Oregon

A competitive grant opportunity designed to assist individuals at risk of nursing home placement & spend down to Medicaid to enable them to continue to live in their community. The initiative encourages the Aging Services Network to modernize and transform funding from the OAA, or other non-Medicaid sources, into flexible consumer-directed service dollars. The grants complement CMS's Money Follows the Person to reach older adults before they enter a nursing home & supports rebalancing efforts.

This report covers the issues of eldercare and the workplace. It identifies discrimination in the workplace encountered by workers with eldercare responsibilities as an emerging trend and highlights the limited protections for working caregivers. The report calls for developing public and private solutions to ensure that workers with eldercare responsibilities receive equal employment opportunity and are protected from workplace discrimination.

This report is designed to offer the collective wisdom and practical insights of state officials and technical experts related to the leadership and interagency coordination needed to implement the Affordable Care Act (ACA). It discusses the role of leadership and a clear vision for reform, and outlines specific strategies being used by states from low-tech solutions to higher-tech tools. This brief then explores the potential of work planning and formal memorandums of understanding (MOUs).

This document sets forth the State of Oregon's plan on aging in accordance with Older Americans Act requirements. The plan describes the mission and strategies of Oregon's State Unit on Aging (SUA) to coordinate services for older adults. The Plan contains information on aging demographics, the mission for the duration of the plan, and sets out goals to empower older adults to be more independent, promote wellness, and expand home and community-based services.

This report serves as a follow-up to the 1995 Institute on Medicine (IOM) report which argued for an ombudsman program to address the quality of care in long-term institutional settings. This study investigates the role and effectiveness of the State Long-Term Care Ombudsman Programs (LTCOPs) in improving care. Surveys with all states/territories reveal new findings on the structure of the program in different states as well as their own perceived effectiveness. Comprehensive data and analysis.

Centers for Medicare and Medicaid Services (CMS) has provided funding and technical assistance to states to develop state plans' to coordinate care for dual eligibles, persons eligible for both Medicare and Medicaid. This chart shows the status of those states selected for the Dual Demonstration grants, the model chosen, and target implementation. It also includes links to each state's plan.

The Older Americans Act of 1965 created the National Aging Network with many states adopting Area Agencies on Aging at the local level. This brief is a summary of two surveys regarding states’ monitoring practices of their Area Agencies on Aging (AAAs) and states’ spending rules for their AAAs. All states with Area Agencies on Aging which were surveyed reported that they conduct some monitoring, and most differed in their rules concerning excess funds.

Today there are over 9 million Medicare-Medicaid enrollees in the United States. To provide a greater understanding of the Medicare-Medicaid enrollee population, Centers for Medicare & Medicaid Services has put together individual State profiles that examine the demographic characteristics, utilization, and spending patterns of Medicare-Medicaid enrollees and the programs that serve them in each State. Also review the National Summary Profile.

Launched in 2007 during the Bush administration, the Money Follows the Person Program has supported states’ rebalancing efforts of moving low-income older adults and disabled people from long-term care facilities into the community. The program offers states extra Medicaid funding to pay for the participant's home and community-based services over 12 months. This article addresses the major challenges of the participating states in terms of administering the program.

An Accountable Care Organization (ACO) is a provider-run organization in which the participating providers are collectively responsible for the care of an enrolled population. This brief examines the existing Medicaid payment and care delivery landscape in states undertaking Medicaid ACO initiatives to gain insights into how ACOs fit into states’ Medicaid programs, and to identify important differences between Medicaid ACOs and ACOs in Medicare and the private insurance market.