Provider Plan

This text was generated by a machine and may contain errors.

Federal FY 2026

Bureau of Senior Services

Ensuring Well and Vital Seniors

County Provider Plan

(Provider Agency Name)

Marion County Senior Citizens, Inc.

County Provider Plan
Table of Contents

Part |

Verification of Intent
Part Il

Assurance Of COMpliance 0.0.2.0... cece cece ccc cec eee eeee ee eeeee ee eeeeeeeeeeeeeeeeeeeeeeeaeeseesneeeeeeneeeannes
Part IV Narratives 2000.0... c ccc cc cece cece eee e cence eee ceed cece deeeedeeee nected eeeedeeeedeseedeseeaeeeeneeeeneeeeneeeenes

Section A — Titles III-B, D, & E Program Narrative

Section B — Titles III-B, C, D, & E Public Comment
Part V Budget Pages (located in Excel Workbook)

Agency Information

Service Projections

General Information Page

Title III-B Budget & Match

Title Ill-C Budget & Match

Title IIl-D Budget & Match

Title Ill-E Budget & Match

Priority Services

Transportation Attachment

Transfers between Title III-B and III-C Allocations

List of Prior Approval Items
Part I: VERIFICATION OF INTENT Marion Plan

(County)

The FY 2026 Provider Plan is hereby submitted for the:

Marion County, West Virginia

(Planning & Service Area)

This document is for approval of Bureau funded services and activities from October 1, 2025, through
September 30, 2026

Marion County Senior Citizens, Inc.

(Name of Provider Agency)

assures that this document adheres to all of the provisions of the Older Americans Act, as implemented
by the Administration on Community Living and the Bureau, during the period identified. The Provider
Agency named above will assume full authority to develop and administer the Provider Plan in
accordance with all requirements of the Act and related State policies, procedures and regulations. In
accepting this authority, the Provider Agency assumes the major responsibilities to develop and
administer a comprehensive and coordinated system of services and activities for providing a positive
impact on the lives of elderly people within the service area.

By submitting this Provider Plan to the:

Northwestern Area Agency on Aging

for approval, the Provider Agency Board, it's Director, managers, and counselors agree to comply with
the FY 2026 Provider Plan Assurances.

(Date) (Provider Agency Director's Signature)

The governing body of the Provider Agency has reviewed this Plan and supports all information
contained herein.

(Date) (Sponsoring Board’s Signature)

County Provider Plan 1

PART Il: FY 2026 ASSURANCE OF COMPLIANCE

This section asserts and affirms the Provider's acceptance of the Bureau of Senior Services and federal and
state conditions and assurances which govern use of Older Americans Act funds as well as other programs of
the West Virginia Bureau of Senior Services as the designated focal point for the delivery of Older Americans
Act services through the Bureau.

The Marion County Senior Citizens, Inc.

(Provider Agency)

confirms that the following assurances of compliance will be followed:

(a) Each Provider Agency designated under section 305(a)(2)(A) shall, in order to be approved by the Area
Agency on Aging, prepare and develop an area plan for a planning and service area for a two-, three-,
or four-year period determined by the Area Agency on Aging, with such annual adjustments as may be
necessary. Each such plan shall be based upon a uniform format for area plans within the State
prepared in accordance with section 307(a)(1). Each such plan shall—

(1) provide, through a comprehensive and coordinated system, for supportive services, nutrition services, and,
where appropriate, for the establishment, maintenance, modernization, or construction of multipurpose senior
centers (including a plan to use the skills and services of older individuals in paid and unpaid work, including
multigenerational and older individual to older individual work), within the planning and service area covered by
the plan, including determining the extent of need for supportive services, nutrition services, and multipurpose
senior centers in such area (taking into consideration, among other things, the number of older individuals with
low incomes residing in such area, the number of older individuals who have 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) residing in such area,
the number of older individuals who have 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) residing in such area, the number of older individuals at risk for
institutional placement residing in such area, and the number of older individuals who are Indians residing in
such area, and the efforts of voluntary organizations in the community), evaluating the effectiveness of the use
of resources in meeting such need, and entering into agreements with providers of supportive services,
nutrition services, or multipurpose senior centers in such area, for the provision of such services or centers to
meet such need;

(2) provide assurances that an adequate proportion, as required under section 307(a)(2), of the amount
allotted for part B to the planning and service area will be expended for the delivery of each of the following
categories of services—

(A) services associated with access to services (transportation, health services (including mental and
behavioral health services), outreach, information and assistance (which may include information and
assistance to consumers on availability of services under part B and how to receive benefits under and
participate in publicly supported programs for which the consumer may be eligible) and case management
services);

(B) in-home services, including supportive services for families of older individuals with Alzheimer's disease
and related disorders with neurological and organic brain dysfunction; and

(C) legal assistance;

and assurances that the Provider Agency will report annually to the Area Agency on Aging in detail the amount
of funds expended for each such category during the fiscal year most recently concluded;

(3) (A) designate, where feasible, a focal point for comprehensive service delivery in each community, giving
special consideration to designating multipurpose senior centers (including multipurpose senior centers
operated by organizations referred to in paragraph (6)(C)) as such focal point; and

(B) specify, in grants, contracts, and agreements implementing the plan, the identity of each focal point so
designated;

County Provider Plan 2
(4) (A)(i)(1) provide assurances that the Provider Agency will—

(aa) set specific objectives, consistent with State policy, for providing services to older individuals with greatest
economic need, older individuals with greatest social need, and older individuals at risk for institutional
placement;

(bb) include specific objectives for providing services to low-income minority older individuals, older individuals
with limited English proficiency, and older individuals residing in rural areas; and

(Il) include proposed methods to achieve the objectives described in items (aa) and (bb) of sub-clause (I):

(ii) provide assurances that the Provider Agency will include in each agreement made with a provider of any
service under this title, a requirement that such provider will—

(1) specify how the provider intends to satisfy the service needs of low-income minority individuals, older
individuals with limited English proficiency, and older individuals residing in rural areas in the area served by
the provider;

(Il) to the maximum extent feasible, provide services to low-income minority individuals, older individuals with
limited English proficiency, and older individuals residing in rural areas in accordance with their need for such
services; and

(Ill) meet specific objectives established by the Provider Agency, for providing services to low-income minority
individuals, older individuals with limited English proficiency, and older individuals residing in rural areas within
the planning and service area; and

(iii) with respect to the fiscal year preceding the fiscal year for which such plan is prepared —

(l) identify the number of low-income minority older individuals in the planning and service area; (Il) describe
the methods used to satisfy the service needs of such minority older individuals; and

(III) provide information on the extent to which the Provider Agency met the objectives described in clause (1).
(B) provide assurances that the Provider Agency will use outreach efforts that will—

