NASUAD Publications

Title Summary
Medicaid HCBS Settings Regulations and Adult Services This report details results of a survey administered to Adult Service providers to learn more about the locations, funding sources, and supports that these programs provide to seniors and people with disabilities. The report demonstrates how Adult Services include a wide array of services, including a combination of social and medical supports. NASUAD is concerned that new CMS regulations may reduce the number of available providers in the Medicaid program.
The State of Senior Hunger in America 2013: An Annual Report This report provides an overview of the extent and distribution of food insecurity in 2013 among seniors, along with trends over the past decade using national and state-level data.The report finds senior hunger is on the rise, and in 2013, 15.5% of seniors (or 9.6 million) faced the threat of hunger. If you would like to request a hard copy version, please email Ali Diaz at adiaz@nasuad.org
NCI-AD Consumer Survey Pilot Results This final report shares results from the 2014 pilot of the National Core Indicators-Aging and Disabilities (NCI-AD) Consumer Survey in Georgia, Minnesota, and Ohio. The results are sorted by state and funding source within the state. Since the goal of the pilot was not to compare these states, but instead to test and refine the NCI-AD Consumer Survey, the three states are not identified in the report; they are simply referred to as State 1, State 2, and State 3.
Community-Based Organizations and MLTSS: An Issue Brief to Assess CBO Readiness As almost half of the States have implemented MLTSS programs, community-based organizations, will be significantly impacted. At the 2013 HCBS conference, NASUAD, with support from the SCAN Foundation, held a day-long intensive to discuss these impacts. This report outlines 5 discrete roles that CBOs are well-suited to play in MLTSS programs using as a reference point CMS’ 2013 guidance on MLTSS program design and implementation. To request a hard copy version, email Ali Diaz at adiaz@nasuad.org.
MLTSS Care Coordination and Ombudsman Case Studies Community-based organizations will be notably impacted by States' implementation of MLTSS programs. Case studies on ombudsman programs and care/service coordination–culled from the MLTSS intensive at the 2013 HCBS Conference–complement the issue brief on CBO readiness. The ombudsman case studies highlight activities in Wisconsin, Hawaii, & Minnesota, while the care/service coordination case studies discuss CBO experiences in Massachusetts & Ohio. Both studies feature successful CBO practices.
2014 State of the States in Aging and Disabilities In 2014, NASUAD surveyed state aging and disability agencies regarding the significant policy, fiscal, and operational issues occurring within each state. The survey collected detailed information about the structure of agencies, the supports provided, and the populations served by aging and disability agencies. Of particular interest is the summary of services provided in Medicaid waivers across the country. All of this information is presented in the charts accompanying this document.
At the Crossroads: Providing Long-Term Services and Supports at a Time of High Demand and Fiscal Constraint A survey of state aging, disability and Medicaid agencies was conducted in 2012, in order to better understand challenges and concerns for funding and providing quality LTSS. Five common themes were identified in this report, including staff turnover and reductions during a sluggish recovery of state budgets. Other findings include an overall expansion of home and community-based services, LTSS transformation and reduced funding and high demand for non-Medicaid aging and disability services.
A Primer for State Aging Directors and Executive Staff State Long-Term Care Ombudsman Program This document is designed to enable new State Unit on Aging (SUA) Directors to quickly understand the unique role of the State Long-Term Care Ombudsman Program (SLTCOP). The Older Americans Act (OAA) establishes this program with responsibilities that make it different from other aging programs. Within the network of services provided under the OAA, the LTCOP has some mandates that set it apart from other services.
Aging and Disability Information and Referral/Assistance Networks: Challenges and Opportunities Review a new survey of organizations that provide services within the I&R/A Network. The following themes emerged from the survey: aging and disability networks continue to integrate; the use of technology in I&R/A service delivery is slow to develop; the role of I&R/A organizations is expanding; and there are opportunities for improved coordination and quality service delivery. Review the recommendations that address these themes.
Guardianship Laws and Durable Powers of Attorney: 2013 NASUAD Survey results In January of 2013, NASUAD sent a survey to its members and a list of long-term care contacts in the states seeking information about guardianship laws and practices and about how states assure appropriate use of durable powers of attorney. Review the results from the 20 states who responded.

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