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THE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM … SCSEP State Plan Page 2 FOREWORD The Senior Community Service Employment Program (SCSEP) is a program administered by the REPORT OF DECISION-MAKING CAPACITIES Revision Date: December 2020 1 REPORT OF DECISION-MAKING CAPACITIES Instructions: • This form must be completed and signed by a doctor (M.D. or D.O.), licensed psychologist, or WAIVER PROGRAM COVER? MEDICAID HCBS ELDERLY WAIVER What services does the Elderly Waiver program cover? Medicaid HCBS Elderly Waiver services may include the following: • Adult day care • Assistive devices • Assisted living (on-call) • Case management • Emergency response systems • Home and vehicle modifications • Home-delivered meals • Home health care • Homemaker services • Mental health outreach IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des FIND YOUR LOCAL LONG-TERM CARE OMBUDSMAN IN IOWA All Ombudsmen may be reached by contacting the Office of the State Long-Term Care Ombudsman: State of Iowa. Office of the State Long-Term. Care Ombudsman. 510 E 12th Street, Suite 2. Des Moines, IA 50319. Phone: 1-866-236-1430.THE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM … SCSEP State Plan Page 2 FOREWORD The Senior Community Service Employment Program (SCSEP) is a program administered by the REPORT OF DECISION-MAKING CAPACITIES Revision Date: December 2020 1 REPORT OF DECISION-MAKING CAPACITIES Instructions: • This form must be completed and signed by a doctor (M.D. or D.O.), licensed psychologist, or WAIVER PROGRAM COVER? MEDICAID HCBS ELDERLY WAIVER What services does the Elderly Waiver program cover? Medicaid HCBS Elderly Waiver services may include the following: • Adult day care • Assistive devices • Assisted living (on-call) • Case management • Emergency response systems • Home and vehicle modifications • Home-delivered meals • Home health care • Homemaker services • Mental health outreach IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. OFFICE OF THE LONG-TERM CARE OMBUDSMAN The Office of the State Long-Term Care Ombudsman (OSLTCO) is the sector of the Dept. on Aging that advocates for the rights of Iowans in assisted living centers. CASE MANAGEMENT ASSESSMENT FORM 510 E 12th Street, Ste. 2 Des Moines, IA 50319 515.725.3333 | 800.532.3213 www.iowaaging.gov IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, LONG TERM CARE OMBUDSMAN PROGRAM Long-Term Care Ombudsman Program State of Iowa Office of the State Long-Term Care Ombudsman 510 E 12th Street, Suite 2 Des Moines, IA 50319 Website: www.iowaaging.gov Advocates working on WAIVER PROGRAM COVER? MEDICAID HCBS ELDERLY WAIVER What services does the Elderly Waiver program cover? Medicaid HCBS Elderly Waiver services may include the following: • Adult day care • Assistive devices • Assisted living (on-call) • Case management • Emergency response systems • Home and vehicle modifications • Home-delivered meals • Home health care • Homemaker services • Mental health outreach AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be AREA AGENCY ON AGING’S CERTIFICATION REGARDING COMPLIANCE Area Agency on Aging’s Certification Regarding Compliance with Requirements of Iowa Code Chapter 8F As a condition of entering into this Contract with the Iowa A HEALTH CARE POWER OF ATTORNEY HEALTH CARE (WWW.IOWABAR Your State and Local Long-Term Care Ombudsmen can be reached at: 866.236.1430 How do I enact or revoke a health care power of attorney? To create a legally valid HC-POA, all you need IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des FIND YOUR LOCAL LONG-TERM CARE OMBUDSMAN IN IOWA All Ombudsmen may be reached by contacting the Office of the State Long-Term Care Ombudsman: State of Iowa. Office of the State Long-Term. Care Ombudsman. 510 E 12th Street, Suite 2. Des Moines, IA 50319. Phone: 1-866-236-1430. SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM … SCSEP State Plan Page 2 FOREWORD The Senior Community Service Employment Program (SCSEP) is a program administered by theTHE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
