Department of Family Services - Older Adults

Fairfax County, Virginia

CONTACT INFORMATION: Monday - Friday 8 a.m. - 4:30 p.m.

TTY 711

12011 Government Center Parkway, Suite 708
Fairfax, VA 22035

Trina Mayhan-Webb,
Division Director

Fairfax Area Commission on Aging Meeting Minutes - September 2019


Wednesday, September 18, 2019 — 1-3 p.m.
Sully District Governmental Center
4900 Stonecroft Boulevard, James McDonnell Room
Chantilly, VA 20151


Commissioners Present
Carolyn Sutterfield (Chair), Mike Perel (Vice Chair), Tom Bash, Cathy Cole, Joseph Heastie, Kay Larmer Phyllis Palombi, Diane Watson

Commissioners Absent
Sharron Dreyer (excused), Kathleen Hoyt (excused), Cathy Muha (excused)

Staff Present
Trina Mayhan-Webb, Jacquie Woodruff

Others Present
Supervisor Kathy Smith, Sully District; Hannah Huaytatalla, Wesley Housing Development Corporation; Patti Vaughn, Shepherd's Center Oakton-Vienna; Maria Fleischauer, Fairfax County Federation of Teachers; Nancy Seymour, 50+ Community Ambassador; Audrey Morton, Resident; Sheila Dunheimer, Hunters Valley Association; Georgette Flanagan, Forest Glen Apartments; Mary Govan, Forest Glen Apartments; Kayleigh Walker, Wesley Housing Development Corporation; Seamus Mooney, Office of Emergency Management; Courtney Arroyo, Office of Emergency Management; Sulayman Brown, Office of Emergency Management; Mari de Leon, Virginia Insurance Counseling and Assistance Program; Kristin Helfer Koester, Virginia Insurance Counseling and Assistance Program; Carma Ryan, Virginia Insurance Counseling and Assistance Program

Call to Order
COA Chair Carolyn Sutterfield called the meeting to order at 1 p.m. Carolyn asked commissioners to introduce themselves.

Welcome by Supervisor Kathy Smith
Supervisor Kathy Smith welcomed the COA to Sully District. She stated that the 50+ Plan report that the COA presented at the Board of Supervisors (BOS) 50+ Committee meeting was impressive. She looks forward to moving forward with the COA on the next 50+ Plan. Supervisor Smith thanked the COA members for all their work and asked that they contact her office if she can be of any help.

Introductions; Additions to Agenda; Approval of the Agenda; Approval of the Minutes
Sharron motioned that the agenda be approved. Kay seconded. Sharron motioned that the July and August meeting minutes be approved. Cathy Cole seconded.

Public Comment
Carolyn invited members of the public to introduce themselves.

No public comment.

Presentation: Office of Emergency Management – Seamus Mooney, Director, and Courtney Arroyo, Access and Functional Needs Integration Liaison
Seamus Mooney and Courtney Arroyo provided an overview of the Office of Emergency Management (OEM). OEM coordinates county planning, response, support and recovery efforts before, during and after large-scale events and emergencies. OEM manages the County's Emergency Operations Center. The agency provides emergency planning and emergency response coordination, conducts emergency training and exercises, facilitates public education and community outreach programs, and manages emergency alert and notification systems, including the Functional Needs Registry. Seamus encouraged all to make a plan, have a kit, and stay informed. Courtney stated that OEM has a partnership with the Area Agency on Aging (AAA) that allows for donated emergency kits to be delivered to Meals on Wheels clients and senior centers. Several hundred kits have been delivered. Courtney also works with the Disability Services Board and partners with Fairfax County Public Schools.

Old Business
Carolyn stated that the 50+ Plan is the Board of Supervisors' (BOS) plan. She reviewed the current timeline for developing the new 50+ Plan. Community Forums will be held late Spring 2020. In October, the BOS will approve the 50+ Community Action Plan Final Summary Report and the planning process for the next 50+ Plan.

