Aging/Older Adults

CMS released an update to the COVID-19 Vaccines Toolkit that was released on 10/28/20 and first updated on 11/23/20. This update includes more information on vaccine administration reimbursement and outlines a streamlined review process available to states looking to quickly adjust vaccine administration reimbursement rates in state plans. The toolkit also provides more clarification on managed care network adequacy and the phased distribution and administration approved COVID-19 vaccines.

Centers for Medicare & Medicaid Services (CMS) is approving Nebraska’s fourth submission to amend the following 1915(c) Home and Community-Based Services (HCBS) waivers with the Emergency Preparedness and Response Appendix K in order to respond to the COVID-19 pandemic. The amendments that the state has requested in the Appendix Ks are additive to those previously approved and are effective from March 6, 2020 through March 5, 2021.

The Aging and Adult Services Agency at the Michigan Department of Health and Human Services (MDHHS) has announced the launch of CV19 CheckUp in Michigan, a free, anonymous, personalized online tool that evaluates someone’s risks associated with COVID-19. BellAge developed the tool to help people be safer & healthier, and ensure their individual needs are met during the pandemic. CV19 CheckUp uses artificial intelligence to analyze data each person provides by completing an online questionnaire.

The Medicaid and CHIP Payment and Access Commission (MACPAC) released the 2020 edition of the MACStats: Medicaid and CHIP Data Book, with updated data on national and state Medicaid and State Children’s Health Insurance Program (CHIP) enrollment, spending, benefits, and beneficiaries’ health, service use, and access to care. MACStats brings together the range of Medicaid and CHIP statistics, including eligibility and enrollment, benefits, service use and access to care.

During the COVID-19 pandemic, states have used the Appendix K Emergency Preparedness and Response authority to amend Medicaid 1915(c) home- and community-based services (HCBS) waivers and quickly provide more flexible services and supports to Medicaid enrollees and, indirectly, their caregivers. The Appendix K amendment was developed to reduce states’ administrative burdens during a crisis by enabling states to rapidly modify or add services provided through Medicaid waivers.

APS TARC recently released an issue brief to address approaches and benefits to quality assurance (QA) as well as considerations in developing a QA program. The brief describes the QA process for documentation, supervisor review and approval, case reading, performance management, and program evaluation. Additionally, the brief provides explanations in who to include in establishing a QA process, why it is important to conduct a QA process, what should be reviewed, and other questions.

The Grandparents Raising Grandchildren Advisory Council has released a new resource guide for grandfamilies during emergencies. There are an estimated 2.7 million children living in grand family or kinship households in the U.S. today. This guide includes key information related to health care, social services, staying connected, and important helplines, among others.

CMS recently provided an update to the 2021 SSI and Spousal Impoverishment Standards. Spousal impoverishment standards are adjusted in January to reflect changes in the Supplemental Security Income (SSI) federal benefit rate (FBR) and the Consumer Price Index (CPI). These new standards will become effective on January 1, 2021.

Providing telephone reassurance and check-in calls is one key strategy that is being widely used across the country. Programs are engaging volunteers and pulling in staff to meet the need for an increase in such check-in calls. Recognizing that certain conversation skills can help to build trust and deepen engagement, ADvancing States partnered with Emergency Design Collective to create a Conversation Tips Toolkit designed to support reassurance and check-in programs.

ACL and the Lewin Group released a report highlighting key takeaways from the AARP 2020 LTSS State Scorecard on state efforts in establishing high-performing ADRC/NWD systems. The report compares current data with results from the 2017 LTSS State Scorecard. The report provides scores based on five domains in ADRC/NWD system functions. The report also shares promising practices/lessons learned from five states – Alabama, Georgia, Massachusetts, Ohio, and South Dakota.