Policy alerts, briefs, letters & papers

This issue brief explores adjustments that states have made to processing eligibility and enrollment for benefits access, including changes to application and supporting document requirements. Examples of opportunities and adjustments that states have made to ensure older adults and persons with disabilities have access to critical benefit programs during the pandemic are highlighted. Data and findings are drawn from the ADvancing States 2020 COVID-19 Membership Survey.

This compendium includes select information on waiver capacity and waiting list management. The compendium highlights over 200 approved Section 1915(c) and Section 1115 waivers across all 50 states and DC. As an accompaniment to this compendium, MACPAC has also released an issue brief. This issue brief includes a description of the waiver analysis conducted in the compendium. It also features information from stakeholder interviews.

This week, the Senate Finance Committee released the language and summaries of legislation to help nursing home efforts to stop the spread of COVID-19. The Act would call on nursing homes to ensure that a portion Federal relief funds, made available on or after July 1, for responding to COVID-19 would be used for personal protective equipment (PPE) and COVID-19 testing in long-term care facilities. The Act also has language for expanding resources for elder justice activities.

On July 2nd, ADvancing States, in partnership with n4a, Meals on Wheels America, and NANASP, submitted a letter to Congress requesting additional funding for OAA programs to continue providing COVID-related services and supports. The letter requests an additional $1.1 billion for these services, which was the combined total of OAA funding provided in the Families First Coronavirus Response and the Coronavirus Aid, Relief, and Economic Sercurity Acts.

The Community Living Policy Center (CLPC) released a brief describing how short-term extensions of the Money Follows the Person (MFP) program have curtailed state efforts in transitioning individuals out of institutions. The CLPC based their findings on CMS data on annual transitions in each state.

This issue brief discusses state policy trends using data from KFF’s 18th annual 50-state survey. It discusses policy areas such as implementation of electronic visit verification and value based payment models. The brief highlights key findings across the topics areas of HCBS program flexibility, MLTSS, and response to federal regulations

This brief includes the latest (FY 2018) Medicaid HCBS enrollment and spending data from KFF’s 18th annual 50-state survey. It contains data about per-enrollee spending on HCBS by target population and HCBS waiver waiting lists. This issue brief also includes tables with detailed state-level data. One key finding analyzed here is that most HCBS enrollees receive services provided at the state option.

Like many states, Michigan is facing a looming workforce shortage as their aging population grows. This policy brief from the Michigan Aging & Adult Services Agency highlights the challenges and opportunities in addressing the state's direct care workforce (DCW) issues. Challenges that have led to this shortage include low wage levels, lack of affordable comprehensive training, and low job appreciation and respect. This paper identifies various strategies for overcoming these issues.

This brief focuses on how providers can recruit and retain a direct care workforce. Considerations include inclusive hiring practices, cultivating an organizational environment of inclusivity, and providing appropriate training. Companion briefs in this series discuss direct care worker training and organizational cultural competence.

This brief highlights how providers can train their workforce in cultural competency. Key recommendations include establishing formal policies, focusing on the elements most relevant for LTSS, using adult learner-centered methods of training, and identifying which programs work best for your organization's setting. Additional briefs in this series focus on organizational cultural competence and recruiting and retaining a diverse direct care workforce.