93.042 Special Programs for the Aging_Title VII, Chapter 2_Long Term Care Ombudsman Services for Older Ind
Title VII Long Term Care Ombudsman
CSFA Number: 402-03-0025
STATE AGENCY INFORMATION
Agency Name
Department On Aging (402)
Agency Identification
618-40203-4400-2800 Grant# 2101ILOAOM
Agency Contact
PROGRAM INFORMATION
Short Description
Long Term care ombudsman are advocates for residents of nursing homes, board and care homes and assisted living facilities. Ombudsmen provide information about how to find a facility and what to do to get quality care. Under the federal Older Americans Act, every state is required to have an Ombudsman Program that addresses complaints and advocates for improvements in the long term care system.
Federal Authorization
Older Americans Act of 1965, as amended through P.L. 116-131, enacted March 25, 2020.
Illinois Statue Authorization
20 ILCS 105/Illinois Act on the Aging
Illinois Administrative Rules Authorization
Older Americans Act of 1965, as amended, Section 702 (a).
Objective
The principal role of this Ombudsman Program is to investigate and resolve complaints made by or on behalf of residents of nursing homes or other long-term care facilities. Ombudsmen also promote policies and practices needed to improve the quality of care and life in long-term care facilities and educate both consumers and providers about residents' rights and good care practices.
UGA Program Terms
27.7 The Area Agency on Aging agrees to administer the Area Plan in accordance with the Older Americans Act, the Area Plan and all applicable regulations, policies and procedures established by the Administration for Community Living and the Illinois Department on Aging.
27.8 The Area Agency on Aging must submit to the State Agency, for prior approval, any proposed contracts with profit making organizations to provide services under the Area Plan.
27.9 An Area Agency on Aging must be either an agency whose single purpose is to administer programs for older persons, or a separate organizational unit within a multipurpose agency which functions only for purposes of serving as the Area Agency.
27.10 The Area Agency on Aging will have the ability to develop an area plan and to carry out, directly or through contractual or other arrangements, a program in accordance with the plan within the planning and service area.
27.11 The Area Agency on Aging will conduct outreach efforts to identify older individuals eligible for assistance under the Act, with special emphasis on rural elderly, older individuals with greatest economic need (with particular attention to low-income minority individuals and older individuals residing in rural areas), older individuals with greatest social need (with particular attention to low-income minority individuals and older individuals residing in rural areas), older individuals restricted by the ability to perform daily tasks or the capacity to live independently due to noneconomic factors, including: physical or mental disability, language barriers, and cultural or social isolation caused by, among other things, racial and ethnic status, sexual orientation, gender identity, gender expression, or HIV status.
27.12 The Area Agency on Aging will ensure that each activity undertaken by the agency, including planning, advocacy, and systems development, includes a focus on the needs of low-income minority older individuals and older individuals residing in rural areas.
27.13 The Area Agency on Aging will coordinate planning, identification, assessment of needs, and provision of services for older individuals with disabilities, and individuals at risk for institutional placement, with particular attention to individuals with severe disabilities, with agencies that develop or provide services for individuals with disabilities.
27.14 The Area Agency on Aging has established and is following methods to take into account in connection with matters of general policy arising in the development and administration of the Area Plan, the views of recipients of services under the Area Plan.
27.15 The Area Agency on Aging has established and is following methods to assure that the Area Agency will serve as the advocate and focal point for older individuals within the community by monitoring, evaluating, and commenting on policies and programs, hearings, levies, and community actions which will affect older persons.
27.16 The Area Agency on Aging has established an Advisory Council consisting of older individuals (including minority individuals and older individuals residing in rural areas) who are participants or who are eligible to participate in programs assisted under the Older Americans Act, family caregivers of such individuals, service providers, representatives of the business community, representatives of older individuals, local elected officials, providers of veteran’s health care (if appropriate), and the general public, to advise continuously the Area Agency on all matters relating to the development of the Area Plan, the administration of the Area Plan and operations conducted under the Area Plan.
