Fact Sheets

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File Downloads / Links

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Fact Sheet on New Section 504 Regulations

The U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR) released a section-by-section fact sheet that provides a detailed overview of the new rule finalized in May. The fact sheet explains HHS' implementing regulation for Section 504 of the Rehabilitation Act of 1973. The rule reviews issues including discrimination on the basis of disability in accessing medical care; value assessment methods used to determine whether a particular intervention will be provided; nondiscrimination in child welfare programs; information and communication technology; and providing services in an integrated setting appropriate to the person's needs. The fact sheet breaks down each section of the rule.

Short URL: http://www.nasuad.org/node/75997

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"What Does the OAA Regulatory Update Mean for LGBTQ+ People and People Living with HIV?"

The SAGE National Resource Center on LGBTQ+ Aging released this fact sheet to highlight the changes to Older Americans Act Regulations from ACL. The fact sheet also includes how to be a proponent for LGBTQ+ and HIV inclusion, what the changes of the OAA means for LGBTQ+ and HIV specific community organizations, and how to start advocating for a more inclusive Aging Network.

Short URL: http://www.nasuad.org/node/75852

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2023 Profile of Older Americans

The Administration for Community Living has released the 2023 Profile of Older Americans, which provides statistics on the U.S. older adult population using data from the U.S. Census Bureau, the National Center for Health Statistics, and the Bureau of Labor Statistics. The Profile illustrates the shifting demographics of Americans 65 and older. It includes key topic areas such as future population growth, marital status, living arrangements, income, employment, and health.

Short URL: http://www.nasuad.org/node/75821

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Advocacy Tips for Medicare Advantage Enrollees Facing Difficulty Obtaining In-Network Care

The Center for Medicare Advocacy (CMA) recently released a tip sheet providing guidance to Medicare Advantage (MA) enrollees facing difficulty obtaining in-network care. This article addresses the complexities of MA plans, which can restrict enrollees to contracted networks of healthcare providers. Despite strengthened regulations by the Centers for Medicare & Medicaid Services (CMS) requiring MA plans to cover necessary care outside the network under specific circumstances, recent reports indicate issues with network adequacy. CMA emphasizes the importance of MA enrollees and advocates utilizing consumer protections, reporting difficulties in obtaining necessary care, and urging CMS to publicize and enforce these rights.

Short URL: http://www.nasuad.org/node/75253

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CMS Announces New Model to Advance Integration in Behavioral Health

The Center for Medicare & Medicaid Innovation (CMS Innovation Center) recently announced a new state-based model, Innovation in Behavioral Health (IBH), to test approaches for addressing behavioral and physical health, as well as health-related social needs among the Medicaid and Medicare populations. The IBH Model’s goal is to improve the overall quality of care and outcomes for adults with mental health conditions and/or substance use disorder by connecting them with the physical, behavioral, and social supports needed to manage their care. The model will also promote health information technology capacity building through infrastructure payments and other activities...

Short URL: http://www.nasuad.org/node/75241

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CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

On January 17, the Centers for Medicare & Medicaid Services (CMS) released the “CMS Interoperability and Prior Authorization Final Rule” (CMS-0057-F) to improve the electronic exchange of health information and prior authorization process for medical items and services. The final rule applies to Medicare Advantage (MA) organizations, state Medicaid and Children’s Health Insurance Program (CHIP) Fee-for-Service (FFS) programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally Facilitated Exchanges (FFEs). This final rule establishes requirements for certain payers to streamline the prior authorization process generally starting January 2026 and complements the Medicare...

Short URL: http://www.nasuad.org/node/75236

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