(i) identify individuals eligible for assistance under this Act, with special emphasis on—

(1) older individuals residing in rural areas;

(Il) older individuals with greatest economic need (with particular attention to low-income minority individuals
and older individuals residing in rural areas);

(Ill) older individuals with greatest social need (with particular attention to low-income minority individuals and
older individuals residing in rural areas);

(IV) older individuals with severe disabilities;

(V) older individuals with limited English proficiency;

(VI) older individuals with Alzheimer’s disease and related disorders with neurological and organic brain
dysfunction (and the caretakers of such individuals); and

(VII) older individuals at risk for institutional placement, specifically including survivors of the Holocaust; and
(ii) inform the older individuals referred to in sub-clauses (I) through (VII) of clause (i), and the caretakers of
such individuals, of the availability of such assistance; and

(C) contain an assurance that the Provider Agency will ensure that each activity undertaken by the agency,
including planning, advocacy, and systems development, will include a focus on the needs of low-income
minority older individuals and older individuals residing in rural areas.

(5) provide assurances that the Provider Agency will coordinate planning, identification, assessment of needs,
and provision of services for older individuals with disabilities, with particular attention to individuals with severe
disabilities, and individuals at risk for institutional placement, with agencies that develop or provide services for
individuals with disabilities;

(6) provide that the Provider Agency will—

(A) 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 such plan;

(B) serve as the advocate and focal point for older individuals within the community by (in cooperation with
agencies, organizations, and individuals participating in activities under the plan) monitoring, evaluating, and
commenting upon all policies, programs, hearings, levies, and community actions which will affect older
individuals;

(C)(i) where possible, enter into arrangements with organizations providing day care services for children,
assistance to older individuals caring for relatives who are children, and respite for families, so as to provide
opportunities for older individuals to aid or assist on a voluntary basis in the delivery of such services to
children, adults, and families;

County Provider Plan 3
(li) if possible regarding the provision of services under this title, enter into arrangements and coordinate with
organizations that have a proven record of providing services to older individuals, that—

(|) were officially designated as community action agencies or community action programs under section 210
of the Economic Opportunity Act of 1964 (42U.S.C. 2790) for fiscal year 1981, and did not lose the designation
as a result of failure to comply with such Act; or

(Il) came into existence during fiscal year 1982 as direct successors in interest to such community action
agencies or community action programs;

and that meet the requirements under section 676B of the Community Services Block Grant Act; and

(lil) make use of trained volunteers in providing direct services delivered to older individuals and individuals
with disabilities needing such services and, if possible, work in coordination with organizations that have
experience in providing training, placement, and stipends for volunteers or participants (Such as organizations
carrying out Federal service programs administered by the Corporation for National and Community Service),
in community service settings;

(D) establish 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 this Act, family caregivers of such individuals, representatives of older individuals, service providers,
representatives of the business community, local elected officials, providers of veterans’ health care (if
appropriate), and the general public, to advise continuously the Provider Agency on all matters relating to the
development of the area plan, the administration of the plan and operations conducted under the plan;

(E) establish effective and efficient procedures for coordination of—

(i) entities conducting programs that receive assistance under this Act within the planning and service area
served by the agency; and

(ii) entities conducting other Federal programs for older individuals at the local level, with particular emphasis
on entities conducting programs described in section 203(b), within the area;

(F) in coordination with the Area Agency on Aging and with the Area Agency on Aging responsible for mental
and behavioral health services, increase public awareness of mental health disorders, remove barriers to
diagnosis and treatment, and coordinate mental and behavioral health services (including mental health
screenings) provided with funds expended by the Provider Agency with mental and behavioral health services
provided by community health centers and by other public agencies and nonprofit private organizations;

(G) if there is a significant population of older individuals who are Indians in the planning and service area of
the Provider Agency, the Provider Agency shall conduct outreach activities to identify such individuals in such
area and shall inform such individuals of the availability of assistance under this Act;

(H) in coordination with the Area Agency on Aging and with the Area Agency on Aging responsible for elder
abuse prevention services, increase public awareness of elder abuse, neglect, and exploitation, and remove
barriers to education, prevention, investigation, and treatment of elder abuse, neglect, and exploitation, as
appropriate; and

(1) to the extent feasible, coordinate with the Area Agency on Aging to disseminate information about the State
assistive technology entity and access to assistive technology options for serving older individuals;

(7) provide that the Provider Agency shall, consistent with this section, facilitate the areawide development and
implementation of a comprehensive, coordinated system for providing long-term care in home and community-
based settings, in a manner responsive to the needs and preferences of older individuals and their family
caregivers, by—

(A) collaborating, coordinating activities, and consulting with other local public and private agencies and
organizations responsible for administering programs, benefits, and services related to providing long-term
care;

(B) conducting analyses and making recommendations with respect to strategies for modifying the local
system of long-term care to better—

(i) respond to the needs and preferences of older individuals and family caregivers;

(li) facilitate the provision, by service providers, of long-term care in home and community-based settings; and
(iii) target services to older individuals at risk for institutional placement, to permit such individuals to remain in
home and community-based settings;

(C) implementing, through the agency or service providers, evidence-based programs to assist older
individuals and their family caregivers in learning about and making behavioral changes intended to reduce the
risk of injury, disease, and disability among older individuals; and

(D) providing for the availability and distribution (through public education campaigns, Aging and Disability
Resource Centers, the Provider Agency itself, and other appropriate means) of information relating to—

County Provider Plan 4
(i) the need to plan in advance for long-term care; and

(ii) the full range of available public and private long-term care (including integrated long-term care) programs,
options, service providers, and resources;

(8) provide that case management services provided under this title through the Provider Agency will—

(A) not duplicate case management services provided through other Federal and State programs;

(B) be coordinated with services described in subparagraph (A); and

(C) be provided by a public agency or a nonprofit private agency that—

(i) gives each older individual seeking services under this title a list of agencies that provide similar services
within the jurisdiction of the Provider Agency;

(ii) gives each individual described in clause (i) a statement specifying that the individual has a right to make an
independent choice of service providers and documents receipt by such individual of such statement;

(iil) has case managers acting as agents for the individuals receiving the services and not as promoters for the
agency providing such services; or

(iv) is located in a rural area and obtains a waiver of the requirements described in clauses (i) through (iii);

(9) (A) provide assurances that the Provider Agency, 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 this
Act and expended by the agency in fiscal year 2025 in carrying out such a program under this title;

(B) funds made available to the Provider Agency pursuant to section 712 shall be used to supplement and not
supplant other Federal, State, and local funds expended to support activities described in section 712;

(10) provide a grievance procedure for older individuals who are dissatisfied with or denied services under this
title;