27.17 The Area Agency on Aging, in carrying out the State Long-Term Care Ombudsman Program under Section 307(a)(9), will expend not less than the total amount of funds appropriated under the Older Americans Act and expended by the Area Agency in Fiscal Year 2000 in carrying out such a program under Title VII.
27.18 The Area Agency on Aging will provide a grievance procedure for older individuals who are dissatisfied with or denied services under Title VII.
27.19 The Area Agency on Aging assures that funds received under Title VII will not be used to pay any part of a cost (including an administrative cost) incurred by the Area Agency on Aging to carry out a contract or commercial relationship that is not carried out to implement Title VII.
27.20 The Area Agency on Aging assures that funds received under Title VII will be used to provide benefits and services to older individuals, and the Area Agency on Aging will give priority for services to older individuals identified in section 306 (a) (4)(A)(i) of the Older Americans Act.
27.21 The Area Agency on Aging assures that funds received under Title VII will be used to provide, to the extent feasible, for the furnishing of services under the Older Americans Act, consistent with self-directed care.
27.22 The Area Agency on Aging assures that funds received under Title VII will be used to include information detailing how the Area Agency on Aging will coordinate activities, and develop long-range emergency preparedness plans, with local and State emergency response agencies, relief organizations, local and State governments, and any other institutions that have responsibility for disaster relief service delivery.
27.23 The Area Agency on Aging will assure that no officer, employee, or other representative of the Area Agency on Aging is subject to a conflict of interest prohibited under the Older Americans Act and mechanisms are in place to identify and remove conflicts of interest prohibited under the Older Americans Act.
27.24 The Area Agency on Aging assures that the Area Agency on Aging and Older Americans Act-funded service providers will conduct outreach efforts that will—
(A) identify individuals eligible for assistance under this Act, with special emphasis on—
(i) older individuals residing in rural areas
(ii) older individuals with greatest economic need (with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas)
(iii) older individuals with greatest social need (with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas)
(iv) older individuals with severe physical or mental disabilities
(v) older individuals with limited English-speaking ability, or other language barriers
(vi) older individuals with cultural or social isolation caused by racial and ethnic status, sexual orientation, gender identify, gender expression, or HIV status
(vii) older individuals with Alzheimer’s disease and related disorders with neurological and organic brain dysfunction (and the caretakers of such individuals); and
(B) inform the older individuals referred to in clauses (i) through (vii) of subparagraph (A), and the caretakers of such individuals, of the availability of such assistance.
27.25 Funds made available under Title VII shall supplement, and not supplant, any Federal, State, or local funds expended by an Area Agency on Aging to provide services described in the Older Americans Act.
27.26 The Area Agency on Aging has established and is following methods that ensure that all services provided through the Area Plan are provided without the use of any means tests.
27.27 The Area Agency on Aging has established and is following methods that ensure that all older persons receiving services through the Area Plan are provided the opportunity to voluntarily contribute to the cost of the services.
Eligible Applicants
Nonprofit Organizations; Government Organizations;
Applicant Eligibility
All States and U.S. Territories which have State Agencies on Aging designated by the governors.
Beneficiary Eligibility
Individuals residing in long-term care facilities or requiring assistance in entering or transferring from such facilities.
Types of Assistance
Formula Grants
Subject / Service Area
Human Services
Credentials / Documentation
Applicable costs and administrative procedures will be determined in accordance with Part 75 of Title 45 of the Code of Federal Regulations.
Preapplication Coordination
The Administration for Community Living awards funds through a statutory formula to State Agencies on Aging.
Application Procedures
Applications must be received electronically through the AmpliFund System by the award opportunity due date. Please follow this link to apply:
https://il.amplifund.com/Public/Opportunities/Details/fc51decc-52d5-4729-b01a-070b99b8eae0
Criteria Selecting Proposals
Funds are disbursed to designated Area Agencies on Aging based on the number of licensed Long Term Care Facility Beds as broken out by Planning and Service Area.
