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Chester J. Culver , Governor
Patty Judge, Lt. Governor
John McCalley, Director


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Senior Living Program

Benefits to Stakeholders | SLP Report | CMPFE Unmet Needs Reports | SLP Unmet Needs Reports


About the SLP

The over-arching goal of the Senior Living Program is to create a comprehensive long-term care system that:

  • Is consumer-directed
  • Provides a balance between the alternatives of home and community-based services and institutional care
  • Contributes to the quality of the lives of Iowans; and
  • Has an ongoing source of funds to support home and community based services.

There are two major portions of the program. The first portion, operated through the Iowa Department of Human Services, focuses on making changes in the nursing home industry. For example, the program transitions the standard payment system from a flat rate reimbursement (regardless of level of care) to a system in which reimbursement varies, depending on the level of services required by individual residents. In addition, it provides grant opportunities for nursing facilities to convert excess nursing home rooms to alternative services like assisted living, adult day services, or other home and community based services. The funded providers may serve any person needing long-term care alternative services.

The second major part of the program, funded through the Iowa Department on Aging and implemented by the Area Agencies on Aging and the aging network, helps pay for home and community-based services for low and moderate-income older persons. These funds are available through the local Area Agency on Aging to pay providers to help meet the service needs of low and moderate income older persons, often linked to the Case Management Program for the Frail Elderly (CMPFE).

Senior Living Program Fact Sheets - Senior Living Program data is reported to IDA from AAAs and the Fact Sheets below represent information about consumers and services funded through the Senior Living Program.

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The Senior Living Trust provides important benefits to stakeholders:

  • Benefits for Nursing Homes- Provides grants for conversions of beds, improved reimbursement under Medicaid, takes empty beds out of the occupancy formula, and can help move the nursing facility above 80% occupancy for the long term. The Senior Living Program also allows nursing homes to broaden their income base, tap other long-term care funding streams (Home and Community-Based Services waivers, Elderly Services contracts, etc.), and enhance employment opportunities in local communities.
  • Benefits for Home and Community Based Service Providers- Helps to develop missing service components. Additional funding is available for home and community-based services through contracts with Area Agencies on Aging and Medicaid Home and Community-Based Services waivers.
  • Benefits to Consumers- Improved access to long-term care alternative services in the most appropriate setting for the individual consumer and improved financial assistance for long-term care alternative services.
  • Benefits for State Government- Moves closer to state goals of a more balanced and cost-effective long-term care service system and fulfillment of responsibility to constituents, fewer calls from constituents with unmet needs, and prepares the system for the anticipated growth of older populations.

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Senior Living Program Report

This report shows the number of older low-income and moderate-income Iowans who received service from the Senior Living Program (SLP) and the number of units by service category. Additionally, it shows the number of persons served across services. In other words, if you add the total number of clients from all services it is higher than the actual number of persons served across all services, because some people need and receive more than one service. (Please note: this is preliminary data, and may be subject to change.)

The SFY 2009 SLP Data was incorporated into the NAPIS Report YTD July 1, 2008 - June 30, 2009

The SFY 2008 SLP Data was incorporated into the NAPIS Report YTD July 1, 2007 - June 30, 2008

The SFY 2007 SLP Data was incorporated into the NAPIS Report YTD July 1, 2006 - June 30, 2007

The SFY 2006 SLP Data was incorporated into the NAPIS Report YTD July 1, 2005 - June 30, 2006

The SFY 2005 SLP Data was incorporated into the NAPIS Report YTD July 1, 2004 - June 30, 2005

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Case Management Program for the Frail Elders (CMPFE) Unmet Needs Reports

The CMPFE program, administered by the Iowa Department on Aging and operated by the Area Agencies on Aging, is the network that coordinates home and community based services for frail and vulnerable Iowans aged 60 and older. These reports show unmet needs identified and reported by CMPFE Case Managers during the development of the consumers service plan. (Please note: this is preliminary data reported to IDA from AAAs and data may be subject to change.)

Visit the CMPFE Unmet Needs Archives for monthly reports from prior years:

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Senior Living Program (SLP) Unmet Needs Reports

Despite the successes of the Senior Living Program and other efforts of the Iowa Aging Network, there continue to be documented unmet needs throughout the state, in part because of general fund budget reductions. These reports show unmet needs identified and reported to Area Agencies on Aging by Senior Living Program funded service providers.

Final SLP Unmet Needs Reports for prior years:

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