Policy alerts, briefs, letters & papers

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Enticing Dually Eligible Beneficiaries to Enroll in Integrated Care Plans

The Financial Alignment Initiative (FAI) is intended to improve the quality of care and reduce spending for low-income people who are dually eligible. Mathematica researchers conducted a study to identify reasons for the varying participation rates across states. This brief explores the details of two major factors: passive enrollment and demonstration/MLTSS alignment.

Short URL: http://www.advancingstates.org/node/71771

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Executive Order, Commonwealth of Pennsylvania Governor’s Office: Protection of Vulnerable Populations

On July 31, Governor Tom Wolf of Pennsylvania announced, by an executive order, an overhaul of the state services and systems to protect the most vulnerable Pennsylvanians. The executive order establishes an Office of Advocacy and Reform, Child Advocate, and Council on Reform. The executive order also lists responsibilities of the state agencies and the Governor’s Office of Performance through Excellence.

Short URL: http://www.advancingstates.org/node/71697

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CMCS Informational Bulletin: Additional EVV Guidance

CMS released a bulletin addressing frequently asked questions regarding Electronic Visit Verification (EVV) requirements to beneficiaries receiving in-home care. This bulletin responds to questions surrounding beneficiaries with live-in caregivers, services delivered partially in the beneficiary's home, the provision of medical supplies, equipment, and appliances as a component of the Medicaid home health benefit, and the use of web-based timesheets as an EVV method.

Short URL: http://www.advancingstates.org/node/71661

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Information and Referral/Assistance’s (I&R/A) Role in Connecting Clients to Benefits

This brief is a summary of survey results related to aging and disability agencies and I&R/A specialists' role in connecting individuals with public benefits. It provides an opportunity to learn about benefits screening, assistance, and outreach within aging and disability networks.

Short URL: http://www.advancingstates.org/node/71380

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Medicaid: What to Watch in 2019 from the Administration, Congress, and the States

This brief highlights the importance of ongoing litigation around the ACA and discusses Medicaid demonstration waiver activities. It also addresses the recent passage of bi-partisan legislation with new tools and financing that states can use to strengthen their response to the opioid crisis. Finally, the brief reviews issues including Medicaid financing for Puerto Rico and USVI; Medicaid and public charge changes; and reforms in benefits, payment and delivery systems.

Short URL: http://www.advancingstates.org/node/71071

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Older Americans Act Title III-C Nutrition Services Program: An Examination of Social Activities at Congregate Meal Sites and Their Role in Improving Socialization Outcomes of Participants

This brief is based on surveys of local service providers and participants at congregate meal sites. The brief examines whether the effect of congregate meal participation on socialization outcomes differs for participants who attend meal sites that offer social activities and those who attend meal sites that do not offer these activities.

Short URL: http://www.advancingstates.org/node/71039

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.advancingstates.org/node/70901

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Policy Spotlight: New Federal Law and Rules Open Door for Integrated Care in Medicare Advantage

This brief summarizes how recent changes to Medicare Advantage may enable AAAs and other CBOs to form new partnerships with Medicare Advantage plans. These partnerships can be used to provide supplemental benefits, such as home-delivered meals and transportation, to beneficiaries. The updated brief covers additional guidance from CMS on the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act.

Short URL: http://www.advancingstates.org/node/70807

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Elder Justice Policy Highlights Report: February - August 2018

This report highlights elder justice legislation from February to August 2018. The legislation referenced in the report was elicited using NCEA's Listserv as well as independent websites. This particular edition compiles updates from twenty-one states and also includes policy news at the national level.

Short URL: http://www.advancingstates.org/node/70769

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