LTSS

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Facilitating Community Transitions for Dually Eligible Beneficiaries

This case study explores how health plans can help rebalance LTSS for dually eligible members. It looks at two California health plans who successfully transitioned dually eligible members from institutional to community settings. The case study uses these two examples to identify key elements for supporting dually eligible individuals with LTSS needs during the transition to living in the community.

Short URL: http://www.advancingstates.org/node/71856

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Valuing the Invaluable: 2019 Update Charting a Path Forward

The latest report in the AARP Public Policy Institute’s Valuing the Invaluable series estimates the economic value of unpaid family caregiving at $470 billion in 2017. The report also explores family caregiving trends, highlights federal and state policy changes since the release of the previous Valuing the Invaluable report in 2015, and offers further policy recommendations to enhance the well-being of caregiving families.

Short URL: http://www.advancingstates.org/node/71830

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Recruiting and Retaining a Diverse Direct Care Workforce: Key Considerations for Long-Term Services and Supports Providers

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.

Short URL: http://www.advancingstates.org/node/71800

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Training Culturally Competent Direct Care Workers: Key Considerations for Long-Term Services and Supports Providers

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.

Short URL: http://www.advancingstates.org/node/71799

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Organizational Cultural Competence: Key Considerations for LongTerm Services and Supports Providers

This brief describes how LTSS providers can build cultural competence within their organization. It covers key considerations including identifying areas for improvement, supporting diversity across the organization, addressing linguistic competence, and engaging community partners. Other briefs in this series provide specific considerations for training, recruitment, and retention of direct care workers.

Short URL: http://www.advancingstates.org/node/71798

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Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings

CMS released an informational bulletin that provides guidance regarding new constructions and the HCBS heightened scrutiny process. The 2014 Medicaid HCBS regulation’s settings regulation requires an in-depth assessment, called heightened scrutiny, for certain providers that are presumed to be institutional. This guidance provides clarification and flexibility to states, including an overview of three potential scenarios for how newly constructed settings could receive Federal funding

Short URL: http://www.advancingstates.org/node/71645

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Designing a State-Based Social Insurance Program for Long-Term Services and Supports

The National Academy of Social Insurance released a report on potential designs for universal family care. The report highlights state program design proposals for early child care and education, paid family and medical leave, and long-term services and supports. The LTSS section of the report proposes four design issues states may face in developing a social insurance program for LTSS.

Short URL: http://www.advancingstates.org/node/71638

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Evidence for the Impact of the Money Follows the Person Program

This report looks at how states with strong MFP programs compare to states without or with limited MFP programs. Findings show that states with more robust MFP programs reduced utilization of institutional LTSS at a higher rate than other states. In addition, these states also rebalanced their LTSS systems more efficiently compared with other states.

Short URL: http://www.advancingstates.org/node/71598

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