August 19, 2016
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Register Today for the 2016 HCBS Conference! 

Join us for the National Home and Community Based Services (HCBS) Conference held in Washington, DC, August 29 - September 1. The Conference offers a unique blend of policy, program, and practice issues for professionals interested in home and community based services for individuals of all abilities and in all settings. Quickly becoming the "go-to" conference for learning in the expanding field of HCBS and long-term services and supports, the Conference allows states to share best practices, present unique partnerships, and recognize the work of their peers. 

The National HCBS Conference will include federal, state, and local policymakers and those who administer, manage, and deliver waiver and other HCBS programs. The Conference always sees a strong presence from U.S. Health and Human Services ranging from the Administration for Community Living (including AoA, Office of Disability, and AIDD) to CMS, HRSA, SAMHSA, Office of Developmental Disabilities, and other federal agencies.

Click here to view details and register. 
Presentation Materials from I&R/A Guardianship Webinar Available

The National I&R Support Center recently hosted a webinar to train attendees on the basics of guardianship, and the presentation materials are now available on the NASUAD website. Guardianship is a key but complicated issue that aging and disability I&R/A specialists address in their work with consumers, family members, and caregivers. This training covered the basics of guardianship including the process of becoming a guardian, responsibilities of the guardian, the difference between guardianship and powers of attorney and a discussion on when a guardianship may be necessary. To help I&R/A specialists gain more insight into guardianship issues, the presenter, Kim Grier, Adult Guardianship Specialist, Georgia Department of Human Services, shared her expertise on this topic.
Click here to view the presentation materials. 
HCBS Clearinghouse E-Clips
This section of  Friday Update highlights reports that have been added to the HCBS Clearinghouse within the past week. Visit for more information.
Recommendations for Data Collection of Family Support Services

The Family Support Research and Training Center (FSRTC) and the National Council on Aging (NCOA) published the report "Recommendations to Improve Data Collection to Monitor, Track, and Evaluate State Approaches to Family Support Services." The report identifies three indicators to monitor, track, and evaluate family support services: demographics of the caregiving situation, the impact on families, and indicators to assess family support at the state level. It also details recommendations for improvements that could be made to individual national and state datasets. The recommendations are intended to aid researchers and policymakers in improving family support services nationwide

Click here to view the report.

From the Administration
Administration for Community Living

Public Comment on Adult Protective Services and Ombudsman Reporting Systems
The Administration for Community Living (ACL) has been working with federal and state administrators, researchers, service providers, and others to design, develop, and pilot the National Adult Maltreatment Reporting System (NAMRS). NAMRS seeks to provide consistent and accurate national data on the exploitation and abuse of older adults and adults with disabilities, as reported to state Adult Protective Services agencies.The proposed collection of information for NAMRS was recently published in the Federal Register, and the public is encouraged to submit comments on the proposed data elements, values, and definitions. Public comments will be accepted through Wednesday, September 7, 2016.

Click here to view the NAMRS proposal.

Click here to view the NAMRS notice in the federal register.

ACL has also proposed revisions to the National Ombudsman Reporting System (NORS) to improve the reliability of data and the clarity of instructions and definitions. State Ombudsman programs use NORS to record their advocacy, education, and complaint-resolution services to individuals in long-term care facilities. ACL is accepting comments on the proposed data collection, including whether the information will have practical utility;  accuracy of ACL's estimate of  burden hours; ways to enhance the quality, utility, and clarity of the information to be collected; and ways to minimize burden. Public comments will be accepted through Friday, October 7, 2016.

Click here to view the NORS proposed changes.
Public Comment on Guidance for State Plans on Aging 
The Administration for Community Living (ACL) seeks public comment on the template to be used to prepare the information collection requirements contained in the Program Instruction entitled "Guidance for the Development and Submission of State Plans on Aging, State Plan Amendments and the Intrastate Funding Formula." Each State Unit on Aging is required to develop a State Plan on Aging using guidance published in this annual Program Instruction in order to be eligible to receive a formula grant under Section 307(a) of the Older Americans Act (OAA).


