COVID-19 State Resource Guide: Leveraging Federal and State Authorities to Ensure Access to LTSS

Prepared for The SCAN Foundation

Populations who use long-term services and supports (LTSS) are particularly vulnerable to contracting COVID-19 and experiencing severe cases, due to their age or because they often live with one or more chronic conditions. Roughly 2.5 million older adults and other individuals with complex care needs receive care in nursing homes and other congregate care settings, which have been particularly susceptible to COVID-19 outbreaks. Another 10 million individuals receive assistance at home or in their communities, which in many cases has been disrupted due to caregivers being subject to stay-at-home orders, having no access to childcare as schools shut down, not having adequate access to PPE needed to provide care safely and, in some cases, caregivers entering isolation after becoming sick or being exposed to COVID-19.

In an updated and expanded resource guide prepared on behalf of The SCAN Foundation, Manatt Health identifies federal and state Medicaid flexibilities available to state officials and other stakeholders and how those flexibilities are being deployed during COVID-19 to help ensure access to LTSS. The resource guide also highlights state policy goals in implementing regulatory flexibilities available during the COVID-19 public health emergency, as well as specific examples of how states are ensuring continued access to LTSS by expanding remote service delivery options, expanding and stabilizing providers and the LTSS workforce, maintaining continuity of care for LTSS recipients through modified assessment policies and processes, and extending home care to new populations. States are beginning to assess which temporary flexibilities they would like to and can make permanent using non-emergency authorities, which temporary flexibilities—such as the ability to quickly establish alternate care sites—they want to be able to “toggle on and off” during future COVID-19 outbreaks or other public health emergencies, and which flexibilities they want to retain permanently to strengthen and improve LTSS care delivery, such as expanded use of telehealth.

Click here to access the full resource guide.

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