Welcome to "Pretend I Know Nothing." I'm Katie White, your host and the administrator of the Central Ohio Area Agency on Aging (COAAA).

Together, we’ll share how we navigated the transition from the original MyCare Ohio demonstration project to this brand new, statewide initiative. Drawing from our years of experience in case management, program leadership, and serving some of Ohio’s most vulnerable populations, we’ll give you an honest, behind-the-scenes look at all the planning, problem-solving, and teamwork that went into launching Next Generation MyCare Program.

You’ll hear how Area Agencies on Aging—like ours—play a crucial role in this work, how collaborating with managed care organizations has changed the landscape, and what it really takes to roll out a massive change like this without leaving people behind.

You don’t need to know anything about healthcare or managed care to follow along; we break it all down, and we’re excited to share what we’ve learned along the way.

Top 3 Takeaways:

• Care Integration that Works: By uniting Medicare and Medicaid services under a single managed care plan, Ohio’s AAAs have streamlined access to care, closed coverage gaps, and delivered tailored support for some of the state’s most vulnerable populations.
• Collaboration & Consistency Matter: Developing statewide standards—through extensive committee work and contract negotiations—has ensured that every member receives a consistent level of service, no matter where they live or which managed care plan they’re on.
• Teamwork Powers Success: The culture of collaboration, adaptability, and putting members first sets the AAAs apart. From specialized staff roles to ongoing feedback loops, everyone works together—across units, across counties—to keep people safe, healthy, and at home.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

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Copyright 2026 Central Ohio Area Agency On Aging

I’m sitting down with Michelle Missler, President and CEO of the American Association of Service Coordinators, and Ellen Carey, supervisor at COAAA, for an honest conversation about service coordination—what it is, why it matters, and why most people haven’t heard of it.

You’ll hear more about my guests’ experiences working in affordable housing and aging services. We break down what a typical day looks like for a service coordinator: it’s a whole mix of connecting residents to benefits, offering wellness programs, managing emergencies, and building deep relationships within their communities.

Michelle Missler shares how advocacy at the national level is helping improve pay, recognition, and support for service coordinators everywhere. Ellen Carey gives us a glimpse into the daily realities on the ground, from juggling multiple needs to partnering with local organizations.

Here are 3 key takeaways for anyone passionate about aging services, housing, or community support:

• Service Coordinators Are Relationship Builders: The heartbeat of affordable housing, service coordinators form essential connections with residents, helping bridge gaps to benefits, healthcare, and community resources. Their work is personal, proactive, and absolutely vital for helping people age in place.
• Funding & Advocacy Remain Critical: From HUD grants to creative local partnerships, sustaining service coordination is a major challenge. Recent advocacy is driving real progress, including better pay and deeper support structures – but continued investment is needed at every level.
• Standardized Tools & Training Make A Difference: Systems like Ask Online and comprehensive training programs from professional associations are leveling up what service coordinators can deliver, amplifying their impact across hundreds of buildings nationwide.

Moments

00:00 Service Coordinator Advocacy and Support

05:24 Proactive Senior Case Manager

06:43 Community Support and Coordination

10:04 Community Programs and Partnerships

15:16 "Salary Survey and Advocacy Plan"

18:22 Service Coordinator Funding Methods

20:23 Funding Models for Service Coordinators

23:04 Advocating for Timely HUD Funding

26:39 "Funding Service Coordination Innovations"

31:41 Ask Membership Benefits Summary

35:27 "Service Coordination Data Evolution"

36:58 Building Partnerships for Community Needs

41:39 Ellen's Remarkable Crisis Coordination

45:54 Essence of Relationship Building

49:32 "Aging Autonomously in Community"

51:17 Service Coordination Appreciation Remarks

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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I sit down with Dr. Katie Calhoun (Assistant Professor, OSU College of Social Work) and Marisa Sheldon (Director, Age Friendly Columbus & Franklin County and the Age Friendly Innovation Center) to talk about the regional Shallow Subsidy Pilot Program and what we've learned about housing instability among older adults in Central Ohio.

We kick things off by exploring Dr. Calhoun's background in Denver, where she researched housing stability and worked on the Denver Basic Income Project, which tested guaranteed income as a tool for reducing homelessness. Bringing these experiences to Columbus, she joined forces with our Age-Friendly Innovation Center team and leveraged new data from the Central Ohio Regional Assessment on Aging, revealing a concerning rise in housing cost burdens among adults 50 and older in our region.

We discuss the creation of the Shallow Subsidy Pilot: a program offering a modest but sustained rent subsidy to low-income older renters, aiming to help them remain housed while they await long-term support, such as housing vouchers.

I walk you through the careful process of designing and launching this pilot—including the crucial role of our COAAA housing staff, collaboration across community organizations, and a randomized controlled evaluation to truly measure the impact.

Together, we unpack findings from both quantitative data and powerful participant interviews. The trends show improvements in housing affordability, financial well-being, and mental health, with a notable reduction in emergency department visits among subsidy recipients. At the same time, we underline the unique challenges older adults face, especially those paying far more than half their income on housing, and highlight the importance of choice, dignity, and "aging in the right place." We also reflect on learnings from the staff-focused implementation analysis and discuss how community-driven projects can shape next steps.

Moments

00:00 "Income Support to Combat Homelessness"

05:36 "PhD Research on Elder Homelessness"

07:39 Housing & Homelessness Conversations

11:49 Randomized Trial Evaluating Subsidy Impact

15:41 Randomized Trial Participant Process

17:46 Measuring Housing Intervention Outcomes

21:18 "Shallow Subsidies Empower Housing Choice"

23:03 Housing Costs and Financial Well-Being

28:27 "Shuttle Subsidy Cuts ED Visits"

31:05 Refining Housing Cost Burden Insights

34:16 Implementation Assessment Using CFIR Framework

38:21 "Tension for Change Drives Action"

39:45 "Overhauling Housing Support Systems"

42:47 "Money as Community Support"

Here are 5 keys you’ll pick up from this episode:

1. Shallow Subsidies 101: What they are, what they do, and why they’re a game-changer for people on fixed incomes.
2. Behind the Science: How randomized control trials work, and why having a placebo group is both tough and crucial for real results.
3. The Real Impact: Hear about direct benefits, from being able to buy “extras” (think: a haircut, a mattress, or a treat for a granddaughter) to fewer ER visits.
4. Housing Is More Than a Roof: Learn why stability and choice in living situations give older adults more autonomy, dignity, and connection to their communities.
5. Lessons Learned: Why piloting something new doesn’t guarantee instant success—and why asking tough questions helps build a better future (plus, the COAAA team's fearless commitment to doing just that!).

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

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Copyright 2026 Central Ohio Area Agency On Aging

Welcome to Pretend I Know Nothing, where curiosity leads the way. In this episode, I sit down with Tariq Mohammed, Senior Director for Refugee Programming at Jewish Family Services (JFS), to demystify the realities of refugee resettlement and the journey of new Americans in Central Ohio.

Tariq and I talk about the origins and evolution of Jewish Family Services, highlighting its mission to serve not only the Jewish community, but anyone in need—from seniors and job seekers to newcomers navigating life in a foreign country.

Together, we unpack the difference between refugees and other immigrants, outline the complex global and federal systems that shape refugee resettlement, and reveal how the U.S. has long been a leader in providing new beginnings to those fleeing persecution.

You’ll get an inside look at the practical work JFS does, from employment support and digital literacy to school integration, health care access, and the profound importance of a welcoming environment.

Tariq also brings a personal perspective and shares how stories, photography, and lived experience help preserve the narratives of resilience and hope that new Americans bring to our communities.