Award Procedures
Funds are disbursed to designated Area Agencies on Aging based on the number of licensed Long Term Care Facility Beds as broken out by Planning and Service Area.
Range of Approval or Disapproval Time
States and territories are entitled to these grants by statute.
Appeals
Appeals are processed in accordance with HHS regulations in 45 CFR 16.
Renewals
Applications are submitted for a 2-, 3-, or 4-year period and revised as necessary.
Uses and Restrictions
Funds are awarded to States to develop or strengthen service systems through designated State Agencies on Aging, Area Agencies on Aging and other entities. Funds under this Title and Chapter are included in State aging plans covering 2, 3, or 4 years, with annual revisions as necessary, submitted for approval to the Assistant Secretary for Aging. Funds must be used to design and implement programs for the provision of long-term care ombudsman services for individuals living in long-term care facilities.
Reports
Statutory Formula: This program has minimum funding requirements, see funding agency for further details. This program has no matching requirements. This program does not have MOE requirements. Federal Financial Report, SF-425. Federal Financial Report,SF-425. as noted in the Program Announcement. SF-425. as noted in the Program Announcement. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of Subpart F-Audit Requirements, under 45 CFR Part 75.500, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year. Except as noted in 45 CFR Part 75.500. Records must be kept available for 3 years after submission of the final expenditure report.
Audits
In accordance with the provisions of Subpart F-Audit Requirements, under 45 CFR Part 75.500, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year. Except as noted in 45 CFR Part 75.500.
Records
Records must be kept available for 3 years after submission of the final expenditure report.
Account Identification
618-40203-4400-2800
Obligations
(Formula Grants) FY 20$17,885,000.00; FY 21 est $15,855,000.00; FY 22 est $17,865,000.00; FY 19$16,868,000.00; - FY 21 (COVID-19 CARES ACT Funding $10,000,000.00)
Range and Average of Financial Assistance
Additional funding for FY 21 (COVID-19 CARES ACT Funding $10,000,000.00)
Program Accomplishments
Advocating for residents of nursing homes, board and care homes and assisted living facilities, to improve the lives of those in the long term care system. Providing information about how to find a facility and what to do to get quality care.
Regulations, Guidelines, and Literature
45 CFR 92 and 45 CFR 1324 (renumbered effective July 1, 2016)
Regional or Local Assistance Location
Regional Administrator, Administration for Community Living, Department of Health and Human Services, Regional Offices.
Headquarters Office
Aiesha GurleyDept of Health and Human Services, Administration for Community Living 330 C Street, SW, Washington, DC 20201 Email:< a href='mailto:Aiesha.Gurley@acl.hhs.gov'>Aiesha.Gurley@acl.hhs.govPhone: 202-795-7358;
Program Website
http://www.acl.gov
FUNDING INFORMATION
Funding By Fiscal Year
FY 2017 : $495,137
FY 2018 : $577,230
FY 2019 : $1,000,000
FY 2020 : $3,000,000
FY 2021 : $689,401
FY 2022 : $683,957
FY 2023 : $955,964
FY 2024 : $714,704
FY 2025 : $787,594
Federal Funding
Notice of Funding Opportunities
| Agency ID | Award Range | Application Range |
TOP 5 ACTIVE AWARDS
Agency ID | Grantee Name | Start Date | End Date | Amount |
T72402 402T7OMB24 | Northeastern Illinois Area Agency on Aging, dba AgeGuide | 10/01/2023 | 09/30/2025 | 177,573 |
T72413 402T7OMB24 | AgeOptions | 10/01/2023 | 09/30/2025 | 165,090 |
T72412 402T7OMB24 | City of Chicago - 50 Department of Family & Support Services (DFSS) | 10/01/2023 | 09/30/2025 | 109,053 |
T72405 402T7OMB24 | East Central Illinois Area Agency on Aging, Inc. | 10/01/2023 | 09/30/2025 | 62,715 |
T72408 402T7OMB24 | AgeSmart Community Resources | 10/01/2023 | 09/30/2025 | 50,585 |