Public Hearing Notice
To all interested citizens of the Big Sandy area:
The Big Sandy Area Development District Area Agency on Aging and Independent Living intends to submit an Area Plan to the Department for Aging and Independent Living to provide services to the Aged and Disabled population of the Big Sandy Area in Fiscal Year 2026.
The Big Sandy ADD/AAAIL will hold a public hearing prior to the submission of the plan. The public hearing will be held on Wednesday, January 21, 2026, at 10:00 a.m. at Big Sandy Area Development District, 110 Resource Court, Prestonsburg, KY 41653 and VIA ZOOM. The zoom link may be obtained by contacting Stacy Hall at 606-886-2374.
The purpose of this hearing is to inform and obtain views on services provided to the senior and disabled population of the Big Sandy Area, review proposed activities, review the proposed application, and solicit public comments.
Comments on Application
A copy of the proposed FY 26 Area Plan will be on file at the Big Sandy Area Development District for citizens’ review and comment during regular business hours from January 14, 2026, through January 21, 2026. The plan will also be posted on the BSADD website. Comments on the proposed application may be submitted to the attention of Stacy Hall until the close of business on January 21, 2026.
Discrimination Clause
The Big Sandy Area Development District does not discriminate based on race, color, national origin, sex, sexual orientation, gender identity, age, religion or disability.
For more information, contact Stacy Hall at 606-886-2374 or stacy.hall@bigsandy.org
ADRC - Aging and Disability Resource Center
The Aging and Disability Resource Center is, “A one-stop shop for aging and disability information, programs and services.” The ADRC of the Big Sandy Area Agency on Aging and Independent Living provides service to the five (5) counties in the Big Sandy Region.
Big Sandy Senior Games
The Big Sandy Senior Games have been held the second and third Friday in May since 1985. These events are provided as part of the Older Americans Month activities. Registration is open to anyone 50 years or older.
HomeCare
The Homecare Program provides in-home services to senior citizens 60 and older to assist in maintaining them in their home instead of the nursing home.
HOME AND COMMUNITY BASED MEDICAID WAIVER PROGRAM
The Home and Community Based Medicaid Waiver Program provides assistance to maintain participants in the home.
COMMUNITY COLLABORATIONS FOR CHILDREN (CCC) - FAMILIES FIRST
Community Collaboration for Children funds child abuse/neglect prevention services. In-Home Based Services are required statewide.
LONG TERM CARE OMBUDSMAN
The Long Term Care Ombudsman serves as an advocate for nursing home, personal care home and family care home residents.
NATIONAL FAMILY CAREGIVER PROGRAM
There are two components to the National Family Caregiver Program, Caregiver and Grandparents Raising Grandchildren.
SENIOR CITIZEN CENTERS
Big Sandy Area Development District, Area Agency on Aging and Independent Living, contracts with the Senior Citizen programs in the five counties of the Big Sandy area to provide the TITLE III services to our population age 60 and older.
UMWA
A program that provides outreach, home visits, phone calls, referrals for grief counseling, performs health assessments and education to UMWA Funds beneficiaries.
Title III Legal Assistance
Appalachian Research and Defense Fund (APPALRED) Legal Services will be the provider for the Big Sandy Area Development District.
SHIP - State Health Insurance Assistance Program Medicare Benefits Counseling
State Health Insurance Program or SHIP, provides Medicare beneficiaries and pre-enrollees assistance with Medicare related information.
ADRC – Aging and Disability Resource Center
The Aging and Disability Resource Center is, “A one-stop shop for aging and disability information, programs and services.” The ADRC of the Big Sandy Area Agency on Aging and Independent Living provides service to the five (5) counties in the Big Sandy Region. The ADRC is a collaborative effort of the Administration on Aging (AoA) and the Centers for Medicare & Medicaid Services (CMS) designed to streamline access to long-term supportive services.
Long-term support refers to a wide range of in-home services and programs that are designed to help individuals with disabilities of all ages to stay in their home of choice. The goal of the ADRC is to provide individuals with all the information they need to make informed choices and to streamline access to the individual’s choice for long-term support. ADRC improves the ability of state and local governments to manage resources and to monitor program quality through centralized data collection and evaluation. ADRC programs provide information and assistance to individuals needing either public or private resources, professionals seeking assistance on behalf of their clients, and individuals planning for their future long term care needs.
Big Sandy Senior Games
The Big Sandy Senior Games have been held the second and third Friday in May since 1985. These events are provided as part of the Older Americans Month activities. Registration is open to anyone 50 years or older.
The activities include bowling, softball toss, horseshoes, basketball free throw and spot shoot, Football toss, archery and race walk. Each event is divided into gender and age groups to compete for 1st, 2nd and 3rd place medals.
Community sponsors at the Gold, Silver or Bronze levels provide funding or in-kind contributions to make this event possible.



HomeCare
The Homecare Program provides in-home services to senior citizens 60 and older to assist in maintaining them in their home instead of the nursing home. Services include assessment, case management, chore, escort, home repair, homemaker, personal care and respite. Clients must meet eligibility requirements of needing assistance with Activities of Daily Living and must not be eligible for services under Medicaid Waiver. This is a state funded program and uses a sliding fee scale.
