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Tags Posts tagged with "ADvancing States"

ADvancing States

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ADvancing States invites you to register for the 2024 Home and Community-Based Services (HCBS) Conference, celebrating significant milestones this year: the 60th anniversary of ADvancing States and the 40th anniversary of the HCBS Conference. The event gathers leaders and policymakers in the field of aging and disabilities to discuss and share practices that enhance state systems delivering long-term services and supports for individuals of all ages and abilities. Scheduled from Monday, August 18, to Friday, August 22, 2024, at the Baltimore Marriott Waterfront, the conference offers over 190 sessions, along with breakfast, lunch, and networking opportunities, including a Gala Dinner on Wednesday, August 21. Additionally, a virtual conference will be available on Wednesday, September 11, and Thursday, September 12, featuring on-demand sessions with live speaker Q&A, accessible from home at a reduced rate. For more details or to register, visit the in-person registration or virtual conference information pages.

ADvancing States and the ARPA HCBS TA Collective Announce Release of Report Summarizing State Experiences with ARPA HCBS Initiatives

FOR IMMEDIATE RELEASE
April 23, 2024
CONTACT: Camille Dobson
202-898-2578

ARLINGTON, VA — ADvancing States and our partners in the American Rescue Plan Act (ARPA) home and community-based services (HCBS) Technical Assistance Collective (TA Collective) are proud to release a report sharing findings about states’ experience in implementing their ARPA HCBS initiatives. While the ARPA infusion of federal dollars into HCBS provided an historic opportunity to try bold, new approaches to supporting people in their homes and communities, states were challenged to make systemic improvements given the time-limited nature of the federal funds.

To gather insights into states’ experiences in implementing their ARPA HCBS spending plans, the TA Collective fielded a national survey in early 2024 that aimed to identify successful strategies used by states implementing their ARPA HCBS spending plans, as well as any barriers hindering their success. Based on responses to that survey, this report highlights the challenges and barriers states faced in thoughtfully executing their initiatives in the midst of a public health emergency. The thirty-three states that responded to the survey shared the top barriers to implementing their projects as planned. These barriers include:

  • Delays in obtaining approval from CMS for both their spending plans and the necessary federal authorities to implement those plans;
  • Lack of staff capacity to design and implement complex initiatives;
  • The time it takes to complete state procurement processes to implement projects; and
  • The need to secure legislative approval and/or budget authority before beginning work.

The report also suggests ways to make any future time-limited investments in the HCBS system more effective, including giving states more time to implement, easing the CMS approval process and providing resources to both states and CMS. Moreover, any future investments should be accompanied by a federal evaluation to glean insights into successful interventions that could be replicated across the country.

While this report highlights challenges and lessons learned, it should be noted that, against all odds, states created transformational change with their ARPA spending plan initiatives. Our hope is that this report — and the recommendations contained therein — serves as a roadmap for any future federal investment in the HCBS system.

This report is also informed by the TA Collective’s work supporting states with their ARPA initiative planning, implementation, and evaluation activities and by observations and analysis of state and federal ARPA HCBS activities. It builds upon the TA Collective’s past work including, Efforts to Evaluate the Impact of ARPA HCBS Investments, an issue brief examining state evaluation approaches, and a summary of the work of the HCBS Sustainability Summit, which provided valuable context on sustaining the HCBS commitment fostered by ARPA investments. Both reports can be found here.

We are grateful to The John A. Hartford Foundation, the Care for all with Respect and Equity (CARE) Fund, The SCAN Foundation, and the Milbank Memorial Fund for their support in making the work of the TA Collective possible.

Visit here to read the new report.

Friendly nurse cares for an elderly woman in a nursing home.

ADvancing States has announced the release of a new issue brief “Person-Centered Approaches: Connecting Individuals to Services and Benefits.” Developed with support from the National Council on Aging (NCOA), this brief describes person-centered approaches, which are practices and techniques used by human services professionals to learn about an individual’s goals, needs, and preferences to live the life they desire and value. In aging and disability networks, person-centered conversations aid in the understanding of an individual’s long-term services and supports (LTSS) needs and preferences, resulting in improved access to services and benefits. Community-based organizations, including Aging and Disability Resource Centers, Area Agencies on Aging, and Benefit Enrollment Centers, can strengthen their connections and engagement with LTSS access systems through person-centered approaches and state efforts, such as No Wrong Door Systems. Additionally, the issue brief highlights states that have implemented promising person-centered approaches.

If you have any questions, please contact Fady Sahhar.

ADvancing States announced the release of a new issue brief “No Wrong Door (NWD) Systems: A Guide to Fundamentals and Engagement for Community Organizations.” Developed with support from the National Council on Aging (NCOA), this brief describes the fundamentals of the NWD System initiative in developing a one-stop resource hub and access point for long-term services and supports (LTSS) and benefits in states and territories, and the important roles community-based organizations (CBO) can serve in a NWD System. Additionally, the history of NWD and significant milestones, key elements of a coordinated NWD System, as well as CBO engagement in NWD Systems to facilitate access to services and benefits, are explained. As identified in the issue brief, states provide a range of opportunities for CBOs to connect with NWD Systems, from the inclusion of a CBO’s services in a NWD’s database to partnering with aging and disabilities network agencies and public outreach. The issue brief highlights NWD System development and state approaches to CBO partnerships in several states.

If you have any questions, please contact Fady Sahhar.

Join the National Council on Aging (NCOA) for Part 2 of their Public Policy webinar series to learn about the ongoing efforts in Congress to tackle the direct care workforce crisis. As the pandemic has shown, the demand for direct care far exceeds the available supply of workers across the nation, creating a significant challenge for care recipients and direct care workers alike. Without a robust direct care workforce, families and caregivers face additional pressure to provide care that is often inadequate for the complex health needs of older adults and persons with disabilities. In this webinar, attendees will discover how NCOA is taking action to address this issue, as well as hear from members of Congress.

This webinar will take place on Thursday, May 25 at 2:00 pm ET.

Visit here to register.

Join the National Center for Advancing Person-centered Practices and Services (NCAPPS) for a webinar exploring the dignity of risk. Dignity of risk is the idea that taking reasonable risks is essential to supporting autonomy for people with disabilities, balancing the need for autonomy while keeping a person’s health and welfare in mind. Participants will hear from providers, national experts, people with lived experience, and state representatives as they examine best practices for addressing and assessing risk through a person-centered lens.

Speakers include:

  • Susan Arwood;
  • Mary Lou Bourne;
  • Carl Lipford;
  • Elise Messner; and
  • Shannon Nehus.

The webinar will take place Thursday, March 23, 2023 from 3:00 pm – 4:00 pm ET. You can visit here to register for the webinar.

ADvancing States and our partners with the ARPA HCBS Technical Assistance Collective are proud to release two papers that provide information about state efforts and activities under their American Rescue Plan Act (ARPA) HCBS spending plans. Through the generous support of The SCAN Foundation, The John A. Hartford Foundation, The Milbank Memorial Fund, and Arnold Ventures, the TA Collective operated two Affinity Groups (AG) to support states, facilitate information exchange, and share innovations, promising practices, and other strategies to expand and enhance their HCBS programs.

One AG focused on HCBS Workforce Shortages and state efforts to increase worker compensation and to improve training and education activities, while the other AG was dedicated to incorporating enabling technology into state HCBS programs. Each paper provides an overview of the issue, a summary of the discussions and ideas presented, examples of state innovations, and a discussion of future activities, challenges, and considerations as states continue to address these issues.

Visit here to read more.