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FACT SHEET

Fact Sheet: Medicaid Funding Caps Would Harm Older Americans

By | FACT SHEET, Medicaid, REPORTS, Uncategorized | No Comments

On February 16, 2017, Republicans released their latest proposal outlining their ideas to repeal and replace the Affordable Care Act. This proposal radically changes the Medicaid program by capping the amount states will receive in federal funding to deliver healthcare to low-income individuals. These capped proposals, either block grants or per-capita allotments, aim to catastrophically cut Medicaid and eliminate important consumer protections currently in place.

States will be forced to make difficult choices regarding what services they can deliver and what populations they will be able to serve, placing increased pressures on state budgets. Crucial programs that allow seniors to age at home rather than receiving care in institutional settings are at risk.

This latest replacement proposal does not come close to the improved coverage and affordability offered through the ACA for older adults. The plan will increase the cost of care and limit access to health care for older adults, especially low-to-middle income older adults. Specifically, the plan decreases tax credits, reintroduces high-risk pools for the most sick, and increases the availability of health savings accounts that provide little benefit for low to middle income consumers.

Justice in Aging has developed a new fact sheet showing how cuts to Medicaid through capped Medicaid funding would hurt older adults. For more detailed information on how capped funding would impact older adults, see our issue brief.

Why the Recently-Revised Nursing Home Regulations are Vital for Nursing Home Residents

By | FACT SHEET, REPORTS | No Comments

Consumer protection is a critical part of federal oversight for nursing facilities. The federal government issued revised nursing facility regulations in September, and most provisions became effective on November 28. The regulations are the product of over four years of work by the Centers for Medicare & Medicaid Services, including significant modifications in response to public comments received in mid-2015.

The new fact sheet, Why the Recently-Revised Nursing Home Regulations are Vital for Nursing Home Residents, provides a quick overview of some of the important new provisions, so that stakeholders and policymakers can better understand the revised regulations’ important role in improving nursing facility care. The revised regulations provide many benefits to nursing facility residents, including an increased focus on addressing a resident’s needs and preferences.

This fact sheet was developed by Justice in Aging in partnership with The National Consumer Voice for Quality Long-Term Care.

Series: A Closer Look at the Revised Nursing Facility Regulations

By | FACT SHEET, REPORTS | No Comments

The federal government issued revised nursing facility regulations in September, and most provisions became effective on November 28. Now is the time for advocates, providers, and others to better understand how the regulations are changing nursing facility care.

Justice in Aging, in partnership with The National Consumer Voice for Quality Long-Term Care, and the Center for Medicare Advocacy, is developing a series of issue briefs on different aspects of the revised regulations, entitled A Closer Look at the Revised Nursing Facility RegulationsThe series kicked off with a Fact Sheet entitled, Why the Recently Revised Nursing Home Regulations are Vital for for Nursing Home Residents. 

The series of issue-specific briefs are available below:

Assessments, Care Planning, and Discharge Planning

Involuntary Transfer and Discharge

Unnecessary Drugs and Antipsychotic Medications

Nursing Services

Social Security’s Rep Payee Program for Consumers

By | FACT SHEET, REPORTS, Social Security | No Comments

The Social Security Administration’s Representative Payee program is an important program for ensuring that older adults who can no longer manage their finances have someone trustworthy and competent to do it for them.

As the population ages and the prevalence of cognitive challenges among the older adult population increases, the Rep Payee program will become even more critical and will play an important role in preventing elder financial abuse. To protect seniors from financial exploitation or interruptions in benefits, it’s important for advocates and caregivers to understand key issues relating to the program.

Download and read the second in the series.

Justice in Aging, with the support of a Borchard Center Foundation on Law and Aging fellowship grant, will be producing a series of informational publications about the Representative Payee Program. 

Durable Medical Equipment: The Basics for California Advocates & Consumers

By | CA Health Network Alert, FACT SHEET, Medicare, REPORTS | No Comments
Justice in Aging has produced two new Fact Sheets for advocates and consumers: The first, for advocates, Durable Medical Equipment: The Basics for California Advocates,  offers definitions for DME, coverage levels by insurance type, and includes steps advocates can take to help clients access DME depending on their insurance coverage. The second, for consumers, Durable Medical Equipment: What You Need to Know, also offers definitions of DME and simple instructions for consumers on how to get DME covered based on which insurance they have. Both fact sheets include a section of troubleshooting tips for common difficulties encountered when accessing DME.

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Cal MediConnect Deeming and Aid-Paid-Pending

By | CA Health Network Alert, FACT SHEET, REPORTS | No Comments
Most individuals with full Medicare and Medi-Cal coverage are eligible to enroll in a Cal MediConnect plan. When a beneficiary loses full-scope Medi-Cal coverage, she also loses eligibility for Cal MediConnect.

  • What happens when your client loses eligibility for Cal MediConnect?
  • Is there a grace period to reestablish eligibility?
  • What are Cal MediConnect deeming and aid-paid-pending? How are they different?

Justice in Aging, with the support of the SCAN foundation, has prepared this fact sheet to help you learn some of the details of two Cal MediConnect eligibility protections: deeming and aid-paid-pending.

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Social Security’s Representative Payee Program Basics

By | FACT SHEET, REPORTS, Social Security | No Comments

More than ten million older adults rely exclusively on Social Security benefits as their primary source of income. As the population ages and the prevalence of Alzheimer’s disease and other cognitive impairments increases, more older adults will need to rely on others to manage their finances.

The Social Security Administration (SSA) has authority granted by Congress to appoint third parties, known as representative payees, to receive and manage payments when a beneficiary is unable to do so. To protect seniors from financial exploitation or interruptions in benefits, it’s important for advocates and caregivers to understand key issues relating to the program.

Download and read the first in the series.

Justice in Aging, with the support of a Borchard Center Foundation on Law and Aging fellowship grant, will be producing a series of informational publications about the Representative Payee Program. 

The Medicare Open Enrollment Period and Low-Income Individuals

By | FACT SHEET, Health Care, Medicare | No Comments

The annual Medicare Open Enrollment Period runs October 15 through December 7 2015. Advocates serving low-income individuals-even if you do not normally work on Medicare issues-to help Medicare-eligible can clients understand what they need to do. Our Fact Sheet for Advocates provides five basic tips for questions to raise when talking with clients. We also have a Fact Sheet for Consumers that you can give to your clients or use for outreach.

How is the CCI working?

By | FACT SHEET, REPORTS | No Comments

The Coordinated Care Initiative (CCI) is now underway in Los Angeles, Orange, Riverside, San Diego, San Bernardino, San Mateo, and Santa Clara counties. There are a number of evaluations being conducted to measure how well the CCI is working. Some beneficiaries will receive letters and phone calls requesting their participation in a focus group or telephone survey as part of the effort to evaluate the CCI.

This advocate fact sheet summarizes the major evaluations taking place over the next several years. While the full CCI evaluations will include interviews with beneficiaries, health plans, stakeholders, and community based providers, this fact sheet focuses specifically on how beneficiaries will be involved in each evaluation, including:

  • when the evaluations are taking place,
  • what the evaluations will entail, and
  • how beneficiaries will be contacted.