All States/Territories

Reverse mortgages are specialized loans that enable seniors to tap their home equity while they continue to live in the home. With an estimated average amount of over $72,000 available to older households from these loans, reverse mortgages can help pay for several years of out-of-pocket expenses. This project’s goal is to outline the rationale for increasing the use of reverse mortgages for long-term care and to identify areas where government interventions may be able to stimulate the market.

This electronic briefing book was distributed at a seminar requested by congressional staff to provide an overview of the Medicare, Medicaid, and State Children’s Health Insurance programs. The sessions featured experts from the Government Accountability Office, Medicare Payment Advisory Commission, Congressional Research Service, and Centers for Medicare & Medicaid Services, plus public and private entities. This link contains presentations, handouts, reports, websites, and other resources.

Improving Health and Long-Term Care Coverage for Low-Income Americans This report—the product of a year-long effort to identify changes that would make the 40-year-old Medicaid program more effective—was developed in collaboration with a workgroup of state officials and national experts. The group’s final recommendations identify numerous opportunities for improving the program and are focused on three key areas: eligibility, benefits and financing.

This guide was created as a resource to help you learn more about communication boards and how/when to use them. The boards in this kit were designed for a specific communication interaction, an intake interview to consider transition of an individual out of a nursing home. This handout provides a brief summary of the communication boards provided and some background information for you as you use the boards.

This handbook, drafted by Jane Schiele and edited and revised by Laura Hershey (HCPF Systems Change Section), is designed to help other advocates or agencies to inform many more individuals about their right to live in the community, and to assist those who desire a transition back to their community. The report defines transition and offers the nuts and bolts of the program and lastly overs tips for moving day and beyond.

This survey was developed by the Colorado Facility Transition grant to evaluate the transition process of individuals across Colorado. Results from this survey were used to develop and implement changes in the transition process to better serve the population. The form is for people who have moved out of a nursing home in Colorado within the last two years. How you fill in this form is important because the answers help other people who will move from a nursing home soon.

This report compiles both written and verbal evaluations of twenty New Hampshire legislators who attended the Supporting Older Adults and Individuals with Disabilities in Your Community: An Educational Series for Legislators. The series was developed as part of the Real Choice Systems Change initiative in New Hampshire. The purpose of this evaluation was to review what aspects of the Educational Series were beneficial and to recommend improvements for future sessions.

This report reviews the initiatives of five states and highlights ongoing efforts to create a more balanced financing and delivery system. A table summarizes the home and community-based services system in each of the states. The case studies suggest at least five key issues for other states, Area Agencies on Aging, providers and consumers that are interested in reform. This report is one of 5 in a series called Case Studies from the Aging Network: Health and Social Support Systems Integration.

This paper analyses the four stakeholder coalition that successfully passed legislation and implemented the county public authority structure to improve the quality of jobs and services offered by California's In-Home Supportive Services.

This document compares 4 Area Agency on Aging (AAA) models on integrating access and services in CA, MA, OH, & ME. The programs each use AAAs as entryways to senior and LTC services. The sites differ in terms of the primary financing mechanisms and whether the effort was initiated at the state level and disseminated downward or at the local level and worked its way up. This report is 1 of 5 from the series Case Studies from the Aging Network: Health and Social Support Systems Integration.