October 23, 2015
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I&R Center Webinar: Minnesota No Wrong Door Model
The National I&R Center will host a webinar on the Minnesota experience with building a No Wrong Door system from the bottom up. This webinar is scheduled for Tuesday, October 27, 2015, from 3:00-4:30 p.m ET.

The webinar will provide an advanced look into Minnesota's no wrong door approach to its aging and disability resource centers. Since 2003, the network has grown to 1500 users and 300 agencies that use a multimedia presence tool called Revation LinkLiveŽ. Join the webinar to learn the process behind building a network, methods to engage new partners, and the innovation which has allowed the Senior LinkAge LineŽ to grow to handling over 265,000 contacts annually from seniors and caregivers. The webinar will describe the ways a no wrong door system can effectively use technology and share the innovations used in the Minnesota model. Presenters are Krista Boston, Director, Consumer Assistance Programs, Minnesota Board on Aging, and Elissa Schley, Management Analyst Lead, Minnesota Board on Aging. This presentation was given at the 2015 AIRS conference. 

No pre-registration is required to participate in the webinar. 
 To join the meeting, go to https://join.me/nasuadwebinar

On a computer, use any browser with Flash. Nothing to download. On a phone or tablet, launch the  join.me and enter meeting code: nasuadwebinar 
To join the audio conference:
 Dial   888-346-3659 
Access Code   33688#

 Click here to join the I&R Center's distribution list. 

Iowa Governor's Conference on Aging & Disabilities- Call for Sessions
The Iowa Governor's Conference on Aging & Disabilities in May 2016 will shine a regional and national spotlight on the actions the aging and disability community is taking to meet the current challenges and embrace new opportunities. Presenting at the Iowa Governor's Conference on Aging and Disabilities provides you with opportunity to share new ideas or highlight noteworthy programs and practices with other professionals in the field. Do you have a new program you think your colleagues could learn from? Are you delivering services in a noteworthy way? The Iowa Governor's Conference on Aging and Disabilities is looking for you.

Presenters include everyone from professionals who work in the field of aging and disabilities to practitioners in allied professions such as social work, healthcare, architecture, law, finance and more. The conference welcomes all interested presenters to submit proposals, particularly encouraging those showcasing replicable systems and models attendees can use to address common challenges. The deadline to submit applications is Monday, November 9, 2105.

Click here to submit a session.
HCBS Clearinghouse E-Clips
This section of  Friday Update highlights reports that have been added to the HCBS Clearinghouse within the past week. Visit www.nasuad.org/hcbs for more information.
Medicaid Expenditures for Long Term Services and Supports in FY 2013
The annual Medicaid Long Term Services and Supports (LTSS) expenditure report for FY 2013 is now available. The report includes Medicaid expenditures for all LTSS, including institutional and non-institutional settings, by service category and state. This year's report shows that home and community-based services composed a majority of LTSS spending. Additionally, it explains the changes, summarizes the data, and describes national trends. There is also an infographic depicting the data from 2013.

Click here to access the report and findings.
Medicaid Managed Care Enrollment Data for 2013 
The annual 2013 Medicaid Managed Care Enrollment Report created by the Division of Managed Care Plans and the Data and Systems Group in the Center for Medicaid and CHIP Services at CMS, with assistance from Mathematica Policy Research, was released this week. Data on Medicaid enrollment is collected from every state, territory, and the District of Columbia, and is broken down into categories by program, population, and state. The report provides tables with nationwide data and data by state. 

 Click here to access the report and findings.
From the Administration
Administration for Community Living 
Last Chance to Comment on Draft Voluntary APS Guidelines
There are no federal guidelines for Adult Protect Service Agencies to follow, rather each state adheres to their own guidelines. The Administration for Community Living (ACL) seeks to create national guidelines, rooted in strong federal leadership, to create a set of principles and expectations to increase consistency in APS agencies across the country. ACL formed a set of draft guidelines using the most current science on what works in APS and other similar systems in the United States. ACL is now looking for feedback from the public in order to refine and finalize the draft guidelines. Their goal is to facilitate the creation of the guidelines to ensure they are consensus-informed and field driven. All comments must be submitted by Friday, October 30, 2015, at 5:00 p.m. ET. 

Click here to read the full draft guidelines.
Click here to submit comments.
Click here to participate in a listening session.

