HomeMy WebLinkAboutNutrition Advisory Council - Agenda - 2/28/2023
(715) 373-6144 Phone/TDD • (715) 373-6130 FAX • www.bayfieldcounty.org • baycodhs@bayfieldcounty.org
Department of Human Services
117 East Fifth Street
P.O. Box 100
Washburn, WI 54891-0100
FROM: Carrie Linder, Aging and Disability Services Manager
DATE: February 8, 2023
RE: Joint Meeting Notice
The Bayfield County Department of Human Services Aging and Disability Services
Advisory Committee and Nutrition Program Advisory Council Committee
will meet on Tuesday, February 28, 2023, at 3:00 p.m. In-person and Remote
access to this meeting will originate from Conference Room A, lower level of the
Courthouse in Washburn. Public participation remote access is available via phone, 715-
318-2087, at the start of the meeting and entering participant code 878402658 followed
by the # sign. ADAC & NAC members will receive an invitation via Microsoft Teams.
Notice is hereby given, in the event the standing committee does not have a quorum, the
County Board Chair or Vice Chair may act as an ex officio member (County ordinance,
Chapter 3, section 2-3-1(c)).
Any person wishing to attend who, because of a disability, requires special accommodations should contact the
Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time so appropriate
arrangements can be made.
The agenda includes: Call to Order and Introductions; Discussion and Possible Action-Review of
the December 5, 2022, Meeting Minutes (ADAC) and the September 28, 2022, Meeting Minutes
(NAC); Discussion and Possible Action-Consideration to recommend appointment of Dee Sweet.
(ADAC); Discussion and Possible Action-Consideration to recommend appointment of Alice
Evenson. (ADAC); Social Isolation and Loneliness in Wisconsin Presentation- Carleigh Olson, MPH,
CHES Office for Resource Center Development, Bureau of Aging and Disability Resources; Advocacy
Update-Submitted on behalf of Janet Zander, GWAAR Advocacy & Public Policy Coordinator;
Wisconsin Aging Advocacy Network (WAAN) Issues and Initiatives; Home Delivered Meal
Assessment Pilot (NAC); Program Reports: B-3, CLTS/CCOP, ADRC, Aging; Adult Protective Services;
Other (Informational Items); 2023 Meeting Dates; Motion or Chair’s Announcement to Adjourn
cc:
Post (bulletin board and website)
E-Mailed:
Dennis Pocernich, County Board Chair Mark Abeles-Allison, County Administrator
Lynn Divine, County Clerk Human Services Board
Elizabeth Skulan, BCDHS Director Management Staff
Sara Wartman, Health Dept. Director
Greater Wisconsin Agency on Aging Resources, Inc. (GWAAR)
DCS, Rhinelander Red Cliff-Tribal Chair
Daily Press
K:\Agends and Minutes\A&D Services Committee\Meeting Notices\A&D Meeting Notice-February 2023 – Joint Mtg with NAC
above expectations
ÿAÿFIELD
(715) 373-6144 Phone/TDD • (715) 373-6130 FAX • www.bayfieldcounty.org • baycodhs@bayfieldcounty.org
Department of Human Services
117 East Fifth Street
P.O. Box 100
Washburn, WI 54891-0100
BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES
JOINT MEETING OF THE AGING & DISABILITY SERVICES ADVISORY COMMITTEE
AND THE NUTRITION PROGRAM ADVISORY COUNCIL COMMITTEE
Karen Anderson
(ADAC & NAC)
Red Cliff Elder Program Rep.
(ADAC & NAC)
Tracy Snyder
(ADAC)
Lynette Benzschawel
(Vice-Chairman ADAC) (ADAC & NAC)
Mary Dougherty
(ADAC)
The Brick Representative
(ADAC)
Richard Kemmer
(ADAC & NAC)
William (Bill) Bland
(ADAC)
Madelaine Rekemeyer
(NAC)
Francis Renn-Malcheski
(NAC)
Sue Aiken
(NAC)
RE: February 28, 2023, Joint Meeting of the Aging & Disability Services Advisory Committee Meeting and
the Nutrition Program Advisory Council Committee
Dear Committee Members:
Please be advised that the meeting of the Bayfield County Department of Human Services Aging & Disability
Services Advisory Committee and the Nutrition Program Advisory Council Committee will be held Tuesday,
February 28, 2023, at 3:00 p.m.
The meeting will originate from Conference Room A.
Participation via remote access is available by phone by calling +1 715-318-2087 at the start of the meeting
and entering participant code, 878402658 followed by the # sign. Committee members will receive an
invitation via Microsoft Teams.
Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair
or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1 (c)).
Any person planning to attend who, because of a disability, requires special accommodations, should contact
the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time, so
appropriate arrangements can be made.
Microsoft Teams meeting
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above expectations
PAÿFIELD
2
The agenda for the meeting is as follows:
AGENDA
1. Call to Order and Introductions
2. Discussion and Possible Action-Review of the December 5, 2022, Meeting Minutes (ADAC) and the
September 28, 2022, Meeting Minutes (NAC)
3. Discussion and Possible Action-Consideration to recommend appointment of Dee Sweet. (ADAC)
4. Discussion and Possible Action-Consideration to recommend appointment of Alice Evenson. (ADAC)
5. Social Isolation and Loneliness in Wisconsin Presentation- Carleigh Olson, MPH, CHES
Office for Resource Center Development, Bureau of Aging and Disability Resources
6. Advocacy Update-Submitted on behalf of Janet Zander, GWAAR Advocacy & Public Policy Coordinator
7. Wisconsin Aging Advocacy Network (WAAN) Issues and Initiatives
8. Home Delivered Meal Assessment Pilot (NAC)
9. Program Reports:
A. B-3
B. CLTS/CCOP
C. ADRC
D. Aging
E. Adult Protective Services
10. Other (Informational Items)
11. 2023 Meeting Dates
12. Motion or Chair’s Announcement to Adjourn
Thank you and stay safe and well!
Sincerely,
Carrie Linder
Aging and Disability Services Manager
Carolyn Novak
Aging Services Coordinator
c: Bayfield County DHS ADAC Committee Members
K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2022 ADAC minutes\2022-12-05 ADAC Meeting minutes-draft.doc 1
BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES
AGING AND DISABILITY SERVICES ADVISORY COMMITTEE
Conference Room A remote via Teams
December 5, 2022
3:00 p.m.
Committee Members Present: Richard Kemmer (In-Person), Bill Bland (In-Person), Karen Anderson
(by phone at 3:20), Tracy Snyder (Teams), Lynette Benzschawel
(Teams), Alice Evenson BRICK Representatives (Teams)
Committee Member Absent: Red Cliff Elder Program Representative; Mary Dougherty
Staff Present: Carrie Linder, Heather Gilbertson, Elizabeth Skulan (Teams)
Call to Order and Introductions
Kemmer called the meeting to order at 3:04 p.m. and introductions were made.
Discussion and Possible Action-Review of the September 27, 2022, Meeting Minutes
Motion by Lynette, seconded by Bland to approve the September 27, 2022, meeting minutes. Motion passed.
Discussion and Possible Action-2023 Alzheimer’s Family Caregiver Support Program Application
Linder reviewed the application with committee members.
Highlighted budgeted items listed below:
o Direct Services for caregivers of individuals with a dementia diagnosis.
o Outreach activities and public awareness is included.
o Support group development or assistance is included.
Motion by Snyder, seconded Bland by to recommend approval of the 2023 Alzheimer’s Family Caregiver
Support Program Application. Motion passed.
Discussion and Possible Action-2023 Elder Abuse Application
Linder reviewed the application with committee members.
Highlighted budgeted items listed below:
o Service Coordination
o In-Home Services
o Adaptive equipment
o Personal emergency response system
o Housing /moving/relocation
o Residential Care
Motion by Anderson, seconded by Benzschawel to recommend approval of the 2023 Elder Abuse Application.
Motion passed.
DRAFT:
Subject to change at the next
ADAC meeting
K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2022 ADAC minutes\2022-12-05 ADAC Meeting minutes-draft.doc 2
Discussion and Possible Action-TaiJi Expectations and Guidelines
Linder reviewed the Expectations and Guidelines with committee members.
The guidelines support both volunteers and participants.
It is a framework for respect of volunteers and participants and what is expected of both.
Provides a process / baseline if things are not going well.
Motion by Bland, seconded by Benzschawel to adopt and approve the TaiJi Expectations and Guidelines.
Motion passed.
Program Reports – General Overview of A&D Programs
Birth to Three (B-3)
o Staff is working on new training modules.
Children’s Long-Term Support/Children’s Community Options Program (CLTS/CCOP)
o Forty-four children are receiving services between these two programs.
o All children who were on the waiting list are now receiving services.
o Changes to the parental payment limit will be taking place in 2023.
o An updated the provider registry was rolled out by WIDHS.
Aging and Disabilities Resource Center (ADRC)
o Assessments are being done to get clients enrolled into Long-term Care (LTC)
Aging Services
o HDM drivers are doing a great job. Linder completed a ride along with drivers in October.
o Linder stated it was refreshing being with the drivers and seeing the frontline and what the
drivers encounter on a day-to-day basis.
o Twenty to Twenty-five nutritionally at-risk participants also receive a frozen meal weekly
through Core.
o The Northwest Community Service Agency, provides boxes of food once a month to help
supplement individual diets for individuals who meet the program guidelines.
o Congregate meal sites are having a lower-than-expected turnout but are going well.
o Linder and Support Staff will be working together to streamline the paperwork for volunteers
and make it more uniform.
Adult Protective Services
o Two APS staff are working with 47 clients.
Other (Informational Items)
Staff evaluations due at end of year.
Linder is monitoring funding sources and making sure they are spent out by years end.
2023 contracts are being sent out to providers.
Grant applications are being completed and submitted for 2023 funds.
2023 Meeting Dates
February 28th
June 27th
September 26
November 28
K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2022 ADAC minutes\2022-12-05 ADAC Meeting minutes-draft.doc 3
Social Isolation and Loneliness Work Group
Linder sent out a message to each member stating there was interest in taking this topic further as its own
work group and that it is not inclusive to just the county committees or staff. Linder asked if there was any
interest of members to also be on this work group.
Snyder and Dougherty will continue with this effort along with Linder.
State coalition has been working on social isolation and loneliness throughout the year and has a pilot
program with a questionnaire.
A&D staff administered the survey with 25 home delivered, congregate and ADRC consumers. The purpose
was to determine how easily a three-point survey could be integrated into these well-established
programs.
Staff will continue to engage with clients that had a significant score of loneliness.
The work group needs to:
o Identify who should be part of the task force.
o Develop a Mission, Vision, and a Goal.
o Tabled until 2nd week in January – Dougherty, Snyder, and Linder to spearhead the group.
Kemmer adjourned the meeting at 4:18 pm
Minutes respectfully submitted by Heather Gilbertson, Clerk III
K:\Agendas and Minutes\A&D Nutrition Advisory Council\NAC minutes\NAC minutes 2022\2022-09-28 Nutrition Advisory Committee Mtg Minutes
Approved by CN.doc 1
BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES
NUTRITION ADVISORY COUNCIL COMMITTEE
Taking place at the Port Wing Meal Site at 11:00
September 28, 2022
Committee Members Present: Richard Kemmer- in person, Karen Anderson-in person, Lynette
Benzschawel- in person, Francis Renn-Malcheski – in person, Sue
Aiken- in person
Committee Member Absent: Red Cliff Elder Program Representative, Madelaine Rekemeyer
Staff Present: Carolyn Novak
Call to Order and Introductions
Kemmer called the meeting to order at 11:00 a.m. Introductions were made with new members present.
Discussion and Possible Action-Review of August 30, 2022, Meeting Minutes
Motion by Anderson second by Benzschawel to approve the August 30, 2022, meeting minutes as presented. Motion
passed.
Review Goals and Objectives within the Aging Plan for Bayfield County
Novak summarized the development, purpose, and scope of the current aging plan.
Besides the focus area Nutrition/Equity/Community Engagement, several other focus areas were
identified and their purposes as they relate to the ENP were explained by Novak (Advocacy, Enhanced
Transportation and Social Isolation and Loneliness).
Progress has been made according to the timeline outlined in the plan for the ENP. The Council agreed
that creating pop up dining experiences in areas of the county next year that don’t have congregate
meal sites will not only provide additional service to seniors, but also help determine where additional
permanent sites may be needed.