Key Takeaways:

• JFS Welcomes All: While its roots are in serving the Jewish community, Jewish Family Services now supports people from every background and zip code. Their programs range from helping Holocaust survivors to workforce development and digital literacy for seniors and newcomers alike.
• Refugee Resettlement is Rigorous & Life-changing: Becoming a refugee is more than just crossing a border—it's a status defined by international law. The resettlement process can take up to 17–20 years for many, but the U.S. has been a global leader in providing a fresh start and supporting integration.
• Resilience & Contribution: Refugees “arrive with empty hands, but not empty heads.” They revitalize communities, contribute economically, and inspire a vibrant, diverse culture. Support systems like JFS are crucial in ensuring these new Americans thrive.

Moments

00:00 Jewish Family Services: Inclusive Mission

04:44 Supporting Community & Holocaust Survivors

08:47 "Refugee Definition Explained"

11:56 Seeking Asylum: Refugee Application Process

15:26 Refugee Resettlement Options Explained

18:05 Refugee Life: 20 Minutes, 20 Years

20:23 Churches' Role in Refugee Resettlement

25:31 Refugee School Integration Program

26:22 Supporting Refugee Families in Schools

31:23 Convincing Landlords Without Social Security

35:07 Expert Guidance Over Family Advice

37:10 U.S. Immigration Process Overview

40:41 Refugee Integration and Support Process

45:35 "America: Top Destination for Refugees"

47:06 Senior Companions: Generational Giving

52:33 Archival Photography for Future Generations

54:02 African Diaspora and Cuba Projects

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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I’m your host, Katie White, and today we’re taking the show on the road for a very special conversation at the Age-Friendly Innovation Center at The Ohio State University. Joining me is Dr. Holly Dabelko-Schoeny, professor and director of research at the Age-Friendly Innovation Center, to explore how Columbus and Central Ohio are paving the way for inclusive, age-friendly communities.

In this episode, we talk about the transformative work behind the Weather and Aging Resiliency Model—or WARM—a research partnership between the Central Ohio Area Agency on Aging and Ohio State’s Age Friendly Innovation Center. We discuss how the movement for age-friendly communities began in Columbus, what it means to truly listen to and collaborate with older adults and people with disabilities, and why issues like climate change and emergency preparedness are now vital to ensuring communities are safe, resilient, and liveable for everyone.

You’ll hear why community-based, participatory research is at the heart of this effort, discover the unexpected impacts of extreme weather on affordable housing, and learn about the practical resources—and human connections—that are saving lives. Plus, we share powerful stories from the frontlines, lessons learned, and the impact of bridging research, policy, and day-to-day services.

Here are my top three takeaways from this thoughtful episode:

• Community-Led Research Is Key: Meaningfully engaging older adults and people with disabilities in research and decision-making leads to more impactful, relevant solutions for aging communities.
• Climate Change Affects Every Aspect of Aging: The Age-Friendly Innovation Center, in partnership with COAAA, is at the forefront of incorporating climate and sustainability as a crucial “ninth domain” that influences housing, transportation, social connection, and emergency preparedness for older adults.
• Social Connection Trumps Complexity: When it comes to protecting older adults during emergencies, strong social networks (neighbors, case managers, trusted organizations) are often more protective than any state-of-the-art technology or kit. Simple, human connections save lives.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

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Copyright 2026 Central Ohio Area Agency On Aging

What is Black Men’s Wellness Day?

If you’re unfamiliar, Black Men’s Wellness Day was founded by John Gregory in 2004 as a 5K walk/run on the east side of Columbus. What started locally has now blossomed into a nationwide movement in 12 cities. The core mission? To confront health disparities among Black men and promote wellness in the Black community in tangible, supportive ways.

The event is so much more than a walk. Free health screenings are available, covering everything from cholesterol and blood pressure to kidney health, HIV, and prostate-specific antigen (PSA) testing. Last year’s goal was 2,500 screenings, which they achieved, so this year the bar is set even higher at 5,000. It’s wonderful to see ambitious goals driven by a successful track record.

More Than Just a Walk: Uplift Her

Stephanie introduced us to another related event, Uplift Her. Recognizing that Black women, too, face significant health disparities, Uplift Her extends the spirit of Black Men's Wellness Day to women in the community. It’s held indoors with health checks, counseling, and plenty of entertainment and guest speakers. This year, thanks to efforts from Melissa Gulteri and the COAA team, attendees who needed blood pressure monitoring could receive cuffs and logs for at-home tracking, along with connections to further services.

COAA’s Role: Committee and Community

COAA’s involvement includes supporting both Black Men’s Wellness Day and Uplift Her, especially by sponsoring the Senior Pavilion—a dedicated space for older adults (or, as they’re now called, “Distinguished Gentlemen” or “Golden Citizens,” a more celebratory take than “seniors”). At the Pavilion, our committee helps set up, host, and entertain. There are also activities for those who can’t participate in the walk itself, ensuring everyone feels included.

The committee at COAA meets monthly, coordinating closely with Pam Shields (who spearheads the seniors’ efforts) to provide everything needed: volunteers, set-up help, swag bags filled with useful information, and a visible presence on walk day.

Making Wellness Accessible and Fun

A central theme throughout our discussion is that this event is accessible, family-friendly, and joyful. There are activities for all ages—kids’ stations, games for “Golden Citizens,” music, food, and giveaways. Importantly, the drive is to foster trust around health in a space that feels welcoming and supportive for everyone. Immediate access to on-site doctors and even medications is an extraordinary feature, as is the realism and urgency around connecting participants to care if needed.

Inclusivity and Community Growth

While the event emphasizes Black men’s wellness, it’s clear everyone is welcome—men, women, children, and entire families. Last year’s attendance was enormous, with estimates soaring above 10,000 (some numbers in our conversation reached closer to 100,000, reflecting both community enthusiasm and the event’s growth). In fact, this year marks the last time the event will be held at Livingston Park due to outgrowing the space, which is a testament to its reach and impact.

How to Get Involved

The best part is involvement is free. You can sign up for a “Passion Team” on the official website, or, if you want to join the COAA team specifically, reach out to us directly so we can add you. Whether you’re walking, volunteering, or just coming to check out what’s happening, your presence makes a difference.

Why It Matters

Both Antoine and Stephanie shared personal stories highlighting why this work matters. For Antoine, it’s about caring for community health and creating opportunities for Black men to prioritize wellness without barriers. For Stephanie, it’s a chance to connect seniors and families to critical services so that everyone—regardless of age—can thrive.

Final Thoughts

Black Men’s Wellness Day is more than an event—it’s a celebration, a lifeline, and a statement of community resilience. Join us next time, and together let’s build a healthier, more connected community.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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I’m joined by two of my colleagues, Kayla Humphrey and Carrie Oswald, and together, we break down what NCQA is, why it matters to our agency, and how this national accreditation process is making us better at what we do.

We talk about everything from why third-party evaluation is so important, to the nitty-gritty of documenting and analyzing our processes, and how we’re striving for even higher standards in long-term services and supports.

If you’ve ever wondered how we prove our commitment to person-centered care, or what it actually takes to meet and maintain these gold-standard benchmarks, you’ll get a behind-the-scenes look right here.

This episode is about more than just policies and paperwork—it’s about teamwork, passion, and our drive to make a real difference for both our staff and the people we serve.

Three key takeaways from this conversation:

NCQA = Next-Level Quality

Accreditation isn’t just a stamp of approval. It’s a rigorous process of defining, documenting, and continually improving our person-centered care. It pushes us to go beyond “good work” and show our measurable results.

Custom Metrics That Matter

We don’t just follow set national benchmarks. NCQA lets us choose and evolve the metrics that are most important to our clients (like timeliness and participation rates). This ensures that our work stays both relevant and impactful.

