All States/Territories

Review an early assessment of the balance of state LTC systems before the implementation of the MFP demonstration. The authors’ goal was to develop a baseline against which the impacts could be measured as the program matures and evolves. This baseline information is used to identify key differences in the makeup of states’ LTC systems, and the observations suggest that the impacts of the program are likely to differ across states.

Review the results of a survey of the nationwide network of Area Agencies on Aging on their knowledge and opinions about senior transportation. The report provides baseline information about AAAs’ involvement in transportation advocacy, planning and service delivery, as well as information about the availability of senior transportation nationwide. The document is the first in a series of reports to be developed focusing on current challenges and new developments that impact senior mobility.

Listen to a recording of a webinar presenting strategies for program administrators to consider as they determine how to provide FMS in their Community Living and Veteran Directed programs. Topics include how to decide on a model of FMS, whether to contract for Financial Management Services, provide them "in-house" at the AAA, or use a hybrid approach. Accompanying tip sheets and documents are included.

Are you looking for assistance with Fair Housing Planning? This Guide provides an historical perspective of fair housing, information on how to conduct an Analysis of Impediments to Fair Housing Choice (AI), undertake activities to correct the identified impediments, and the types of documentary records to be maintained. It was developed for State, State-funded, and Entitlement jurisdictions along with applicable HUD regulations pertaining to fair housing.

Review an overview of federal priorities and recent trends in the field of prevention including descriptions of current initiatives in the public and private sectors, discussion of the potential role of ADRCs and other coordinated points of entry in health promotion and disease prevention programs, and sources of further information for program development. Also find a companion document that offers ten simple strategies that ADRCs can use to promote health and wellness.

Looking to develop guidance materials for veterans participating in a VD-HCBS program? Here are samples from Washington’s program, including a handbook with information on meeting program staff, developing a spending plan and working with FMS. Also find a Policy & Procedure Handbook including an overview of the program, desired outcomes, eligibility, referral procedures, forms and protocols for assessment, enrollment and reimbursement.

Learn about the status of the public LTC delivery system, and opportunities and obstacles for LTSS reform and rebalancing. The study surveys states’ current HCBS expenditures and utilization, analyzes factors underpinning Medicaid’s institutional bias, looks at federal and state initiatives to improve the ratio between institutional and community-based care, and points to statutory and regulatory “fixes” that could enhance the states’ ability to improve their LTC delivery systems.

Find a state-by-state summary of information on regulations that govern assisted living. Contact information for each state’s regulatory agency is listed as well as requirements for the physical plant, resident assessment, medication management, staffing, training, Medicaid reimbursement and more.

To inform long-term care reform efforts, a web-based survey of over 1,000 LTC specialists nationwide was conducted. Findings included the need for LTC to be rebalanced toward HCBS settings, though few supported doing so by limiting nursing home bed supply. Although virtually all felt that the federal government was doing a poor job regulating LTC providers, most believed that the approaches used to oversee nursing homes should also be applied to assisted living.

Find an article produced for the general public discussing the progress of Money Follows the Person. The author cites study findings suggesting reasons for states’ slow movement in nursing home transition: problems finding affordable housing, resistance from nursing homes, stringent federal rules limiting eligibility and types of community settings individuals can move into. Included are links to a related video and interactive map showing each state’s goals and transitions made to date.