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Caregiver Needed: How the Nation’s Workforce Shortages Make It Harder to Age Well at Home

New data from USAging shows that existing shortages in the caregiving workforce have grown during the COVID-19 pandemic and make it difficult for older adults to age well in their homes. This new report from USAging reveals that many AAAs and their direct care provider partners across the country are facing workforce shortages hindering their ability to provide home and community-based services to older adults.

Short URL: http://www.advancingstates.org/node/74100

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CMS Releases First-Ever Home and Community-Based Services Quality Measure Set

Late yesterday CMS released a State Medicaid Director Letter (SMDL 22-003) providing guidance for the first-ever HCBS Quality Measure Set, the first of two planned guidance documents from CMS. The HCBS Quality Measure Set is included in the SMD, starting on page 14. The list of measures includes the NQF number (if applicable), measure steward, and data collection method, as well as information on whether each measure addresses section 1915(c) waiver assurances and/or can be used to assess access, LTSS rebalancing, and/or community integration and HCBS settings requirements.

Short URL: http://www.advancingstates.org/node/74041

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Housing and Services Resource Center

The Housing and Services Resource Center was created for people who work in the space of housing resources and homelessness services, behavioral and mental health services, independent living services and other supportive services. The Center is part of a partnership between the U.S. Department of Health and Human Services and the U.S. Department of Health and Human Services and the U.S. Department of Housing and Urban Development to expand affordable housing, improve home and community-based services, and address bias in America's long-term care system.

Short URL: http://www.advancingstates.org/node/73996

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Timely Brandeis Study Utilizes NCI-AD Data to Highlight Connections Between Unmet Needs for Medicaid HCBS and Poor Health and Community Living Outcomes

The study examined self-reported data from over 10,200 Medicaid HCBS beneficiaries across 13 states using the NCI-AD survey. Unmet needs for Medicaid HCBS were consistently and significantly associated with poor health outcomes (emergency department visits, hospital stays, and preventative care) and community living outcomes (community participation, relationships with family and friends, satisfaction with how time is spent during the day, and sense of control in life.

Short URL: http://www.advancingstates.org/node/73209

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CMS Launches Webpage to Share Innovative State Actions to Expand Medicaid Home and Community-based Services

On Thursday, October 21, 2021 CMS launched a new “one-stop shop” for state Medicaid agencies and stakeholders on Medicaid.gov to advance transparency and innovation for home and community-based services. Through this new webpage, state Medicaid agencies and stakeholders can access information about states’ plans to enhance, expand, and strengthen home and community-based services across the country using new Medicaid funding made available by the American Rescue Plan Act of 2021 (ARP).

Short URL: http://www.advancingstates.org/node/73207

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State Medicaid Home & Community-Based Services (HCBS) Programs Respond to COVID-19: Early Findings from a 50-State Survey

This issue brief presents early findings from the most recent KFF 50-state survey of Medicaid HCBS programs, focusing on state policies adopted in response to the pandemic, the pandemic’s impact on Medicaid HCBS enrollees and providers, and states’ early plans for the new American Rescue Plan Act (ARPA) 10 percentage point temporary increase in federal Medicaid matching funds for HCBS.

Short URL: http://www.advancingstates.org/node/72975

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CMS Offering Free HCBS Technical Assistance

CMS, in collaboration with New Editions Consulting Inc. is offering free HCBS technical assistance to states who are: planning on expanding Medicaid home and community-based services, and/or changing approaches and strategies to be more responsive to CMS guidance, stakeholder input, and state priorities, and/or modifying current HCBS programs based on state and stakeholder experiences in response to the COVID-19 Public Health Emergency.

Short URL: http://www.advancingstates.org/node/72501

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Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

The Centers for Medicaid & Medicare Services released a report that profiled the 10 states with the greatest change in Long-Term Services and Support (LTSS) system balancing. The report highlights characteristics of the 10 states and compares their change in LTSS system balancing with other states and provides a national overview on LTSS system balancing. State profiles consist of characteristics and strategies states utilized in their progress towards rebalancing their LTSS systems.

Short URL: http://www.advancingstates.org/node/71673

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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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Electronic Visit Verification: Implications for States, Providers, and Medicaid Participants

This report describes key considerations and policy decisions that states should consider as they work to implement EVV systems in accordance with the mandate included in the 21st Century Cures Act. The paper also examines different approaches that states may wish to use to establish EVV within their HCBS programs, and discusses some of the benefits and challenges associated with each approach. Lastly, it includes case studies of four states with existing EVV systems.

Short URL: http://www.advancingstates.org/node/70393


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