State Profile: Indiana Selected State Background Characteristics Population Total Pop. (millions) 6.2 293.7 Pop. 60+ (thousands) 1,038.6 48,883.4 % 60+ 16.7 16.6 National Ranking 60+ 32 N/A % White (60+) 91.7 81.4 % African American (60+) 5.9 8.5 % Hispanic/Latino (60+) 1.3 6.1 % Asian (60+) 0.5 2.9 % Native Hawaiian/ Pacific Islanders (60+) % American Indian/ Alaska Native (60+) % Two or More Races (60+) 0.0 0.1 0.1 0.5 0.4 0.6 Pop. 65+ (thousands) 772.0 36,294.0 % Pop. 65+ 12.4 12.4 National Ranking 65+ 30 N/A Pop. 85+ (thousands) 104.9 4,859.6 % Pop. 85 1.7 1.7 National Ranking 85+ 26 N/A Economic Indicators Per Capita Income $30,070 $33,041 Median Household Income $43,003 $44,473 Total State Expenditures Per Capita $3,452 $4,009 % Pop. 65+ Below Poverty 7.3 9.4 % Pop. 50+ Who Did Not Visit Doctor Due to Cost 7.8 8.1 Socio-Demographics Average Household Size 2.5 2.6 Average Family Size 3.1 3.1 % Pop. in Rural Area 22.5 16.9 Households with Persons 65+ (millions) % Persons Age 65+ Living Alone 0.53 25.2 33.0 29.8 % Pop. 65+ in Major Cities 51.8 40.1 % Households with Internet Access Informal Caregivers 51.2 54.7 # of Caregivers 720,000 34,000,000 # of Caregiving Hours (millions) Value of Caregiving (millions) % Grandparents Living with Grandchildren % with Responsibility for the Grandchildren 780 36,720 $7,500 $350,000 2.8 3.4 1.6 1.4 Where to Call to Arrange Help in the Home for Elderly Relatives or Friends % Relative or Friend 23.0 21.5 % Self 17.4 17.2 % Medical Support 25.6 21.6 % Religious Support 0.6 0.4 % Area Agency on Aging 2.0 2.0 % Other 2.5 4.5 % Don t Know 28.9 32.7 Updated November 2007. Data sources for characteristics are available at http://www.giver.org/giver/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 46.7 46.0 24.7 37.3 502 15,209 25.7 43.2 46.7 1,579.9 83.0 85.5 $172 $213 $2,031 $2,969 $69 $61 $21 $19 $17.50 $18 5.1 3.8 66 3,407 Care Receivers % Pop. 21-64 Years w/disability 12.5 12.1 % Pop. 65+ w/disability 40.8 39.6 % 65+ by Type of Disability Sensory 17.1 16.0 Physical 31.8 30.2 Self-Care 8.4 9.3 Mental 9.5 10.9 Difficulty Going Outside Home 14.9 16.3 Medi Prescription Drug Plans # of Companies Offering PDPs 17 N/A # of PDP 42 N/A # of Companies Offering Medi Advantage Drug Plans 6 N/A # of Home Health Aides 10,050 751,480 Median Hourly Wage Certified Nursing Assistant $10.36 $10.67 Home Health Aide $9.40 $9.34 Personal Care/Home Care Aide $9.08 $8.54 Updated November 2007. Data sources for characteristics are available at http://www.giver.org/giver/jsp/content_node.jsp?nodeid=1185 2
State System of Home and Community-Based 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 SB 493 (Enacted 2003) Established a taker support program. Caregiver Program Advisory Committee State Program Information Administrative Structure Administering State Agency Family & Social Services Family & Social Services Family & Social Services Organizational Unit or Person Specifically Designated for Caregiving Programs or Activities Geographic Region Served Statewide Statewide Statewide Local Program Administrative Responsibility AAA SUA Medicaid agency AAA SUA Medicaid agency Funding & Caseload Major Sources of Program Funding Caring and Compassion Aged & Disabled OAA, Title III-E Medicaid HCBS waiver Children's CHOICE/TANF funds State general fund FY 2001 Expenditures $2,331,599 $7,888,128 (respite only) n/a FY 2002 Expenditures $2,661,771 $8,618,508 (respite only) n/a FY 2003 Expenditures $2,916,060 $27,133,940 (total waiver) n/a FY 2001 A/D Waiver N/A 1,308 N/A Respite Participants FY 2002 A/D Waiver Respite Participants N/A 1,365 N/A Feinberg, L. F., Newman, S. L.., Gray, L., & Kolb, K. N. (2004). The state of the states in family giver support: A 50 state study. San Francisco, CA: Family Caregiver Alliance. 3
Eligibility Caregiver Age Requirement 18+ 18+ 18+ Care Receiver Age 60+ None 60+ Requirement Care Receiver Functional 2 ADLs 2 ADLs 2 ADLs Status Requirement Nursing home level of Client Population Family giver Care receiver Care receiver Assessment Program Assesses Both family giver and Care receiver Care receiver receiver Uniform Assessment Tool No Includes Caregiver Assessment N/A No Areas Addressed by Caregiver Assessment N/A N/A N/A Services All Caregivers Eligible for Program Have Access to Same Package of Services Services Provided Specifically to Family Caregivers Types of Respite Care Offered Caregiver Must Live with Care Receiver to Receive Respite No Cash grant Consum. supplies Counseling Educ. & training Family consult. Family meetings Info. & assistance Respite Support groups Adult day svcs. Respite Adult day svcs. Overnight No No No Educ. & training Legal and/or financial consultation Respite Feinberg, L. F., Newman, S. L.., Gray, L., & Kolb, K. N. (2004). The state of the states in family giver support: A 50 state study. San Francisco, CA: Family Caregiver Alliance. 4
Services (cont d) Respite Cap $1,000/year No cap No cap Uniform Respite Cap Across N/A N/A Program Sites Entity that Formulates the Respite Cap Administering local agency N/A N/A Consumer Direction Consumer-Directed Options Family Members Can Be Paid to Provide Care Types of Services Families Can Be Paid to Provide Caring and Compassion Aged & Disabled A menu of services from which None Consumer-directed attendant givers can choose A voucher or budget for respite and/or supplemental services Direct payments to family members for the purchase of goods or services Families have a choice of respite providers No Respite Personal N/A Feinberg, L. F., Newman, S. L.., Gray, L., & Kolb, K. N. (2004). The state of the states in family giver support: A 50 state study. San Francisco, CA: Family Caregiver Alliance. 5