ACL is also seeking comments specific to the included targeting guidance that aims to ensure maximum inclusion of all populations of seniors, including older American Indians, LGBT seniors, and Holocaust survivors living in the United States, and other isolated groups of older adults. Comments are requested on the extent to which the direction provided is sufficient for states to fully assess the existence of, and develop plans for serving, these individuals and their families. If commenters believe the proposed direction is insufficient, it is requested that the commenters include the specific guidance desired as well as the practical means and data available to implement the guidance, direction, and requirements for states. Comments should be submitted to by Monday, August 22, 2016.

Click here to view the notice in the Federal Register.
Webinar: What CMS' Proposed Expansion of Bundled Payments for Cardiac Care and Care Coordination Means for CBOs
The Administration for Community Living's Office of Nutrition and Health Promotion Programs (ONHPP), in collaboration with health care consultant Tim McNeill, is hosting a business acumen webinar on the Centers for Medicare & Medicaid Services' (CMS) proposed expansion of bundled payments for cardiac care and care coordination.This webinar will answer questions about the proposed rule changes and how community-based organizations can play a role in new payment models. Participants are also encouraged to ask any other business acumen-related questions. The webinar is scheduled for Tuesday, August 23, 2016, from 1:00 p.m. to 2:30 p.m. ET.

Click here to register.

Centers for Disease Control and Prevention

National Study of Long-Term Care Providers Questionnaire

The Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) began the third wave of the National Study of Long-Term Care Providers (NSLTCP). NCHS is requesting that directors or administrators of an adult day services center or assisted living/residential care community that receives a "2016 Adult Day Services Center Questionnaire" or a "2016 Residential Care Community Questionnaire" packet, complete and submit the questionnaire online over a safe and secure network, or  by mailing a completed hard copy version of the questionnaire that is included in the questionnaire packet. The questionnaires will take an average of 30 minutes to complete.
The biennial National Study of Long-Term Care Providers (NSLTCP), is an initiative to monitor trends in the major sectors of paid, regulated long-term care services providers. NSLTCP includes surveys of adult day services centers, home health agencies, hospices, nursing homes, and assisted living and similar residential care communities. This study aims to help policymakers, health care planners, and providers better understand, plan for, and serve the future long-term care needs of the older population and younger adults with disabilities.

Click here to view the study's website.

Centers for Medicare & Medicaid Services

Proposed Rule for Programs of All-Inclusive Care for the Elderly (PACE)
On Thursday, August 11, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-4168-P) to revise and update the requirements for the Programs of All-Inclusive Care for the Elderly (PACE) under the Medicare and Medicaid programs. The proposed rule is the first major update to the PACE program in a decade, and addresses several program elements including: application and waiver procedures, sanctions, enforcement actions and termination, administrative requirements, PACE services, participant rights, quality assessment and performance improvement, participant enrollment and disenrollment, payment, federal and state monitoring, data collection, record maintenance, and reporting.
The proposed changes are intended to provide greater operational flexibility, remove redundancies and outdated information, and codify existing practice. The rule proposes to strengthen protections for beneficiaries and provide administrative flexibility and regulatory relief for PACE organizations. For example, CMS is proposing a more flexible approach to the composition of the interdisciplinary team that is central to the coordinated care participants receive from PACE organizations; team members would be able to participate in more aspects of a participant's care than is currently the case. Another flexibility would allow non-physician primary care practitioners to provide some services in the place of primary care physicians. Additional proposed beneficiary protections include, for instance, proposing changes to sanctions, enforcement actions, and terminations to strengthen CMS' ability to hold PACE organizations accountable.

The proposed rule will be published at the Office of the Federal Register on August 16, 2016, and public comments are due on Monday, October 17, 2016 after a 60-day comment period.

Click here to view the proposed rule.

