Specialized Information for:

Nursing HomesAssisted Living/Board & Care Home and Community Based Services

Home & Community-Based Services/Rebalancing the LTC System

Home and Community Based Services Final Regulations
The final Home and Community-Based Services regulations set forth new requirements for several Medicaid authorities under which states may provide home and community-based long-term services and supports.  See the below for additional resources from CMS and the National Senior Citizens Law Center:

The Who, What, When, Where and How of Ombudsman Services for Home Care Consumers (October 2013)
This session from the 37th annual Consumer Voice conference talks about an increasing number of states are looking at options for advocacy for home care consumers. The Older Americans Act Reauthorization Act of 2013 would give ombudsman programs the authority to continue to serve residents transitioning from a long-term care facility to a home care setting, and there are opportunities to provide ombudsman services to clients of Money Follows the Person (MFP), managed care and dual integration programs. What does it take to develop a home care ombudsman program? During this session, participants will look at different options for creating a home care ombudsman program and hear about issues such as funding, scope of services, authority and oversight, staffing and more from states that have already made these decisions.

Session Materials:

I Choose Home NJ
This website provides information on New Jersey's Money Follows the Person program with information on services and eligibility.

Hear two participants of I Choose Home NJ talk about their successful transitions to the community:


Minnesota Home Care Bill of Rights (July 2007)

Charting the Long-Term Care Ombudsman Program's Role in a Modernized Long-Term Care System
This Long-Term Care Ombudsman Program Strategic Directions Work Group Meeting Report, prepared by NORC and NASUA, seeks to help long-term care ombudsmen to define their role and develop coordination efforts in a new long-term care system. Visit NORC's Rebalancing the Long-Term Care System webpage.

Home Care Ombudsman Programs Status Report: 2007
Ombudsman programs in twelve states are authorized or mandated under state law to provide advocacy on behalf of consumers who receive home and community based care. Over the last seven years the Long-Term Care Ombudsman Program's involvement in home care advocacy has changed little; the numbers of complaints, types of individual and systems issues, and the level of support have remained relatively stable. This paper updates and expands information previously collected on home care ombudsman programs in 2000. New information reported here was gathered in April/May 2007 through a web-based questionnaire and a teleconference.

Strategy Brief: Ombudsman Program Involvement in Nursing Home Transition Activities (December 2004)
This report presents promising practices and discussion highlights from National Dialogue Forum #2 convened by NASUA on the topic. [Note that Appendices D and F are not included. Contact the author at NASUA for a hard copy.]

The Role of the Long-Term Care Ombudsman in Home Care Advocacy (June 2001)
This technical assistance paper, prepared by the National Association of State Units on Aging (NASUA), includes information on the scope of Home Care Ombudsman Programs' responsibilities, the types of complaints which may be reported, program funding, access issues, training and systems advocacy activities.

Strategy Brief:  Ombudsman Program Connections to Home- and Community-Based Service (July 2004)
This document presents discussion highlights from a National Dialogue Forum convened by NASUA on the topic. The primary issues discussed by the participants included: the ombudsman program's role in providing information about home care to consumers; consumer access to home care services; advocacy for quality home care options and relationships with the home- and community-based services system.

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