Policy alerts, briefs, letters & papers

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Medicaid: What to Watch in 2019 from the Administration, Congress, and the States

This brief highlights the importance of ongoing litigation around the ACA and discusses Medicaid demonstration waiver activities. It also addresses the recent passage of bi-partisan legislation with new tools and financing that states can use to strengthen their response to the opioid crisis. Finally, the brief reviews issues including Medicaid financing for Puerto Rico and USVI; Medicaid and public charge changes; and reforms in benefits, payment and delivery systems.

Short URL: http://www.nasuad.org/node/71071

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Older Americans Act Title III-C Nutrition Services Program: An Examination of Social Activities at Congregate Meal Sites and Their Role in Improving Socialization Outcomes of Participants

This brief is based on surveys of local service providers and participants at congregate meal sites. The brief examines whether the effect of congregate meal participation on socialization outcomes differs for participants who attend meal sites that offer social activities and those who attend meal sites that do not offer these activities.

Short URL: http://www.nasuad.org/node/71039

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.nasuad.org/node/70901

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Policy Spotlight: New Federal Law and Rules Open Door for Integrated Care in Medicare Advantage

This brief summarizes how recent changes to Medicare Advantage may enable AAAs and other CBOs to form new partnerships with Medicare Advantage plans. These partnerships can be used to provide supplemental benefits, such as home-delivered meals and transportation, to beneficiaries. The updated brief covers additional guidance from CMS on the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act.

Short URL: http://www.nasuad.org/node/70807

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Data Support Considerations in Medicaid Accountable Care Organization Programs

This technical assistance brief outlines the specifics of Medicaid accountable care organizations' (ACOs') data needs and explores how states can effectively provide data to organizations participating in ACOs. The brief breaks down data support into three categories: Patient Attribution, Cost and Quality Performance, and Care Management Information. It also discusses various lessons and challenges with data support, including time lag, provider readiness, and regulations in conflict.

Short URL: http://www.nasuad.org/node/70691

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Building an Accessible Workforce Development System: Recommendations to American Job Centers on Supporting Autistic Peopleand Others with Disabilities to Promote Successful Employment

American Job Centers (AJCs) serve as destinations for people in search of career counseling, job connections, and employment-related services. This brief examines actions that (AJC) staff can take to make their services more accessible to autistic people and others with psychosocial, cognitive, intellectual, and developmental disabilities (DD). It outlines six specific recommendations for AJCs to promote equal opportunity and increase access for job seekers.

Short URL: http://www.nasuad.org/node/70690

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Implications of the ACA Medicaid Expansion: A Look at the Data and Evidence

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

Short URL: http://www.nasuad.org/node/70484

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Electronic Visit Verification: Implications for States, Providers, and Medicaid Participants

This report describes key considerations and policy decisions that states should consider as they work to implement EVV systems in accordance with the mandate included in the 21st Century Cures Act. The paper also examines different approaches that states may wish to use to establish EVV within their HCBS programs, and discusses some of the benefits and challenges associated with each approach. Lastly, it includes case studies of four states with existing EVV systems.

Short URL: http://www.nasuad.org/node/70393

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Brief and Interactive Map Examine Poverty Among Seniors in the U.S.

This brief and interactive map from the Kaiser Family Foundation provide the latest national and state-level estimates from the U.S. Census Bureau of the share of people ages 65 and older who are living in poverty. These resources explore the poverty rate among seniors under the official poverty measure and the Supplemental Poverty Measure.

Short URL: http://www.nasuad.org/node/70227

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