(11) provide information and assurances concerning services to older individuals who are Native Americans
(referred to in this paragraph as "older Native Americans"), including—

(A) information concerning whether there is a significant population of older Native Americans in the planning
and service area and if so, an assurance that the Provider Agency will pursue activities, including outreach, to
increase access of those older Native Americans to programs and benefits provided under this title;

(B) an assurance that the Provider Agency will, to the maximum extent practicable, coordinate the services the
agency provides under this title with services provided under title VI; and

(C) an assurance that the Provider Agency will make services under the area plan available, to the same
extent as such services are available to older individuals within the planning and service area, to older Native
Americans;

(12) provide that the Provider Agency will establish procedures for coordination of services with entities
conducting other Federal or federally assisted programs for older individuals at the local level, with particular
emphasis on entities conducting programs described in section 203(b) within the planning and service area.
(13) provide assurances that the Provider Agency will—

(A) maintain the integrity and public purpose of services provided, and service providers, under this title in all
contractual and commercial relationships;

(B) disclose to the Assistant Secretary and the Area Agency on Aging—

(i) the identity of each nongovernmental entity with which such agency has a contract or commercial
relationship relating to providing any service to older individuals; and

(ii) the nature of such contract or such relationship;

(C) demonstrate that a loss or diminution in the quantity or quality of the services provided, or to be provided,
under this title by such agency has not resulted and will not result from such contract or such relationship;

(D) demonstrate that the quantity or quality of the services to be provided under this title by such agency will be
enhanced as a result of such contract or such relationship; and

(E) on the request of the Assistant Secretary or the State, for the purpose of monitoring compliance with this
Act (including conducting an audit), disclose all sources and expenditures of funds such agency receives or
expends to provide services to older individuals;

(14) provide assurances that preference in receiving services under this title will not be given by the Provider
Agency to particular older individuals as a result of a contract or commercial relationship that is not carried out
to implement this title;

(15) provide assurances that funds received under this title will be used—

(A) to provide benefits and services to older individuals, giving priority to older individuals identified in
paragraph (4)(A)(i); and

(B) in compliance with the assurances specified in paragraph (13) and the limitations specified in section 212;

County Provider Plan 5
(16) provide, to the extent feasible, for the furnishing of services under this Act, consistent with self-directed
care;

(17) include information detailing how the Provider Agency 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;
(18) provide assurances that the Provider Agency will collect data to determine—

(A) the services that are needed by older individuals whose needs were the focus of all centers funded under
title IV in fiscal year 2025; and

(B) the effectiveness of the programs, policies, and services provided by such Provider Agency in assisting
such individuals; and

(19) provide assurances that the Provider Agency will use outreach efforts that will identify individuals eligible
for assistance under this Act, with special emphasis on those individuals whose needs were the focus of all
centers funded under title IV in fiscal year 2025.

(b)(1) An Provider Agency may include in the area plan an assessment of how prepared the Provider Agency
and service providers in the planning and service area are for any anticipated change in the number of older
individuals during the 10-year period following the fiscal year for which the plan is submitted.

(2) Such assessment may include—

(A) the projected change in the number of older individuals in the planning and service area;

(B) an analysis of how such change may affect such individuals, including individuals with low incomes,
individuals with greatest economic need, minority older individuals, older individuals residing in rural areas, and
older individuals with limited English proficiency;

(C) an analysis of how the programs, policies, and services provided by such area agency can be improved,
and how resource levels can be adjusted to meet the needs of the changing population of older individuals in
the planning and service area; and

(D) an analysis of how the change in the number of individuals age 85 and older in the planning and service
area is expected to affect the need for supportive services.

(3) An Provider Agency, in cooperation with government officials, State agencies, tribal organizations, or local
entities, may make recommendations to government officials in the planning and service area and the State,
on actions determined by the area agency to build the capacity in the planning and service area to meet the
needs of older individuals for—

(A) health and human services;

(B) land use;

(C) housing;

(D) transportation;

(E) public safety;

(F) workforce and economic development;

(G) recreation;

(H) education;

(l) civic engagement;

(J) emergency preparedness;

(K) protection from elder abuse, neglect, and exploitation;

(L) assistive technology devices and services; and

(M) any other service as determined by such agency.

(c) Each State, in approving Provider Agency plans under this section, shall waive the requirement described
in paragraph (2) of subsection (a) for any category of services described in such paragraph if the Provider
Agency demonstrates to the Area Agency on Aging that services being furnished for such category in the area
are sufficient to meet the need for such services in such area and had conducted a timely public hearing upon
request. 07/09/2020 9

(d)(1) Subject to regulations prescribed by the Assistant Secretary, an Provider Agency designated under
section 305(a)(2)(A) or, in areas of a State where no such agency has been designated, the Area Agency on
Aging, may enter into agreement with agencies administering programs under the Rehabilitation Act of 1973,
and titles XIX and XX of the Social Security Act for the purpose of developing and implementing plans for
meeting the common need for transportation services of individuals receiving benefits under such Acts and
older individuals participating in programs authorized by this title.

County Provider Plan 6
(2) In accordance with an agreement entered into under paragraph (1), funds appropriated under this title may
be used to purchase transportation services for older individuals and may be pooled with funds made available
for the provision of transportation services under the Rehabilitation Act of 1973, and titles XIX and XX of the
Social Security Act.

(e) An Provider Agency may not require any provider of legal assistance under this title to reveal any
information that is protected by the attorney-client privilege.

(f)(1) If the head of a Area Agency on Aging finds that an Provider Agency has failed to comply with Federal or
State laws, including the area plan requirements of this section, regulations, or policies, the State may withhold
a portion of the funds to the Provider Agency available under this title.

(2) (A) The head of a Area Agency on Aging shall not make a final determination withholding funds under
paragraph (1) without first affording the Provider Agency due process in accordance with procedures
established by the Area Agency on Aging.

(B) Ata minimum, such procedures shall include procedures for—

(i) providing notice of an action to withhold funds;

(li) providing documentation of the need for such action; and

(iii) at the request of the Provider Agency, conducting a public hearing concerning the action.

(3) (A) If a Area Agency on Aging withholds the funds, the Area Agency on Aging may use the funds withheld
to directly administer programs under this title in the planning and service area served by the Provider Agency
for a period not to exceed 180 days, except as provided in subparagraph (B).

(B) If the Area Agency on Aging determines that the Provider Agency has not taken corrective action, or if the
Area Agency on Aging does not approve the corrective action, during the 180-day period described in
subparagraph (A), the Area Agency on Aging may extend the period for not more than 90 days.

(g) Nothing in this Act shall restrict an Provider Agency from providing services not provided or authorized by
this Act, including through—

(1) contracts with health care payers;

(2) consumer private pay programs; or

(3) other arrangements with entities or individuals that increase the availability of home and community-based

services and supports.