The Social Isolation and Loneliness focus area was discussed at length by the Council. Meal sites were
seen as important community gathering places for seniors for socialization and education. More
discussion is expected at future NAC meetings.
Program Reports:
A. Congregate Meals
o Barnes Meal Site Update – Novak summarized the recent listening session comments for the
Council. The Council confirmed their decision to reduce the number of days open from 4 to 1
(will only be open on Thursdays).
B. Home Delivered Meals – numbers of HDM participants are expected to increase as we go into winter.
Staffing Updates - nothing to report.
DRAFT:
Subject to change at the
next ADAC meeting
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Approved by CN.doc 2
Other (Informational Items) -nothing to report
Future Meetings:
A. October 21, 2022, at St. Louis Meal Site St. Louis School Gym, 713 Washington Ave, Washburn, WI
54891 Located right next to the St. Louis Church
B. Discussion of 2023 Meetings – Council would like to have the first meeting of 2023 before the Aging
and Disability Services Advisory Committee in the courthouse because of the potential for bad weather
and because many of the members are on both committees. Second, third and fourth quarter
meetings will be conducted at the meal sites (Iron River and Barnes for sure). Dates to be discussed
and confirmed at the October 21, 2022, NAC meeting.
Adjournment
Motion by Anderson, second by Aiken to adjourn meeting.
Meeting adjourned at 12:10 p.m.
Minutes respectfully submitted by Carolyn Novak, Aging Services Coordinator
Citizen Committee Member Application
Citizens interested in serving on any county committee should complete and submit
this form.
First Name Dee
Last Name Sweet
Address1 239 So. 7th St.
Address2 Field not completed.
City Bayfield
State WI
Zip 54814
Are you a Bayfield County
Resident?
Yes
Have you previously served
on a county committe,
board or commission?
No
If yes, which committee,
board or commission?
Field not completed.
Home Phone Field not completed.
Cell Phone 920-366-7636
Email Address dee@conservationvoters.org
Date 12/16/2022
What City/Town/Village are
you a Resident of?
City of Bayfield
Committee Aging/Elder Services
List of Qualifications -- Tribal Elder
-- UW Professor Emerita/Adjunct Faculty for Lac Courte
Oreilles Ojibwe University
-- Community Organizer (WI Native Vote)
-- Published Writer
-- Former WI Poet Laureate (2004-08)
-- Bayfield Poet Laureate (2022-24)
-- Advocate for Community Service/Volunteerism
Citizen Committee Member Application
Citizens interested in serving on any county committee should complete and submit
this form.
First Name Alice
Last Name Evenson
Address1 420 Ellis Avenue
Address2 Field not completed.
City Ashland
State WI
Zip 54806
Are you a Bayfield County
Resident?
No
Have you previously served
on a county committe,
board or commission?
No
If yes, which committee,
board or commission?
Field not completed.
Home Phone Field not completed.
Cell Phone 715-209-4039
Email Address benevolencemanager@thebrickministries.org
Date 10/13/2022
What City/Town/Village are
you a Resident of?
City of Washburn
Committee Aging and Disability Advisory Committee
List of Qualifications I am the new Benevolence Manager at The BRICK Ministries in
Ashland. We provide services to individuals and families in
both Ashland and Bayfield Counties. Several of the clients we
serve are part of the aging and disabled community in Bayfield
County.
2-03-23 janet.zander@gwaar.org Greater Wis. Agency on Aging Resources, Inc.
Advocacy Update
GWAAR Board Meeting
February 10, 2023
• New State Legislature & New Congress
The challenges facing older adults and people with disabilities, caregivers, and individuals living with
dementia are non-partisan issues. It is important for us to get to know new legislators and to continue
building relationships with all returning legislators and critical committee leaders and members as the
new legislative session and next biennial budget process get underway.
Jan. 3, 2023 was Inauguration Day for Wisconsin’s Governor, Lt. Governor, Attorney General, Secretary
of State, State Treasurer, and many members of Wisconsin’s 106th State Legislature (including every
state Assembly Representative, and half of the State Senators whose terms ran on even cycles).
Retirements, resignations, and redistricting led to many of us having new state legislators. Getting to
know your new legislators and beginning to build a relationship with them is an essential first step. To
find out who your state legislators are for the 2023-2024 Legislative Session go to the Wisconsin State
Legislature homepage and type in your home voting address in the white box underneath “Who Are
My Legislators?”.
To find contact information for all state legislators, as well as the names of their staff, biographies of
the legislators, and other important information, go here for members of the Wisconsin Senate: 2023
Wis. State Senators and here for members of the Assembly: 2023 Wis. State Representatives.
New legislative district maps are now available here:
❖ Statewide Assembly
❖ Statewide Senate
❖ Wisconsin Congressional Districts
Members of the U.S. Congress were sworn into the 118th Congress earlier this month. Contact
information for Wisconsin’s Members of Congress has been updated and is now available on the
GWAAR website here. Contact information for Wis. U.S. Senators can also be found here. To find out
who represents you in the U.S. House of Representatives, in the upper righthand corner of this page,
enter your zip code in the white box to the left of the red “LOOK UP” box.
Please use the contact information regarding your state and federal legislators to reach out to them
and share how issues of importance to you are impacting you, your families, and the community
members you serve.
Greater Wisconsin
Agency on Aging Resources,Inc.
2-03-23 janet.zander@gwaar.org Greater Wis. Agency on Aging Resources, Inc.
State
• 2023-2025 State Budget
On Tues., Jan. 24, 2023, Governor Evers delivered his 5th State of the State address. In his address, he
highlighted a number of initiatives he will be including in his 2023-25 biennial budget proposal.
Included in the Governor’s budget priorities are several proposals the aging network might find of
interest, including:
Mental and Behavioral Health proposals
• Declaring 2023 as the Year of Mental Health in Wisconsin
• $500 million to expand access to mental and behavioral services across the state:
o Crisis Urgent Care & Observation Center Grant Program - Provide $64,700 general
purpose revenue (GPR) in fiscal year 2024 (FY24) and $10,038,500 GPR in fiscal year
2025 (FY25) for grants to establish up to two crisis urgent care and observation centers
to offer a variety of behavioral health services, accept emergency detention cases,
conduct medical clearances, and support up to 15 crisis stabilization beds.
o Deaf, Hard of Hearing and Deaf-Blind Behavioral Health Treatment Program - Provide
$1,936,000 GPR in FY25 for a grant to establish a state-wide behavioral health
treatment program for individuals who are Deaf, Hard of Hearing or Deaf-Blind.
o 988 Suicide & Crisis Lifeline Support - Provide $898,700 GPR in FY24 and $2,105,700
GPR in FY25 to cover operating costs of the state’s 988 Suicide & Crisis Lifeline call
center.
Child Care and Caregiving proposals
• Create a $500 caregiver tax credit to help family caregivers pay for caregiving expenses
• Expand the Child and Dependent Care Tax Credit
• $340 million to permanently establish the Child Care Counts program to help providers
• $22 million to support the “PartnerUp!” program which supports employer-child care provider
partnerships and child care provider staff recruitment and retention
Economy and Workforce
• $50 million to bolster Wisconsin’s healthcare and long-term care workforce:
o $22.5 million to establish an ongoing Innovation Grant program for healthcare
employers to engage in improved recruitment and retention of long-term care
providers
o $8 million in support to the WisCaregiver Careers program to expand the long-term
care workforce
o $5 million over the biennium through the Worker Advancement Initiative for health care
workforce programs.
For more detail, see:
o Governor Evers’ full budget address here
o Mental Health Plan here
o Child care/caregiving proposal here
2-03-23 janet.zander@gwaar.org Greater Wis. Agency on Aging Resources, Inc.
o Workforce plan here
The governor’s full 2023-25 executive budget proposal will be announced following his 2023-25 Biennial
Budget Message to the Legislature on Wed., Feb. 15, 2023, at 7 p.m. The budget address can be viewed
live at: https://wiseye.org/live/ or watched later at: https://wiseye.org/category/governor/
• Wisconsin Aging Advocacy Network (WAAN) State Issue Briefs 2022-2023
A new state Elder Justice issue brief has been completed and is posted on the WAAN webpage of
GWAAR’s website.
To view all the issue briefs currently posted to the WAAN webpage go here: https://gwaar.org/waan-
issues-and-initiatives.
Federal issue priorities will be posted at this same location in the coming months.
• Upcoming Advocacy Days at the State Capitol
❖ Alzheimer’s Association – Wisconsin Chapter
Wisconsin Advocacy Day
Tues., March 7th, 9:00 A.M. – 3:00 P.M.
Opening program at the Best Western Premier Park Hotel in Madison and meetings with your
state lawmakers at the Wisconsin State Capitol in the afternoon.
To register, click here
❖ Disability Advocacy Day of Action!
Thursday, March 23, 2023
In -Person 10 A.M.– 3:00 P.M.
Monona Terrace, One John Nolen Drive, Madison, WI & the Wisconsin State Capitol
Register online
Download Registration Form
Download the flyer - here
❖ Aging Advocacy Day 2023
Tuesday, May 9, 2023
In-Person Event with virtual option for those unable to come to Madison.
Best Western Premier Park Hotel, Madison & the Wisconsin State Capitol
More information will be posted soon at https://gwaar.org/aging-advocacy-day-2023
Federal
• COVID-19 National Public Health Emergency to End on May 11, 2023
The COVID-19 public health emergency (PHE) first declared in early 2020, is now set to end on May 11,
2023. The end of the PHE brings an end to the many Medicare and Medicaid flexibilities states were
permitted to use in response to the pandemic.
2-03-23 janet.zander@gwaar.org Greater Wis. Agency on Aging Resources, Inc.
The PHE end date is separate from the Medicaid continuous coverage protections expiration date, set
by the Consolidated Appropriations Act (CAA) of 2023, for March 31, 2023. The CAA provides states
with a timeline in which they must begin Medicaid eligibility redeterminations.
To allow individuals no longer eligible for Medicaid to transition to Medicare (if eligible) or Marketplace
plans, CMS announced Special Enrollment Periods (SEPs) outside of the standard enrollment periods.
• Federal Government Ends Extra FoodShare Benefits in February 2023
In addition to ending the Medicaid continuous coverage protections, the CAA of 2023 passed in late
Dec. 2022, also ends the emergency allotments that have been provided to households enrolled in the
Supplemental Nutrition Assistance Program, or SNAP. In Wisconsin, the SNAP program is called
FoodShare. February 2023 will be the last month families will receive the temporary increases in
benefits put in place during the COVID-19 pandemic (households were receiving the maximum amount
for their household size or $95, whichever was more). Regular FoodShare benefits will continue but
rising food costs and the loss of extra benefits is anticipated to negatively impact individuals and
families (affecting more than 700,000 individuals and about 400,000 households), as well as retailers
and farmers who accept the benefits. Regional foodbanks and local distribution organizations are
working to fill the gap.
Older adults and people with disabilities are expected to be affected most, as they often receive the
minimum benefits a month; when the emergency allotments end, they lose the extra $95/month and
go back to receiving the monthly minimum benefit of $23/month. Making things even more
challenging, households that receive FoodShare and Social Security benefits may see a further
decrease in their FoodShare benefits due to the significant cost of living increase to Social Security
benefits that took effect at the beginning of the year, some may be disqualified from receiving
FoodShare benefits altogether.
Benefits are determined by household size, income, and other factors. Those currently receiving
FoodShare benefits should make sure their FoodShare information (address, income, expenses, and
allowable deductibles) is up to date so they can receive all their possible benefits.
Information can be updated by:
1. Using the MyACCESS mobile app (free in the Apple Store or Google Play Store)
2. Using your MyACCESS account at access.wisconsin.gov
3. Visiting your local agency to report changes in person. Look up your local agency
at https://dhs.wisconsin.gov/forwardhealth/imagency/index.htm
Older adults and people with disabilities needing help locating food pantries, other food support
resources, or other local resources can contact their local Aging and Disability Resource Center or
Tribal Aging and Disability Resource Specialist or call United Way's 211 help line.
Anyone wishing to help is encouraged to consider donating to and/or volunteering at a local food
pantry.
New State Legislature & New Congress
The challenges facing older adults and people with disabilities, caregivers, and individuals living with
dementia are non-partisan issues. It is important for us to get to know new legislators and to continue
building relationships with all returning legislators and critical committee leaders and members as the
new legislative session and next biennial budget process get underway.
Jan. 3, 2023 was Inauguration Day for Wisconsin’s Governor, Lt. Governor, Attorney General, Secretary
of State, State Treasurer, and many members of Wisconsin’s 106th State Legislature (including every
state Assembly Representative, and half of the State Senators whose terms ran on even cycles).
