Policy alerts, briefs, letters & papers

This brief outlines key recommendations to further Medicaid and public health opportunities and cross-agency partnerships that advance health equity. These cross-agency efforts can use three broad strategies to promote health equity: (1) advance internal-facing health equity work; (2) leverage data to drive health equity efforts; and (3) engage community members authentically.

On Monday, August 30th, CMS released two State Health Official (SHO) letters and a PowerPoint document that provide guidance regarding a variety of issues, including increases to state FMAP for several activities, opportunities to improve vaccine uptake among providers and beneficiaries, and habilitation services for children with disabilities.

In May 2021, CMS released a final rule regarding vaccination education, access, and reporting for residents and staff of nursing and care facilities for individuals with intellectual and developmental disabilities. Recently, CMS sent detailed implementation guidelines to the state agencies responsible for overseeing ICFs/IID. This memo details the responsibilities of ICFS/IID within the new guidelines.

The Supplemental Security Income (SSI) program provides financial support to low income individuals, including children, adults with severe disabilities, and adults ages 65 and older. This brief describes the SSI program and the demographic and economic characteristics of SSI beneficiaries. Additionally, it discusses state programs that supplement federal SSI, reasons some eligible people do not participate in SSI, and some current changes to the program.

This blog post by Edmondo J. Robinson, M.D., M.B.A., Peter J. Embí, M.D., M.S., Ramanathan Raju, M.D., M.B.A., and Yanling Yu, Ph.D. explores how social determinants of health have led to health inequity during the pandemic. Read the blog post to learn how health literacy and access to technology play a role in bridging the gap in health outcomes.

This editorial, by the Center for Health Care Strategies (CHCS) and The John A. Hartford Foundation explores how employers and states can support employees with caregiving responsibilities through flexible workplace policies, tools, and resources. The editorial highlights resources from two states participating in CHCS’ Helping States Support Families Caring for an Aging America initiative.

This issue brief presents early findings from the most recent KFF 50-state survey of Medicaid HCBS programs, focusing on state policies adopted in response to the pandemic, the pandemic’s impact on Medicaid HCBS enrollees and providers, and states’ early plans for the new American Rescue Plan Act (ARPA) 10 percentage point temporary increase in federal Medicaid matching funds for HCBS.

CMS released a SHO letter with updated guidance to assist states in planning for resuming normal state Medicaid, CHIP, and BHP operations for the eventual end of the public health emergency. The SHO provides updated guidance regarding the extended timeframe for states to complete pending work in eligibility and enrollment to up to 12 months after the PHE ends and redetermination of eligibility requirements states must complete after the PHE for all beneficiaries before taking adverse actions.

On August 10, 2021, the U.S. Senate introduced the Nursing Home Improvement and Accountability Act of 2021. The bill aims to increase transparency, accountability and oversight as well as improve staffing in nursing homes.

ACL is introducing a new blog feature intended to keep the aging and disabilities networks up to date about new policies. Visit their blog page to read about the latest policy advancements in the field.