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Today, people are living longer, healthier lives and the elderly population is rapidly growing. With diversity and longevity becoming two terms that describe America's workforce and population, the Federal Government is addressing the issues of aging and its impact on our families, work environment, and productivity.
The statistics on aging are overwhelming. As of 1999, there are more than 34 million individuals age 65 or older living in the United States. By the year 2030, it is expected that this number will exceed 70 million, more than double the present number. The average age of the Federal full-time employee is 45.6 years. Moreover, an increasing number of these employees face the challenges and responsibilities of caring for an aging family member or friend. Approximately 25.8 billion Americans spend an average of 18 hours a week caring for an ailing relative. Women, the traditional caregivers to elderly persons, today make up 44.4 percent of our workforce.
Given these demographics, it is important that the Federal Government offer elder care programs, policies, and initiatives to assist employees who are currently, or who will be caregivers with family and work/life demands.
The Handbook of Elder Care Resources for the Federal Workplace was developed to introduce you -- the employer and employee caregiver -- to the various services and resources that are available to help you make informed elder care decisions. From choosing an assisted living arrangement to dealing with the complexities of social security income, this Handbook provides practical tips and solutions to these complicated aging issues.
The Handbook describes a variety of community resources that are offered around the country to help older adults function independently and discusses housing options, financial and medical considerations, nursing homes, and home health care agencies. It also provides a listing of:
The U.S. Office of Personnel Management (OPM) is committed to helping employees who care for elderly parents and older persons to meet their obligations to their families, personal responsibilities and the job.
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Under Federal Law, the U.S. Office of Personnel Management (OPM) is prohibited from ranking, endorsing, or promoting agencies or organizations listed in the Handbook of Elder Care Resources.
Elder care is a broad field that recognizes the role of the adult caregiver as one that provides essential services to a parent or older person. Often employees do not recognize their role as a caregiver nor do they realize that help may be available in the community to assist an older person. Sometimes it is difficult for an employee to remember that he or she has needs that should be met. Ask yourself the following questions:
Am I concerned about the safety or welfare of an aging relative or friend?
Do I help an older person from time to time with household tasks such as grocery shopping, paying bills, or house cleaning?
Am I providing personal care -- bathing, feeding, grooming -- to a parent or older person who needs assistance in these areas?
If you answered YES to any of these questions, you are a caregiver. Caregiver is a term describing a person who is concerned about or provides assistance to another because of physical or mental limitations. A caregiver can help anyone -- a child, a disabled person, or an aging individual. However, this handbook is intended to help people who are employee caregivers of a parent or older person.
Your agency's Employee Assistance Program (EAP) may be helpful in assisting you with problems or concerns you may be experiencing as a caregiver. An EAP counselor also can direct you to the appropriate resources that will help your parent or older person. In addition to the listings in this book, there are many other resources available to help caregivers do their jobs. If you would like to receive a fact sheet on caregiving, a pamphlet titled "Caregiving: 1st Line of Defense," or a resource list of national organizations that offer free or low-cost resources, contact the Older Women's League (OWL) at 1-800-TAKE OWL from 9:00 a.m. - 5:00 p.m. (Eastern Standard Time). The OWL is a non-profit organization that seeks to educate the public about issues affecting middle-aged and older women.
Employee caregivers can find other services, sources of help, and emotional support on several World Wide websites created by national caregiving and home care associations. Some of these include:
Suite 6424720 Montgomery LaneBethesda, MD 20814(301) 718-8444http://www.caregiving.org
Suite 50010400 Connecticut AvenueKensington, MD 20895(800) 896-3650http://www.nfcacares.org
228 7th Street, NEWashington, DC 20003(202) 547-7424http://www.nahc.org
Suite 200409 3rd Street, SWWashington, DC 20024(202) 479-1200http://www.ncoa.org
This section of the Handbook was written with the assistance of the Older Women's League.
Caregivers should also be mindful of the Elder Care Locator information below. The Locator is a toll free number operating nationwide for people with elder care concerns. It is operated by the National Association of Area Agencies on Aging with funds from the Older Americans Act of 1992 (P.L. 102-375). The trained elder care operators can determine who you need to contact and give you local referral numbers. If your parent or an older person lives far away, the Elder Care Locator can give you information for their area.
If you're concerned about an older person, and don't know where to turn for information, the Elder Care Locator can help you. Call the 1-800 number listed below:
1-800-677-1116Monday - Friday9:00 a.m. - 11:00 p.m. (Eastern Standard Time)
Under Federal Law, the U.S. Office of Personnel Management (OPM) is prohibited from ranking, endorsing, or promoting agencies or organizations listed on its website.
Many people associate the aging process with the need for
nursing home care. In fact, most persons do not need nursing home
care. Instead, many parents or older persons can remain
independent, but frequently need assistance with various daily
living tasks. Communities throughout the United States offer varied
services for their aging populations. Check with the social
services office of your parent or older person's local government
to determine which services are available in his or her area.
Utilizing these community resources can help your parent or older
person live more comfortably and remain independently in his or her
home. In addition, a parent or older person who have chosen an
alternative living arrangement, such as congregate housing, can use
these services as an additional tool to make daily living simpler.
The list below will familiarize you with some of the community
resources that may be available in your parent or older person area
and suggest the general availability of these services across the
country. Remember, you must contact the local government where your
parent or older person resides to determine if these services are
available in his or her area.
Adult day care centers offer a variety of health care and social
services for people who need assistance with personal care such as
grooming or toileting, but not around-the-clock care. Round trip
transportation may be provided to the center where people may spend
a few hours or all day.
Availability - Adult day
care center availability varies. The centers may be operated by
hospitals, nursing homes, religious organizations or privately
owned care centers. Contact your parent or older person's Area
Agency on Aging for information.
Area Agencies on Aging (AAA) provide access to a variety of
services to older persons in communities throughout the United
States. These services include: information and referral,
homemaker/home health aides, transportation, congregate care and
home-delivered meals, chores, and other supportive services.
Availability - AAAs are
located in every State. The types of services they offer will
differ. A partial listing of AAA addresses and telephone numbers
are provided in the Resource and Referral Services section of this
Assistive products are services and devices that can be
purchased or rented to help people function better at home. These
may include devices for persons with hearing and/or visual
impairments and those who need help in walking or moving about.
Availability - Assistive
products may be available from medical equipment rental stores or
electronic product retail stores. Several States have assistive
products and devices distribution programs operated by the State
rehabilitation agency for the disabled.
Case management is a method of assessing a person's total care
needs, arranging for necessary services, and coordinating the
delivery of services. Since care problems rarely occur one at a
time and services may be fragmented, this service can be used by
caregivers to coordinate a care plan.
Availability - While
availability varies, case management services are becoming more
widely available. Contact your parent or older person's AAA for
Friendly visitors are volunteers who regularly visit older
persons who may need companion- ship. They may read, write letters,
run local errands, etc. for the older person.
Availability - Friendly
visitors are usually provided by a religious or volunteer
organization. Contact your parent or older person's church or
synagogue or the Visiting Nurses Association to see if the service
exists in their community.
Home adaptation means making changes to your parent or older
person's home to accommodate his or her changed needs. Adaptation
may include small changes like installing grab bars, or major
changes such as widening doorways for wheelchairs or installing a
bathroom on the first floor of the home.
Availability - You need a
good contractor and a good idea of what your parent or older person
wants done. Seek advice from professionals you know you can rely
on, such as an occupational therapist, before hiring anyone to do
Home chore services offer minor household repairs, household
cleaning, and yard work.
Availability - Home chore
services are widely available. Contact your parent or older
person's AAA for information.
Home-delivered meals or "meals-on-wheels" is a service that
delivers hot, nutritious meals once or twice a day, usually five
days per week. Most home-delivered meal programs can accommodate
Home-delivered meals are widely available. Contact your parent or
older person's AAA for information.
Home health care covers a wide variety of medical services
provided by such professionals as nurses or physical
Availability - Home health
care is widely available. Contact your parent or older person's
Visiting Nurses Association or AAA. Refer to the Practical Tips for
Elder Care section for a helpful checklist on selecting a home
health care agency. Also, see the Resource and Referral Services
section for a listing of home health care resources.
Home maintenance and repair programs (usually sponsored by
nonprofit organizations) provide home maintenance, home repairs,
and help with emergencies such as frozen pipes. No major
improvements or cosmetic changes are included. Some programs will
help you work with contractors.
Availability - These
programs are widely available. Contact your parent or older
person's AAA for information.
Homemaker services include assistance with grooming and
dressing, and help with meal preparation, food shopping, or light
Availability - Homemaker
services are widely available. Contact your parent or older
person's AAA for information.
Hospice is a special kind of care for terminally ill people and
their families. It does not focus on recovery through medical
treatment, but instead helps people cope with the physical and
emotional pain of dying from a clearly terminal illness. Hospice
care may be given at home or in a hospice facility, and may be
provided by or supplemented by trained volunteers, as well as by
family members. Insurance coverage for hospice care varies.
Medicare will provide benefits to patients who are diagnosed as
being terminally ill, but patients receiving hospice benefits waive
their regular Medicare coverage while they are under hospice
Availability varies from State to State. Contact your parent or
older person's AAA for information. You can also contact your
parent's State hospice or home care association, the Foundation for
Hospice and Homecare at (202) 547-6586, or the Hospice Association
of America at (202) 546-4759.
Nutrition services provide people with inexpensive, nutritious
meals in group settings such as senior centers, churches,
synagogues, or senior housing. Nutrition sites may provide
Availability - Nutrition
services are widely available. Contact your parent or older
person's AAA for information.
Personal Emergency Response Systems (PERS)
PERS are emergency alert button devices that are placed in the
home and can be pressed to summon help from emergency response
centers such as hospitals or 800 numbers.
Approximately ten national companies manufacture PERS. They may not
be readily available in all areas. Contact your parent or older
person's AAA for information.
Respite care provides short-term relief to people who care for a
parent or older person at home. The respite can be for a few hours
or several days. It may be provided at home, at adult day care
centers, or at hospitals overnight.
Availability - Respite
care services are widely available. Contact your parent or older
person's AAA for information.
Senior centers offer older people an oppor- tunity to socialize
and a place to meet. They offer a wide variety of social,
educational, and recreational programs. Some senior centers provide
Availability - Senior
centers are widely available. Contact your parent or older person's
AAA for information.
Telephone reassurance is offered by volunteers who arrange to
talk to older persons daily to ensure that "all is well." This
service is especially helpful to people who live alone.
Availability varies in communities. Contact your parent or older
person's AAA, church or synagogue, or Visiting Nurses
This information is reprinted with permission from
the AARP's publication Tomorrow's Choices.
Many people assume that a nursing home is the only option for parent or older persons who can no longer live alone in their own homes. However, there are many housing alternatives available. The information listed below will familiarize you with some of these options. The questions that follow each section suggest what you, your parent, or an older person might consider before selecting an alternative living arrangement. Please note that although this section refers to "parent," it applies to both parents.
For many people, having a parent move in with them is the best choice when living alone is no longer possible for the older person. For other people, it can be a difficult choice. If you are considering such an arrangement, you need to talk seriously with your immediate family and your parents to understand how each one of them feels. You also need to be sure to express all of your feelings about the situation. Talk with friends whose parents live with them and try to understand what it's like for them. Think through the questions listed below for both parents and children and discuss the issues together before agreeing to this living arrangement.