Please use the contact information regarding your state and federal legislators to reach out to them and
share how issues of importance to you are impacting you, your families, and the community members
you serve.
74th Assembly District: Chanz Green
Madison Office:
Room 125 West
State Capitol
PO Box 8952
Madison, WI 53708
Telephone:
(608) 237-9174
(888) 534-0074Fax:
(608) 282-3674Email:
Rep.Green@legis.wisconsin.gov
Voting Address:
26595 Altamont Rd.
Mason, WI 54856
Staff:
Carson Lee
Carson.Lee@legis.wisconsin.gov
Current Committees
Committee on Criminal Justice and Public Safety
Committee on Forestry, Parks and Outdoor Recreation
Committee on Rural Development
Committee on Sporting Heritage
Committee on State Affairs (Vice-Chair)
25th Senate District: Romaine Quinn
Madison Office:
Room 123 South
State Capitol
PO Box 7882
Madison, WI 53707Telephone:
(608) 266-3510
(800) 469-6562Email:
Sen.Quinn@legis.wisconsin.gov
Staff:
Michael Luckey Michael.Luckey@legis.wisconsin.gov
Ericka Braatz Ericka.Braatz@legis.wisconsin.gov
Stacey Hessel Stacey.Hessel@legis.wisconsin.gov
Jason Vick Jason.Vick@legis.wisconsin.gov
Current Committees
Committee on Agriculture and Tourism
Committee on Education (Vice-Chair)
Committee on Housing, Rural Issues and Forestry (Chair)
Committee on Utilities and Technology
Joint Committee on Information Policy and Technology
Joint Legislative Council
7th Congressional District: Thomas Tiffany
Offices:
Washington, D.C. Office:
451 Cannon House Office Building
Washington, DC 20515
Phone: (202) 225-3365
Wausau Office:
2620 Stewart Avenue, Suite 312
Wausau, WI 54401
Phone: (715) 298-9344
Committees:
Judiciary
• Courts, Intellectual Property, and the Internet
• Crime, Terrorism and Homeland Security
• Immigration and Citizenship
Natural Resources
• Energy and Mineral Resources
• National Parks, Forests, and Public Lands (Vice Ranking Member)
Wisconsin Aging
|Advocacy |Network
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
October 2022
Invest in Aging and Disability
Resource Centers
Balance FundingAcross the State and Meet the Needs
of Wisconsin's Growing Population of Older Adults and
People with Disabilities
WAAN's Position/BudgetRequest:Increasefunding to Aging and Disability
Resource Centers (ADRCs)by $32.4 million to equalize historicalfunding
disparities,fullyfundrequiredcontractedservicesfor a growing customer
base,and provide an additional$25 million to addcriticalservices to all
ADRC operations across the state.
Wisconsin's Statewide network of ADRCs provide information about critical,
cost saving services and programs related to aging or living with a disability.
They serve individuals,family members,friends and professionals working
with related issues.The state's 46 ADRCs and seven tribal Aging and Disability
Resource Specialists (ADRS)that work at an ADRC serve the fastest growing
demographic of our state's population.1
ADRCs across the state
receive different levels of
funding based on when
they began operations.
This method of funding
has led to foundational
funding inequities among
ADRCs.2 In addition,the
current funding formula
does not consider
health equity variables,
changing demographics
and rising expenses
impacting operations.
As a result,Wisconsin's
network of ADRCs includes
underfunded operations
unable to provide equitable
levels of service.
Aging &Disability Resource Center
Wisconsin Population 60 and Older
1,671.010 1,786,595
1,766.860
1,091,139
Projectionsdemonstrate a 64%increase in the number of
Wisconsinites over sixtyfrom 2010 to 2040.
Funding inequities among
ADRCs contribute to an inconsistent approach to delivering required state-
contracted services and the need to determine the amount of funding
actually required to ensure every ADRC can provide all contractually-required
services.In order to provide reliable,equitable and accurate funding to
the state's ADRCs,factoring in the costs of ensuring health equity and
addressing population growth and rising expenses,an increased investment
of $32.4 million is needed.
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSW
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document and
other WAAN issue briefsat:
httns://awaar.ora/waan-issues-and-
initiatives
The base allocation for ADRCs has not increased since 2006.Since then,the
population of older adults and people with disabilities has grown,as has the
number of recommended services included in the ADRCs state contract.In
addition to population growth,a number of underfunded ADRCs do not have
the resources to provide these additional critical services/programs to their
growing number of customers.
To fully fund statewide expansion of critical services/programs known to
preserve personal resources and improve quality of life an additional $25
million is needed.These critical services/programs include:
•Full funding of the Elder Benefit Specialist (EBS)program.EBS funding has
remained unchanged for over 20 years [§46.81(2)]
•Expanding Caregiver Support and Programs
•Expanding Health Promotion Services
•Expanding Care Transition Services
•Full funding of Aging and Disability Resources in Tribes
•Full funding of Aging and Disability Resource Support Systems
Fully funding ADRCs will deliver cost savings for individuals,families,and
taxpayers.In 2021ADRCs served 223,139 individual customers (a 71 percent
increase over 2016).3 One in four ADRC customers reported they were able
to stay in their homes instead of going to a nursing home or assisted living
facility directly because of the ADRC,saving tens of thousands of dollars per
year for more than 35,000 customers.4
Based on 2021 data,it is estimated that ADRCs prevent 61hospital re-
admissions,and 101emergency department (ED)visits per 1,000 customers
served,for a 248%return on investment (ROI).5,6 Every dollar invested
in Wisconsin ADRCs leads to a savings of $2.48 (actual ROI is even more
significant as the 2021calculations relied on 2017 hospital and ED visits costs
which are now substantially higher).
With $32.4 million to address disparities and $25 million to provide critical
services/programs,the state's ADRCs can effectively serve the increasing
number of Wisconsinites who need them.
1.U.S.Census Bureau (2020,June 25).65 and Older population Grows Rapidly as Baby
Boomers Age.Retrieved March 16,2021,from https://www.census.gov/newsroom/press-
releases/2020/65-older-population-grows.html.
2.Aging Population Projections,www.dhs.wisconsin.gov/aging/demographics.htm.
3.ADRC statewide encounter data for CY2021 (as of May 4,2022)
4.Paul,Raul (2021).ACL No Wrong Door -Return on Investment (ROI).Metastar
5.The Agency for Healthcare Quality and Research report:https://www.hcup-us.ahrq.gov/
reports/statbriefs/sb248-Hospital-Readmissions-2010-2016.jsp?utm_source=ahrq&utm_
medium=en-13&utm_term=Safety_Program&utm_content=13&utm_campaign=ahrq_
en6_18_2019
6.Costs of Emergency Department Visits in the United States,2017:https://www.hcup-
us.ahrq.gov/reports/statbriefs/sb268-ED-Costs-2017.jsp#:~:text=ln%202017%2C%20
aggregate%20ED%20visit,cost%20per%20visit%20of%20%24530
Wisconsin Aging
|Advocacy |Network
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institutefor
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
January 2023
Promoting Elder Justice
Preventing abuse and promoting the rights and protection of
older adults
WAAN's Position:Wisconsin programs andservices dedicated to promoting
elderjustice needincreasedfunding andstaff to address decades of
stagnantfunding,population growth,andincreased needs.
Evidence suggests that one in 10 people over the age of 60 is abused or mis¬
treated each year,with the percentage increasingfor people with dementia liv¬
ing at home.1Abuse involving victims aged 60 and older is referred to as elder
abuse (§46.90),which comes in the form of abuse (physical,emotional sexual,
treatment without consent,and unreasonable confinement or restraint),ne¬
glect,self-neglect,and/or financial exploitation (monetary impact to older Wis-
consinites of at least $38 million dollars in 2021).2 Abuse and mistreatment of
older adults can occur in the home,in care and residential facilities,and in the
community.Chronic under-identification and reporting of elder abuse means
the real number of older adults abused or mistreated is likely much higher.3
Elder mistreatment results in diminished well-being and quality of life and
violates the rights of older adults to be safe and free from violence.A growing
aging population,increased social isolation,shortage of paid and unpaid care¬
givers,and lack of resources to address ongoing long term care needs,as well
as crisis and dementia care is placing increased stress on families and caregiv¬
ers and increased demands on elder justice programs and workers.
Budget Requests
1.Double (at a minimum)the current program and service funding to
meet growing service numbers and needs in the following programs:
•Adult Protective Services (APS)Program -increase funding to counties
from $5 million (the funding level set in 2009)to $12 million annually.
APS reports have increased 85 percent from 2009-2021,leaving APS
agencies under-resourced and under-staffed.
•Domestic Violence in Later Life Program -increase funding from
$75,000 (the funding level set when the program was implemented
in 2010)to $150,000 annually.Funding is used by counties to provide
awareness events and safety training and relocation assistance for vic¬
tims of abuse in later life aged 60 and older.
•ElderAbuse Direct Service Program -increase funding from $2 mil¬
lion to $4 million annually.Under §46.90,each county in Wisconsin is
required to administer an elder abuse response and reporting system.
The Wisconsin Department of Health Services allocates state GPR funds
annually to each county inthe state for the provision of direct services
including temporary shelter,relocation assistance,housing,respite care,
emergency funds for food and clothing and legal assistance.Approximate¬
ly 20 percent of Wisconsin counties regularly request additional funding.
•Guardianship Support Center (GSC)-increase funding from $100,000
to $200,000 annually.The GSC has been flat funded at $100,000/year
since 2005.Funds are used to provide training and technical assistance
to consumers,families,and professionals statewide (§46.977(1));this
includes issues related to protective placement,advance directives,and
the roles (and limitations)of powers of attorney (POAs)and guardians.
From 2014 to 2021,the GSC experienced a 78 percent increase in total
calls and emails.Implementation of Guardian Training Requirements
(§54.26)beginning in 2023 is expected to further increase the GSC
workload,as potential new guardians will be directed to contact the
GSC with further questions about guardianship and the online training
content.In addition,the Wl Department of Health Service needs an
estimated $65,000/year for ongoing management and maintenance
of the new online guardian training program.
Establish permanent funding to support the continuation of Wisconsin's
Elder Abuse Hotline and Elder Justice Program ($59,500 for FY 2024 and
$212,700 for FY 2025)-The statewide multi-disciplinary task force on
elder abuse providingtechnical assistance and support related to crimi¬
nal investigations and prosecution and the elder abuse hotline providing
centralized reporting and referral of crimes targeting the elderly have
been funded by a series of federal grants which will lapse at the end of
June 2024.Over the last two decades (2001-2021)county elder abuse
reports have more than tripled.
Change Wisconsin Statute §16.009 to comply with federal law (45 CFR
§1324.11)requiring a full-time State Ombudsman in addition to an Ex¬
ecutive Director/agency head and fund the full-time State Ombudsman
position and additional administrative support staff -1.0 FTE Communi¬
cations Specialist and 1.0 FTE Executive Assistant -($189,000 FY 2024 and
$242,200 for FY 2025)to enhance the capacity of the Board on Aging and
Long Term Care to serve clients and support staff responding to increas¬
ingly complex casework.Wisconsin is believed to be the only state in the
nation without a full-time State Ombudsman position separate from the
Executive Director's position.
Expand infrastructure support -data reporting,case management,
training coordination,oversight of a growing number of residential care
facilities,and support for Wisconsin's tribal nations -by authorizing new
positions within the state Department of Health Services ($12 million
over the biennium).
1414 MacArthur Rd.,Ste A Madison,
Wl 53714 ÿ IOM,National Research Council,Washington,D.C.,2014.Forum on global violence
Office:(715)677-6723 prevention:Elder abuse and its prevention (pp.59-66).
Cell:(608)228-7253 2.Wisconsin Department of Health Services,Adult Protective Services.Retrieved from
https://www.dhs.wisconsin.gov/aps/index.htm on December 27,2022.janet.zander@gwaar.org
3.Birnstengel,G.(Ed.).(2020,June 15).What is Elder Justice and Why Do We Need It?NextFindthisdocumentandAvenue.
other WAAN issue briefs at:
httas://awaar.ora/waan-is-
sues-and-initiatives
2.
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander;MPA,CSl/l/4.
