Aging/Older Adults

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Medicaid: A Primer

Everything from program structure, eligibility, services, financing and expenditures are covered here in concise summaries. This updated edition also contains graphics showing expenditures by service and the growth of Medicaid acute care spending as compared to private health plans. The tables at the end present data broken down by state. Refer to the 2007 version for historic perspective.

Short URL: http://www.advancingstates.org/node/51785

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Arkansas State Plan on Aging 2008-2011

The Older Americans Act (OAA) requires states to submit a Plan on Aging every 1-4 years focused on reforming long-term care to help keep older people independent. Arkansas presents information on their organization, programs, goals, funding, and people served. Their plan covers areas including Cash & Counseling, Money Follows the Person, transportation planning, disaster preparedness, and others.

Short URL: http://www.advancingstates.org/node/51782

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Choices in Living – Arkansas Resource Center Website

This website directs people on how to find information related to aging and disabilities resources in AK using the phone or email. A list of topics for which one can find information is included, as well as documents about services eligibility. Also included here are directions to using the program that were written as a column in the publication "Aging Arkansas."

Short URL: http://www.advancingstates.org/node/51781

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Adult Learner-Centered Training: An Introduction for Educators in Home and Residential Care

One cause of direct-care worker turnover often cited by the workers themselves is inadequate job preparation. PHI developed a training approach over two decades that emphasizes interactive techniques which are more effective in training workers in communication, problem solving, and work readiness skills. This guide outlines learner-centered training and provides educators with tools to implement the principles in their own programs.

Short URL: http://www.advancingstates.org/node/51780

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On-Site Review Protocol: A Guide for Agencies and Reviewers – Alaska

States can use this in the development or improvement of their own protocol for reviewing sites that deliver Medicaid and grant funded services. The purposes of the reviews are to ensure compliance with regulations, assist in development of policies and procedures, and identify potential areas for training and program improvement. Protocols are organized by review method and specify which indicators are measured, source of data to be gathered, and example inquiries.

Short URL: http://www.advancingstates.org/node/51779

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The Green House® Project

What is a Green House home? It is an alternative residence for elders that need skilled nursing care. The architecture and services create small, homey environments that stress privacy, autonomy, support, and enjoyment. Visit the homepage to learn about the concept and efforts to replicate nationally. See “Research and Resources” and “Regulation and Legislation” for information on outcomes related to Green Houses and relevant state and federal policy.

Short URL: http://www.advancingstates.org/node/51778

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Vermont's Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year

In 2005, VT became the first state to commit to a federal Medicaid funding cap in exchange for expanded eligibility definitions and access to home and community-based services under a Section 1115 waiver. Case studies and interviews are used to present key findings from the program. Key design features are also presented. Finally, future issues within VT and other states that might emulate the program are discussed.

Short URL: http://www.advancingstates.org/node/51777

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The Role of the Older Americans Act in Providing Long-Term Care

The Older Americans Act (OAA) gave rise to important HCBS programs such as the Choices for Independence initiative, ADRCs, and Nursing Home Diversion grants. Here is a concise summary of the legislation, its reauthorization in 2006, and data on the types of support provided under these programs, recipients, and expenditures.

Short URL: http://www.advancingstates.org/node/51776

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Opinions of AARP Nebraska Members on Long-Term Care

Older Americans speak up on the importance of services and policies that enable them to age in place through the use of home and community-based services (HCBS). Results show that respondents are not only concerned with HCBS as they remain in the home, but also as they move to nursing home alternatives such as assisted living facilities. They identify the availability of long-term care options as one that should be a top priority for AARP's advocacy.

Short URL: http://www.advancingstates.org/node/51775

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Increasing Home Access: Designing for Visitability

Visitability is a movement that seeks to eliminate certain barriers to aging independently by promoting accessible home design. The authors examine different types of visitability initiatives, challenges to implementation, and opportunities for further acceptance. The design parameters needed for visitability include a zero-step entrance, wide doorways, and at least one half bathroom on the main floor.

Short URL: http://www.advancingstates.org/node/51769

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