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COMMUNITY CARE FOR THE ELDERLY (CCE)

By Oscar Reyes,2014-06-18 00:07
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COMMUNITY CARE FOR THE ELDERLY (CCE) ...

    COMMUNITY CARE FOR THE ELDERLY PROGRAM (CCE)

    FULL FACT SHEET

    (Updated September 23, 2008)

The CCE Program, which serves frail elders age 60 and older, provides case management, in-home and an

    array of community-based services making it possible for physically and cognitively impaired, low income

    older adults to “age in place” at home

The CCE Program is administered by non-profit and local governmental Lead Agencies across Florida, who

    also administer the Medicaid Aged & Disabled Waiver, Medicaid Assisted Living for the Elderly Waiver, and

    Home Care for the Elderly Programs (A CUT TO CCE WILL AFFECT CAPACITY IN ALL PROGRAMS)

    During State Fiscal Year 2006-2007, the CCE Program served 16,352 Frail Elders Statewide

    The CCE Program is Cost Effective

    The CCE Program serves as a Diversion to Nursing Home Placement

Comparison Annual Costs Per Elder (Source: DOEA, 2007)

    PROGRAM ANNUAL COST PER ELDER FLORIDIAN

    Community Care for the Elderly $ 4,680.00

    Medicaid Aged & Disabled Waiver $ 7,933.00

    Alzheimer’s Disease Initiative $ 8,323.00 Medicaid Assisted Living for the Elderly Waiver $ 8,740.00 Medicaid Nursing Home Diversion Program $ 21,063.00

    Nursing Home $65,251

Projections in Nursing Home Savings (Source: DOEA, 2007)

    PROJECTION DOLLAR AMOUNT Annual Nursing Home Costs WITHOUT the $ 170,098,327.00 CCE Program

    Annual SAVINGS due to the CCE PROGRAM $ 122,991,504.00 Monthly Saving per CCE Client $ 1,121.25

    The CCE Program is Essential to Older Adults Remaining at Home (Source: DOEA, 2007)

? 98.2% of frail elders served by the CCE Program remain at home annually

    ? 87.6% of caregivers served by the CCE Program report likelihood to continue to provide care

    ? 94% of caregivers served by the CCE Program maintaining or improving ability to provide care

CCE Program Funding Reality

    ? CCE Program Funding covers case management, in-home health care and community based supports;

    Lead Agencies are not “making” money or covering administrative costs from providing CCE Program

    services

    ? CCE Program Lead Agency status typically goes to the lowest unit cost bidding provider

    ? The last significant statewide increase to the CCE Program was in 1999

    ? CCE Program Lead Agencies are supplementing current CCE Program Funding with dollars raised

    through grants, fund-raising and local governmental matches

    ? CCE Program Lead Agencies are supplementing their current CCE Program Funding to cover Unfunded

    State Mandates such as serving high risk Adult Protective Services (APS) referrals regardless of available

    CCE Program funding

    ? The total reduction to the CCE line for State Fiscal Year (SFY) 08-09 was $2,111,383

    Current Statewide CCE Program Wait-list Data (Source: DOEA September 29, 2008)

     PSA CCE HCE PSA CCE HCE

    1 587 60 7 2,235 200

    2 1,065 69 8 1.669 119

    3 1.883 256 9 2,432 131

    4 2,456 164 10 124 65

    5 877 70 11 2.148 703

    6 3,272 195 Total 18,748 2,032

Total Current Statewide Wait-list = 20,780

Outcomes for CCE Wait-listed Elders (DOEA SFYs 06-07 & 07-08)

    State Fiscal Year 06-07 CCE HCE Total Difference between

    Program Program SFY 06-07 to SFY

    07-08 # of waitlisted elders who died 1523 191 1714 # of wait-listed elders who were placed in 739 68 807 a nursing home

    # of wait-listed elders who were placed in 115 2 117 assisted living

    # of wait-listed consumers who improved 156 5 161

State Fiscal Year 07-08

    # of waitlisted elders who died 2000 272 2272 (+558 / +33%) # of wait-listed elders who were placed in 712 70 782 a nursing home

    # of wait-listed elders who were placed in 89 4 93 assisted living

    Lost contact (could also represent death 636 59 695 No 06-07 Data or placement)

    # of wait-listed elders who improved 57 2 59 (-58 / -50%)

    Associated Costs and Projected Savings (Based on DOEA and AHCA Data)

    ? The estimated cost of serving the 782 waitlisted elders who were discharged to nursing homes in

    2007-2008 is $10,789,507 in state dollars

    ? The projected cost of serving those 782 elders in the CCE Program would have been $3,659,760

    ? The State would have realized an immediate savings of $7,129,747 by serving them in the CCE

    Program.

    ? The annualized cost of continuing to serve those 782 persons in nursing homes is projected to be

    $51,026,282 ($25,513,141 in state dollars),

    ? The annual cost of these same elders in the CCE Program $3,659,760, a total projected cost saving

    of $47,366,522

    ? For 2006-2007 the annual cost of 807 elders in a nursing home was $48,248,109.

    ? The annual cost of these same elders in the CCE Program would have been $3,776,760.00; a

    $44,471,349 saving to the State of Florida.

    ? Combined State of Florida savings for State Fiscal Years 06-07 & 07-08 with an adequately

    funded statewide CCE Program would have equated to a projected $95,497,631

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