Empowering Staff & Impacting the Network

Going through the accreditation process builds up not just our programs, but our people. The result? COAAA staff leave even more skilled and confident, strengthening the quality of care across our region. Even as they progress in their careers.

Moments

00:00 Teamwork in Quality Care Compliance

04:10 Streamlining Accreditation and Storytelling

09:22 Refining and Documenting Work Practices

12:39 "NCQA Emphasizes Person-Centered Care"

14:58 Streamlining Process Development and Implementation

16:52 Accreditation Standards Review Completion

20:38 NCQA Accreditation Importance

24:22 Accreditation Preparation and Reporting Plan

27:42 Accreditation Duration Options

32:14 "Internal Staff Well-being Program"

34:12 Networking and Collaboration Opportunities

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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The episode brings together Anna Tobin and Melissa Owens, two prominent figures in the aging services sector, to share their insights and experiences. Grant Ames, Government and Community Relations Manager at the Central Ohio Area Agency on Aging (COAAA), also provides valuable context about the agency's goals and operations.

Anna Tobin: Role as Council Member

Anna Tobin, President of the COAAA Advisory Council and Executive Director of Meals on Wheels Older Adult Alternatives of Fairfield County, shares her extensive experience in social services, emphasizing the importance of advisory councils. Anna describes these councils as invaluable platforms for networking and bringing community needs to the forefront. By participating in advisory council planning sessions, members can support both state and local aging plans. Anna's discussion includes the sharing of legislative information, talking points for advocacy, and insights into funding opportunities, such as the ARPA funds and healthy aging grants. The networking aspect allows for an exchange of vital information with colleagues, enhancing service delivery across regions.

Melissa Owens: Benefits to Counties

Melissa Owens, Executive Director for Licking County Aging Partners, elaborates on the benefits county-level stakeholders gain from council meetings. She stresses the importance of educating county legislators and officials about the federal-state-local system, aiding them in understanding and navigating resources at various governmental levels. These meetings also facilitate connections and knowledge gathering from experienced individuals, thereby equipping counties with the tools needed to effectively serve older adult populations.

Problem-Solving within the Council

Melissa Owens explains the council's role as a resource network for problem-solving, noting that other members may have encountered and resolved similar issues.

Planning and Collaboration

Anna Tobin provides insight into the critical planning process supported by advisory councils, referencing the Ohio Department of Aging's strategic plans. She underscores the importance of aligning local goals with state objectives to ensure quality services for seniors.

Shared Innovations and Learning

Throughout the discussion, the speakers share examples of successful initiatives and collaboration efforts. Anna Tobin mentions a guardianship service board modeled after Franklin County's initiative, highlighting the process of securing startup funding and adapting successful models locally. Melissa Owens talks about adaptable programs like friendly visitor and senior companion programs, adjusted based on county demographics and needs.

Building Connections for New Leaders

Grant Ames stresses the importance of strong regional networks in supporting senior services, pointing out the benefits for new leaders to learn from their experienced counterparts. The advisory councils not only aid in navigating complex systems but also foster professional growth and knowledge sharing.

Key Moments

00:00 Advisory council collaborates on older adult services.

03:42 Grateful senior services leader with extensive experience.

07:45 Networking, community advocacy, planning, implementing support initiatives locally.

10:00 Learning and sharing process knowledge with counties.

12:53 Advisory council efficiently solves nonprofit organization problems.

17:36 Similar issues in urban, suburban, rural areas.

22:28 Supporting aging plans through local strategic implementation.

25:53 Connecting new leaders with experienced mentors strengthens region.

27:21 Contact local aging office; volunteer support needed.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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Meanwhile, we hear about the behind-the-scenes action of coordinating television segments and creating impactful content for various media channels. We also discuss long-form storytelling opportunities, the sophisticated tools the team uses like Sprout Social, and engaging with their audience through platforms like LinkedIn, Instagram, and YouTube.

Top Takeaways

Proactive Media Engagement:

• The importance of continuously engaging with media through traditional and modern methods, including concise and well-timed news releases and rewriting stories that initially go unreported.

Direct Email Marketing:

• COAAA utilizes a platform to directly email content to a listserv, ensuring that their messages reach targeted audiences efficiently and effectively.

Earned Media Strategies:

• The process of handling media inquiries, from receiving a story idea to coordinating with the right agency expert, highlights a multifaceted approach to getting their stories in the media.

Adapting to Media Trends:

• There has been a noted decline in dedicated media reporting on specific topics like aging issues. COAAA has adapted by improving the relevance and appeal of their stories.

Content Diversification:

• COAAA creates specific content for different platforms and audiences, including newsletters, social media, and YouTube, using various formats like videos, infographics, and data.

Strategic Social Media Use:

• The growing Facebook following from 700 to nearly 44,000 over ten years demonstrates COAAA's strategic use of social media platforms to engage their audience and build community.

Internal Collaboration:

• Encourage internal collaboration by asking staff to share media from events, ensuring active community presence and engagement through social media.

Long-form Storytelling:

• COAAA sees value in long-form storytelling for platforms like YouTube, aiming to produce impactful and educational content that features personal stories and agency highlights.

LinkedIn & Professional Networking:

• LinkedIn content is strategically used to build professional networks and showcase thought leadership, extending COAAA’s influence within professional circles.

Newsletters as Core Communication:

• COAAA's quarterly newsletter, sent to almost 4,000 recipients, is a cornerstone of their outreach, featuring in-depth stories, program updates, and multimedia elements to keep the audience engaged and informed.

Key Moments

08:31 Medicare education, outreach, and home energy assistance.

11:48 Collaborates on HR recruiting content and materials.

14:50 Share event photos with details for social media.

20:10 Sprout aids social media growth significantly.

21:16 Social media's effectiveness in our media strategy.

26:02 LinkedIn highlights work culture and shares insights.

27:32 Create engaging, timely, impactful, immersive content.

30:30 Quarterly in-depth newsletter highlights diverse programs.

34:45 Media inquiries for COAAA have decreased recently.

39:04 Belief requires follow-up and persistent communication.

41:28 Social media, email, TV target different audiences.

46:38 Share personal impact stories using varied media.

48:35 Puzzle pieces' impact through storytelling and collaboration.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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Let's talk about the intergenerational dynamics within the LGBTQ+ community in Columbus. We cover everything from the critical needs of older LGBTQ+ adults, facing 13 anti-trans bills in Ohio, to the power of trauma-informed care.

We discuss innovative community efforts, essential inclusivity, and the necessity for more tailored resources.

Guests Al Cho, a Senior Options case manager, and Kayla Humphrey, management analyst, and chair of the PRIDE Committee, share real-life examples and a vision for better support systems.

Key Takeaways

**Intergenerational Interaction**: Notable intergenerational interactions exist within the Columbus LGBTQ+ community, such as the Columbus Women's Chorus and the Columbus Gay Men's Chorus. These interactions foster mutual support and shared experiences across generations.

**Legislative Challenges**: Ohio currently faces 13 anti-trans bills, with two already passed in 2024. This underscores the importance of leveraging the strength and experience of older generations to combat such legislative challenges.

**Community Engagement**: The Pride Committee at CRAAA is focusing on increasing community presence and support for LGBTQ+ older adults, as highlighted by Kayla Humphrey's survey results, prioritizing community engagement and advocacy.

**Limited Resources for Older LGBTQ+ Adults**: Many resources and support efforts currently focus more on younger LGBTQ+ populations, highlighting the need for more resources and support specifically catered to older LGBTQ+ individuals.

**Specialized Programs**: If resources were unlimited, extensive programs envisioned for LGBTQ+ older adults include case management, friendly caller programs, technological education, and intergenerational support.