42 U.S.C. 3026¢

Board President Signature Date

Executive Director Signature Date

County Provider Plan 7
Provider:

Marion County Senior Citizens, Inc.

Section A: Titles lll B, D & E Program Narrative

1. Specify how your agency will organize Title Ill services to enable older adults to live
independently at home and stay connected in their communities.

Title Ill B of the Older Americans Act refers to supportive services that help older adults remain independent and safely live in their
homes and communities. These services may include transportation, information and assistance, case management, personal care,
chore services, and other programs that promote independence and improve quality of life for seniors.

Title III-C

of the Older American§ trate gies a Significant source of

federal funding forPygfected Cueceanes

3B

1. Comprehensive Needs Assessment
& Person-Centered Planning

oO

Conduct detailed assessments
to identify individual needs
related to transportation, in-
home assistance, social
engagement, and health
access.

Develop individualized service
plans focused on promoting
independence and connection.

2. Expand Transportation Services

oO

oO

Increase availability of
accessible transportation for
medical appointments, grocery
shopping, social activities, and
senior center participation.
Collaborate with local transit
programs to broaden reach.

3. Enhance In-Home Support Services

oO

Provide client Support services,
personal care, and respite care
to assist older adults in daily
living activities.

Offer specialized support for
caregivers, including education
and respite options.

4. Strengthen Information and
Assistance Programs

oO

Maintain up-to-date resource
directories and provide one-on-
one help navigating public
benefits, health care, and
community services.

Use outreach campaigns to
connect isolated or
underserved seniors to
services.

100% of enrolled clients receive individualized
service plans tailored to their needs.

20% increase in rides provided with a 90% client
satisfaction with transportation services.

25% growth in client support and respite service
hours delivered; decreased reports of caregiver
burnout.

Increase Information & Assistance contacts by 15%; 85%
of clients report improved access to the services
needed.

County Provider Plan

5. Develop Social and Recreational
Opportunities

o Facilitate group activities,
wellness programs, and peer
support groups at senior
centers and in community
settings.

o Encourage intergenerational
programming to foster
community ties.

6. Coordinate with Healthcare and
Community Partners

o Partner with healthcare
providers, behavioral health
services, and housing agencies
to ensure holistic support.

o Integrate Title III-B services
with other OAA programs to
maximize efficiency and impact.

30% increase in participation rates; reduction in
reported social isolation by 20%.

Established referral pathways with at least 5 local
providers; improved client outcomes through
integrated care.

3C

1. Enhance Home-Delivered Meal
Program (HDM)

o Maintain and expand routes to
ensure timely delivery of
nutritious meals to homebound
seniors.

o Train drivers to conduct
informal wellness checks and
report concerns to staff for
follow-up.

2. Strengthen Congregate Meal
Services

o Offer nutritious meals in
welcoming, socially engaging
environments at senior centers.

o Add wellness education, group
activities, and guest speakers
to enrich the congregate meal
experience.

3. Reduce Social Isolation
o Use meal delivery and
congregate sites as
opportunities to connect seniors
to other programs and social
opportunities.

15% increase in the number of home-delivered
meals; 90% of clients report meals help them
remain at home.

Increase in participation — up to set budget
allotment with 80% of attendees reporting
increased social engagement.

30% of congregate participants engage in
additional center activities; measurable
improvement in loneliness scores.

County Provider Plan

o Encourage peer interaction and
community involvement through
activities before or after meals.

o Offer frozen or shelf-stable
meals as part of contingency
planning and caregiver support.

4. Conduct Outreach and Education

o Promote nutrition programs
through community partners,
health providers, and local
media.

o Identify and enroll underserved
older adults, particularly in rural
areas or those facing barriers to
access.

10% increase in new enrollments among
underserved groups; strengthened
partnerships with 5+ referral sources.

3D

1.

We do not receive IIID funding

Currently, we do not receive Title IIID funding;
however, we remain committed to providing
programs that support the health and weliness of
our seniors through engaging activities, educational
opportunities, and wellness initiatives.

2. Specify how your agency strengthens our State Long-Term Care Ombudsman program.

Strategies

Projected Outcomes

1.

Educational Outreach to Seniors and
Caregivers
o Host regularly scheduled workshops
and information sessions at each
senior center on topics including:
» Understanding residents’
rights in long-term care
«= The role of the Ombudsman in
advocating for residents
«= Signs of quality care and how
to select a facility
» Advance directives and
planning for future care needs
o Distribute brochures and printed
materials at all centers and through
home-delivered meal programs to
reach homebound seniors.

Increased Awareness: Seniors and caregivers in
Marion County will gain a better understanding of
their rights and the role of the Ombudsman, reducing
confusion and anxiety around long-term care
transitions.

County Provider Plan

10

2. One-on-One Support and Resource
Navigation
o Offer scheduled appointments for
seniors and their caregivers to meet
with case managers or our SHIP
Coordinator for assistance on:
Understanding facility options
in Marion County and
surrounding areas
Medicaid eligibility and long-
term care insurance
Preparing for transitions from
home to care facilities
Knowing when and how to
contact the Long-Term Care
Ombudsman
3. Collaboration with Regional Ombudsman
o Establish a presence by the regional
Ombudsman at all three senior
centers to:
Build awareness and trust with
local seniors
Provide direct consultation or
intake for concerns
Offer updates on resident
rights and regulatory changes
4. Caregiver Support and Referral
o Provide targeted resources to family
caregivers who are navigating or
anticipating care facility placement for
a loved one.
Integrate Ombudsman program
information into existing caregiver
education and support groups.
5. Senior Center-Based "Pre-Planning for
Care" Series covering:

e What to know before choosing a care
facility
Financial and legal preparation for long-
term care

e@ Knowing your rights as a resident or loved
one

@ Invite guest speakers including local social
workers, ombudsmen, and long-term care
administrators.

Improved Transitions to Care Facilities: More
seniors will enter facilities with informed expectations
and a stronger support network, reducing instances
of isolation, neglect, or dissatisfaction.

Early Identification of Concerns: Through
proactive education and outreach, MCSC will help
seniors and families recognize issues earlier and
contact the Ombudsman promptly, improving
outcomes for residents.

Greater Access to Trusted Resources:
Homebound and rural seniors will benefit from
printed materials and referrals provided by case
managers and nutrition staff, bridging the gap in
access to advocacy services.

Strengthened Partnerships: Regular collaboration
between MCSC, Inc. and the Ombudsman Program
will foster a coordinated network of care and
accountability for seniors across the aging
continuum.

3. Specify how your agency will provide quality non-formula-based services and integrate with Older

Americans Act (OAA) core programs.

