ADvancing States

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Strengthening the Aging Network Issue Brief: Older Americans Act Cost Sharing

States administering the Older Americans Act (OAA) have the option of providing recipients with a choice to cost share when using services. This brief explains the stipulations and parameters surrounding cost sharing – what OAA services allow or prohibit cost sharing and under what circumstances must services be provided when clients are unable to pay the cost share.

Short URL: http://www.advancingstates.org/node/53166

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2012 Survey on Medicaid Funded Long Term Services and Supports

A February 2012 online survey consisting of 30 questions was sent to all states and focused on three topics: consumer-directed personal care services; assessments and care plan changes; and case management. The survey results provide information about respondent states’ practices regarding Medicaid funded LTSS. Consumer-directed care was found to be provided majorly through waivers; most assessments contracted out; and case management paid for as a service rather than administrative cost.

Short URL: http://www.advancingstates.org/node/53165

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Older Americans Act Budgeting

Budgeting is a crucial aspect in the deliverance of Older Americans Act (OAA) services. This brief provides information geared at State directors to help them better understand various funding sources and requirements. This summary explains the Inter-State Funding Formula on which the Administration of Aging (AoA) distributes OAA funds as well as the Intra-State Funding Formula (IFF) on which states distribute OAA funds.

Short URL: http://www.advancingstates.org/node/53160

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Money Follows the Person: Impediments to Implementation

Money Follows the Person (MFP) is one program that appropriates federal grants to states to design programs to transition Medicaid beneficiaries from institutional care to home and community-based services. Beginning as a demonstration program, there are many impediments and uncertainties surrounding implementation. This overview provides a description of impediments as an opportunity for solutions that anticipate implementation issues and touches upon program start up, capacity, and access.

Short URL: http://www.advancingstates.org/node/53159

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Mental Health and Aging: Working together

This presentation took place on March 20, 2012 at the Aging in America Conference to demonstrate how the aging network can benefit from working with other agencies to provide more integrated services. Namely, the State Units on Aging working with mental health and substance abuse agencies and programs to provide for more comprehensive care that takes into consideration issues unique to the aging population, such as suicide and alcohol and prescription drug abuse.

Short URL: http://www.advancingstates.org/node/53158

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Medicare’s Preventive Services

Preventive services is one way of cutting down health care costs, as well as detecting health issues early. Medicare beneficiaries have access to many preventive services, including cancer screenings, glaucoma screenings, certain immunizations, etc. This fact sheet provides an overview and chart of the different preventive services available to Medicare enrollees, outlining the different services covered under the different Medicare plans or “parts”, especially Medicare Part B.

Short URL: http://www.advancingstates.org/node/53157

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Medicaid Enrollment Process: Results of January 2012 Mini-Survey

This survey was sent to all states and consisted of three questions regarding the enrollment of Medicaid providers of home and community-based services. Of the 23 states that responded, the results highlight different enrollment procedures and opportunities for HCBS providers and varying agency oversight. The results show that Medicaid HCBS provider enrollment oversight varies by state, the majority reporting that the Medicaid agency, as opposed to the state aging agency, manages the process.

Short URL: http://www.advancingstates.org/node/53156

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Impact of Sequester on FY13 Older Americans Act Programs

This chart shows the projected fiscal impact for FY2013 on Older Americans Act programs (such as HCBS Supportive Services, Home-Delivered Nutrition, Long-Term Care Ombudsman Program, and Preventive Health Services) after the passage of the Budget Control Act (BCA) of 2011. The chart displays calculated estimates of fiscal impact from both the Congressional Budget Office (CBO) and the Center on Budget and Policy Priorities (CBPP). Both the CBO and the CBPP estimates show cuts to all programs.

Short URL: http://www.advancingstates.org/node/53151

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Deficit Reduction and the Debt Ceiling

The debate surrounding the deficit reduction and the debt ceiling for FY 2012 has many implications for aging and disability policies, especially Older Americans Act (OAA) services. This brief outlines the current negotiations and proposals put forth to reach a long-term, bipartisan budget reduction agreement, including the McConnell Plan; the McConnell-Reid Plan; the Gang of Six; the Coburn Plan; and the Senate Budget Resolution. The Congressional Appropriations process is also discussed.

Short URL: http://www.advancingstates.org/node/53150

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Analysis of the National Commission on Fiscal Responsibility and Reform

Bowles and Simpson, the co-chairs of the National Commission on Fiscal Responsibility and Reform drafted their recommendations to achieve fiscal sustainability. This analysis provides an overview of the commission’s formation, its structure and recommendations, and its potential impact on the aging and disability networks. The report’s legislative recommendations have implications for Medicaid, Medicare, Social Security, Community Living Assistance Services and Supports (CLASS), and more.

Short URL: http://www.advancingstates.org/node/53149

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