Although the political climate presents challenges, we can hope that our state’s leaders can come together and find common ground to take up issues that are important to our citizens including the five priorities identified by the Coalition. As members of the NC Coalition on Aging, we are aligned to continue to make the case for additional topics such as increasing funding for the Home and Community Care Block Grant, strengthening support for adult protective services and guardianship and establishing a legislative committee to examine the needs of our state’s older citizens makes sense for our state as our older population continues to grow.
The rules for certification of adult day services in North Carolina were pending review by the Rules Review Commission in August 2016 based on legislation enacted in the 2013 legislative session (Session Law 2013-413). The process requires agencies to review all of their active rules codified in the NC Administrative Code (“the Code”) every 10 years. Representatives for NCADSA and the NC PACE Association collaborated to submit proposed changes since the Commission has begun implementation of the process. Read an overview of the process here: http://www.ncoah.com/rules/H74PeriodicReviewandExpirationofRules.html.
The biennial National Study of Long-Term Care Providers (NSLTCP) of the CDC/National Center for Health Statistics monitors trends in the supply, provision, and use of the major sectors of paid, regulated long-term care services. NSLTCP uses survey data on the residential care community and adult day services sectors, and administrative data on the home health, nursing home, and hospice sectors. The vision for NSLTCP is to offer reliable, accurate, relevant and timely national and state statistical information to support and inform long-term care services policy, research and practice. The third survey began August 2016. Links to all NSLTCP reports and products from the 2012 and 2014 surveys of adult day services can be accessed by visiting NSLTCP’s Study Publications and Reports.
Adult day services supporters from across North Carolina joined fellow members of the NC Coalition on Aging for a day at the legislature on May 10, 2016. The event offered opportunity to visit with legislators and speak as topic experts to visits at the NC General Assembly. Talking points related to the alignment of the Coalition’s legislative priorities were distributed to legislators, legislative staff and the general public. Teresa Johnson Troup, NCADSA Executive Director, chaired the event on behalf of NCADSA.
President Obama signed the PACE Innovation Act (PIA) into law on November 5, 2015. The new law will allow the Centers for Medicare & Medicaid Services (CMS) to develop pilot projects based on the successful Programs of All-Inclusive Care for the Elderly (PACE) model of care. NC legislators Senator Richard Burr and Representative Renee Elmers co-sponsored the legislation. Currently the PACE model is limited to people aged 55 and older who meet state-specified criteria for needing a nursing home level of care. The PIA will allow expansion to more populations—including younger individuals, people with multiple chronic conditions and disabilities, seniors who do not yet meet the nursing home level of care. Twelve PACE programs currently operate in North Carolina.
In its recent budget approval, the NC General Assembly approved overnight respite in adult day centers beyond the pilot which was established in 2011, but the pilot will continue as is until the Medical Care Commission adopts rules. Once the rules are adopted, any provider can apply for licensure to provide overnight respite. Session Law 2011-104 authorized the Department of Health and Human Services to pilot an overnight respite program and to evaluate its success. Access the report: http://www.ncleg.net/PED/Reports/2014/Respite.html
The NC Adult Day Services Association is working toward laws modifying laws to allow calculated rates instead of the current maximum reimbursement rates for the Home and Community Care Block Grant (HCCBG) and State Adult Day Care Fund (SADCF). Changes will allow for differences such as in service levels, hours of operation, regional economies. The North Carolina Adult Day Services Association (NCADSA) extended an invitation to every certified adult day center and adult day home in North Carolina to participate in a Cost Analysis Project to help review the impact of the potential changes.
North Carolina Adult Day Services Association was well represented as delegates joined providers from across the U.S. to request support for current federal legislation which favors adult day centers and other home and community-based services.
The Centers for Medicare & Medicaid Services (CMS) published a final rule for Medicaid Home and Community Based Services effective March 17, 2014. The rule allows beneficiaries access to the benefits of community living and receiving services in the most integrated setting and provides alternatives to institutions. The rule will impact all adult day centers in North Carolina receiving Medicaid home and community-based waiver services, e.g. Medicaid CAP-DA, Innovations Supports, Innovations Supported Employment. Read more...
CarePartners Adult Day Services in Asheville, NC, was recognized as an Outstanding Adult Day Center in the national awards competition. The program is recognized as a model from which others can learn from its "best practices." The National Adult Day Services Association, in partnership with the North Carolina Adult Day Services Association hosted the National Conference in Charlotte, North Carolina, on October 9-11, 2014.