Tuesday, November 27, 2007

Caregiver Support Group in Somerville

If you are caring for an older relative, spouse or close friend and feeling isolated or overwhelmed, you are not alone. Come share experiences and practical support. The Caregiver Support Group meets the third Tuesday of every month at 6 p.m. at the Somerville Council on Aging, 167 Holland Street in Somerville. If you are interested, please contact Nancy O'Connor at 617-625-6600, ext. 2317.

Medicare Enrollment Resources

Beneficiaries, their caregivers, and family members can begin to review 2008 Medicare prescription drug plan and health plan information online through the Medicare Prescription Drug Plan Finder at http://www.medicare.gov/.

The enhanced plan finder options offer more information and greater clarity on available drug plans, including out-of-pocket costs, pharmacy networks, and important Medicare news and updates. Navigation improvements also make the plan finder tools more user-friendly, so beneficiaries will find it easier to locate information about available drug plans. Open enrollment began on November 15th. For more information or assistance, call the Somerville-Cambridge Elder Services Aging Information Center at 617-628-2601 ext. 3151.

Check out these new sites to assist during open enrollment from the National Council on Aging:

Friday, November 16, 2007

Families Can Receive Up to $18,000 per Year to Care for Sick/Disabled Relatives

Caring for a Sick or Disabled Relative or Friend? The Adult Family Care Program pays family members and friends to provide care at home. Receive up to $18,000 per year to provide care that prevents or delays institutional care. Call the Aging Information Center at Elder Services: 617-628-2601 ext. 3151 and ask about Adult Family Care. Sick or disabled individual must be 18 years or older and eligible for MassHealth.

Elders Can Get Protection from Utility Shut Offs

If you heat with gas or electricity, there are shutoff protections for seniors---year round. Some other low-income households have limited protection during the period November 15 to March 15th. The utility companies call this a "winter moratorium" on shut-offs. However, if everyone in your household is over 65, the company cannot terminate your service for failure to pay a past due bill without approval of the Massachusetts Department of Telecommunications and Energy (DTE).

If you can't pay your bill all at once, you can work out a payment plan with the company. In addition, you have a right to a hearing at the DTE before termination. Utility companies are also required to give written notice of a shut-off to the state's Executive Office of Elder Affairs.

Elders may believe that their electric or gas heat cannot be shut off. This is technically not true. If the state approves the utility's request, you can be terminated-even during a "winter moratorium". But in practice, it is not likely that the state will approve a heating-related shut-off during the winter months.

There is also financial aid to help pay heating bills. Some seniors will be able to take advantage of the Low Income Home Energy Assistance Program (LIHEAP), which can help pay for heating bills---whether you use gas, electricity, coal, oil, wood, or propane. LIHEAP assisted roughly 141,000 households last winter in Massachusetts. The program is managed by regional non-profit organizations. LIHEAP will provide fuel assistance payments for people with annual income of up to $20,420 for a single person, and $27,380 for a two person household. The maximum grant this winter is expected to be around $609.

To sign up for the heating assistance program in your area, call the state "Heatline" at 1-800-632-8175 and enter your zip code. If you feel your gas or electric service has been improperly terminated, call the DTE at 1-800-392-6066. If you owe a company money, call the state Attorney General's office, at 1-888-514-6277. They will contact your utility or oil company and help you work out a repayment plan. Do it before the snow flies.

Thursday, October 11, 2007

Health and Human Services Announces Medicare Beneficiaries will have Access to Lower Premium Drug Plans in 2008

HHS Secretary Mike Leavitt announced that more than 90 percent of Medicare beneficiaries in a stand-alone Part D prescription drug plan (PDP) will have access to at least one plan in 2008 with premiums lower than they are paying this year. The open enrollment period for 2008 begins Nov. 15th and ends Dec. 31st.

In every state, beneficiaries will have access to at least one prescription drug plan with premiums of less than $20 a month, and a choice of at least five plans with premiums of less than $25 a month. The national average monthly premium for the basic Medicare drug benefit in 2008 is projected to average roughly $25.

"The 2008 options show that beneficiaries will continue to enjoy excellent value and choice in the Medicare prescription drug program," Secretary Leavitt said. "The benefit continues to receive high marks from people who participate in the program. The actual average premium paid by beneficiaries for standard Part D coverage in 2008 is expected to be nearly 40 percent lower than originally projected when the benefit was established in 2003. Moreover, our data show that the Medicare prescription drug benefit is saving seniors an average of $1,200 a year."
Beneficiaries who qualify for extra help through Medicare's Low-Income Subsidy (LIS) will also have a range of options available for comprehensive coverage. Those who qualify for the full Medicare subsidy will pay no premiums or deductibles in these plans.

People in Massachusetts should be aware that Prescription Advantage has open enrollment all year round. This program provides Massachusetts residents 65 years and older who qualify additional assistance.

Details about the specific plans available in every region will be released in mid-October. Beneficiaries who want to review their current coverage as well as the other options available to them will have access to information and assistance from many sources including:

  • A notice of any coverage changes from their current prescription drug plan, coming by Oct. 31st;
  • The enhanced Medicare Drug Plan Finder, available in mid-October;
  • Toll free information available 24/7 at 1-800-MEDICARE (1-800-633-4227);
  • The annual Medicare & You 2008 handbook that explains Medicare coverage, to be mailed in October; and
  • SHINE counselors at Somerville-Cambridge Elder Services can help. Call 617-628-2601 ext. 3151

The list of national stand-alone prescription drug plans and state specific fact sheets can be found at: http://www.cms.hhs.gov/center/openenrollment.asp

Alzheimer's Partnership Event: November 14th

The Cambridge Somerville Alzheimer's Partnership invites you to attend their annual November event entitled Understanding Alzheimer's Disease: Symptoms, Diagnosis and Treatment. Dr. Stephen Pinals, Associate Director, Geriatric Psychiatry of the Cambridge Health Alliance will be speaking on the progression of Alzheimer's Disease. This free event will be held at the Macht Auditorium at the Cambridge Hospital, 1493 Cambridge Street, Cambridge, MA on Wednesday, November 14, 2007 from 4:30 pm to 6:30 pm. Refreshments will be served. Reservations are being accepted. If you would like more information or would like to make a reservation, please call 617-349-6055.