**Intentional Trauma-Informed Care**: The conversation emphasized the need for intentional, trauma-informed care and tailored resources for LGBTQ+ older adults, recognizing the unique challenges faced by this population.

**Support Systems and Psychological Well-being**: Support systems are psychologically crucial for individuals with limited resources, especially older generations who may have experienced significant caution and fear during the HIV epidemic.

**Education and Inclusivity**: There's a need for ongoing educational efforts about LGBTQ+ individuals and HIV, especially within immigrant and refugee populations, to foster inclusivity and understanding.

**Kindness and Compassion**: Emphasizing the role of kindness and compassion in community support, it is vital to meet people where they are, listen intently, and validate chosen families and personal identities.

**Updated Regulations Impact**: Updates to the Older Americans Act provide formal acknowledgment and protection for LGBTQ+ older adults and those aging with HIV, ensuring they feel included and their specific needs are addressed.

Key Moments

00:00 Discussing updates to Older Americans Act regulations.

03:23 Elevating older LGBTQ+ and aging HIV populations.

08:54 Chronic minority stress worsens health, causing risks.

10:10 HIV medications prolong life, risk liver damage.

15:38 Older LGBTQ+ adults face isolation and poverty.

16:39 Older adults feel lonely, lack appropriate resources.

22:45 LGBTQ+ faced oppression, silence, then pride generation.

26:49 Importance of empathy and safety in relationships.

29:37 Lack of intergenerational structures, but desire exists.

33:13 Rural background, city issues surprisingly similar.

37:04 Pride committee welcomes everyone, focuses on community involvement.

41:21 Advocate program for LGBTQ+ seniors' support and intergenerational events.

42:47 Intentional, trauma-informed care for LGBTQ+ adults.

46:35 Lean in, respect chosen family, show support.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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Joining us are two incredible guests, Heidi Webster, National Director of Business Development for BoldAge PACE, and Jeremy Diaz, Executive Director for the Columbus BoldAge PACE.

The PACE model has been around since the early 1970s, originating in San Francisco with the On Lok community. It became a federal program integrated into Medicare and Medicaid by the late 1990s. Now, this holistic care model is expanding in Ohio, aiming to provide comprehensive healthcare for seniors right in their homes.

In today’s discussion, we’ll cover everything from the financial operations and cost-effectiveness of PACE, to how BoldAge PACE is addressing key community issues such as housing and food insecurity. We’ll also dive into the detailed application process and the vital importance of community support and engagement.

Key Moments

08:40 PACE model: Elder care since 1970s; expanded nationwide.

13:00 PACE adoption in Ohio spearheaded by LeadingAge.

14:40 PACE applications are lengthy but completed quickly.

18:21 PACE program: holistic care for independent living.

22:02 Trained staff ensures LGBTQ+ elders feel welcome.

27:26 Comprehensive care team supports participants' daily needs.

30:02 PACE prevents rehospitalization, ensures post-discharge medical care.

33:32 PACE program: local day centers cater to needs.

37:31 Personalized healthcare and entertainment for participants' needs.

39:07 Care plans created and reevaluated every 6 months.

43:57 PACE is underutilized yet should be embraced.

Top Takeaways

Sure, here are ten takeaway concepts from the episode of "Pretend I Know Nothing" entitled "PACE Final":

Originated in the early 1970s with the On Lok community in San Francisco. Became a federal program under the Balanced Budget Act in the late 1990s and was integrated into Medicare and Medicaid.

Expansion and Introduction to Ohio - Relatively new to Ohio, with organizations like Bold Age PACE and McGregor PACE operating in the state. Statewide expansion efforts saw Bold Age PACE applying and receiving licenses for Franklin, Montgomery, and Lucas counties.

Financing and Cost-Effectiveness - Targets dual-eligible Medicare and Medicaid participants, funded on a per participant per month basis. Demonstrated cost savings of about 13% compared to other Medicaid managed care programs.

Comprehensive Care and Benefits - Provides integrated care encompassing medical, dental, vision, pharmacy, and more without co-pays. Offers an alternative to nursing homes, supporting participants to remain at home. Day centers offer transportation, meals, social activities, and healthcare services. Activities and therapies aimed at enhancing quality of life and reducing depression and isolation.

Participants must be 55 years or older and meet state-approved nursing home levels of care. Must reside in approved counties/zones and have safe community housing.

Copyright 2026 Central Ohio Area Agency On Aging

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

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In this episode, we'll cover everything from the initial application steps to setting up a Qualified Income Trust (QIT) and maintaining Medicaid eligibility, which some say is like a full-time job in itself. We'll share key insights on how to avoid common pitfalls that can lead to application denials, the importance of timely paperwork, and how supportive teams and case managers work tirelessly to ensure every verification is meticulously handled.

Michelle will also recount a heartfelt story of assisting a man whose wife needed Medicaid for nursing home care, emphasizing the emotional and practical challenges families face.

Top Takeaways

**Application Process**: Medicaid eligibility involves completing a thorough application, providing detailed income and household information, and submitting necessary verifications to county-level Job and Family Services (JFS).

**Verification Follow-up**: If initial verifications are incomplete, a secondary request for missing documents is sent within 10 days. Timely provision of these documents is crucial to avoid denial.

**Qualified Income Trust (QIT)**: A QIT, necessary for applicants exceeding certain income thresholds, must be set up separately from other accounts and regularly funded to maintain eligibility.

**Renewal Procedures**: Medicaid recipients must complete a 9-page renewal application sent three months before their renewal date, ensuring the most crucial page (page 9) is signed and dated to avoid cessation of services.

**Denial Reasons**: Common reasons for Medicaid denial include exceeding income limits, failure to establish a QIT, and not providing required verifications on time.

**Medicaid Maintenance**: Maintaining Medicaid eligibility can be equivalent to a full-time job, requiring detailed and timely documentation and communication with case managers.

**Support Systems**: Case managers and Medicaid specialists provide essential guidance, help gather necessary verifications, and collaborate with community agencies to support applicants.

**LTSS Medicaid**: Long-Term Services and Supports (LTSS) provided through Medicaid include medical, personal care, and social services for older adults and individuals with disabilities, with specific eligibility requirements different from Community Medicaid.

**Asset Considerations**: Applicants' assets, including ownership of homes or cars, affect eligibility. Improper transfer of assets can lead to restricted coverage periods.

**NOA Letters and Redeterminations**: Notices of Action (NOA) letters and annual redeterminations can be perplexing, but Medicaid specialists and county workers assist in resolving issues, particularly concerning QIT requirements and maintaining eligibility.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

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In this episode, we'll explore the collaborative efforts that started The Central Ohio Stable Housing Network, or COSHN. It's vital role of emergency rental assistance in averting evictions and the importance of agencies like COAAA in stabilizing housing for vulnerable populations.

You'll hear from Grant Ames, Government and Community Relations Coordinator with COAAA, and Terence Toone, Community Relations Coordinator at COAAA.

Top Takeaways

COSHN was created through combined efforts in Columbus to address pressing housing issues, particularly during the COVID-19 pandemic.

The network received emergency rental assistance dollars intended to prevent homelessness and eviction, underscoring the importance of immediate, crisis-focused support in times of need.

Terence Toone brought his expertise in elder advocacy, discussing the challenges older adults face in securing stable housing and the importance of services that address their unique needs, such as physical limitations and fixed incomes.

The COSHN implements a two-level screening process to determine qualification for assistance and financial support, highlighting the importance of targeted and fair distribution of resources.

Grant Ames noted that many retirees do not live stable lives owing homes, revealing persistent poverty among aging populations and the compounded issues they face.

