Physical Disabilities

Patient and staff-reported measures are a key way to assess the quality and experience of care for people with complex needs. CHCS worked with health care organizations to test new measures for understanding patient and staff experiences related to well-being, equity, goals of care, and care integration. This brief explores insights from the Center for the Urban Child and Healthy Family at Boston Medical Center, Hill Country Community Clinic, and Denver Health, which used these measures to assess quality within their organizations.

The Housing and Services Resource Center was created for people who work in the space of housing resources and homelessness services, behavioral and mental health services, independent living services and other supportive services. The Center is part of a partnership between the U.S. Department of Health and Human Services and the U.S. Department of Health and Human Services and the U.S. Department of Housing and Urban Development to expand affordable housing, improve home and community-based services, and address bias in America's long-term care system.

NCOA's free BenefitsCheckUp tool, used to connect aging professionals and their community to benefits programs, has been updated to be more accessible. The new version of the tool includes details on 2,000 benefits in English and Spanish, including the Supplemental Nutrition Assistance Program, Medicare Savings Programs, Affordable Connectivity Program; free, confidential eligibility checks by program or category; and Personalized support via a call center, chat, email, and connections to local centers.

CHCS has published a new tool to assist states in planning and implementing a Master Plan for Aging (MPA). A MPA is a cross-sector, state-led strategic planning resource that can help states transform the infrastructure and coordination of services for their aging population and people with disabilities. This tool outlines core principles to guide the MPA development process and shares best practices for cross-sector MPA development through state examples.

This CMCS informational bulletin provides an update on the 2022 Supplemental Security Income (SSI) and Spousal Impoverishment Standards. Certain Medicaid income and resource standards are adjusted annually in accordance with changes in the SSI federal benefit rate (FBR) and the Consumer Price Index (CPI). These include some of the standards described in section 1924 of the Social Security Act, which describes the financial eligibility rules that apply when married individuals seek coverage of certain long-term services and supports. Included with this informational bulletin is the revised 2022 SSI and Spousal Impoverishment Standards chart that displays the updated MMMNA and Community Spouse Monthly Housing Allowances.

Experts at The Vanderbilt Kennedy Center and the state of Tennessee say families in poverty with disabilities in Tennessee and nationwide face difficulty both accessing and utilizing long term services and supports (LTSS) in both rural and urban areas. This article breaks down issues of accessibility across the country by discussing how affordable housing, transportation, and social determinants of health affect individuals differently based on their ability and region.

ACL has released a new brief, Leveraging Innovation, Collaboration, and Data with Assistive Technology to Reduce Social Isolation and Loneliness: Success Story from Illinois. This brief highlights a model and innovative partnership at both the federal and state levels that successfully purchased and distributed technology devices to older adults and people with disabilities served by local agencies in order to reduce social isolation and loneliness.

Prior to COVID-19, Indiana hosted stakeholder workgroups to identify needed improvements to its Medicaid-funded long-term services and supports (LTSS) system. The pandemic amplified existing disparities, including inequitable access to community-based care, unaligned and uncoordinated care for dually eligible individuals, and broad gaps in capacity and resources to effectively oversee and implement the LTSS reform effort. With support from Arnold Ventures, Indiana’s Family and Social Services Administration (IN FSSA) is working with project partners to design a Medicare-Medicaid integration strategy for dually eligible individuals enrolled in MLTSS and engage providers in its development process.

The National Center for Complementary and Integrative Health (NCCIH) at the National Institutes of Health (NIH) is has released a request for information to assist in defining a set of key determinants of health that addresses all the elements of the whole person health model, including factors that can influence health either positively or negatively, and that encompass the full continuum of biological, behavioral, social, and environmental domains.

This brief outlines lessons from the Center for Health Care Strategies’ MassHealth Care Planning Learning Collaborative, where Massachusetts Accountable Care Organizations and Community Partners integrated care planning across their organizations to improve care for Medicaid members with complex needs. This brief can inform providers, payers, and community partners in other states seeking to improve care for people with complex health and social needs.