Foster care is a social service that places an older person who is in need of a modest amount of daily assistance into a warm home environment. The costs vary, and may be covered by the State social services program. The older person may be expected to contribute to the stipend paid to the family providing the foster care. The availability of this program is limited. Contact your AAA for more information.
As an alternative to moving into your home, your parent may want to consider sharing their home with others, moving into someone else's home, or finding a new house that can accommodate them and several other people. Shared households can be arranged either by sharing expenses or by exchanging services for rent. For example, a homebound homeowner might prefer having someone do housework, shopping, yard work, or other errands in exchange for free lodging. This sort of arrangement should be put in writing, so there are no misunderstandings later
Another way your parent can remain at home is to add a separate, self-contained apartment unit to his or her house, called an accessory apartment. This allows your parent to stay in his or her house but not be alone, and the rental income will provide him or her with additional living resources. Creating a new kitchen, bath and access are usually the most expensive changes to be made; however, your parent's home may only require minor changes to accommodate an accessory unit.
Before your parent searches for a tenant, consider whether he or she wants a companion, someone who provides home services, or just a renter. If your parent needs help around the house, some tenants may be willing to exchange services for rent. Any arrangement for exchange of services in lieu of rent should be put in writing as part of the rental agreement. Also, it is important to be alert to any tax consequences in this type of exchange services.
If you and your parent don't wish to live together, having your parent live in a cottage on your property might be a workable alternative. Elder Cottage Housing Opportunity (ECHO for short) units are small, self-contained, portable housing units that can be placed in the back or side yard of a single family house. They were first manufactured in Australia to enable parents to remain near their adult children and families. ECHO units provide closeness, while retaining privacy for both parties. The cost of ECHO housing is less than a new home. For example, companies in California and Pennsylvania offer completely installed one-bedroom units with more than 500 square feet of living space for around $25,000.
Board and care homes go by many names (including personal care homes, residential care facilities, assisted living, and domiciliary care). In exchange for rent, generally they provide room, meals, laundry and house-keeping, and regular contact with staff to ensure that "all is well." The daily contact with staff is what distinguishes "board and care" homes from the more familiar boarding houses. Your parent would share this home, of course, with a number of other residents.
Visit the home with your parent before a decision is made. Look at the private room your parent may occupy. Ask lots of questions about the services and evaluate the staff. Ask for references and check the home's record with the local or State licensing agency.
Congregate housing is usually an apartment complex that provides each tenant a full apartment, serves meals in a central dining room, and provides housekeeping services. It is different from board and care homes because the individual units include kitchens and because it provides a professional staff that may include social workers, counselors, or nutritionists.
Today, most congregate housing facilities are sponsored by non-profit agencies and range in size from 35 to 300 living units. You may find congregate housing facilities listed under "Retirement Communities" in your local telephone directory.
The rents vary, and Federal subsidies often help cover a portion of rental fees.
Continuing care communities offer the benefit of independent living in apartments and houses, but with health care services and a nursing facility on the premises. Payment for nursing care and many other services is sometimes made in advance.
The cost of a continuing care community can be high. The entrance fee can range from $50,000 to $250,000 (which may or may not be refundable) and you must also pay monthly fees (that can increase while you are a resident).
The difference between a continuing care community and board and care homes or congregate housing is that continuing care communities provide a commitment to take care of residents regardless of any changes in their health, for as long as they reside in the community.
If your parent is considering a move to a continuing care community, BE CAUTIOUS. Some continuing care communities have financial problems. You may wish to review the facility's financial statement with an attorney or accountant and note its cash reserves and its policy for using them. Check with the local or State Long-Term Care Ombudsman and the Better Business Bureau or the Consumer Protection Office in the CCRC's locality to be sure it has not generated complaints of any kind.
Nursing homes are for people who need extensive and extended health or personal care. Many people live in nursing homes unnecessarily because they thought they had no other alternatives. Nursing homes are intended only for those who are seriously ill--not for people who feel they have no other options.
Skilled Nursing--is for persons who need intensive care, 24 hour-a-day supervision, and treatment by a registered nurse under the direction of a physician.
Nursing Facility--is for persons who need 24 hour-a-day supervision under the direction of a registered nurse and a physician.
The level of care required is determined by a person`s physician. In addition, many States require and conduct pre-screening of potential nursing home residents to determine the level of care needed. Your parent`s local social service agency or the admissions person at any nursing home can direct you to the agency that makes this determination.
There are about 20,000 nursing homes in the United States, serving about 5 percent of the older population. The chances are about one in four that an individual will need to reside in a nursing home at some time in his or her life. The cost for staying for one year in a nursing home generally ranges between $20,000 and $48,000. Medicare and private medigap insurance plans reimburse very little of the cost. An extended stay in a nursing home can wipe out a family`s savings, so advance planning for this eventuality is critical. Only when a nursing home patient becomes impoverished, does Medicaid begin to pay the cost of nursing home care.
To help you in selecting the right nursing home for your parent, consider contacting the local ombudsman. The ombudsman program is a significant part of the nursing home system. Federal law requires each State Agency on Aging to have an Office of the Long-Term Care Ombudsman, and more than 500 local ombudsman programs now exist nationwide.
These offices provide help and information to older Americans, their families, and friends regarding long-term care facilities. The local ombudsman also can help to ensure that your parent receives good care throughout his or her stay. Keep in mind that the ombudsman cannot advise you on one particular nursing home, but will supply current information regarding nursing homes near you or your parent.
Visiting nursing homes on a regular basis;
Refer to Resource and Referral Services for a list of State long-term care ombudsman offices.
Refer to Practical Tips for Elder Care for a list of helpful suggestions and a checklist that can be used when you visit nursing homes.
Once you identify what you want and need in a home, simply telephoning some of the nursing homes on your list may eliminate the need to visit them. Some of the key questions that you may ask over the phone to facilities are:
A number of resources are available that may be of help when considering housing options.
Write to AARP to obtain a free copy of the following publications. Include the title and publication number.
AARP Fulfillment 601 E Street, NW. Washington, DC 20049
Write to the American Association of Homes for the Aging to receive a copy of the following publications:
American Association of Homes for the Aging (AAHA) Publications 901 E Street, NW., Suite 500 Washington, DC 20004-2037
Write to Department of Health and Human Services at:
HHS - Centers for Medicare and Medicaid Services 6325 Security Boulevard Baltimore, MD 21207
For a free copy of
With the exception of the Nursing Home Telephone Interview information, the housing alternative information was borrowed from two AARP publications, Tomorrow`s Choices and Nursing Home Life: A Guide For Residents and Families, and is reprinted here with permission from AARP.
When an aging family member suddenly needs help with daily living tasks or must enter a nursing home, the emotions of such a change can interfere with a family`s ability to make decisions. The decision making process can seem overwhelming, particularly if legal concerns are involved. While dealing with your parent`s legal concerns may seem difficult, you need not feel overburdened. The best defense against confusion and uncertainty in coping with legal issues is to prepare in advance of change. The information in this section offers some suggestions for preparing you and your parents for the day they may need your assistance in handling their legal affairs. "Getting Your Affairs in Order" provides an easy process for aging parents to organize their legal affairs should they need assistance later on. The second part of this section defines legal terms that relate to the aging field. Regardless of your circumstances, everyone should read this section and become familiar with the legal issues that affect many aging adults and their children.
Relatives and friends sometimes must help older people manage their legal or financial affairs temporarily or even gradually assume these responsibilities. Often the person who provides care has little knowledge of vital information and records. If papers are in order, the task is much simpler.
Although each situation is different, the following suggestions can help most people begin creating a financial and personal records file.
A personal records file should include the following information:
A family member or friend should know the location of this personal records file and the location of all important papers and documents, although it is not necessary to reveal the contents of wills or trusts.
In making a financial records file, list information about insurance policies, bank accounts, deeds, investments, and other valuables, using this outline:
Having this information available can help you or a family member plan for any change in later years--retirements, a move, a death in the family--and can help you or a family member make wise decisions.
Many communities offer legal services. For those elderly who are unable to manage their own affairs appropriately, legal and/or protective services may be needed. Such services are designed to safeguard the rights and interests of older persons, to protect them from harm, to protect the property of older persons, and to provide advice and counsel to older persons and their families in dealing with financial and business concerns. Older persons and their families should become familiar with the following legal terms.
This is a legal device which permits one individual (the Principal) to give to another person (the attorney-in-fact) the authority to act on his or her behalf. The person with power of attorney is then authorized to handle banking and real estate, pay bills, incur expenses, and handle a wide variety of legal affairs for a specific period of time. This can continue indefinitely as long as the person granting power of attorney remains competent and is capable of granting power of attorney. This kind of power of attorney expires when the Principal becomes comatose, mentally incompetent, or dies.
Most people feel more secure knowing that, in the event of incapacity, a trusted person and not the courts will make decisions and carry out their wishes. A Durable Power of Attorney gives a specified person this right despite the physical or mental incompetence of the elder. It terminates only upon the death of the grantor (Principal) or if revoked by a legally appointed guardian or by the grantor if he or she remains competent.
A guardianship or conservatorship, arranged through an attorney, blocks a person from acting on his or her own behalf. This arrangement is useful when a person is incapable of managing financial and/or personal affairs, or does not know that he or she is managing poorly, and this incapability poses a major threat to his or her well-being. All guardianships must be approved by a court and actions taken by a guardian are overseen by the court.
In the event a parent or older person cannot sign a Social Security check, the Social Security office will appoint a person, institution, or community association as representative payee. The name on the Social Security check is changed from the direct beneficiary`s to the payee`s, and the payee is then responsible for distributing the money on behalf of the beneficiary. Social Security checks can also be directly deposited in most situations.
A will is a legal declaration of how the deceased wants his or her money, property, and other possessions disposed of after death. A will also can be used to determine guardianship of minor children and to set up trusts for heirs who may have an inadequate knowledge of how to manage inherited money or property.
Without a doubt, every person with property of any value should have a will. However, many people delay thinking about death and then die intestate, that is, the State distributes their estate according to the laws of the State. When drawing up a will, a parent and older person should make a list of his or her resources and clarify and write down his or her wishes. The parent and older person must choose an executor and witness to the will. The parent and older person also has the responsibility to review it periodically, to keep it up-to-date, and to see that it is stored in a safe place. You should know where your parent or older person`s will is kept.
A living will is a document that allows people to state, while they are still able, their wishes regarding the use of extraordinary measures or procedures to keep them alive when it is evident that they are dying. The living will may also appoint someone else (a relative, friend or attorney) to direct health care if the person signing the living will is unable to do so.
In most cases, people who sign living wills want to be certain that they will not receive unwanted or unwarranted treatment if death is near and they have no reasonable expectation of recovering. Others may want to make clear that they want to be at home when death is imminent, or that they want to donate their organs after death. Currently, 38 States and the District of Columbia have recognized the Living Will as legally binding under most circumstances.
