Physical Disabilities

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Executive Order, Commonwealth of Pennsylvania Governor’s Office: Protection of Vulnerable Populations

On July 31, Governor Tom Wolf of Pennsylvania announced, by an executive order, an overhaul of the state services and systems to protect the most vulnerable Pennsylvanians. The executive order establishes an Office of Advocacy and Reform, Child Advocate, and Council on Reform. The executive order also lists responsibilities of the state agencies and the Governor’s Office of Performance through Excellence.

Short URL: http://www.nasuad.org/node/71697

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Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

The Centers for Medicaid & Medicare Services released a report that profiled the 10 states with the greatest change in Long-Term Services and Support (LTSS) system balancing. The report highlights characteristics of the 10 states and compares their change in LTSS system balancing with other states and provides a national overview on LTSS system balancing. State profiles consist of characteristics and strategies states utilized in their progress towards rebalancing their LTSS systems.

Short URL: http://www.nasuad.org/node/71673

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Workforce Matters: The Direct Care Workforce and State-Based LTSS Social Insurance Programs

The report provides an overview of the expected increased need for direct care workers and a breakdown of the current direct care workforce. In each description of barriers facing the direct care workforce, PHI includes program and policy recommendations. Challenges and recommendations in this report include areas regarding: wages and benefits, training, advanced roles, supervision, recruitment and retention, data collection, decision-making, family caregivers, and matching service registries.

Short URL: http://www.nasuad.org/node/71660

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Side-by-Side Comparison of Current & Recently Released Federal Nursing Home Regulations (Including Arbitration Agreements)

CMS published a proposed rule to revise the current federal nursing home regulations and a final arbitration rule. Consumer Voice has released a side-by-side comparison chart of the current and the newly released proposed rules, as well as the final arbitration rules.

Short URL: http://www.nasuad.org/node/71655

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Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings

CMS released an informational bulletin that provides guidance regarding new constructions and the HCBS heightened scrutiny process. The 2014 Medicaid HCBS regulation’s settings regulation requires an in-depth assessment, called heightened scrutiny, for certain providers that are presumed to be institutional. This guidance provides clarification and flexibility to states, including an overview of three potential scenarios for how newly constructed settings could receive Federal funding

Short URL: http://www.nasuad.org/node/71645

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File Downloads / Links

Designing a State-Based Social Insurance Program for Long-Term Services and Supports

The National Academy of Social Insurance released a report on potential designs for universal family care. The report highlights state program design proposals for early child care and education, paid family and medical leave, and long-term services and supports. The LTSS section of the report proposes four design issues states may face in developing a social insurance program for LTSS.

Short URL: http://www.nasuad.org/node/71638

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Moving Forward Together: Opportunities to Improve Program Integrity in Medicaid Non-Emergency Medical Transportation

The Leavitt Partners released a report reviewing the Medicaid non-emergency medical transportation (NEMT) benefit, focusing on the program integrity of the benefit. . The report examines challenges and opportunities for Medicaid directors in improving Medicaid NEMT program integrity.

Short URL: http://www.nasuad.org/node/71629

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File Downloads / Links

Understanding Medicaid Buy-in: A Tool to Advance Employment for People with Disabilities

ACL, CMS, and the Department of Labor’s Office of Disability Employment Policy (ODEP) have released a Q&A document to help grantees, stakeholders, and self-advocates better understand the Medicaid buy-in program. The Medicaid buy-in program includes Medicaid eligibility groups that serve workers with disabilities who are earning income and whom states may charge premiums as a condition of Medicaid eligibility.

Short URL: http://www.nasuad.org/node/71620

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