Carolyn thanked the COA and AAA staff for their hard work on the 50+ Community Action Plan Final Summary Report. Joe stated that the community involvement in government decision-making used in developing the 50+ Plan received national attention. He thanked Carolyn for her idea to include 50+ Champion interviews in the final report. Commissioners applauded Carolyn for her work on the final report.

Director's Report
Trina reported that the Virginia Association of Area Agencies on Aging (V4A) will meet next month. She thanked OEM for hosting the V4A meeting in Fairfax. The Area Agencies on Aging directors from around Virginia were impressed with the facility.

The Fairfax Area Agency on Aging (AAA) will be responsible for assisting with the Governor's Conference on Aging.

The Virginia Department for Aging and Rehabilitative Services (DARS) will conduct an audit of the AAA November 19-21, 2019. The last state audit was in 2016.

New Caregiver Specialist Giuliana Valencia has set up Fairfax Alerts for caregivers. Caregivers can sign up to receive text information about caregiver information and events.

Mari de Leon provided an overview of the Virginia Insurance Counseling and Assistance Program (VICAP). VICAP is federally mandated and state funded, and part of a national network of programs that offers free, unbiased, confidential counseling and assistance for people with Medicare. Counseling topics include Medicare, Medicare Part D, Medicare Advantage Plans, Medigap, Duals Special Needs Plans, and long-term care insurance. From April 1, 2018 to March 31, 2019, VICAP served 3,235 contacts (completed cases) and saved residents over $3.1 million in drug costs.

During open enrollment this year, the 2.5 VICAP staff will make 33 to 46 presentations and will assist residents with reviewing drug plans.

Mari warned that some brokers and agents make presentations and pretend to be Medicare experts.

In January 2018, Mari identified a disturbing trend across the US with the low-income population of Medicare beneficiaries who are dual eligible for both Medicare and Medicaid. Many low-income beneficiaries receive income through SSI (Supplemental Security Income) and are given payment to bring their income up to the poverty level.

VICAP received many beneficiary complaints about the increased cost of medications. VICAP staff checked coverage on the Medicare Plan Finder tool and discovered that the copayment for SSI beneficiaries was approximately 3 times what it should have been: $3.35 generic/$8.35 brand.

VICAP researched the problem and discovered that there was an error by which the $1.25 generic/$3.70 brand copays had been converted to the higher amounts of $3.35 generic/$8.35 brand. A nearly 300% copay increase for this low-income population can be devastating, especially for those who take several medications. Mari notified the VICAP State Director, CMS (Centers for Medicare and Medicaid Services) and DMAS (Department of Medical Assistance Services) about the SSI error. After a 2-week investigation, the data error was found and the copays for SSI recipients were adjusted. In addition, steps were made to reimburse the SSI recipients who were incorrectly charged.

New Business
Carolyn stated that Supervisor Herrity and the BOS would like to rename the BOS 50+ Committee to eliminate a specific age reference. Supervisor Herrity has asked that the COA submit suggestions for a new committee name. Commissioner suggestions included Older Adults Committee; Aging Friendly Fairfax; Aging Well Committee; Aging Well, Living Well Committee; and Healthy Living Committee.

Carolyn, Trina, and Jacquie attended a Countywide Strategic Plan Community Engagement meeting. Carolyn provided an overview of the meeting process and shared the draft strategic plan and information gathering card used for each breakout group.

Mike and Kay volunteered to represent the COA at the September 24 Countywide Strategic Plan Engagement session for Boards, Authorities, and Commissions.

The Northern Virginia Aging Network (NVAN) Legislative Breakfast will be held on Friday, October 4 at the Country Club of Fairfax. Sandy Markwood, CEO of the National Association of Area Agencies on Aging, will provide the keynote address.

Mike announced that next week is Falls Prevention Week.

Mike motioned that the meeting be adjourned. Phyllis seconded. The meeting was adjourned at 3:02 p.m.

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