REPORT OF DECISION-MAKING CAPACITIES Revision Date: December 2020 1 REPORT OF DECISION-MAKING CAPACITIES Instructions: • This form must be completed and signed by a doctor (M.D. or D.O.), licensed psychologist, or IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des FIND YOUR LOCAL LONG-TERM CARE OMBUDSMAN IN IOWA All Ombudsmen may be reached by contacting the Office of the State Long-Term Care Ombudsman: State of Iowa. Office of the State Long-Term. Care Ombudsman. 510 E 12th Street, Suite 2. Des Moines, IA 50319. Phone: 1-866-236-1430. SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM … SCSEP State Plan Page 2 FOREWORD The Senior Community Service Employment Program (SCSEP) is a program administered by theTHE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
REPORT OF DECISION-MAKING CAPACITIES Revision Date: December 2020 1 REPORT OF DECISION-MAKING CAPACITIES Instructions: • This form must be completed and signed by a doctor (M.D. or D.O.), licensed psychologist, or IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. REALLOCATION OF STATE AND FEDERAL FUNDS FORM A | 510 E 12th St., Ste. 2 | Des Moines, IA 50319 P | 800.532.3213 w | www.iowaaging.gov Reallocation of State and Federal Funds Form SFY 20__ Reallocation of State & Federal Funds Form / Due Date: April 22 Area Agency: Director Signature: Date: NORTHEAST IOWA AREA AGENCY ON AGING (NEI3A) INFORMATION Northeast Iowa Area Agency on Aging (NEI3A) Information. Talk with a Professional : 866-468-7887. Menu. About IDA. Iowa Commission on Aging. For AAA Professionals. COVID-19 for Older Iowans. E-Newsletter.Health & Nutrition.
CENTENARIAN REGISTRY APPLICATION & RELEASE OF INFORMATION Centenarian Registry Application & Release of Information. Please complete the form below to authorize the Iowa Department on Aging to enter information about you into the Iowa Centenarian Registry. If you have questions or need assistance completing the form, please call IOWA DEPARTMENT ON AGING INFORMATION SERVICE ASSISTANCE Comments Section 3: Information & Assistance A service that: • provides the individual with current information on opportunities and services available within the communities, including informationrelating to
CASE MANAGEMENT ASSESSMENT FORM 510 E 12th Street, Ste. 2 Des Moines, IA 50319 515.725.3333 | 800.532.3213 www.iowaaging.gov CAPACITY VS. COMPETENCY CAPACITY Capacity is the ability to understand the nature and effect of one’s acts. Capacity is a fluid concept; an individual may have the requisite capacity in one moment and lack capacity in LONG TERM CARE OMBUDSMAN PROGRAM Long-Term Care Ombudsman Program State of Iowa Office of the State Long-Term Care Ombudsman 510 E 12th Street, Suite 2 Des Moines, IA 50319 Website: www.iowaaging.gov Advocates working on AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des FIND YOUR LOCAL LONG-TERM CARE OMBUDSMAN IN IOWA All Ombudsmen may be reached by contacting the Office of the State Long-Term Care Ombudsman: State of Iowa. Office of the State Long-Term. Care Ombudsman. 510 E 12th Street, Suite 2. Des Moines, IA 50319. Phone: 1-866-236-1430. SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM … SCSEP State Plan Page 2 FOREWORD The Senior Community Service Employment Program (SCSEP) is a program administered by theTHE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
REPORT OF DECISION-MAKING CAPACITIES Revision Date: December 2020 1 REPORT OF DECISION-MAKING CAPACITIES Instructions: • This form must be completed and signed by a doctor (M.D. or D.O.), licensed psychologist, or IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des FIND YOUR LOCAL LONG-TERM CARE OMBUDSMAN IN IOWA All Ombudsmen may be reached by contacting the Office of the State Long-Term Care Ombudsman: State of Iowa. Office of the State Long-Term. Care Ombudsman. 510 E 12th Street, Suite 2. Des Moines, IA 50319. Phone: 1-866-236-1430. SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM … SCSEP State Plan Page 2 FOREWORD The Senior Community Service Employment Program (SCSEP) is a program administered by theTHE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