Click here to view a fact sheet.
Department of Labor

Webinar: Advisory Committee on Increasing Competitive Integrated Employment Public Meeting
The Advisory Committee on Increasing Competitive Integrated Employment for Individuals with Disabilities is hosting a webinar that is open to the public. The committee will meet to confirm consensus on their final report. Members of the public wishing to participate in the webinar must register in advance of the meeting, by Friday, August 19, 2016.  The webinar is scheduled for Monday, August 29, 2016, from 1:00 p.m. to 2:00 p.m. ET.

Click here to register.

National Institute on Aging

Go4Life Month in September

The National Institute on Aging at the National Institutes of Health (NIH), part of the U.S. Department of Health and Human Services, is hosting "Go4Life Month" in September.  Go4Life is a federal campaign based on research showing that exercise can help prevent many chronic conditions and disabilities associated with aging. The National Institute on Aging aims to involve individuals, families, communities, and organizations in the campaign.  They encourage organizations to host an exercise event for older adults during the month of September; tip sheets and event planning assistance are available on the Go4Life website.

Click here to view more information.
From Other Organizations
Association of University Centers on Disabilities
Webinar: Building Gauges to Measure National Progress on Transition Outcomes
The Association of University Centers on Disabilities (AUCD) is hosting a webinar that will describe activities of the National Autism Data Center (NAUCD) with emphasis on national indicators related to youth transition. Paul Shattuck, founder of NAUCD, will present the range of information products available through the center and plans for additional transition research projects. Laura Ivanova Smith, UW LEND Advocate Faculty, will also provide a personal perspective on transition planning and employment. The webinar is scheduled for Wednesday, August 31, 2016, from 12:00 p.m. to 1:00 p.m. ET.

Click here to register.
Health Management Associates
Webinar: Physician Perspectives on Using Telemedicine to Address the Shortage of Mental Health Providers
Health Management Associates (HMA) is hosting the webinar "Physician Perspectives on Using Telemedicine to Address the Shortage of Mental Health Providers." HMA physicians, an internist and psychiatrist, will discuss the impact that telemedicine and other technologies can have on improving access and care for vulnerable mental health populations. The session will also outline the most important elements of a telemedicine program with a special emphasis on the needs of patients and perspectives of the interdisciplinary teams serving them. The webinar is scheduled for Thursday, August 25, 2016, from 1:00 p.m. to 2:00 p.m. ET.

Click here to register.
National Alzheimer's and Dementia Resource Center
Webinar: Faith-Related Dementia Programs
The National Alzheimer's and Dementia Resource Center (NADRC) will present a webinar entitled "Examples of Developing and Implementing Faith-Related Dementia Programs." Participates will learn about two faith-related programs for people with dementia and their caregivers- Alzheimer's Orange County Interfaith Outreach Program in Orange County, California and the Respite Ministry in Montgomery, Alabama.  The webinar is scheduled for Tuesday, August 23, 2016, from 3:00 p.m. to 4:00 p.m. ET.

Click here to register.
National Council on Aging
Fall Prevention Awareness Day
The National Council on Aging (NCOA) is hosting its 9th annual Falls Prevention Awareness Day.  The event raises awareness about how to prevent fall-related injuries among older adults. This year's theme is  "Ready, Steady, Balance: Prevent Falls in 2016." NCOA provides handouts, event ideas, and promotional materials for organizations to help spread the word about how to prevent falls. The event will be observed on Thursday, September 22, 2016.

Click here for more information.
University of New Hampshire, Kessler Foundation, Association of University Centers on Disabilities

Webinar: nTIDE Lunch and Learn
The Employment Policy & Measurement Rehabilitation Research and Training Center (EPM-RRTC) at the University of New Hampshire, in partnership with Kessler Foundation and the Association of University Centers on Disabilities (AUCD), hosts a monthly webinar on the first Friday of every month. There will be a live broadcast via Zoom webinar to share the results of the latest nTIDE findings, based upon the Bureau of Labor statistics jobs report. Additionally, the monthly webinars will feature news and updates from the field of Disability Employment and a discussion from an invited panelist on current disability related findings and events. The next nTIDE webinar is scheduled for Friday, September 2, 2016 at 12:00 p.m. ET.