Centers for Medicare & Medicaid Services
Annual Redetermination of Medicare Part D Informational Brief
The Centers for Medicare & Medicaid Services (CMS) released 
an informational bulletin on October 2, 2015, regarding the states' role in providing dual eligible beneficiaries with timely, affordable, and comprehensive coverage under Medicare Part D. Currently, CMS is preparing for the annual redetermination of Medicare Part D low-income subsidy deemed status. This guidance was issued as letters to State Medicaid Directors, State Health Officials, Informational Bulletins, and Frequently Asked Questions.

Click here to view the brief. 
Proposed Notice for Basic Health Program Funding Methodology 
On Wednesday, The Centers for Medicare & Medicaid Services (CMS) released a proposed notice that establishes the methodology for determining federal funding for the Basic Health Program (BHP) for 2017 and 2018. The BHP gives states the option to eliminate the Health Insurance Marketplace Coverage under the Affordable Care Act and instead use a health benefits coverage program for low income individuals. CMS' proposal will use the same funding methodology as the program year 2016 with several minor changes. A final notice will likely be issued by February of 2016 to allow states the necessary time to make adjustments to their programs. The proposed notice has been published in the Federal Register with a 30-day comment period.  All comments must be submitted by Monday, November 23, 2015, at 5 p.m. ET. 

Click here to view the proposed notice. 
Click here to leave a comment. 
Consumer Financial Protection Bureau 
New Tools and Tips for Caregivers About Managing Finances
The Consumer Financial Protection Bureau (CFPB) has released several resources to help caregivers that manage the finances for the person in their care. Managing someone else's money can be stressful and overwhelming, especially when there is no guidance or resources. CFPB has disseminated their Managing Someone Else's Money Guide across the United States to provide caregiver's with a general overview of this task. The new resources are designed to provide more specific guidance as the responsibilities for managing someone else's finances varies between states. Additionally, there are tips for experts and professionals to create state specific guides. 

Click here to view the resources.

Social Security Administration
No Cost-of-Living Adjustment for Social Security for 2016
The Social Security Administration announced that there will be no automatic increase in monthly Social Security and Supplemental Security Income (SSI) benefits for 2016. The Social Security Act only allows for an automatic increase in Social Security and SSI benefits if the Department of Labor's (DOL) Consumer Price index for Urban Wage Earners and Clerical Workers measures an increase in inflation. The prices in 2015 were down so there will not be an automatic increase for beneficiaries. 

Click here to view details.

From Other Organizations
New Kits Help Fans with Autism Attend Sporting Events
A-OK is a non-profit program founded by two mothers who have children with autism spectrum disorder (ASD). These mothers understand first hand that sporting events pose a sensory overload for many individuals with ASD. A-OK provides free game-day kits to fans with ASD to accommodate for sensitivity to the loud environment. The kits include noise cancelling headphones, earplugs, a toy to fidget with, and a detailed game day schedule. The Seahawks recently partnered with A-OK and saw great results at the NFL game this past weekend. These toolkits are a win-win because they allow children with ASD to be in the community and to utilize the skills they are learning in schooling and therapy. Additionally, the NFL partners are able to welcome and accommodate all of their fans. 

Click here to learn more.
Health Management Associates 
Webinar: Are You Ready for the Age Wave in Social Programs?
Health Management Associates (HMA) is hosting a webinar on the changes to the social programs that the United States will see over the next decade. The United States population is aging as thousands of Baby Boomers reach their milestone birthday of 65 each day. This rapidly aging population will have dramatic implications for the funding and delivery of government sponsored programs. HMA experts Joan Henneberry, Vice President and Lisa Shugarman, Senior Consultant will teach attendees about the challenges that Medicaid health plans, state Medicaid programs, and dual eligibles initiatives will see in the coming years. They will also provide attendees with ideas to better serve this population. This webinar is recommended for executives of Medicaid managed care plans, hospitals, health systems, and clinics serving Medicaid populations; state and federal regulators and healthcare policy analysts; Medicaid directors and staff; state and federal officials for public health. The webinar will take place on Wednesday, November 11, 2015, from 1:00 p.m. to 2:00 p.m. ET.

Click here to view details and register.
Webinar: Hospital Acquisition on Physician Practices
The Mathematica Center on Health Care Effectiveness is hosting a policy forum and live webinar on hospital acquisition of physician practices. Hospitals are increasingly hiring more physicians as the climate in the medical world changes. This rise in physician hiring should be accompanied by an increase in communication and coordination. However, this change is not necessarily promoting integration that can help improve care for patients or quality and cost. Presenters Ann S. O'Malley, Mathematica; J. Michael McWilliams, Harvard Medical School; James Reschovsky, Mathematica; Eugene Rich, Mathematica; and Craig Schneider, Mathematica will discuss the impact of the integration of physicians into hospitals. The webinar will take place on Thursday, November 12, 2015, from 11:45 a.m. to 1:30 p.m. ET. 