The agency's commitment to addressing not only housing but also broader health and social issues demonstrates a holistic approach to supporting vulnerable populations.

Addressing rumors and misinformation about housing programs (e.g., free rent for the elderly), the importance of clear, proactive community engagement and education was a key point made by Terence Toone.

Terence emphasizes identifying the available resources for homeless individuals, like insurance and care managers, to ensure comprehensive support.

Both Grant and Katie emphasized the need for a preventative strategy in addressing homelessness, focusing on early intervention and holistic care to improve individuals' health and well-being.

The discussion highlighted efforts to standardize identification and intake screening across 25 agencies involved in the COSHN, aiming for more efficient and consistent support for older adults and people with disabilities facing housing challenges.

Key Moments

00:00 Columbus history of collaborative housing assistance.

09:41 Valuable partnership in aging homeless population growth.

12:06 Advocating for aging and disability services, HUD.

15:41 Discussion on current senior living options and care.

19:07 Serving community, relationships, homeless qualifications, housing assistance.

23:10 Supporting homeless individuals through prevention and mobilization.

24:39 Preventative measures needed for population housing issues.

28:37 Inquiring about homeless lifestyle, needs, and support.

32:18 Supportive of early intervention to prevent homelessness.

39:39 Terence's great work supports rehousing efforts.

42:06 Lead conversations on aging, push for change.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

https://creativecommons.org/licenses/by-nd/4.0/

Jennifer and Brittany will discuss the challenges, successes, and operational insights of the program, including the daily intake and processing of emergency rental assistance requests, the significant impact of community referrals, and the regulatory landscape affecting both landlords and tenants.

Top Takeaways

1. **Comprehensive Assistance**: The COAAA Housing Assistance Program serves as a crucial resource providing extensive support.

2. **Diverse Funding Sources**: The program utilizes a variety of funding streams.

3. **Community Collaboration**: Strong partnerships with community organizations and reliance on community referrals enhance the outreach and effectiveness of the program.

4. **One-Time Assistance Limitation**: While the program offers significant immediate help, it is limited to one-time financial assistance.

5. **Documentation and Verification**: Applicants must provide thorough documentation, such as identification and proof of income, which is crucial for ensuring that assistance is delivered to those who truly need it.

6. **Short to Long Processing Times**: The timeline for processing applications can vary significantly—from a day up to two months—depending on various factors like apartment acceptance and documentation verification.

7. **Legislative Support for Rent Payments**: Recent legislation in Columbus that mandates landlords to accept third-party rent payments (with some exceptions) is a significant step towards reducing obstacles.

8. **Challenges with Affordability and Rent Burden**: Increasing rental rates and the scarcity of affordable housing particularly impact seniors and individuals with disabilities, highlighting an urgent need for more inclusive and affordable housing solutions.

9. **Advocacy for Expanded Funding and Policy Changes**: There is a pressing need for advocacy to secure more funding and to push for policy changes.

10. **Necessity for a Multifaceted Approach to Housing Crisis**: The episode stresses the importance of a multifaceted approach that includes building more affordable housing, enhancing support networks, and fostering community awareness and involvement.

Memorable Moments

03:33 Rental rates rise, fixed incomes struggle, housing shortage.

07:30 Assisting struggling individuals with housing challenges is difficult.

10:18 Criteria: age, income, and location specified.

15:44 Variable timeline depending on internal or external referral.

18:03 Limited options for utility payment without agreement.

20:59 Connect people with resources, and take referrals daily.

25:46 Tracking housing assistance and collaborating with community organizations.

31:31 Expand funding to reach all clients, everywhere.

34:04 Columbus has disparities in meeting community needs.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

https://creativecommons.org/licenses/by-nd/4.0/

Allen Roberts, who supervises four of COAAA’s six impactful programs, joins us to unpack how this initiative empowers veterans to take control of their own care by employing caregivers, managing their budgets, and tailoring services to their individual needs.

We uncover the key aspects of Veteran-Directed Care, from addressing equity gaps and providing autonomy to veterans, to the efficiency of referral systems and the importance of mental health training. Plus, hear success stories and plans for expansion into every county in Ohio—all designed to enhance the quality of life for our veterans and their families.

Top Takeaways

The Veteran-Directed Care program empowers veterans by providing them with a budget to employ caregivers and manage their own care, enabling independence and personalized care solutions.

The program emphasizes giving veterans autonomy and independence, allowing them to choose authorized representatives if they are unable to manage their care due to health issues.

The program offers a wealth of support, including adult day supports, homemaker services, and personal care services, ensuring that veterans receive holistic care tailored to their needs.

Home visits are conducted monthly and quarterly to assess the needs of veterans and their caregivers, emphasizing relationship-building over formal assessments to spot unnoted requirements or issues.

The program aims to maximize the veteran's budget and access to needed resources, with reassessments triggered by changes in care needs such as post-surgery or post-hospitalization.

While not yet available in every county, the program plans for expansion and connects through the VA, ensuring that veterans across different regions receive care integration and support.

Addressing mental health is crucial, with the program providing training to handle intense situations and emotional responses from struggling families.

Reporting requirements, such as monthly case note submissions and contact tracking, help in setting up performance indicators focused on reassessment, needs assessment, and bridging care gaps.

The program integrates care coordination assistants, community health workers, nurses, and social workers to provide a robust support structure, with various initiatives like MedMutual Care Transitions and the Anthem program addressing broader social determinants of health.

Key Moments

00:00 Active, helpful, challenged by Chamber finances. Business degree.

04:52 Understanding discharge paperwork with in-home support.

08:31 ACL and HHS launched VDC program in 2008.

12:40 Enrollment and onboarding for home care.

17:46 Family wants good care for veteran, adjusts as needed.

20:18 VA offers caregiver programs, support groups, online platform.

24:16 Planning process and route sheet for efficiency.

26:24 Programs require case management documentation in outside systems.

30:05 Planning for social health drivers through analytics.

35:16 Leading the movement, mentoring, and bringing veterans.

38:14 Happy to help in difficult situations. Dedication, passion, awesome.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

https://creativecommons.org/licenses/by-nd/4.0/

Copyright 2026 Central Ohio Area Agency On Aging

https://creativecommons.org/licenses/by-nd/4.0/

Copyright 2026 Central Ohio Area Agency On Aging

In this episode, we'll unpack the complexities of Medicaid, exploring its eligibility criteria, the nuances of waiver programs, and the critical role of income and resources in determining coverage. Michelle and Shelby share their extensive experience and highlight common challenges and misconceptions about Medicaid, providing clarity on how the system works and offering expert insights.