Strategies

Projected Outcomes

County Provider Plan

11

1. Develop and Sustain Community
Partnerships

o Collaborate with local organizations,
hospitals, behavioral health providers,
and universities, to offer services such
as wellness checks, memory
screenings, or transportation for social
outings.
Leverage relationships with
volunteers and students for
intergenerational programs and
service expansion.
2. Secure Alternative Funding Sources
Apply for private foundation grants,
local government funds, etc. to offer
supplemental services not covered
under OAA formulas (e.g., minor
home repair, emergency utilities).
Use in-kind community resources to
enhance service delivery at no cost to
the program.
Integrate Non-Formula Services with OAA
Programs

o Link community-supported services
(e.g., emergency meal kits, mobile
mental health outreach) directly to
core programs like home-delivered
meals or caregiver support.
Train front-line staff (transportation
drivers, meal delivery, case
managers, etc.) to recognize and refer
older adults to both OAA and non-
OAA services.
Implement Innovative Wellness and
Engagement Programs

o Offer wellness classes (e.g., yoga, Tai
Chi, art therapy, memory cafés).
Pilot pet care support program funded
through local grants to extend Title IIl-
B service goals.
Regular Program Evaluation and
Feedback

o Collect and analyze participant
feedback and outcomes to refine non-
formula services.
Use results to adjust and align
services with the needs identified in
OAA program assessments.

oO

3.

oO

Establish 3 new partnerships annually; increase
referrals to OAA services by 20%.

Secure at least 2 new non-OAA funding streams
per year to support older adults with unmet needs.

75% of participants in non-formula services will be
linked to at least one core OAA program.

Introduce 2 new wellness or social engagement
activities yearly; 80% of participants report
improved well-being.

Annual satisfaction surveys show 90% of
participants are satisfied with their relevance and
quality of services.

4. Specify how your agency will increase Alzheimer’s and Dementia awareness, education and

services.

County Provider Plan

12

Strategies

Projected Outcomes

1. Partner with Experts and Community
Organizations

Collaborate with the Alzheimer’s Association,
WV Bureau of Senior Services, and local
healthcare providers to host:

Workshops
Memory screenings
Community forums

Provide educational materials at all senior
centers and outreach events.

2. Train Staff

Require annual dementia-friendly training for
all staff.

Include tips on communication, behavior
management, and person-centered care.

3. Support Caregivers

Host caregiver support groups

Include dementia resources in newsletters
and on social media.

4. Integrate Cognitive Health into Wellness
Programming

Offer brain-health workshops, including diet,
exercise, and cognitive games.

Partner with local libraries or schools for
intergenerational programs that stimulate
memory and social connection.

5. Outreach to Underserved Populations

Target isolated rural individuals and those
without a diagnosis through outreach
workers and home visits.

Use WellSky data to identify at-risk

individuals and connect them to support
services

Reach 250+ individuals annually through
education and screenings; increase local
awareness

100% of staff trained in dementia-friendly practices
each year.

Increase support group participation by 25%; reduce
reported caregiver stress

Organize four brain health programs with 50+ regular
participants in conjunction with Lifelong Learners.

Identify and engage 50 new seniors annually who
may be experiencing cognitive decline; provide
referral or direct support services.

5. Specify how your agency will target those with GEN and GSN in OAA and other grant programs.

County Provider Plan

13

Strategies

Projected Outcomes

1. Data-Driven Outreach

e Use data from WellSky, client assessments,
and community needs surveys to identify
individuals with low income, disability, or
limited access to transportation.

e Coordinate with DHHR, food pantries, and
housing authorities to reach low-income
individuals.

2. Rural and Underserved Area Targeting

e Increase services and outreach efforts in
rural areas like Worthington, Farmington,
Metz, and Baxter.

e Setup mobile sites in public spaces or
conduct home visits when transportation
barriers exist.

3. Partner with Community-Based Organizations
e Collaborate with agencies serving:

o Low-income seniors (e.g., housing
units, food pantries)

o Individuals with disabilities
o Grandparents raising grandchildren

e Share flyers, newsletters, and information on
available services.

4. Inclusive Program Design

e Provide culturally sensitive materials and
programs for marginalized or minority
seniors.

e Offer free or low-cost activities, meals, and
wellness services with no fees or suggested
donations for GEN individuals.

5. Proactive Case Management

e Case managers will prioritize clients who
meet GEN and GSN criteria for:

Emergency meals, Home-based services
Transportation, Caregiver support and respite

Identify 50+ new GEN/GSN clients annually and
connect at least 50% to at least one service.

Expand services into 3 underserved rural areas per
year, reaching 50+ previously unserved seniors.

Distribute program information through 10+ partner
organizations; generate 100+ referrals.

Ensure that 70% of service recipients meet GEN
and/or GSN criteria.

Increase referrals to nutrition, transportation, and in-
home services by 20% for GEN/GSN clients.

County Provider Plan

14

6. Specify how your agency will ensure program participants receive person-centered services and

address Social Determinants of Health (SDoH).

Strategies

Projected Outcomes

1. Conduct Individualized Assessments

e Use comprehensive intake and reassessment
tools to identify client goals, challenges,
preferences, and SDOH barriers (e.g.,
housing, transportation, food access, social

isolation).

Update service plans regularly based on
client feedback and changing needs.

2. Train Staff in Person-Centered and Trauma-
Informed Care

Provide annual training for all staff and
volunteers on:

Active listening

Shared decision-making

Cultural humility

Recognizing and addressing trauma and
systemic inequities

3. Integrate Services to Address Key SDoH

Coordinate across departments and partners
to provide:

Nutrition support for food insecurity
Transportation for access to healthcare
and community

Social activities to reduce isolation
Referrals to housing, mental health, and
legal aid

4. Client Choice and Voice in Program Design

Invite participants to serve on advisory
boards and program committees.

Use surveys and one-on-one interviews to
gather feedback and improve services.

100% of participants will have a person-centered
plan of care; 90% will report their needs are being
met.

100% of staff trained annually; post-training
evaluations will show 90% improved knowledge.

75% of participants with food insecurity, isolation, or
transportation needs will receive direct support or
referrals.

Launch at least 2 advisory opportunities per year
with senior input; satisfaction scores will improve by
15%.

County Provider Plan

15

5. Collaborate with Health & Human Service
Providers

Establish referral systems with local clinics,
hospitals, behavioral health providers, and
public health agencies to streamline access
to wraparound services.

Increase cross-referrals by 30% through
partnerships with at least 5 healthcare and social
service providers.

7. Specify how your agency will explore additional Title IIIB services and increase service provision

of current services.

Strategies

Projected Outcomes

1. Conduct a Community Needs Assessment

e Gather input from seniors, caregivers, staff,
and community partners through surveys,

focus groups, and public forums.

