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  • More Can Be Done: Involvement of Older Consumers in the Design, Implementation and Oversight of Home and Community Based Services

    This paper explores the role of older participants in planning, developing and overseeing home and community based service (HCBS) programs. It seeks to help State Units on Aging and others in the aging network identify concrete steps they can take to support the role of these older individuals as public policy advocates. The report addresses the extent of older HCBS participants' current involvement, the barriers to success, and the strategies being used to attain participation.
  • Long-Term Support Options Counseling: Decision Support in Aging and Disability Resource Centers

    This paper presents the perspective that options counseling is a pivotal function of Aging and Disability Resource Centers (ADRCs) and its essential elements are counseling and decision support. The diverse array of definitions currently in use runs the risk of diminishing the importance of options counseling, which is a key function of a comprehensive long-term care system.
  • Inclusion/Exclusion Policy Development Guide for Aging Information & Referral/Assistance

    Are you struggling with what should and should not be included in an I&R resource database? NASUA has put together a compilation of suggestions, experiences, and ideas from the field related to establishing a database. The paper also addresses specific elements of designs and policy development.
  • HCBS Waiver Conference 2005 - Presentations

    Held in May 2005 this national conference was designed to meet the unique training needs of waiver program operators. This year’s conference, titled "The Sun Shines Brighter at Home," offered substantive opportunities to learn about the national initiatives, policy directions and grant programs that shape the current environment. The attached agenda has links to all of the presentation overheads.
  • 2005 Older Americans Act Reauthorization Policy Recommendations

    The National Association of State Units on Aging (NASUA) is pleased to share a comprehensive set of recommendations for reform of the Older Americans Act (OAA) when it is reauthorized by the 109th Congress in 2005. NASUA believes that the forthcoming reauthorization of the Act provides an opportunity to modernize its structures, programs, and services to prepare to serve the next generation of older persons and their families.
  • Assessment and Implementation Guide for Older Americans Act: Information & Referral/Assistance

    This is the Administration on Aging's National Aging Information and Referral/Assistance Support Center guide. This guide assists State and Area Agencies on Aging and local providers in matching I&R/A services with established AIRS Standards.
  • NASUA AIRS Assessment and Implementation Guide

    This document is one of many that comprise the Aging and Disability Resource Centers Toolbox developed by the Rutgers/NASHP/ILRU Community Living Exchange Collaborative. The entire toolbox is available online at:

    http://www.nashp.org/_docdisp_page.cfm?LID=B788F7C5-9C83-432F-93D19930527F356F
  • NASUA AIRS Self Assesment Guide

    This document is one of many that comprise the Aging and Disability Resource Centers Toolbox developed by the Rutgers/NASHP/ILRU Community Living Exchange Collaborative. The entire toolbox is available online at:

    http://www.nashp.org/_docdisp_page.cfm?LID=B788F7C5-9C83-432F-93D19930527F356F
  • Consumer-Direction Tool

    The tool is designed to help consumers and policy makers determine the extent to which state home and community based service programs offer consumers opportunities to make choices and direct their services.
  • ADvancing States Releases Issue Brief on Adult Protective Services and Medicaid

    ADvancing States is pleased to publish findings on Adult Protective Services (APS) and Medicaid from the 2022 national survey of APS Programs in the issue brief Adult Protective Services and Medicaid: Intersections in Policy, Practice, and Federal Funding Findings from the ADvancing States National Survey of Adult Protective Services. ADvancing States conducted this survey to assess the current state of APS programs and identify trends related to topics such as caseload, staff retention, and client assessment. Findings from the full survey can be found in the report, Adult Protective Services in 2022: Responding to Evolving Needs in a Changing Environment.

    This issue brief highlights the critical intersection between APS and Medicaid. The survey results show that Medicaid funds some services needed by APS clients. APS program staff often actively assist clients in accessing Medicaid services. While some APS programs utilize Medicaid administrative claiming (MAC), there remain opportunities to strengthen relationships with Medicaid and leverage Medicaid financing resources.