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Virginia: 3 Ways to Support Older Adults
Description: Virginia created a flyer advertising some ways to support older adults and combat social isolation during the pandemic. Click here to access the resource: https://sharepoint.wwrc.…
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Virginia: Older Adults & Social Isolation: The Other Epidemic
Description: The Virginia NWD System developed this fact sheet on social isolation to share with hospitals to facilitate care transitions partnerships.…
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Care Transitions Peer Hour - Institutional Transitions FAQ
Description: This FAQ document lists the questions posed during the Care Transitions Peer Hour - Institutional Transitions held on September 15, 2020 and their corresponding answers.
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Care Transitions Peer Hour - Institutional Transitions Slides
PowerPoint slides for the Care Transitions - Institutional Transitions call.
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CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19
Description: This news article details an announcement put out by the Centers for Medicare & Medicaid Services (CMS) regarding unprecedented relief for the clinicians, providers,…
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CMS Chronic Conditions Chart Book
Description: This slide deck contains select graphical figures from the CMS Chronic Conditions Chartbook.
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Medicare Advantage Demographics Report, 2015
Description: This issue brief presents key findings on Medicare Advantage, a program that provides affordable, high-quality coverage to all seniors. New data from the Medicare Current Beneficiary…
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New Opportunities for Serving Complex Care Populations in Medicare Advantage
Description: This slide deck by the SCAN Foundation details the findings of an analysis using 2015 Medicare Current Beneficiary Survey (MCBS). This analysis includes Medicare beneficiaries of all…
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SCAN Foundation Data Brief: Medicare Spending by Functional Impairment and Chronic Conditions
Description: This analysis is based on the 2006 Medicare Current Beneficiary Survey (MCBS) Cost and Use file, an annual, longitudinal survey of a representative sample of all Medicare enrollees.…
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Discharge Planning and Care Coordination during the COVID-19 Pandemic
Description: This tool is designed to support nurses, social workers, case managers, and others conducting effective discharge planning and care coordination for adults with disabilities who…
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Discharge Planning CBO - Section Final Rule
Description: This final rule empowers patients to be active participants in the discharge planning process and complements efforts around interoperability that focus on the seamless exchange of…
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COVID-19 Long-Term Care Facility Guidance
Description: The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) are issuing new recommendations to State and local governments and long-term…
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Adapting Care Transitions Amidst Pandemic - Council on Aging of Southwestern Ohio
Description: This article presents an overview of Fast Track Home, the care transitions program of the Council on Aging of Southwestern Ohio (COA). Click here to access the resource:…
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Care Transitions Peer Hour - Hospital to Home Slides
PowerPoint slides for the Care Transitions Peer Hour - Hospital to Home call.
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Updated CMS Processes for Dual Eligible Special Needs Plan (D-SNP)
Description: The CMS issues a notice that due to the COVID-19 Public Health Emergency, they are issuing an extension for the submission of completed contracts until November 2, 2020.…
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Dual Eligible Special Needs Plan (D-SNP) Integration Requirements
Description: D-SNP integration requirements as outlined by CMS. The memo specifically lists a possible option for compliance being to contract with an Area Agency on Aging (bottom of the first page).…
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Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations
Description: The CMS Medicare-Medicaid Coordination Office (MMCO), Integrated Care Resource Center issued a Medicaid Directors guidance document outlining how D-SNPs can meet this requirement by…
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Care Transitions Office Hours Slides
PowerPoint slides for the Care Transitions office hours.
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To contact the ACL/Technical Assistance team, please email: NoWrongDoor@acl.hhs.gov