff recruitment and retention difficulties at MVH and EMVH by developing alternative compensation proposals and wage incentives to attract and retain direct care staff at both facilities.

  4. Request funding to upgrade physical plant at EMVH by replacing roof on building.

  5. Request funding for remodeling and expansion projects at MVH, which would add additional dining/lounge space, remodel existing nursing station, add three (3) private rooms in order to improved dining capacity, improved nurse supervision of residents, improved quality of care and increased staff efficiency.

  6. Request additional staffing resources to better meet the needs of residents with dementia/Alzheimer’s residing in MVH special care unit.

  7. Continue to evaluate the operations of both facilities and assess the feasibility of contracting versus direct operation of Montana’s State Veterans' facilities in light of Veterans' Study data.

  8. Continue to utilize “School to Work” programs in Dawson County to further enhance and improve the grounds at the EMVH facility.
  • Operate an efficient and cost effective long-term care system.

  1. Maintain the total long-term care expenditures of the SLTCD within the budget established by the legislature for each year of the 2010/2011 biennium. PDF Graph

  2. Pursue additional federal funding opportunities to enhance or expand services without the need for additional state dollars.