Identify unmet needs (e.g., technology
support, legal assistance, mental health
outreach).

2. Pilot New Services Based on Community
Feedback

Explore offering new Title Ill B services such
as:

Technology training & digital access
support

Minor home modifications for fall
prevention

Mobile outreach to underserved areas

Launch short-term pilot programs with clear
metrics for success.

3. Strengthen and Expand Current Services

Recruit and train part-time staff to increase
Capacity in:

Transportation (especially for medical and
social trips)

Information and assistance referrals
In-home supportive services and wellness
checks

4. Leverage Partnerships and Cross-Agency
Referrals

Coordinate with local health providers,
housing authorities, legal aid, and senior

Identify at least 3 new service opportunities by next
fiscal year.

Launch at least 2 new supportive services by end of
year, 75% participant satisfaction rate.

Increase transportation and in-home service units by
20% within 12 months.

Add 5 new collaborative partners and increase
cross-referrals by 30%

County Provider Plan

16

housing to cross-refer and co-host service
events.

e Apply for collaborative grants and shared
service models.

5. Utilize Data to Prioritize Growth

e Track service utilization rates, unmet
demand, and client satisfaction.

e Use data trends to request increased funding
or shift resources to high-need areas.

Develop an annual service expansion plan informed
by client needs and usage data.

current services.

Specify how your agency will explore additional Title IIIC services and increase service provision of

Strategies

Projected Outcomes

1. Assess Nutrition Needs and Preferences

e Conduct surveys and listening sessions at
congregate meal sites and with home-
delivered meal recipients.

e Identify interest in culturally appropriate
meals.

2. Additional Meal Options During Inclement
Weather

o Emergency shelf-stable kits for high-
risk clients

3. Strengthen Outreach to Isolated and
Underserved Seniors

e Work with case managers and transportation
staff to identify seniors not currently receiving
nutrition services.

e Use social media, newsletters, health fairs,
and senior center events to promote
enrollment.

4. Improve Meal Quality and Nutrition Education

e Work with dietitians/other meal providers to
enhance meal appeal, nutritional value, and
presentation.

e Offer quarterly nutrition education and
cooking demonstrations in partnership with
WVU Extension or local health educators.

Identify 3 new meal or service options by the next
fiscal year

Seek funding sources to purchase self-stable meals
for home-delivered meals and congregate meal
clients

Increase total number of meal recipients by 15%;
specifically target 30 new isolated clients.

Improve client nutrition knowledge through at least 4
educational sessions per year; maintain compliance
with state nutrition standards.

Increase delivery efficiency and client contact
consistency.

County Provider Plan

17

5. Leverage Technology

e Continue using tech solutions (like text alerts
or phone calls) for meal confirmations or

changes.

9. Specify how your agency will explore additional Title IIID services and increase service provision

of current services.

Strategies

Projected Outcomes

We do not currently use Title IIID funding, but we are
implementing new wellness activities such as chair
yoga, gentle movement & breathing exercises, line
dancing and Tai Chi for Fall Prevention & Arthritis

1 - 2 monthly wellness activities at all three centers.
Maintain the fitness equipment at the three centers

10. Specify how your agency will provide information and seek other resources to increase older adult

independence, health and safety.

Strategies

Projected Outcomes

1. Provide Accessible Information & Referral
Services

e Maintain an up-to-date resource directory of
local, regional, and state services (e.g., legal
aid, housing, home repair, transportation,

mental health).

Train front-desk and staff to guide clients to
appropriate programs.

Use printed newsletters, social media, and
bulletin boards to promote helpful programs
and contact info.

2. Host Education and Wellness Programs

e Offer evidence-based workshops and
seminars (e.g., Chronic Disease Self-
Management, Fall Prevention, Medication

Management).

Invite local health professionals, fire
departments, WV Attorney General
representative and law enforcement to speak

Increase the number of I&R contacts by 20% through
better outreach and materials.

Offer at least 12 safety or health-related workshops
annually; aim for 75% satisfaction rate among
participants.

County Provider Plan

18

on topics related to home safety, scams, and
emergency preparedness.

3. Form Resource Partnerships

Collaborate with public libraries, faith groups,
fire departments, and WVU Extension to
extend educational reach and share
resources.

Apply for supplemental funding (local grants,
foundation support) to provide home safety
checks.

4. Expand In-Home & Caregiver Supports

Promote services such as light
housekeeping, personal care, or respite for
family caregivers.

Offer family caregiver education and
connections to the Alzheimer's Association
and other specialty supports.

5. Promote Technology for Health and Safety

Introduce older adults to tools like medical
alert systems, pill organizers with timers, and
telehealth platforms.

Establish at least 3 new collaborations to support
older adult wellness and safety.

Expand caregiver service referrals by 10%; hold 2
caregiver workshops

Host basic tech-literacy classes to help seniors
navigate phones, tablets, and wellness

Train 30 seniors annually in basic technology use for
safety and health access

11.
and stay connected in their communities.

Specify how your agency will organize Title IIIE services to enable older adults to live at home

Strategies

Projected Outcomes

1. Provide Respite and Support Services to
Family Caregivers

Offer in-home respite care for family
caregivers supporting older adults with
chronic conditions or cognitive decline.

Increase awareness of respite services
through direct outreach, printed materials,
and caregiver events.

2. Offer Caregiver Training & Education

Provide hands-on and virtual training focused
on dementia care, stress management, legal
planning, and end-of-life care.

Host at least 4 caregiver trainings annually with 80%
participant satisfaction.

County Provider Plan

19

e Partner with Alzheimer's Association and
WVU Health to offer educational sessions
and support groups.

3. Develop Peer Support & Social Engagement
Opportunities

e Host quarterly caregiver support groups and
community gatherings to reduce caregiver
isolation and stress.

e Create opportunities for care recipients to
engage in group activities while their
caregivers receive needed breaks.

4. Coordinate with Other Aging Network Services

e Ensure caregivers are connected to nutrition,
transportation, homemaker, and case
management services to support care
recipients’ continued independence.

e Utilize case managers to conduct
assessments and make targeted referrals.

Establish monthly support group meetings in at least
two service areas.

100% of Title IITE clients will be offered connection to
at least one other OAA service.

Implement at least one recognized evidence-based
caregiver support program by year-end.

12. Describe plans to promote the RAISE Family Caregiver Advisory Council, the National Strategy to
Support Family Caregivers and the National Technical Assistance Center on Grandfamilies and
Kinship Family recommendations, as feasible, to better address caregiver needs.

