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ACL Announces New Funding to Improve Support for Family Caregivers

Applications due Monday, December 11, 2023
 
ACL is pleased to announce $3 million in new funding over four years to further advance our support of the 2022 National Strategy to Support Family Caregivers (the Strategy). ACL will award one cooperative agreement for a project of national scope intended to foster advancements in two programs authorized by the Older Americans Act (OAA) — the National Family Caregiver Support Program and the Native American Caregiver Support Program
The awardee will undertake technical assistance and capacity building activities targeted to the aging, tribal, and kinship support networks in support of the implementation of Goal 4 of the Strategy: strengthening financial and workplace security for family caregivers. The grantee will join four organizations that recently received awards to support the implementation of the other goals of the Strategy. The goal of this initiative is to ensure family, kinship, and tribal caregivers are better recognized, supported, and included in programs funded by the OAA.  
The initiative is in keeping with President Biden’s Executive Order on Increasing Access to High-Quality Care and Supporting Caregivers, signed on April 18, 2023. This executive order directs federal agencies to take more than 50 actions, making affordable, quality childcare more available to working families; expanding access to home and community-based services; growing and strengthening the direct care workforce; supporting family caregivers; and more — giving us a unique opportunity to transform our long-term care systems and mitigate the challenges that family caregivers face.
Informational Conference Call
Thursday, October 19, 2023 | 2:00 PM ET.
  • Phone number: 888-950-8044
  • Passcode: 9219728
Learn more and apply
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Learn more about soft launch and how to get ready.


Beginning January 1, 2024, the Wisconsin Department of Health Services (DHS) will require electronic visit verification (EVV) for home health care services (HHCS) and nurse supervisory visits using service code 99509. EVV is required by federal law. All states have to require EVV system use to maintain full federal Medicaid funding. Policy and training details will be shared in the coming months.

What is EVV?


EVV uses technology to make sure that members receive the services they need. Workers check in at the beginning and check out at the end of each visit using a mobile phone or tablet, landline phone or fixed voice over internet protocol (VoIP) phone, or small digital device.

What new service codes will require EVV?


Personal Care Services (T1019 and T1020) Nurse Supervisory Visit Code

Private Duty Nursing (PDN) Codes

(Independent Nurses and Agency Nurses)

Non–PDN Nursing Codes

(Independent Nurses and Agency Nurses)

Therapy Codes

99509

(Home visit for assistance with activities of daily living and personal care)

99504

(Home visit for mechanical ventilation care)

99600

(Unlisted home visit service or procedure)

92507

(Treatment of speech, language, voice, communication, and/or auditory processing disorder)

 

S9123

(Non-vent private duty nursing care in home – by RN)

T1001

(Nursing assessment/evaluation)

97139

(Unlisted therapeutic procedure – Occupational Therapy)

 

S9124

(Non-vent private duty nursing care in home – by LPN)

T1502

(Administration of oral, intramuscular, and/or subcutaneous medication)

97799

(Unlisted physical medicine/rehab service or procedure – Physical Therapy)

   

T1021

(Home health aide or CNA visit)

 

How will HHCS EVV be implemented in Wisconsin?

For HHCS, DHS will follow the same two phases that were used with EVV for personal care services. These two phases, soft launch and hard launch, were designed to give providers and workers time to learn how to use their EVV system without financial consequences.

The first phase is called soft launch. During soft launch, EVV is required, but there are no financial consequences if EVV information is missing.

Soft launch is a time for DHS and providers to work together to overcome hurdles, to establish processes, and to troubleshoot problems. DHS recognizes that a new process takes time and is offering soft launch for providers, administrators, and workers to get real-world practice using their EVV system before it will affect claims. For the service codes listed above, soft launch will start on January 1, 2024.

The second phase is called hard launch. After hard launch, there will be financial consequences, like claim denial, when EVV information is missing or incomplete. Hard launch is required by the federal government for Wisconsin to continue receiving its full federal funding. DHS will give stakeholders at least three months’ notice before moving from soft launch to hard launch.

What can you do now to get ready for HHCS EVV soft launch on January 1, 2024?

Review the recording of the August HHCS EVV public forum presentation available on the EVV Public Forums webpage. The written presentation in English, Hmong, and Spanish is available. If you’d like another language, contact Wisconsin EVV Customer Care at     833-931-2035 Monday–Friday 7 a.m.–6 p.m. CT or vdxc.contactevv@wisconsin.gov.

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An effort to federalize state-level adult support programs across the country, SSI is a means-tested program—there are financial requirements to be eligible. In the case of SSI, as of its last adjustment in 1989, enrollees cannot have savings of more than $2,000 as an individual or $3,000 as a family.  People who receive SSI are forced to live in poverty. However, that may be changing. Legislators are working on updating the limits.

Read more

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Actor and disability rights advocate Selma Blair and President Biden recently celebrated the legacy of the Americans with Disabilities Act and the Rehabilitation Act. Blair, who was diagnosed with multiple sclerosis in 2018, walked together with Biden to a ceremony on the White House’s south lawn with her cane and her service dog.  The Rehabilitation Act of 1973 prohibits discrimination on the basis of disability in programs conducted by federal agencies, and the Americans with Disabilities Act of 1990 prevents discrimination against disabled people on everything from employment to parking to voting.

Watch remarks

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The Department of Transportation issued a new rule that requires airline lavatories to be more accessible. The rule requires airlines to make lavatories on new single-aisle aircraft large enough to permit a passenger with a disability and an attendant to approach, enter, and maneuver within using an on-board wheelchair. It also requires improvements to on-board wheelchairs to make them easier and safer to use. These changes are intended to make travel easier and less stressful for people who use wheelchairs.  

The rule also requires lavatories in new single aisle aircraft to have important accessibility features, including:  

  • Grab bars 
  • Accessible faucets and controls 
  • Accessible call buttons and door locks 
  • Minimum obstruction to the passage of an on-board wheelchair  
  • Toe clearance 
  • An available visual barrier for privacy 

The rule takes effect on October 2, 2023, with changes phased in over the next twelve years.  

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CMS released a set of resources addressing the needs of adults with intellectual and developmental disabilities (I/DD) living with, and receiving care from, aging parents or guardians. The set includes resources for state Medicaid and partner agencies to provide new or additional support to adults with I/DD and their caregivers as they age and experience life transitions. They include: 

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October is National Disability Employment Awareness Month. It's a month to recognize workers with disabilities,  and the country recommits to providing equal access and opportunity to all people regardless of disability.

Read President Biden's proclamation

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The Disability Information and Access Line (DIAL) is an easy way to get connected to the services you need! Visit DIAL’s new website, dial.acl.gov, to get connected to programs and services that can help you access transportation, housing and other essential services—right in your community. Ways to connect with DIAL: online search or chat at dial.acl.gov, call/text/videophone 888-677-1199 or email DIAL@usaginganddisability.org. Connect directly to an agent in American Sign Language.

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