Category

Medicaid

Free Webinar: The Impact of Medicaid Work Requirements on Family Caregivers and Older Adults

By | Health Care, Health Care Defense, Medicaid, WEBINAR, Webinar Trainings

When: Thursday, December 13, 2018 from 10am – 11 am PT/ 1 pm -2pm ET.

Medicaid is an important source of health insurance coverage for many of the 40 million family caregivers in the United States who do not have access to other affordable coverage options. However, many states are in the process of designing or implementing policies that require family caregivers and others who are eligible for Medicaid to work a certain number of hours per month or qualify for an exemption to maintain their health coverage. Despite “caregiver” exemptions, these burdensome work requirements will cause many family caregivers who are in fact eligible for Medicaid to lose their coverage.

This webinar highlights key findings from a new Justice in Aging issue brief. We discuss our state-by-state survey of how Medicaid work requirements apply to family caregivers and analysis of the particular harms they will cause to family caregivers and the older adults they care for.

Closed captioning is available on this webinar. 

Learn more and read the brief

Who Should Participate:
Aging, family caregiver, and legal advocates and others wanting to learn more about how Medicaid work requirements impact family caregivers and older adults.

Presenters:
Natalie Kean, Staff Attorney, Justice in Aging
Lynn Friss Feinberg, Senior Strategic Policy Advisor, AARP Public Policy Institute

Moderator: 
Jennifer Goldberg, Directing Attorney, Justice in Aging

This webinar took place on Thursday, December 13, 2018 from 10am – 11 am PT/ 1 pm-2pm ET.

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Issue Brief: Medicaid Enrollees Put at Risk When State Medicaid Programs Assume Support from Family Caregivers

By | Health Care, Health Care Defense, ISSUE BRIEF, Medicaid

A new Issue Brief reveals how states’ assumptions often deprive Medicaid recipients of needed assistance.

Under Medicaid law, all assistance by friends and family members must be voluntary. This brief, based on a review of over 100 administrative decisions in several states, shows how Medicaid programs violate this law to the detriment of people on Medicaid. Medicaid programs often deny services based on family assistance that is not available. This puts lives at risk, increases the chances that a beneficiary will have to be institutionalized, and forces families to make impossible choices between caring for a family member and going to work.

The issue brief outlines states’ responsibility to respect the voluntary nature of assistance, examines how some states approach the issue, and suggests public policy responses to ensure that states authorize adequate assistance.

Rachel Gershon, of the University of Massachusetts Medical School’s Center for Health Law and Economics co-authored this paper with Justice in Aging attorney, Eric Carlson. The paper is part of a post-fellowship project with Justice in Aging and the Borchard Foundation Center on Law and Aging. 

Free Webinar: Improvements to the Qualified Medicare Beneficiary Program (QMB) – Part One

By | Health Care, Medicaid, Medicare, WEBINAR, Webinar Trainings

Part 1: Monday, September 24, 2018 at 11:00 a.m. PT / 2:00 p.m. ET.

The Qualified Medicare Savings Program (QMB) helps low-income Medicare beneficiaries pay for their health insurance by covering Part A and B premiums and cost-sharing. State Medicaid programs, which administer QMB, have a responsibility to screen for eligibility, but many individuals still face challenges enrolling into the QMB program. Another challenge is that even after beneficiaries are enrolled in the program, some Medicare providers, in violation of federal law, bill QMBs for costs covered by Medicare. In the past two years, the Centers for Medicare and Medicaid Services (CMS) has implemented a number of changes to the QMB program, which touch both beneficiaries and providers, and are designed to reduce improper billing.

This two-part webinar, The Qualified Medicare Beneficiary Program: Eligibility, Challenges, and New Developments, provides an overview of the QMB program and eligibility criteria. The webinar also covers challenges to eligibility and under-utilization, and reviews the recent CMS administrative changes intended to curb improper billing.

Part One of the two-part webinar:

  • Provides an overview of the QMB program, including eligibility and utilization
  • Looks at challenges to enrollment, including state enrollment procedures and data transfer issues
  • Discusses recent improvements in enrollment procedures for individuals who need QMB because they do not have premium-free Medicare Part A.

Who Should Participate: 

  • Aging and legal advocates, community-based providers, health plan leadership, and others wanting to learn more about the QMB program and improper billing.

Presenters:
Georgia Burke, Justice in Aging
Denny Chan, Justice in Aging

Part One took place on Monday, September 24, 2018.

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Additional Materials

Fact Sheets: New Resources on How Trump’s Public Charge Impacts on Older Adult Immigrants

By | CA Health Network Alert, Economic Security, FACT SHEET, Health Care, Medicaid, Social Security

Advocates are preparing to respond to a new “public charge” rule from the Trump Administration that would put immigration status at risk if an immigrant seeks access to an array of programs that support health, nutrition, and economic stability.

If implemented, this rule would harm older immigrants, their families, and caregivers. The rule would make it much more difficult for U.S. citizens and residents to welcome aging parents or other family members into the country. Seniors and their families may be afraid to go to the doctor or get helping paying for food or rent. Additionally, many immigrant older adults work as caregivers for very low pay. This rule would make it harder for them to access benefits like Medicaid and SNAP (Supplemental Nutrition Assistance Program).