AoA and OAA Programs Achieve Highest Rating from White House Budget Office

The White House Office of Management and Budget (OMB) recently released the results of its Program Assessment Rating Tool (PART) assessment of Older Americans Act (OAA) programs. AoA programs were classified as "Effective." This is the highest rating and has been awarded to only 18 percent of the government programs evaluated by OMB.

As an Area Agency on Aging, Somerville-Cambridge Elder Services adminsters Older Americans Act programs such as Meals-on-Wheels, Community Meal Sites, and the Family Caregiver Support Program in this area.

According to the assessment on Expectmore.Gov, AoA and OAA programs have a clear purpose and are well-managed, efficiently provide high-quality home and community-based services, and promote the well-being and independence of the elderly. This achievement is the result of the outstanding performance at all levels of the Aging Services Network. Thank you for working hard every day to improve the lives of older Americans.

For more details, visit
http://www.whitehouse.gov/omb/expectmore/summary/10000304.2007.html

Thursday, September 27, 2007

Chronic Disease Self Management Program Starts Oct 15th

Somerville-Cambridge Elder Services is once again offering a popular, six-week program entitled, "Healthy Living with Chronic Conditions". The program which was developed by the Stanford University School of Medicine, offers individuals living with arthritis, diabetes, heart disease, Parkinson's, and other chronic conditions to learn strategies to more effectively manage symptoms and improve quality of life.

Instructors explore techniques to deal with frustration, fatigue, pain and isolation; teach exercises for maintaining and improving strength, flexibility and endurance; explain appropriate use of medications; and, offer effective communication techniques to usewith health professionals, family, friends.

Meetings will be held on Mondays, October 15th, 29th, November 5th, 19th, 26th, and December 3rd from 1:00 to 3:30. They will take place at the Cambridge Council on Aging, 806 Massachusetts Avenue in Cambridge. The location is easily accessible by public transportation. Enrollment is limited and pre-registration is required. Call Somerville-Cambridge Elder Services (617) 628-2601 ext. 3151. This program is made possible with the generous support of W.R. Grace and the Charles H. Farnsworth Trust.

Monday, September 17, 2007

Many Seniors Face Credit Card Debt

According to the National Consumer Law Center, the average credit card debt among persons 65 to 69 rose a staggering 217% between 1992 and 2001 to $5,844. Of the 70% of households headed by someone 65 years of age or older and earning less than $50,000, one in five spent more than 40% of his or her income on debt payments, including mortgages. Bankruptcy filings by elders are rising, as well. Many elders are “aging into debt.”

Seniors with credit card debt often turn to credit counselors for help. These counseling groups set up “debt management plans” (DMPs): You send the credit counseling agency a lump sum, and they distribute it to your creditors. You get a “break,” like lower fees or interest rates. You are also relieved of having to negotiate with a bunch of creditors separately. But there are some problems with today’s debt management plans. Some counseling companies use aggressive and deceptive marketing tactics, charge higher costs for services, and are connected to for-profit businesses.

The NCLC has published 7 “warning signs” for consumers who are looking for a credit counseling agency:

  1. High Fees: If an agency is vague or reluctant to talk about fees, go elsewhere.
  2. “Voluntary” Fees: Some counseling agencies don’t let consumers know that their fees are voluntary. When you ask about what the agency charges, be sure and ask if they consider any fees to be voluntary.
  3. The Hard Sell. If the person on the phone sounds like they are reading from a script and are pushing debt “savings” or the possibility of a future “consolidation” loan, hang up.
  4. Employee Commissions: Some agencies will pay their employees a commission for opening a new debt management plan. Such agents are more likely to be focusing on their own wallets than yours.
  5. Avoid the “30 minute” plans: Any agency that offers you a debt management plan in less than 30 minutes, hasn’t spent enough time looking at your finances.
  6. One Size Fits All. A debt management plan may not be appropriate for you. If the agency doesn’t offer any educational options, such as classes or budget counseling, consider one that does.
  7. Aggressive Ads: Some agencies use deceptive ads. Many others charge unreasonable fees or offer no real counseling. Don’t select an agency based on advertising alone. Ask your family or friends if they know a reputable company.

For more information about how to control debt, go to www.nclc.org.

Serving Seniors Celebration Slated for October 17th

Somerville-Cambridge Elder Services will once again host its annual “Serving Seniors Community Celebration”, on Wednesday, October 17th from 2:00 to 4:00 PM at The Somerville City Club. The event and awards ceremony honors the accomplishments of senior citizens, caregivers, volunteers and professionals working to help older people in Somerville and Cambridge. The event will feature a Make Your Own Sundae Buffet and is open to the public. Those wishing to attend should RSVP by October 10th to (617) 628-2601 ext. 630.

Tuesday, June 5, 2007

Protecting Yourself From Telephone SCAMS

According to the Federal Trade Commission, consumers lose more than $40 billion a year to telemarketing fraud. People over 50 years of age account for about 56% of all victims. Last year almost 9 million Americans were robbed of private financial information. A recent phone operation into Massachusetts was the Canadian Lottery scam. A caller, posing as an IRS representative, told elders they had won the lottery, but first they had to pay taxes on the winnings—by Western Union or check.

