State Profile: Colorado Selected State Background Characteristics Population Total Pop. (millions) 4.6 293.7 Pop. 60+ (thousands) 622.9 48,883.4 % 60+ 13.5 16.6 National Ranking 60+ 48 N/A % White (60+) 85.2 81.4 % African American (60+) 2.7 8.5 % Hispanic/Latino (60+) 9.3 6.1 % Asian (60+) 1.8 2.9 % Native Hawaiian/ Pacific Islanders (60+) % American Indian/ Alaska Native (60+) 0.0 0.1 0.4 0.5 % Two or More Races (60+) 0.6 0.6 Pop. 65+ (thousands) 451.0 36,294.0 % Pop. 65+ 9.8 12.4 National Ranking 65+ 48 N/A Pop. 85+ (thousands) 55.6 4,859.6 % Pop. 85 1.2 1.7 National Ranking 85+ 47 N/A Economic Indicators Per Capita Income $36,109 $33,041 Median Household Income $51,022 $44,473 Total State Expenditures Per Capita $2,963 $4,009 % Pop. 65+ Below Poverty 7.6 9.4 % Pop. 50+ Who Did t Visit Doctor Due to Cost 9.0 8.1 Socio-Demographics Average Household Size 2.4 2.6 Average Family Size 3.1 3.1 % Pop. in Rural Area 14.1 16.9 Households with Persons 65+ (millions) % Persons Age 65+ Living Alone 0.33 25.2 29.5 29.8 % Pop. 65+ in Major Cities 51.4 40.1 % Households with Internet Access Informal Caregivers 63.4 54.7 # of Caregivers 540,000 34,000,000 # of Caregiving Hours (millions) Value of Caregiving (millions) % Grandparents Living with Grandchildren % with Responsibility for the Grandchildren 580 36,720 $6,200 $350,000 2.5 3.4 1.4 1.4 Where to Call to Arrange Help in the Home for Elderly Relatives or Friends % Relative or Friend 26.7 21.5 % Self 19.6 17.2 % Medical Support 29.7 21.6 % Religious Support 1.0 0.4 % Area Agency on Aging 2.1 2.0 % Other 4.9 4.5 % Don t Know 16.0 32.7 Updated vember 2007. Data sources for selected 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 44.3 46.0 50.6 37.3 206 15,209 53.9 43.2 18.5 1,579.9 82.0 85.5 $188 $213 $2,516 $2,969 $68 $61 $23 $19 $18.50 $18 3.4 3.8 42 3,407 Care Receivers % Pop. 21-64 Years w/disability 10.1 12.1 % Pop. 65+ w/disability 35.4 39.6 % 65+ by Type of Disability Sensory 17.4 16.0 Physical 24.1 30.2 Self-Care 6.2 9.3 Mental 8.3 10.9 Difficulty Going Outside Home 12.5 16.3 Medicare Prescription Drug Plans # of Companies Offering PDPs 17 N/A # of PDP 43 N/A # of Companies Offering Medicare Advantage Drug Plans 8 N/A # of Home Health Aides 6,550 751,480 Median Hourly Wage Certified Nursing Assistant $11.59 $10.67 Home Health Aide $10.44 $9.34 Personal Care/Home Care Aide $8.58 $8.54 Updated vember 2007. Data sources for selected characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 2
State System of Services (HCBS) Legislation Enacted Within the Last Three Years (2001-2003) that Addresses Family Caregiving Issues Task Force or Commission Specifically to Examine Family Caregiver 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 HB 1067 & HB 1420 (Enacted 2002) HB 1067 created the family caregiver support program to provide funding to AAAs for caregiver support services. HB 1420 appropriated funds to the program. Caregiver Taskforce Lack of agreement State Program Information Administrative Structure Administering State Agency Department of Human Services Department of Health Care Policy & Finance Organizational Unit or Person Specifically Designated for Caregiving Programs or Activities Geographic Region Served Statewide Statewide Local Program Administrative Responsibility AAA AAA County Dept. of Human or Social Services County Health Dept. Private for-profit agency Private non-profit case management agencies Francisco, CA: Family Caregiver Alliance. 3
Funding & Caseload Major Sources of Program Funding OAA, Title III-E Medicaid HCBS waiver FY 2001 Expenditures $1,245,978 $563,011 (respite only) FY 2002 Expenditures $1,429,311 $618,698 (respite only) FY 2003 Expenditures $1,565,858 $94,162,799 (total waiver) FY 2001 A/D Waiver Respite Participants FY 2002 A/D Waiver Respite Participants N/A 361 N/A 374 Eligibility Caregiver Age Requirement 18+ 18+ Care Receiver Age Requirement 60+ 18+ Care Receiver Functional Status Requirement 2 ADLs Client Population Family caregiver Care receiver 2 ADLs Diagnosis of dementia or related disorder/requires supervision Assessment Program Assesses Both family caregiver and care receiver Care receiver Uniform Assessment Tool Includes Caregiver Assessment N/A Areas Addressed by Caregiver Assessment N/A N/A Services All Caregivers Eligible for Program Have Access to Same Package of Services Francisco, CA: Family Caregiver Alliance. 4
Services (cont d) Services Provided Specifically to Family Caregivers Types of Respite Care Offered Assistive technology Care mgt. Consum. Supplies Counseling Educ. & training Family consultation Family meetings Home modification/repairs Homemaker/chore/personal care Info. & assistance Respite care Adult day svcs. In-home Overnight Weekend/camp Assistive technology Care mgt. Emerg. Response Home modification/repairs Homemaker/chore/personal care Respite care Transportation Adult day svcs. In-home Overnight Caregiver Must Live with Care N/A Receiver to Receive Respite Respite Cap $250 - $500/year (average) 30 days/year Uniform Respite Cap Across Program Sites Entity that Formulates the Respite Cap Administering local agency Administering state agency Consumer Direction Consumer-Directed Options A menu of services from which caregivers can choose A voucher or budget for respite and/or supplemental services Families have a choice of respite providers Family Members Can Be Paid to Provide Care Types of Services Families Can Be Paid to N/A Personal care Provide ne Francisco, CA: Family Caregiver Alliance. 5