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    Subject Term: "Elder care"

    1 publication with a total of 1 open recommendation
    Director: Kay Brown
    Phone: (202) 512-7215

    1 open recommendations
    Recommendation: The Secretary of the Department of Health and Human Services should facilitate development of a cross-agency federal strategy to help ensure that federal resources from Administration for Community Living, CMS, USDA, HUD, and DOT are effectively and efficiently used to support a comprehensive system of HCBS and related supports for older adults. Through such a strategy the agencies could, for example, define common outcomes for affordable housing with supportive services, non-medical transportation, and nutrition assistance at the federal level; develop lessons learned for the local networks that area agencies on aging and community-based organizations are forming; and develop strategies for leveraging limited resources.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: HHS agreed with this recommendation, noting that it continually strives to improve its strategic coordination and described ways that it facilitates cross agency strategic efforts, including a community-living initiative with HUD and an interagency workgroup on Olmstead requirements. HHS also described collaboration by HHS and HUD on policy research projects concerning housing and supportive services for older adults, including a comparison of health service utilization by older adults who live in assisted housing with those who do not and an evaluation of a demonstration in Vermont that provides services and supports to residents of HUD-assisted housing. In 2017, of several HCBS partnership efforts HHS reported,only two efforts -- the Department of Transportation's Coordinating Council on Access and Mobility and the Centers for Medicare and Medicaid Services' Affinity Group--appear to include more than two of the five agencies that fund HCBS for older adults. In addition, neither of these efforts appear to cover the full range of services the five agencies fund. We continue to encourage HHS to engage all five agencies in developing a cross agency federal strategy for administering home and community-based services for older adults. To consider the recommendation implemented, we will look for HHS' report on efforts in which all five agencies participate in developing such a cross-agency federal strategy to provide HCBS in the areas of nutrition services, in-home services, affordable housing and transportation.