There are a few programs that will provide low-cost legal services to a parent or older adult. Legal aid offices are set up to provide low income individuals with legal services if they meet eligibility guidelines. A parent or older person can sometimes receive help with government forms, tax forms, wills, etc., from retired attorneys, volunteers from the Bar Association, or paralegals who are supervised by an attorney. Some States have toll free telephone numbers that a parent or older person can call and talk with an attorney. Contact your local AAA or senior center for further information on these programs.
These definitions were borrowed from The Partnership Group, Inc. and are reprinted here with their permission.
The information in this section briefly discusses financial considerations that you and your parent or older person may wish to consider. The information is in no way intended as financial advice nor as a comprehensive overview of parent or older person financial concerns. Instead, this section is intended to introduce you to or remind you of some common financial topics that concern parent or older persons.
Most of the information concerns Social Security income. To receive additional information on any topics listed below contact the Social Security Administration. The Social Security Administration can answer many questions about the Social Security system and can send you free informative brochures on its programs. Refer to the resources listed at the end of the Social Security and Health Insurance sections for a partial listing of these publications.
For further information about any Social Security Program, or to apply, Call SSA's Toll Free Number 1-800-772-1213 Monday - Friday 7 a.m. - 7 p.m. (Eastern Standard Time)
The basic idea behind Social Security is a simple one. An individual pays taxes to the system during his or her working years, and the individual and members of his or her family receive monthly benefits when he or she retires or becomes disabled. Or, survivors collect benefits when an individual dies.
Here's An Important Point: Social Security is not intended to be an individual's only source of income. Instead, it is meant to be used to supplement the pensions, insurance, savings, and other investments accumulated during the working years.
There are three types of Social Security benefits:
SSI is short for Supplemental Security Income. The SSI pays monthly checks to people who are 65 or older, or disabled or blind and who have low incomes and few assets. SSI isn't just for adults. Monthly checks can go to disabled and blind children, too. People who get SSI usually get Food Stamps and Medicaid, too.
The amount of SSI money your parent or older person receives depends on where they live. The basic SSI check is the same nationwide. However, many States add money to the basic check. Call the Social Security Administration's toll free number -- 1-800-772-1213 -- to find out the amounts for your parent's or older person's State.
For disability, survivors, and SSI benefits, your parent or older person should apply as soon as he or she is eligible. When signing up for retirement, Social Security asks that an individual do so about three months before he or she wants the benefits to start.
Sometimes Social Security or SSI recipients are not able to handle their own financial affairs. In those cases, the Social Security Administration turns to a relative, a friend, or another interested party to handle a person's Social Security matters. This person becomes the "representative payee." All Social Security or SSI benefits due are made payable in the payee's name on behalf of the beneficiary. Contact the Social Security Administration for more information.
The Social Security Administration produces many publications and fact sheets designed to help explain these programs to you or your parent or older person.
To obtain free copies of the following, call or write the Social Security Administration:
Dept. of Health and Human Services Social Security Administration Baltimore, MD 21235 Toll Free 1-800-772-1213
To receive a copy of the book, Women and Money: The Independent Woman's Guide to Financial Security for Life, by Frances Leonard, write to the Older Women's League at the address below and include a check or money order for $12.95.
OWL 666 11th Street, NW., Suite 700 Washington, DC 20001
The following list of tax publications may be useful in understanding the often complex tax laws that govern an parent or older person's money. You may need to contact a lawyer to receive additional assistance.
Contact the Internal Revenue Service (IRS) toll free at 1-800-829-3676 to order the following free tax guides:
Contact the IRS toll free at 1-800-829-1040 to receive assistance in filling out tax forms for older persons. The IRS will refer you to a volunteer tax assistant in your area.
The information listed below briefly describes government funded
and other health insurance programs for parents or older persons.
To receive further information on any of these programs contact the
Social Security Administration toll free at
1-800-772-1213 or contact your local Social
Medicare is our country's health insurance program for people 65
or older, certain disabled people under 65, and people of any age
who have permanent kidney failure. It provides basic protection
against the cost of health care, but it doesn't cover all
Medicare has two parts: Hospital Insurance (Part A) and Medical
Insurance (Part B). Hospital Insurance helps pay for inpatient
hospital care, skilled nursing facility care, home health care, and
hospice care. It is paid for by the payroll tax Federal Insurance
Contribution Act (FICA) that also pays for Social Security. Medical
Insurance helps pay for doctors' services, outpatient hospital
services, ambulance services, diagnostic tests, therapies, durable
medical equipment, medical supplies, and prosthetic devices.
Medical Insurance is financed by monthly premiums paid by people
who choose to enroll.
Many people think that Medicaid and Medicare are two different
names for the same program. But actually, Medicaid is a State-run
program designed primarily to help the elderly and others with low
income and little or no resources. Each State has its own rules
about who is eligible and what is covered under Medicaid. However,
all States cover basic inpatient and outpatient medical services,
and various additional services may be provided at the option of
the individual States.
Under Federal Law, the U.S. Office of Personnel Management (OPM)
is prohibited from ranking, endorsing, or promoting agencies or
organizations listed on its website.
your parent or older person gets Medicare, and has little income or
resources he or she may be eligible for the "Qualified
Medicare Beneficiary" -- or QMB -- Program. If your parent
or older person qualifies, the State he or she lives in will
pay their Medicare premiums, deductibles, and co-insurance. If you
think your parent or older person may qualify, contact his or her
State or local medical assistance (Medicaid) agency, social
services office, or welfare office for information.
Medicare provides basic health care coverage, but it
doesn't pay all medical expenses, and it doesn't pay for most
long-term care. For this reason, many private companies sell
insurance to fill the gaps in Medicare coverage. This kind of
insurance is often called "Medigap" for short.
Contact the Health Care Financing Administration's Medigap Hotline
toll free at 1-800-638-6833 for more information on Medigap.
See the section Financial Matters for an
explanation of the representative payee system.
The Social Security Administration (the organization that
provides information about the Medicare program) and the Centers
for Medicare and Medicaid Services (the organization that
administers the Medicare program) produce many publications and
fact sheets designed to help explain these programs to you or your
parent or older person.
For a free copy of the following publications, write or call the
Social Security Administration at:
Social Security Administration
Public Information Distribution Center
Public Affairs Office, P.O. Box 17743
Baltimore, MD 21235
Toll free 1-800-772-1213
To obtain a free copy of the publications, write or call the
Health Care Financing Administration at:
Centers for Medicare and Medicaid Services
6325 Security Boulevard
Baltimore, MD 21207
Toll Free 1-800-638-6833
8:00 a.m. - 8:00 p.m.
Eastern Standard Time
For a free copy of the 1999 Medicare and You, write or
call the Health Care Financing Administration at:
Centers for Medicare and Medicaid Services
6325 Security Boulevard
Baltimore, MD 21207
Toll Free 1-800-638-6833
8:00 a.m. - 8:00 p.m.
Write to AARP for a free copy of the following publications.
Include the title and publication number.
601 E Street, NW.
Washington, DC 20049
As an increasing number of employees face the responsibilities of caring for an aging family member, many employers are searching for ways to help their employees balance the demands of caregiving and work. One effective and useful tool is the work-site support group. Support groups bring together people who have similar concerns or difficulties and enable participants to share personal stories and helpful information. Members often find it comforting to learn that their problems are not unique. Establishing a support group is inexpensive and relatively simple. The information provided below explains how to start a support group in your agency. These suggestions can be modified to suit the needs of your employees.
Establishing a support group should be based on a sufficient employee need and desire for one. One way to determine this is to conduct an employee survey to assess the extent to which employees have elder care responsibilities or concerns and would like agency help meeting them.
Many employees with elder care responsibilities may not even realize that they are caregivers. A needs assessment survey should describe the term "caregiver." Caregivers of the elderly are concerned about or provide assistance to elderly relatives or friends who have physical or mental limitations. Such care may include any number of tasks such as making regular telephone checkups, providing transportation, meals, medical care, or personal care, managing finances, or assisting with shopping and other errands. A survey should emphasize that caregiving includes any support no matter how small the task and may be provided by a caregiver who lives far away from the elderly person. Include questions about anticipated elder care concerns in the near future and employee interest in participating in a support group.
If the survey results reveal an interest in starting a support group, consider the remainder of these steps. Keep in mind that a support group can be as small as five people and may grow as employees learn of its existence.
Because attendance at support group meetings may be sporadic at times, the consistent attendance of an employee assistance program (EAP) counselor or work/life manager at the meetings can help to maintain the group. The group coordinator can be responsible for advertising future group meetings, arranging meeting space, and maintaining a current list of group members and their telephone numbers. (See Meeting Time and Place below.) An EAP counselor or work/life manager also can offer group members elder care resource and referral information and explain personnel flexibilities available in their agencies that may help employees balance work and caregiving demands.
There also may be interest in starting a support group newsletter that could include newspaper and magazine articles on caregiving and aging issues, resource and referral information, and the date and time of the next support group meeting. A newsletter is especially helpful to members who temporarily lose contact with the group.
If a counselor or work/life manager is not available to attend meetings on a regular basis, a leader may emerge from the group. This individual could be responsible for arranging the meetings or writing a newsletter. These tasks also could be shared by members on a rotating basis. Each group will conduct itself differently.
Establish the time, place, and frequency of the support group meetings. Generally, employees like to meet at lunch time and will bring their lunches. Participants will decide how often they want to meet. Usually, a meeting room must be reserved in advance. Contact the agency building services office to find out how to reserve a room. Once a meeting time has been established, advertise the meeting at least two weeks in advance by placing announcements in a location where employees are certain to see them (bulletin boards or employee newsletters, for instance).
It is important to explore what members wish to accomplish at the meetings. Members should discuss the goals of the support group at the first gathering. The goals may change as new members are added or as problems or concerns change. These goals and purposes should be considered each time the group meets. Members also may wish to explain what they hope to gain from attending the meetings.
Support group members must agree not to discuss the personal aspects of the meetings they attend. Certainly it is appropriate to share resource information outside the group, but the personal problems and concerns of members should remain private. This agreement of confidentiality should be stated at the first meeting.
Support groups can be open-ended or close-ended. An open group accepts new members at any time while a closed group establishes a group but does not add new members for a specified period of time. The person that establishes the support group may make this decision or the members at the first meeting may decide. An agency elder care support group may be better suited to an open-ended format since many employees experience the onset of elder care problems suddenly.
In addition to emotional support, caregivers often need information about elder care resources and services available in the community. As mentioned above, an EAP counselor or work/life manager can often provide such information. However, these professionals may not be readily available to the group on a regular basis or may have limited access to such information.
Employees can call the Eldercare Locator, a toll-free telephone number (1-800-677-1116) operated by the National Association of Area Agencies on Aging, to learn how to contact the appropriate AAA in their parents' or older person's community. The 670 AAAs located in communities across the United States can help employees locate services for their parents or older persons, even if they live in another State.
When you visit a nursing home, you should carry this checklist with you. It will help you to compare one facility with another, but remember to compare facilities certified in the same category; for example, a skilled nursing facility with another skilled nursing home. Because nursing homes may be licensed in more than one category, always compare similar types of service among facilities.
Home A _______________________________________________
Home B _______________________________________________
A number of Federal and national organizations can provide you with information about elder care issues such as housing, health care, and legal matters.
Many such organizations are listed below; however, this is not an exhaustive list. Each organization's mission, address, and telephone number is included. Many of the organizations offer free publications that address numerous aging issues. There may be a charge for some materials. Contact the organizations to obtain a list of available publications.