Top Takeaways

1. Medicaid is a federally funded program designed to provide health coverage to low-income individuals. In Ohio, for instance, resource eligibility is also a factor, where single individuals cannot have resources exceeding $2,000.
2. Medicaid Waiver programs help cover costs for specific services like home health care, which aren't typically covered under standard Medicaid. These waivers allow individuals with higher income to receive Medicaid by meeting certain medical or disability criteria, although they might have a financial liability or "spend down" to qualify.
3. For traditional Community Medicaid, income limits are set at $941 (SSI amount). However, for waiver participants, any income above $1,869 might incur a personal cost contribution, known as a liability, toward the waiver services.
4. Shelby explains that there are complexities in how income and resources are assessed, such as differences between types of Medicaid programs, and the process and implications of income above certain thresholds, like needing a Qualified Income Trust (QIT) for incomes above $2,829.
5. A QIT is requisite for individuals whose income exceeds the Medicaid cap but who still require waiver services. The trust helps manage excess income which must be used towards medical expenses, and any remaining funds are retained in the trust with the state as the beneficiary upon the person's death.
6. Medicaid does not count the home as a resource if the individual is living in it; however, if they move to a facility, the home could then count as a resource. When determining Medicaid eligibility, other financial assets including savings, investments, and additional properties are considered.
7. Homestead Exemption Act allows a Medicaid recipient to transfer property titles, under specific conditions, to a caregiver relative without affecting their Medicaid eligibility. The relative must have resided with and provided care for the recipient for a minimum of two years to qualify.
8. Medicaid does not 'take' one's home; instead, it may place a lien against it to recoup some of the costs provided for care if the property is sold. However, other debts are settled first, leaving Medicaid as one of the last agencies to reclaim costs.
9. Specialists like Michelle and Shelby play critical roles in managing cases, ensuring timely updates of documentation, coordinating with county services, and advocating for consumers to ensure that all requirements for eligibility and continuation of services are met efficiently.
10. One of the significant challenges mentioned involves communication and coordination with county offices to manage timely updates and processing of paperwork needed for service eligibility and continuation. Another challenge is ensuring consumers understand and fulfill their responsibilities, like addressing changes promptly to avoid service disruption.

Memorable Moments

05:48 Waiver income threshold determines monthly costs.

07:10 Community Medicaid eligibility based on income threshold.

10:16 Medicaid requires QIT for income over $2,829.

13:42 Medicaid can put a lien on houses.

16:28 Transfer resources to child, protect Medicaid eligibility.

22:13 Referrals come from assessment team to Michelle.

23:03 Some categories require resource verification for Medicaid.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

https://creativecommons.org/licenses/by-nd/4.0/

His role also encompasses managing internal agency disaster preparedness and staff safety, highlighting his versatility and commitment to community service.

Andy helps us untangle the knots of Medicare Parts A, B, and C, including the differences between Medicaid and Medicare, their eligibility criteria, additional support programs for those with limited income, and the essentials of Part D prescription coverage.

Top Takeaways

1. **Understanding Before Engagement**: Before discussing plans with agents, it is crucial to understand Medicare’s basics and options to avoid being influenced by commissions or misinformation.

2. **Medicare vs. Medicaid**: It’s important to recognize the differences: Medicaid is state-funded with eligibility varying by state, while Medicare is federally funded and offers consistent criteria across the U.S.

3. **Assistance for Limited Income**: Programs like limited income subsidies and Medicare Savings Programs are in place to aid those with limited income in covering their Medicare expenses.

4. **Annual Benefits Review**: Beneficiaries should stay informed about their Medicare benefits and be mindful of annual changes, utilizing resources like medicare.gov for up-to-date information.

5. **Open Enrollment Period**: This is a crucial time frame when individuals can change their prescription drug coverage or Medicare Advantage Plan and adjust to their current needs.

6. **Part D Considerations**: Due to changing medical needs or plan benefits, re-evaluation of Part D (prescription drug coverage) is often necessary for individuals.

7. **Free Educational Resources**: While personal advising services may cost, there are free services available to help with understanding Medicare options.

8. **Making Informed Decisions**: Educational outreach on Medicare aims to empower individuals to make informed and confident choices about their healthcare.

9. **Understanding Eligibility**: Qualification for Medicare typically begins at age 65, or earlier for those receiving Social Security disability benefits for at least 24 months.

10. **Safety and Preparedness**: Beyond Medicare education, there are also efforts to improve safety and preparedness for agency staff, through tools like the safety app RAVE and emergency management planning.

Memorable Moments

04:13 Reviewing incidents, safety reports, and concerns quarterly.

07:10 Guardian app offers safety features, monitoring chat.

12:41 Staff handles Medicare queries, offers public education.

14:17 Outreach program helps seniors with Medicare decisions.

16:44 Prescription drug coverage is still a huge issue.

20:44 Various benefits available for eligible individuals.

25:40 Enrollment process for Social Security.

28:48 Part D covers prescription drugs, compare benefits.

34:44 Medicaid varies by state, Medicare is national.

38:21 Importance of staying updated on programs and plans.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

The goal of the New Supe Group is to create shared learning experiences and connections to peers to ensure a supportive and successful work environment across the agency. Bruce Rhodeback from Care Transitions and Leslie Miller from Assessment share their experiences as new Supervisors.

Leslie, who has almost two decades of service at COAAA, opens up about her evolution from case management to her current role as Assessment Supervisor. Having recently stepped into this position, Leslie outlines the multifaceted responsibilities that come with it, such as training staff, managing chart reviews, and dealing with complex consumer issues.

Bruce, with COAAA for almost 8 years, brings a slightly different perspective. His journey began with the Aetna MyCare waiver program and transitioned through Care Transitions to his supervisory role. He speaks to the challenges that come with overseeing case managers, adhering to clinical demands, and often finding himself caught between the expectations of upper management and the needs of his staff.

Empowering Connections in Large Agencies: "But with these new programs that we're working in, like the (COAAA) University, like the "supe group," and different trainings, we're working to create those cohorts so that people do have peers and people they can go to to support." — Katie White

Both Bruce and Leslie tackle the complexities of middle management, from protecting confidential information to guiding their team through difficult times without divulging sensitive details.

Bruce advises those considering a supervisory role to explore available resources, such as coursework and guidance from current supervisors, emphasizing the City of Columbus website as a valuable starting point.

Challenges of Being a New Supervisor in a Growing Program: "I've learned a lot about myself in the last year, but also a lot about the, you know, the program and the program that I'm with that is constantly growing and changing and moving." — Bruce

Leslie complements this by encouraging honest conversations with supervisors about the benefits and drawbacks of stepping into a leadership role.

The Joy of Mentorship in the Workplace: "I mean, I've always enjoyed teaching, and so that's, you know, one of my favorite parts about being a supervisor. And, you know, I love this agency, so I really on, you know, instill that in other people and, help new people really be happy here and feel like this is a place for them." — Leslie

3 Key Takeaways

- **The Support System**: Learn about the impact of structured support through cohorts and small groups. Discover how these systems foster peer learning and prevent isolation within a large organization.

- **Middle Management Insights**: Gain insight into the balance required between satisfying upper management expectations and advocating for your team's needs, including the delicate handling of confidential information.

- **Personal Growth Strategies**: Uncover strategies for personal and professional development as a supervisor. From leveraging resources like books and podcasts to reflecting on your own values, find out how continuous learning shapes effective leadership.

Memorable Moments

05:12 Navigating supervisory challenges with older staff members.

07:23 New supervisor learns and grows in unique role.

13:00 Grateful for growth, seeking feedback on reports.

14:09 Staff receive regular supervision, support, and training.

16:49 Consumer issues require timely, attentive handling.

21:27 Supervising case managers, meeting requirements, balancing act.

25:26 Clear communication and validation are key with supervisors.

29:39 Columbus offers online classes for supervisor preparation.

31:55 Seek guidance from supervisors and explore resources.

37:34 Teaching is empowering, agency is supportive, successful.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

The university, a training program developed from clinical best practices, is designed to equip staff with fundamental skills for working with the public. Katie, Erica, and Carrie dive into the implementation process, the benefits of the program, and the importance of staff development. Join them as they share their enthusiasm and pride in the success of COAAA University and their dedication to serving the community.

Key Takeaways

1. COAAA University is a comprehensive training program developed by a committee to enhance the skills and competencies of staff members working with the public.

2. The training program covers essential topics such as crisis management, documentation, assessment, and professional growth, aimed at building a connected and competent workforce.

3. COAAA University involves both internal and external speakers and is designed based on the needs of adult learners, providing interactive and relevant training sessions.

"We expect for it to always be growing. And that's really cool, and it, it helps to keep the bar high for COAAA University."