Strategies

Projected Outcomes

1. Promote Awareness of National Caregiver
Initiatives

e Share and distribute educational materials on
the RAISE Family Caregiver Advisory
Council, the National Strategy to Support
Family Caregivers, and resources from the
National Technical Assistance Center on
Grandfamilies and Kinship Families.

e Incorporate summaries and updates into
caregiver newsletters, support group
sessions, and social media platforms.

2. Support Grandfamilies through Local
Collaboration

Reach at least 150 caregivers annually with
educational materials promoting national caregiver
strategies.

Maintain monthly Healthy Grandfamilies meetings at
the Fairmont Senior Center with at least 10 families
regularly participating.

County Provider Plan

20

e Partner with the Marion County Board of
Education to host monthly Healthy
Grandfamilies meetings at the Fairmont
Senior Center, creating a welcoming and
accessible space for grandparents raising
grandchildren.

e Provide transportation assistance and on-site
support for attendees when needed.

3. Offer Training & Resource Navigation

e Host informational workshops to help
caregivers and kinship families navigate
legal, financial, and educational systems.

e Provide individual consultations to connect
caregivers to services aligned with national
strategies and best practices.

4. Integrate National Priorities into Local
Programming

e Ensure that planning for Title IIIE services
and outreach reflects the core pillars of the
National Strategy to Support Family
Caregivers, such as increasing respite
access, financial protections, and culturally
competent services.

e Utilize tools and data from the National
Technical Assistance Center to inform kinship
family support programming.

Host 3 caregiver/kinship family resource sessions
annually with 80% of participants reporting increased
knowledge

Incorporate elements from the National Strategy into
annual caregiver program planning and report
measurable alignment.

13. Specify how your agency will strengthen Emergency Service Contingency Operation Plans

(ESCOP).

Strategies

Projected Outcomes

1. Engagement in Local Emergency Planning

e The Executive Director of MCSC, Inc. now
serves on the Marion County Local
Emergency Planning Committee (LEPC),
ensuring the agency has a voice in county-
wide disaster preparedness and emergency
response efforts.

e This involvement allows for real-time
coordination, resource sharing, and
integration of senior-focused concerns into
broader emergency response protocols.

Stronger coordination between MCSC, Inc. and local
emergency response agencies; more senior-specific
needs integrated into local plans

County Provider Plan

21

2. Implementation of a One-Call Notification
System

e MCSC, Inc. has adopted an online One-Call
System to notify both home-delivered meal
clients and congregate meal participants,
as well as their emergency contacts, of:

Emergencies affecting service delivery
Inclement weather closings
Schedule changes or delays

e This system enhances our ability to
communicate critical information quickly and
efficiently, ensuring no senior is left unaware
during service disruptions.

3. Review and Update of ESCOP Protocols

e ESCOPs will be reviewed annually and
revised to reflect updated contact systems,
shelter locations, staff training procedures,
and alignment with Marion County LEPC
emergency response strategies.

Staff will participate in emergency drills and receive
training on the One-Call System and ESCOP
procedures to improve responsiveness and
confidence during an actual event

At least 95% of active clients and emergency
contacts receive timely alerts during emergencies or
schedule changes.

Annual ESCOP updates completed; 100% of key
staff trained on emergency procedures and use of
the One-Call System.

14. Specify how your agency will implement initiatives to protect older adults at risk.

Strategies

Projected Outcomes

1. Risk Identification & Outreach

e Utilize data from case management
assessments, home-delivered meal intake,
and wellness checks to identify at-risk
individuals (e.g., living alone, low income,
limited mobility, no family support).

e Establish a red flag system to prioritize
follow-up for seniors exhibiting signs of
neglect, confusion, or declining health.

2. Partner with Community Organizations

100% of new clients screened for risk factors; at-risk
seniors flagged for priority follow-up.

County Provider Plan

22

e Strengthen partnerships with local law
enforcement, Adult Protective Services,
housing authorities, and healthcare providers
to report and intervene in cases of abuse,

neglect, or exploitation.

Coordinate care plans and service referrals
for individuals flagged by these partners.

3. Expand Wellness & Safety Checks

Increase regular wellness calls to isolated
seniors.

Train transportation and meal delivery staff to
report any health or safety concerns
observed in the home.

Implement seasonal safety campaigns
(e.g., winter heating checks, summer
hydration, emergency preparedness).

4. Strengthen Mental Health Referrals

Partner with behavioral health providers to
refer individuals showing signs of depression,
anxiety, or cognitive decline.

Encourage social engagement via center-
based programming, volunteer opportunities,
and peer outreach.

Increase in reported and addressed elder
abuse/neglect cases by 20% through better
coordination.

At least 90% of isolated seniors receive a monthly
check-in call or home visit.

Increased participation in behavioral health services;
reduced reports of senior depression/isolation.

15. Specify how your agency will implement initiatives to promote independence and decrease social

isolation.

Strategies

Projected Outcomes

1. Expand Social Engagement Opportunities

Increase the variety and frequency of center-
based programs, including fitness classes,
educational workshops, art and music
activities, and intergenerational events.

25% increase in participation at senior centers over
the next year.

County Provider Plan

23

e Implement themed events such as holiday
socials, community dances, and volunteer-led
clubs to build routine social connections.

2. Promote Accessible Transportation

e Offer reliable door-to-door transportation
for shopping, medical appointments, and
social activities.

e Develop monthly outings (Such as grocery
trips, farmers markets, and lunch events) to
reduce isolation in homebound individuals.

3. Increase Access to Technology

e Provide basic tech education workshops to
teach seniors how to use smartphones, video
calls, and social media to stay connected with
family and friends.

e Partner with the Marion County Public Library
and local high school students for 1-on-1
digital coaching.

4. Enhance Volunteer and Peer Support
Programs

e Recruit and train older adult volunteers to
support peers through phone reassurance,
wellness checks, and companion visits.

e Launch a “Senior Buddy” program, pairing
isolated seniors with friendly volunteers for
weekly check-ins or shared activities.

5. Support Aging-in-Place with Person-Centered
Services

e Strengthen case management, homemaker,
and in-home support services to help older
adults maintain their independence safely at
home.

Conduct regular reassessments and home safety
evaluations to identify emerging needs early

At least 90% of riders report reduced feelings of
isolation and improved independence.

100 seniors trained annually, with 60% reporting
increased contact with family/friends.

Launch of Senior Buddy program; 50 participants
enrolled by year one.

85% of in-home clients remain safely at home for at
least 12 months without hospitalization.

County Provider Plan

24

Provider: Marion County Senior Citizens, Inc.

Explanation of Programs and key terms:

Title Il B of the Older Americans Act refers to supportive services that help older adults remain independent and safely live in
their homes and communities. These services may include transportation, information and assistance, case management,
personal care, chore services, and other programs that promote independence and improve quality of life for seniors.

