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Top-of-Mind . . .CAADS Best Practice Series - Webinar #1 -- March 16
Communication Skill-Building: How Plain Talk and Teach-Back Support Person Centered Care
The HELP II Loan Program, administered by the California Health Facilities Financing Authority (CHFFA) within the State Treasurer’s Office, offers low cost loans to assist eligible health facilities wanting to expand and improve services to their clients and the greater community. Learn more at www.treasurer.ca.gov/chffa/programs/help.Block Grants
Medicaid Funding Caps Would Harm Older Americans
What's New . . . FEBRUARY 23, 2017
Cal Duals Update
Medicaid Funding Caps Would Harm Older Adults in California
FEB 23, 2017 | Justice in Aging Health Network Alert
Last week, Republicans released their latest proposal outlining their ideas to repeal and replace the Affordable Care Act. This proposal radically changes the Medicaid program by capping the amount states will receive in federal funding to deliver healthcare to low-income individuals. These cap proposals, either block grants or per-capita allotments, aim to catastrophically cut Medicaid and eliminate important consumer protections currently in place.
Cuts like these will force California to make difficult choices regarding what services to deliver and what populations to serve, placing increased pressure on the state budget. Crucial programs that allow seniors to age at home rather than receiving care in institutional settings are at risk. Justice in Aging has developed a new fact sheet showing how cuts to Medi-Cal through capped funding would hurt older Californians.
For more detailed information on how capped funding would impact older adults, see our Issue Brief.
FEB 17, 2017 | California Department of Aging CBAS Branch
Key CBAS Program Accomplishments and Priority CBAS Activities for 2017
The beginning of a new year is a time to reflect on what we’ve accomplished and what lies ahead.
As a result of extensive stakeholder processes initiated by the California Department of Aging (CDA) and Department of Health Care Services (DHCS), the CBAS Branch in collaboration with stakeholders developed the following documents that will guide CBAS program activities in 2017:
CDA and DHCS developed these documents in response to directives by the Centers for Medicare & Medicaid Services (CMS) in the CBAS provisions of the 1115 Demonstration Waiver. Refer to Special Terms and Conditions/STC 44(c) and 45(c) which requires CBAS settings to meet federal Home and Community-Based (HCB) Settings regulations, 42 CFR 441.301(4), and Person-Centered Planning requirements, 42 CFR 441.301(c)(1)(2)(3). To meet the directive in STC 45(c) the CBAS program needed to revise the IPC and develop a standardized Participation Agreement. Refer to STC 49 which requires the State to develop a CBAS Quality Assurance and Improvement Strategy to assure the health and safety of Medi-Cal beneficiaries receiving CBAS. This newsletter provides a status report on each of these documents. M O R E
Cal MediConnect HRA Workgroup: Summary of Recommendations
In 2016, the Department of Health Care Services (DHCS) announced it would be pursuing a comprehensive strategy to strengthen the Coordinated Care Initiative and Cal MediConnect (CMC). One of the key areas DHCS focused on was improving referrals to Long-Term Services and Supports (LTSS). The effort included creating standardized LTSS referral questions for all CMC and Managed Long Term Services and Supports (MLTSS) plans to use in their Health Risk Assessments (HRAs). To accomplish this, DHCS convened a workgroup of 20 participants from a variety of stakeholder groups, including: advocates, LTSS providers, health plans, medical groups, and state agencies.
DHCS is pleased to announce the release of the Cal MediConnect HRA Workgroup: Summary of Recommendations. This report is the final product of that workgroup and provides a set of standardized LTSS referral questions and guidance for plans on how to use them to identify members who may qualify for and benefit from LTSS.
Applications Now Being Accepted For Nina M. Nolcox Scholarship
The Alliance for Leadership and Education (A.L.E.) is pleased to announce the opening of scholarship application for the Nina M. Nolcox Nursing Scholarship for Continuing Education. This scholarship is designated to a qualified nurse employed by a CAADS member and consists of an award to cover registration fees for the 2017 CAADS Spring Conference as well as travelling expenses.