— Carrie Oswald

4. The program is focused on promoting the values of the Central Ohio Area Agency on Aging (COAAA) and aims to create a cohesive team through discussions and interactions.

5. The potential expansion of COAAA University into a leadership track and supervisor-specific classes is being discussed, highlighting the initiative's commitment to workforce development and skill enhancement.

6. COAAA University has introduced a new supervisor group to support and train new supervisors, creating a community for sharing challenges and experiences, and is developing a new supervisor toolbox.

"So maybe right now, we're kind of in the 101 courses, and then we'll get to the 200 level courses on 300. I kinda wanna see it become the umbrella for internal staff training."

— Erica Drewry

7. The program has implemented paid student internships with a focus on onboarding orientation, and COAAA University aims to formalize paid placements to support staff and ease supervision.

8. COAAA University focuses on training social workers in competencies and provides support for field instructors, and enrollment in the program is mandatory for new hires and open to contributions from existing staff.

9. The evaluation of COAAA University courses focuses on feedback from participants about content, delivery, and applicability to the job, with positive feedback received on the interactive and relevant training.

"We are COAAA first and foremost, and who are we as COAAA? We know that we're a great place to work."

— Katie White

10. COAAA University represents the agency's dedication to its employees and the community, aiming to create a ripple effect in the community through the development and support of a dedicated workforce.

Memorable Moments

00:00 Worked closely with COAAA, medical social worker.

04:49 COAAA University, a dream based on best practices.

06:54 Formed committee, planning, curriculum development, stakeholder engagement.

10:29 Embracing COAAA identity and promoting professional growth.

13:44 Mix of clinicians share knowledge in diverse training.

18:36 University relies on students to shape programs.

20:05 Continuous planning and refinement for COAAA University.

25:00 New supervisor group discussing roles; challenges, successes.

26:11 Small group meetings for new supervisors learning.

30:14 MSW competencies guide simplified.

35:30 Excited for feedback on course content quality.

38:21 Successful launch after dedicated committee's hard work.

39:28 Balancing multiple priorities can be challenging.

42:33 Proud to be part of an impactful initiative.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Key Takeaways

1. The screening department of COAAA faces challenges in handling a large volume of waiver referrals and programs, both internally and externally.

2. They request patience from clients and encourage them to ask questions while assuring them of their commitment to helping as much as they can.

3. The department shows care and compassion when dealing with individuals in crisis and provides support and guidance for navigating complicated systems.

4. Staff members in the organization are responsible for different aspects of scheduling and coordination, handling referrals from various sources with strict timelines for response.

"There's a lot of emotion that goes into the phone calls and a lot of emotional support that the screeners provide all the callers."

— Mary Kate

5. Referrals come in through multiple channels such as phone calls, voicemails, online systems, faxes, and emails, and are handled by different staff members who prioritize and manage them on a day-to-day basis.

6. The assessment covers tasks needing help with, health conditions, social determinants of health, level of care, financial eligibility, income, and asset details.

7. The income eligibility level for Medicaid is $2,829

8. The asset level for Medicaid is $2,000 with a five-year look-back period

9. The screening team is tasked with handling referrals for multiple waivers and programs, except for MyCare, and completing LTSQ for scheduling assessments.

10. Despite the challenges of handling a high volume of calls and the stress and anxiety it causes, the screening team remains committed to providing comprehensive support to callers.

"You did everything you could have, should have, would have done, and there's nothing more you could have done."

— Chelsea

Memorable Moments

06:11 The Screening department directs calls for various assistance.

08:00 Assessing needs of individuals for care services.

13:42 Screeners ask questions, finalize LTSQ, and coordinate assessments.

19:06 Limited staff for strict referral schedule challenges.

21:03 OGM sends various referrals through different channels.

25:22 Grateful for those who answer the phone.

32:13 Desire for authentic job satisfaction and challenges.

36:35 Excited for your new role and improvements.

38:50 Managing numerous waiver programs requires a complex referral process.

42:02 Handling emotional and dire situations with callers.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Key Takeaways

1. The assessment and enrollment team at COAAA assesses clients for their ability to perform activities of daily living (ADLs), focusing on observing abilities rather than just medical conditions.

2. The assessment team is comprised of licensed nurses, social workers, and additional support specialists, with a focus on streamlining the enrollment process for Medicaid qualifications.

3. The enrollment team works to free up assessors from administrative tasks and streamline the enrollment process, aiming to relieve the administrative burden on assessors and improve efficiency.

4. Tim Duggan, the clinical manager, emphasizes the high volume of assessments conducted each week, with a focus on learning and managing policy changes and building a conducive culture within the organization.

5. Anya Ridley-Moore discusses the impact of the enrollment team on her work, emphasizing the importance of teamwork and collaboration in handling assessments and Medicaid approval.

"From a social worker's perspective, we have to dig more into what we're observing and not so much the medical conditions."

Anya Ridley-Moore

6. The challenge of keeping up with policy changes and communicating them across departments is highlighted, emphasizing the importance of effective communication and understanding within the assessment and enrollment team.

7. Teamwork and breaking down silos between different teams are essential for the assessment and enrollment team to operate efficiently and provide positive changes in collaboration among assessors, the Roam team, and other departments.

8. The positive changes in teamwork and collaboration within the assessment and enrollment team have led to excitement about hitting their targets and contributing valuable insights to the agency.

9. The conversation underlines the importance of communication, collaboration, and team-building within the agency's large workforce, with a reminder to focus on strengths and the positive impact of their work in the community.

"For me, I would say my biggest accomplishment is just the fact that there are some great people around me. And I can take a little bit of credit for that, but, I think at best, I'm freeing them up to be the great people that they are at best."

Timothy Duggan

10. There is an emphasis on perseverance and relying on team members during difficult times, highlighting the dedication and resilience of the assessment and enrollment team.

Memorable Moments

06:46 Assessors determine care eligibility, provide support resources.

11:55 Call, assess needs, clarify, schedule assistance.

14:24 Assistance for nursing facility with enrollment process.

17:11 Medication, observations, and independence in assessments emphasized.

22:00 Complicated doctor's office enrollment process requires streamlining.

25:51 Flexibility and autonomy in assessment scheduling.

28:29 Adapting to new tasks and responsibilities.

30:14 Adapting to changing policies, ensuring cross-department communication.

35:46 Encouraging team, breaking silos, fostering greatness together.

39:18 Challenging to balance experience and humility.

41:50 Ability to see strengths amidst challenges.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

With these funds come complex service specifications, billing requirements, and annual monitoring.

Ann Bauman from Fiscal and Jackie Marchan-Rish from Provider Relations share how COAAA supports our amazing service providers in Central Ohio, ensuring we utilize the funding where and how it is needed, and describe the crucial impact that is made through Title III funding.

Top 3 Takeaways:

• Navigating Funding Complexities: Learn how local agencies manage finite resources while striving to meet growing community needs.
• Unity in Service Delivery: See the power of teamwork and flexibility in delivering critical services to Franklin County’s diverse populations.
• The Pulse of Modernization: Discover the advocacy and necessary changes for the Older Americans Act to better serve today's generation.

Moments

00:00 Experienced in senior care and public service.

04:51 New providers receive training on billing process.

08:56 Assessing clients' needs and providing technical assistance.

10:32 Assisting new providers with WellSky implementation, troubleshooting.

13:32 Advocacy for Older Americans Act reauthorization and updating.

18:08 Challenges in money reuse due to distribution.

21:48 Striving for success amid financial constraints.

23:19 Agree with Anne, like helping providers.

