State/Agency Information

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I&R/A Information Technology Systems: Findings from State Aging and Disability Agencies

This issue brief explores software systems that state aging and disability agencies use for resource databases and for client tracking, case management, and reporting. Data and findings are drawn from ADvancing States’ 2018 National Survey of Aging and Disability Information & Referral/Assistance (I&R/A) Agencies. This issue brief highlights responses from state agencies on aging and disability, though in some instances, data from all survey respondents is shared for comparison purposes.

Short URL: http://www.advancingstates.org/node/71845

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HCBS Conference 2019- Presentations

The Home and Community Based Services (HCBS) Conference is hosted annually by ADvancing States (formerly known as NASUAD). This event highlights best practices from across the country in home and community-based services. The conference includes federal, state, and local policymakers as well as those who administer, manage, and deliver waiver and other HCBS programs. This link contains all of the slide presentations from the 2019 HCBS Conference.

Short URL: http://www.advancingstates.org/node/71741

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Executive Order, Commonwealth of Pennsylvania Governor’s Office: Protection of Vulnerable Populations

On July 31, Governor Tom Wolf of Pennsylvania announced, by an executive order, an overhaul of the state services and systems to protect the most vulnerable Pennsylvanians. The executive order establishes an Office of Advocacy and Reform, Child Advocate, and Council on Reform. The executive order also lists responsibilities of the state agencies and the Governor’s Office of Performance through Excellence.

Short URL: http://www.advancingstates.org/node/71697

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Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations

In 2021, under a recently released rule from CMS, D-SNPs will be required to notify the state or state’s designee when enrollees experience Medicare-covered hospital or skilled nursing facility admissions in order to ensure timely transitions of care. The Integrated Care Resource Center has released a brief that examines approaches from three states – Oregon, Pennsylvania, and Tennessee – to develop and implement information-sharing processes for their D-SNPs that support care transitions.

Short URL: http://www.advancingstates.org/node/71656

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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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Information and Referral/Assistance’s (I&R/A) Role in Connecting Clients to Benefits

This brief is a summary of survey results related to aging and disability agencies and I&R/A specialists' role in connecting individuals with public benefits. It provides an opportunity to learn about benefits screening, assistance, and outreach within aging and disability networks.

Short URL: http://www.advancingstates.org/node/71380

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HCBS Conference 2018- Presentations

While faced with new challenges, reduced budgets, and growing populations requiring more services, states are stronger than ever, and the work they do is more effective than ever in reaching individuals and addressing their needs. The National Home and Community Based Services (HCBS) Conference 2018 highlights these achievements, allowing states to share best practices, present unique partnerships, and recognize the work of their peers.

Short URL: http://www.advancingstates.org/node/70802

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How Did State-Run Health Insurance Marketplaces Fare in 2017?

This brief analyzes fifteen structured interviews conducted with leadership staff in states using state-based health insurance marketplaces. It explores the different actions these states may utilize to stabilize the marketplace and reduce consumer confusion in the face of uncertainty regarding federal policies.

Short URL: http://www.advancingstates.org/node/70316

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The Growth of Managed Long-Term Services and Supports Programs: 2017 Update

CMS recently released a 2017 update to its 2012 MLTSS inventory, compiled by Truven Health Analytics. This study reviewed available information about the status of Medicaid MLTSS programs, and provides updates on the prevalence of MLTSS programs, total enrollment, and specific program design elements as of August 2017. The report surveys the landscape of MLTSS programs across the country, provides detailed summaries of each MLTSS program, and identifies national trends.

Short URL: http://www.advancingstates.org/node/70315

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A Healthy Smile Never Gets Old: A California Report on the Oral Health of Older Adults

This report from the Center for Oral Health highlights how an alarming number of Californians age 65 years and older are suffering from untreated tooth decay and poor oral health. This report includes a series of recommendations to eliminate barriers to care and improve oral health.

Short URL: http://www.advancingstates.org/node/70297

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