Older Americans Act (OAA)

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The Older Americans Act & the Long-Term Care Ombudsman Program

The Long-Term Care Ombudsman Program is a consumer advocacy program established by the Older Americans Act that aims to improve the quality of care for residents in LTC settings by investigating and resolving complaints made by, or on behalf of, such residents. This report provides an overview of the program, including its legislative history, administrative function, and FY2008 funding amounts by source.

Short URL: http://www.advancingstates.org/node/52790

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10-Plus Years After the Olmstead Ruling: Progress, Problems, and Opportunities

Statistics show a significant percentage increase in older persons able to receive LTSS outside of nursing homes, however unnecessary institutionalization is still a routine problem. This report clearly delineates the limitations on progress, including differences in Medicaid structure around nursing home vs. HCBS waiver coverage. The authors recommend specific steps that federal and state governments should take to reduce unnecessary institutionalization.

Short URL: http://www.advancingstates.org/node/52676

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Aging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes - Issue Brief

First in a series, this brief presents findings from AoA’s National Survey of Older Americans Act Program Participants. Findings indicated that Title III participants were at a higher risk of entering a nursing home compared to others in their age group. The authors conclude that AoA, however, is effectively reaching those most at risk of institutionalization, and that Title III services play an important role in helping elderly adults remain living independently in the community.

Short URL: http://www.advancingstates.org/node/52638

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Advancing Home and Community-Based Services: Transforming Policies, Programs, and Service Delivery in Long-Term Care – Public Policy & Aging Report

The Benjamin Rose Institute on Aging sponsored PPAR’s Winter/Spring 2010 issue. It includes seven articles written by national experts describing recent and notable changes in LTC policy, with its increasing emphasis on HCBS services. An introductory essay provides a 30-year review of the evolutionary process of LTC. Consumer-directed initiatives, caregiver and workforce issues, maturation of the service delivery system, and a review of recent state-level initiatives are discussed.

Short URL: http://www.advancingstates.org/node/52633

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Aging Strategic Alignment Project

Looking for profiles of each State’s Home-and Community-Based Service (HCBS) programs? This project report covers the components of HCBS programs under multiple funding streams. It includes an overview of findings from cross-state comparisons with accompanying tables and charts and individual profiles of 48 states and Washington, DC. The findings are intended to provide states with information that can help guide their efforts to expand and improve HCBS programs.

Short URL: http://www.advancingstates.org/node/52112

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Developing and Implementing Self-Direction Programs and Policies: A Handbook

The Handbook was developed to provide state staff, policymakers, service providers, program participants, and other stakeholders with a comprehensive source of information about participant direction programs and policies. Its primary purpose is to explain how States can increase program participants’ choice of and control over their services and supports. In addition to providing detailed information, the Handbook also provides links to additional web resources on the selected topics.

Short URL: http://www.advancingstates.org/node/51890

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Public Policy and Aging Report: Aging Services Network

Four articles provide an update of where the Older Americans Act (OAA) and the Aging Network stand in the face of demographic, economic, and health care issues. The first two cover the history of the legislative and budgetary developments of the network and report on a national survey of Area Agencies on Aging. The third summarizes political vagaries that network agencies encounter. The last advocates that civic engagement efforts must expand to cover disadvantaged and vulnerable older adults.

Short URL: http://www.advancingstates.org/node/51791

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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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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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