The American Rescue Plan of 2021 (ARP) – signed into law on March 11, 2021 – provides states with a one-year, 10 percentage-point increase to the federal medical assistance percentage (FMAP) for Medicaid expenditures on home and community-based services (HCBS) for children and adults. This increase provides states with a critical opportunity to address both emerging and long-standing challenges in state long term care systems – systems that have […]
Family members provide significant amounts of care to relatives with complex needs, including those who are Medicaid enrollees.
A new report published by NASHP’s RAISE Family Caregiver Resource and Dissemination Center documents the concerns and recommendations for change shared by 1,613 family caregivers and organizations that work with them. The US Administration for Community Living (ACL) requested input for its report, In Their Own Words: Caregiver Priorities and Recommendations: Results from a Requests […]
During the COVID-19 pandemic, states have used the Appendix K Emergency Preparedness and Response authority to amend Medicaid 1915(c) home- and community-based services (HCBS) waivers and quickly provide more flexible services and supports to Medicaid enrollees and, indirectly, their caregivers.
Nursing home residents account for at least one-third of COVID-19 deaths, and this disparity reveals numerous problems with infection control in institutional settings. As a result, many states are rethinking and restructuring their long-term services and supports (LTSS) programs. A recent National Academy for State Health Policy (NASHP) annual conference session explored what states have […]
The National Academy for State Health Policy (NASHP) is hosting a Twitter chat to recognize National Family Caregivers Month. Across the nation, state health programs depend on caregivers who provide critical support to help relatives, friends, and neighbors stay safely in their homes while contributing $470 billion in unpaid health care services each year. Family […]
Family caregivers help Medicaid enrollees safely stay in their own homes, prevent or delay hospital and nursing facility stays, and provide personal care services that Medicaid agencies would otherwise need to pay for. However, there are strong indications that family caregivers need additional supports, which would benefit the Medicaid enrollees in their care. Recognizing family […]
Direct care workers play a critical role in the success of states’ long-term services and supports (LTSS) systems, but faced with COVID-19, low wages, and few advancement opportunities, states struggle to retain this workforce. Recently, state leaders came together virtually at National Academy for State Health Policy’s annual conference to share strategies to improve recruitment […]