Justice in Aging has a new fact sheet that provides an overview of the harms to older adults, their families, and caregivers that the Trump Administration’s changes to the “public charge” rule pose.  A California fact sheet provides an overview of these harms looking at California-specific data and programs.

Advocate Guide: Accessibility in Medicaid Managed Care

By | Advocate's Guide, Health Care, Medicaid, mltss

States require managed care plans who serve Medicaid enrollees to establish and maintain an internal grievance and appeal and fair hearing system. As states begin to incorporate new federal regulations into their Medicaid rules, there’s opportunity for advocates to help shape those rules to ensure that older adults and people with disabilities have equal access to the grievance and appeal and state fair hearing systems, as mandated by Section 504 of the Rehabilitation Act (“Rehab Act”), the Americans with Disabilities Act (“ADA”), and Section 1557 of the Affordable Care Act (“ACA”).

Disability Rights Education and Defense Fund (DREDF), Justice in Aging and National Health Law Program (NHeLP) collaborated on a new Advocates Guide to Accessibility in Medicaid Managed Care Grievances, Appeals, and State Fair Hearing. This new Advocates’ Guide, provides guidance on how the federal framework can be made fully accessible to Medicaid beneficiaries who are older and/or have disabilities.

Links to three accessible versions of the guide can be found below.

 

Supporting Older Americans’ Basic Needs: Health Care, Income, Housing and Food

By | FACT SHEET, Health Care, Health Care Defense, ISSUE BRIEF, Medicaid, Medicare, SENIOR POVERTY, Social Security, Supplemental Security Income

Older adults and their families strive each day to pay for health care and medicine, keep food on the table, have a roof over their heads, and have enough cash on hand to pay the utilities, get where they need to go and meet other basic needs. As families work together to meet these challenges, they are supported by a broad range of federal programs that provide Americans with the means to thrive as they grow older and remain at home and in their communities.

This issue brief discusses how these various programs work, who is eligible for them, and how they support the health and economic well-being of older Americans. For a quick overview, check out the fact sheet.

Talking Taxes Over Turkey

By | Affordable Care Act, BLOG, Economic Security, Health Care, Long Term Care, Medicaid, Medicare, Safety Net Defense
This week marks an important milestone for my wife and me – our first time hosting Thanksgiving. We’ll be bringing together three generations of family: our parents and some of their siblings, our siblings, and a growing crew of little ones. There will be good food, lots of laughs and, if my nephews can convince my daughters, some family football. Read More

Fact Sheet: Congress Tax Proposals Endanger Health Care for Older Adults

By | FACT SHEET, Health Care, Long Term Care, Medicaid, Medicare, SENIOR POVERTY

Congress is moving very quickly, aiming to have a bill signed into law by the end of the year. Advocates’ voices are needed to stop this reckless process that jeopardizes health care for millions. Our new fact sheet outlines the threats to health care for older adults and their families in both the House and Senate bills.

Justice in Aging’s Statement on the House Passage of the Tax Bill

By | Affordable Care Act, Health Care, Health Care Defense, Medicaid, Medicare, Social Security, Statements, Supplemental Security Income

Today, the House of Representatives passed a tax bill that is a full-fledged attack on the health and well-being of older Americans and their families.

As we’ve discussed, this is all part of the House Republican leadership’s two-step process. Step one is to cut taxes for the wealthy and drive up the deficit by $1.5 trillion. Step two is to use the higher deficit to justify additional future cuts to programs we all depend on, such as Medicare and Medicaid, Social Security and Supplemental Security Income (SSI), Older American Act programs, and many others.

The inevitable program cuts that Republican leadership will push for, after they balloon the deficit, will cause lasting harm to seniors today and in the future. Further, the House bill passed today eliminates the medical expense tax deduction that provides tax relief to millions of older adults with high out-of-pocket and long-term care costs and modest incomes.

This bill overwhelmingly benefits the wealthiest Americans and big corporations at the expense of everyone else. We urge the Senate to stop this reckless process and reject any bill that drives up the deficit and takes away health care from older Americans and their families.

Fact Sheet: 4 Ways the Tax Cuts & Jobs Act Threatens Older Adults’ Health Care

By | FACT SHEET, Health Care, Medicaid, Medicare, SENIOR POVERTY

Leadership in the House of Representatives is moving forward with its version of a tax bill that calls for enormous tax cuts for the wealthiest Americans and will drive up the deficit to the tune of $1.5 trillion.

Such a deficit will necessarily lead to cuts in programs that low-income older adults need, including Medicaid and Medicare. Justice in Aging created a short Fact Sheet: 4 Ways the Tax Cuts & Jobs Act Threatens Health Care for Older Adults to outline for advocates what’s at stake for older adults with Medicare and Medicaid and how the loss of the medical expense deduction could jeopardize the financial security of older Americans with high out-of-pocket health care costs or long-term care expenses.

Read the Fact Sheet