ADvancing States

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Community-Based Organizations and MLTSS: An Issue Brief to Assess CBO Readiness

As almost half of the States have implemented MLTSS programs, community-based organizations, will be significantly impacted. At the 2013 HCBS conference, ADvancing States, with support from the SCAN Foundation, held a day-long intensive to discuss these impacts. This report outlines 5 discrete roles that CBOs are well-suited to play in MLTSS programs using as a reference point CMS’ 2013 guidance on MLTSS program design and implementation. To request a hard copy version, email Ali Diaz at adiaz@advancingstates.org.

Short URL: http://www.advancingstates.org/node/66027

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MLTSS Care Coordination and Ombudsman Case Studies

Community-based organizations will be notably impacted by States' implementation of MLTSS programs. Case studies on ombudsman programs and care/service coordination–culled from the MLTSS intensive at the 2013 HCBS Conference–complement the issue brief on CBO readiness. The ombudsman case studies highlight activities in Wisconsin, Hawaii, & Minnesota, while the care/service coordination case studies discuss CBO experiences in Massachusetts & Ohio. Both studies feature successful CBO practices.

Short URL: http://www.advancingstates.org/node/65962

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2014 State of the States in Aging and Disabilities

In 2014, ADvancing States surveyed state aging and disability agencies regarding the significant policy, fiscal, and operational issues occurring within each state. The survey collected detailed information about the structure of agencies, the supports provided, and the populations served by aging and disability agencies. Of particular interest is the summary of services provided in Medicaid waivers across the country. All of this information is presented in the charts accompanying this document.

Short URL: http://www.advancingstates.org/node/65688

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Guardianship Laws and Durable Powers of Attorney: 2013 ADvancing States Survey results

In January of 2013, ADvancing States sent a survey to its members and a list of long-term care contacts in the states seeking information about guardianship laws and practices and about how states assure appropriate use of durable powers of attorney. Review the results from the 20 states who responded.

Short URL: http://www.advancingstates.org/node/53356

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Mental Health Programming for Seniors and People with Disabilities: 2013 Survey Results

In January of 2013, ADvancing States sent a survey to its members and a list of long-term care contacts in the states asking how/where they are serving individuals with these complications and what services have been most effective. The survey is at the request of a ADvancing States member that works closely with their mental health program staff to serve individuals who are eligible for both mental health and aging/disability programming.

Short URL: http://www.advancingstates.org/node/53355

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ADULT PROTECTIVE SERVICES in 2012: INCREASINGLY VULNERABLE

This report provides a snapshot of the APS program during a period of transition and change. Key elements driving the change include the economic environment, the continuation of states reorganization, and the federal budget impasse and decision of whether or not to fund the Elder Justice Act. ADvancing States and NAPSA will continue to collect data from the states and localities to provide updates on this evolution.

Short URL: http://www.advancingstates.org/node/53263

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Older Americans Act Reauthorization Listening Sessions

ADvancing States organized members of the Aging Network at listening forums in 3 cities for the reauthorization of the Older Americans Act. The sessions fostered public input, which ADvancing States used to form recommendations for improvement according to its policy principles. The letter outlining these is addressed to Assistant Secretary of Aging, Kathy Greenlee. Some recommendations are to advance the network with more funding and to modernize the language of the Act to reflect person-centered objectives.

Short URL: http://www.advancingstates.org/node/53189

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The Use of Volunteers in State Agencies on Aging and Disabilities

The ADvancing States assessment of the AoA funded project to develop a national volunteer resource center to enhance engagement of volunteers in the Aging Network, especially Baby Boomers, consisted of an online scan and three follow-up conference calls with program directors. The results are synthesized in an overall brief and separated by program: Senior Medicare Patrol (SMP), State Health Insurance Programs (SHIP), and Long-Term Care (LTC) Ombudsman programs.

Short URL: http://www.advancingstates.org/node/53174

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President’s Budget Proposal Fiscal Year 2013

President Obama’s proposed budget outlines the Administration’s fiscal and program priorities for FY13. ADvancing States’s preliminary analysis is framed by an interest in aging and disability program funding. The analysis reveals the proposal’s requests for food and nutrition services, independent living, caregiver support, protection of vulnerable adults, and Medicare and Medicaid. The accompanying chart shows the President’s FY12 and FY13 requests for relevant aging and disability programs.

Short URL: http://www.advancingstates.org/node/53163

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Participant Experience Survey

ADvancing States conducted a survey of state agencies on aging and disability to determine if they conducted participant experience surveys to ensure quality. This asked four basic questions: if the state conducts participants experience survey; the frequency of conducting the survey; how the survey was completed; and who conducts the survey. The appendices include sample participant experience surveys from various states.

Short URL: http://www.advancingstates.org/node/53161

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