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
mAZcgSQ Reducing Falls Among Older
Adults in WisconsinWisconsinAging
|Advocacy |Network Saving Lives,Preserving Independence,Reducing Costs
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
October 2022
WAAN's Position/Budget Request:Reduce the deaths,injuries,andpublic
cost of Wisconsin's high rate offalls through a $378,000 annual budget
appropriationfor the Falls Free Wisconsin Center—afalls prevention center
of excellence that addresses the multiplefactors that influencefalls risk
and delivers evidence-basedpreventionprograms and interventions across
the state.
The Scope and Cost of Older Adult Falls
Nationally,one in four older adults experiences a fall each year,but Wiscon¬
sin has the nation's highest rate of deadly falls among older adults.1 Many
assume Wisconsin's high death rate is due to the state's cold climate,but the
majority of older adult falls occur in the home,and some states with similar
climates have lower rates.From 2018-2020,there were 4,986 deaths due to
falls among the 65+population in Wisconsin—nearly triple the number of
people of all ages who died in motor vehicle accidents in the same period.2
Wisconsin's falls death rate rose 15 percent over that time period,exceeding
the nationwide rate increase of 11percent.2 With the state's population aging,
the problem is expected to grow.
An estimated $1billion is spent annually on falls in Wisconsin which in¬
cludes both Medicaid and out-of-pocket expenses.3
Falls are a common cause of injury and disability.Ninety-five percent of hip
fractures in older adults—a common cause of both long-term nursing home
admissions and rehabilitation stays—are due to falls.1 In Wisconsin,the medi¬
an monthly cost for a semi-private room in a nursing home $9,022.4 Likewise,
falls and their related injuries have a significant physical and financial impact
on family caregivers.An AARP study revealed that family caregivers spend an
average of $7,242 annually on out-of-pocket costs related to caregiving.5
Reducing Falls in Wisconsin
The good news is we know how to save lives,preserve independence,and
reduce costs by reducing the risk of falls.According to the Centers for Disease
Control and Prevention (CDC),the rising
number of deaths from falls among older
adults can be addressed "by screening for
fall risk and interveningto address risk fac¬
tors."The non-profit Wisconsin Institute for
Healthy Aging,in partnership with Wiscon¬
sin's Department of Health Services (DHS)
is poised to address the falls epidemic by
launchingthe Falls Free Wisconsin Center.
State funding will provide critically needed
support for the center to lead a coordinated
response to falls prevention that includes
Wisconsin
Has the highest rate
of deadly falls
among older
people in the
country.
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSW
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document and
other WAAN issue briefs at:
httos://awaar.ora/waan-is-
sues-and-initiatives
emergency services,health care and community-based interventions.WIHA
is well-positioned to lead the coordinated effort and deliver evidence-based
interventions that put falls prevention skills in the hands of older adults.
WIHA's evidenced-based Stepping On program has been researched and
proven to reduce falls by 31percent,with an average participant cost savings
of $345.40.6 In another study,program participants experienced a 50 percent
reduction in emergency department visits due to falls and a 50 percent reduc¬
tion in fall-related hospitalizations.7
WIHA partners with local aging offices and Aging and Disability Resource
Centers (ADRCs),health care systems and the University of Wisconsin School
of Medicine and Public Health providing statewide coordination,tools and
training for outreach and delivery of proven,cost-effective programs.
This funding will support the Falls Free Wisconsin Center to:
•Enhance and maintain the infrastructure to support implementation of evi¬
dence-based falls-prevention programs and initiatives throughout the state;
•Encourage uptake of evidence-based falls risk assessments and clinical and
community-based interventions across Wisconsin;
•Bring together and support the development of local falls-prevention coali¬
tions and initiatives as well as a statewide falls coalition;
•Support ADRCs,county and tribal aging units,public health,and other local
partners in developing and training falls prevention program leaders and
recruiting participants;
•Develop an online hub of falls prevention information and resources for
consumers and community organizations;
•Conduct a public education campaign to make older adults and their care¬
givers aware of the risk of falls and how they can prevent them;
•Collect and analyze data to provide partners and the public with accurate
information about the scope and impact of falls.
1.Centers for Disease Control and Prevention (CDC):https://www.cdc.gov/falls/data/fall-
deaths.html
2.Wisconsin Department of Healthand Human Services (DHS)WIHS:https://www.dhs.
Wisconsin.gov/wish/injury-mortality/icdlO-form.htm
3.Madison.com:https://madison.com/wsj/news/local/health-med-fit/wisconsin-still-has-
nationshighest-rate-of-deadly-falls-among-older-adults/article b81e5663-0e29-5861-8e74-
ca 7 409127138.html
4.Genworth:https://pro.genworth.com/riiproweb/productinfo/pdf/282102.pdf
5.AARP:https://www.aarp.org/caregiving/financial-legal/info-2021/high-out-of-pocket-costs.
html#:~:text=According%20to%20a%20new%20AARP,and%20engagement%20officer%20
for%20AARP.
6.Clemson,Lindy,et al.,"The Effectivenessof a Community-Based Program for Reducing the
Incidence of Falls inthe Elderly:A Randomized Trial,"Journal of American Geriatrics Society,
52:1487-1494,2004.
7.Bringing Healthy Aging to Scale:A Randomized Trial of a Quality Improvement Intervention
to IncreaseAdoption of Evidence-Based Health Promotion Programs by Community Partners
-ImplementationScience News,(https://news.consortiumforis.org/abstracts/bringing-
healthy-aging-to-scale-a-randomizedtrial-of-a-guality-improvement-intervention-to-
increase-adoption-of-evidencebased-health-promotion-programs-by-community-partners
Wisconsin Aging
|Advocacy |Network
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
November 2022
Caring for Wisconsin Family
Caregivers
The key to remaining independent,engaged and connected
WAAN's Position:Caringfor Wisconsinfamily caregivers saves the state
money,helps working caregivers remainin the workforce andprovides the
supports needed to help sustain them in their caregiving roles.
Budget Priorities
1.Create a Wisconsin state tax credit (up to $500)to ease the financial
expenses of caregiving.A Wisconsin income tax credit reimburses family
caregivers for expenses—like assistive technology,adult day services and
other needed equipment and services purchased for their loved ones.
2.Expand Wisconsin Family and Medical Leave Policies.More
Wisconsinites are filling the role of family caregiver and are struggling
to maintain their outside employment.Many working caregivers are not
covered by or able to access federal or state family and medical leave
(FMLA)benefits including those who work for employers with fewer than
50 employees,workers caring for individuals outside their immediate
family,and those who cannot afford to take unpaid leave.Expanding state
leave polices to apply to employers with fewer than 50 employees and
including grandparents,grandchildren,siblings and other extended family
members or persons with close affinity relationship who are taking on
increasing caregiving roles will save the state money,keep people working
and provide the flexibility caregivers need to meet care responsibilities
without fear of losing their job.Creating a paid family leave program
would ensure those with access to family leave could afford to use it.
3.Increase Funding
for Respite Service
grants so more family
caregivers can have
access to respite
opportunities and
assistance to help pay
for respite services.
Legislative Requests
1.Keep flexibility in the Alzheimer's Family and Caregiver Support Program
(AFCSP).The caregiver workforce shortage and growth in the aging
population place increased demands on family caregivers.Waivers provided
during the COVID-19 pandemic have allowed the AFCSP program to pay
family members to provide respite care and lift the annual 112-hour cap on
respite care.It is essential to continue these practices beyond 2023.Family
caregivers are leaving the workforce or reducing their work hours to meet
caregiving obligations.A family stipend for care is necessary for individuals
to stay at home,in their community,for as long possible.
2.Update AFCSP—The program places a $4,000/year cap on payment
for goods and services for each person with Alzheimer's disease in the
household or facility (s.46.87 (6)(b)l.).This cap amount was set in 1985
and is very out of date.According to the CPI Inflation Calculator,the
current amount if adjusted for inflation would be equivalent in purchasing
power to about $11,000 today.1The annual cap needs to be increased to
at least $11,000 and include annual adjustments for inflation.
3.Pass the CARE Act—The Caregiver Advise,Record,Enable (CARE)Act
includes provisions to keep family caregivers informed about discharge
plans for the patient and ensures caregivers receive explanation and
training (as needed)for medical tasks they will need to perform at home.
Approximately 80 percent of care at home is provided by unpaid caregivers
who spend an average of 20 hours a week giving care.2 The majority (65
percent)of older adults with long-term care needs depend exclusively on
family and friends,while nearly one-third (30 percent)supplement the care
received from family with support provided by paid providers.Whether an
older person can remain at home is often dependent on the availability of
care provided by family and friends.3 Caregiving responsibilities include such
tasks as grocery shopping,meal preparation,housekeeping,appointment
scheduling and transportation,and often also include more intensive
responsibilities like assisting with personal care (bathing,dressing,feeding),
medication management and medical care (wound care,injections and other
medical treatments).
There are nearly 600,000 family caregivers in Wisconsin providing an
estimated 490 million hours of care valued at $6.9 billion annually.4
According to a recent AARP report,over 60 percent of caregivers indicated
they were also working full or part-time.5 The Wisconsin Employer and
Family Caregiver Survey (2021)indicates 8 in 10 caregivers reported having
their work life interrupted and more than half of working caregivers
indicated their current situation is unsustainable.Nearly half (47 percent)
of caregivers reported they have reduced their work hours 24 percent)or are
considering leaving the workforce (23 percent).6
Individuals do not provide caregiving in isolation from the other roles and
responsibilities in their lives.Family caregivers are also spouses/partners,
parents,adult children,employees,community members and more.Each of
these roles intersect with caregiving in different ways and at different times.
According to recent AARP research,nearly 80 percent of people caring for
an adult family member face regular out-of-pocket costs averaging annual
spending of over $7,000 (an average of 26 percent of their income).Younger
caregivers,those who are Hispanic/Latino or African American,and those
caring for someone with Alzheimer's disease/dementia or mental health
issues shoulder the highest financial burdens.7 As caregiving responsibilities
grow in number and complexity,costs associated with caregiving roles
become increasingly harder to finance,and caregiving can overwhelm and
undermine other dimensions of one's life.
initiatives
AFCSP funding has
helped to offset
the cost of his
participation in
adult day services-
Receiving no other
financial assistance,
ever little bit helps
toward easing the
financial burden of
his care.
—A Brown County caregiver
who provides carefor her
husband living with dementia
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSl/l/
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document with
complete references and other
WAAN issue briefs at:
httDs://awaar.ora/waan-issues-and-
1.CPI Inflation Calculator
2.Administration for Community Living-LongTermCare.gov.Who Will Provide Your Care?
Feb.18,2020.Retrieved on July 29,2022 from https://acl.gov/ltc/basic-needs/who-
will-provide-your-care#:~:text=About%2080%20percent%20of%20care,hours%20a%20
week%20giving%20care.
3.Family Caregiver Alliance,National Center on Caregiving.Women and Caregiving;Facts
and Figures.May 2003.Retrieved on July 18,2022 from https://www.caregiver.org/
resource/women-and-caregiving-facts-and-figures/#.
4.AARP Public Policy Institute,Valuing the Invaluable 2019 Update:Charting a Path
Forward,State Estimates.Washington,D.C.:AARP.Nov.2019.Retrieved on July 15,2022
from https://www.aarp.org/content/dam/aarp/ppi/2019/ll/family-caregivers-data-by-
state.pdf.
5.AARP and NationalAlliance for Caregiving.Caregiving in the United States 2020.
Washington,DC:AARP.May 2020.https://doi.org/10.26419/ppi.00103.001.
6.The Wisconsin Family and Caregiver Support Alliance.Wisconsin Employer and Working
Caregiver Survey.May 2022.Retrieved on July 26,2022 from https://wisconsincaregiver.
org/employer-engagement-workgroup.
7.Skufca,Laura,and Chuck Rainville.Caregiving Out-of-Pocket Costs Study 2021.
Washington,DC:AARP Research,June 2021.https://doi.org/10.26419/res.00473.001.
Wisconsin Aging
|Advocacy |Network
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
November 2022
Reinforce Nutrition Services
for Homebound Seniors
Protect the Accessibility of Older Americans Act
Nutrition Programs
WAAN's Position:Senior hunger andisolation are growing criticalsocial issues
effectively combatedby OlderAmericans Act Senior NutritionPrograms.
These programs needsupport andfiscalbacking to maintainaccess to these
crucialservicesfor the growing agingpopulation of Wisconsin.
Budget Request
•Protect vulnerable older adults by increasing the state contribution
to Home-Delivered Meal (HDM)Services from the current level of
$396,000 to $5.95 million.This increase would enable HDM programs
across the state to meet rising needs.This also provides state funding for
HDM services equal to the state funding for congregate nutrition services.