26:57 Intersecting roles crucial for meeting mission. Shadowing important.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Ohio’s 12 Area Agencies on Aging develop their required strategic area plans every four years, which then coordinate with and inform the Ohio Department of Aging’s state plan on aging. Tamara James, Director of Strategic Initiatives at COAAA, shares the timelines, objectives, and requirements of our Area Plan, which in turn prioritizes our work across the region.

3 Key Takeaways:

• Strategic Area Planning is Community-Driven: Every four years, area agencies develop a plan rooted in community needs, informed by surveys, focus groups, and local voices (07:48). This isn’t just about compliance—it’s about real impact.
• Priorities Reflect Evolving Needs: Issues such as transportation, housing stability, and financial security remain at the forefront (22:06). New focus areas, such as helping individuals access SNAP and utility support, were added to address current realities (21:53).
• Continuous Adaptation & Advocacy: Annual updates ensure the plan stays relevant, enabling agencies to respond to changes and advocate for policy improvements—especially in times of challenge, such as the pandemic (27:18).

Moments

00:00 Starting a career in advocacy

06:19 Submitting the Strategic Area Plan

10:30 Public hearing and funding approval

11:58 Coordinating area plan updates

15:50 Annual funding and public hearings

19:57 Advocacy and funding challenges

20:59 Updating the area plan process

24:53 Improving communications and team roles

29:36 Discussing grab-and-go meal changes

30:34 Evolving consumer choice in meal programs

36:42 Talking about grant writing

37:19 Planning for future goals

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Grant Ames, COAAA Government and Community Relations Manager joins Beth Kowalczyk, O4A Chief Policy Officer, to discuss the role of policy in human services, advocacy opportunities, the importance of building relationships with elected officials and coalitions, and so much more.

Here are three key takeaways from this informative episode:

Building Relationships: Advocacy involves engaging with stakeholders at every stage, from bill introduction to budget planning. Establishing strong relationships with legislators and maintaining consistent communication is crucial for effective advocacy work.

Impactful Strategies: The focus of advocacy efforts has centered on increasing rates for caregivers, particularly for direct care worker wages and provider rates. These strategies have included engaging with government departments, organizing roundtables, and collaborating with coalitions to advocate for higher rates.

Storytelling and Engagement: Our guests highlight the importance of storytelling and engagement with legislators to influence decision-making. Advocating for needed services, rather than personal gain, has seen historic increases in funding for aging services, illustrating the power of impactful storytelling in advocacy efforts.

Moments

00:00 Career in law, advocacy, policy for Ohioans.

05:40 Older Americans Act founded federal aging policy.

06:53 In 1965, Older Americans Act established aging policy.

12:40 Advocacy for older adults' essential services importance.

14:01 Lobbying for non-Medicaid services funding in DC.

17:20 Analyzing community needs for efficient service distribution.

21:14 State budget process: departments submit proposals, review, bill.

25:12 Senate and house reconcile budget through committee.

31:01 Low home care rates causing hiring struggles.

32:06 Advocacy for equal pay rates in home care.

37:09 Advocacy work example highlights AAA's value.

40:20 Connecting with officials isn't as intimidating.

43:51 Sharing stories and advocating for important work.

45:08 Advocacy and funding crucial for aging support.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Hear from Teresa Shane, Provider Relations Manager, and Erika Cowles-West, Provider Relations Specialist, about how the small-but-mighty COAAA Provider Relations team is growing and protecting the provider network in Central Ohio.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Melissa Gualtieri, Director of Clinical Innovation, and Lisa Castro, Clinical Manager, describe four contracted programs managed in their division. Slightly different from other COAAA clinical programs, this episode teaches about the short-term interventions, case management, and care transitions work we provide in our eight-county region.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

In addition to the clinical excellence we are known for, COAAA is also forging the way with new programs aimed at prevention and stabilization.

Learn from Angie Wise about our work as Ohio’s first Statewide CarFit Coordinator and what we are doing to increase the safety on Ohio’s roadways and from Frances Krumholtz about our home-sharing platform, Nesterly, and our work with older homeowners.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Then we talk about the services and supports we provide to caregivers through consultations, education, support groups, and funding.

Key Highlights:

• Tammy's focus on the daily self-care regimen, including meditation and exercise, to boost caregiver well-being.
• Lynn's practical advice on setting boundaries and appreciating one’s own efforts in caregiving.
• A comprehensive rundown of the support resources provided by the National Family Caregiver Support Program and how the program creatively aids caregivers in need.

3 Key Takeaways for Caregivers:

1. Self-Care as a Foundation: Daily moments of self-care are not only beneficial but essential in maintaining the strength and emotional stability required for effective caregiving.
2. Accessible Educational Support: Utilize platforms like Trualta for free, 24/7 online caregiver education that's easily accessible from home, covering key topics that range from managing dementia to preventing burnout.
3. Tailored Financial Support: Explore financial aid options beyond Medicaid through the National Family Caregiver Support Program that offers flexibility for services like respite care and essential medical equipment.

If you're a caregiver or know someone who is, this episode is packed with actionable advice, empathy, and support.

Moments

00:00 Community education and outreach offer diverse programs.

06:01 Family Caregiver Support Program provides education and assistance.

11:10 Caregiving program offers flexibility, support, and assistance.

14:45 Short-term caregiver program offers various assistance.

19:29 Free online educational support for caregivers. Accessible 24/7.

21:06 24/7 web-based support and training available.

24:14 Developed educational programs, managed community education outreach.

29:44 Supporting caregivers and spreading awareness about programs.

31:31 Growing older, fears, caregiving, supporting, success stories.

37:18 Supporting boundaries, gratitude, and transitioning from work.

39:14 We offer support for internet and intranet.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Listen in to hear Katie’s early learnings and thoughts about her new role, the incredible staff, and the expansive work of the agency.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

This episode gives us the history of SAFE, an overview of when someone should bring a case to SAFE, and an understanding of the support and expertise offered during the meetings. Learn from Clinical Manager Sarah Hall and ADRN Division Director Linda Gillespie in this important episode.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Tune into this episode for a glimpse into the wild and wonderful world of ERC.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Sue Howson, Clinical Manager, shares with us the history and spirit of COAAA’s longest-standing case management program-PASSPORT. We then hear from Tobin Shepherd and Wes Baxter about their roles on the PASSPORT team as a float and an aging programs care coordinator.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

This episode is a thorough overview of COAAA and one that everyone should listen to.

If you didn’t know Cindy, she is one of Central Ohio’s most influential leaders in aging and just an overall great person to know.

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

Here's what you can expect from this episode:

• Key 1: The importance of staff safety and dealing with the worker shortage in providing services.
• Key 2: How the changing climate impacts the way people live and the need to adapt to ensure staff safety.
• Key 3: The moral distress faced by case managers due to the shortage in services and the impact on client options.
• Key 4: The evolving nature of the program to meet new challenges and trends, along with the grant process and the organization's relationship with the Office on Aging.
• Key 5: Personal insight into the speaker's journey and the impact of their work in the Senior Options program.

Fun Fact: Ever wondered how creative non-Medicaid-bound organizations can get in supporting and caring for people? You'll be surprised at the innovative solutions shared in the episode!

Let me know what you think of this podcast, as well as any ideas you have for an episode. Email me at kwhite@coaaa.org!

Copyright 2026 Central Ohio Area Agency On Aging

This episode is hosted by friends of COAAA (and fellow podcasters) Brett and Carol, so they can put Katie White into the “guest seat” to hear about her vision of how this podcast will work.

Hosted in Katie’s office, the goal of the Pretend I Know Nothing About podcast is to learn and share all the amazing stuff we do.

Have an idea for an episode? Want to be our next guest? Email kwhite@coaaa.org.

Copyright 2026 Central Ohio Area Agency On Aging