Reports

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Older Americans Act: HHS Could Help Rural Service Providers by Centralizing Information on Promising Practices

This report discusses how HHS can help rural service providers cope with the challenges of meeting the demand for home and community-based services in rural areas. Specifically, GAO recommends the consolidation of information regarding promising practices to allow local officials and rural service providers to more readily access this information.

Short URL: http://www.advancingstates.org/node/71584

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Mobility Managers: Transportation Coordinators for Older Adults, People with Disabilities, Veterans, and Other Members of the Riding Public

This paper describes the roles of mobility managers and explores the benefits of focusing on the individual and their unique transportation challenges. The report highlights emerging innovations from five case studies and presents the results of a national survey and inventory of mobility managers. It also discusses the future role of mobility managers in long-term services and supports.

Short URL: http://www.advancingstates.org/node/71583

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The New Medicaid Waivers: Coverage Losses for Beneficiaries, Higher Costs for States

This report highlights Medicaid waiver policies that could result in many people losing coverage, even as states incur greater costs. This report offers a detailed assessment of emerging waiver trends, providing insights into its critical implications. The report also describes how examining the research literature and evaluations of programs that impose similar policies can provide guidance on predicting the coverage and cost impacts of emerging waivers on Medicaid beneficiaries and states.

Short URL: http://www.advancingstates.org/node/71467

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Older Americans in the Workforce

This report examines older adults in the workforce. It uses data on retirement-age Americans’ incomes, health, and activities gathered from the Census Bureau, Bureau of Labor Statistics, and Centers for Disease Control (CDC). An increasing number of older adults are participating in the labor force, many of them college-educated. This participation growth is driven largely by improved health.

Short URL: http://www.advancingstates.org/node/71363

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Support Needs of People With I/DD and Co-Occurring Mental Health Challenges and Their Families

This brief focuses on the needs of individuals with intellectual and developmental disabilities who are also experiencing mental illness. The Arc explored the unique challenges faced by these individuals through focus groups and national panels. This brief summarizes the findings from these activities and includes recommendations for the development of new training, systems change activities, research, and greater public awareness around I/DD and mental health issues.

Short URL: http://www.advancingstates.org/node/71336

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Medicaid Home and Community-Based Services Enrollment and Spending

This issue brief highlights Medicaid HCBS enrollment and spending data from the Kaiser Family Foundation's 17th annual state survey. The report found that nearly all Medicaid HCBS enrollment (86%) and spending (93%) went to services provided at state option. This optional nature of most HCBS covered populations and services puts individuals at risk of losing services if the current structure of Medicaid financing were to change.

Short URL: http://www.advancingstates.org/node/71326

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Driverless Cars and Accessibility – Designing the Future of Transportation for People with Disabilities

This report highlights the potentially transformational power of autonomous vehicles (AVs). AVs have the opportunity to significantly benefit individuals with disabilities, but only if automakers work to ensure accessible design. The report states that key partners must work together on universal design now so that AVs can be developed to meet every potential driver's needs from the beginning, including wheelchair users.

Short URL: http://www.advancingstates.org/node/71325

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Nonfatal Assaults and Homicides Among Adults Aged ≥60 Years — United States, 2002–2016

This report was published as part of the CDC's Morbidity and Mortality Weekly Report. It examines the rate of violence against adults aged sixty and over using fifteen years of data on assaults and homicides. The results indicate that during this time frame, the nonfatal assault rate has jumped significantly, especially among older men. The homicide rate for older men also increased.This study demonstrates the need for improved violence prevention efforts among older adults.

Short URL: http://www.advancingstates.org/node/71324

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State Long-Term Care Ombudsman Program: 2019 Revised Primer for State Agencies

This updated primer explains key provisions of the Ombudsman rule. It highlights promising practices for coordination between State Agencies and the State Long-Term Care Ombudsman Program in long-term services and supports. The report was co-authored with the National Consumer Voice for Quality Long-Term Care, who serves as a partner in the Administration for Community Living funded National Long-Term Care Ombudsman Resource Center (NORC).

Short URL: http://www.advancingstates.org/node/71313

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Collaborating to Address HCBS Workforce Challenges in MLTSS Programs

This report is the third in a series of publications from the MLTSS Institute. The report identifies the challenges and promising practices in addressing the mismatch between supply and demand for direct care workers in long term services and supports programs, all viewed through the lens of MLTSS programs. This report is co-authored by ADvancing States and Sage Squirrel Consulting, LLC.

Short URL: http://www.advancingstates.org/node/71262

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