REPORT OF DECISION-MAKING CAPACITIES Revision Date: December 2020 1 REPORT OF DECISION-MAKING CAPACITIES Instructions: • This form must be completed and signed by a doctor (M.D. or D.O.), licensed psychologist, or IOWA’S OFFICE OF PUBLIC GUARDIAN What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. COVID-19 IN LONG-TERM CARE FACILITIES The State of Iowa created a website regarding various resources and information in regards to COVID-19. (3/25/2020) Governor's Proclamation issued April 2: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, May 2, 2021. (4/2/2021) Governor's Proclamation issued March 5: due to COVID-19, proclamation in effect until 11:59 p.m. on Sunday, April 4, 2021. REALLOCATION OF STATE AND FEDERAL FUNDS FORM A | 510 E 12th St., Ste. 2 | Des Moines, IA 50319 P | 800.532.3213 w | www.iowaaging.gov Reallocation of State and Federal Funds Form SFY 20__ Reallocation of State & Federal Funds Form / Due Date: April 22 Area Agency: Director Signature: Date: NORTHEAST IOWA AREA AGENCY ON AGING (NEI3A) INFORMATION Northeast Iowa Area Agency on Aging (NEI3A) Information. Talk with a Professional : 866-468-7887. Menu. About IDA. Iowa Commission on Aging. For AAA Professionals. COVID-19 for Older Iowans. E-Newsletter.Health & Nutrition.
CENTENARIAN REGISTRY APPLICATION & RELEASE OF INFORMATION Centenarian Registry Application & Release of Information. Please complete the form below to authorize the Iowa Department on Aging to enter information about you into the Iowa Centenarian Registry. If you have questions or need assistance completing the form, please call CASE MANAGEMENT ASSESSMENT FORM 510 E 12th Street, Ste. 2 Des Moines, IA 50319 515.725.3333 | 800.532.3213 www.iowaaging.gov IOWA DEPARTMENT ON AGING INFORMATION SERVICE ASSISTANCE Comments Section 3: Information & Assistance A service that: • provides the individual with current information on opportunities and services available within the communities, including informationrelating to
OLDER RELATIVE AREGIVER SERVICES INTAKE FORM INSERT LOGO HERE Version 2022-v1 OR Services Intake Form 1 of 2 INSERT LOGO HERE The following data is asked by our funders and will not be disclosed by name. Today’s Date: Preferred Phone: AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be LONG TERM CARE OMBUDSMAN PROGRAM Long-Term Care Ombudsman Program State of Iowa Office of the State Long-Term Care Ombudsman 510 E 12th Street, Suite 2 Des Moines, IA 50319 Website: www.iowaaging.gov Advocates working on IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des OFFICE OF THE LONG-TERM CARE OMBUDSMAN The Office of the State Long-Term Care Ombudsman (OSLTCO) is the sector of the Dept. on Aging that advocates for the rights of Iowans in assisted living centers.THE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
LONG TERM CARE OMBUDSMAN PROGRAM Long-Term Care Ombudsman Program State of Iowa Office of the State Long-Term Care Ombudsman 510 E 12th Street, Suite 2 Des Moines, IA 50319 Website: www.iowaaging.gov Advocates working on AREA AGENCY ON AGING’S CERTIFICATION REGARDING COMPLIANCE Area Agency on Aging’s Certification Regarding Compliance with Requirements of Iowa Code Chapter 8F As a condition of entering into this Contract with the Iowa IOWA’S OFFICE OF PUBLIC GUARDIANOAHU OFFICE OF PUBLIC GUARDIANOFFICE OF PUBLIC GUARDIAN NJOFFICE OF PUBLIC GUARDIAN OKLAHOMALA PUBLIC GUARDIANOFFICE OF PUBLIC GUARDIANSHIP NEBRASKAOFFICE OF PUBLICGUARDIANSHIP NH
What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, CAPACITY VS. COMPETENCY CAPACITY Capacity is the ability to understand the nature and effect of one’s acts. Capacity is a fluid concept; an individual may have the requisite capacity in one moment and lack capacity in STANDARD TERMS AND CONDITIONS RELATED TO FEDERAL FINANCIAL Regulatory Authority Terms and Conditions Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.), as amended 42 U.S.C. 7606 and EO 11738 provide for the protection and enhancement of the quality of the nation’s air resources to promote A HEALTH CARE POWER OF ATTORNEY HEALTH CARE (WWW.IOWABAR Your State and Local Long-Term Care Ombudsmen can be reached at: 866.236.1430 How do I enact or revoke a health care power of attorney? To create a legally valid HC-POA, all you need IOWA DEPARTMENT ON AGING The Iowa Department on Aging. The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more. Find Your Area Agency on Aging. OFFICE OF THE PUBLIC GUARDIAN Be without adequate resources to compensate a substitute decision-maker. For additional information, contact: Office of Public Guardian. 510 E 12th St., Ste. 2. Des OFFICE OF THE LONG-TERM CARE OMBUDSMAN The Office of the State Long-Term Care Ombudsman (OSLTCO) is the sector of the Dept. on Aging that advocates for the rights of Iowans in assisted living centers.THE IOWA CAFE
