Category

Home & Community Based Services

Fact Sheet: Make the Expanded Spousal Impoverishment Protection Permanent

By | FACT SHEET, Health Care, Home & Community Based Services, Medicaid, REPORTS

Married seniors and adults with disabilities overwhelming want to live at home and age in place. Increasingly, federal and state Medicaid rules have prioritized home and community-based services (HCBS) which allow people to stay in their homes and in their communities. Congress recently helped these efforts by expanding a Medicaid eligibility rule, known as the spousal impoverishment protection, to individuals eligible for HCBS. The protection makes it possible for an individual who needs a nursing home level of care to qualify for Medicaid while allowing their spouse to retain a modest amount of income and resources. However, the expansion of the spousal impoverishment protection is set to expire on March 31, 2019 unless Congress acts. This means that individuals who qualified under the expanded protection may lose access to Medicaid and to their HCBS and may be left with no choice but to move into institutional long-term care, away from their spouses.

Letting the spousal impoverishment protection expire will hurt families and force more people out of their homes and their communities. We urge Congress to make the expanded spousal impoverishment protection permanent so seniors and people with disabilities can age in place and with dignity.

Justice in Aging has created a fact sheet on the importance of the expanded HCBS spousal impoverishment protection and calling on Congress to make it permanent so seniors and people with disabilities can age in place and with dignity.

More older residents on Medicaid wait list in Florida than any other state, attorney says

By | Health Care, Home & Community Based Services, IN THE NEWS, In-Home Supportive Services, LITIGATION, Long Term Care, Medicaid

Florida Record: More older residents on Medicaid wait list in Florida than any other state, attorney says (January 7, 2019)

A lawsuit has been filed against the state of Florida over extremely long wait time in accessing in-home Medicaid care. Justice in Aging, along with Disability Rights Florida and the Southern Legal Counsel, is representing the six plaintiffs currently suing the state.

“According to national statistics, there are more older adults and adults with disabilities on the wait list for community-based services in Florida than any other state,” Regan Bailey, litigation director for Justice in Aging. “The failure to provide long-term care places people at risk of unnecessarily entering a nursing facility just to get the care they need which should be provided at home.” Read the full article.

How States Can Prevent Evictions When Implementing Federal HCBS Regulations

By | Health Care, Home & Community Based Services, ISSUE BRIEF, REPORTS
This new issue brief discusses how states should implement the new federal Home and Community-Based Services (HCBS) regulations in order to prevent improper evictions.

In 2014, the Centers for Medicare and Medicaid Services (CMS) released regulations that set standards for the settings in which HCBS are provided. To implement these regulations, each state must have a transition plan approved by CMS by March 2019, with full compliance required by March 2022.
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Senate ACA-Repeal Knocks Down House, Builds Shack

By | Affordable Care Act, BLOG, Health Care, Health Care Defense, Home & Community Based Services, HOMEPAGE
Over 90% of older adults say that they want to remain in their homes as they age, rather than going into a nursing home. A successful and popular program, Community First Choice (CFC), lets people do just that.

The revised Senate health care bill brings an idea that should be a hard sell for the over 3 million older adults and people with disabilities who rely on Medicaid for in-home care. On top of a massive almost $800 billion cut to Medicaid that guarantees shrunken programs and eliminated services, the Senate bill kills CFC and replaces it with an inferior version that provides fewer services for a limited time only.

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As Demand for At-Home Care Grows, States Debate How to Pay for It

By | Home & Community Based Services, IN THE NEWS, Long Term Care, Medicaid, Nursing Homes

Governing.com: As Demand for At-Home Care Grows, States Debate How to Pay for It (7/2017) Justice in Aging’s Kevin Prindiville discusses the increasing funding need for at home and in-community-based programs as older Americans opt to stay home. “The trend is shifting at every level to care at home and in community-based settings. People are increasingly asking for and expecting this.”

New Regulations Create Opportunity for Better Long Term Services and Supports: Medicaid Managed Care Regulation Preview

By | BLOG, Health Care, Home & Community Based Services, HOMEPAGE, In-Home Supportive Services, Person-Centered Care Planning
States and the federal government spend over $14 billion a year on Medicaid managed long-term services and supports—yet, there has never been an clear federal regulation defining state and managed care plan responsibilities in this massive enterprise. Until now. Last week, the federal Centers for Medicare & Medicaid Services (CMS) released a final regulation on Medicaid Managed Care. This new regulation details, among other things, the federal government’s expectations for states and managed care organizations (MCOs) that contract to deliver managed long-term services and supports (LTSS) for older adults and people with disabilities. Read More

WEBINAR: California’s New Health Homes Program: The Basics

By | Health Care, Home & Community Based Services, WEBINAR
When: Wednesday, March 30, 2016 11 a.m.- 12 p.m. PDT

The state of California is moving forward with implementation of the Health Homes for Patients with Complex Needs also known as the Health Homes Program (HHP). The HHP is aimed at providing extensive care coordination for the highest risk Medi-Cal beneficiaries to improve their health outcomes. Implementation is scheduled to begin in certain counties starting January 1, 2017.

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Just Like Home: The Impact of the Federal HCBS Regulations on Older Adults

By | Home & Community Based Services, ISSUE BRIEF, Medicaid, REPORTS

New federal regulations have established first-time standards for when settings qualify as “community-based” for the purposes of Medicaid-funded Home and Community-Based Services (HCBS). Each state is charged with developing a transition plan to meet these standards. These plans will have a huge impact on older adults receiving Medicaid-funded HCBS in assisted living, adult day services, and other settings.

Consumers and their advocates must be heard in the states’ transition planning processes. Justice in Aging’s new issue brief provides policy recommendations for consideration by states and stakeholders. The transition plans must confront and answer many important questions.

  • What service models are eligible for payment?
  • Should services in assisted living facilities be covered?
  • What about adult day care programs?
  • Does the size of these programs matter?
  • And should programs be allowed to be “secure”, i.e., locked, if they care for persons with dementia?

The recommendations address (among other things) how to assess settings for compliance, judging whether a setting is integrated with the community, protecting consumers from eviction, and applying the regulations when consumers have dementia.

WEBINAR: Just Like Home: The Impact of the Federal HCBS Regulations on Older Adults

By | ASSISTED LIVING, Health Care, Home & Community Based Services, Medicaid, WEBINAR
When: Tuesday, June 9 at 2:00 p.m. ET/11:00 a.m. PT

The new federal home and community-based services (HCBS) regulations offer an opportunity for states and stakeholders to improve Medicaid long-term services and supports for older adults.  At the state and national level, the transition process to comply with the regulations is initiating thoughtful discussions about what it means to provide quality, community-based care, in a variety of settings. Read More