“The United States of Elder Fraud – How Prevalent is Elder Financial Abuse in Each State?” – comparitech
by Paul Bischoff
“The vast majority of elder fraud cases in the US go unreported. Our research team set out to uncover the true cost of elder fraud in the US by analyzing and extrapolating data from government reports and registries.
“Comparitech estimates 5 million cases of elder fraud occur in the US annually resulting in $27.4 billion in losses.
“Elder fraud, also called elder financial abuse or elder financial exploitation, is defined as the misappropriation or abuse of financial control in a relationship where there is an expectation of trust, resulting in harm to the elderly victim.
“More than 200,000 scams and financial abuse cases targeting the elderly are reported to authorities every year, and most experts agree that’s just the tip of the iceberg. Our estimates show $1.17 billion in damages are reported to authorities, but the real figure likely dwarfs that amount when factoring in unreported elder fraud.
“To calculate the full scope of the problem, Comparitech aggregated data from multiple studies on elder fraud in every US state, including the number of reports to authorities and average loss per case. We then used those numbers to estimate the total number of cases and total damages in each state, adjusted for the proportion of unreported cases.”
“United Way of Pennsylvania launched a statewide data project, ALICE, which provides a comprehensive measure of financial hardship across our state. ALICE stands for Asset Limited, Income Constrained,Employed.
“The ALICE report tells the story of our community members who are going to work but are still struggling to survive, through a standardized methodology that assesses the cost of living in every county. ALICE is our neighbors, friends and family who may earn more than the official Federal Poverty Level, but still cannot afford the basic necessities for their family. ALICE lives in every county in Pennsylvania. Equipped with this data, the Pennsylvania network of United Ways will convene, advocate and innovate in our local communities to highlight the issues faced by ALICE households, and to generate solutions which help them on their path to financial stability.”
“As required by Act 12 of 2019, which amended 62 P.S. § 403.2(a), the General Assistance program will end on August 1, 2019. No General Assistance cash assistance will be dispersed after July 31, 2019. Current General Assistance recipients were notified of this change via mail, but we recognize that there will likely be questions.
If people you work with currently receive or think they qualify for General Assistance, they may qualify for other benefits. Individuals can work with a COMPASS Community Partner or contact their local County Assistance Office or apply online via COMPASS at www.compass.state.pa.us. If you are not a COMPASS Community Partner, more information on registering is available here.
If they are currently receiving other benefits like Medical Assistance or Supplemental Nutrition Assistance Program (SNAP), those benefits will continue. The Department of Human Services (DHS) will notify clients again before making changes to other benefits for any reason.
People seeking more information can contact the DHS Helpline at 1-800-692-7462. TDD Services are available at 1-800-451-5886.
This change will likely result in an additional need for resources from charitable and social service organizations around the commonwealth. DHS is working closely with our partners to identify potential resources for people affected by this change. As we become aware of additional resources, we will share the information on DHS’ social media pages and through this newsletter.
Thank you for all that you do to help Pennsylvanians in need,
Heard about “ALPHA”? | This York County initiative is tackling the issue of helping people by bolstering interest in personal care homes
Click on the above graphic to download the entire fact sheet.
“In southcentral Pa, low-income residents are at risk as personal care homes rapidly close” – The Hanover Evening Sun
“Personal Care Homes (PCHs) are residences that provide shelter, meals, supervision and assistance with personal care tasks, typically for older people, or people with physical, behavioral health, or cognitive disabilities who are unable to care for themselves but do not need nursing home or medical care. While available services vary and are based on the individual needs of each resident, services provided at a typical PCH include assistance with:
Personal Care Homes are inspected and licensed by the Pennsylvania Department of Human Services. They are usually privately-owned, although some are operated by local governments or non-profit agencies. In Pennsylvania, homes may be licensed to care for as few as four people and as many as several hundred. -SOURCE: Pennsylvania Department of Human Services
To find information on a Personal Care Home near you see the Personal Care Home Directory.
The Department of Human Services (DHS) is seeking input from vendors and other stakeholders on the specific measures it may undertake to improve the quality, consistency and effectiveness of the Office of Long-Term Living‘s (OLTL’s) Independent Enrollment Broker’s (IEB’s) services.