Department of Health and Human Services330 Independence Avenue, SWWashington, DC 20201(202) 619-0641
The Administration on Aging (AoA) is the focal point and advocacy agency for older persons and their concerns at the Federal level. It develops Federal Government policy and programs and coordinates community services for older people. AoA assists State and Area Agencies on Aging in developing community services to meet the social and human service needs of older persons.
7500 Security BoulevardBaltimore, MD 21244-1850 (410) 786-3000 Medigap Hotline: Toll Free 1-800-638-6833
The Centers for Medicare and Medicaid Services (CMS) coordinates the Federal Government's participation in Medicare and Medicaid. CMS also sponsors health care quality assurance programs such as the Medigap Hotline. The Medigap Hotline answers questions about Medigap insurance (health insurance to supplement Medicare). It also takes reports of suspected Medigap and Medicare fraud.
Department of Health and Human Services Building 31, Room 5C27 31 Center Dr. MSC2292 Bethesda, MD 20892-2292 (301) 496-1752 Publication Service: Toll Free 1-800-222-2225
The National Institute on Aging (NIA), part of the National Institutes of Health, is the Federal Government's principal agency for conducting and supporting biomedical, social, and behavioral research related to aging processes and the diseases and special problems of older people. The Public Information Office prepares and distributes information about issues of interest to older people.
Office of Public Inquiries6401 Security BoulevardBaltimore, MD 21235(410) 965-1234Information Service:Toll Free 1-800-772-1213
The Social Security Administration is the Federal Government agency responsible for the Social Security retirement, survivors, and disability insurance program, as well as the Supplemental Security Income program. Social Security Administration offices, which are located in every State, are listed in the telephone directory under "Social Security Administration" or "U.S. Government." A toll free service is also available throughout the Nation.
FirstGov for Seniors is one of several projects created at the direction of the National Partnership for Reinventing Government (NPRG). The Social Security Administration (SSA) agreed to create, host and maintain FirstGov for Seniors as a service especially geared toward senior citizens.
Suite 1100919 North Michigan AvenueChicago, IL 60611(312) 335-8700Information and Referral:Toll Free 1-800-272-3900
The Alzheimer's Association is a volunteer organization that sponsors public education programs and offers supportive services to patients and families who are coping with Alzheimer's disease (AD). A 24-hour toll free hotline provides information about AD and links families with nearby chapters, which are familiar with community resources and can offer practical suggestions for daily living.
Suite 500901 E Street, N.W.Washington, DC 20004-2011(202) 783-2242
LeadingAge is the national nonprofit organization representing more than 4,500 not-for-profit nursing homes, continuing care retirement communities, senior housing facilities, and community service agencies for the elderly. AAHA is headquartered in Washington, DC, with regional offices in Albany, Orlando, Chicago, and Denver.
601 E Street, NWWashington, DC 20049(202) 434-AARP
The AARP is a nonprofit membership organization of persons 50 and older dedicated to addressing their needs and interests. AARP seeks to enhance the quality of life for all by helping older persons achieve lives of independence, dignity, and purpose through education, advocacy, and service
740 15th Street, NWWashington, DC 20005(202) 662-8690
The Commission on Legal Problems of the Elderly - American Bar Association is dedicated to assisting senior citizens and their families with health-related legal issues.
6th Floor927 15th Street, NWWashington, DC 20005(202) 296-8130
The National Association of Area Agencies on Aging (NAAAA) is a private, non-profit association representing 670 Area Agencies on Aging throughout the country. NAAAA's mission is to advocate for the needs of seniors in their communities and to provide technical assistance in the planning of community based services.
Suite 200409 Third Street, S.W.Washington, DC 20024(202) 479-1200
The National Council on the Aging, a nonprofit, membership organization for professionals and volunteers, serves as a national resource for information, technical assistance, training, and research relating to the field of aging. Its key goal is to deliver services that enhance or extend independent living.
Suite 700666 11th Street, NWWashington, DC 20001(202) 783-6686
The Older Women's League (OWL) is a national membership organization addressing the special concerns of midlife and older women. OWL works to provide mutual support for its members to achieve economic and social equity for its constituents, and to improve the image and status of older women. OWL bridges the gap between the women's groups and organizations representing aging to achieve these goals.
Suite 200409 Third Street, SWWashington, DC 20024(202) 479-6973
United Seniors Health Cooperative is a nonprofit organization which helps people understand issues of aging such as good health, health insurance (Medicare, Medicaid, Medigap, and major medical), housing options, and caregiving. It has developed a specialty of counseling people on insurance needs, including long-term care insurance.
This section highlights five Federal agencies that have
instituted elder care programs for their employees over the past
few years. It describes the best examples of diverse Federal elder
care programs that demonstrate exceptional commitment, dedication
and promotion of family-friendly programs. The agencies include:
the Departments of Labor, State, and Energy, the National Security
Agency, and the Social Security Administration. They were past
Awards Winners or Honorable Mention recipients of
OPM's annual Director's Awards for Outstanding Work
and Family Programs. Although we have singled out these
agencies, other Federal agencies not mentioned have that should
also be commended for their efforts in promoting elder care and
200 Constitution Avenue, NW
Washington, DC 20210
The Department of Labor (DOL) serves American workers as a
leader in creating progressive programs to deal with the diverse
issues and needs that confront working men and women. The DOL was
one of the first Federal agencies to negotiate a comprehensive menu
of available alternative work schedules for their employees. Their
WorkLife Center assists employees in managing their work and family
responsibilities. The WorkLife Center clearinghouse offers referral
services, websites, literature, and videos on family-friendly
topics and personnel flexibilities such as dependent child and
elder care, leave options, telework, and employee assistance
In October 1998, DOL contracted with the Dependent Care
Connection (DCC) Life Care Counseling, Education, and Referral
Services which provides resource and referral services to employees
nationwide via website or through toll-free numbers.
In promoting elder care programs, the Department of Labor offers
two support groups. The first is the Alzheimer support group which
meets every third Thursday of the month. The second is the newly
established Elder Care Support Group which meets on the second
Wednesday of each month. DOL sponsors annual elder care fairs with
representatives from national and local adult dependent care
organizations. In addition, the Department holds brown bag seminars
for those who care for aging parents or relatives. DOL also has
published and issued the Helping Balance the Needs of Work and
Family brochure to all employees. This publication is also
available on the DOL intranet, LaborNet.
Work and Family Programs
PER/ER/WFP SA-6, Room 431
2101 C Street, N.W.
Washington, DC 20520
The State Department sponsors the American Association of
Foreign Service Women (AAFSW) Interagency Eldercare Forum. The
Forum consists of work and family specialists from the Central
Intelligence Agency (CIA), Federal Bureau of Investigation (FBI)
and U.S. Aid to International Development (USAID) who answer
questions and discuss issues on elder care. AAFSW and the Office of
Employee Relations also coordinate a working group that identifies
elder care issues.
The State Department's Family Liaison Office conducted a survey
and report for relatives who reside on post with Foreign Service
members. The State Department offers a variety of elder care
services such as counseling and referrals, the use of overseas
health units for elderly dependents, and an elder care seminar
series to address dependent care needs and responsibilities.
Office of Human Resource Management
1000 Independence Avenue, SW
Washington, DC 20585
The Department of Energy (DoE) provides counseling, guidance and
referral information to caregivers of elders. The DoE sponsors
support elder care group meetings that are held monthly to assist
employees with aging and adult dependent care needs. In 1997, DoE
established an Eldercare Library that maintains current information
on national and local elder care services.
The DoE also sponsors elder care and care- giver fairs,
workshops and seminars. The agency provides work and family
services such as extensive Dependent Care Directory, various
alternative work schedules, job sharing and part-time employment,
leave sharing and options (Family-Friendly Leave Program and Family
and Medical Leave Act), telework, and Employee Assistance
9800 Savage Road
Ft. George G. Meade, MD 20755
The National Security Agency (NSA) offers their employees elder
care resources and re ferral services to State and national organi
zations that serve seniors. The NSA Work/Life Services sponsors a
biannual elder care expo in May for employees to learn about senior
services and programs. As part of their assistance to caregivers,
the NSA works with the Anne Arundel County Senior Health Insurance
Counseling and Advocacy Program (HICAP) to offer workshops to help
em ployees understand Medicare/Medicaid, Medigap Insurance,
interpreting health insurance policies, and understanding medical
The NSA offers "lunch and learn" seminars and lectures on topics
such as elder caregiving, how to minimize stress, and community
resources that are available to family members and caregivers.
Panel presentations such as "The Myths and Facts of Aging" are also
offered for senior service professionals, managers, employees and
The NSA established a Work and Family Resource Group (WFRG), a
private organization of employees to discuss aging and elder care
resources and services. The WFRG sponsors guest speakers from the
Maryland Department of Aging and established a support group for
grandparents raising grandchildren. In addition, the NSA's Employee
Assistance Services have reconvened its Elder Care Support Group
which meets once a week for 10 weeks. The Government Employees
Benefits Association held an Eldercare Symposium in January 1999
that presented information on elder law issues, care management,
and long term care insurance.
The NSA also offers an Employee Assistance Service that is open
to all agency civilian and military employees and their dependents.
Various forms of alternative work schedules are utilized by the
majority of the agency's workforce. This flexible policy allows
employees to work a reduced schedule by adjusting the requirements
of the position or by permitting more than one individual to
perform the duties and meet their family demands.
West Highrise Building
6401 Security Boulevard
Baltimore, MD 21235
The Social Security Administration (SSA) offers a comprehensive
work/life program that provides many benefits to its workforce of
over 65,000 employees nationwide. SSA conducts ongoing activities
such as lunchtime seminars, fairs, bimonthly newsletters, support
groups, and information phone lines.
The SSA networks with local area agencies and senior care
associations to keep up-to-date on new eldercare services in the
community. For example, the Easter Seals and Employees' Activities
Association of the SSA and the Centers for Medicare and Medicaid
Services (CMS) opened a local adult day care center to give seniors
a positive place to get appropriate medical care and therapy and
participate in stimulating social activities with peers. In
addition, the SSA sponsors a Grandparents Raising Grandparents
Support Group that offers monthly lunch time meetings. This support
group conducted a one hour satellite broadcast that featured
information about legalities, rights, community assistance, and
services to grandparents and grandchildren. Still, further SSA
partnered with CMS to produce a 30 minute videotape entitled,
"Medicare From a Caregivers Point of View" that is available to all
In terms of resources, the SSA Career/Life Resource Center
offers programs, services, access to the Internet, videotapes,
books on family services, and seminars pertaining to various family
needs. The SSA conducted 20 eldercare interactive broadcasts on the
SSA National Satellite Network, with tapes available in Resource
As for personnel flexibilities, SSA employees are provided
information on how to use Family-Friendly leave policies and
volunteer leave transfer programs, and flexible and compressed work
schedules to assist with their dependent care responsibilities.
Area Agencies on Aging (AAA) are located in approximately 300 communities throughout the United States and are there to assist you in obtaining services for your elderly parent or older person. A state directory of websites can be found at http://www.n4a.org/
Among the variety of questions the AAA staff can answer for you are:
To keep the handbook to a manageable size, we have listed only those AAAs in metropolitan areas which have more than one thousand Federal employees.
