Physical Disabilities

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Understanding Disabilities in American Indian & Alaska Native Communities Toolkit Guide

The National Indian Council on Aging has released a toolkit dedicated to increasing awareness and knowledge of the needs of American Indian and Alaska Native persons living with disabilities. The resource is divided into sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation. It includes suggestions for improving services, providing protections, and utilizing resources in local tribal communities for people with disabilities. Additional information provides overviews on federal disabilities laws, initiatives, agencies, and organizations that support work with Native individuals with disabilities and communities.

Short URL: http://www.advancingstates.org/node/74476

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Opportunities to Advance Health Equity for Seniors and People with Disabilities in California and Beyond

A new article from the Centers for Health Care Strategies explores a new effort to improve and align care across California Medicaid. The article explores racial disparities in access to and quality of LTSS, integration of dually eligible individuals, and more.

Short URL: http://www.advancingstates.org/node/74399

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CMS Proposes Benefit Expansion for Mobility Devices

CMS recently released a proposed National Coverage Determination (NCD) decision that would, for the first time, expand coverage for power seat elevation equipment on certain power wheelchairs to Medicare individuals. The proposed NCD is open for public comment for 30 days and will end on March 17, 2023. If finalized, power seat elevation equipment would be covered by Medicare for individuals with a Group 3 power wheelchair, which are designed to meet the needs of people with Medicare with severe disabilities, to improve their health as they transfer from the wheelchair to other surfaces.

Short URL: http://www.advancingstates.org/node/74389

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Advancing Equity through MLTSS Programs

ADvancing States is pleased to announce the release of a new report, Advancing Equity through MLTSS Programs, co-authored with Impact 120. This report highlights the numerous ways that managed long-term services and supports (MLTSS) programs can enhance state capacity to create more equitable programs for consumers. Research and interviews identified five key themes, which are explored in detail with recommendations for future action.

Short URL: http://www.advancingstates.org/node/74374

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Rates of Medicaid Churn and Continuous Coverage Among Children and Working-Age Adults with Disability-Related Eligibility

This publication finds meaningful variation in disenrollment and churn across Medicaid beneficiary categories. Specifically, beneficiaries with Supplemental Security Income-related eligibility have low rates of disenrollment and high rates of reenrollments. In this research, Mathematica uses data from the Transformed Medicaid Statistical Information System Analytic File to examine rates of disenrollment, churn, and continuous coverage among categories of children and adult Medicaid beneficiaries whose eligibility is related to a disability.

Short URL: http://www.advancingstates.org/node/74310

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Engaging Communities of Color to Promote Health Equity: Five Lessons from New York-Based Health Care Organizations

The Center for Health Care Strategies, with support from the New York Health Foundation and in partnership with ATW Health Solutions, assisted seven New York-based health care organizations in piloting strategies for engaging patients of color to advance health equity. This CHCS brief outlines considerations for health care organizations in developing patient engagement strategies, including: (1) building trust with patient partners over time; (2) tailoring outreach strategies; (3) using-trauma-informed approaches; (4) engaging patients in data use; and (5) approaching engagement with humility.

Short URL: http://www.advancingstates.org/node/74289

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CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and investing in interoperability, CMS issued a proposed rule that would improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services. CMS proposes to modernize the health care system by requiring certain payers to implement an electronic prior authorization process, shorten the time frames for certain payers to respond to prior authorization requests, and establish policies to make the prior authorization process more efficient and transparent.

Short URL: http://www.advancingstates.org/node/74265

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Creating Robust Provider Networks to Support Older Adults and People with Disabilities: Considerations for Medicaid Health Plans in California and Nationwide

This blog post reviews considerations to strengthen provider networks in California to ensure that older adults and people with disabilities receive services that meet their needs. The post focuses on strategies for partnering with three key provider types: (1) community-based organizations; (2) institutional long-term care facilities; and (3) Medicare providers. Lessons from California can help inform other states and Medicaid managed care organizations across the country.

Short URL: http://www.advancingstates.org/node/74259

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High-Performance Revisited: Examining Long-Term Services and Supports System Performance

Each edition of the AARP Public Policy Institute's Long-Term Services and Supports (LTSS) State Scorecard has measured state performance against an objective, data-driven set of metrics that illustrate how states were doing with their LTSS systems at a given time. This paper discusses the approach to the 2023 edition of the Scorecard, reflects on what has changed since the Scorecard was first published, and considers the possibilities of future editions.

Short URL: http://www.advancingstates.org/node/74237

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