Aging/Older Adults

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Your reverse mortgage after a natural disaster

This guide is intended to help older homeowners meet their reverse mortgage (Home Equity Conversion Mortgage (HECM)) loan obligations while recovering from a hurricane, fire, flood or other natural disaster. The guide reviews reverse mortgage obligations, provides tips for dealing with your insurance company, and offers additional resources for assistance.

Short URL: http://www.advancingstates.org/node/71726

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File Downloads / Links

Changes to Modified Adjusted Gross Income (MAGI)-based Income Methodologies

The Centers for Medicare & Medicaid Services issued a State Health Official letter that provides guidance on legislative changes to the modified adjusted gross income (MAGI)-based methodologies used for determining Medicaid and CHIP eligibility. In order to implement the changes to MAGI-based methods, states may need to update eligibility policies and procedures and make changes to eligibility systems logic.

Short URL: http://www.advancingstates.org/node/71708

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Prospective Associations of Diet Quality With Incident Frailty in Older Adults: The Health, Aging, and Body Composition Study

The Journal of the American Geriatrics Society published an article looking at the link between diet and potential frailty in older age. Researchers pulled data from the Health, Aging, and Body Composition (Health ABC) Study and analyzed participants’ diets, activity, and shift between the categories of robust, pre-frail, and frail over four years.

Short URL: http://www.advancingstates.org/node/71707

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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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Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

The Centers for Medicaid & Medicare Services released a report that profiled the 10 states with the greatest change in Long-Term Services and Support (LTSS) system balancing. The report highlights characteristics of the 10 states and compares their change in LTSS system balancing with other states and provides a national overview on LTSS system balancing. State profiles consist of characteristics and strategies states utilized in their progress towards rebalancing their LTSS systems.

Short URL: http://www.advancingstates.org/node/71673

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Tips for Older Consumers to Stop Illegal Robocalls

The National Center on Law and Elder Rights (NCLER) released a tip sheet to help older adults stop receiving robocalls. Telemarketers, debt collectors, and scammers utilize illegal robocalls- automated telephone calls- to target potential victims. This document provides older consumers with several tips they can use to lessen the frequency of robocalls, while protecting them from scams.

Short URL: http://www.advancingstates.org/node/71662

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Workforce Matters: The Direct Care Workforce and State-Based LTSS Social Insurance Programs

The report provides an overview of the expected increased need for direct care workers and a breakdown of the current direct care workforce. In each description of barriers facing the direct care workforce, PHI includes program and policy recommendations. Challenges and recommendations in this report include areas regarding: wages and benefits, training, advanced roles, supervision, recruitment and retention, data collection, decision-making, family caregivers, and matching service registries.

Short URL: http://www.advancingstates.org/node/71660

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Medicare Plan Finder: Usability Problems and Incomplete Information Create Challenges for Beneficiaries Comparing Coverage Options

The GAO released a report to the Chairman of the Committee on Ways and Means summarizing findings of a survey sent to State Health Insurance Assistance Programs (SHIP) directors about the usability of the Medicare Plan Finder (MPF) website. The MPF website is a resource for comparing Medicare coverage options to help beneficiaries make informed decisions about their coverage. The report also includes other areas of improvement to make the website more user-friendly.

Short URL: http://www.advancingstates.org/node/71651

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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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