Recently, thieves used a list of World War II veterans and retired teachers they bought from a company that owns a database of 210 million US consumers. People who enter sweepstakes or who buy mail order items end up on lists like this that are sold to scam artists.

Telephone scams can involve phony prize offers or travel deals, and fake charities. The FTC warns seniors to listen for the “buzz words for fraud,” which include:
  • Act "now" or the offer will expire.
  • You’ve won a "free" gift or prize---if you pay for "postage and handling.”
  • We need your credit card or bank account number or, our courier will pick up your check.
  • You can’t afford to miss this "high-profit, no-risk" offer.

It’s illegal under federal law for a telemarketer to call you if you have asked not to be called. They must tell you it’s a sales call, the name of the seller, and what they are selling — before they make their pitch. Callers are not allowed to withdraw money from your checking account without your express, verifiable authorization.

If you get an unwanted call, you can say: "I don’t do business with people I don’t know," "Please put me on your ‘Do-Not-Call List,’" "I need written information about your offer.” The simplest response is, "I’m not interested. Thank you and good-bye." It’s not rude to hang up on a scam artist.

The FTC recommends that children talk to their elderly parents and remind them not to make any deals over the phone, and never give out information about your bank accounts or credit cards unless you have made the call, and know who you are speaking with.
If you suspect you’ve been called by a scam, file a complaint with the FTC by calling (202) FTC-HELP. To reduce telephone sales calls, send your name, address and telephone number to: Direct Marketing Association, Box 9014 Farmingdale, NY 11735-9014.

Put your home phone and cell phone on the FTC’s Do Not Call list by calling (888)-382-1222 or going to www.donotcall.gov. You will still get calls from charities, political groups, surveys, or companies with which you have ties. Sign up for the Massachusetts Do Not Call list by calling (866) 231-2255. State residents can file a complaint about phone scams with the Attorney General at (617) 727-8400.

Special Program Pays Caregivers

An innovative program that has helped Massachusetts elders and younger adults with disabilities remain in the community is undergoing a major transformation.

The MassHealth Adult Family Care Program (AFC) matches individuals who need assistance with activities of daily living with host families who provide those services in a home setting. Services can include assistance with activities of daily living such as bathing, dressing, incontinence management and other personal care. The new Enhanced Adult Family Care program will now be able to meet the needs of individuals requiring a higher level of care. In addition, it broadens the spectrum of caregivers who are eligible to participate to include most family members. Families or hosts, as they are called in the program, receive about $18,000 to provide care that prevents or delays institutional care.

"People express a clear preference for being cared for in a home setting," said John O'Neill, Executive Director of Somerville-Cambridge Elder Services, which provides the program in a number of communities in Greater Boston. "Enhanced Adult Family Care is a wonderful option for MassHealth beneficiaries who would like to receive care from a loved one in a home setting."

The guidelines of the new Enhanced Adult Family Care Program are based in part on another state program called, Caring Homes which is open to non-MassHealth eligible elders with complex medical needs. "This program is built on the foundation of family care giving," said Al Norman, executive director of Mass Home Care. "Sons and daughters will love this program because it allows them to be paid caregivers to their parents."

The Enhanced Adult Family Care program will not only allow elders and persons with disabilities to move into a caregiver's home, but will allow a caregiver to move into the individual's home. Participants must be 16 years or older and meet MassHealth financial and clinical eligibility standards. Caregivers may be any friend or family member other than a spouse, parent, or legally responsible relative and must meet qualifications specified by the state.

MassHealth pays for Enhanced Adult Family Care if an individual is financially eligible for MassHealth and requires physical assistance with at least three of the following activities: bathing, dressing, toileting, transferring, ambulating, eating; or, physical assistance with two of the activities above and management of behaviors that require caregiver intervention such as wandering, verbally abusive behavioral symptoms, physically abusive behavioral symptoms, socially inappropriate or disruptive behavioral symptoms, or resisting care.

To learn more about Adult Family Care, Caring Homes or other in-home services, call the SCES Aging Information Center at 617-628-2601 ext. 3151.

Monday, April 9, 2007

Protect Your Money and Identity With Direct Deposit

Do you still get your Social Security or other federal benefit by check? You should know there’s a safer, easier option - direct deposit.

Each month millions of Americans get their Social Security payment sent to their homes. What you may not realize is that criminals know when these benefit checks arrive in mailboxes, and can target them for theft and forgery. Last year alone, about 57,000 U.S. Treasury-issued checks were forged - nearly $54 million in estimated value.

You can protect yourself by signing up to have your federal benefit payment direct deposited into your checking or savings account. It’s a small but important step that will help eliminate the risk of stolen checks and help protect you from identity theft. You can go to the Social Security web site for instructions: http://www.ssa.gov/deposit/howtosign.htm. You can also call Social Security toll-free at 1-800-772-1213 (TTY 1-800-325-0778).

Direct deposit is not only safer than checks, but it’s also easier and more convenient because your money goes straight to your account on payment day. You gain more control over your money - and your time. If you or those close to you are still receiving Social Security or other federal benefits by check, please consider switching to the safest, easiest option - direct deposit - today!

Monday, April 2, 2007

ElderFair Health & Wellness Event Slated for Wednesday, June 27th

The 8th Annual ElderFair Health and Wellness Expo will be held on Wednesday, June 27th, from 9:00 a.m. to 2 p.m. at the Somerville High School, 81 Highland Avenue, Somerville, MA. The event will feature an exciting array of health and wellness activities.