Click here to view details and register.
The National Council on Aging
Webinar: Implementation of the HCBS Settings Rule 
The National Council on Aging's Disability and Aging Collaborative is hosting a webinar on the Implementation of the Home and Community Based Services (HCBS) Setting Rule. Attendees will be updated on the status of implementation of the HCBS rule. Speakers Alison Barkoff, Bazelon Center for Mental Health Law; Nicole Jorwic, The Arc of the United States; Elizabeth Edwards, National Health Law Program; and David Machledt, National Health Law Program will discuss the opportunities that are available for consumer engagement and resources and tools for state advocates. Support for this webinar is provided by the Community Living Policy Center (#90RT5026) funded by the Administration on Community Living, National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). Please note that spacing is limited and closed captioning will be available.  The webinar will take place on Friday, October 30, 2015, from 1:00 p.m. to 2:15 p.m. ET.

Click here to view details and register.
The National Council on Independent Living
Webinar: Improving Disability Access & Inclusion Among Sexual Health Providers
The National Council on Independent Living (NCIL) and the Autistic Self Advocacy Network (ASAN) are hosting a webinar to improve disability access and inclusion among sexual health providers. Real Talk: Conversations and resources about sexuality for young people with disabilities and sexual health providers started a series of dialogues where people with disabilities shared about their experiences with sexual health providers. The sharing of their experiences resulted in the creation of a guide to teach sexual and reproductive health providers about inclusion and accommodations when working with this population. Webinar presenters will teach attendees about the results from this project and will highlight methods that providers can employ to promote inclusion when working with people with disabilities. This webinar and the Real Talk conversations that have been running since January are supported by a grant from the HSC Foundation. This webinar is recommended for sexual health providers, general practitioners, educators, parents, professionals that work with young people with disabilities, and young people with disabilities that are interested in understanding their rights.   The webinar will take place on Wednesday, October 28, 2015, from 3:00 p.m. to 4:00 p.m. ET.

Click here to view details and register.
National Aging and Law Conference
The Center for Professional Development and the Commission on Law and Aging are sponsoring the National Aging and Law Conference. This year's theme is Celebrating Anniversaries with Action in recognition of the 80th anniversary of Social Security, the 50th anniversaries of Medicare, Medicaid, and the Older Americans Act, and the 25th anniversary of the Americans with Disabilities Act. The agenda includes 24 workshops and 4 plenary sessions on key topics in the law and aging world. Registration for this event is now open. The conference will take place in Washington DC from Thursday, October 29, 2015, to Friday October 30, 2015, in Washington D.C.
Click here to view details and register.
Jobs & Internships
Iowa Deparment of Aging Seeks a Legal Developer/Policy Coordinator
The Iowa Department on Aging's Office of Elder Rights is seeking applicants to fill the position of Legal Developer/Policy Coordinator for the Office of the State Long-Term Ombudsmen (OSLTCO). The developer will be responsible for drafting the OSLTCO's administrative rules, legislative proposals; providing comment on federal and state laws/regulations as well as on policies/procedures while determining their impact on the health, safety, welfare and rights of residents; serving as the representative of the OSLTCO with the Iowa legislature during regular and interim sessions as well as the spokesperson for the OSLTCO at state and federal legislative meetings, for individual legislators, and for Congressional representatives on matters relating to the OSLTCO; providing briefing and collaborating with the State Long-Term Care Ombudsman (SLTCO) on all state and federal legislative meetings. Qualified applicants will have a minimum of a Bachelor's degree and five years of full-time professional level experience in program administration, development, management, or operations. All applications must be submitted by Sunday, November 1, 2015.

Click here to view the full posting.
Arlington County Government Seeks Management & Budget Specialist 
The Arlington County Government is seeking applicants for the position of Management & Budget Specialist in the Aging and Disability Services Division (ADSD) of the Department of Human Services. The specialist will be responsible for assisting leadership with fiscal, budgetary, accounting, purchasing, quality assurance, administrative, and technical support services. Qualified applicants will have a minimum of a Bachelor's degree in Finance, Business, Public Policy, Public Administration, Economics, or a related field and three years of experience in finance, planning, and administration of publicly funded programs. All applications must be submitted by Monday, November 30, 2015.

Click here to view the full posting.

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