Public Health

The Centers for Medicare & Medicaid Services, in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance for nursing homes to safely expand visitation options during the COVID-19 pandemic public health emergency. This latest guidance comes as more than 3 million doses of vaccines have been administered within nursing homes. Read the full guidance for more information.

The Center for Health Care Strategies, in partnership with the California Health Care Foundation as well as In-Sight Associates, Health Management Associates, and Schoen Consulting, is developing a series of resource packages that share best practices for supporting the integration of community health workers and promotores into programs run by Medicaid managed care plans for members of Medi-Cal. Download the resource to learn more.

OATS, in partnership with the Humana Foundation, released a report in January 2021 that for the first time quantifies the size and degree of the digital isolation crisis among seniors in the United States. OATS reviewed existing literature and reports on digital inclusion and online participation by older adults, along with program and internal research data that OATS has collected over time. Download the report to learn their findings.

On February 25. 2021, U.S. Senators Bob Casey (D-PA), Mark Kelly (D-AZ) and Kirsten Gillibrand (D-NY) introduced the Continued Funding for Senior Services During COVID-19 Act to ensure continued federal support for our Nation’s seniors. This legislation would allocate more than $1.5 billion to the aging network to continue providing essential services, such as meal delivery, vaccine outreach and programming and caregiver support.

The purpose of this study is to examine the physical and mental well-being of community-dwelling older adults and their informal or unpaid caregivers during public health emergencies, such as COVID-19. This project also aims to identify public health interventions and strategies available to support older adults and caregivers during public health emergencies.

On behalf of The SCAN Foundation, Manatt Health identifies federal and state Medicaid flexibilities available to state officials and other stakeholders and how those flexibilities are being deployed during COVID-19 to help ensure access to LTSS. The resource guide also highlights state policy goals in implementing regulatory flexibilities available during COVID-19.

CMS is committed to continuing to take critical steps to ensure America’s healthcare facilities are prepared to respond to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE). CMS has issued a new guidance for visitation in ICF/IIDs and PRTFs during the COVID-19 PHE. The guidance provides ways an ICF/IID and PRTF can more safely facilitate in-person visitation and address the psychosocial needs of clients/residents.

On January 14, 2021 ADvancing States sent out a call for information about how states are rolling out the COVID-19 vaccine to people receiving home and community-based services and/or Older Americans Act services. Information about logistics plans, schedules, partnerships, and communications strategies were all welcomed. This resource reflects the information states sent in response to the call and will be periodically updated as we receive more information.

This brief by Stephen Kaye, Ph.D., published a paper setting out his analysis of mortality risk among recipients of home and community-based services. He finds that HCBS recipients between 45 and 64 years of age appear to be at greater mortality risk than the general community-resident population between 65 and 74 years of age. He concludes that this elevated mortality risk justifies increasing the vaccination priority for HCBS recipients under age 65 to equal that of the

Attorney General of New York, Letitia James (AG), released a preliminary report on the effect of COVID-19 on nursing homes in New York. The report found that pre-existing short-staffing issues were a defining factor in how a great number of nursing homes in New York fared during the first six months of the COVID-19 pandemic. Consumer Voice for Quality Long-Term Care also released a report detailing harm and neglect resulting from facilities being locked down and inadequate staffing.