Long Term Services and Supports

The Money Follows the Person (MFP) demonstration aims to give Medicaid beneficiaries living in long-term care facilities more choice about where they live and receive services and to strengthen state systems of LTSS to serve more people in community settings. This report examines how six MFP grantees (MO, LA, NE, NJ, OH, IL) are serving populations with diverse needs in the community and the factors that have contributed to their strong performance on key outcome measures.

The fifth in a series of annual reports from the national evaluation of the MFP rebalancing demonstration, the report presents three sets of analyses that show the overall progress and effects of the MFP demonstration: progress made by grantees on their statutory transition and expenditure goals; the extent to which states are rebalancing their LTSS systems; and 3) changes in expenditures patterns and utilization of select services following an individual's transition from institutional to HCBS.

This report offers recommendations for federal and state entities from a thorough review of the legal and regulatory home and community-based services (HCBS) framework outlined by the Americans with Disabilities Act and new HCBS regulations. The bearing of setting size and configuration on the quality of supports and services received by people with intellectual and developmental disabilities and individuals with mental health disabilities in home and community-based arrangements is the focus.

This is the official White House Conference on Aging (WHCOA) Toolkit that organizations and individuals can use to host their own events and submit to the official 2015 White House Conference. The four focus areas of the 2015 WHCOA include retirement security, healthy aging, long-term services and supports, and elder justice.

This report is a write-up of priorities and recommendations developed from a pre-White House Conference on Aging (WHCOA) event hosted by the Washington Association of AAAs (W4A) and the Washington State Council on Aging in October 2014. All four WHCOA issue areas were discussed with a group of about 125 people made up mostly by State Council on Aging members, AAA Advisory Council members and staff invited from all of the AAAs.

This Health Affairs article presents key findings from The Commonwealth Fund's 2014 International Health Policy Survey. The survey compared the views and experiences of people 65 and older on issues of health and health care use, health care costs and access, care coordination, end-of-life planning, and more. The survey was conducted in 11 countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States.

These are three case studies of LTSS services in Minnesota, Idaho, and Georgia done by the Public Policy Institute of AARP as follow-up studies to the Raising Expectations 2011 State Scorecard on LTSS. The State LTSS Scorecard examines states' performance across 25 indicators that comprise four key dimensions of a high-performing system.

As part of PHI's One Vision: Moving Forward project, Michigan long-term care stakeholders discussed the potential use of Medicaid financial incentives to encourage person-centered care in nursing homes.The resulting publication outlines the ideas and recommendations produced by the discussion. The stakeholders primarily considered metrics, such as resident and staff satisfaction, that could be used to quantify nursing homes' commitment to person-centeredness.

This final report shares results from the 2014 pilot of the National Core Indicators-Aging and Disabilities (NCI-AD) Consumer Survey in Georgia, Minnesota, and Ohio. The results are sorted by state and funding source within the state. Since the goal of the pilot was not to compare these states, but instead to test and refine the NCI-AD Consumer Survey, the three states are not identified in the report; they are simply referred to as State 1, State 2, and State 3.

As almost half of the States have implemented MLTSS programs, community-based organizations, will be significantly impacted. At the 2013 HCBS conference, ADvancing States, with support from the SCAN Foundation, held a day-long intensive to discuss these impacts. This report outlines 5 discrete roles that CBOs are well-suited to play in MLTSS programs using as a reference point CMS’ 2013 guidance on MLTSS program design and implementation. To request a hard copy version, email Ali Diaz at adiaz@advancingstates.org.