Somerville-Cambridge Elder Services holds ElderFair each year to honor of Older American. The daylong event features a free lunch, entertainment, door prizes from local businesses, and a raffle to benefit Meals-On-Wheels.

To reserve a lunch, call SCES at 617-628-2601 extension 618.

Friday, March 23, 2007

Take Steps to Prevent Falls

Falls are the top cause of accidents in people over the age of 65, and the main cause of serious injuries and accidental deaths for seniors. One in three people over the age of 65 fall each year. More than 15,000 elders die each year from falls, and 2 million end up in emergency rooms. The most common injury from falls is a hip fracture. One in four people who have a hip fracture die within a year.

Poor eyesight or poor hearing can lead to falls, as can a basic illness, which affects your strength and balance. The side effects of some medicines can cause dizziness. Medicines for depression, sleep problems and high blood pressure often cause falls. Some medicines for diabetes and heart conditions can affect your balance. Have your doctor check all your drugs for correct dosage and possible interactions. Get your eyes checked every year, and see your doctor right away if you feel dizzy, weak or unsteady on your feet; if you feel confused; or if you fall.

To reduce the risk of falls, experts say older people should focus on strength training exercises to keep muscles strong. Exercise programs like yoga and tai chi improve balance.
Because your home can also be a fall-hazard, due to poor lighting, scatter rugs, cluttered furniture-here are some tips to lower your risks:
  • Wear shoes with nonskid soles (put away your house slippers).
  • Be sure your home is well lit in every room used.
  • Place night lights in your bedroom, bathroom, hallways and stairways.
  • Remove throw rugs or use carpet tape to fasten them.
  • Don’t place electric cords across pathways.
  • Put grab bars put in your bathtub, shower and toilet area.
  • Install handrails on both sides of stairways.
  • Don't use stools and stepladders. Get help for jobs with climbing.
  • Wax your floors with a non-skid wax, or not at all. Put non-skid treads on your stair, nail down well any stair rugs.
  • Repair your sidewalks and walkways so they are smooth and even.
  • Anytime you get up from bed, sit on the side of the bed before you stand up, to give your blood pressure time to adjust.
  • Have a commode by your bed to avoid a trip to the bathroom at night.

Fall-related medical expenses cost Americans more than $20 billion annually. Congress has been considering a number of falls prevention bills, but no major education effort has passed. Meanwhile, each week, another 30,000 people over the age of 65 are seriously injured in a fall.

For more information on living safely and independently, contact the SCES Aging Information Center at: 617-628-2601 ext. 3151

State House Lobby Day to Support Home Care April 9th

Our message to our elected officials this year is: don’t put all your eggs in one basket! The House budget is coming out on April 11th, and will be debated the week of April 23rd. Mass Home Care is sponsoring a state house event the day after Easter, April 9th to remind lawmakers that when it comes to long term care supports---EQUAL CHOICE means not putting all your eggs in one basket.

The rally will take place at 2:00 p.m., Nurses Hall at the State House.
We’re going to take around some little chocolate Easter eggs to our elected officials, to remind them that "home, sweet, home" is where people want their care.

If you would like to join a group of concerned citizens from Cambridge and Somerville at the State House on April 9th, please call Mary Ann Dalton at Somerville-Cambridge Elder Services: 617-628-2601.

Friday, March 16, 2007

Supportive Living Enhances Elderly Housing Experience

Somerville-Cambridge Elder Services (SCES), in partnership with the Housing Authorities in both Cambridge and Somerville, offers an innovative program that provides an "assisted living-like" environment in elderly housing. Supportivie Living, which is funded by the Commonwealth of Massachusetts Executive Office of Elder Affairs, works with existing elderly housing buildings to upgrade and coordinate services so that residents can age in place. It is a form of assisted living that is available to individuals with limited income.

Cambridge and Somerville are home to two of the state's 22 Supportive Living sites. The program at the Manning Building in Central Square Cambridge was launched in 2000, and Supportive Living got underway a few month's later at Properzi Manor, Union Square, Somerville.

SCES has had to implement a number of program elements at each building in order to call it a Supportive Living site. Each building has a dining room where residents can go for one or more meals each day. Each building has a Support Living Coordinator/Case Manager who coordinates the services of individuals who need help with activities such as personal care, homemaking, transportation, and benefits counseling. This case manager also serves as the liaison to the Tenant’s Council and coordinates activities. Finally, there is a personal care worker/homemaker available on-site 24 hours per day.

The Supportive Living Program is an important strategy in assisting older people to remain in an independent living situation for as long as possible. With the additional help provided by the program, individuals who become increasingly frail can receive the support they need to stay in their own apartments. This not only ensures an enhanced quality of life for older people, but also helps to keep older people out of high cost care settings such as nursing homes.

Volunteers Needed to Escort Elders

Somerville-Cambridge Elder Services (SCES) is seeking caring, dependable people (with and without cars) to accompany elders to medical appointments and other destinations. Escorts receive a stipend of $10 per trip ($15 for a trip that lasts 4 hours or more).

The organization is able to provide round-trip transportation to and from physicians’ offices for some of the elders it serves. However, for other types of trips, SCES is seeking escorts who are willing to use their own car.

The escort service assists elders who have no family or friends to accompany them on these vital trips out of the house. Escorts are needed to act as a friendly companion and to offer a reassuring arm. If you are interested in helping elders remain safe and independent in the community, this may be a good opportunity for you.

For further information or to schedule an interview, please call 617-628-2601 ext. 3153. Additional information is available at http://www.eldercare.org/.