Click here to register.
Helping Workers Keep Their Jobs After an Injury, Illness, or Disability
The Stay-at-Work/Return-to-Work (SAW/RTW) Policy Collaborative of the U.S. Department of Labor's Office of Disability Employment Policy and Mathematica's Center for Studying Disability Policy are hosting the policy forum and webinar "Helping Workers Keep Their Jobs After an Injury, Illness, or Disability." The session will provide policy recommendations intended to improve the SAW/RTW outcomes for workers who experience injury, illness, or disability.  Presenters will discuss 1) steps states can take to help workers keep their jobs after injury, illness, or disability; 2) adapting a successful workers' compensation initiative to off-the-job cases; 3) and behavioral interventions designed to promote SAW/RTW. The event can be watched online or in person at Mathematica's office in Washington D.C. on Tuesday, September 13, 2016, from 12:00 p.m. to 1:30 p.m. ET.

 Click here to register
2016 ANCOR Technology Summit & Showcase
The American Network of Community Options and Resources (ANCOR) is hosting the "2016 ANCOR Technology Summit & Showcase." The summit will feature peers, advocates, and experts presenting ways that technology can help the Intellectual/Developmental Disabilities (I/DD) community achieve the triple aim of better health, better care, and lower costs. The event will take place in Broomfield, Colorado on Friday, October 7, 2016.

Click here to register
Jobs & Internships 
Minnesota Seeks Director of Nursing Facility Rates and Policy Division
The Minnesota Department of Human Services is seeking a Director of the Nursing Facility Rates and Policy Division. This position will develop and oversee the state's policies for purchasing services from nursing facilities and play a key role in the continuing care for older adults administration providing strategic planning and program development for the division.

The director's responsibilities will include: directing day to day operations related to policy development and interpretation, program administration and services; managing and supervising staff; overseeing nursing facilities rates policy, systems, and processes; overseeing the design of data collection, reporting, and research on quality of care and life for nursing facility residents; providing leadership for department, administration, and division strategic planning and program development; providing leadership on nursing home legislation; providing high level consultation to stakeholders regarding strategic, technical, and planning issues; and developing and maintaining collaborative relationships with providers, the public, and leaders in the public and private sectors. The application is due by Thursday, September 15, 2016.

Click here to view the job announcement.
TMG Seeks IRIS Consultant

TMG is seeking a full-time IRIS consultant in Green Lake County, Marquette County or Waushara County, Wisconsin to partner with individuals enrolled in the IRIS program to identify their long-term care goals and find creative ways to achieve them. IRIS consultants are responsible for providing program orientation to new participants at which time participants will learn of their rights and responsibilities as someone enrolled in the program. The consultants are also responsible for working with participants to explore a broad view of the person's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans. Consultants will assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis. It is required that all orientation and planning activities are documented, and the consultant must research community resources and natural supports that will fit with the individual outcomes of each participant. IRIS consultants will have to operate within their defined budgets and be a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency. Applications are due by Wednesday, August 31, 2016.

Click here to view the job announcement.
Funding Opportunities 
NADTC Innovations in Accessible Mobility Grant Opportunity
The National Aging and Disability Transportation Center (NADTC) announced a new grant opportunity intended to support program innovations that increase accessible transportation options for older adults and people with disabilities living in the community and maximize the utilization of Section 5310 and other federal funding investments. Local and regional private nonprofit or government organizations are eligible to apply for this funding opportunity. Grants of up to $50,000 each will be awarded to as many as six communities for a twelve month period. Applications are due by Friday, August 26, 2016.

Click here to view the announcement.

