Resources

State Long-Term Care Ombudsman Resources

Medicaid 201: Managed long-term serivces and supports (MLTSS) for State and Local Ombudsman 

The National Association of States United for Aging and Disabilities (NASUAD) hosted a webinar on Medicaid managed long-term services and supports (MLTSS) and the new Federal requirements for states to offer ombudsman services to managed care enrollees. This webinar was the second in a series on managed care; the first webinar, Medicaid 101 for State and Local Ombudsman, was held in January 2017. Building on the groundwork laid in January, this webinar provided an overview of Medicaid managed long-term services and support (MLTSS) programs across the country; explained the new Federal requirements for MLTSS programs to offer managed care ombudsman services to enrollees; discussed opportunities and challenges of operating a managed care ombudsman program within a State LCTO office; and highlighted the work of the Iowa SLTCO in managing both a State Long-term Care Ombudsman Program and a managed care ombudsman program. The webinar featured NASUAD’s Deputy Executive Director, Camille Dobson, Iowa’s State Long-term Care Ombudsman, Deanna Clingan-Fisher, and Kelli Todd, Iowa’s Managed Care Ombudsman Program Coordinator. 

Click here to view a copy of NASUAD's presentation.

Click here to view a copy of Iowa's SLTCOP presentation. 

Click here to access the recording. 

Click here to view the transcript. 

Medicaid 101 for State and Local Ombudsman Webinar

The National Association of States United for Aging and Disabilities (NASUAD) hosted a webinar on Medicaid managed care for State and Local Long-Term Care Ombudsman. In Medicaid, managed care is a form of health care delivery and financing that aims to better manage cost, coordinate care, and improve quality. Managed care involves contracts between state Medicaid agencies and private managed care organizations, or MCOs, that are responsible for the delivery and coordination of services to beneficiaries. MCOs receive a capitated per-member per-month (PMPM) payment to cover the costs of these health care services. Over the past decade, state agencies have implemented managed care in increasing numbers, with total U.S. enrollment in Medicaid managed care reaching 55 million in 2014. A significant amount of the recent managed care growth has focused on including long-term services and supports (LTSS). The rapid expansion of Managed LTSS has implications regarding the health care and social services provided to older adults and people with disabilities living in institutional settings and other LTSS facilities such as assisted living. This webinar covered basic information about the current status and future directions of state Medicaid Managed LTSS programs; key policy and operational considerations for professionals working with older adults enrolled in these programs; and future directions for these programs. The webinar was presented by Damon Terzaghi, NASUAD’s Senior Director for Medicaid Policy and Planning. 

Click here to view the slides. 
Click here to view the recording.
Click here to view the transcript. 

Recent NASUAD Publications

For more information about the Ombudsman program organizational structure, read the State Long-Term Care Ombudsman Programs: Organizational Structure Report

For more information about the Ombudsman program, read the State Long-Term Care Ombudsman Program: A Primer for State Aging Directors and Executive Staff.

View NASUAD's PowerPoint on the State Long-Term Care Ombudsman Program Final Rule.

Additional NASUAD work can be located here.

The National Long-Term Care Ombudsman Resource Center, or NORC

The NORC website offers a multitude of resources for State and Local Ombudsman as well as anyone else interested in the Long-Term Care Ombudsman Program. NORC’s website is: http://ltcombudsman.org/

To locate your state’s LTC Ombudsman, visit here: http://theconsumervoice.org/get_help

Federal and National Resources

Administration for Community Living (ACL)

https://www.acl.gov/programs/protecting-rights-and-preventing-abuse/long-term-care-ombudsman-program

Centers for Medicare & Medicaid Services (CMS)

https://www.cms.gov/

National Association of State Long-Term Care Ombudsman Programs (NASOP)

http://www.nasop.org/

National Association of Local Long Term Care Ombudsman (NALLTCO)

http://www.nalltco.org/

Center for Excellence in Assisted Living (CEAL)

http://www.theceal.org/

Legislation and Regulations

Older Americans Act (OAA)

https://www.acl.gov/node/650

State Long-Term Care Ombudsman Final Rule

http://ltcombudsman.org/uploads/files/library/2015-01914.pdf

CMS 2016 Nursing Home Regulation

https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-23503.pdf