Over their 50-year history,both programs have demonstrated positive
impact on the health and well-being of the growing senior population.
The Older Americans Act (OAA)HDM program has proven to be an effective
way to address the growing crisis of hunger and isolation among seniors.The
program's focus on nutritious food,social visits,safety checks and connection
to other community services ensures that seniors receive the support they
need to live more nourished and independent lives in their homes.The pro¬
gram saves taxpayer dollars by avoiding costly and preventable healthcare ex¬
penditures paid for through Medicaid,Medicare and/or personal resources.
The state average cost to deliver a meal to a homebound senior is $11.93,1
comparatively the cost of one day in a nursing home is $286.00 and the cost
of one day in the hospital is $2,558.00.2
When surveyed3 about
their satisfaction with the
senior nutrition program,
HDM recipients said:
"Meals are delicious,
more than enough,
nice variety and very
healthy.For all of us
who can't cook,thank
you."
"Having someone check
on me means a lot.The
program helps me to
stay in my apartment."
"I feel safe because my driver alerted police when I fell and waited until
help arrived.There are some days when I have trouble moving around
and it is hard to cook."
Home-Delivered
Meals have helped me
because then I don't
have to worry about
cooking as I have
shaky hands.I am also
able to get a nutritious
meal daily.The drivers
are very nice and
friendly,and I enjoy
seeing them every day.
—Beverly,89-year old
Barron County resident
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSW
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document and other
WAAN issue briefs at:
httos://awaar.ora/waan-is-
sues-and-initiatives
•"The meals are healthy,well balanced.The volunteers are always kind-
hearted and nice to talk to when they deliver."
The HDM survey data for 2021 for Wisconsin (n=6,259),3 also indicates that
for participants:
•Program meals make up half or more of their total daily food intake—69
percent
•Meal delivery provides:
•Someone to talk to—47 percent
•A sense of safety and security—45 percent
•A link to get more support if needed—34 percent
•Something to look forward to—66 percent
The HDM services provided by the Elderly Nutrition Programs support a
vulnerable population of older adults.Many HDM participants live alone (62
percent),are homebound and express that at least some of the time they
lack companionship (51 percent)and feel left out (42 percent)and isolated
(44 percent).3
The ability to access these crucial services in a timely and consistent manner
is key to the program's successful intervention to support the health and
independence of older adults.The program's accessibility is currently under
threat statewide due to stagnant funding (no increase in funding since pro¬
gram implementation in the mid-80's),a growing aging population accom¬
panied by unprecedented levels of demand,and increased expenses driven
by inflation and a lack of resources.The COVID-19 pandemic exposed critical
levels of unmet need across the senior population in Wisconsin.This is evi¬
denced by the fact that collectively program allocations are being depleted
at twice the rate of the annual budget revenues (some programs have spent
the total year's allocation at the six-month mark)coupled with an increase of
over 200,000 meals (6 percent increase)served annually when compared to
pre-pandemic operations.
The temporary operations flexibilities allowed during the public health emer¬
gency and the corresponding supplemental funding are currently propping
up the operations of HDM services.Statewide,program leadership is prepar¬
ing for widespread budget insufficiencies when these flexibilities and supple¬
mental funding expire.According to the Wisconsin Association of Nutrition
Directors,82 percent of programs surveyed statewide anticipate a need to
prioritize meal services,reduce meal services and/or institute waiting lists if
funding remains stagnant.4 We urge the state legislature to protect this criti¬
cal service for older adults by increasing the state contribution to the home
delivered meals program.
1.Based on the 2022 average home-delivered meal cost submitted by 76%of the meal
programs in Wisconsin
2.Wisconsin Fact Sheet.(2022,February).Facts &Resources.Retrieved November 1,2022,
from https://www.mealsonwheelsamerica.org/learn-more/facts-resources
3.2021Wl Elder Nutrition Program Home Delivered Meal Satisfaction Survey
4.Wisconsin Association of Nutrition Directors 2022 Membership Nutrition Advocacy Survey
Wisconsin Aging
|Advocacy |Network
Affordable,Accessible
and Available Housing
Honor older adults desire to age in place.
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
November 2022
WAAN's Position:Advance opportunities for housing that is affordable,
accessible,andappropriate to the needs andexpectations of Wisconsin
residents as they age.Create housingsecurity and quality supportive
options available to all who needthem.Address socialinequities by
creating opportunities to generate,preserve,andpass on wealth through
housingfor older adults of color.
Older adults overwhelmingly want to remain in their homes and
communities,but major barriers persist such as unaffordability,
inaccessibility,discrimination,and the lack of appropriate options,including
available quality supportive housing that is affordable.The burden of housing
affordability,as well as housing insecurity,has grown among homeowners
and renters alike.Aging in the community within quality housing leads to
better health outcomes,life satisfaction,and social engagement.To preserve
the health and well-being of older adults,we must ensure more affordable,
accessible,and high-quality housing is available for both renters and owners.
Budget Priorities
For Older Homeowners
•Double the qualifying household income limit to $40,000 for the Wisconsin
Housing and Economic Development Authority (WHEDA)property tax de¬
ferral loan program that provides loans to qualifying homeowners 65 years
of age or older or a qualified veteran to pay up to $3,525 for property taxes.
Such loans are recovered upon the sale of the property.
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSW
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document and
other WAAN issue briefs at:
httos://awaar.ora/waan-is-
sues-and-initiatives
•Establish a forgivable matching loan fund for low-income older homeown¬
ers to add assistive technology,home energy conservation measures,or
accessibility modifications in urban areas modeled upon the United States
Rural Development Section 504 Home Repair program.
•Create a "Wisconsin Restorative Housing Program"to revitalize,preserve,
stabilize,and increase homeownership for Wisconsinites of color through
direct grants to homeowners for down payment/closing cost assistance,
mortgage assistance,and home improvement assistance.1
For Older Renters
•Create and provide $600,000 to fund a Housing Navigation Program to
provide support to property owners and tenants by addressing housing
responsibilities,reducing conflict,and avoiding unnecessary evictions,and
to connect older adults with housing options that meet their needs.1
•Create and provide $2 million/annually to create a program to provide
small grants to landlords to bring affordable housing units online.1
For Older Adults Who Are Homeless or Seeking More Affordable Housing
•Increase the state Housing
Tax Credit Program limit
from $42 million/year to
$100 million/year to pro¬
mote affordable housing
development.An increase in
state tax credits,paired with
federal low-income housing
tax credits,is projected to
lead to the creation of ap¬
proximately 1,000 additional affordable housing units per year.1
•Increase Homelessness Prevention Program funding by $1 million/year to
provide the additionally funding needed to make grants or loans to peo¬
ple or families of low or moderate income to defray housing costs (with
priority given to individuals/families who are homeless).1
•Pursuant to 2019 Wisconsin Act 76,require the Department of Health Ser¬
vices to submit a Medicaid state plan amendment to allow Wisconsin Medic¬
aid to pay for housing supports for Medicaid and BadgerCare Plus members.1
Housing is one of the basic needs for healthy,safe and vibrant communities.
Addressing affordability,accessibility,and supply issues,as well as discrimina¬
tion,will enable more older adults to remain in their homes and communities.
Wisconsin has the second-highest
rate of extreme cost burden for
low-income homeowners in the
Midwest —63.5%of low-income
homeowners pay more than 50%
of their incomes to housing.2
1.State of Wisconsin Interagency Council on Homelessness,2021-2023-Welcoming
Wisconsin Home:A Statewide Action Plan for Homelessness,retrieved on Nov 11,2022
from 22.2.28 -2021Welcoming Wisconsin Home Report Final,https://doa.wi.gov/
Documents/WelcomingWisconsin Home.pdf
2.Office of the State Treasurer,HomeownershipTask Force Report,Published May of 2021.
Retrieved on October 18,2022 from Office of the State Treasurer_Homeownership Task
Force Report_FINAL (wi.gov)
Wisconsin Aging
|Advocacy |Network
Reliable,Accessible and
Affordable Transportation
The key to remaining independent,engaged and connected
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
November 2022
WAAN's Position:Support increasedfundingfor public andspecialized
transportation andsupport policies incentivizingcoordination of
transportation services,encouraging volunteer driving,and authorizing
localunits of government to raise revenuefor transportation services.
Budget Requests
1.Increase the capital and operation assistance program funding for
specialized transportation (s.85.22)by 20%($192,000)to assist with
operations,replacement or acquisition of new transit vehicles and expand
mobility management services needed to meet our needs as we age.
Public transit and specialized transportation are critical infrastructure for
the non-driving public,economic growth,and overall quality of life.
2.Restore transit funding for Milwaukee and Madison to 2019-2021levels,
incorporate annual inflationary increases for mass transit assistance
and specialized transportation assistance for counties and tribes
(s.85.20,s.85.21,and s.85.215 respectively)to ensure we can maintain
our existing system,and create and fund a dedicated specialized
transportation fund to support voting related transportation needs
(DMV,clerk's office,early voting locations,polling sites).
3.Create a dedicated transportation funding source within Home and
Community-Based Services (HCBS)Medicaid waiver programs for older
adults and adults with disabilities.Increasingtargeted transportation
funding for HCBS programs would ensure access to contracted
transportation services for Manage Care Organizations (MCOs),improving
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSW
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document and
other WAAN issue briefs at:
httos://awaar.ora/waan-issues-and-
initiatives
MCOs capacity to supply participants (including those living in residential
care facilities)with transportation services that meet their full needs as
active and independent members of their communities.
Legislative Requests
1.Create a state-level Transportation Coordination Council with
representation from all state agencies operating,supporting,or
usingtransportation services,as well as representatives from the
aging,Veteran,provider,and disability communities.Coordination
of transportation resources expands access and stretches needed
resources.WAAN supports incentivizing coordination among state
and local transportation systems,including the creation of a statutory
Transportation Coordination Council.
2.Develop and pass legislation to modify state law to prohibit an insurer
from increasingthe rating,or denying,nonrenewing,or cancelling an
insured solely for acting as a volunteer driver or for reimbursement of
actual expenses,includingmileage reimbursement.Volunteer driver
programs are an effective use of private resources for the public good.
Some volunteer drivers find it difficult to obtain liability insurance because
they are transporting others or being reimbursed for travel related
expenses.Some insurance agencies classify any mileage reimbursement as
compensation as a for-profit Transportation Network Company.
3.Develop statutory authority allowing local units of government the
ability to raise revenue for transportation service needs.Local units
of government are in dire need of transportation funding to be able
to provide sustainable public and specialized transportation.Statutory
authority is needed to permit local units of governments,collaboratively,
to raise sustainable funds to provide reliable,affordable,and accessible
transportation options to all.
Transportation services support the health,well-being,financial security,
independence,and community engagement of Wisconsinites who do
not drive,as well as advances economic development,employment,and
financial security for all Wisconsinites.Specialized transportation funding and
coordination:
supports family caregivers by enabling them to remain employed and
reducing lost productivity.
drives economic growth by increasing livability through infrastructure
investment.
keeps us healthy by providing access to preventive and routine
healthcare.
reduces household costs by providing alternatives to buying and
maintaining a personal vehicle.
promotes independence by increasing access to community resources.
increases socialization by providing opportunities to engage in the
community.
Wisconsin Aging
|Advocacy |Network
Core Member
Organizations
•Aging and Disability
Professionals Association
of Wisconsin (ADPAW)
•Alzheimer's Association
Wisconsin Chapter
•Wisconsin Adult Day
Services Association
(WADSA)
•Wisconsin Association of
Area Agencies on Aging
(W4A)
•Wisconsin Association of
Benefit Specialists (WABS)
•Wisconsin Association of
Nutrition Directors (WAND)
•Wisconsin Association of
Senior Centers (WASC)
•Wisconsin Institute for
HealthyAging (WIHA)
•Wisconsin Senior Advocates
•Wisconsin Senior Corps
Association (WISCA)
•Wisconsin Tribal Aging Unit
Association
The Wisconsin Aging Advocacy
Network (WAAN)is a
collaboration of organizations
and individuals working with
and for Wisconsin's older
adults to shape public policy
and improve the quality of
life for older people.WAAN
advocates for all older adults
by educating the community
and policy makers on
particular issues impacting
older adults;mobilizing
people on priority issues;and
advocating for change.
