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A new study finds that many doctors don't know their obligations to people with disabilities. Most of the doctors surveyed reported that they had little to no knowledge of their legal requirements under the Americans with Disabilities Act and didn't know who determines reasonable accommodations. Studies show that people with disabilities often receive substandard care. Examples of this would be people who use wheelchairs often get examined in their chairs rather than on exam tables and people who are deaf often go without an interpreter at their medical appointments. 

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We've summarized the latest CDC guidance on vaccines and boosters below. Check our vaccination resources page for the latest guidance and resources.

Booster Shots


Who? CDC now recommends booster shots for everyone 12 years old and older.

When? Depends on which vaccine you received initially:

  • Pfizer-BioNTech or Moderna: You should get a booster FIVE months after your last primary dose.
  • Johnson & Johnson/Janssen: You should get a booster TWO months after your primary dose. 

Which vaccine should you get?

  • CDC recommends the Pfizer-BioNTech vaccine for children and either the Pfizer-BioNTech or Moderna boosters for adults, regardless of which shot(s) you got initially.
  • Johnson & Johnson’s Janssen vaccine is NOT recommended except in limited circumstances.
  • You do NOT need to boost with the same vaccine you received initially.

Additional Primary Doses for People who are Immunocompromised:


Who? Moderately or severely immunocompromised people five and older who received initial doses of the Pfizer-BioNTech or Moderna vaccines.

When? 28 days after your second shot.

Which vaccine? Get the same vaccine you received for your first two doses. (CDC does NOT recommend mixing and matching for your additional dose).

Keep in mind: This is NOT the same as a booster shot, if you are 12 or older you should still get a booster shot after you complete your primary doses. In other words, you should get a booster five months after your third Pfizer or Moderna shot or two months after your single Johnson & Johnson shot.

Getting your vaccine or booster

  • Find a vaccination site: Visit vaccines.gov, Text your ZIP code to 438829, or call 1-800-232-0233.
  • Help for people with disabilities: The Disability Information and Assistance Line (DIAL) can be reached by calling 888-677-1199 or by emailing DIAL@n4a.org any time. 
  • Help for older adults: Call the Eldercare Locator at 800-677-1116 or visit the website to chat live or browse resources. 
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In recent years, accessibility awareness has become more and more prevalent. Everything from TV ads, to video games, to websites, accessibility is usually brought up some how in conversations. As great as that is, it's not turning into action.  There are gaps in accessibility because more training needs to be done. Accessibility awareness needs to be part of the culture.

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On December 31, the FCC launched the ACP. This program, created by Congress in the Infrastructure and Jobs Act, is a longer-term replacement for the Emergency Broadband Benefit (EBB) program. This investment in broadband affordability will help ensure households can afford the internet connections they need for work, school, health care, and more.

The FCC also launched a toolkit of materials for partners to download and customize to meet their needs. More materials will be added in the coming weeks.

The ACP provides a discount of up to $30 per month toward internet service for eligible households and up to $75 per month for households on qualifying tribal lands. Eligible households can also receive a one-time discount of up to $100 to purchase a laptop, desktop computer, or tablet from participating providers if they contribute more than $10 and less than $50 toward the purchase price.

Enrollment in the ACP is now open for households with at least one member qualifying under any of the following criteria:
  • Has an income that is at or below 200% of the federal poverty guidelines.
  • Participates in certain assistance programs, such as SNAP, Medicaid, Federal Public Housing Assistance, SSI, WIC, or Lifeline.
  • Participates in tribal-specific programs, such as Bureau of Indian Affairs General Assistance, Tribal TANF, or Food Distribution Program on Indian Reservations.
  • Is approved to receive benefits under the free and reduced-price school lunch program or the school breakfast program, including through the USDA Community Eligibility Provision.
  • Received a Federal Pell Grant during the current award year.
  • Meets the eligibility criteria for a participating provider's existing low-income program.

The 9 million households fully enrolled in the EBB program as of December 31, 2021 will continue to receive their current monthly benefit until March 1, 2022. More information about steps current EBB recipients must take to continue receiving the ACP benefit after March 1, 2022 will be available in the coming weeks.

For application questions, email ACPSupport@usac.org or call 877-384-2575.
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The Wisconsin Medicaid reimbursement rate for home and community-based services (HCBS) will go up by 5% effective January 1, 2022, through March 31, 2024. The increase comes from federal funding authorized by Section 9817 of the American Rescue Plan Act (ARPA). Programs benefiting from the increase include:

  • BadgerCare Plus Managed Care
  • Care4Kids
  • Children Come First
  • Children’s Long-Term Support (CLTS) Waiver
  • Family Care
  • Family Care Partnership
  • IRIS (Include, Respect, I Self-Direct)
  • Medicaid fee-for-service state plan services
  • Program of All-Inclusive Care for the Elderly (PACE)
  • SSI Managed Care
  • Wraparound Milwaukee

HCBS providers serve Wisconsin’s frail elders and people of all ages with disabilities, enabling them to live independently or in home-like settings in the community. These services are essential to meeting their daily needs and avoiding unnecessary institutionalization. Further, HCBS are shown to be a cost-effective alternative to higher levels of care, such as nursing home placements and hospital services.