Monday, March 12, 2007

Community Based Services Gateway to MassHealth Benefits

Enrollment in MassHealth offers a myriad of benefits, but strict financial eligibility criteria limits the insurance plan to individuals with very low incomes. However, in July 2005, MassHealth amended the Home and Community Based Waiver (HCBS) for frail elders to raise the income ceiling from 100% of the poverty level to 300% of the federal SSI standard. The relaxed income standard means that frail elders (i.e. clinically eligible for nursing facility services) who are enrolled in the Home Care Program, the Enhanced Community Options Program or the Community Choices Program, and whose incomes are 300% of the federal SSI standard can access MassHealth benefits.

The services covered by the Waiver Program include: Homemaker, Personal Care, Respite Care, Home Health Aide, Supportive Home Care Aide, Companionship, Environmental Accessibility Adaptations, Chore, Grocery Shopping/Delivery Services, Home Delivered Meals, Laundry Services, Skilled Nursing, Supportive Day Care Programs, Home-based Wandering Response System, Transitional Assistance and Transportation. Waiver clients also have access to Title XIX state plan services such as adult day health and home health services available to MassHealth members.

The Home Care Program, the Enhanced Community Options Program and the Community Choices Program are administered locally by Aging Services Access Points, such as Somerville-Cambridge Elder Services (SCES). For more contact the SCES Aging Information Center at 617-628-2601 ext. 3151.

Adult Family Care: Unique Option for Independent Living

Adult Family Care (AFC) is a program which matches those who need extra assistance living successfully in the community with families and individuals who can provide a private bedroom, meals, limited personal care, transportation assistance, and medication reminding.

Hosts are paid monthly by Medicaid and receive room and board reimbursement from the participant. Hosts undergo a thorough assessment process to ensure the best possible match with a potential participant. AFC staff provide ongoing support and training to the participant and host. Hosts can have up to three AFC participants in their home.

AFC participants are people living with a variety of different medical diagnoses, ranging from epilepsy, to traumatic brain injury, to HIV/AIDS, and many more. Some participants work, while others attend Adult Day Health programs. Participants are age 18 or older and have a chronic medical diagnosis that requires assistance with at least one activity of daily living per day (e.g. feeding, bathing, dressing, ambulating). Participants cannot be immediately related to the host, but can be friends and may already be living together.

Medicaid pays the host $19.00 per day in TAX-FREE income (approximately $570 per month), while the participant pays at least $400 per month in room and board. Private pay options are available for non-Medicaid clients.

Somerville-Cambridge Elder Services (SCES) provides the AFC Program in the Greater Boston area as far north as Ipswich, and in the western suburbs. Potential hosts and participants should contact the SCES Aging Information Center at 617-628-2601 ext. 3151.

Friday, March 9, 2007

Relief Available for Caregivers

When caregivers are able to access outside assistance, they often find that their quality of life is greatly improved and that the relationship with the person for whom they care is enhanced. One important resource that is often overlooked is the state’s Respite Program which is administered locally by Somerville-Cambridge Elder Services.

The state-funded Respite Program offers caregiver relief and is available to people of all income levels on a sliding fee scale, and offers a wealth of services such as case management, adult day programs, and assistance with personal care. Other services offered by the program include food shopping, home safety adaptations, housekeeping, laundry, meal preparation, meals-on-wheels, memory disorder consultation, personal emergency response systems, supervision/companionship, and transportation for medical appointments.

To qualify for the respite service, the care recipient must be 60 years or older (younger care recipients may be eligible if there is a Memory Disorder). The care recipient must need assistance with basic activities of daily living and the caregiver must be actively involved in overseeing care. Long distance caregivers may also qualify. Caregivers may be family members, friends, or partners.

To learn more about the Respite Program, please contact the SCES Aging Information Center at 617-628-2601 ext. 3151

Where to buy and sell used home care equipment

There’s is a new service on the internet that will allow people to buy and sell equipment for individuals with disabilities-with free listings. If you have some equipment that you no longer need---like a wheelchair, grab bar for the shower, hospital bed, tub seat, lift chair-there is now an "assistive technology" website with free listings.
The Assistive Technology Exchange of New England offers any device that helps a person with a disability to live more independently or safely. Supplies and equipment such as ventilators, oxygen equipment, and catheters will not be accepted. Items posing hygiene or safety risks also will not be listed.
The goal of the AT Exchange in New England is to put equipment that is not currently being used into the hands of someone who can benefit from it. People from states outside New England can list. The listings on the Exchange will include items for vision, hearing, speech communication, learning, cognitive, developmental, mobility, seating and positioning, daily living, environmental adaptations, transportation and vehicle modifications, computers, recreational, sports and leisure. The Exchange is not for vendors or distributors, it’s for the individual who has an item, or is looking for an item. Companies are welcome to donate equipment.
Anyone can browse the AT Exchange on the internet, but to sell or buy, you first have to register, which is easy to do. Each person who signs up gets a unique user name and password. Every listing submitted is reviewed by a staff person at the Exchange for approval. Staff at the AT Exchange can help review current listings for you, or post items on your behalf. You must update your listing at least once every 90 days, or it will be removed from the Exchange. Items posted within the last 7 days are identified with a "new" symbol . You can even search for items that have been added within the past 7, 14, or 30 days. Currently, there are only a few items listed, but check out this new service, and spread the word. In a few months, you may find something you really need for a loved one, or a friend.
To contact The Assistive Technology Exchange in New England, go to their website at http://www.getatstuff.com/ or, you can reach them by email at ATinMA@getatstuff.com or by phone toll free 1-866-682-9955 (in state), 617-204-3851 (voice), 617-204-3815 (TTY), 617-204-3887 (FAX).

