Wendy Fox-Grage is a senior strategic policy advisor for the AARP Public Policy Institute. She works on state long-term care issues, including Medicaid and home and community-based services.

Measuring Quality in Long-Term Services and Supports: National Core Indicators — Aging and Disabilities

Millions of older people and adults with disabilities receive services in their own homes and communities, but little is known about their quality of care or quality of life. However, an exciting and relatively new assessment called the National Core Indicators — Aging and Disabilities (NCI-AD) is emerging that could begin to fill this data void. The Consumer Experience NCI-AD is a consumer-experience survey that includes a background survey, which gathers data about the consumer from agency records. It also contains …

Financial Abuse of Older Adults: AARP and American Bankers Association Foundation Partner to Tackle Growing Problem

An 81-year-old woman who was swindled out of $806,500 by a lottery scam A man who drained his grandfather’s life savings for his personal use A “traveling handyman” who received an up-front payment for work that was never completed All of these are true examples of financial exploitation — now the most prevalent form of elder abuse. Older adults lose at least $3 billion each year due to fraud. What can be done to address this problem? The answer: educating bankers and …

Improving Quality Measurement and e-Health in Medicaid Home- and Community-Based Services: The TEFT Demonstration

Many Americans with personal care needs receive services in their own homes to help them with daily tasks such as bathing, dressing and meal preparation. But the quality of care provided in private homes often is not measured. The medical community is beginning to adopt electronic health records: health information in a digital format that can be shared with providers. Unfortunately, these records may not be helpful to consumers, especially those with long-term care needs, in managing their own care. …

Paying for Home- and Community-Based Services: Lessons From Oregon

Many older adults need services to stay in their homes or in community-based settings. Getting help with shopping, meal preparation, transportation, medication management, bathing, dressing or mobility can extend community living. But Medicare and private health insurance do not pay for these types of services, and Medicaid (which does) is limited to people with low incomes and almost no savings. As a result, most people pay for these services out of their own pockets. The Symposium Even people who can …

Aging and Disability Resource Centers: Scorecard Highlights the Need for Information and Access to Services

Most Americans will eventually need services to help them live independently, either as consumers or as caregivers providing support to family and friends. However, many of them do not know where to turn for help or how to pay for these services. That’s a major reason Aging and Disability Resource Centers – referred to as ADRCs – are critically important to help them find the services they need. ADRCs offer a “single point of entry” for clients and families to …

The New Federal Rule on Home- and Community-Based Services: All Eyes on the States

The U.S. Centers for Medicare & Medicaid Services (CMS) recently took an important step toward helping low-income people with disabilities. In January, CMS issued a final rule [CMS-2249-F/CMS-2296-F] giving states new flexibility and responsibilities for using Medicaid dollars to pay for home- and community-based services (HCBS). The rule – which should help Medicaid recipients overcome fragmented systems of care and limited options for living in the community – is likely to affect states in three significant ways. New Definition of …