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Upcoming webinar: Wednesday, March 23 — Register Now
LTSS Resources Online: The Redesigned CMS Technical Assistance Center Website for Indian Country
Long-Term Services and Supports
Technical assistance for culturally competent care
February 2016
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LTSS Training and Technical Assistance Center
Visit the online LTSS TA Center for videos, best practices, toolkits, a resource library, and a step-by-step planning roadmap.
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Improving LTSS for People
with Developmental Disabilities
March is National Developmental Disabilities Awareness Month, which offers a good opportunity to educate caregivers and the community about issues affecting American Indian and Alaska Native people with developmental disabilities. Explore these resources related to people with disabilities in Indian Country:
Monitoring and Enforcing the Affordable Care Act for People with Disabilities is a newly released report from the National Council on Disability that examines key legal safeguards in ACA implementation regulations that can help people with disabilities secure essential care and supports
Native American Developmental Disabilities Needs Assessment (PDF, 25 pp.) is a 2012 report funded by the Administration on Intellectual and Developmental Disabilities that examines community strengths and challenges, and provides an extensive appendix of additional resources
  Disability Resources in the LTSS Technical Assistance Center
American Indian and Alaska Native disability resource list provides access to a wide range of organizations, toolkits, and research resources
Issues Affecting American Indian and Alaska Native Consumers with Disabilities (PDF, 23 pp.) provides research information about disabilities among Native populations, including incidence rates, indigenous perspectives on disability, and other related issues
Study Finds Higher Dementia Rates for Natives
According to the first study to look at dementia incidence in the AI/AN population, 35% of American Indians and Alaska Natives age 65 or older are expected to develop Alzheimer’s or another dementia before their 90th birthday, a rate higher than every other race group except African Americans.
Researchers at the University of California, San Francisco, and the Kaiser Permanente health care system analyzed 247,000 electronic health records to compare rates of Alzheimer’s and dementia across six different race groups.
They called for further research to better understand these health disparities. Read a press release from the Alzheimer’s Association (PDF, 3 pp.) on these findings.
Pine Ridge Elders Educate Peers on Advanced Care Planning
WAKANKI EWASTEPIKTE Care for Our Elders Three trained Lakota elders on the Pine Ridge Reservation are starting conversations about advanced care planning and wills at powwows, flea markets, and community centers. They are using a Lakota-specific advanced directive brochure in an outreach program developed by tribal elders and South Dakota State University.

The group simplified the terminology from another brochure, translated key points into the Lakota language, and contracted with a Lakota artist for illustrations. They emphasize the message: “If we do not make these choices, the government will make them for us.” See the brochure (PDF, 2 pp.).
LTSS TA Center Seeks Feedback on LTSS Program Database

The next LTSS webinar on March 23 will present the newly redesigned LTSS TA Center and gather feedback about the IHS, Tribal, and Urban LTSS Programs database. The database is a resource for researchers, grant writers, and others who need to find and use high-level information about LTSS programs. It covers more than 400 LTSS programs offering 1,000+ services in Indian Country and includes program descriptions, contacts, and tribal affiliations.

To help with the redesign, we would like users to tell us how they currently use (or would like to use) the database, how we should organize the information, and preferences for presenting results. You can send recommendations to us directly at

3 LTSS Grant Opportunities

The following grant opportunities are available to tribal programs. Please pass them along to others who may be interested.

Empowering Older Adults and Adults with Disabilities in Tribal Communities through Chronic Disease Self-Management Education Programs Financed Solely by 2016 Prevention and Public Health Funds This grant opportunity through the Administration for Community Living is designed to fund programs that empower Native people with disabilities to manage their chronic health conditions. (Closing date April 25)
American Indian Vocational Rehabilitation Services This grant opportunity from the U.S. Department of Education will provide vocational rehabilitation services to American Indians with disabilities who reside on or near federal or state reservations. (Closing date April 26)
Evidence-Based Falls Prevention Programs in Tribal Communities Financed Solely by 2016 Prevention and Public Health Funds For the third year in a row, the Administration on Aging is taking grant applications to help tribes reduce falls among elders by starting or expanding evidence-based prevention programs. (Optional letter of intent requested by March 16; closing date May 9)
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Join the conversation on LinkedIn
Have questions or feedback about how to improve the IHS, Tribal, and Urban LTSS Programs database on the LTSS TA Center? Looking to connect with others working in the same field? Join the Tribal Affairs Group on LinkedIn and join the conversation.
Upcoming Webinar
LTSS Resources Online: The New CMS Technical Assistance Website for Indian Country
Wednesday, March 23, 2016
Long-term services and supports resources for Indian Country will become more user friendly and easier to access with the redesign of the LTSS Technical Assistance Center website on Learn how to access resources for program planning, research, grant writing, program evaluation, working with tribal leadership, collaborating with state long-term care programs, and more.
A special focus in this webinar will be a demonstration of the website's redesigned IHS, Tribal, and Urban LTSS program database, which provides valuable information on over 400 LTSS programs in Indian Country offering 1,000+ services. If LTSS research is part of your job, we want to hear from you about how you’d like to use this data.
Kim Blessing Kim Blessing
VP of Communications Kauffman & Associates, Inc.
Image of Sarah Peterson Sarah Peterson
LTSS TA Center Content Specialist
Kauffman & Associates, Inc.
Image of Adrienne Wiley Adrienne Wiley
Research Associate Kauffman & Associates, Inc.
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Conference number:
Please note your
location's call-in time:

 8 a.m. Hawaii
10 a.m. Alaska
11 a.m. Pacific
11 a.m. Arizona
12 p.m. Mountain
 1 p.m. Central
 2 p.m. Eastern
Pine Ridge Elders Educate Peers on Advanced Care Planning
If you missed February’s webinar on Wisconsin’s Music & Memory Program, and how it helps rekindle the spark in elders with dementia, you can now view it online.
Send Us Your News
Do you have news to share about LTSS in Indian Country? Send it to, and we’ll include it in a newsletter. Contact us with other comments or feedback, too.
About the Newsletter
Long-Term Services and Supports Solutions is published monthly by the Tribal Affairs Division of CMS to share information, funding opportunities, and resources with LTSS planners, tribal leaders, and supporters.
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