Aging/Older Adults

The Rosalynn Carter Institute for Caregiving (RCI) recently released a report with the results of a survey of caregivers nationwide. RCI surveyed caregivers through its partner network and 422 provided responses in the summer of 2020. The study sought to explore the direct experience of caregiver stress since the beginning of the COVID-19 pandemic. The survey includes data on financial stressors, medical stressors, isolation, and other factors affecting caregiver stress in the pandemic.

The GAO released a report on the impacts of the 2013 regulation that revised the domestic service employment and companionship services under the Fair Labor Standards Act (FLSA). This rule, which became effective in 2015, had the effect of extending minimum wage and overtime protections to a broader range of home care workers, many of whom provide Medicaid-funded home and community based services (HCBS).

CHCS and Speire Healthcare Strategies released a report about COVID-19 response efforts from states and health plans that offer integrated care programs for duals. People who are dually eligible for Medicare and Medicaid are among the nation’s most vulnerable to the coronavirus. The report outlines opportunities to support integration and identifies opportunities to strengthen programs and policies to best support the dual eligible population during the pandemic and in the future.

During the COVID-19 pandemic, health risks and financial burdens for certain at-risk populations can make access to food challenging. This issue brief explores the adjustments that states have made to nutrition programs. The brief highlights examples of opportunities available and changes that states have made to ensure older adults and persons with disabilities have access to food during the pandemic. Data and findings are drawn from the ADvancing States 2020 COVID-19 Membership Survey.

CMS released a new supplement to its State Medicaid & CHIP Telehealth Toolkit that provides new examples and insights into lessons learned from states that have implemented telehealth changes. The toolkit includes approaches and tools states can use to communicate with providers on utilizing telehealth. The toolkit includes updates and consolidates the FAQs and resources for states to consider as they begin planning beyond the temporary flexibilities provided in response to the pandemic.

The updated supplemental information is intended to help states strategically think through how they explain and clarify to telehealth providers and other stakeholders which policies are temporary or permanent. It also helps states identify: • Services that can be accessed through telehealth • Which providers may deliver those services • Ways providers may use in order to deliver services through telehealth, • Circumstances under which telehealth can be reimbursed once the PHE expires

NCOA and Health Management Associates (HMA) have released a new report detailing eight strategies and approaches to expand funding for evidence-based health programs. NCOA and HMA reviewed five states and one city- California, Colorado, Maine, Massachusetts, New York City, and Washington- with community-based organizations that have strong partnerships with Medicaid agencies and managed-care organizations.

In support of technical assistance to Idaho, the NCAPPS team prepared a Person-Centered Planning Facilitation Report which explores the experience of states that have specifically included plan facilitators in their HCBS waivers – including the circumstance under which the states deploy plan facilitators, the rates paid to facilitators, and the training requirements.

The purpose of this Guide is to assist State, Tribal, and Territory human service systems to fully and effectively including people who receive services in system planning and improvement efforts. It is relevant for all systems that support older adults and people with disabilities. This guide was originally developed as part of technical assistance activities through the National Center on Advancing Person-Centered Practices and Systems (NCAPPS)

Asset Mapping is the process of mapping stakeholders and how they are engaged by an agency and/or its allies. NCAPPS partners at Collective Insight, LLC, created a comprehensive Asset Mapping Toolkit to help organization looking to better understand and deepen their connections with the communities they serve.