Our Services

EVCTP – Eastern Virginia Care Transitions Partnership

COMPAS – Care Options Make for Preferred Solutions

These programs are made available through a partnership with BayAging, Inc., Mary Washington Hospital, and Rappahannock Area Agency on Aging. This program is provided through professional referrals. For more information contact RAAA.

Older adults and people with disabilities are disproportionately affected by chronic illness. According to the 2006 Medical Expenditure Panel Survey, almost 91% of older adults live with at least one chronic condition and almost 75% have at least two. In a 30-day period, people with disabilities experience an average of nine days of restricted activity due to health challenges, more than four times the rate of their counterparts without a disability

Through the You Can! Live Well, Virginia! Chronic Disease Self-Management Education (CDSME) programs, individuals coping with chronic diseases can take steps to improve their overall health, feel better, and live life to the fullest. The core CDSME program is the Chronic Disease Self-Management Program (CDSMP).

Developed by Stanford University, CDSMP is a six week, 2.5 hour workshop that offers tools and information to help people manage their chronic illnesses and participate more fully in life. There is strong evidence across many studies that CDSMP participants experience several beneficial health outcomes, including greater energy, increased participation in physical activity, improved health status, reduced pain symptoms, and improved psychological well-being. Participants also report enhanced communication and partnerships with physicians and greater confidence that they can take actions to affect their own health.

Long-term, CDSMP has been shown to reduce healthcare costs by decreasing the number of emergency room visits, the number of hospital admissions, and hospital length of stay.

Through this supportive interactive workshop, often led by others with chronic conditions, participants learn about a variety of topics, such as

Healthy eating and exercise choices
Evaluating new treatment choices
Appropriate use of medications
Effective ways to talk with healthcare professionals and loved ones
Most importantly, participants help each other through brainstorming and problem-solving as they develop weekly achievable action plans. Classes are highly participative, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.

Providing financial aid and other resources, including referrals to other public and private
agencies, to persons 60 and older who have an emergency need for help. The program provides
for immediate and short-term assistance in getting resources in an emergency that endangers the
health or well-being of older persons.

Eligibility
Persons 60 years of age and older with emergency needs that cannot be met through other
services. Priority shall be given to older individuals who are in the greatest economic and social
need, with preference given to low-income minority individuals and to those older persons
residing in rural or geographically isolated areas.1

Homemaker services provide assistance to persons with the inability to perform one or more of the following activities of daily living: preparing meals, shopping for personal items, managing money, using the telephone or doing light housework.

ELIGIBILITY:

Homemaker services are targeted to persons 60 years of age or older who are frail, have disabilities, or who are at risk of institutional placement. Priority shall be given to persons who are in the greatest economic or social need and/or residing in rural or geographically isolated areas, with particular attention to low-income minority individuals and individuals with limited English proficiency.

Information and Assistance—The process of assessing a client or caregiver and transferring them to a
service provided directly by the agency (RAAA), through a subcontractor, or directly assisting them with obtaining needed services, supports and/or resources and, if necessary, advocating with entities on their behalf.

ELIGIBILITY:

Individuals are eligible for Information and Assistance services if they are 60 years of age or older.
Priority shall be given to older individuals who are in the greatest economic and social need, and older
individuals at risk for institutional placement, with preference given to low-income minority older
individuals, older individuals with limited English proficiency, and older individuals residing in rural
areas. Families and caregivers of older adults may also receive information and assistance for needed
services.

Individual insurance counseling assistance is available through the Virginia Insurance Counseling and Assistance Program (VICAP). VICAP counselors at Rappahannock Area Agency on Aging (RAAA) can help you resolve claims or billing problems. They can also assist you with filing for benefits, and sorting through complicated statements and notices. Trained VICAP counselors provide confidential assistance to individuals free of charge.

To get in touch with a VICAP counselor contact RAAA.

With funding provided under the Older American’s Act, RAAA provides funding to Rappahannock Legal Services, to support legal assistance to older individuals (60 years of age or older) with economic or social needs.

Ombudsmen advocate for older persons receiving long term care services, whether the care is provided in a nursing home or assisted living facility, or through community-based services to assist persons still living at home. We provide older Virginians, their families and the public with information, advocacy, and assistance to help resolve care problems.

Mobility Options is a grant funded program providing transportation counseling, travel training, and personalized transportation for PD 16. Services may be provided to persons of any age with a physical, developmental, or intellectual disability, or persons that are sixty (60) years of age or older. A VA Planning District 16 Transportation Resource Guide is available here. If you are interested in more information please call Mobility Options: 1.540.656.2985

Home Delivered Nutrition is intended to provide dietary support for homebound individuals who are unable to cook or prepare meals for themselves and do not have access to adequate nutrition.

ELIGIBILITY:

Home Delivered Nutrition Services are targeted to persons 60 years of age or older. Priority shall be
given to older individuals with greatest economic and social need, with special emphasis on lowincome
minority individuals, older individuals with limited English proficiency, older persons residing
in rural or geographically isolated areas, and older individuals at risk for institutional placement

RAAA’s Senior Cafe’s provide nutritional, social, recreational, and physical activities in addition to transportation, shopping, and events. For more information or to visit a cafe please contact RAAA.

ELIGIBILITY:

Congregate Nutrition Services are targeted to persons 60 years of age or older. Priority shall be
given to older individuals with greatest economic and social need, with special emphasis on low-income
minority individuals, older individuals with limited English proficiency, older persons
residing in rural or geographically isolated areas, and older individuals at risk for institutional
placement.

In addition to meeting established eligibility, individuals must be mobile, not
homebound, and physically, mentally, and medically able to attend a congregate meals program – without an aide –
in accordance with RAAA guidelines.

The Senior Community Service Employment Program has two primary goals:
1. Advance economic self-sufficiency for program participants through employment
training and job placement; and
2. Promote useful opportunities for community service activities through community
service employment partnerships.

ELIGIBILITY:

The program has strict eligibility requirements for participants. Only individuals who are
55 or older, unemployed, and have a total family income of less than 125 percent of federal
poverty level ($13,613 for a single person household in 2011) are eligible to participate
in the program.

In addition, SCSEP grants priority enrollment first to veterans and their
qualified spouses, then to individuals who are 65 and older, or:
■ Have a disability,
■ Have limited English proficiency,
■ Have low literacy skills,
■ Live in a rural area,
■ Have low employment prospects,
■ Are unable to find employment through the Workforce Investment Act (WIA) system, or
■ Are homeless or at risk of homelessness.

Your One-Stop Source for Information and Access to Community Programs and Services for Virginia Seniors and Caregivers.

Regular, pre-scheduled calls to homebound older adults to reduce isolation and provide routine safety checks.

ELIGIBILITY:

Individuals are eligible for Transportation Services if they are 60 years of age or older, lack the
ability to transport themselves, and lack other means of transportation. Priority shall be given to
older individuals who are in the greatest economic and social need, with preference given to low-income
minority individuals and to those older persons residing in rural or geographically
isolated areas.

Many volunteer opportunities are available, please contact RAAA for more information.