They are listed alphabetically by State. If the AAA in your parent's community is not listed in this directory, you can phone the Eldercare Locator toll free at 1-800-677-1116, the State AAA office, or the AAA in your own local community to obtain the phone number of the AAA in your parent's community.
AL - AK - AZ - AR - CA - CO - CT - DC - DE - FL - GA - HI - ID - IL - IN - IA - KS - KY - LA - ME - MD - MA - MI - MN - MS - MO - MT - NE - NM - NV - NH - NJ - NY - NC - OH - OK - OR - PA - RI - SC - SD - TN - TX - UT - VT - VA - WA - WV - WI - WY
Alabama Commission on AgingSuite 470770 Washington AvenueRSA PlazaMontgomery, AL 36130(205) 242-5743Toll Free 1-800-243-5463 (In State)
East Alabama Commission Area Agency on AgingP.O. Box 2186Anniston, AL 36202(256) 237-6741Toll Free 1-800-239-6741 (In State)
Jefferson County Office of Senior Citizens2601 Highland Avenue SouthBirmingham, AL 35205(205) 325-1416
North Alabama Regional Council ofGovernments Area Agency on Aging216 Jackson Street, SEP.O. Box CDecatur, AL 35601(256) 355-4515
Southern Alabama Regional Council on AgingP.O. Drawer 1886230 North Oates StreetDothan, AL 36302(334) 793-6843Toll Free 1-800-239-3507 (In State)
Top of Alabama Regional Council of Governments Area Agency on Aging115 Washington StreetHuntsville, AL 35801(256) 533-3330
South Alabama Regional Planning Commission/Area Agency on Aging651 Church Street, P.O. Box 1665Mobile, AL 36633-1665(334) 433-6541
Central Alabama Aging Consortium818 South Perry Street, Suite 1Montgomery, AL 36104(334) 240-4666
South Central Alabama Development Commission/Area Agency on Aging5900 Carmichael PlaceMontgomery, AL 36117(334) 244-6903
West Alabama Planning and DevelopmentCouncil Area Agency on Aging4200 Highway 69 N., Suite 1N. Port, AL 35473(205) 333-2990Toll Free 1-800-239-4049 (In State)
Alaskans Commission on AgingDepartment of Administration, Rm 757333 Willoughby Avenue, P.O. Box 110211Juneau, AK 99811-0211(907) 465-3250
Aging and Adult AdministrationDepartment of Economic Security1789 W. Jefferson Street, 2SW, 950APhoenix, AZ 85007(602) 542-4446Toll Free 1-800-362-3474 (In State)
Area Agency on Aging - Region I1366 E. Thomas Road, Suite 108Phoenix, AZ 85014(602) 264-2255
Intertribal Council of Arizona, Inc.4205 N. 7th Avenue, Suite 200Phoenix, AZ 85013(602) 248-0071
Pima Council on AgingBldg. C-1045055 E. BroadwayTucson, AZ 85711(520) 790-7262
Division of Aging and Adult ServicesArkansas Department of Human Services7th and Main StreetP.O. Box 1437, Slot 1412Little Rock, AR 72203(501) 682-2441
Area Agency on Aging of Western ArkansasP.O. Box 1724Fort Smith, AR 72902(501) 783-4500Toll Free 1-800-737-1827
Carelink700 Riverfront DriveP.O. Box 5988N. Little Rock, AR 72119(501) 372-5300Toll Free 1-800-482-6359 (In State)
Arkansas Area Agency on Aging of Southeast Arkansas709 East 8th AvenueP.O. Box 8569Pine Bluff, AR 71611(870) 543-6315Toll Free 1-800-264-3260
Department of Aging1600 K StreetSacramento, CA 95814(916) 322-3887
Kern County Office on Aging1415 Truxton AvenueBakersfield, CA 93301(805) 861-2445
Fresno-Madera Area Agency on Aging2220 Tulare Street, Suite 1200Fresno, CA 93721(209) 488-3821Toll Free 1-800-287-8722 (In State)
City of Los Angeles Department of Aging2404 Wilshire Blvd., Suite 400Los Angeles, CA 90057(213) 368-4000Toll Free 1-800-634-6516 (In State)
Los Angeles County Area Agency on Aging3175 W. 6th Street, Suite 400Los Angeles, CA 90020(213) 738-4004
Area 4 Agency on Aging2862 Arden Way, Suite 101Sacramento, CA 95825(916) 486-1876
Office for Aging and Community ServicesMonterey County Department of Social Services1000 S. Main Street, Suite 202Salinas, CA 93901(831) 755-8490
Office on Aging San Bernardino County686 East Mill StreetSan Bernardino, CA 92415-0640(909) 387-2412
San Diego County Area Agency on Aging9335 Hazard Way, Suite 100San Diego, CA 92123(619) 495-5885Toll Free 1-800-339-4661 (In County)
San Francisco City and County Commission on Aging25 Van Ness Avenue, Suite 650San Francisco, CA 94102(415) 864-6051
Council on Aging of Santa Clara County, Inc.2115 The AlamedaSan Jose, CA 95126(408) 296-8290
Central Coast Commission for Senior Citizens208 W. Main Street, Suite BSanta Maria, CA 93454-5027(805) 925-9554
Sonoma County Area Agency on Aging2250 North Point ParkwayP.O. Box 4959, CA 95402Santa Rosa, CA 95407(707) 565-5900
Department of Aging Children's and Community Services102 S. San Joaquin StreetP.O. Box 201056Stockton, CA 95201(209) 468-3780
Solano-Napa Agency on Aging, Inc.601 Sacramento Street, Suite 1401Vallejo, CA 94590(707) 644-6612
Aging and Adult Services Department of Social Services110 16th StreetDenver, CO 80202(303) 620-4147
Pikes Peak Area Agency on Aging15 South 7th StreetColorado Springs, CO 80905(719) 471-2096
Denver Regional Council of Governments2480 W 26th Avenue, Suite 200BDenver, CO 80211-5580(303) 455-1000
Larimer County Office on Aging1629 Blue Spruce, Suite 209Fort Collins, CO 80524(970) 498-6800
Pueblo Area Agency on Aging1120 Court Street, Suite 101Pueblo, CO 81003(719) 583-6611
Connecticut Department on Aging25 Sigourney StreetHartford, CT 06106(860) 424-5360Toll Free 1-800-443-9946 (In State)
Southwestern Connecticut Area Agency on Aging10 Middle StreetBridgeford, CT 06604(203) 332-2600
North Central Connecticut Area Agency on AgingSuite 1012 Hartford Square W.Hartford, CT 06106(860) 724-6443
Eastern Connecticut Area Agency on Aging47 Town StreetNorwich, CT 06360(860) 887-3561
Western Connecticut Area Agency on Aging255 Bank Street, 2nd FloorWaterbury, CT 06702(203) 757-5449
Division on Aging Department of Health and Social ServicesOxford Bldg.256 Chapman Road, Suite 200New Ark, DE 19720(302) 577-4791Toll Free 1-800-223-9074
District of Columbia Office on AgingSuite 900 S.441 4th Street, NWWashington, DC 20005(202) 724-5622
Program of Aging and Adult ServicesDepartment of Elder Affairs4040 Esplanade Way, Suite 315Tallahassee, FL 32399-0700(850) 414-2000
Area Agency on Aging of Broward County, Inc.5345 N.W. 35th AvenueFt. Lauderdale, FL 33309(954) 714-3456
Area Agency on Aging of South West Florida2285 First StreetFort Myers, FL 33901-2895(941) 332-4233
Mid-Florida Area Agency on Aging, Inc.P. O. Box 141380Gainesville, FL 36214(352) 378-6649Toll Free 1-800-262-2243 (In State)
Northeast Florida Area Agency on Aging, Inc.590 S. Ellis RoadJacksonville, FL 32254(904) 786-5111
Alliance for Aging, Inc.Suite 4009500 South Dadeland BoulevardMiami, FL 33156(305) 670-6500
Northwest Florida Area Agency on Aging, Inc.6500-B Pensacola BoulevardPensacola, FL 32505(850) 484-5150
Tampa Bay Regional Planning CouncilArea Agency on AgingHenry Building9455 Koger Boulevard, Suite 219St. Petersburg, FL 33702(727) 570-5151
Area Agency on Aging for North Florida2639 North Monroe Street, Suite 145-BTallahassee, FL 32303(850) 488-0055
West Central Florida Area Agency on Aging5911 Breckenridge Parkway, Suite BTampa, FL 33610(813) 623-2244Toll Free 1-800-336-2226 (In State)
Office of Aging200 Northcreek, Suite 3003715 Northside ParkwayAtlanta, GA 30327-2809(404) 364-2626
Sowega Council on Aging, Inc.Area Agency on Agency309 Pine AvenueAlbany, GA 31701(912) 432-1131
Northeast Georgia RDC Area Agency on Aging305 Research DriveAthens, GA 30605(706) 369-5650
Atlanta Regional CommissionAging Services Division200 Northcreek, Suite 3003715 Northside ParkwayAtlanta, GA 30327(404) 364-2626
Central Savannah River Area RegionalArea Agency on Aging2123 Wrightsboro RoadP.O. Box 2800Augusta, GA 30914-2800(706) 737-1823
Lower Chattahoochee Regional Development Center Area Agency on Aging1428 2nd AvenueColumbus, GA 31902-1908(706) 649-7468
Middle Georgia Regional Development Center Area Agency on Aging175-C Emery HighwayMacon, GA 31217(912) 751-6160
Executive Office on AgingOffice of the Governor250 South Hotel Street, Suite 109Honolulu, HI 96813-2831(808) 586-0100Toll Free 1-800-468-4644 (In State)
Elderly Affairs Division715 S. King Street, Suite 200Honolulu, HI 96813(808) 523-4545
Idaho Commission on Aging3380 Americana Terrace, Suite 120P.O. Box 83720Boise, ID 83706(208) 334-3833
Illinois Department on Aging421 East Capital Avenue, #100Springfield, IL 62701-1789(217) 785-3356Toll Free 1-800-252-8966 (In State)
Chicago Department on Aging510 North Pestigo Court, Suite 300-AChicago, IL 60611(312) 744-4016
Suburban Area Agency on Aging1146 Westgate, Suite 200Oak Park, IL 60301-1055(708) 383-0258
Central Illinois Agency on Aging, Inc.700 Hamilton BoulevardPeoria, IL 61603(309) 674-2071
NW Illinois Area Agency on Aging2576 Charles StreetRockford, IL 61108(815) 226-4901
Project LIFE Area Agency on Aging2141 West White Oaks Drive, Suite CSpringfield, IL 62704(217) 787-9234Toll Free 1-800-252-2918 (In State)
Aging/In-Home ServicesDivision of Aging and Rehabilitative Services402 W. Washington Street, Room W454P.O. Box 7083Indianapolis, IN 46207-7083(317) 232-7020Toll Free 1-800-545-7763
SW Indiana Regional Council on Aging16 West Virginia StreetP.O. Box 3938Evansville, IN 47737-3938(812) 464-7800Toll Free 1-800-253-2188 (In State)
Northeast Area III Council on Aging, Inc.Aging and Inhome ServicesSuite 208201 E. Rudisill BoulevardFort Wayne, IN 46806(219) 745-1200Toll Free 1-800-552-3662
