This study is a follow-up to earlier research conducted with 2006 and 2009 Medicaid (MAX) data on interstate variations on the extent of the "re-balancing" of Medicaid long-term services and supports (LTSS) from nursing home care toward greater reliance on home and community-based services (HCBS).
Office of Behavioral Health, Disability, and Aging Policy (BHDAP)
The Office of Behavioral Health, Disability, and Aging Policy (BHDAP) focuses on policies and programs that support the independence, productivity, health and well-being, and long-term care needs of people with disabilities, older adults, and people with mental and substance use disorders.
Note: BHDAP was previously known as the Office of Disability, Aging, and Long-Term Care Policy (DALTCP). Only our office name has changed, not our mission, portfolio, or policy focus.
The Division of Behavioral Health Policy is responsible for the analysis, coordination, research and evaluation of policies related to mental and substance use disorders, also referred to as behavioral health. The division is the focal point for policy development and analysis related to the financing, access/delivery, organization, and quality of services for people with mental and substance use disorders, including those supported or financed by Medicaid, Medicare, and the Substance Abuse and Mental Health Services Administration (SAMHSA).
The Division of Long-Term Services and Supports is responsible for the analysis, coordination, and research and evaluation of policies related to institutional and community-based long-term care and supportive services, including formal and informal caregiving. The Division is the focal point for policy development and analysis related to the financing, delivery, organization, and quality of long-term care services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL).
The Division of Disability and Aging Policy is responsible for policy and data development, coordination, research and evaluation of policies and programs focused on the functioning and well-being of persons with disabilities and older adults. The Division is the focal point for crosscutting disability and aging collaboration within the Department and across other federal agencies. Alzheimer’s disease and related dementias and intellectual and developmental disabilities, including Autism Spectrum Disorder, are notable areas of engagement and expertise.
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Reports
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Advanced SearchWhich Way for Long-Term Services and Supports Financing Reform?
Despite the high costs for long-term services and supports (LTSS), the current financing system inadequately protects people from the financial devastation of long-term disabling conditions such as Alzheimer's disease or stroke. Private long-term care (LTC) insurance coverage is low and Medicare does not cover LTSS.
Long-Term Services and Supports: What are the Concerns and What are People Willing to Do?
This issue brief examines concerns individuals have about becoming disabled and needing long-term services and supports (LTSS), how these concerns vary by household income and assets, what actions people are willing to take to address their LTSS needs, and how homeowners who are willing to use home equity to finance LTSS differ from those who are not willing.
Examining Models of Dementia Care: Final Report
A growing number of programs to help persons with dementia and their family caregivers are being developed, tested, and implemented in the United States. To learn more about whether and how models of dementia care meet practice standards, 14 components of comprehensive dementia care were identified and site visits conducted to a small sample of programs to assess how they are implemented.
Choosing Long-Term Care Insurance Policies: What Do People Want?
Long-term services and supports (LTSS) are expensive. The average private pay cost of a private room nursing home stay in 2014 was about $88,000 a year. Although this cost is insurable through private long-term care (LTC) insurance, coverage is low.
What Do People Know About Long-Term Services and Supports?
Previous research demonstrates that lack of planning for the potential need for long-term services and supports (LTSS) is associated with lack of knowledge about these services. People who do not have a firm understanding of their longevity risks, probability of needing and using LTSS, and the associated costs for services may be less likely to plan for their future LTSS needs.
National Plan to Address Alzheimer's Disease: 2016 Update
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Table of Contents
Introduction
An Evaluation of AoA's Program to Prevent Elder Abuse: Final Report
In 2012, AoA awarded 5 cooperative agreements to test elder abuse prevention interventions to: Alaska Division of Senior and Disabilities Services (AK DSDS); New York State Office for the Aging (NYSOFA); University of Southern California-Irvine, Program in Geriatrics (USC); University of Texas Health Science Center at Houston (UTHSC); and, Texas Department of Family and Protective Services and
Older Adults' Living Expenses and the Adequacy of Income Allowances for Medicaid Home and Community-Based Services
This brief assesses the adequacy of the income allowances granted to older Medicaid HCBS enrollees and their spouses.
Preliminary Outcome Evaluation of the Balancing Incentive Program
This is a follow-up to four earlier evaluation reports on the Balancing Incentive Program (BIP). The BIP, legislated in the 2010 Affordable Care Act, offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).