On June 28, 2019, DHS released a Request for Information (RFI) to gather input and information concerning the application and enrollment services and support services for the beneficiaries of two Medical Assistance (MA) managed care programs, one 1915(c) MA home and community-based services (HCBS) waiver program and a state-funded program, all administered by the DHS OLTL. You can view the RFI by clicking here.
Through these programs, eligible beneficiaries receive long-term services and supports (LTSS) and other benefits, depending on the particular program.
Specifically, the DHS issues this RFI to solicit input on its potential strategies and solutions to improve the LTSS application and enrollment services and beneficiary support services provided by the OLTL’s IEB to individuals who apply for and enroll in the Community HealthChoices (CHC) Program, the Pennsylvania Living Independence for the Elderly Program (LIFE), the OBRA Waiver and the state-funded Act 150 Attendant Care Program.
DHS is requesting that all responses to the RFI be submitted by 12:00 p.m. on July 29, 2019. Responses must be submitted electronically to the following email account with “OLTL Application and Enrollment Services RFI” in the email subject line: RA-PWRFICOMMENTS@PA.GOV<mailto:RA-PWRFICOMMENTS@PA.GOV>.
DHS does not intend to respond to questions or clarifications during the RFI response period; however, respondents may submit questions related to the RFI electronically to: RA-PWRFICOMMENTS@PA.GOV<mailto:RA-PWRFICOMMENTS@PA.GOV> using “OLTL Application and Enrollment Services RFI question” in the email subject line. DHS may or may not respond based on the nature of the question.
If you have any questions regarding this email please contact Michael Hale, Bureau Director, Fee for Service Programs at firstname.lastname@example.org<mailto:email@example.com>.
Read the latest information on Community HealthChoices and more at the PA Helath Law Project’s monthly update; click on the above graphic or here to view the file.
“Your Professional Decline Is Coming (Much) Sooner Than You Think: Here’s how to make the most of it.” – The Atlantic
“The data are shockingly clear that for most people, in most fields, professional decline starts earlier than almost anyone thinks.”
by Arthur C. Brooks
“‘It’s not true that no one needs you anymore.’
“These words came from an elderly woman sitting behind me on a late-night flight from Los Angeles to Washington, D.C. The plane was dark and quiet. A man I assumed to be her husband murmured almost inaudibly in response, something to the effect of ‘I wish I was dead.’
“Again, the woman: ‘Oh, stop saying that.’
“I didn’t mean to eavesdrop, but couldn’t help it. I listened with morbid fascination, forming an image of the man in my head as they talked. I imagined someone who had worked hard all his life in relative obscurity, someone with unfulfilled dreams—perhaps of the degree he never attained, the career he never pursued, the company he never started.
“At the end of the flight, as the lights switched on, I finally got a look at the desolate man. I was shocked. I recognized him—he was, and still is, world-famous. Then in his mid‑80s, he was beloved as a hero for his courage, patriotism, and accomplishments many decades ago.”
This a “long read” — but maybe just right for a Sunday (or any other) morning. Click here to read this article at The Atlantic.
Community HealthChoices | Electronic Visit Verification Implementation Update and Technical Specifications
As of January 1, 2020, providers of Personal Care Services (PCS) overseen by the Office of Long-Term Living (OLTL) and the Office of Developmental Programs (ODP) will be required to verify specific data elements in order to receive payment for each PCS claim submitted. As you are aware, PCS consists of services supporting activities of daily living (ADL) and instrumental activities of daily living (IADL). PCS providers will be required to use an Electronic Visit Verification (EVV) system to verify the following specific data elements: the type of service performed, the name of the individual receiving the service, the name(s) of individual(s) providing the service, the date and location of the service, and the time the service begins and ends. Beginning in October 2019, the PA Department of Human Services (DHS) will expect provider agencies, Agencies with Choice (AWC), and Vendor Fiscal (VF) agents to use EVV for the capture and verification of PCS visits. PA DHS has contracted with DXC and Sandata Technologies LLC to deliver the PA DHS EVV system, as well as provide system orientation and training to providers related to the PA DHS EVV system.
EVV data will be collected in the EVV Aggregator and compared to claim data before a claim can be paid. The EVV Aggregator will collect EVV data from both the PA DHS EVV System as well as any third-party EVV systems. Effective January 1, 2020, DHS will deny PCS claims that do not have corresponding visit(s) recorded in the EVV Aggregator regardless of whether providers use the PA DHS EVV system or a third party EVV system. Continue reading →