Wednesday, March 7, 2007

Support for Elders, Caregivers, and Disabled

The Somerville-Cambridge Elder Services Aging Information Center is a free resource for anyone seeking information and advice on a wide variety of aging, disability and caregiving issues. The Aging Information Center is staffed with seasoned elder care professionals who can guide individuals and families through the sometimes confusing maze of service options.

Each year, thousands of people call the Aging Information Center to find information about housing, transportation, home care, health insurance, personal care, long term care planning, memory problems, respite care, volunteering and more.

To speak with a member of our Aging Information Center staff, please call 617-628-2601, ext. 3151.

Choices Program Offers Real Alternative to Nursing Homes

The Community Choices Program is offered by Somerville-Cambridge Elder Services and other Aging Service Access Points across the Commonwealth to very frail, nursing home eligible invididuals. With the help of this program, these individuals have the opportunity to remain at home rather than receive care in an institutional setting.

Community Choices provides intensive services to individuals who are at imminent risk of nursing facility placement and whose needs cannot be adequately met by other State Home Care programs. They receive a range of services that can help avoid nursing home placement - services such as homemaking, personal care, companion, and adult day health. Eligible individuals are: age 60 and over, are eligible for MassHealth, are at imminent risk of nursing home placement, and need additional supports to remain at home.

For more information about the Community Choices Program, please call the SCES Aging Information Center at 617-628-2601 ext. 3151.

Tuesday, March 6, 2007

Respite Program Open to All Income Levels

When caregivers are able to access outside assistance, they often find that their quality of life is greatly improved and that the relationship with the person for whom they care is enhanced. One important resource that is often overlooked is the state’s Respite Program which is administered locally by Somerville-Cambridge Elder Services.

The state-funded Respite Program offers caregiver relief and is available to people of all income levels on a sliding fee scale, and offers a wealth of services such as case management, adult day programs, and assistance with personal care. Other services offered by the program include food shopping, home safety adaptations, housekeeping, laundry, meal preparation, meals-on-wheels, memory disorder consultation, personal emergency response systems, supervision/companionship, and transportation for medical appointments.

To qualify for the respite service, the care recipient must be 60 years or older (younger care recipients may be eligible if there is a Memory Disorder). The care recipient must need assistance with basic activities of daily living and the caregiver must be actively involved in overseeing care. Long distance caregivers may also qualify. Caregivers may be family members, friends, or partners.

To learn more about the Respite Program, please contact the SCES Aging Information Center at 617-628-2601 ext. 3151

Property Tax Relief Available for Senior Citizens

If you are age 65 or older, you may be eligible for a state "refundable credit" to help pay for your local property taxes. This credit, known as the circuit breaker, could save you up to $870 when you file your state income taxes for 2006 this spring-even if you owe no state taxes. In fact, reading this column could be worth $3,340 in credits.

The circuit-breaker is a tax credit elders can claim on their state income tax form for the property taxes they paid during the tax year on the residential property they own, or rent, as their principal residence. Your credit is based on how much your property taxes, including water and sewer charges, exceed 10% of your "total income" for the year. For renters, the credit is the amount by which 25% of your annual rent exceeds 10% of your total income for the taxable year.

For tax year 2006, the maximum credit allowed for both renters and homeowners is $870. You apply for the credit on your state income tax Form 1, not from your local city or town assessors.

To be eligible, the taxpayer or spouse, if married filing jointly, must be 65 years of age or older by the end of 2006. The taxpayer's "total income" cannot exceed $46,000 for a single filer, $58,000 for a head of household, or $70,000 for taxpayers filing jointly. For homeowners, the assessed valuation of your home as of 1/1/06, cannot exceed $684,000. The credit is based upon the actual real estate taxes or rent paid by a taxpayer.

You can't apply if: 1) you file " married filing separate" status; 2) you get a federal or state rent subsidy; 3) you rent from a landlord who is not required to pay real estate taxes, or 4) you are the dependent of another taxpayer.

If you file for the $870 credit before 4/15/07, you can also claim up to an $840 credit for 2005, $820 for 2004, and $810 for 2003. That's a total of $3,340 in credits if a person has never used the circuit breaker before. For more background on this credit, call the state Department of Revenue at 800-392-6089, press "1" and then wait for customer service to answer. If you don't use a tax preparer, get a family member or friend to help you fill out the forms and Schedule CB on your tax form.

Monday, March 5, 2007

Do You Know an Older Person Who Needs A Ride?

The Volunteer Escort Transportation Program of Somerville-Cambridge Elder Services (SCES) offers rides to older people who find it difficult to use public transportation. Volunteer drivers provide rides to a variety of local destinations; however, trips to medical appointments are given priority.

Rides can be scheduled by calling 617-628-2601 and asking for extension 3118. Requests should be made at least 10 days in advance.

This program is made possible with a generous grant from the Cambridge Homes Fund.

Caregiver Financial Relief

An innovative program that has helped Massachusetts elders and younger adults with disabilities remain in the community is undergoing a major transformation. The MassHealth Adult Family Care Program (AFC) matches individuals who need assistance with activities of daily living with host families who provide those services in a home setting. Services can include assistance with activities of daily living such as bathing, dressing, incontinence management and other personal care.

The new Enhanced Adult Family Care program will now be able to meet the needs of individuals requiring a higher level of care. In addition, it broadens the spectrum of caregivers who are eligible to participate to include most family members. Families or hosts, as they are called in the program, receive about $18,000 to provide care that prevents or delays institutional care. "People express a clear preference for being cared for in a home setting," said John O’Neill, Executive Director of Somerville-Cambridge Elder Services, which provides the program in a number of communities in Greater Boston. "Enhanced Adult Family Care is a wonderful option for MassHealth beneficiaries who would like to receive care from a loved one in a home setting."

