Submitted by susan.soelaiman on Wed, 12/21/2016 - 14:34
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At their December 2016 meeting, the Medicare Payment Advisory Commission (MedPAC) discussed the adequacy of hospice payments under Medicare and draft recommendations concerning the fiscal year (FY) 2018 payment update.  The MedPAC Commissioners at this time agreed to recommend to Congress that it eliminate the legislatively-mandated update for FY2018 hospice payments.   Under current law, the hospice payment update for FY2018 is capped at 1%, exclusive of the budget

LeadingAge has long supported the concept of electronic staffing data. We know that our members often have higher staffing ratios that lead to better quality. According to a GAO report, nonprofits tend to have higher than average staffing ratios. We also recognize that with the emphasis the CMS 5-star Nursing Home Rating System places on staffing, it is essential to have a process that is accurate and auditable.

LeadingAge mourns the loss of Bill Weaver , CEO/President of LeadingAge/LeadingAge Oklahoma member Daily Living Centers on Aug. 20, 2016. Bill was 79 years old. He was affectionately known as the "Father of Adult Day Services" in Oklahoma. According to Mary Brinkley, CEO of LeadingAge OK,  Bill worked with the legislature and agencies to develop programs to benefit seniors and persons with disabilities. LeadingAge OK honored Bill with their Outstanding Advocate Award in March. Under Bill's leadership, Daily Living Centers won the LeadingAge Excellence in Community Service and Outreach award in 2014. Bill's community involvement included being the past chair of the OK Aging Services Advisory Committee, and an appointed member of the Board of Examiners for Long Term Care Administrators.

Bill was also an active member of the LeadingAge Adult Day Services Advisory Group. I was so impressed with his energy and commitment to the field of adult day services, as well as his focus on the mission of Daily Living Centers. Bill always found a way to provide charitable care in their adult day center and transportation program for seniors.  Thousands of frail seniors were able to remain in their own homes because of Bill's work. When I visited Bill at the Daily Living Center named in his honor, he gave me a button that read- "Adult Day Health is the Answer".I still have the button in my office. He said that he always wore the button when he met with state and federal representatives, and at community events. He was an inspiration for many, an unwavering advocate for adult day services, as well as a friend that we will all miss. 


The U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics released their QuickStats: Percentages of Residential Care Communities and Adult Day Services Centers That Provided Selected Services — United States, 2014. Using their 2014 data on adult day services centers from the National Study of Long-Term Care Providers, 2013–2014. Vital Health Stat 3(38). 2016.  

They found that in 2014, a greater percentage of residential care communities than adult day service centers provided five of seven selected services. The majority of adult day services centers provided transportation for social activities (69%); skilled nursing (66%); and social work (52%). Fewer than half provided physical, occupational, or speech therapy (49%). One third or less provided mental health (33%), pharmacy (27%), and hospice services (12%). 

It is important to note that comparing Residential Care Communities with Adult Day Services Centers can be misleading because both provider types have different regulatory requirements, staffing and training requirements and reimbursement rates depending on their state.


Submitted by idownie on Wed, 07/13/2016 - 12:35

As aging services professionals, we respect the wisdom and experience that comes with age. Yet, elders and their advocates encounter barriers daily. Like racism or sexism, ageism is evident in countless aspects of our lives. This half-day program will delve into the many ways ageism manifests itself in our work and how taking steps toward LeadingAge’s aspirational vision, an America freed from ageism, will address rubber meets the road challenges of day-to-day operations. 

On June 2, the Centers for Medicare and Medicaid Services (CMS) sent letters indicating initial approval of both Kentucky and Ohio's statewide transition plans (STPs) required under the home and community-based services (HCBS) settings rule. These initial approvals are based on the states' systemic assessments of their regulations, certifications, policies, and procedures, plans to remediate any findings of non-compliance with the HCBS settings rule in those procedures, and the outlining of milestones to complete remediation activities. 

While the states of Kentucky and Ohio have made much progress toward completing each of these remaining components, there are several technical issues that have been outlined in the attachment to this letter that must be resolved to CMS’ satisfaction before the state can receive final approval of its State Transition Plan.

CMS granted Tennessee both initial and final approval of its Statewide Transition Plan (STP) in April 2016.

LeadingAge has been meeting with officials from CMS to discuss our concerns with the implementation of the HCBS settings final rule especially in relation to co-located adult day centers , Assisted Living in Nursing Homes, as well as secure settings in adult day centers and Assisted living that provide services for individuals with dementia. 





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