2021 Consolidated Appropriations Act • $1.64 million • 12/27/2020-9/30/2022 • For partnerships with licensed foodserviceestablishments
LONG TERM CARE OMBUDSMAN PROGRAM Long-Term Care Ombudsman Program State of Iowa Office of the State Long-Term Care Ombudsman 510 E 12th Street, Suite 2 Des Moines, IA 50319 Website: www.iowaaging.gov Advocates working on AREA AGENCY ON AGING’S CERTIFICATION REGARDING COMPLIANCE Area Agency on Aging’s Certification Regarding Compliance with Requirements of Iowa Code Chapter 8F As a condition of entering into this Contract with the Iowa IOWA’S OFFICE OF PUBLIC GUARDIANOAHU OFFICE OF PUBLIC GUARDIANOFFICE OF PUBLIC GUARDIAN NJOFFICE OF PUBLIC GUARDIAN OKLAHOMALA PUBLIC GUARDIANOFFICE OF PUBLIC GUARDIANSHIP NEBRASKAOFFICE OF PUBLICGUARDIANSHIP NH
What does a Guardian do? 19 Helps the protected person develop and maintain self-reliance Makes decisions about the care, maintenance, health, education, welfare, and safety of the protected person Establishes the protected person’s permanent residence* Takes care of the protected person’s personal property Consents to medical and dental care and education, training, CAPACITY VS. COMPETENCY CAPACITY Capacity is the ability to understand the nature and effect of one’s acts. Capacity is a fluid concept; an individual may have the requisite capacity in one moment and lack capacity in STANDARD TERMS AND CONDITIONS RELATED TO FEDERAL FINANCIAL Regulatory Authority Terms and Conditions Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.), as amended 42 U.S.C. 7606 and EO 11738 provide for the protection and enhancement of the quality of the nation’s air resources to promote A HEALTH CARE POWER OF ATTORNEY HEALTH CARE (WWW.IOWABAR Your State and Local Long-Term Care Ombudsmen can be reached at: 866.236.1430 How do I enact or revoke a health care power of attorney? To create a legally valid HC-POA, all you need RESOURCES FOR AGING IOWANS AND CAREGIVERS The Aging and Disability Resource Center (ADRC) helps older Iowans, adults with disabilities, veterans, and caregivers learn more about long-term living services and supports available throughout the state. The Center is accessible by phone at 866-468-7887 or through your local Area Agency on Aging. CENTENARIAN REGISTRY APPLICATION & RELEASE OF INFORMATION Centenarian Registry Application & Release of Information. Please complete the form below to authorize the Iowa Department on Aging to enter information about you into the Iowa Centenarian Registry. If you have questions or need assistance completing the form, please call FIND YOUR LOCAL LONG-TERM CARE OMBUDSMAN IN IOWA All Ombudsmen may be reached by contacting the Office of the State Long-Term Care Ombudsman: State of Iowa. Office of the State Long-Term. Care Ombudsman. 510 E 12th Street, Suite 2. Des Moines, IA 50319. Phone: 1-866-236-1430. NORTHEAST IOWA AREA AGENCY ON AGING (NEI3A) INFORMATION Northeast Iowa Area Agency on Aging (NEI3A) Information. Talk with a Professional : 866-468-7887. Menu. About IDA. Iowa Commission on Aging. For AAA Professionals. COVID-19 for Older Iowans. E-Newsletter.Health & Nutrition.
CASE MANAGEMENT ASSESSMENT FORM 510 E 12th Street, Ste. 2 Des Moines, IA 50319 515.725.3333 | 800.532.3213 www.iowaaging.gov CENTENARIAN REGISTRY APPLICATION & RELEASE OF INFORMATION FORM Centenarian Registry Application & Release of Information Form Please complete this form in its entirety and submit it to the address above. Retain a copy of the signed form for your LONG TERM CARE OMBUDSMAN PROGRAM Long-Term Care Ombudsman Program State of Iowa Office of the State Long-Term Care Ombudsman 510 E 12th Street, Suite 2 Des Moines, IA 50319 Website: www.iowaaging.gov Advocates working on CAPACITY VS. COMPETENCY CAPACITY Capacity is the ability to understand the nature and effect of one’s acts. Capacity is a fluid concept; an individual may have the requisite capacity in one moment and lack capacity in AUTHORIZATION FOR RELEASE OF INFORMATION FORM Authorization for Release of Information Form Please complete this form in its entirety and submit it to the address above. A copy of the signed form should be A HEALTH CARE POWER OF ATTORNEY HEALTH CARE (WWW.IOWABAR Your State and Local Long-Term Care Ombudsmen can be reached at: 866.236.1430 How do I enact or revoke a health care power of attorney? To create a legally valid HC-POA, all you need* Iowa.gov
