Policy alerts, briefs, letters & papers

How can our mainstream aging organization provide inclusive and welcoming services to older lesbian, gay, bisexual and transgender adults? Aging service providers should be aware that the effects of a lifetime of stigma, discrimination, rejection and ridicule puts LGBT older adults at greater risk for physical & mental illnesses, and other issues including: social isolation; depression & anxiety; poverty; chronic illnesses &; premature mortality.

MITA provides a common framework for all Medicaid stakeholders to focus on opportunities to build common and shared services by decoupling legacy systems and processes, and liberating data previously stored and contained in inaccessible silos. The newest version takes into account new legislative requirements outlined in the Health Information Technology for Economic and Clinical Health Act, the Children's Health Insurance Program Reauthorization Act, and the Affordable Care Act.

States serve a large number of people with dementia & caregivers in their Aging Networks & LTSS systems. This involves accommodating the needs of a population experiencing a variety of physical, cognitive, & behavioral symptoms from dementia, along with other medical conditions. This brief discusses why states should be concerned about dementia capability in their LTSS systems, describes the components of model dementia-capable systems, & reports how states have addressed dementia capability.

This report reviews the available literature & conducted interviews with people with Alzheimer’s & other dementias who live alone, caregivers, health care & social service professionals to obtain their views about the need and effective ways to meet those needs. Programs are also described that have been tested by community agencies as well as discussions related to public policy and practice implications.

State Medicaid agencies fund supports & services for individuals with disabilities. As national public policy recognizes & emphasizes the ability of individuals with disabilities to work, states are integrating employment supports into the continuum of long-term care in Medicaid. This brief discusses federal legislative & regulatory framework for funding employment supports in Medicaid, highlights examples of state innovations & best practices to promote positive employment outcomes.

The Exchange website offers busy health professionals and researchers a variety of opportunities to share, learn about, and ultimately adopt evidence-based innovations and tools suitable for a range of health care settings and populations. The site has the following components: Searchable innovations; Searchable QualityTools; Learning opportunities and Networking opportunities.

A growing number of beneficiaries with disabilities are being enrolled in risk-based managed care arrangements. Further growth in managed care is expected in 2014, when the Affordable Care Act expands Medicaid eligibility to many uninsured low-income adults, including those with disabilities. This issue brief looks at issues related to the development and implementation of managed care programs with the capacity to serve Medicaid beneficiaries with disabilities.

In 2008, Congress revised the regulations for Ticket to Work, a federal program created to improve incentives and supports for people who receive disability benefits to seek employment. This issue brief discusses how Ticket to Work participation by service providers and beneficiaries has changed under the revised regulations. It also describes providers' early experiences with these regulations.

This brief reviews Medicaid’s importance and limitations when it comes to long-term care and makes the case for strengthening Medicaid’s safety net in one of two ways—assumption of full federal responsibility for Medicare beneficiaries who also rely on Medicaid (so-called “dual eligibles”) or an enhanced federal match for Medicaid long-term care services.

One priority for an aging America is to enable older adults to live independently in their homes and communities. For those with limited income or resources, benefits can be a critical resource to receive support and avoid institutionalization. Many miss out on benefits due to lack of awareness, perceived complexity of applications, stigma, & misunderstanding eligibility. The You Gave, Now Save campaign connects eligibles with free & low-cost resources: BenefitsCheckUp & the Eldercare Locator.