NASUAD Publications

Title Summary
Supporting the Information Needs of Private Paying Consumers: Examining the Capacity of Aging Network Consumer Information Programs The aging services network is critical for those navigating the “information maze” in order to make informed decisions about long-term services and supports (LTSS). But most of these services do not target the majority of Americans who are private paying consumers. Aging and Disability Resource Centers (ADRCs) are one service that aims to increase the level of services offered to private payers. This report includes the results of a survey measuring ADRCs’ engagement with private payers.
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.
2011 Governors' State of the State Addresses: Trends in Long-Term Services and Supports Initiatives Governors’ State of the State addresses reveal policy and programmatic trends. This document tracks those comments made in such addresses that indicate wider policy initiatives that impact older adults and people with disabilities. A state-by-state analysis of 43 State addresses and budgets helps to illuminate overall trends in aging and disability policies, such as Medicaid changes and the restructuring of state departments and programs affecting long-term services and supports (LTSS).
\Analysis of President’s Fiscal Year 2012 Budget This analysis of the President’s $3.73 trillion proposed budget for FY12 includes an outline of each funding recommendation for discretionary, appropriated programs. Included in the analysis is a comparison of HR1, the GOP-backed budget resolution that reduces spending via broad cuts, with the President’s proposed budget; a good indicator of what sorts of budgetary windows may be necessary for bipartisan support and how the budget may affect the fiscal health of aging and disabilities programs.
Analysis of the National Commission on Fiscal Responsibility and Reform Bowles and Simpson, the co-chairs of the National Commission on Fiscal Responsibility and Reform drafted their recommendations to achieve fiscal sustainability. This analysis provides an overview of the commission’s formation, its structure and recommendations, and its potential impact on the aging and disability networks. The report’s legislative recommendations have implications for Medicaid, Medicare, Social Security, Community Living Assistance Services and Supports (CLASS), and more.
Deficit Reduction and the Debt Ceiling The debate surrounding the deficit reduction and the debt ceiling for FY 2012 has many implications for aging and disability policies, especially Older Americans Act (OAA) services. This brief outlines the current negotiations and proposals put forth to reach a long-term, bipartisan budget reduction agreement, including the McConnell Plan; the McConnell-Reid Plan; the Gang of Six; the Coburn Plan; and the Senate Budget Resolution. The Congressional Appropriations process is also discussed.
Impact of Sequester on FY13 Older Americans Act Programs This chart shows the projected fiscal impact for FY2013 on Older Americans Act programs (such as HCBS Supportive Services, Home-Delivered Nutrition, Long-Term Care Ombudsman Program, and Preventive Health Services) after the passage of the Budget Control Act (BCA) of 2011. The chart displays calculated estimates of fiscal impact from both the Congressional Budget Office (CBO) and the Center on Budget and Policy Priorities (CBPP). Both the CBO and the CBPP estimates show cuts to all programs.
Strengthening the Aging Network Issue Brief: Area Agency on Aging Monitoring and Spend-Down Requirements The Older Americans Act of 1965 created the National Aging Network with many states adopting Area Agencies on Aging at the local level. This brief is a summary of two surveys regarding states’ monitoring practices of their Area Agencies on Aging (AAAs) and states’ spending rules for their AAAs. All states with Area Agencies on Aging which were surveyed reported that they conduct some monitoring, and most differed in their rules concerning excess funds.

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