For MAAA staff:
If enrolling: Use the link below to create a person record and enrollment pre-filled with the collected referral data. This referral will be automatically linked to the enrollment. When finished, set the referral status to Completed and select Eligible: Enrollment created as the closure reason.
This link will automatically search Cumulus for a matching person. If one is not found, the a new person can be created, pre-filled with demographics, with an enrollment created as well. CTRL+Click on link to open link in a new tab and keep this referral open.
If not enrolling: Set the referral status to Completed and select the appropriate closure reason.
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Whether you’re a healthcare professional, community organization, family member, or friend, making a referral—or self-referral—is easy. Complete the form below, and a Care Ecosystem representative will follow up within one week to conduct a brief assessment and help you determine the right level of support.
The Care Ecosystem program of MAAA requires specific eligibility criteria. Please confirm the person you are referring meets all three of the following requirements:
1. Is the primary caregiver (18+) for a person living with dementia OR is a person living alone with dementia. No formal diagnosis required.
2. Lives in the Twin Cities seven-county metro community (Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, or Washington county). The program is unable to accommodate those living outside the Twin Cities metro area at this time.
3. Resides in a home setting (private residence). The program is unable to accommodate those living in residential care or nursing care environments at this time.
Thank you for your interest in the Care Ecosystem dementia support program at MAAA. Unfortunately, your referral does not meet the current eligibility requirements of this specific program. MAAA offers additional free support services through Minnesota Aging Pathways including caregiver support, Medicare counseling, long-term care counseling and resource navigation. Minnesota Aging Pathways specialists can be reached at 1-800-333-2433, Monday – Friday from 8:00am to 4:30pm.
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Please note: this free phone-based service uses a third-party professional interpretation provider.
By submitting this form, you confirm that the person being referred (yourself or someone else) has given consent to share their information and understands that Metropolitan Area Agency on Aging Care Ecosystem will contact them to offer support or services pending eligibility review.