Long Term Services and Supports

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State Health Official Letter - Updated Guidance Related to Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency

CMS released a SHO letter with updated guidance to assist states in planning for resuming normal state Medicaid, CHIP, and BHP operations for the eventual end of the public health emergency. The SHO provides updated guidance regarding the extended timeframe for states to complete pending work in eligibility and enrollment to up to 12 months after the PHE ends and redetermination of eligibility requirements states must complete after the PHE for all beneficiaries before taking adverse actions.

Short URL: http://www.advancingstates.org/node/72973

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States Use Appendix K and Emergency Waivers to Support HCBS Services in Response to COVID-19

NASHP has published an Appendix K interactive map, supported by The John A. Hartford Foundation, to track each state’s new flexibilities in modified 1915 (c) and 1115 waivers. States are using these waivers and amendments to ensure that their older adults and family caregivers are receiveing the LTSS services they need during the pandemic.

Short URL: http://www.advancingstates.org/node/72943

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30 Years of Community Living for Individuals with Intellectual and/or Developmental Disabilities

On Monday, July 12, 2021 three ACL grantees released a digital book titled, 30 Years of Community Living for Individuals with Intellectual and/or Developmental Disabilities. The book shares personal perspectives on community living and inclusion shared by people with intellectual and/or developmental disabilities (ID/DD) who served as advisors to the project. The book was written by the directors of three longitudinal studies funded by ACL’s Projects of National Significance program.

Short URL: http://www.advancingstates.org/node/72828

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State Efforts to Integrate Care Across Medicaid Fee-for-Service Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans

This publication from Health Management Associates analyzes the approaches that Medicaid programs in DC, Idaho, Maine, Washington and Alabama used to coordinate Medicare and Medicaid services without standalone Medicaid MLTSS programs. The paper focuses on Medicaid and Aging agencies overseeing programs that provide long-term services and supports fee for service and explores effective methods to coordinate and integrate care with Medicare Advantage Dual Eligible Special Needs Plans.

Short URL: http://www.advancingstates.org/node/72773

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Meeting the Unique Needs of LGBTQ+ Older Adults in Illinois

Paula Basta, M.Div., Director, Illinois Department on Aging and ADvancing States Member, wrote a guest blog post for ACL about the unique challenges of LGBTQ+ older adults. The blog post highlights the specific struggles this population is facing in Illinios regarding descrimination, representation in aging services, chronic and mental health, and securing access to care, as well as touches on some inititiaves that are being developed to address these issues.

Short URL: http://www.advancingstates.org/node/72727

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Unprecedented Opportunities to Achieve the Promise of Olmstead

On June 22, 1999, the U.S. Supreme Court issued its ruling in Olmstead v L.C., delcaring that people with disabilities have a civil right under the Americans with Disabilities Act to live and fully participate in their communities. ACL's Acting Administrator and Assistant Secretary for Aging, Alison Barkoff, released a blog post on June 22, 2021 disucssing the significance of this ruling and the importance of expanding our HCBS system following the COVID-19 pandemic.

Short URL: http://www.advancingstates.org/node/72704

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In Support of Caregivers: Key Accomplishments of Lifespan Respite Grantees

This report captures State Grantee accomplishments, highlighting the knowledge, commitment, ingenuity, and skillful stewardship and administration of resources. Through their work, state Lifespan Respite grantees provide evidence of the merit of the Lifespan Respite Care Program, and inform our path forward.

Short URL: http://www.advancingstates.org/node/72674

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Caregiving in the U.S 2020

This report is an update to NAC's research series, Caregiving in the U.S., conducted roughly every five years. The 2020 update shows that the number of family caregivers in the United States has increased by 9.5 million from 2015 to 2020. The report has also found that the general health of family caregivers has declined in the last five years. Read the full report to learn more. Dowload is available in Spanish.

Short URL: http://www.advancingstates.org/node/72627

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What Family Caregivers Need: Findings from Listening Sessions

This report, by the University of Massachusetts at Boston and Community Catalyst, shares information collected from family caregiver listening sessions. The sessions were intended to give family caregivers the opportunity to communicate their challenges, needs, and suggest recommendations for services, supports and policies. Findings from the sessions cover topics including emotional and financial stress, caregiving education and training, workplace flexibility, and tax policy change.

Short URL: http://www.advancingstates.org/node/72610

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