This 5% rate increase will help providers get adequate reimbursement to recruit staff and maintain this important system that delivers such critical care.

Providers eligible for the rate increase will receive follow-up communications from DHS with operational details. Services will need to be coded properly to be reimbursed at the new rate.

Resources

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Federal officials are working to make sure that paid caregivers aren't being taken advantage of. The Department of Labor recently launched an initiative to protect the wages and rights of professional caregivers. The agency said it plans to educate these workers about rules related to minimum wage and overtime pay and how to file a complaint if their rights have been violated.

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2022 National Self-Direction Conference 

Monday, April 11 - Tuesday, April 12, 2022

Planning is well underway for the 2022 National Self-Direction Conference on April 11th and 12th in Baltimore, Maryland. We are thrilled to bring the self-direction community together again to share relevant policy updates, discuss innovative best practices, and highlight exemplary self-direction programs from around the country. We will share more information about our dynamic speakers and sessions in the coming weeks.


Before the holiday break, don’t forget to register for the conference and sign up for a showcase or sponsorship! 

RegistrationYou can register for the conference at our discounted early bird pricing here. 

Tools & Tech to Self-Direct ShowcaseAs an integral part of the conference, vendors have the chance to show off, explain, and demonstrate their tools or technology with an audience of state Medicaid administrators, Financial Management Services providers, managed care organizations, and other Medicaid stakeholders as a part of our Tools & Tech to Self-Direct Showcase.
We encourage anyone with a product or service that supports self-direction to be a part of the showcase. You can learn more about the showcase here

SponsorshipsDon’t miss your chance to reach self-direction program administrators, Financial Management Services providers, managed care organizations, federal government officials, and other partners during our conference. Sponsorships offer unique opportunities for your organization to network, brand, market, and advertise—boosting your visibility. 
View the Sponsorship Prospectus for a complete overview of all the latest opportunities.

Register here
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The Wisconsin Department of Health Services (DHS) has submitted the updated statewide transition plan for final approval to the Centers for Medicare & Medicaid Services (CMS).

The HCBS settings rule requires states to develop a transition plan for reaching and maintaining compliance with the rule. Wisconsin's current plan for meeting the rule's requirements was last posted for public comment in March 2017 and submitted to CMS for review and approval. CMS gave initial approval of the statewide transition plan in July 2017. CMS then requested that updates and revisions be made and that DHS repost the updated plan for public comment. The updated statewide transition plan now reflects the updates and revisions CMS requested along with public comments from July 2021.

Find more information about the statewide transition plan on the DHS website.

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Winter is upon us and so is the holiday season. For many, this is a time of year for gathering with friends and family, while others may find themselves experiencing increased isolation. This time of year can mean more time spent indoors or outside enjoying the colder weather. Whatever this season means for you, the next few months will bring challenges due to the continuing COVID-19 pandemic.



To help programs support safe holidays and a healthy winter experience, here are select resources from ACL’s Senior Nutrition Program and its Nutrition and Aging Resource Center.

Real Program Practices
Local senior nutrition programs share their creative practices for engaging participants.


Find more success stories from local programs across the country.
 

Activity Guides

Created to celebrate the Senior Nutrition Program’s anniversary earlier this year, these activity and game guides are great for virtual get-togethers.

Program Reopening Resources

For programs planning safe in-person gatherings, these resources around reopening after closures due to COVID-19 offer considerations, tips, and materials.
The Senior Nutrition Program applauds local programs and the aging network for their continuing resilience and creative efforts to support communities during this challenging time. Programs are encouraged to remain dedicated to using flexible strategies and combatting social isolation to keep seniors, staff, and volunteers as safe and healthy as possible through the holidays and beyond.


For more on staying well this season, check out CDC’s Strategies for a Healthy and Safe Holiday Season.


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On December 15, 2021, the Smithsonian Museum of Natural History held a ribbon-cutting ceremony to celebrate the installation of new sloped walkways for accessible entry on the National Mall side of the 111-year-old building. On behalf of the U.S. Access Board, Training Coordinator Bill Botten attended the ceremony and recognized the importance of providing compliant and accessible routes and entrances, stating “the Access Board commends the museum for this accessible design and ongoing commitment to removing barriers. It allows easier and more dignified access to the museum for people with disabilities, older adults, strollers users, and others. These sloped walkways are a great example for other museums and historic buildings on the National Mall to follow in providing more accessibility for the American public.”  

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