Aging/Older Adults

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Guiding Principles for Partnerships with Unions and Emerging Worker Organizations When Individuals Direct Their Own Services and Supports

These Guiding Principles were developed to help to preserve the rights of individuals under participant direction, no matter what form or model, if and when workers choose to form a union. The NRCPDS cover letter, Guiding Principles, and NRCPDS Director Kevin Mahoney's signing ceremony remarks are available here.

Short URL: http://www.advancingstates.org/node/53001

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One Call-One Click Transportation Services Toolkit

This Toolkit provides information for communities interested in working together to develop a one-call or one-click service for transportation to fit their own circumstances. On November 9th, the Federal Transit Administration announced $34.6 million would be awarded to 55 communities for resource centers. Review the website for practical guides and tools on implementation. Additionally there are community profiles and webinars to provide best practice examples.

Short URL: http://www.advancingstates.org/node/53000

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Improving the Qualified Medicare Benefit Program for Dual Eligibles

This paper provides recommendations on changes to improve delivery of the Qualified Medicare Beneficiary (QMB) program so that it can more fully serve the purposes for which the program was established. It is the last in a series of four papers that highlight pressing issues facing dual eligibles and provide recommendations to the federal Medicare-Medicaid Coordination Office (MMCO), state Medicaid agencies and other interested policymakers and stakeholders on how to address them.

Short URL: http://www.advancingstates.org/node/52999

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The 2011 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs

This survey contains daily private-pay rates for private & semi-private rooms in licensed nursing homes, monthly base rates for assisted living communities, hourly rates for home health aides from licensed agencies & agency-provided homemaker companion services, & daily rates for adult day services across the US. Costs for this survey were calculated for each service provider in an area & were aggregated across all providers to compute a statewide average cost.

Short URL: http://www.advancingstates.org/node/52997

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Moving Ahead Amid Fiscal Challenges: A Look at Medicaid Spending, Coverage and Policy Trends Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2011 and 2012

Medicaid officials in every state are enacting a variety of cost cutting measures as states’ spending is projected to increase 28.7% in FY2012 to make up for the loss of federal stimulus money. The survey finds cost containment actions ranging from restrictions on payments to providers & benefits, to new copayments for beneficiaries & additional efforts to contain the costs of prescription drugs. States are also trying to make their programs more efficient through a number of procedures.

Short URL: http://www.advancingstates.org/node/52996

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Impact of Alzheimer's Disease on Family Caregivers - Survey Results

Two new surveys recently released by the National Family Caregivers Association reveals what family caregivers fear most: first, their loved one's general health and physical decline, and second, the fear that Alzheimer's will take away their loved one's ability to communicate. A second survey tinds Family Caregivers are most concerned about respite care, personal health and finances.

Short URL: http://www.advancingstates.org/node/52994

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An Introduction to Indiana’s Medicaid Waiver Program for Home and Community Based Services

Is your state looking for a nice example of how to introduce waiver programs to the community? Review this guide, which provides an overview of the various programs. The guide outlines what services are covered and how to apply for various programs.

Short URL: http://www.advancingstates.org/node/52991

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Medicaid 1915(c) Waiver Expenditures: 2011 Update

This report is the latest in a series on expenditures for Medicaid waivers authorized under Section 1915(c) of the Social Security Act, also known as home and community-based services waivers. For the first time, the tables include state-reported data for 1915(c) waiver services provided through managed care programs that are not identifiable in the state CMS 64 reports. Thomson Reuters collected these data for FY 2008 and FY 2009.

Short URL: http://www.advancingstates.org/node/52990

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Research to Practice: Driving Cessation and Dementia

The number of older adult drivers with dementia is increasing—and with it, so too must our understanding of the day-to-day experiences of older drivers with dementia, their functional abilities and the transportation options best suited to them. This research-to-practice article provides insight into current knowledge about the transition from driving for older adults with dementia.

Short URL: http://www.advancingstates.org/node/52989

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