Reports

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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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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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COVID-19 Medicare Regulation Tracking Tool

This issue brief analyzes COVID-19 related legislative, regulatory, and subregulatory changes to Medicare from January 1, 2020 to July 24, 2020. The brief groups these regulatory changes into nine themes and examines questions regarding the policy changes moving forward. The brief is accompanied by a policy tracker that categorizes all 212 changes based on factors including types of providers and plans affected, effective date, and expected duration.

Short URL: http://www.advancingstates.org/node/72115

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State Guide to Identifying Aligned Enrollees: How to Find Medicare Plan Enrollment for Dually Eligible Individuals in Medicaid Managed Care Plans

This technical assistance tool outlines how states can identify aligned and unaligned enrollees within their dually eligible populations. The first option described in this guide is accessing matching CMS data on Medicare enrollment with state data on Medicaid enrollment. The second option reviewed is collecting aligned enrollment data ddirectly from D-SNPs. This guide includes additional resources states can use to collect more information on identifying Medicare plan enrollment for duals.

Short URL: http://www.advancingstates.org/node/72114

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Work Matters: Making Progress in Employment for People with Disabilities

This new report is an update to a SEED report published in 2016 and includes legislation and executive actions enacted since the 2016 report. These updates are organized into five policy themes for inclusive employment: laying the groundwork, preparing for work, getting to and accessing work, staying at work; and self-employment and entrepreneurship. The updated report also highlights success stories from recent disability-inclusive policy efforts and actions in the states.

Short URL: http://www.advancingstates.org/node/72112

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Learning from New State Initiatives in Financing Long-Term Services and Supports

This report examines how states can help finance LTSS. It analyzes emerging LTSS social insurance strategies in six states: Washington, Hawaii, Maine, California, Michigan, and Minnesota. The report includes information from 42 stakeholder interviews in these states and outlines lessons learned during the policy change process.

Short URL: http://www.advancingstates.org/node/72108

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