Housing

The Home and Community Based Services (HCBS) Conference is hosted annually by ADvancing States (formerly known as NASUAD). This event highlights best practices from across the country in home and community-based services. The conference includes federal, state, and local policymakers as well as those who administer, manage, and deliver waiver and other HCBS programs. This link contains all of the slide presentations from the 2019 HCBS Conference.

This guide is intended to help older homeowners meet their reverse mortgage (Home Equity Conversion Mortgage (HECM)) loan obligations while recovering from a hurricane, fire, flood or other natural disaster. The guide reviews reverse mortgage obligations, provides tips for dealing with your insurance company, and offers additional resources for assistance.

This issue brief discusses the pressing legal needs of older adults and the ways that coordinating health care, legal, and social services can improve their well-being. The brief examines three medical-legal partnership programs serving older adults and explores their impact, including the prevention of homelessness and the improvement of financial stability.

Affordable, accessible housing located in age-friendly communities is already in short supply. As the American population continues to age, demand for this housing will continue to increase. Additionally, many older adults are at risk of having insufficient resources to manage rising healthcare and housing costs in their later years and may struggle to pay for their housing and other basic necessities. This paper discuses these and other issues around housing for older Americans.

While faced with new challenges, reduced budgets, and growing populations requiring more services, states are stronger than ever, and the work they do is more effective than ever in reaching individuals and addressing their needs. The National Home and Community Based Services (HCBS) Conference 2018 highlights these achievements, allowing states to share best practices, present unique partnerships, and recognize the work of their peers.

The U.S. Government Accountability Office (GAO) has released the first in a series of two reports examining issues related to housing for older adults. This first report looks at how federal agencies currently work together to meet the needs of older Americans in federally assisted housing. In this report, GAO recommends including USDA in collaborations and defining outcomes in order to inform stakeholders of results achieved and strategies or areas on which to focus.

This fact sheet and issue brief explore how federal programs support older Americans. The focus is on four main areas, including health programs, economic security, housing and food, and legal assistance. These publications help explain how various federal programs can ideally work together to allow older Americans to meet their basic needs and maintain a high quality of life.

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

This report documents the nationwide housing affordability crisis experienced by people with disabilities. The report discusses how in 2016, millions of adults with disabilities living solely on Supplemental Security Income (SSI) found that renting even a modest unit in their community would require nearly all of their monthly income. The report offers policy recommendations to address this crisis.

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.