WAANState IssueBrief
November 2022
Protect the Right to Vote
Support Safe,Secure,and Accessible Voting for All
WAAN's Position:Support improvements to the voting process to ensure
every eligible older adult (andadult with disabilities)who wants to vote,
can vote,no matter where they live.
Over the past several years,voting in Wisconsin has become increasingly more
difficult,if not impossible for many people,especially for older voters and peo¬
ple with disabilities.These folks need "enhanced access"which allows them
to vote with the necessary support and assistance.Many older adults and
people with disabilities experience barriers to voting in person and rely on
absentee voting.Maintaining access to voting by mail (including permanently
for indefinitely confined voters)is critical.
It is unclear and sometimes confusing,as to who can provide assistance to
individuals residing in facilities (nursing homes,assisted living facilities,group
homes)and whether those assistors are trained to provide all the support
individuals may need to vote.
Budget Requests
1.Increase DMV access by:
•Expanding service hours at existing DMV locations to include expand¬
ed weekday hours and Saturday hours in the four weeks preceding a
statewide election,and
•Co-locating DMV state identification (ID)operations at locations
currently accessed by non-drivers and people with disabilities such
as Aging and Disability Resource Centers,income maintenance offices,
and human service departments.
2.Allocate additional funding for specialized transportation programs
(Wis.Stat.§85.21 and §85.215)to fund transportation for voting relat¬
ed activities includingtransportation to the DMV,municipal clerks,early
voting locations,and to polling sites on election day.
3.Allocate additional funding to the Wisconsin Elections Commission for
expansion of the Polling Place Accessibility Audits program (to fund an
increased number of audits conducted on Election days)and the Acces¬
sibility Supply Program providing cost effective and simple solutions to
address accessibility issues at polling places.
Legislative Requests
1.Enhance Election Inspector (aka poll worker)/Special Voting Deputy
(SVD)training—There is wide variation in the content and amount of
training election inspectors and SVDs (who conduct absentee voting in
person inside residential care facilities and qualified retirement homes)
receive.Wis.Stat.§7.315(l)(b)requires all election inspectors and
SVDs receive training at least once every two years.To ensure election
inspectors have up-to-date information of voting regulations and voter
rights,change the state statute to require new election inspectors and
SVDs to complete training on core competencies (including disability
ÿ ÿÿÿÿ
VOTE
ÿ ÿÿÿÿ
Wisconsin Aging
|Advocacy |Network
Contact WAAN
Janet L.Zander,MPA,CSW
Advocacy &Public Policy
Coordinator
Greater Wisconsin Agency on Aging
Resources,Inc.
1414 MacArthur Rd.,Ste A Madison,
Wl 53714
Office:(715)677-6723
Cell:(608)228-7253
janet.zander@gwaar.org
Find this document and
other WAAN issue briefs at:
httns://awaar.ora/waan-is-
sues-and-initiatives
related content)before serving and a minimum of one training pro¬
gram annually,thereafter.
2.Improve access to obtaining a photo ID for voting by:
•Expanding acceptable photo ID options for voting to be inclusive
of non-drivers.Options for consideration include:any photo ID card
issued by the Federal Government,the state of Wisconsin,or a Wis¬
consin county,municipal government,or other governmental entity;
college and university ID cards from all Wisconsin colleges and techni¬
cal schools;Wisconsin high school photo ID cards;and an affidavit of
affirmation for voters who have reasonable impediments to obtaining
a photo ID;and
•Expanding online services at the DMV by makingthe forms
(MV3004 and MV3012)used to apply for a Wisconsin ID or paper
receipt for voting (when the voter does not have certain documenta¬
tion)available online.
3.Improve access to secure,equitable and private absentee voting by:
•Providingaccess to absentee voting by creating a screen reader acces¬
sible,Americans with Disabilities (ADA)compliant,absentee ballot
for voters with blindness,vision or other disabilities that restrict them
from physically markingan absentee ballot and who rely on assistive
technology to vote privately and independently,and
•Changing Wis.Stat.§6.87(4)(b)l to include ADA accessible and secure
drop boxes as an allowable method for returningan absentee ballot.
Drop boxes have long been available in some Wisconsin communities
and around the country.A recent review,conducted by the Associated
Press,of the use of the boxes across the country determined that no
state reported "any instances in which the boxes were connected to
voter fraud or stolen ballots,"nor were there incidents of vandalism
that might have affected election results by destroying ballots."
4.Improve access to voting for care facility residents by:
•Developing a protocolto ensure all eligible facilities offer SVD services;
•Changing Wisconsin law (§6.875(2)(a))to allow all SVDs (as an
extension of the municipal clerk's office)to assist residents with vot¬
er registration (as needed)and voting absentee in person;
•Modifying the timeline for conducting SVD visits ((§6.875(6)(a))to
expand the amount of time SVD visits overlap with open registra¬
tion timelines and to allow adequate time for care facility residents
who were unable to vote during the SVD visits to receive,complete
and return their absentee ballots by mail;and
•Ensuring the processfor allowing relatives of residents to be noti¬
fied of and/or observe the voting process (Wis.Stat.§6.875(6)(c)2)
complies with federal Residents'Rights Requirements related to
Nursing Home Residents'Right to Vote (https://www.cms.gov/files/
document/qso-21-02-nh.pdf).
Older adults and people with disabilities contribute to our state's high partic¬
ipation rate.Wisconsin must take the necessary steps to ensure secure and
accessible voting are available to all eligible voters.
Rev. 02-09-2023 GWAAR Nutriton Team
PLEASE SEE THE OTHER SIDE
Privacy Statement: “The information you are being asked to provide is needed to determine if you are eligible to receive Older Americans Act Services and to comply
with federal reporting requirements. This information will be stored in a secure electronic database and will not be used for any other purpose. Your information will
not be shared with another agency without your permission. This information will not be sold to anyone. You have the right to review your electronic record and
request changes to assure accuracy. You will not be denied most services if you refuse to provide this information. If you have questions regarding this, please ask
the aging unit staff.”
HOME DELIVERED MEAL REGISTRATION ENHANCED DETERMINE (2023)
Person/Agency Making Referral: ___________________________________
Date of Referral:Click or tap to enter a date.
Name (First, MI, Last):
Click or tap here to enter text.
Date of Registration:
Click or tap to enter a date.
Residential Address (Fire No. & Street):
Click or tap here to enter text.
Date of Birth (month/day/year):
XX/XX/XXXX
City/State/Zip:
Click or tap here to enter text.
Phone Number (with area code):
Click or tap here to enter text.
Gender Identity:
☐ Male
☐ Female
☐ Transgender Male
☐ Transgender Female
☐ Self-Describe (specify):
________________________
-----------------------------------------------
Preferred Language:
☐ English
☐ Spanish
☐ Hmong
☐ Other: ___________________
Race:
☐ American Indian or Alaska Native
☐ Asian or Asian American
☐ Black or African American
☐ Native Hawaiian or Pacific
Islander
☐ White
☐ Other: _____________________
-------------------------------------
Ethnicity:
☐ Hispanic or Latino
☐ Not Hispanic or Latino
Household:
☐ I live alone.
☐ I live with others.
---------------------------------------------------------
Income Status: Is your income
at or below the following
guidelines based on the number
in your home? ☐ Yes ☐ No
# in Home Month / Year
1 $1,215 $14,580
2 $1,643 $19,720
3 $2,072 $24,860
4 $2,500 $30,000
Activities of Daily Living (ADLs)
Check Yes for each ADL that you/the client need substantial assistance to complete (including
verbal reminding, physical cuing, or supervision). Check No for each ADL you can complete
without substantial assistance.
No
Help
Needed
Yes,
Needs
Help
Bathing: Gets in and out of the bath or shower, uses faucets, washes, and dries oneself safely.
Dressing: Dresses and undresses safely.
Toileting: Uses toilet and cleans oneself.
Transferring: Moves in and out of bed or chair.
Feeding: Gets food or drink from plate, bowl, or cup into mouth and uses utensils.
Continence: Exercises complete self-control.
TOTAL Number of Yes ADLs _________
Instrumental Activities of Daily Living (IADLs)
Check Yes for each IADL that you/the client need substantial assistance to complete (including
verbal reminding, physical cuing, or supervision). Check No for each IADL you can complete
without substantial assistance.
No
Help
Needed
Yes,
Needs
Help
Food Preparation: Plans, prepares, and serves adequate meals independently.
Shopping: Takes care of all shopping needs independently.
Medication Management: Takes medication in correct dosages at correct time.
Ability to Manage Finances: Handles financial matters and/or day-to-day purchases.
Housekeeping: Participates in housekeeping tasks.
Laundry: Launders some items independently.
Mode of Transportation: Travels unassisted via personal vehicle, public transportation, or taxi.
Ability to Use Telephone: Dials and/or answers the telephone.
TOTAL Number of Yes IADLs _________
Rev. 02-09-2023 GWAAR Nutriton Team
For each of the following statements, please tell me which one is “often true,”
“sometimes true” or “never true” for the past 12 months.
Often
True
Sometimes
True
Never
True
1. We (I) worried whether our food would run out before we (I) got money to buy
more.
Yes*
Yes*
Yes
2. The food that we (I) bought just didn't last and we (I) didn't have money to get
more.
Yes*
Yes*
Yes
*= Food Insecure ☐ Yes ☐ No
Have you recently lost weight without trying? ☐ No (0) ☐ Unsure (2) ☐ Yes If yes, how much weight have you
lost? ☐ 2-13 pounds (1) ☐ 14-23 pounds (2) ☐ 24-33 pounds (3) ☐ 34 pounds or more (4) ☐ Unsure (2)
2. Have you been eating poorly because of a decreased appetite?
☐ No (0) ☐ Yes (1)
Weight loss score: ___ Appetite Score: ___ = Total Score: ___
☐ At high nutrition risk if all 3 are True ☐ DETERMINE Score (6+) ☐ Weight/Appetite Score (2+) ☐ Food Insecure
Reason(s) home-delivered meals are needed (check all that apply):
☐ Individual is frail and essentially homebound by reason of illness, disability, or isolation.
☐ Spouse or domestic partner of a person eligible for a HDM and participation is in the best interest of the
homebound older individual.
☐ Adult under age 60 with a disability and resides at home with an eligible older individual participating in the
program.
☐ Individual is unable to leave home under normal circumstances.
☐ Individual is unable to participate in the congregate meals program because of physical or emotional
problems.
☐ No spouse, domestic partner, or other adult living in same household who is both willing and able to prepare
meals.
☐ Individual is unable, either physically or emotionally, to obtain food and prepare adequate meals.
☐ Other: ________________________________________________________
\
Program Contributions
☐ Participant would like a contribution letter mailed to
home.
☐ Participant will make contributions directly. Do NOT
mail a contribution letter.
☐ IRIS/Family Care will be paying for the meals.
☐ Someone else who will be contributing on behalf for
meals.
PLEASE COMPLETE THE SUMMARY SHEET
Send contribution letter to:
Name: ___________________________________
Address: _________________________________
_________________________________________
_________________________________________
Phone: ________ Email: ____________________
DETERMINE Questions No Yes
I have an illness or condition that made me change the kind and/or amount of food I eat. 0 2
I eat fewer than 2 meals per day. 0 3
I eat few fruits or vegetables or milk products. 0 2
I have 3 or more drinks of beer, liquor or wine almost every day. 0 2
I have tooth or mouth problems that make it hard for me to eat. 0 2
I don't always have enough money to buy the food I need. 0 4
I eat alone most of the time. 0 1
I take 3 or more different prescribed or over-the-counter drugs a day. 0 1
Without wanting to, I have lost or gained 10 pounds in the last 6 months. 0 2
I am not always physically able to shop, cook, and or feed myself. 0 2
Risk Level: ___ 0-2 Low ___3-5 Moderate ___6 + High TOTAL _________
Emergency Contact: _________________________________ Relationship: ____________________
Phone: _________________________ Email: _____________________________________________
DRAFT GWAAR Nutrition Team Updated 2-9-23 3
Home Delivered Meals Summary Page
HDM Assessors to Complete
☐ Initial Assessment ☐ Reassessment
Recipient Name: _________________________________ Phone: _________________________________
Address: _________________________________ DOB: _________________________________
HDM Start or Reassessment Date: select date
Please complete the following assessment information to verify eligibility.
Is the person on My Choice Family Care, iCare, or IRIS? ☐ Yes ☐ No
If yes, refer the client to their Partnership or Family Care Case or Care Manager to authorize
home-delivered meals. ☐ Authorization Received Date: Click or tap to enter a date.
