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State Trends in the Delivery of Medicaid Long-Term Services and Supports

This brief draws from interviews with states operating new and long-standing MLTSS programs to identify six major trends in the refinement of MLTSS and underlying LTSS delivery systems nationally. The states examined in this brief are strengthening their Medicaid MLTSS programs to serve more LTSS beneficiaries and facilitate the development of integrated care programs that reduce service fragmentation for Medicare-Medicaid enrollees, particularly through Medicare Advantage D-SNPs

Short URL: http://www.advancingstates.org/node/72157

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Reimagining Aging in America: A Blueprint to Create Health and Economic Security for Older Adults

US Senator Bob Casey (ranking member, Special Committee on Aging) has released a new report on how COVID-19 has exacerbated the challenges facing older Americans. The report outlines a blueprint for addressing the problems older adults face and highlights the services necessary to ensure Americans can age with dignity. This report contains policy recommendations that address three main areas: health care, economic security, and social supports.

Short URL: http://www.advancingstates.org/node/72152

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Money Follows the Person: State Transitions as of December 31, 2019

CMS has released a new report on community transitions that occurred under the Money Follows the Person (MFP) program from 2008 to the end of 2019. The report states that during this time, states transitioned 101,540 people to community living through MFP. In the most recent year (2019), MFP grantee states transitioned a total of 4,173 individuals. The report includes additional information on transitions broken down by population and state.

Short URL: http://www.advancingstates.org/node/72151

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Selection Processes for Social Security Administration Representative Payees of Adults

This independent study describes SSA's current processes for selection of representative payees for adults. As part of the study, Pamela Teaster and Laura Sands (Virginia Tech Center on Gerontology), and Erica Wood (formerly American Bar Association Commission on Law and Aging) conducted in-depth interviews and surveyed field office managers. The authors identify a number of recommendations to improve the efficiency and effectiveness of Social Security's payee appointment and selection.

Short URL: http://www.advancingstates.org/node/72148

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COVID-19 & Survey of Adults with Disabilities: Health and Health Care Access: Comparative Analysis of Results by Type of Disability

In April 2020, the American Association on Health & Disability (AAHD) conducted a survey to assess COVID-19's impact on access to healthcare for adults with a range of disabilities. This new comparative report complements their previous survey publications. The report analyzes survey results by type of disability and examines differences/similarities in disability group responses during COVID-19.

Short URL: http://www.advancingstates.org/node/72137

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Becoming a Medicare Fee-For-Service Provider: What CBOs Need to Know

This guide highlights the benefits and opportunities available for CBOs interested in providing services under Medicare FFS. It describes important considerations including billing and filing processes, culture change, and regulatory compliance. The guide also reviews how to enroll as a Medicare provider and outlines which services CBOs can offer.

Short URL: http://www.advancingstates.org/node/72132

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Process and Application Changes to Benefit Enrollment Systems During COVID-19: Findings from State Aging and Disability Agencies

This issue brief explores adjustments that states have made to processing eligibility and enrollment for benefits access, including changes to application and supporting document requirements. Examples of opportunities and adjustments that states have made to ensure older adults and persons with disabilities have access to critical benefit programs during the pandemic are highlighted. Data and findings are drawn from the ADvancing States 2020 COVID-19 Membership Survey.

Short URL: http://www.advancingstates.org/node/72130

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Compendium of Medicaid Home- and Community-Based Services Waiver Waiting List Administration

This compendium includes select information on waiver capacity and waiting list management. The compendium highlights over 200 approved Section 1915(c) and Section 1115 waivers across all 50 states and DC. As an accompaniment to this compendium, MACPAC has also released an issue brief. This issue brief includes a description of the waiver analysis conducted in the compendium. It also features information from stakeholder interviews.

Short URL: http://www.advancingstates.org/node/72122

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HHS Could Enhance Support for Grandparents and Other Relative Caregivers

This report analyzes the challenges grandparents and older relatives face as primary caregivers. The report outlines the numbers of grandparent and older relative caregivers, and the reasons for this care. It also examines how HHS supports state efforts to use federal programs and initiatives to assist these caregivers. GAO concludes the report by making recommendations for how HHS could improve the sharing of information and best practices about older caregivers with states.

Short URL: http://www.advancingstates.org/node/72118

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