Nina Nolcox was a visionary in public health nursing and devoted her passion and skills to serving low income adults with chronic health conditions. The scholarship was created to honor the legacy of Nina M. Nolcox, RN, PHN, by recognizing an individual in the nursing field who exemplifies nursing leadership, displays a passion for service, and demonstrates a commitment to enhancing quality care for participants.
All applications must be received by March 15th to be considered.
Medicaid Caps Under Discussion as Part of FY 2017 Budget Reconciliation
Both the timeframes for an ACA repeal through the budget reconciliation process and what will be proposed during this process continue to change. Current thought is that the GOP in Congress could include caps on Medicaid funding as part of the FY 2017 budget reconciliation bill, along with ACA repeal, as early as March. GOP leadership has discussed both block grants and per capita caps, both of which would result in dramatic cuts in funding to the states and the loss of federal protections. For more on how Medicaid funding caps would affect older Americans, see our issue brief. Additionally, two bills, HR 829 and HR 181, were also advanced in the House Energy and Commerce Subcommittee on Health this week. Both bills would alter Medicaid eligibility rules with regard to assets.
New Fact Sheet: Medicare Part D - 2017 Transition Rights
The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of Medicare Part D prescription drug plans provide beneficiaries with access to transition supplies of needed medications to protect them from disruption and give adequate time to move over to a drug that is on a plan’s formulary (medication list), file a formulary exception request or, particularly for Low Income Subsidy (LIS) recipients, enroll in a different plan.
Transition rules apply to stand-alone Medicare Prescription Drug Plans (PDPs), Medicare Advantage Plans with Prescription Drug Coverage (MA-PDs), and Medicare-Medicaid Managed Care Plans participating in the Dual Eligible Financial Alignment Demonstrations.
Transition rules are particularly important for low-income beneficiaries who were automatically reassigned to new plans, which may or may not cover their medications.
In addition, all plans change their formularies each year, so even people who remain in the same plan may find that their plan no longer covers their medications or has newly imposed utilization management requirements.
To assist advocates with transition issues, this fact sheet sets out the CMS minimum requirements for all plans.
For further information, contact Georgia Burke, firstname.lastname@example.org.
HHS Releases Federal Poverty Levels for 2017
FEB 1, 2017 | Justice in Aging
The Department of Health and Human Services has released the 2017 federal poverty guidelines, usually referred to as the Federal Poverty Level (FPL). The new poverty guidelines are used for determining financial eligibility for many federal and state programs. The new guidelines are effective as of January 31, 2017.
The guidelines set the 100% poverty level for a single individual in the 48 contiguous states at $12,060 (up from $11,880 in 2016) and for a couple at $16,240 (up from $16,020 in 2016).
New Fact Sheets: How ACA Repeal Would Hurt Seniors
JAN 31, 2017 | Justice in Aging Health Network Alert
Older adults rely on Medicaid, Medicare, and programs under the Affordable Care Act (ACA) to get the health care they need. As Congress begins work to repeal the ACA, it's important to understand how changes to the ACA will dramatically alter these programs, jeopardizing the care seniors rely on to stay healthy.
Because of the ACA, more older adults can remain in their homes, save money on prescription drugs, and get health insurance coverage. We’ve put together a short fact sheet that shows just how an ACA repeal would harm older adults across the country, and a separate fact sheet that shows how California seniors would be impacted. Please use them in your advocacy and share them broadly.
NADSA 2017 Public Policy Conference and Capitol Hill Day
Human Kindness--it just flows around here[Download Real Player]
Everything You Need To Know About Block Grants - The Heart of GOP's Medicaid Plans
Advocacy groups warn of 'disastrous' effects of proposed Medicaid cuts
ER Visits Linked To Falls Spike Among California Seniors
GOP may boost Medicaid spending in order to slash the program
Hatch Promotes Stronger Care for Veterans with New Bill
New Federal Rules Will Require Home Health Agencies To Do Much More For Patients
Protecting Medicaid’s Promise
Bayview Senior Services
South County Adult Day Services (SCADS)
Institute on Aging
San Ysidro Health Center, Inc.
Your Money, Your Life
Marin Adult Day Health Care
Lydia Missaelides, MHA