The guidelines of the new Enhanced Adult Family Care Program are based in part on another state program called, Caring Homes which is open to non-MassHealth eligible elders with complex medical needs. "This program is built on the foundation of family care giving," said Al Norman, executive director of Mass Home Care. "Sons and daughters will love this program because it allows them to be paid caregivers to their parents." The Enhanced Adult Family Care program will not only allow elders and persons with disabilities to move into a caregiver’s home, but will allow a caregiver to move into the individual’s home.

Participants must be 16 years or older and meet MassHealth financial and clinical eligibility standards. Caregivers may be any friend or family member other than a spouse, parent, or legally responsible relative and must meet qualifications specified by the state. MassHealth pays for Enhanced Adult Family Care if an individual is financially eligible for MassHealth and requires physical assistance with at least three of the following activities: bathing, dressing, toileting, transferring, ambulating, eating; or, physical assistance with two of the activities above and management of behaviors that require caregiver intervention such as wandering, verbally abusive behavioral symptoms, physically abusive behavioral symptoms, socially inappropriate or disruptive behavioral symptoms, or resisting care.

To learn more about Adult Family Care, Caring Homes or other in-home services, call the SCES Aging Information Center at 617-628-2601 ext. 3151.

Thursday, March 1, 2007

Need Help With Money Management?

Staying on top of day-to-day expenses can be difficult for everyone, but elders and people living with disabilities often find it especially challenging. Elders with failing vision may struggle to read a bill or write a check. Homebound individuals may be unable to run an errand at the bank. Many others are trying to cope with mounting debt or falling victim to financial exploitation.
For some of these individuals, living independently would be impossible without assistance managing their day-to-day finances.

The Money Management Program at Somerville-Cambridge Elder Services (SCES) provides trained and insured volunteers to work one-on-one with elders and people with disabilities who need help writing checks, paying bills, running bank errands, or making a monthly budget. For a time commitment that averages only a few hours per month, a volunteer develops a relationship with an individual in his or her community who just needs a little help to stay independent.

The Money Management Program is always accepting new volunteers, so please contact Al Solomon or Lizz Thrall at 617-628-2601 if youre interested in learning more about the program.

SCES Hits the Airwaves

Somerville-Cambridge Elder Services has launched a monthly television program called Active Aging which will air on SCAT and CCTV.

Active Aging will feature an array of useful information for older people and people living with disabilities. The program will highlight positive aspects of aging, and how older people and people living with disabilities can stay active and engaged in life.

Somerville Air Time
Tuesdays at 4:30 PM on SCAT (channel 3 for Comcast and RCN)

Cambridge Air Time
Tuesdays at 8:30 AM and Thursdays at 2:00 PM on CCTV (channel 10)

Unique Program Offered for People with Chronic Diseases

Somerville-Cambridge Elder Services is offering a six-week program entitled, "Healthy Living with Chronic Conditions". The program which was developed by the Stanford University School of Medicine, offers individuals living with arthritis, diabetes, heart disease, Parkinson’s, and other chronic conditions to learn strategies to more effectively manage symptoms and improve quality of life.

Instructors explore techniques to deal with frustration, fatigue, pain and isolation; teach exercises for maintaining and improving strength, flexibility and endurance; explain appropriate use of medications; and, offer effective communication techniques to use
with health professionals, family, friends.

Meetings will be held on Thursdays, March 8th, 15th, 22nd, 29th, April 5th and 12th from 1:00 to 3:30. They will take place at the Miller’s River Apartment Building, 15 Lambert Street, Cambridge. The location is easily accessible by public transportation. Enrollment is limited and pre-registration is required by February 28th. 617-628-2601 ext. 3151.

Wednesday, February 28, 2007

Don't Forget One Time Refund for the Telephone Excise Tax

Did you have long-distance telephone service between Feb. 28, 2003, and Aug. 1, 2006? If so, there is a good chance the government owes you money.

The Internal Revenue Service (IRS) is offering a one-time refund for the telephone excise tax, which the government used to collect on long-distance telephone service. Recent federal court decisions held that the three-percent tax, which began in 1898, no longer applies.

To make things simple, you can request a standard refund amount between $30 and $60 depending on your household. If you choose the standard amount, you only need to fill out one extra line on your tax return. Otherwise, you must determine your refund using the actual amount of taxes paid, which will involve gathering old phone bills and filling out an additional form. If you don't need to file a tax return, you still can get the refund by using a new simple Form 1040EZ-T.

Many Medicare Beneficiaries Under Age 65 Not Accessing Medicare Savings Programs

The Medicare Advocacy Project (MAP) believes that many Medicare beneficiaries under age 65 in Massachusetts are not able to access the Medicare Savings Program (MSP) benefits that they are legally entitled to. Unless eligible for MassHealth Standard, beneficiaries under age 65 do not receive MSP benefits. MAP is working to correct this problem and is looking for affected beneficiaries.

MassHealth does not advertise that MSP benefits are available to people under 65 who are not on Masshealth Standard. The MassHealth computerized eligibility determinations do not pick up on these cases.

The MassHealth regulations concerning the Medicare Savings Programs are contained in the sections of the regulations that apply to people 65 and over, creating ambiguity as to whether they apply to those under age 65.