Area 1 Agency on Aging5518 Calumet AvenueHammond, IN 46320(219) 937-3500
Central Indiana Council on AgingSuite 2004755 Kingsway DriveIndianapolis, IN 46205-1560(317) 254-5465
Area 2 Agency on Aging/REAL Services1151 S. Michigan StreetP.O. Box 1835South Bend, IN 46634(219) 233-8205Toll Free 1-800-552-2916 (In State)
West Central Indiana Economic Development District1718 Wabash AvenueP.O. Box 359Terre Haute, IN 47808(812) 238-1561Toll Free 1-800-489-1561
Department of Elder AffairsClemens Bldg., 3rd Floor200 10th StreetDes Moines, IA 50309(515) 281-5187
Heritage Area Agency on Aging6301 Kirkwood Boulevard, S.W.P.O. Box 2068Cedar Rapids, IA 52406(319) 398-5559
Great River Bend Area IX Agency on AgingP.O. Box 3788Davenport, IA 52808-3788(319) 324-9085Toll Free 1-800-551-7323
Aging Resources of Central Iowa5835 Grand Avenue, Suite 106Des Moines, IA 50312-1439(515) 255-1310
Department on AgingKansas Dept. On Aging New England Bldg.503 South Kansas AvenueTopeka, KS 66603-3404(785) 296-4986Toll Free 1-800-432-3535
Wyandotte-Leavenworth Area Agency on Aging9400 State AvenueKansas City, KS 66112 (913) 328-4531
Jayhawk Area Agency on Aging 1195 Southwest Buchanan, Suite 202Topeka, KS 66604 (785) 235-1367
Central Plains Area Agency on Aging 510 North Main Street, 5th FloorWichita, KS 67203 (316) 383-7298
Division of Aging ServicesCabinet for Human Resources 5th Floor West, CHR Building 275 East Main Street Frankfort, KY 40621 (502) 564-6930
Bluegrass Area Agency on Aging 699 Perimeter DriveLexington, KY 40517 (606) 266-6873
Kentucky Regional Planning and Development Agency 11520 Commonwealth Drive Louisville, KY 40299 (502) 266-6084
Governor's Office of Elderly Affairs P.O. Box 80374;4550 North Boulevard, 2nd Floor Baton Rouge, LA 70806 (225) 634-0399
Capital Area Agency on Aging Carrolton Office Bldg. 6554 Florida Boulevard, Suite 121-70806 P.O. Box 66038 Baton Rouge, LA 70896-6038 (504) 922-2525
East Baton Rouge Council on Aging 5790 Florida Boulevard Baton Rouge, LA 70806 (504) 923-8012
New Orleans Council on Aging 2475 Canal Street, Suite 400 P.O. Box 19067 New Orleans, LA 70179-0067 (504) 821-4121
Caddo Council on Aging, Inc. 1700 Buckner St, Suite 240Shreveport, LA 71104Voice: (318) 676-7900Fax: (318) 676-7911
Bureau of Elder and Adult Services Department of Human Services 11 State House Station 35 Anthony Avenue Augusta, ME 04333-0011 (207) 624-5335
Southern Maine Area Agency on Aging, Inc. P.O. Box 10480 Portland, ME 04104 (207) 775-6503 Toll Free 1-800-427-7411 (In State)
Department of Aging State Office Building 301 West Preston Street, Room 1007 Baltimore, MD 21201 (410) 767-1100 Toll Free 1-800-243-3425
Baltimore City Commission on Aging Retirement Education--CARE 34 Market Place, Suite 300, 3rd Floor Baltimore, MD 21202 (410) 396-4932
Baltimore County Department of Aging 611 Central AvenueTowson, MD 21204 (410) 887-2594
Area Agency on AgingAnne Arundel County 2666 Riva Road, Suite 400 Annapolis, MD 21401 (410) 222-4464 Toll Free 1-800-492-2499 (In State)
Washington County Commission on Aging 9 Public Square Hagerstown, MD 21740 (301) 790-0275
Prince George's Aging Services DivisionDepartment of Family Services 5012 Rhode Island Avenue Hyattsville, MD 20781 (301) 699-2696
Montgomery County Government Division of Elder Affairs 401 Hungerford Drive Rockville, MD 20850-4192 (301) 468-4443
Executive Office of Elder Affairs One Ashburton Place, Room 517 5th Floor Boston, MA 02108 (617) 727-7750 Toll Free 1-800-882-2003 (In State)
Boston Commission on Affairs of the Elderly Boston Hall, Room 271 Boston, MA 02201 (617) 635-3993
Elder Services of Merrimack Valley, Inc. 360 Merrimack Street, Building 5 Lawrence, MA 01843 (978) 683-7747 Toll Free 1-800-892-0890 (In State)
Greater Springfield Senior Services, Inc. 66 Industry Avenue Springfield, MA 01104 (413) 781-8800 Toll Free 1-800-649-3641 (In State)
Office of Services to the Aging 611 West Ottawa Street P.O. Box 30676 Lansing, MI 48909 (517) 373-8230
Detroit Area Agency on Aging 1100 Michigan Building 220 Bagley Street Detroit, MI 48226-1410 (313) 222-5330
Valley Area Agency on Aging 711 North Saginaw Street, Suite 325 Flint, MI 48503 (810) 239-7671
Area Agency on Aging of Western Michigan 1279 Cedar Street, N.E. Grand Rapids, MI 49503 (616) 456-5664
Tri-County Office on Aging 5303 South Cedar Street Lansing, MI 48910-0714 (517) 887-1440
Board on Aging 444 Lafayette Road, 4th Floor St. Paul, MN 55155-3843 (651) 296-2770 Toll Free 1-800-333-2433 (In State)
Arrowhead Area Agency on Aging 221 West First Street Duluth, MN 55802 (218) 722-5545 Toll Free 1-800-232-0707 (In State)
Central Minnesota Council on Aging 600 25th Avenue South, Suite 201 St. Cloud, MN 56301 (320) 253-9349 Toll Free 1-800-333-2433 (In State)
Metropolitan Council Area Agency on Aging 1600 University Avenue, Suite 300 St. Paul MN 55104-3825 (651) 641-8612
Council on Aging Division of Aging and Adult Services 750 N. State Street Jackson, MS 39202 (601) 359-4929 Toll Free 1-800-345-6347 (In State)
Area Agency on Aging of Southern Mississippi 2015 A 15th Street Gulfport, MS 39501(228) 868-2326Toll Free 1-800-444-8014
Central Mississippi Area Agency on Aging1170 Lakeland Drive Jackson, MS 39216 (601) 981-1516
Division of Aging Department of Social Services 615 Howerton Court P.O. Box 1337 Jefferson City, MO 65102 (573) 751-3082 Toll Free 1-800-235-5503
Central Missouri Area Agency on Aging Parkade Center, Suite 216 B 1121 Business Loop - 70 East Suite 2A Columbia, MO 65201 (573) 443-5823
Mid-America Regional Council Department of Aging Services 600 Broadway 300 Rivergate Center Kansas City, MO 64105 (816) 474-4240
Southwest Missouri Office on Aging 317 Park Central EastP.O. Box 50805 Springfield, MO 65805 (417) 862-0762 Toll Free 1-800-497-0822 (In State)
St. Louis Area Agency on Aging Suite 721634 N. Grand Avenue St. Louis, MO 63103 (314) 658-1168
Governor's Office on Aging State Capitol Building Helena, MT 59620 (406) 444-3111 Toll Free 1-800-332-2272 (In State)
Area VII Agency on Aging 1445 Avenue B Post Office Box 21838 Billings, MT 59102 (406) 252-4812 Toll Free 1-800-758-4812
Area VIII Agency on Aging Cascade County 501 Bay Drive Great Fall, MT 59404 (406) 454-6990
Nebraska Department on Aging 301 Centennial Mall South P.O. Box 95044 Lincoln, NE 68509-5044 (402) 471-2306 Toll Free 1-800-942-7830 (In State)
Lincoln Area Agency on Aging 129 N. 10th Street, Room 241 Lincoln, NE 68508-3648 (402) 441-7070 Toll Free 1-800-247-0938 (In State)
Northeast Nebraska Area Agency on Aging White Stone Building P.O. Box 1447 Norfolk, NE 68702 (402) 370-3454 Toll Free 1-800-672-8368
Eastern Nebraska Office on Aging 7400 Court Bldg. 808 S. 74th Plaza, Suite 200 Omaha, NE 68114-4676 (402) 444-6444
Department of Human Resources Division for Aging Services 340 North 11th Street, Suite 203 Las Vegas, NV 89101 (702) 486-3545
Division of Elderly and Adult Services 129 Pleasant Street Concord, NH 03301 (603) 271-4394 Toll Free 1-800-351-1888 (In State)
Division on Aging Department of Community Affairs CN 807 South Broad and Front Streets Trenton, NJ 08625-0807 (609) 292-3766 Toll Free 1-800-792-8820 (In State)
Atlantic County Division on Aging 1333 Atlantic Avenue, 3rd Floor Atlantic City, NJ 08401 (609) 345-6700 ext. 2804 Toll Free 1-800-982-7587 (In State)
Hunterdon County Office on Aging 6 Gauntt Place Flemington, NJ 08822-4614 (908) 788-1362 Toll Free 1-800-792-8820 (In State)
Monmouth County Office on Aging Hall of Records Annex 1 East Main Street Freehold, NJ 07728 (732) 431-7000
Bergen County Division on Aging Division of Senior Service Court Plaza South Room 109 W. 21 Main Street West Wing Hackensack, NJ 07601-7000 (201) 646-2625 Toll Free 1-800-792-8820 (In State)
Middlesex County Office on Aging 841 Georges Road No. Brunswick, NJ 08902 (732) 745-3295
Somerset County Office on Aging P.O. Box 3000 Somerville, NJ 08876 (908) 704-6346
Mercer County Office on Aging 640 S. Broad Street Trenton, NJ 08650-0068 (609) 989-6661 Toll Free 1-800-792-8820 (In State)
State Agency on Aging La Villa Rivera Building 228 East Palace Avenue Santa Fe, NM 87501 (505) 827-7640 Toll Free 1-800-432-2080
City of Albuquerque Area Agency on Agency P.O.Box 1243 714 7th Street, S.W. Albuquerque, NM 87103 (505) 764-6400
North Central New Mexico Economic Development District - Area Agency on Aging P.O. Box 5115 Sante Fe, NM 87502 (505) 827-7313
New York State Office for the Aging 2-Empire State Plaza Agency Building 2 Albany, NY 12223 (518) 474-4425 Toll Free 1-800-342-9871 (In State)
Albany County Department for the Aging 112 State Street, Room 710 Albany, NY 12207-2005 (518) 447-7177
Broome County Office for Aging County Building, Government Plaza P.O. Box 1766 Binghampton, NY 13902 (607) 778-2411
Erie County Department of Senior Services 95 Franklin Street Buffalo, NY 14202-3963 (716) 858-8526
Orange County Office for the Aging 30 Matthews Street, Suite 201 Goshen, NY 10924-1963 (914) 294-5151, Ext. 1560
Niagara County Office for the Aging Switzer Building 100 Davison Road Lockport, NY 14094-3396 (716) 439-7833