DO NOT CONTINUE BELOW
BASIC ELIGIBILITY REQUIREMENTS: Must Check ONLY One.
☐ Age 60+: Is frail and/or currently essentially homebound by reason of illness, disability or isolation.
Homebound is defined as “does not leave home under normal circumstances.”
☐ Relational Exception: A spouse of a person eligible for HDM’s regardless of age or condition, if
assessment concludes it is in the best interest of the homebound older individual.
☐ Relational Exception: A disabled individual who resides at home with an eligible older individual
participating in the program.
☐ Eligible to receive meals for ☐ 3 months ☐ 6 months ☐ 1 year ☐ Other _____________
☐ Not eligible to receive meals (please indicate reason) Click or tap here to enter text.
Approval for Number of Meals per week: Check the box that corresponds with the Prioritization Tier
☐ Tier 3 = 5 days per week
☐ Tier 3 = Weekend meals ☐ Breakfast Meals ☐ 2 Meals a Day
☐ Tier 3 = _____ Liquid Nutritional Supplements ☐ With Meals ☐ Bulk Pick Up
☐ Tier 2= ___ days per week
☐ Tier 1= ___ days per week
☐ Case Manager overriding Nutrition Risk Score and approving _______ # of meals each week
(please indicate reason) Click or tap here to enter text.
Concerns to Follow-Up On: Click or tap here to enter text. ☐ Referral Form Completed
Assessor Name: Click or tap here to enter text. Date of Assessment: Click or tap to enter a date.
DRAFT GWAAR Nutrition Team Updated 2-9-23 4
Referral Summary Form (Optional)
Participant’s Name:_____________________________________ Date: Click or tap to enter a date.
Make Referral to/for: Notes Make Referral to/for: Notes
Person Filling out Form: Insert Name ☐ Home Repair/House Keeping/Yard work/Appliance
Concerns
☐ Activities and Socialization ☐ Honor Flight Information
☐ Adaptive Equipment ☐ Independent Living Center
☐ Adult Protective Services ☐ Library
☐ Alcohol Abuse & Addiction Resources ☐ Malnutrition Resource List
☐ Appliance Repair/Concerns ☐ Medically Tailored Meal/Special Diet
☐ Caregiver Support ☐ Medication Review ☐ Pill Box
☐ Case Manager ☐ Memory Screen
☐ Cooking for 1 or 2 Ideas and Recipes ☐ Music Therapy
☐ Craft/Color Pages/Kits ☐ Non-Dairy Milk Option
☐ Dementia Care Specialist (DCS) ☐ Options Counselor
☐ Dentist ☐ Pet Support
☐ Dietitian ☐ Pharmacist
☐ Eat-10 Screen (Swallow concerns) ☐ Pill Box
☐ Eating Disorder Resources ☐ Resource Directory
☐ Elderly Benefit Specialist (EBS) ☐ Senior Center List
☐ Energy Assistance ☐ Senior Dining/Grab-N-Go Location List
☐ Evidence-Based HP or Wellness/Nutrition
Class
☐ Senior Farmers Market Vouchers
☐ Food on a Budget Ideas ☐ Support Group or Additional Resources (Specify)
☐ Food Pantry/Mail Order Meals List ☐ Technology Assistance
☐ Foodshare ☐ Transportation
☐ Friendly Visitor/Caller Program ☐ UW Extension
☐ Grandparents Support ☐ Veterans Officer
☐ Grocery Delivery ☐ Volunteer Opportunities
☐ Healthcare Provider ☐ Weekend or additional meals/liquid supplements
or snacks:
☐ Hearing and/or vision resources ☐ Other: Click or tap here to enter text.
DRAFT GWAAR Nutrition Team Updated 2-9-23 5
Meal Prioritization Worksheet (Option 1)
DATA POINTS FOR MEAL
PRIORITIZATION
1. DETERMINE Nutrition Risk
Level:
☐ Low Risk (0-2)
☐ Moderate Risk (3-5)
☐ High Risk (6 to 21)
2. MST Malnutrition Screen
Score:
☐ Not at Risk (0 to 1)
☐ At Risk (2 to 5)
3. Food Insecure?
☐ Yes
☐ No
4. Poverty
Income at or below the following
guidelines? ☐ Yes ☐ No
☐ Unknown
5. Lives Alone
☐ Yes
☐ No but alone during the day-
no support
☐ No and has supports
6. ADL/IADL: 3 + of the
following ADLs/IADLs:
☐ Transferring ☐ Feeding
☐ Food Prep
☐ Shopping ☐ Transportation
☐ Ability to use phone
☐ Yes 3 or more ☐ No
ADDITIONAL NOTATIONS:
☐ Case Manager overriding
Nutrition Risk Score and
approving _______ # of meals
each week (please indicate
reason)
☐ Eligible to receive meals for
☐ 3 months ☐ 6 months
☐ 1 year ☐ Not eligible to
receive meals Click or tap here to
enter text.
Priority Level and Nutrition Supports:
☐ Tier 3 (5 or more of the following):
☐ At high nutrition risk (Has all three of the following):
☐ DETERMINE Score (6+) ☐ Appetite/Weight Score (2+) ☐ Food Insecure
☐ Poverty level
☐ 3+ ADL/IADL
☐ Alone during day with no supports
Eligible for:
☐ 5 Hot Meals/week
☐ Weekend Meals
☐ Nutrition Counseling
☐ Nutrition Education
☐ Oral Liquid Nutrition Supplement
☐ Tier 2 (5 or more of the following):
☐ DETERMINE Moderate Risk
☐ Appetite/Weight Score Low Risk
☐ Food insecure
☐ Poverty level
☐ 3+ ADL/IADL
☐ Has supports during the day
Eligible for:
☐ 3-5 Meals/week (as funding and capacity allows)
☐ Tier 1
☐ DETERMINE Low/Moderate & Appetite/Weight Not at Risk, Food Insecure =
Eligible for 3-5 Meals per week (can be hot/frozen or combined delivery)
☐ Ambulatory, unable to leave home due to one or more of the following:
☐ Caregiver role
☐ Cannot drive in the winter
☐ Transportation unavailable
☐ Other: Click or tap here to enter text.
☐Meals are in the best interest of the eligible individual.
Additional Services/Resources/Referrals
☐ Frozen/Weekend Meals
☐ Senior Dining Meals
☐ Carry Out Meals
☐ Liquid Nutritional Supplements
☐ Nutrition Counseling/Dietitian Follow-Up
☐ Malnutrition Resource List
☐ Complete Enhanced DETERMINE Questions
☐ Food Share Application Assistance
☐ Transportation to ☐ Grocery ☐ Food Pantry ☐ Senior Dining Site ☐ Other
☐ Adaptive Equipment/Independent Living Center Referral
☐ Nutrition Education ☐ NOURISH Steps Website
☐ Nutrition/Socialization/Health & Wellness Resource List
☐ Commodity Food Box ☐ Other Food Box Click or tap here to enter text.
☐ Nutrition Class ( ☐Stepping Up Your Nutrition, ☐ Eat Better, Move More, Weigh Less
☐ Caregiver Support
☐ Senior Farmers Market Vouchers ☐ Other type here
DRAFT GWAAR Nutrition Team Updated 2-9-23 6
Meal Prioritization Worksheet (Option 2)
Prioritization of (Agency) Elder
Nutrition Program
Assessment/Reassessment
Participant Name: _______________________
Phone: _________________________
Address:
________________________________________
________________________________________
DOB: ___________________
HDM Start Date: select date
Please complete the following assessment
information to verify eligibility.
Is the person on My Choice Family Care,
iCare, or IRIS? If yes, refer the client to their
Partnership or Family Care Case or Care
Manager to authorize home-delivered meals.
DO NOT CONTINUE BELOW.
☐ Yes ☐ No Authorization Received
BASIC ELIGIBILITY REQUIREMENTS:
Must Check ONLY One.
☐ Age 60+: Is frail and/or currently essentially
homebound by reason of illness, disability or
isolation. Homebound is defined as “does not
leave home under normal circumstances.”
☐ Relational Exception: A spouse of a person
eligible for HDM’s regardless of age or
condition, if assessment concludes it is in the best
interest of the homebound older individual.
☐ Relational Exception: A disabled individual
who resides at home with an eligible older
individual participating in the program.
☐ Eligible to receive meals for
☐ 3 months ☐ 6 months ☐ 1 year
☐ Not eligible to receive meals (please indicate
reason below)
Click or tap here to enter text.
Approval for Meals per week:
Check all that apply:
☐ Tier 3 = 5 days per week
☐ Tier 3 = Weekend meals
☐ Tier 3 Breakfast Meals ☐ 2 Meals a Day
☐ Tier 3 =Liquid Nutritional Supplements
☐ With Meals ☐ Bulk Pick Up
☐ Tier 2= _3__ days per week
☐ Tier 1= __2_ days per week
☐ Case Manager overriding Nutrition Risk
Score and approving _______ # of meals each
week (please indicate reason below)
Date of Assessment: _____________
Assessor Name: ________________________
Tier 3: (Minimum of 5 meals per week)
Individuals with 1 or more of the following risk factors.
☐ Frail & essentially homebound under normal circumstances with no support and cannot obtain
food and prepare adequate meals due to illness, emotional, intellectual, or physical disability.
☐ Have a live-in partner, spouse, or caregiver who is unable to prepare adequate meals for
themselves and the eligible participant, if meals are not provided will result in negative outcomes.
☐ Confused or self-endangered when left alone (Live with someone who is not present during the
day to assist them.)
☐ Unable to participate in the congregate meals program because of physical or emotional
condition.
☐ Recently discharged (from the hospital, LTC) with no paid or unpaid support.
☐ At high risk due to confusion, memory loss, dementia, severe cognitive or mental health
impairment.
☐ Resides in geographically isolated rural areas with no or limited support. (No easy access to
shopping, restaurants, transportation, or care workers to ensure a consistent source of nutrition.)
☐ 3 + of the following ADLs/IADLs:
☐ Transferring ☐ Feeding ☐ Food Prep ☐ Shopping ☐ Transportation
☐ Ability to use phone ☐ other reason
☐ At high nutrition risk (Has all three of the following):
☐ DETERMINE Score (6+) ☐Appetite/Weight Score (2+) ☐ Food Insecure
☐ Tier 2 -Up to 5 Meals a Week (If capacity allows)
Individuals who have 1 or more of the following:
☐ Ambulatory, unable to leave home without assistance but can prepare meals and eat without
assistance, but unable to obtain groceries and are economically food insecure.
☐ Lives with another person who is unable to prepare meals/lacks paid or unpaid support.
☐ Short-term needs, temporary health limitations.
☐ Adult under 60 with a disability that lives with an eligible individual actively participating in the
program.
☐ Limited capacity to perform ADLs/IADLs (2 of the following)
☐ Transferring ☐ Feeding ☐ Food Prep ☐ Shopping, ☐ Transportation
☐ Ability to use the phone ☐ other reason
☐ At moderate nutrition risk:
☐ DETERMINE Score (4+) ☐ Appetite/Weight Score (2+) ☐ Food Insecure
☐ Tier 1 (If capacity allows; provide Up to 5 meals per week, bulk delivery
acceptable. I.e., a combo of hot, cold, frozen, shelf-stable meals).
☐ Ambulatory, unable to leave home due to one or more of the following:
☐ Caregiver role
☐ Cannot drive in the winter
☐ Transportation unavailable
☐ Other: Click or tap here to enter text.
☐Meals are in the best interest of the eligible individual.
Additional Services/Resources/Referrals
☐ Frozen/Weekend Meals
☐ Senior Dining Meals
☐ Carry Out Meals
☐ Liquid Nutritional Supplements
☐ Nutrition Counseling/Dietitian Follow-Up
☐ Malnutrition Resource List
☐ Complete Enhanced DETERMINE Questions
☐ Food Share Application Assistance
☐ Transportation to ☐ Grocery ☐ Food Pantry ☐ Senior Dining Site ☐ Other
☐ Adaptive Equipment/Independent Living Center Referral
☐ Nutrition Education ☐ NOURISH Steps Website
☐ Nutrition/Socialization/Health & Wellness Resource List
☐ Commodity Food Box ☐ Other Food Box Click or tap here to enter text.