The Law: There are three Medicare Savings Programs:
  1. QMB (Qualified Medicare Beneficiary) covers Medicare deductibles, Medicare co-insurance and the Medicare premium(s). QMB has an income limit of 100% of the federal poverty level and an asset limit of $4000 - $6000.
  2. SLMB (Specified Low Income Medicare Beneficiary) covers the Medicare premium(s) and has an income limit of 120% of the federal poverty level and an asset limit of $4000 - $6000.
  3. QI (Qualified Individual) covers the Medicare premium(s) and has an income limit of 135% of the federal poverty level and an asset limit of $4000 - $6000.
The Law: SSI Income Counting Rules must Be Used:

Under federal law (42 U.S.C. § 1396d(p)(1), 42 U.S.C. § 1396a(a)(10)(E)(iii); 42 U.S.C. § 1396a(a)(10)(E)(iv)) countable income for these programs is supposed to be determined using SSI income counting rules. These rules are different from the rules that are used by MassHealth to determine MassHealth eligibility for disabled adults under age 65. While MassHealth uses a gross income test without deductions and counts the income of all household members including minor children in determining the adult's eligibility, SSI has deductions from countable income and does not count the income of a minor child in determining an adult's eligibility. This difference can be meaningful in individual situations.

Examples (using 2006 income and poverty level standards):
  1. Single disabled adult with gross SSDI income of $1100 per month in 2006. Under MassHealth rules, this individual is over income for MassHealth Standard and thus would not have their Medicare premium paid by MassHealth. Under SSI income rules, countable income would be $1080 after the $20 disregard and thus the person would have countable income below 133% FPL and would be eligible as a QI for payment of the Medicare premium.
  2. Disabled adult who is a single mother with gross SSDI income of $800 who has a child with dependants' benefits of $400 a month and child support of $300 a month. The gross monthly family income of $1500 is over the 133% for MassHealth Standard. However, under SSI income rules, the adults' countable income is only $800 which is below 100% of the Federal poverty level. Thus, although this person is not eligible for MassHealth Standard, she should be eligible for full QMB benefits which would pay Medicare deductibles and cost sharing as well as the Medicare premium.
  3. Disabled adult with no income who has a working spouse grossing $2000 per month. Under MassHealth rules, this person is not eligible for MassHealth Standard as gross family income exceeds 133% of the Federal Poverty level. If SSI income deductions were applied, countable income would be $957 for a family of two and the person would be eligible for full QMB benefits which would pay Medicare deductibles and cost sharing as well as the Medicare premium.
If you have clients under age 65 who are not eligible for MassHealth Standard, but might be eligible for QMB, SLMB, or QI benefits under the SSI income rules, we would like to hear about them. Please contact Nancy Lorenz, nlorenz@gbls.org, or Sarah Anderson, sanderson@gbls.org.

No Medicare Part D Late Fee for Low-Income Enrollees

CMS Acting Administrator Leslie V. Norwalk announced the elimination of the 2007 late enrollment penalty for any beneficiary eligible for the low income subsidy for a Part D plan even if they failed to sign up by the program's initial deadline.

Generally, Medicare beneficiaries who are qualified to join a prescription drug plan, or Part D, but choose not to enroll during their initial enrollment period, may be subject to a late enrollment penalty (LEP). These fees were intended to encourage Medicare beneficiaries to sign up for the drug coverage plan when they first become eligible, but may cause some low-income beneficiaries to avoid seeking coverage.

Under this initiative, certain low-income Medicare beneficiaries can enroll in a Medicare prescription drug plan with no penalty through December 31, 2007.

For more information, call the Somerville-Cambridge Elder Services Aging Information Center, 617-628-2601 ext. 3151

Thursday, February 22, 2007

Massachusetts Seeks to Enroll Older People in Food Stamps Program

Only a few years ago, Massachusetts ranked last in the nation with 60% of the people eligible for food stamps not on the program. But over the past 5 years, an aggressive outreach plan has turned those numbers around. Today, Massachusetts ranks number one in the percentage of new food stamp users.

In 2001, there were 222,519 state residents using food stamps. Today, there are 445,381 people enrolled. The program has doubled! Across the country, about 25.7 million people use food stamps. In 2006, the Massachusetts issued $408 million in Food Stamp benefits, which also helps the economy by increasing grocery store sales.

Some older people may not apply for food stamps because of myths about the program:
  • Food stamps are just for young mothers with kids. (False)
    The program is for people with limited income, regardless of their age. About half the people benefiting from food stamps are children---but only 8 % were age 60 or older.
  • Food stamps mean using funny-colored "money." (False)
    Today, people use a debit card that looks just like any other plastic credit card. The state deposits your monthly food stamps benefits in an electronic benefits transfer account. They send you a card to use at food store checkouts to pay for your food. Whenever you buy food with your card, your receipt will show the amount of money left in your account.
  • Food stamps can only buy limited items. (False)
    Food stamps can be used to buy almost any food item in any store where you usually shop for food. Massachusetts residents who use food stamps can spend the money they save to help pay their other bills.
  • Food stamps aren’t worth much financially. (False)
    The average food stamp benefit in 2004 was $1,020 a year. A single person will get less than a family---but even the minimum benefit is worth $120 a year. Since there is no cost to apply, that frees up $120 to use for something besides food.
  • Food stamps are hard to apply for: (False)
    You can apply at food stamp outreach locations throughout the state. To find an office near you, call the toll-free FoodSource Hotline at 1-800-645-8333. Ask them what items you need to bring when applying for food stamps. You will need to bring information about your income and expenses, such as Social Security or SSI payments, rental payments, and medical bills. Remember, hundreds of thousands of people have qualified.
    For more information about food stamps in Massachusetts, and how to apply, call 1-866-950-FOOD. If you want to find out if you could be eligible, check out the Internet tool at www.foodstamps-step1.usda.gov.