New York City Department for the Aging 2 Lafayette Street New York, NY 10007 (212) 442-1322
Dutchess County Office for the Aging 27 High Street Poughkeepsie, NY 12601-3489 (914) 486-2555
Monroe County Office for the Aging 375 Westfall Road Rochester, NY 14620-4678 (716) 428-8500
Metropolitan Commission on Aging (Onondaga County) 421 Montgomery Street Syracuse, NY 13202-2911 (315) 474-7011
Aneida County Office for the Aging 520 Seneca Street Utica, NY 13502 (315) 798-5770 Toll Free 1-800-541-0151 (In State)
Division of Aging 693 Palmer Drive Caller Box 29531 Raleigh, NC 27626-0531 (919) 733-3983 Toll Free 1-800-662-7030 (In State)
Land of Sky Regional Council 25 Heritage Drive Asheville, NC 28806 (828) 251-6622
Centralina Area Agency on Aging P.O. Box 35008 Charlotte, NC 28235 (704) 372-2416
Mid-Carolina Area Agency on Aging P.O. Drawer 1510 Fayetteville, NC 28302 (910) 323-4191 Toll Free 1-800-662-7030 (In State)
Piedmont Triad Council of Governments Area Agency on Aging 2216 W. Meadowview Road, Suite 201 Greensboro, NC 27407-3480 (336) 294-4950
Ohio Department of Aging 50 West Broad Street - 9th Floor Columbus, OH 43215-3363 (614) 466-5500
Area Office on Aging 10B, Inc. 1550 Corporate Woods Parkway Suite 100 Uniontown, OH 44685 (330) 746-2938 Toll Free 1-800-421-7277 (In State)
Council on Aging, Cincinnati AreaHoliday Office Park, Suite 1100 644 Linn Street Cincinnati, OH 45203 (513) 721-1025
Western Reserve Area Agency on Aging 925 Euclid Avenue, Suite 600 Cleveland, OH 44115 (216) 621-8010
Central Ohio Area Agency on Aging 174 E. Long Street Columbus, OH 43215 (614) 645-7250 Toll Free 1-800-589-7277
Area Agency on Aging, PSA #2 6 South Patterson Boulevard Dayton, OH 45402 (937) 341-3000 Toll Free 1-800-258-7277 (In State)
Area Agency on Aging of Northwestern Ohio 2155 Arlington Avenue Toledo, OH 43609 (419) 382-0624
District XI Area Agency on Aging 25 East Boardman Street Youngstown, OH 44503 (330) 746-2938
Aging Services Division Department of Human Services 312 North East 28th Street Oklahoma City, OK 73105 or P.O. Box 25352 Oklahoma City, OK 73125 (405) 521-2281
Areawide Aging Agency, Inc. 3200 NW 48th Street, Suite 104 Oklahoma City, OK 73112 (405) 942-8500
Tulsa Area Agency on Aging 110 S. Hartford Tulsa, OK 74120-1820 (918) 596-7688
Senior and Disabled Services Division 500 Summer Street, N.E., 2nd Floor N. Salem, OR 97310-1015 (503) 472-6113 Toll Free 1-800-282-8096
Lane Council of Governments Senior Services Division 1025 Willamette, Suite 200 Eugene, OR 97401 (541) 687-4038
Multnomah County Aging Services Division 421 SW 5th Avenue, 3rd Floor Portland, OR 97204 (503) 243-7600
Mid-Willamette Valley Senior Services P.O. Box 12189 Salem, OR 97309 (503) 371-1313
Pennsylvania Department of Aging 555 Walnut Street 5th Flr. Harrisburg, PA 17101-1919 (717) 783-1550
Greater Erie Community Action Committee 18 W. Ninth Street Erie, PA 16501 (814) 459-4581, Ext. 400
Dauphin County Area Agency on Aging 25 S. Front Street Harrisburg, PA 17101-2025 (717) 255-2790 (accept collect calls) Toll Free 1-800-801-3070 (In State)
Lancaster County Office of Aging 50 N. Duke Street P.O. Box 83480 Lancaster, PA 17608-3430 (717) 299-7979
Philadelphia Corporation for Aging 642 N. Broad Street Philadelphia, PA 19130-3409 (215) 765-9040
Allegheny County Department of Aging 441 Smithfield Street, 3rd Floor Pittsburgh, PA 15222 (412) 350-4234
Berks County Area Agency on Aging County Services Center 633 Court Street Reading, PA 19601-4303 (610) 478-6500
Lackawanna County Area Agency on Aging 200 Adams Avenue, Suite 300 Scranton, PA 18503 (717) 963-6740
Luzerne/Wyoming Bureau for Aging 111 N. Pennsylvania Boulevard Wilkes Barre, PA 18701 (717) 822-1158 Toll Free 1-800-252-1512 (In State)
York County Area Agency on Aging 141 W. Market Street York, PA 17401 (717) 771-9610 Toll Free 1-800-632-9073 (In State)
Department of Elderly Affairs 160 Pine Street Providence, RI 02903-3708 (401) 222-2858 Toll Free 1-800-322-2880
Central Midlands Regional Planning Council/Area Agency on Aging 236 Stoneridge Drive Columbia, SC 29210 (803) 376-5390
South Carolina Appalachian Council of Governments - Area Agency on Aging 30 Century Circle P.O. Box Drawer 6668 Greenville, SC 29607 (864) 242-9733
Trident ElderLink, Inc.- Area Agency on Aging Suite 210 4500 Leeds Avenue Charleston, SC 29405 (843) 745-1710
Office of Adult Services and Aging 700 Governors Drive Pierre, SD 57501-2291 (605) 773-3656
Tennessee Commission on Aging 500 Deaderick Street Andrew Jackson Bldg., 9th Flr. Nashville, TN 37243-0860 (615) 741-2056
Southeast Area Agency on Aging Southeast Tennessee Development District 25 Cherokee Boulevard P.O. Box 4757-0757 Chattanooga, TN 37405 (423) 266-5781
East Tennessee Human Resource Area Agency on Aging 9111 Cross Park Drive, Suite-D100 Knoxville, TN 37923 (423) 691-2551
Delta Area Agency on Aging 2670 Union Exten, Suite 400 Memphis, TN 38112 (901) 324-6333
Greater Nashville Area Agency on Aging 501 Union Street, 6th Floor Nashville, TN 37219-1705 (615) 862-8828
Department on Aging 4900 North Lamar Austin, TX 78751 (512) 424-6840 Toll Free 1-800-252-9240
West Central Texas Council of Governments 1025 E. North 10th Street, P.O. Box 3195 Abilene, TX 79604 (915) 672-8544
Capital Area Planning Council Area Agency on Aging Suite 220 2512 Interstate Highway 35 South Austin, TX 78704 (512) 443-7653
Panhandle Area Agency on Aging 415 W. 8, P.O. Box 9257 Amarillo, TX 79105-9257 (806) 372-3381 Toll Free 1-800-642-6008
Coastal Bend Area Agency on Aging 2910 Leopard Street, P.O. Box 9909 Corpus Christi, TX 78469 (512) 883-5743 Toll Free 1-800-421-4636 (In State)
Dallas Area Agency on Aging 400 North Street Paul, Suite 200 Dallas, TX 75201-4321 (214) 871-5065
Rio Grande Area Agency on Aging 1100 North Stanton, Suite 610 El Paso, TX 79902 (915) 533-0998 Toll Free 1-800-333-7082
Tarrant County Area Agency on Aging 210 East 9th Street Fort Worth, TX 76102 (817) 258-8124
Houston-Harris County Area Agency on Aging 8000 N. Stadium Drive, 3rd Floor Houston, TX 77054 (713) 794-9001
Houston-Galveston Area Agency on Aging 3555 Timmons Lane, Suite 500 P.O. Box 22777-77227 Houston, TX 77027 (713) 627-3200
S. Plains Association of Governments 1323 58th Street, P.O. Box 3730 Lubbock, TX 79412 (806) 762-8721 Toll Free 1-800-858-1809
Lower Rio Grande Valley Area Agency on Aging 4900 N. 23rd Street McAllen, TX 78504 (210) 682-1109 Toll Free 1-800-365-6131 (In State)
Alamo Area Agency on Aging 118 Broadway, Suite 400 San Antonio, TX 78205 (210) 362-5273
Bexar County Area Agency on Aging 118 Broadway, Suite 400 San Antonio, TX 78205 Toll Free 1-800-960-5201
Ark-Tex Council of Governments Area Agency on Aging 122 Plaza West Street Texarkana, TX 75501 (903) 832-8636
Heart of Texas Council of Governments 300 Franklin Avenue Waco, TX 76701 (254) 756-7822
North Texas Area Agency on Aging 4309 Jacksboro Highway, Suite 200 P.O. Box 5144 Wichita Falls, TX 76307 (940) 322-5281
Division of Aging and Adult Services Department of Human Services P.O. Box 45500 Salt Lake City, UT 84145-0500 (801) 538-3910
Salt Lake County Aging Services 2001 South State Street, Suite S-1500 Salt Lake City, UT 84190-2300 (801) 468-2480
Department of Aging and Disabilities 103 S. Main Street Waterbury, VT 05671-2301 (802) 241-2400 Toll Free 1-800-642-5119
Virginia Department for the Aging 1600 Forest Avenue, Suite 102 Richmond, VA 23229 (804) 662-9333 Toll Free 1-800-552-4464
Alexandria Agency on Aging 2525 Mount Vernon Avenue, Unit #5 Alexandria, VA 22301-1159 (703) 838-0920
Arlington Area Agency on Aging 1800 N. Edison Street Arlington, VA 22207 (703) 228-5030
Jefferson Area Board for Aging 674 Hillsdale Drive, Suite 9 Charlottesville, VA 22901 (804) 978-3644 Toll Free 1-800-277-5222 (In State)
Rappahannock-Rapidan Area Agency on Aging 15361 Bradford Road Culpeper, VA 22701 (540) 825-3100
Fairfax County Area Agency on Aging Suite 720 12011 Government Center Parkway Fairfax, VA 22035-1104 (703) 324-5411 Toll Free 1-800-552-4464 (In State)
Shenandoah Area Agency on Aging 207 Mosby Lane Front Royal, VA 22630-2611 (540) 635-7141
Loudoun County Area Agency on Aging Suite 102 102 Heritage Way, N.E. Leesburg, VA 20177 (703) 777-0257 Toll Free 1-800-552-4464
Prince William Area Agency on Aging Suite 231 7987 Ashton Avenue Manassas, VA 20109 (703) 792-6400
Peninsula Agency on Aging, Inc. Suite 1006 739 Thimble Shoals Boulevard Newport News, VA 23606-3562 (757) 873-0541
Capital Area Agency on Aging 24 East Cary Street Richmond, VA 23219-3796 (804) 343-3000 Toll Free 1-800-989-2286 (In State)
League of Older Americans, Inc. 706 Campbell Avenue, S.W. P.O. Box 14205 Roanoke, VA 24038-4205 (540) 345-0451
Aging and Adult Services Administration Department of Social and Health Services P.O. Box 45600 Olympia, WA 98504-5600 (360) 493-2500 Toll Free 1-800-422-3263 (In State)
Seattle-King County Division on Aging Suite 1040 618 2nd Avenue Seattle, WA 98104-2232 (206) 684-0684 Toll Free 1-800-972-9990 (King County)
Eastern Washington Area Agency on Aging 1222 North Post Spokane, WA 99201-2096 (509) 458-2509