Benefits Enrollment Center Grants Serving Hard-to-Reach Populations
The Center for Benefits Access at the National Council on Aging (NCOA) is seeking qualified organizations to become Benefits Enrollment Centers (BECs) serving hard-to-reach low-income Medicare beneficiaries. BECs use person-centered strategies in a coordinated, community-wide approach to find and enroll Medicare beneficiaries-both seniors aged 65+ years and adults living with disabilities - who have limited income and resources into available benefits, with the primary focus being on the following five core benefit programs: Medicare Part D Extra Help (or Low-Income Subsidy, LIS), Medicare Savings Programs (MSP), Medicaid, Supplemental Nutrition Assistance Program (SNAP, formerly Food Stamps), and Low-Income Home Energy Assistance Program (LIHEAP).
Agencies will serve specific hard-to-reach populations, such as people residing in rural areas, members of native tribes, people of color, members of the LGBT community, those with limited English proficiency (LEP), those recently released from incarceration, or veterans. BECs serving specific populations must be able to provide application assistance for a minimum of 500 people for all of the benefits for which they are eligible during an 11-month period. Applicants are encouraged to complete a notice of intent by Wednesday, August 31, 2016 at 5:00 p.m. ET, and applications are due Friday, September 9, 2016 at 5:00 p.m. ET.

Click here to view the Request for Proposals.

AARP Social Security Innovation Challenge
AARP is launching an Innovation Challenge to identify policy solutions to strengthen economic security for American workers and retirees by achieving Social Security solvency and maintaining benefit adequacy for future generations. Through the Challenge, scholars and researchers from a range of perspectives and sectors are invited to submit their best ideas for creating a strong Social Security system for the coming decades. Applicants are encouraged to consider macro trends (e.g., in the workforce, income, wealth, savings rates, life expectancy, fertility rates, marital status) and to take an innovative look at policy options that address these trends. Up to five successful applicants will be selected to further develop the policy innovation and will deliver a detailed policy paper on one or more specific policy innovation(s) to strengthen Social Security's solvency and/or adequacy. Additionally, AARP will work with The Urban Institute to assess the financial and distributional impact of the policy proposals developed by the successful applicants.The notice of intent is due Wednesday, August 31, 2016, and the application for funding is due Friday, September 30, 2016.

 Click here to view the announcement.

Community-Based Palliative Care Delivery for Adult Patients with Advanced Illnesses and their Caregivers
The Patient Centered Outcomes Research Institute (PCORI) posted a notice of an upcoming funding opportunity to: a) support care planning for adult patients with advanced illnesses over time that is consistent with the goals and preferences of adult patients and their caregivers, and b) support the delivery of coordinated, community-based palliative care that effectively implements those care plans. 

Applicants focusing on advanced care planning should address the following research question: "What is the comparative effectiveness of different patient, caregiver, and clinician-directed and combination approaches to facilitating advanced care planning conversations between adult patients living with advanced illness, their caregivers, and clinicians on patient-centered and other outcomes over time?" And applicants focusing on community-based models of palliative should consider the following research question: "What is the comparative effectiveness of different established models of palliative care delivery in community settings on improving patient-centered and other outcomes among adult patients with advanced illness and their caregivers?"

PCORI seeks to fund multiple, large, multi-site, community-based comparative effectiveness research (CER) studies to generate evidence in support of this goal. The deadline for Letters of Intent (LOI) is Wednesday, September 14, 2016, and applications are due Monday, December 19, 2016. 

Click here to view more information.
National Resource Center for Supported Decision-Making State Grant Program
The National Resource Center for Supported Decision-Making (NRC-SDM) announced its State Grant Program. The NRC-SDM will fund up to six projects with the purpose of stimulating innovate supported decision-making practices that can be replicated across the country.  Each project that is funded will become part of the NRC-SDM's Community of Practice and will receive logistical, organizational, technical, and other necessary support.

The State Grant Program will award grants for state-based projects that: 1) Adopt an innovative approach to increase knowledge of and access to supported decision-making by older adults and people with intellectual and developmental disabilities (I/DD) across the life course; and 2) collect and disseminate information to document the positive impacts of supported decision-making in their state and, at least annually, issue a report documenting success stories, challenges and any system changes that have been made to increase the understanding and use of supported decision-making. Applications are due by Thursday, September 15, 2016.

Click here to view the announcement.

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