Aging/Older Adults

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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.

Short URL: http://www.advancingstates.org/node/65688

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Innovations in Home- and Community-Based Services: Highlights from a Review of Services Available to Money Follows the Person Participants

The report features select qualified, demonstration, and supplemental services that seem particularly innovating and promising. The MFP grant program allows states to test and implement innovative services without the restrictions of a waiver. This report provides illustrative examples of how states are taking advantage of this flexibility, particularly in the areas of pre-transition and short-term services.

Short URL: http://www.advancingstates.org/node/65656

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FLSA Home Care Rule Toolkit

A resource for participant direction program stakeholders, this toolkit is in response to new rules promulgated by the US Department of Labor (DOL) that will take effect January 1, 2015. This webpage is designed to be your one-stop location for information and resources about the FLSA Home Care Final Rule and it's impact on participant direction programs. Resources include webinars, toolkits, and flowcharts. More resources will be added as they are developed.

Short URL: http://www.advancingstates.org/node/65649

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Care at Hand: Service Delivery Innovation Profile

Supported by mobile technology, trained health coaches at Elder Services of Merrimack Valley (an AAA in Northeastern Massachusetts) visit recently discharged Medicare patients in their homes and monitor them via telephone to identify and address declines in health status that increase the risk of readmission. Review the AHRQ study that gave the program a moderate evidence rating for improving outcomes, decreasing cost of care.

Short URL: http://www.advancingstates.org/node/65596

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Beyond Driving with Dignity: Program & Workbook

This training and certification program has been designed to arm certain professionals with tools necessary to help older drivers and their families work through the complicated issue of age-related diminishing driving skills. The training and certification program supplements your current professional skills and life experiences with a very pro-active, targeted program that will help older drivers and their loved ones work through a retirement from driving.

Short URL: http://www.advancingstates.org/node/65409

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Medicaid Expenditures for Long-Term Services and Supports in FFY 2012

The annual Medicaid Long Term Services and Supports expenditure report for FFY 2012 is now available. The report includes Medicaid expenditures for all LTSS, including institutional and non-institutional settings, by service category and state. The data comes primarily from CMS-64 reports.

Short URL: http://www.advancingstates.org/node/65301

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Long-Term Care Services in the United States: 2013 Overview

Review descriptive results from the first wave of the National Study of Long-Term Care Providers, (NSLTCP) conducted by CDC’s National Center for Health Statistics (NCHS). Data presented in this report are drawn from five sources: NCHS surveys of adult day services centers and residential care communities, and administrative records obtained from the CMS on home health agencies, hospices, and nursing homes. Review data on supply, organizational characteristics, staffing, services and more.

Short URL: http://www.advancingstates.org/node/61411

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Participant-Directed Services In Managed Long-Term Services And Supports Programs: A Five State Comparison

At the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans, with mandatory or voluntary enrollment. Target populations varied by state. In 13 states, MLTSS plan members were afforded the choice to participant-direct (PD) at least some HCBS services. Based on 5 in-depth state case studies expectations regarding availability and take-up of PD services in MLTSS varied as did methods of communicating expectations. PD varied from 1.2% in AZ to 24% in NM.

Short URL: http://www.advancingstates.org/node/61410

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Checklist: How Consumer Focused Are Your State's Medicaid Managed Long-Term Services and Supports?

This checklist is designed to help consumers and other stakeholders assess state Medicaid Managed LTSS. It is based on federal guidance released in May, Community Catalyst’s paper “Putting Consumers First: Promising Practices for Medicaid Managed Long-Term Services and Supports,” and stakeholder recommendations on meeting consumers’ needs.

Short URL: http://www.advancingstates.org/node/61189

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Application of Existing External Quality Review Protocols to Managed Long Term Services and Supports

This guidance document is intended to provide guidance to states on how to apply the revised protocols for External Quality Review (EQR) of Medicaid managed care organizations, released in 2012, to managed long term services and supports (MLTSS) programs. Although the protocols already apply to MLTSS generally, this document offers specific suggestions to make their application to long term services and supports (LTSS) clearer and provides suggestions, examples and illustrations.

Short URL: http://www.advancingstates.org/node/60531

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