Pierce County Aging and Long Term Care 8811 S. Tacoma Way Lakewood, WA 98499-4591 (253) 798-7236 Toll Free 1-800-642-5769 (In State)
Southwest Washington Agency on Aging 7414 NE Hazel Dell Avenue P.O. Box 425 Vancouver, WA 98666-0425 (360) 694-6577 Toll Free 1-800-752-8899 (In State)
Yakima Indian Area Agency on Aging P.O. Box 151 Toppenish, WA 98948 (509) 865-5121
Commission on Aging Holly Grove 1900 Kanawha BoulevardEast Charleston, WV 25305-0160 (304) 558-3317
WVSC Metro Area Agency on Aging West Virginia State College Campus Box 144 P.O. Box 1000 Institute, WV 25112 (304) 766-3361
Upper Potomac Area Agency on Aging Airport Road, P.O. Box 869 Petersburg, WV 26847 (304) 257-1221
Appalachian Area Agency on Aging 1612 N. Walker Street, P.O. Box 1432 Princeton, WV 24740 (304) 425-1147
Northwestern Area Agency on Aging 105 Bridge Street Plaza, P.O. Box 2086 Wheeling, WV 26003 (304) 242-1800 Toll Free 1-800-924-0088
Bureau on Aging Division of Community Services P.O. Box 7851 Madison, WI 53707 (608) 266-2536
Age Advantage Area Agency on Agency 3601 Memorial Drive Madison, WI 53704 (608) 243-2450
Milwaukee County Department on Aging 235 W. Galena Street, Suite 180 Milwaukee, WI 53212-3923 (414) 289-6874
Wyoming Division on Aging Wyoming Department of Health Hathaway Building, Room 139 Cheyenne, WY 82002-0480 (307) 777-7986 Toll Free 1-800-442-2766
AL - AK - AZ - AR - CA - CO - CT - DC - DE - FL - GA - HI - ID - IL - IN - IA - KS - KY - LA - ME - MD - MA - MI - MN - MS - MO - MT - NE - NM - NV - NH - NJ - NY - NC - OH - OK - OR - PA - Puerto Rico - RI - SC - SD - TN - TX - UT - VT - VA - WA - WV - WI - WY
Commission on AgingRSA Plaza - Suite 470770 Washington AvenueMontgomery, AL 36130-1851(334) 242-5743Toll Free 1-800-243-5463 (In State)
Office of the LTC OmbudsmanOlder Alaskans Commission3601 C Street, Suite 260Anchorage, AK 99503-5209(907) 563-6393Toll Free 1-800-478-9996 (In State)
Aging and Adult Administration1789 West Jefferson, 950APhoenix, AZ 85007(602) 542-4446
Division of Aging and Adult ServicesP.O. Box 1437, Slot 1412Little Rock, AR 72203-9491(501) 682-2441
Department on Aging1600 K StreetSacramento, CA 95814(916) 323-6681Toll Free 1-800-231-4024
Legal Center Colorado Ombudsman Program455 Sherman Street, Suite 130Denver, CO 80203(303) 722-0300
Elderly Services DivisionDepartment of Social Services25 Sigourney StreetHartford, CT 06106(806) 247-4080
Division of Aging18 North Walnut StreetMilford, DE 19963(302) 422-1386Toll Free 1-800-223-9074
Legal Counsel for the Elderly601 E Street, NW. - 4th Floor, Building AWashington, DC 20049(202) 662-4933
Department of Elder Affairs4040 Esplanade WayTallahassee, FL 32399-7000(850) 414-2000
Office of AgingDepartment of Human Service132 Mitchell StreetAtlanta, GA 30303(404) 730-0184
Hawaii Office on AgingOffice of the Governor250 S. Hotel Street, Suite 107Honolulu, HI 96813(808) 586-0100
Office on AgingP.O.Box 837203380 Americana Terrace, Suite 120Boise, ID 83706(208) 334-2220
Department on Aging421 East Capitol AvenueSpringfield, IL 62701(217) 785-3143
Department of Human Services AdministrationP.O. Box 7083Indianapolis, IN 46207-7083(317) 232-7134Toll Free 1-800-622-4484
Department of Elder AffairsClemens Building, 3rd Floor200 10th StreetDes Moines, IA 50309(515) 281-5187
Department on AgingNew England Bldg. 503 South KansasTopeka, KS 66603-3404(785) 296-4986Toll Free 1-800-432-3535 (In State)
Office of Aging Services275 East Main Street, 5th FloorW. Frankfort, KY 40621(502) 564-6930Toll Free 1-800-372-2291 (In State)
Governor's Office of Elderly Affairs4550 N. Boulevard - 2nd FloorBaton Rouge, LA 70806-14013 orP.O. Box 80374Baton Rouge, LA 70898-0374(225) 925-1700
Legal Services for the ElderlyP.O. Box 272372 Winthrop StreetAugusta, ME 04338-2723(207) 623-1797
Office on Aging301 West Preston Street, Room 1202Baltimore, MD 21201(410) 767-1083
Executive Office of Elderly Affairs1 Ashburton Place, 5th FloorBoston, MA 02108(617) 727-7750
Citizens for Better CareSuite 211 6105 W. Street Joseph HighwayLansing, MI 48917-4850(517) 886-6797Toll Free 1-800-292-7852
Office of Ombudsman for Older Minnesotans444 Lafayette RoadSt. Paul, MN 55155-3843(651) 296-0382Toll Free 1-800-657-3591
Council on Aging and Adult Services750 N. State StreetJackson, MS 39202(601) 359-4929
Division of Aging Department of Social ServicesP.O. Box 1337Jefferson City, MO 65102(573) 751-3082
Office on AgingP.O. Box 4210Helena, MT 59604(406) 444-4676Toll Free 1-800-332-2272
Department on AgingP.O. Box 95044 301 Centennial Mall SouthLincoln, NE 68509-5044(402) 471-2306
Department of Human ResourcesDivision for Aging Services340 North 11th Street, Suite 203Las Vegas, NV 89101(702) 486-3545
Division of Elderly and Adult Services129 Pleasant StreetConcord, NH 03301-3857(603) 271-4375Toll Free 1-800-442-5640 (In State)
Office of the Ombudsmanfor the Department of Institutionalized Elderly of Community Affairs101 S. Broad Street, CN807Trenton, NJ 08625-0807(609) 292-8016Toll Free 1-877-582-6995 (In State)
State Agency on AgingLaVilla Rivera Building, 4th Floor228 East Palace AvenueSanta Fe, NM 87501(505) 827-7640
Office for the AgingEmpire State Plaza Agency Building, #2Albany, NY 12223-1251(518) 474-7329
Department of Human ResourcesDivision of Aging - CB-29531693 Palmer DriveRaleigh, NC 27626-0531(919) 733-3983
Department of Aging50 West Broad Street, 9th FloorColumbus, OH 43215-3363(614) 466-1221Toll Free 1-800-282-1206 (In State)
Human ServicesAging Services Division 312 NE 28Oklahoma City, OK 73105(405) 521-6734
Office of LTC Ombudsman2475 Lancaster Drive N.E. #B-9Salem, OR 97310(503) 378-6533Toll Free 1-800-522-2602 (In State)
Department of AgingLong Term Care Ombudsman555 Walnut Street 5th Flr.Harrisburg, PA 17101-1919(717) 783-1550
Governor's Office for Elderly AffairsCall Box 50063 - Old San Juan StationSan Juan, PR 00902(809) 721-8225
Department of Elderly Affairs160 Pine StreetProvidence, RI 02903-3708(401) 222-2858
Office of the Governor Ombudsman Division1205 Pendleton Street308 Brown BuildingColumbia, SC 29201(803) 734-0457
Department of Social ServicesOffice of Adult Services and Aging700 Governor's DrivePierre, SD 57501-2291(605) 773-3656
Commission on Aging500 Deaderick StreetAndrew Jackson Bldg., 9th FloorNashville, TN 37243-0860(615) 741-2056
Department on Aging4900 North Lamar P.O. Box 13247Austin, TX 78711(512) 424-6840Toll Free 1-800-252-2412 (In State)
Division of Aging and Adult ServicesDepartment of Human ServicesP.O. Box 45500Salt Lake City, UT 84145-0500 or120 North 200 West, Room 325Salt Lake City, UT 84103(801) 538-3910
Department of Aging and Disabilities103 South Main StreetWaterbury, VT 05671-2301(802) 241-2400Toll Free 1-800-642-5119 (In State)
Department for the AgingSuite 102 1600 Forest AvenueRichmond, VA 23229(804) 225-2271Toll Free 1-800-552-3402 (In State)
State Ombudsman Program1200 South, 336th StreetFederal Way, WA 98003-7454(206) 838-6810Toll Free 1-800-422-1384 (In State)
Commission on AgingState Capitol Complex/Holly Grove 1900 Kanawha Boulevard Bldg. 10Charleston, WV 25305(304) 558-3317
Board on Aging and LTC214 North Hamilton StreetMadison, WI 53703(608) 266-8944
Wyoming Senior Citizens, Inc.P.O. Box 94 756 Gilcrest StreetWheatland, WY 82201(307) 322-5553
Unless otherwise stated, you can obtain one free copy of each publication listed below by contacting the author and/or organization listed. To order a publication in bulk, contact the organization to obtain the cost, if any, for multiple copies.
AAHA Publications901 E Street, NW., Suite 500Washington, DC 20004-2037Include the title, publication number, and a self-addressed, business-size, stamped envelope.
Foundation for Hospice and Homecare519 C Street, NW.Washington, DC 20002-5809Include a self-addressed, 52. cent stamped envelope.
Toll Free 1-800-772-1213 to receive the free Social Security publications listed below.
Toll Free 1-800-829-3676 to receive a free copy of the IRS tax guides listed below.
OWL666 11th Street, Suite 700Washington, DC 20001
Call Toll Free 1-800-772-1213 - to receive the free Medicare publications listed below.
For the publications listed below write or call:Medicare PublicationsCenters for Medicare and Medicaid Services6325 Security BoulevardBaltimore, MD 21207Toll Free 1-800-638-68338:00 a.m. - 8:00 p.m.
AARP Fulfillment601 E Street, NW.Washington, DC 20049Include the title and publication number.
The National Association for Home Care519 C Street, NE.Washington, DC 20024-5809Include the title, publication number, and a self-addressed, stamped envelope.
AAHA Publications901 E Street, NW., Suite 500Washington, DC 20004-2037Include the title and publication number for the three AAHA publications listed below. Include a self-addressed, business-size, stamped envelope for the two brochures.
AARP Fulfillment601 E Street, NW.Washington, DC 20049
AAHA Publications901 E Street, NW., Suite 500Washington, DC 20004-2037Include the title, publication number and a self-addressed, stamped envelope for the brochure.
Health Care Financing Administration6325 Security BoulevardBaltimore, MD 21207
National Institute on AgingDepartment of Health and Human ServicesToll Free 1-800-222-2225