Title III-C of the Older Americans Act (OAA) is a significant source of federal funding for nutrition services for seniors. The NSP
includes two primary types of meal services:

Congregate Meals: Meals served in group settings, often at senior centers or similar locations, promoting social interaction.
Home-Delivered Meals: Meals delivered to homebound older individuals who cannot easily access congregate meal sites.
Beyond Meals: In addition to meals, Title III-C also supports other nutrition services like nutrition education, screening, and
counseling.

Title IIIl-D funding, established under the Older Americans Act (OAA) in 1987, is dedicated to promoting the health and well-
being of older adults (60+) through evidence-based health promotion and disease prevention programs.

The State Long-Term Care Ombudsman program is a government-funded program that advocates for the health, safety,
welfare, and rights of individuals residing in long-term care facilities. These facilities include nursing homes, assisted living
facilities, and other residential care communities. The program investigates and resolves complaints, promotes quality of care,
and works to improve conditions in these facilities.

GEN (Greatest Economic Need): Refers to the need of older individuals stemming from an income level at or below the poverty
line.

GSN (Greatest Social Need): Refers to the need caused by non-economic factors that restrict an older individual's ability to
perform daily tasks or live independently.

Within the context of the Older Americans Act (OAA), "non-formula-based services" refers to services or programs funded
through competitive grants or cooperative agreements, rather than through formula-based funding allocations.

Section B: Titles Ill B, C, D, & E Public Comment Period

Attach additional pages if necessary

Attach public comment agenda, attendance sheet and minutes from the agency's public
comment period.

Response:

County Provider Plan 25
County Provider Plan

26
FY 2026 Service Provider Budget
Title IIl- B, C1,C2, D&E
Provider Plan - Part V Budget Pages - Section A:

General Information Page
___ REVISED 08-04-2025

Name of Service Provider: MARION COUNTY SENIOR CITIZENS, INC.

Name, Address, Phone Number & Email of Grantee Address Where Service Provision will be Conducted
MARION COUNTY SENIOR CITIZENS, INC 105 MAPLEWOOD DRIVE, FAIRMONT
105 MAPLEWOOD DRIVE 1 SENIOR DRIVE, MANNINGTON
FAIRMONT WV 26554 404 MAIN STREET, FAIRVIEW

304-366-8779
executivedirector@marionseniors.org

Program Period: Name of Director or Coordinator
Beginning: 10/1/2025 Ending: 9/30/2026 LEISHA ELLIOTT, EXECUTIVE DIRECTOR
Type of Budget Geographic Area Covered by Service Provider
[X ] New [ ] Revision - Date

MARION COUNTY WV
[ ] Continuation [ ] Supplement

COMPUTATION OF FUNDS REQUESTED

lB lil C1 lll C2 lil D HIE

A. Title Ill Federal Funds #REF! #REF! #REF! #REF! #REF!
B. Local Match #REF! #REF! #REF! #REF! #REF!
C. Program Income #REF! #REF! #REF! #REF! #REF!
D. State Funds #REF! #REF! #REF! #REF! #REF!
E. LIFE #REF! #REF! #REF! #REF! #REF!
F. Total Funding #REF! #REF! #REF! #REF! #REF!

Other Resources

Terms and Conditions: It is understood and agreed by the undersigned that:

1) Funds granted as a result of this request are to be expended for the purpose set forth herein and in accordance with all applicable
laws, reulations, policies, and procedures of this State , the Area Agency on Aging and the Administration on Community Living of the U.
S. Department of Health and Human Services.

2) Any proposed changes in the proposal as approved will be submitted in wnting by the applicant and upon notification of approval by
the AAA adnd State Agency, shall be deemed incorporated into and become a part of this agreement.

3) Funds awarded by this agency may be terminated at any time for violations of any terms and requirments of this agreement.

Individual Authorized to Commit Organization to this Agreement (Grantee)

Name: Leisha Elliott Signature:

Title: Executive Director Date: 08/14/2025

MARION COUNTY SENIOR CITIZENS, INC.
Program Service Projections FY26
Title Ill B/C: Supportive and Nutrition Services

Cluster 1
Service Activity 60+ Served | Total Units

Adult Day Care ($10.00 per hour)

Home-Delivered Meals ($7.50 per meal) 150 34,004

Homemaker ($15 per hour)

Chore ($15 per hour)

Personal Care ($18 per hour)

Home-Delivered Pick-Up Meals ($7.00 per meal)
Home-Delivered Non-Emergency Frozen/Shelf Stable/Pre-

prepared Meals ($5.50 per meal) 150 7,626

Cluster 2
Service Activity 60+ Served | Total Units

Assisted Transportation (1-way trip)

Congregate Meals ($7.00 per meal) 250 9,657

Home Delivered Meal Grab-N-Go Meals ($7.00 per meal)
Congregate Non-Emergency Frozen/Shelf Stable/Pre-
Prepared ($5.50 per meal)

Cluster 3
Service Activity 60+ Served | Total Units
Information & Assistance (1 contact) G-6 500
Outreach (1 contact) G-6 3
Transportation (1-way trip) 100 2,500
Nutrition Education (1 session) G-6 0

Other: Titles III-B & C: Supportive & Nutrition Services

Service Activity 60+ Served | Total Units
Group Meals ($7.00 per meal) G-6 70
Public Information/Education G-6
Group Client Support* G-6 5,000
Individual Client Support** 20 32

*Instruction & Training, Material Aid
**Counseling, Discount, Letter Writing/Reading, Prescription Aid, Telephoning, Visiting,
Medication Management

Title Ill-D: Evidence Based Programs

Service Activity 60+ Served | Total Units
Chronic Disease Self-Management
Dining with Diabetes
A Matter of Balance
Healthy Steps in Motion
Tai Ji Quan: Moving for Better Balance
Tai Chi for Arthritis
Tai Chi for Diabetes
Tai Chi for Osteoporosis
Walk with Ease

Stepping On

Bingocize

Drums Alive

Other Approved:

Other Approved:
L Title TI-E Family Caregiver Services

Service Activity 60+ Served | Total Units

Caregiver of Older Adults - Information & Access Assistance G-6

Caregiver of Older Adults - Public Information/Education (Activity/Event) G-6

Caregiver of Older Adults - Support Groups (Sessions) G-6

Caregiver of Older Adults - Training (Not Agency Staff)

Caregiver of Older Adult - In-Home Respite ($18.00 per hour) 5 1,964
Caregiver of Older Adult - Congregate Respite ($10.00 per hour)

Older Relative Caregivers - Information & Access Assistance G-6

Older Relative Caregivers- Public Information/Education (Activity/Event) G-6

Older Relative Caregivers- Support Groups (Sessions) G-6