Leveraging Federal and State Authorities to Ensure Access to the LTSS: Resource Guide and Update

Populations using long-term services and supports (LTSS) are particularly vulnerable to contracting COVID-19 and experiencing severe cases due to their age or because they often live with one or more chronic conditions. About 2.5 million older adults and others with complex care needs are receiving care in nursing homes and other congregate care settings, which have been particularly susceptible to COVID-19 outbreaks. Ten million more people are receiving help at home or in their community, which in many cases has been disrupted due to caregivers being subject to stay-at-home orders, not having access to childcare of children when schools close, do not have adequate access to personal services the protective equipment needed to provide safe care and, in some cases, go into isolation after falling ill or being exposed to COVID-19.

In a resource guide prepared for the SCAN Foundation, Manatt Health provided a tool for policymakers and other stakeholders to understand how states have deployed federal emergency funding and Medicaid regulatory flexibilities to improve access to LTSS for older people and people with disabilities of all ages. The resource guide also highlighted state policy goals in implementing the regulatory flexibilities available during the COVID-19 public health emergency, as well as specific examples of how states have ensured a continued access to the LTSS by expanding remote service delivery options, expanding and stabilizing LTSS providers and workforce. , maintaining continuity of care for SSLT recipients through modified policies and assessment processes, and expanding home care to new populations.

To provide an overview of the latest developments, Manatt Health has produced a brief resource guide update, sharing new information based on an analysis of new or changed regulatory flexibilities and other state administrative actions and responses. global pandemic responses to ensure access to SSLT for those at high risk. The updated guidance finds that as states have operationalized their existing temporary Medicaid regulatory flexibilities, they have gained a better understanding of longstanding vulnerabilities in their LTSS systems that have worsened during the pandemic and turned their focus on long-term system improvements.

Click here to access the original resource guide and here to access the update.

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