HOME AND COMMUNITY BASED MEDICAID WAIVER PROGRAM
The Home and Community Based Medicaid Waiver Program provides assistance to maintain participants in the home. Services under the HCB Waiver program include Attendant Care (Personal Care & Homemaker) and Respite. Participant Directed Services allows the client to hire their own employee and set their own schedule for services. PDS gives the participant greater freedom of choice, flexibility and control over their services. Traditional Case Management services are provided to HCBW clients also. These clients are HCB waiver clients who choose to have an agency provide the aide to assist them, and we provide the case management services.
To display the success of this program here is a testimonial from one of our clients:
“Since receiving the waiver we are now able to give Chase
the care that he needs. He is able to go to all of his appointments and is able
to attend all the necessary therapies that are needed to help with his everyday
life-while being in the safety of his own home. We will forever be grateful for
the HCB waiver and for the services that it helps us provide for our son.”
COMMUNITY COLLABORATIONS FOR CHILDREN (CCC) – FAMILIES FIRST
In-Home Based Services are designed to educate, strengthen and support families to prevent child abuse and neglect. Services shall develop, support and empower the family unit by teaching problem-solving skills, discussing appropriate discipline techniques, assisting parents in becoming self-sufficient, and coordinating available community resources. Services combine skill-based intervention with flexible scheduling so that they are available to families according to their individual needs. In-Home Based Service staff teach the family how to live together safely while addressing their immediate needs. Families may be referred to relevant community resources and counseling programs as needed. In all referrals, children must reside with their parents or caregivers who have permanent custody.
The In-Home Program services must target low-risk families, which are identified as (but not limited to): children with disabilities, teenage and young adult parents, parents with disabilities, low-income families, children who are truant or exhibiting problems in a school system, grandparents raising grandchildren, and homeless families.
Long Term Care Ombudsman
The Long Term Care Ombudsman serves as an advocate for nursing home, personal care home and family care home residents. The Ombudsman works to resolve problems or complaints with quality of care issues. The ombudsman also provides education on resident rights and abuse/neglect to LTC residents and LTC staff, as well as provides public awareness to the general public on LTC issues and the ombudsman program.
National Family Caregiver Program
There are two components to the National Family Caregiver Program, Caregiver and Grandparents Raising Grandchildren. Caregiver provides services for someone who is caring for someone 60 and older. Grandparents program is for grandparents, 55 and older, who are raising their grandchildren. Services for both programs include Information, Assistance, Respite, Supplemental Services, and Counseling/Support Groups/Training.
Senior Citizen Centers
Big Sandy Area Development District, Area Agency on Aging and Independent Living, contracts with the Senior Citizen programs in the five counties of the Big Sandy area to provide the TITLE III services to our population age 60 and older.
Betsy Layne SCC
Martin Area SCC
McDowell SCC
Mud Creek SCC
Prestonsburg SCC
Wheelwright SCC.
Paintsville
Salyersville
Inez
Belfry SCC
Blackberry SCC
Elkhorn City SCC
Kimper SCCC
Marrowbone SCC
Phelps SCC
Pikeville SCC
Shelby Valley SCC
*Congregate meals – meals served in the senior ctr
*Home Delivered meals – meals that are delivered to home bound clients
*Nutrition Counseling – provided to clients on an as needed basis
*Nutrition Education – information provided to clients on a monthly basis
Supportive Services are provided by the 17 senior centers in the Big Sandy area and are as follows: Education, Health Promotion, Information and Assistance, Outreach, Recreation, Telephone Reassurance, and Transportation.
Evidence based health promotion activities are provided in all 17 senior centers in the Big Sandy Area. Those services consist of but are not limited to: Bingocize, Arthritis Foundation Exercise Program, Matter of Balance, Chronic Disease Self – Management Program, Silver Sneakers, and Walk with Ease.
Title III Legal Assistance
Appalachian Research and Defense Fund (APPALRED) Legal Services will be the provider for the Big Sandy Area Development District. They have contracted to provide legal representation and advice through Title III Legal Assistance.
APPALRED will target people who are sixty years or older that are in need of legal assistance. For those clients that are home bound or in a nursing home, they will provide services either by phone or collateral contacts. such as case managers, ombudsman, or guardians. If APPALRED is unable to serve an individual, they will refer the person to a private attorney.
SHIP – State Health Insurance Assistance Program Medicare Benefits Counseling
State Health Insurance Program or SHIP, provides Medicare beneficiaries and pre-enrollees assistance with Medicare related information. This service is FREE for the public. SHIP does not sell anything.
Our main goal is to inform Medicare beneficiaries what plans and services are available so better personal choices can be made about their Medicare health plans.
Services include
Presentations to community groups
Attending inter-agency meetings
Printed information and brochures
Referrals to and from local agencies
Help with applying for available Medicare savings programs.
SHIP Can Also Assist YOU
Understanding Medicare statements and letters
Compare Medicare Supplemental Policies
Submit prescription assistance applications for non-covered or expensive medications.
For more information about SHIP services int he Big Sandy area of Floyd, Johnson, Pike, Magoffin and Martin counties, please call our SHIP Coordinator, Angela Slone – 606.886.2374, ext. 361.
