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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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Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations

In 2021, under a recently released rule from CMS, D-SNPs will be required to notify the state or state’s designee when enrollees experience Medicare-covered hospital or skilled nursing facility admissions in order to ensure timely transitions of care. The Integrated Care Resource Center has released a brief that examines approaches from three states – Oregon, Pennsylvania, and Tennessee – to develop and implement information-sharing processes for their D-SNPs that support care transitions.

Short URL: http://www.advancingstates.org/node/71656

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Side-by-Side Comparison of Current & Recently Released Federal Nursing Home Regulations (Including Arbitration Agreements)

CMS published a proposed rule to revise the current federal nursing home regulations and a final arbitration rule. Consumer Voice has released a side-by-side comparison chart of the current and the newly released proposed rules, as well as the final arbitration rules.

Short URL: http://www.advancingstates.org/node/71655

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Complex Needs and Growing Roles: The Changing Nature of Information and Referral/Assistance

A project of ADvancing States and NCIL, this report shares information on a range of issues – including services and referrals, technology and social media, partnerships and systems, quality assurance, training and certification, and sustainability – from the perspectives of I&R/A professionals in state agencies on aging and disability, Area Agencies on Aging, Centers for Independent Living, Aging and Disability Resource Centers, No Wrong Door systems, and other non-profit human service organizations.

Short URL: http://www.advancingstates.org/node/71654

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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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Medicare Part D Extra Help Continued Assistance: Redeeming, Redetermination, and Reassignment

The National Council on Aging (NCOA) released a fact sheet that provides information for the Medicare Extra Help/Part D Low-Income Subsidy (LIS). The fact sheet includes information on redeeming, redeterminations, and reassignment for the LIS/Extra Help program.

Short URL: http://www.advancingstates.org/node/71644

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Designing a State-Based Social Insurance Program for Long-Term Services and Supports

The National Academy of Social Insurance released a report on potential designs for universal family care. The report highlights state program design proposals for early child care and education, paid family and medical leave, and long-term services and supports. The LTSS section of the report proposes four design issues states may face in developing a social insurance program for LTSS.

Short URL: http://www.advancingstates.org/node/71638

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Moving Forward Together: Opportunities to Improve Program Integrity in Medicaid Non-Emergency Medical Transportation

The Leavitt Partners released a report reviewing the Medicaid non-emergency medical transportation (NEMT) benefit, focusing on the program integrity of the benefit. . The report examines challenges and opportunities for Medicaid directors in improving Medicaid NEMT program integrity.

Short URL: http://www.advancingstates.org/node/71629

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