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THE IOWA DEPARTMENT ON AGING The Iowa Department on Aging strives to improve the quality of life of older Iowans by connecting them to services provided by Iowa’s six Area Agencies on Aging. Learn how you or your loved one can connect to nutrition services, caregiver support, case management, and more Find Your Area Agency on Aging frontpage-hero-carouselAbout
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Senior Supportive Services Iowa Marion 5835 Grand Ave., Ste. 106 Des Moines, IA 50312-1444 (515)255-1310 Mahaska
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Clay
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 O'brien Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Pocahontas Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Webster Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Calhoun Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Adair Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Union
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Louisa Davenport
Office 935 E 53rd St. Davenport, IA 52807-2664 (563) 324-9085Henry Davenport
Office 935 E 53rd St. Davenport, IA 52807-2664 (563) 324-9085Washington 6301
Kirkwood Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Jefferson Davenport
Office 935 E 53rd St. Davenport, IA 52807-2664 (563) 324-9085Lyon Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Osceola Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Polk 5835 Grand Ave., Ste. 106 Des Moines, IA 50312-1444 (515) 255-1310Boone 5835 Grand
Ave., Ste. 106 Des Moines, IA 50312-1444 (515) 255-1310Poweshiek Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Keokuk Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Wapello
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Paloalto
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Emmet Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Hamilton Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Cerro Gordo Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Franklin Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Story 5835 Grand Ave., Ste. 106 Des Moines, IA 50312-1444 (515) 255-1310Crawford Mason
City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Harrison Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Madison
5835 Grand Ave., Ste. 106 Des Moines, IA 50312-1444 (515) 255-1310Tama Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Black Hawk Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840Clarke
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Benton 6301
Kirkwood Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Buchanan Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Warren 5835 Grand Ave., Ste. 106 Des Moines, IA 50312-1444 (515)255-1310 Lucas
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Jasper
5835 Grand Ave., Ste. 106 Des Moines, IA 50312-1444 (515) 255-1310Adams Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Jones
6301 Kirkwood Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Dubuque Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Delaware Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840 Pottawattamie Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Montgomery
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Cass Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Page
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Mills Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Hancock
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Wright Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Sac Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Carroll Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Linn 6301 Kirkwood
Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Bremer Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Chickasaw Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840Floyd
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641)424-0678 Fayette
Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840Clayton
Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840 Winnebago Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Worth Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Buena Vista Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401(641) 424-0678
Cherokee Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Woodbury Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Monroe
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Johnson
6301 Kirkwood Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Van Buren Davenport
Office 935 E 53rd St. Davenport, IA 52807-2664 (563) 324-9085Lee Davenport
Office 935 E 53rd St. Davenport, IA 52807-2664 (563) 324-9085Hardin Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Marshall Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840Audubon
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641)424-0678 Shelby
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Cedar 6301
Kirkwood Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Clinton Davenport
Office 935 E 53rd St. Davenport, IA 52807-2664 (563) 324-9085Butler Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Mitchell Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Iowa 6301 Kirkwood Blvd. SW Cedar Rapids, IA 52404 (319) 398-5559Greene Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Dallas 5835 Grand
Ave., Ste. 106 Des Moines, IA 50312-1444 (515) 255-1310Guthrie Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678Winneshiek Waterloo
Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Monona Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Ida Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540
Appanoose Davenport Office 935 E 53rd St. Davenport, IA 52807-2664(563) 324-9085
Grundy Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840 Dickinson Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Muscatine Davenport Office 935 E 53rd St. Davenport, IA 52807-2664(563) 324-9085
Taylor Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Plymouth Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Kossuth
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641)424-0678 Decatur
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Ringgold Council
Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712)328-2540 Davis
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Wayne
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Des
Moines Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Scott
Davenport Office 935 E 53rd St. Davenport, IA 52807-2664 (563)324-9085 Jackson
Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840Humboldt
Mason City Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641)424-0678 Fremont
Council Bluffs Office 300 W Broadway, Ste. 240 Council Bluffs, IA 51503 (712) 328-2540Sioux Mason City
Office 22 N Georgia, Ste. 216 Mason City, IA 50401 (641) 424-0678 Howard Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319)874-6840
Allamakee Waterloo Office 2101 Kimball Ave., Ste. 320 PO Box 388 Waterloo, IA 50702 (319) 874-6840 FIND AN AREA AGENCY ON AGING NEAR YOU Iowa has six area agencies on aging (AAAs); find the one closest toyou!
Select a county Adair Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Buena Vista Butler Calhoun Carroll Cass Cedar Cerro Gordo Cherokee Chickasaw Clarke Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Dickinson Dubuque Emmet Fayette Floyd Franklin Fremont Greene Grundy Guthrie Hamilton Hancock Hardin Harrison Henry Howard Humboldt Ida Iowa Jackson Jasper Jefferson Johnson Jones Keokuk Kossuth Lee Linn Louisa Lucas Lyon Madison Mahaska Marion Marshall Mills Mitchell Monona Monroe Montgomery Muscatine O'Brien Osceola Page Palo Alto Plymouth Pocahontas Polk Pottawattamie Poweshiek Ringgold Sac Scott Shelby Sioux Story Tama Taylor Union Van Buren Wapello Warren Washington Wayne Webster Winnebago Winneshiek Woodbury Worth WrightFOOTER NAV
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