NASUAD Publications

Title Summary
The Senior Community Service Employment Program: A Primer for State Aging and Disability Directors The Senior Community Service Employment Program is the only federally mandated job training program that explicitly serves low-income adults, age 55 and older, to promote economic self-sufficiency and community service. This paper provides an overview of the program’s goals, its structure in different states, its funding, and the relationship between stakeholders. The mission of the SCSEP serves to empower older individuals by making them more employable in both the public and private sectors.
The Use of Volunteers in State Agencies on Aging and Disabilities The NASUAD assessment of the AoA funded project to develop a national volunteer resource center to enhance engagement of volunteers in the Aging Network, especially Baby Boomers, consisted of an online scan and three follow-up conference calls with program directors. The results are synthesized in an overall brief and separated by program: Senior Medicare Patrol (SMP), State Health Insurance Programs (SHIP), and Long-Term Care (LTC) Ombudsman programs.
Preliminary Analysis of the Continuing Resolution for FY11 The federal government reached a compromise to the budget crisis for fiscal year 2011 (FY11) with a bill consisting of billions in cuts to discretionary spending. This analysis of the Continuing Resolution (CR) for FY11 discusses the inconsistent allocation of funding and provides descriptions of the appropriated amounts for different departments and programs, especially those impacting the aging and disability network. The report is complemented by a budget table showing the amount of funds.
\President’s Budget Proposal Fiscal Year 2013 President Obama’s proposed budget outlines the Administration’s fiscal and program priorities for FY13. NASUAD’s preliminary analysis is framed by an interest in aging and disability program funding. The analysis reveals the proposal’s requests for food and nutrition services, independent living, caregiver support, protection of vulnerable adults, and Medicare and Medicaid. The accompanying chart shows the President’s FY12 and FY13 requests for relevant aging and disability programs.
2012 Survey on Medicaid Funded Long Term Services and Supports A February 2012 online survey consisting of 30 questions was sent to all states and focused on three topics: consumer-directed personal care services; assessments and care plan changes; and case management. The survey results provide information about respondent states’ practices regarding Medicaid funded LTSS. Consumer-directed care was found to be provided majorly through waivers; most assessments contracted out; and case management paid for as a service rather than administrative cost.
Strengthening the Aging Network Issue Brief: Older Americans Act Cost Sharing States administering the Older Americans Act (OAA) have the option of providing recipients with a choice to cost share when using services. This brief explains the stipulations and parameters surrounding cost sharing – what OAA services allow or prohibit cost sharing and under what circumstances must services be provided when clients are unable to pay the cost share.
Medicaid Enrollment Process: Results of January 2012 Mini-Survey This survey was sent to all states and consisted of three questions regarding the enrollment of Medicaid providers of home and community-based services. Of the 23 states that responded, the results highlight different enrollment procedures and opportunities for HCBS providers and varying agency oversight. The results show that Medicaid HCBS provider enrollment oversight varies by state, the majority reporting that the Medicaid agency, as opposed to the state aging agency, manages the process.
\Medicare’s Preventive Services Preventive services is one way of cutting down health care costs, as well as detecting health issues early. Medicare beneficiaries have access to many preventive services, including cancer screenings, glaucoma screenings, certain immunizations, etc. This fact sheet provides an overview and chart of the different preventive services available to Medicare enrollees, outlining the different services covered under the different Medicare plans or “parts”, especially Medicare Part B.
Mental Health and Aging: Working together This presentation took place on March 20, 2012 at the Aging in America Conference to demonstrate how the aging network can benefit from working with other agencies to provide more integrated services. Namely, the State Units on Aging working with mental health and substance abuse agencies and programs to provide for more comprehensive care that takes into consideration issues unique to the aging population, such as suicide and alcohol and prescription drug abuse.
Money Follows the Person: Impediments to Implementation Money Follows the Person (MFP) is one program that appropriates federal grants to states to design programs to transition Medicaid beneficiaries from institutional care to home and community-based services. Beginning as a demonstration program, there are many impediments and uncertainties surrounding implementation. This overview provides a description of impediments as an opportunity for solutions that anticipate implementation issues and touches upon program start up, capacity, and access.

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