Public Accountability Report Public Accountability Report

Department on Aging
(Appropriated Spending in Thousands)
  FY 2018 FY 2017
Reporting Programs Expenditures Headcount Expenditures Headcount
Community Care Program $ 832,684.2 55.0 $ 1,133,238.3 56.0
Community Support Services $ 87,068.3 32.0 $ 96,143.9 30.0
Elder Rights $ 19,723.2 11.0 $ 14,593.1 10.0
Non-Reporting Programs
Central Management  $ 11,593.5 42.0 $ 8,686.3 45.0
Employment Services  $ 2,911.4 1.0 $ 3,579.2 1.0
Training and Staff Development  $ 83.8 4.0 $ 76.5 2.0
Totals $ 954,064.4 145.0 $ 1,256,317.3 144.0

Totals may not add due to rounding.

Agency Narrative
The creation of the Illinois Department on Aging as a Cabinet-level agency in 1973 underscored the emphasis that the state’s leaders, policy makers and citizens placed on a coordinated approach to the development of programs designed specifically to serve the state’s older population. The department’s mission is to serve and advocate for older Illinoisans and their caregivers by administering quality and culturally appropriate programs that promote partnerships and encourage independence, dignity, and quality of life. The department responds to the dynamic needs of the aging population through a variety of services that include: planning, implementing and monitoring home and community-based services and supports provided by the Aging network; coordinating and assisting the efforts of local community agencies; advocating for the needs of the state’s older adults; and collaborating with federal, state, local and other agencies in developing evidenced-based programs and initiatives. More than 500,000 older adults receive assistance and support through the department and its affiliated 13 Area Agencies on Aging, 48 Care Coordination Units, and many direct service providers each covering a defined geographic area of the state. The department’s Elder Rights services include the Adult Protective Services Program that responds to reports of abuse, neglect, and exploitation involving older adults and persons with disabilities between the ages of 18 and 59; and supports the state’s Long-Term Care Ombudsman office, which protects the rights of residents in long-term care facilities and was expanded in 2013 to include persons in home and community-based settings. The department also funds services for caregivers, and supports grandparents raising grandchildren and volunteer and intergenerational programs. These efforts have been expanded with the development of the National Family Caregiver Support Program, which provides information and assistance, counseling, support groups, training and education, respite, and supplemental services. The department’s responsibilities include administering the Community Care Program (CCP), supported in part by Medicaid, under the HCBS Elderly Waiver, to delay and prevent unnecessary nursing home placement. Through local Care Coordination Units, the department administers care coordination services to ensure that older adults are fully assessed and, in collaboration with the older adult, develops a person-centered plan of care that ensures linkage to services in his or her community regardless of the funding source. In fiscal year 2018, more than 100,000 unduplicated older adults received CCP services, which include: care coordination, in-home service, adult day service, and/or emergency home response service to support their ability to remain independent in their home and/or community-based settings. The department continues to administer the Senior and Disabled Rides Free cards and the license plate discount benefit for eligible low-income persons. Other department services include rebalancing initiatives, including the Pathways to Community Living Demonstration Program that identifies older adults that currently reside in nursing facilities to re-integrate into the community. Pursuant to Public Act 96-1501, the department is collaborating with the Departments of Healthcare and Family Services and Human Services to transfer eligible older adults and persons with disabilities to risk-based, managed-care programs through the Integrated Care Program (ICP) and the Medicare/Medicaid Alignment Initiative (MMAI). Lastly, the Senior Health Insurance Program (SHIP) was transferred from the Department of Insurance to the Department on Aging by Executive Order 13-01 on April 1, 2013 and provides outreach and one-on-one counseling to Medicare beneficiaries to help them navigate complex health and long-term care issues. This transfer promotes a natural extension of the department’s information and assistance services and benefits counseling and furthers efforts for service recipients to access a comprehensive array of services to improve their quality of life.