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) extends 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. To participate, complete the highlighted cells in the Cost Analysis Tool based on your most recently completed fiscal year and return the spreadsheet to firstname.lastname@example.org by August 21, 2015.
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.
NCADSA members and staff visited the NC General Assembly with about 100 advocates who serve older adults and people with disabilities in North Carolina. The day in March was organized by the NC Coalition on Aging. We emphasized to NC legislators that adult day centers need their support. Restoring nearly $1 million that was cut from Home and Community Care Block Grant in the 2014 budget is one of the ways they can help support senior adults and people with disabilities.
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...
Session Law 2011-104 authorized the Department of Health and Human Services to pilot an overnight respite program in four facilities that provide adult day care and directed the Program Evaluation Division to evaluate its success. Stakeholders perceive the pilot as successful, but only one of the facilities consistently provided overnight respite. PED found the legislative mandate for the pilot and its implementation by DHHS only met two of ten recommended components of a well-designed pilot program. In addition, the legislative prohibition against using state or Medicaid funding for the pilot hindered its effectiveness. Furthermore, no organization affiliated with respite care maintains data on the need for the service. The General Assembly should allow the pilot program authorizing overnight respite at adult day care facilities to expire on June 1, 2015, and require state agencies and institutions initiating pilot projects to adhere to standards established by UNC's School of Government. Access the report.
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.