ADvancing States Publications & Webinars

Title Summary
Celebrating 50 Years with 50+ Fabulous Older People This year, the Older Americans Act (OAA) celebrates its 50th year—a golden jubilee for seniors and communities across the country. For this occasion, ADvancing States and Altarum Institute’s Center for Elder Care and Advanced Illness (CECAI) honor outstanding older adults who both volunteer for and benefit from the law’s programs. This booklet highlights the myriad ways that seniors make the United States a great place in which to live, work, and grow old. Email adiaz@advancingstates.org for a hard copy.
2015 State of the States in Aging and Disabilities The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.
Medicaid HCBS Settings Regulations and Adult Services This report details results of a survey administered to Adult Service providers to learn more about the locations, funding sources, and supports that these programs provide to seniors and people with disabilities. The report demonstrates how Adult Services include a wide array of services, including a combination of social and medical supports. ADvancing States is concerned that new CMS regulations may reduce the number of available providers in the Medicaid program.
The State of Senior Hunger in America 2013: An Annual Report This report provides an overview of the extent and distribution of food insecurity in 2013 among seniors, along with trends over the past decade using national and state-level data.The report finds senior hunger is on the rise, and in 2013, 15.5% of seniors (or 9.6 million) faced the threat of hunger. If you would like to request a hard copy version, please email Ali Diaz at adiaz@advancingstates.org
NCI-AD Consumer Survey Pilot Results This final report shares results from the 2014 pilot of the National Core Indicators-Aging and Disabilities (NCI-AD) Consumer Survey in Georgia, Minnesota, and Ohio. The results are sorted by state and funding source within the state. Since the goal of the pilot was not to compare these states, but instead to test and refine the NCI-AD Consumer Survey, the three states are not identified in the report; they are simply referred to as State 1, State 2, and State 3.
Community-Based Organizations and MLTSS: An Issue Brief to Assess CBO Readiness As almost half of the States have implemented MLTSS programs, community-based organizations, will be significantly impacted. At the 2013 HCBS conference, ADvancing States, with support from the SCAN Foundation, held a day-long intensive to discuss these impacts. This report outlines 5 discrete roles that CBOs are well-suited to play in MLTSS programs using as a reference point CMS’ 2013 guidance on MLTSS program design and implementation. To request a hard copy version, email Ali Diaz at adiaz@advancingstates.org.
MLTSS Care Coordination and Ombudsman Case Studies Community-based organizations will be notably impacted by States' implementation of MLTSS programs. Case studies on ombudsman programs and care/service coordination–culled from the MLTSS intensive at the 2013 HCBS Conference–complement the issue brief on CBO readiness. The ombudsman case studies highlight activities in Wisconsin, Hawaii, & Minnesota, while the care/service coordination case studies discuss CBO experiences in Massachusetts & Ohio. Both studies feature successful CBO practices.
2014 State of the States in Aging and Disabilities In 2014, ADvancing States surveyed state aging and disability agencies regarding the significant policy, fiscal, and operational issues occurring within each state. The survey collected detailed information about the structure of agencies, the supports provided, and the populations served by aging and disability agencies. Of particular interest is the summary of services provided in Medicaid waivers across the country. All of this information is presented in the charts accompanying this document.
At the Crossroads: Providing Long-Term Services and Supports at a Time of High Demand and Fiscal Constraint A survey of state aging, disability and Medicaid agencies was conducted in 2012, in order to better understand challenges and concerns for funding and providing quality LTSS. Five common themes were identified in this report, including staff turnover and reductions during a sluggish recovery of state budgets. Other findings include an overall expansion of home and community-based services, LTSS transformation and reduced funding and high demand for non-Medicaid aging and disability services.
A Primer for State Aging Directors and Executive Staff State Long-Term Care Ombudsman Program This document is designed to enable new State Unit on Aging (SUA) Directors to quickly understand the unique role of the State Long-Term Care Ombudsman Program (SLTCOP). The Older Americans Act (OAA) establishes this program with responsibilities that make it different from other aging programs. Within the network of services provided under the OAA, the LTCOP has some mandates that set it apart from other services.

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