State Long-Term Care Ombudsman Resources

Medicaid 101 for State and Local Ombudsman Webinar

The National Association of States United for Aging and Disabilities (NASUAD) hosted a webinar on Medicaid managed care for State and Local Long-Term Care Ombudsman. In Medicaid, managed care is a form of health care delivery and financing that aims to better manage cost, coordinate care, and improve quality. Managed care involves contracts between state Medicaid agencies and private managed care organizations, or MCOs, that are responsible for the delivery and coordination of services to beneficiaries. MCOs receive a capitated per-member per-month (PMPM) payment to cover the costs of these health care services. Over the past decade, state agencies have implemented managed care in increasing numbers, with total U.S. enrollment in Medicaid managed care reaching 55 million in 2014. A significant amount of the recent managed care growth has focused on including long-term services and supports (LTSS). The rapid expansion of Managed LTSS has implications regarding the health care and social services provided to older adults and people with disabilities living in institutional settings and other LTSS facilities such as assisted living. This webinar covered basic information about the current status and future directions of state Medicaid Managed LTSS programs; key policy and operational considerations for professionals working with older adults enrolled in these programs; and future directions for these programs. The webinar was presented by Damon Terzaghi, NASUAD’s Senior Director for Medicaid Policy and Planning. 

Click here to view the slides. 
Click here to view the recording.
Click here to view the transcript. 

Recent NASUAD Publications

For more information about the Ombudsman program organizational structure, read the State Long-Term Care Ombudsman Programs: Organizational Structure Report

For more information about the Ombudsman program, read the State Long-Term Care Ombudsman Program: A Primer for State Aging Directors and Executive Staff.

View NASUAD's PowerPoint on the State Long-Term Care Ombudsman Program Final Rule.

Additional NASUAD work can be located here.

The National Long-Term Care Ombudsman Resource Center, or NORC

The NORC website offers a multitude of resources for State and Local Ombudsman as well as anyone else interested in the Long-Term Care Ombudsman Program. NORC’s website is:

To locate your state’s LTC Ombudsman, visit here:

Federal and National Resources

Administration on Aging (AoA)

Centers for Medicare & Medicaid Services (CMS)

National Association of State Long-Term Care Ombudsman Programs (NASOP)

National Association of Local Long Term Care Ombudsman (NALLTCO)

Center for Excellence in Assisted Living (CEAL)

Legislation and Regulations

Older Americans Act (OAA)

State Long-Term Care Ombudsman Final Rule

CMS 2016 Nursing Home Regulation