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Long-Term Services and Supports


August 2015
A monthly newsletter developed through a partnership with the Centers for Medicare & Medicaid Services, Indian Health Service, and the Administration for Community Living.
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In this issue: LTSS News | Upcoming Webinar | Featured Video | Featured Resource
LTSS News
Native American Healthy Brain
Native American Healthy Brain by Rance Raymond Sneed, courtesy of Banner Alzheimer’s Institute
Coming in October: First National Native American Conference on Alzheimer’s Disease and Dementia
With the population of elders at an all-time high and chronic health conditions continuing to take their toll, Alzheimer’s and dementia have become major concerns in Indian Country. Now the Native American Program at the Banner Alzheimer's Institute is pulling together nationally recognized Native American and dementia specialists for the first National Native American Conference on Alzheimer's Disease and Dementia. The conference will take place Thursday, October 15, and Friday, October 16, at the Scottsdale Plaza Resort in Paradise Valley, AZ. This event is relevant for tribal and urban health care providers, social service workers, and other professionals in these fields. Conference details.
ACL Wants Feedback on Adult Protective Services
The Administration for Community Living is soliciting comments for, and will be hosting, 12 listening sessions on newly released draft voluntary guidelines for Adult Protective Services (APS) systems. The agency is proposing a set of field-driven, consensus-informed, national guidelines to provide a core set of principles and common expectations. The intention is that, through these guidelines, older adults and adults with disabilities will have similar protections and service delivery regardless of where they live. The public comment period runs through October 13. Information and draft guidelines.
NCOA Releases Action Plan for Preventing Falls
The 2015 Falls Free® National Action Plan from the National Council on Aging is a blueprint describing how to reduce the growing number of falls and fall-related injuries among older adults. The plan is the product of key recommendations and strategies collected during the Falls Prevention Summit, a White House Conference on Aging event held in April 2015. Download or view.
The Americans with Disabilities Act Turns 50
Before independent living was a program, it was an idea that sparked a social movement to advance the rights of people with disabilities. The Administration for Community Living’s (ACL) Jamie Kendall reflects on an important Americans with Disabilities Act milestone in her blog about the Berkeley, CA, birth of the Centers for Independent Living and ACL’s new Independent Living Administration. Read the blog.
Native American Disability and Health Resources
The Christopher & Dana Reeve Foundation Paralysis Resource Center recently assembled a list of Native American disability and health resources that may interest program staff and other advocates for people with disabilities. See the list.
In Case You Missed It
On Tuesday, August 4, Native America Calling aired an hour-long radio show on dementia in Indian Country. Dr. Heather Snyder, Director of medical and scientific operations at the Alzheimer’s Association, served as the featured guest. You can listen to the show online at the Native America Calling website.
Upcoming Webinar
There will be no LTSS webinar in August, but plan to join us for the next LTSS webinar on September 23.
LTSS webinars take place the fourth Wednesday of every month from 2 p.m. to 3 p.m., eastern time. Sign up to get an email alert.
Featured Video
What Works for Us: Building Partnerships and Coordinating Services
Most LTSS programs for tribal elders and people with disabilities are stitched together from state and federal funding streams, community services, and various types of tribal support. “There’s always a way, and a mechanism” to fill gaps and serve tribal members, explains an experienced health administrator in a 4-minute video for tribal LTSS program planners. Watch the video.
What Works for Us: Building Partnerships and Coordinating Services
Featured Resources
1915(c) Waivers by State
Is your tribe setting up a home- and community-based services program? One pathway to reimbursement for HCBS in some states is through Medicaid 1915(c) waivers. You will need to find out if your state offers 1915(c) waivers and, if so, what they cover. The situation is different for each state. For example, Alaska has a waiver called AK Alaskans Living Independently and South Dakota has one called SD Assistive Daily Living Services.
LTSS Resource Library
The LTSS Resource Library offers many resources to help you start, support, or improve LTSS in your community. Each month, we feature a tool from the library.
The services offered and eligibility requirements are similar, but not the same. In addition, some states have waivers that serve specially targeted groups, such as people who have traumatic brain injuries.
Waivers can provide reimbursement for care delivered to specific populations, depending on the waiver’s eligibility criteria. Wavier reimbursement can help support your HCBS program in conjunction with other federal, state, and local programs, such as your Medicaid state plan, grants from the Administration on Aging, and other sources. What’s available in your state?
Find more resources at CMS.gov
Join the conversation on LinkedIn by becoming a member of the CMS Tribal Affairs group.
About the Newsletter
The Long-Term Services and Supports Newsletter is published monthly by the Tribal Affairs Division of CMS to share information, funding opportunities, and resources with tribal leaders, LTSS health planners, and supporters.

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Centers for Medicare & Medicaid Services | Indian Health Service | Administration for Community Living