Budget Year / Version:

Program Description

  Assessment & Continuing Care Management Services

This program provides multi-disciplinary assessments, care planning, and case management services to frail seniors and adults with disabilities to remedy and prevent abuse, neglect, self-neglect, financial exploitation, or inappropriate institutionalization. Services include Adult Protective Services, Social Services to Adults, and the Public Guardianship Program.

Program Contacts

Contact Patrice McGhee, DPA of the HHS - Aging and Disability Services at 240.773.1089 or Grace Pedersen of the Office of Management and Budget at 240.773.1088 for more information regarding this department's operating budget.


Program Performance Measures

Program Performance MeasuresActual FY22Actual FY23Estimated FY24Target FY25Target FY26
New Adult Protective Services Investigations 11,0529661,1001,1501,200
Number of clients receiving case management services 28329059509971,046
Percent of seniors and adults with disabilities that avoid institutional placement while receiving case management services 394%93%93%93%93%
Percent of APS Clients with another investigation within six months (recidivism) 48%6%6%6%6%
1  The Covid-19 pandemic affected the number of APS referrals which fluctuated with the emergency of different variants. The at-risk population served by APS was more reluctant to leave their homes and thus community referral sources were less likely to make referrals. Future projections are based on increased community outreach/education, referrals from Community/Preferred partners and the senior community, along with the official ending of the public health emergency.
2  The increase from FY22 to FY23 is due to clients re-engaging in post-Covid services.
3  The percentage remained stable between FY22 and FY23. No change is anticipated in upcoming years as case management has been effective in assisting clients to remain in the community with supports such as personal care and medical coordination.
4  Adult Protective Services investigations are voluntary for clients with capacity. Therefore, due to self-determination, some clients choose not to follow the program's recommendations, and, as such, rates of recidivism may fluctuate. Six percent is the state's goal, and the program anticipates that the rate will remain at this level.

Program Budget Changes

FY25 Recommended ChangesExpendituresFTEs
FY24 Approved1187757558.17
Enhance: Reduce Waitlist for Adult Protective Services Case Management 1967563.00
Increase Cost: Three Percent Increase to the Adult Medical Day Care Provider Supplement647430.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.12369430.58
FY25 Recommended1337601761.75