☐ Nutrition Class ( ☐Stepping Up Your Nutrition, ☐ Eat Better, Move More, Weigh Less
☐ Caregiver Support
☐ Senior Farmers Market Vouchers
☐ Other type here
DRAFT GWAAR Nutrition Team Updated 2-9-23 7
Enhanced DETERMINE Questions Pathways For HDM Assessor (Optional)
DETERMINE
Question (Screen)
If yes, ask Follow Up Questions (Assess) Referral/Intervention Options
(Person-Centered Plan)
I have an illness or
condition that made
me change the kind
and/or amount of
food I eat.
☐ Yes (2)
☐ No (0)
☐ Do they follow a special diet? If yes, include more details
(type of diet and/or why they avoid various foods). Click or tap
here to enter text.
☐ Do they struggle with knowing what to cook, plan
meals, menus, understanding their diet?
☐ Recent fall(s)
☐ Recent Surgery OR Planned Surgery Upcoming
☐ Incontinence? Ask: “Have you experienced any urinary
incontinence/leakage, even a small amount, in the past 30 days?
☐ Yes ☐ No ☐ Don’t Remember
☐ On Oxygen
☐ On Dialysis
☐ Feeling excessively tired and fatigued
Physical Impairment?
☐ Hearing ☐ Vision
☐ Severe arthritis or other physical limitation
☐ Other
☐ Refer to Case Manager
☐ Refer to Independent Living
Center/Adaptive Equipment
☐ Follow up with Hearing and/or
vision resources
☐ Refer to Registered Dietitian
☐ Refer to Options Counselor
☐ Refer to Stepping Up Your
Nutrition Class
☐ Refer to Health Promotion
class(es)
Click or tap here to enter text.
☐ Refer to a Healthcare Provider
☐ Provide Therapeutic or Medically
Tailored meal
Click or tap here to enter text.
I eat fewer than 2
meals a day.
☐ Yes (3)
☐ No (0)
(If Yes, ask
What do you
typically eat during
the day? Who do you
eat with, what time
of day do you eat,
where do you eat,
why do you eat?)
Click or tap here to
enter text.
☐ No appetite
☐ Unable to prepare food.
☐ Unable to shop for food.
☐ Cannot afford food.
☐ I sometimes forget to eat.
☐ Dementia/Cognitive Concerns Click or tap here to enter text.
☐ Can they open the food packaging?
☐ Do they need adaptive equipment to open, prepare, cook or
eat food? Click or tap here to enter text.
☐ Do they have working equipment to cook or reheat food or to
store it properly, i.e. working fridge/microwave/stove/freezer?
Click or tap here to enter text.
☐ If they have a pet, do they have enough food for their pet?
☐ Are they raising grandchildren? Do they share food/their
meal with their grandchildren? Click or tap here to enter text.
☐ Ask about culture and religious beliefs to see if this is one of
the reasons. Click or tap here to enter text.
☐ Refer to Dietitian
☐ Eating Disorder Screen
☐ Refer to EBS to complete Food
Share Application
☐ Provide list Food and Meal
Options/ Senior Dining Sites.
☐ Pet Food Assistance
☐ Appliance Concerns
☐Activities for socialization
☐ Arrange for transportation to the
grocery store/food pantry.
☐ Arrange for a proxy food pantry
shopper.
☐ Grocery delivery options
☐ Explore adaptive equipment.
☐ Refer to support group
☐ Refer to Dementia Care Specialist
☐ Weekend/Additional Meals
☐ Work with Caregiver Specialist to
provide Grandchild meals under
Caregiver funding
I eat few fruits,
vegetables or milk
products.
☐ Yes (2)
☐ No (0)
☐ Cannot chew fresh F/V.
☐ No access to fresh fruits and veggies.
☐ Cannot peel or cut fresh produce.
☐ Do not know how to prepare F/V.
☐ Lactose Intolerant
☐ Ask what fruits & veggies and dairy products they typically
eat and list below OR why they don’t eat them.
Click or tap here to enter text.
☐ Medications limit what they are able to eat. Click or tap
here to enter text.
☐ Cannot have leafy green veggies
☐ Refer to Dietitian
☐ Swallow Screen (EAT-10)
☐ Adaptive Equipment Referral
☐ EBS Foodshare Application.
☐ Offer transportation
☐ Lactose Free Dairy Option
☐ Offer Senior Farmers Market
Vouchers
DRAFT GWAAR Nutrition Team Updated 2-9-23 8
I have 3 or more
drinks of beer,
liquor, or wine
almost every day.
☐ Yes (2)
☐ No (0)
☐ Are they a widow/widower or live alone? Click or tap here
to enter text.
☐ Ask about their appetite. (Poor/Fair/Good)
Other Details: Click or tap here to enter text.
☐ Encourage to discuss with
healthcare provider
☐ Offer Support Group
☐ Provide Alcohol Abuse and
Addiction resources
I have tooth or
mouth problems
that makes it hard
for me to eat.
☐ Yes (2)
☐ No (0)
☐ Dentures? Full or partial. Do they fit?
☐ Have their own teeth.
☐ Edentulous (No teeth)
☐ Broken or Missing Teeth
☐ Dry mouth?
☐ Swallowing problems?
☐ They have visited the dentist in the past year. If no, why?
________________
☐ Ask about brushing/flossing habits.
☐ If they have a caregiver, ask if any challenges with feeding
and oral health care.
☐ They smoke or chew tobacco
☐ Complete Swallow Screen (EAT-10)
and make referral
☐ Rec. healthcare provider review
meds to see if they are causing dry
mouth.
☐ Refer to Dentist
☐ Ask if a Veteran? If yes, refer to VA
Officer
☐ Provide a list of free or no cost
dentists.
☐ Refer to ADRC for adaptive
equipment/ easy-grip toothbrush.
☐ Provide information about good
oral hygiene for older adults.
☐ Ask if interested in quitting
tobacco use and make an appropriate
referral.
☐ EBS to review insurance plans that
include dental care during open
enrollment.
☐ Caregiver Support
I don’t always have
enough money to
buy the food I need.
☐ Yes (4)
☐ No (0)
☐ Ask if they get food from the food pantry, family, neighbors,
etc.to make ends meet. Click or tap here to enter text.
☐ Do they know the meals are offered on a contribution basis?
☐ Provide Resources and Tips on
how to make meals on a budget.
☐ Food Wise UW Extension
☐ EBS Foodshare Application.
☐ Provide a list of food pantries and
community meals.
I eat alone most of
the time.
☐ Yes (1)
☐ No (0)
☐ Concerned about social isolation or loneliness.
☐ Seems depressed. Why? Click or tap here to enter text.
☐ Do they have a pet(s)? Click or tap here to enter text.
☐ What do they feed the pet? Click or tap here to enter text.
☐ Do they have a smartphone, tablet, or computer?
☐ Interested in learning how to Skype, Zoom, Facetime, etc.? If
yes, specify. Click or tap here to enter text.
☐ Do they have internet access? If no, why not? Click or tap
here to enter text.
☐ Are they a Veteran? If yes, are they interested in the Honor
Flight or other programs and services from the VA? Click or tap
here to enter text.
☐ Arrange transport to Senior Dining
Site if able and interested on
_________ days of the week.
☐ Offer Friendly Visit, phone call.
☐ Provide list of community meals
and senior dining locations.
☐ Provide Technology Training and
Connectivity Resources
☐ Library Book Delivery
☐ Provide information about local
Senior Center
☐ Provide Craft/Coloring Kits/pages
☐ Interested in Volunteer
Opportunities
☐ Refer to Veterans Office for Honor
Flight
DRAFT GWAAR Nutrition Team Updated 2-9-23 9
I take 3 or more
different prescribed
or over-the-counter
drugs a day.
☐ Yes (1)
☐ No (0)
☐ Ask what herbs, supplements, vitamins, and other OTC
medicines they take. (List below) Click or tap here to enter text.
☐ Are they taking their meds as prescribed? If not, why? Click or
tap here to enter text.
☐Do they understand the instructions of how and when to take
meds? Click or tap here to enter text.
☐ Refer to Dietitian
☐ Recommend a. medication review
☐ Suggest or provide a pillbox to help
them manage their meds.
☐ Encourage to tell their MD all the
over-the-counter
supplements/vitamins they take.
☐ EBS to review insurance options
for prescription drug coverage
Without wanting to,
I have lost or gained
10 pounds in the last
6 months.
☐ Yes (2)
☐ No (0)
☐ Any change in health condition or life event change to help
determine the root cause.
☐How do their clothes fit, do they seem lose or tight? (10 lbs is
about a clothing size). Click or tap here to enter text.
☐ Ask about their sleep habits.
☐ Ask about their energy level and strength.
☐ Are they able to shop, carry groceries, open food packaging
☐Do they need transportation?
☐ Refer to dietitian
☐ Weekend or Additional Meals
☐ Liquid Supplement
☐ Transportation
☐ Other:
Click or tap here to enter text.
I am not always
physically able to
shop, cook, and/or
feed myself.
☐ Yes (2)
☐ No (0)
☐ Does someone else prepare meals for them? Who? Click or
tap here to enter text.
☐ Do they use a lot of convenience foods? What types? Click or
tap here to enter text.
☐ Do they have any adaptive equipment? Know how to use it?
Or are interested in learning about it? Click or tap here to
enter text.
☐ Able to open boxes, packages, cans?
☐ Able to prepare food?
☐ Ask if they get any physical activity? If yes, what type and
how often and for what duration. Click or tap here to enter text.
☐ Refer to dietitian.
☐ Refer to health promotion classes
as appropriate. Click or tap here to
enter text.
☐ Refer to ADRC or Independent
Living Center for adaptive equipment.
☐ Provide Resource list of physical
activity or movement
classes/programs
Notes:
Click or tap here to enter text.
DRAFT GWAAR Nutrition Team Updated 2-9-23 10
Enhanced DETERMINE Person-Centered Action Plan (Optional)
Date:Click or tap to enter a date.
Offer the participant the opportunity to create a person-centered Action Plan.
Example 1:
1. This week I will drink water (what)
2. An X ounce container (how much)
3. Before lunch (when)
4. 3 days a week (M, W, F) (how many)
5. Confidence level of 8
Example 2:
1. This week I will go to the senior dining site
(what)
2. For1 meal a day (how much)
3. for lunch (when)
4. 2 days a week (T, TH) (how many)
5. Confidence level of 9
The Action Plan should answer these questions:
(Record their plan at the bottom of this page so you have a record for follow-up).
1. What are you going to do?
2. How much are you going to do?
3. When are you going to do it?
4. How many days a week you are going to do it for?
5. What is their confidence level on a scale of 1 to 10 of how likely they are to complete this plan?
Note: If the score is less than 7, ask what adjustment(s) they could make that would increase their confidence
level to a 7 or higher.
Notes and Follow-Up Plan: Click or tap here to enter text.
Click or tap here to enter text.
(Cut and give to the participant. You can help them write in the spaces if they need assistance.)
-----------------------------------------------------------------------------------------------------------------------------------------------
The NOURISH Step I want to Take is…
This week I will:
1. What you are going to do: _________________________________________________________
2. How much are you going to do: _____________________________________________________
3. When are you going to do it?_______________________________________________________
4. How many days a week?: _________________________________________________________
What is your confidence level? (1 to 10) ______________________________________________
(If your confidence level is less than 7, what can you modify to make if more achievable?)
Not Confident at all Unsure Very Confident
10 1 3 4 5 6 7 8 9 2
DRAFT GWAAR Nutrition Team Updated 2-9-23 11
The NOURISH Step I want to Take is…
This week I will:
5. What you are going to do: _________________________________________________________
6. How much are you going to do: _____________________________________________________
7. When are you going to do it?_______________________________________________________
8. How many days a week?: _________________________________________________________
9. What is your confidence level? (1 to 10) ______________________________________________
(If your confidence level is less than 7, what can you modify to make if more achievable?)
Not Confident at all Unsure Very Confident
Progress Notes/thoughts during the week. (Successes and Barriers). Noting these things during the week
can help us work through barriers and celebrate successes next time we meet.
The NOURISH Step I want to Take is…
This week I will:
1. What you are going to do: _________________________________________________________
2. How much are you going to do: _____________________________________________________
3. When are you going to do it?_______________________________________________________
4. How many days a week?: _________________________________________________________
5. What is your confidence level? (1 to 10) ______________________________________________
(If your confidence level is less than 7, what can you modify to make if more achievable?)
Not Confident at all Unsure Very Confident
Progress Notes/thoughts during the week. (Successes and Barriers). Noting these things during the week
can help us work through barriers and celebrate successes next time we meet.
10 1 3 4 5 6 7 8 9 2
10 1 3 4 5 6 7 8 9 2