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Setting Policy for Assisted Living: Key Issues
/in Policy Reports Chronic and Complex Populations /by NASHPThis policy paper was prepared to assist state leaders in creating a viable, affordable, more user friendly alternative to nursing homes for a significant subset of the population who are now residing in or are likely in the future to enter a nursing facility if residential options are not available. To assist in preparing the paper, an invitational round table discussion of assisted living was held on September 25, 1995 with key state policy staff, associations and consumer representatives to identify the major issues and the options for addressing them. However, this paper is not intended to represent a consensus of the participants, but rather reflects the range of perspectives of participants during the discussion, as well as the author’s views about the kinds of provisions necessary to create an optimal policy. The author is responsible for the content of the paper.
| 1995.Dec_.setting.policy.assisted.living.key_.issues.pdf | 1.5 MB |
Building Assisted Living for the Elderly into Public Long Term Care Policy: A Technical Guide for States
/in Policy Reports /by NASHPA recent addition to the array of long-term care services, assisted living combines the medical aspects of long-term care with a model of supported housing and social services. Definitions of asisted living vary and sometimes the services provided overlap with other models: board and care, personal care homes, residential care facilities, rest homes and others. Generally, assisted living emphasizes consumer direction over regulation. Comparing assisted living to nursing homes, Michael Rodgers, Vice President of the American Association of Homes for the Aging, says, “Our role is to assist with, rather than to do for, residents in assisted living.”
| 1992.Sept_.building.assisted.living.elderly.public.long_.term_.care_.technical.guide_.pdf | 4.8 MB |
Guide to Assisted Living and State Policy
/in Policy Reports /by NASHPThe 1995 edition of the Academy’s Guide to Assisted Living and State Policy builds upon the 1992 publication. We have expanded the scope to include all states we can identify that have a program or licensure category called assisted living. We have tried to analyze how states are developing and implementing assisted living to develop a model, if not a definition, that differentiates the term from board and care and other equivalent supportive housing or housing with services models. The Guide includes a narrative discussion of state policy directions and a summary of each state’s statute, regulations or process for designing state policy.
| 1995.May_.guide_.assisted.living.state_.policy.pdf | 12.2 MB |
Informing Consumers about Assisted Living: State Practices
/in Policy Reports /by NASHPThis paper summarizes efforts in Colorado, Florida, New Jersey, and Washington to provide information to help consumers prepare and select assisted living residences. Checklists and consumer guides developed by these states are included in the appendix.
| informing_assisted_living.pdf | 154.6 KB |
Residential Care and Assisted Living: State Oversight Practices and State Information Available to Consumers
/in Policy Reports /by NASHPThis report reviews state monitoring and oversight practices of assisted living facilities, along with information that is available on state agency Web sites to consumers and family members about assisted living.
| resident_care_oversight.pdf | 1.3 MB |
Assisted Living
/in Policy Health Coverage and Access /by NASHP Staff
Assisted living has become an important residential care option within many states’ home and community based services systems, providing supportive and health-related services and assistance with activities of daily living. Since assisted living services are not typically funded by the Medicaid program except through state-designed waiver programs, the definition, regulation and oversight of this community based residential service option is determined exclusively through state policy.
NASHP has supported state policy decision-making by tracking policy developments, growth trends, changing regulatory models, approaches to quality, and licensure standards. Our reports have provided detailed comparisons of crucial elements of assisted living policies across states and summary profiles of each state’s regulatory framework.
In addition to regulating assisted living services, some states have chosen to include them as a covered benefit under their Medicaid home and community based services waiver programs. NASHP’s work has documented state Medicaid payment policies to enable states to draw upon the methodologies developed by their counterparts across the country.
NASHP’s work in assisted living policy has been supported the Office of the Assistant Secretary for Planning and Evaluation and the Agency for Healthcare Research and Quality, both part of the U. S. Department of Health and Human Services.
Medicaid Financial Eligibility for Aged, Blind and Disabled: Survey of State Use of Selected Options
/in Policy Reports /by NASHPStates were asked about three optional eligibility categories that can qualify an individual for coverage of nursing facility services. States were asked only about financial (income and asset) eligibility criteria or standards; all states have other nursing facility coverage criteria concerning physical/functional status which this survey did not address.
| 1997.May_.medicaid.financial.eligibility.aged_.blind_.disabled.survey.pdf | 524.3 KB |
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































