State Profile: Nevada Selected State Background Characteristics Population Total Pop. (millions) 2.3 293.7 Pop. 60+ (thousands) 369.0 48,883.4 % 60+ 15.8 16.6 National Ranking 60+ 42 N/A % White (60+) 82.1 81.4 % African American (60+) 4.5 8.5 % Hispanic/Latino (60+) 7.4 6.1 % Asian (60+) 4.0 2.9 % Native Hawaiian/ Pacific Islanders (60+) % American Indian/ Alaska Native (60+) 0.2 0.1 0.8 0.5 % Two or More Races (60+) 0.9 0.6 Pop. 65+ (thousands) 262.1 36,294.0 % Pop. 65+ 11.2 12.4 National Ranking 65+ 45 N/A Pop. 85+ (thousands) 24.0 4,859.6 % Pop. 85 1.0 1.7 National Ranking 85+ 46 N/A Economic Indicators Per Capita Income $33,783 $33,041 Median Household Income $46,984 $44,473 Total State Expenditures Per Capita $2,902 $4,009 % Pop. 65+ Below Poverty 6.4 9.4 % Pop. 50+ Who Did Not Visit Doctor Due to Cost 9.6 8.1 Socio-Demographics Average Household Size 2.6 2.6 Average Family Size 3.1 3.1 % Pop. in Rural Area 10.4 16.9 Households with Persons 65+ (millions) % Persons Age 65+ Living Alone 0.19 25.2 29.8 29.8 % Pop. 65+ in Major Cities 74.3 40.1 % Households with Internet Access Informal Caregivers 55.3 54.7 # of Caregivers 260,000 34,000,000 # of Caregiving Hours (millions) Value of Caregiving (millions) % Grandparents Living with Grandchildren % with Responsibility for the Grandchildren 280 36,720 $3,000 $350,000 3.1 3.4 1.3 1.4 Where to Call to Arrange Help in the Home for Elderly Relatives or Friends % Relative or Friend 25.0 21.5 % Self 22.5 17.2 % Medical Support 28.5 21.6 % Religious Support 0.8 0.4 % Area Agency on Aging 1.5 2.0 % Other 5.1 4.5 % Don t Know 16.5 32.7 Updated November 2007. Data sources for characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 1
Selected State Background Characteristics Long-Term Care Medicaid Spending on Long-Term Care % Spending on Nursing % Spending on Home Health & Personal Care # of Certified Nursing % of Certified with Family Councils # of Certified Nursing Facility Beds (thousands) Certified Nursing Facility Occupancy Rate Average Cost Per Day in a Nursing Home Average Assisted Living Monthly Cost Average Daily Cost for Adult Day Services Average Hourly Cost for Home Health Care Average Hourly Cost for Personal/Home Care Nursing Facility Residents as % of 65+ Pop. # of Licensed Adult Day 47.5 46.0 32.0 37.3 44 15,209 45.5 43.2 5.1 1,579.9 84.1 85.5 $200 $213 $2,223 $2,969 $78 $61 $21 $19 $18 $18 1.7 3.8 6 3,407 Care Receivers % Pop. 21-64 Years w/disability 10.8 12.1 % Pop. 65+ w/disability 33.3 39.6 % 65+ by Type of Disability Sensory 15.0 16.0 Physical 25.2 30.2 Self-Care 8.0 9.3 Mental 8.6 10.9 Difficulty Going Outside Home 12.8 16.3 Medicare Prescription Drug Plans # of Companies Offering PDPs 18 N/A # of PDP 44 N/A # of Companies Offering Medicare Advantage Drug Plans 6 N/A # of Home Health Aides 3,040 751,000 Median Hourly Wage Certified Nursing Assistant $12.23 $10.67 Home Health Aide $10.37 $9.34 Personal Care/Home Care Aide $9.37 $8.54 Updated November 2007. Data sources for characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 2
State System of Home and Services (HCBS) Legislation Enacted Within the Last Three Years (2001-2003) that Addresses Family Caregiving Issues Task Force or Commission Specifically to Examine Issues Name of Task Force: Single Point of Entry for State System of HCBS Single Point of Entry Includes Access to State s Caregiver Support Program Uniform Assessment Tool for All HCBS Programs for the Elderly and Adults with Disabilities Assessment Includes Caregiver Component At Least One State Program with Consumer-Directed Option for Family Caregivers No N/A Lack of agreement Lack of agreement State Program Information Administrative Structure Administering State Agency Organizational Unit or No Person Specifically Designated for Caregiving Programs or Activities Geographic Region Statewide Statewide Statewide Statewide Served Local Program Administrative Responsibility SUA SUA SUA SUA Funding & Caseload Major Sources of Program Funding OAA, Title III-E Client contribution Medicaid HCBS waiver State general fund Tobacco fund Tobacco fund State general fund Francisco, CA: Alliance. 3
Funding & Caseload (cont d) FY 2001 Expenditures $603,803 $47,233 (respite only) n/a FY 2002 Expenditures $715,220 $26,107 n/a $238,407 (respite only) FY 2003 Expenditures $783,548 $7,258,346 n/a $261,183 (total waiver) FY 2001 A/D Waiver N/A 39 N/A N/A Respite Participants FY 2002 A/D Waiver N/A 47 N/A N/A Respite Participants n/a Eligibility Caregiver Age Requirement Care Receiver Age Requirement Care Receiver Functional Status Requirement Client Population 60+ 65+ 60+ No functional status Both family caregiver and care receiver Nursing home level of care No functional status No functional status Care receiver Care receiver Family caregiver Assessment Program Assesses Both family caregiver and care receiver Care receiver Care receiver Family caregiver Uniform Assessment Tool No No Includes Caregiver No No N/A N/A Assessment Areas Addressed by Caregiver Assessment Services All Caregivers Eligible for Program Have Access to Same Package of Services Francisco, CA: Alliance. 4
Services (cont d) Services Provided Specifically to Family Caregivers Types of Respite Care Offered Caregiver Must Live with Care Receiver to Receive Respite Info. & assistance Homemaker/chore/ personal care Adult day svcs. Overnight Weekend/camp Assistive technology Care mgt. Counseling Educ. & training Home modification/ repairs Homemaker/chore/ personal care Info. & assistance Legal and/or financial consultation Transportation Adult day svcs. Overnight Weekend/camp No No No N/A Respite Cap No cap No cap No cap No cap Uniform Respite Cap Across Program Sites Entity that Formulates the Respite Cap Educ. & training Consumer Direction Consumer-Directed Options Family Members Can Be Paid to Provide Care Types of Services Families Can Be Paid to Provide A menu of services from which caregivers can choose Families have a choice of respite providers A menu of services from which caregivers can choose A voucher or budget for respite only Families have a choice of respite providers No No No No Francisco, CA: Alliance. 5