Specialized Information for:

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

Program Management

Good program management frees long-term care ombudsmen to serve residents. Whether local or state, ombudsmen are challenged to effectively manage their programs. NORC presents information on a wide variety of issues ombudsmen must address to run their programs efficiently. The resource documents contained here are organized by topic.

 


Collaboration and Working with Other Agencies

Legal Assistance Providers

Long-Term Care Ombudsman Programs and Legal Assistance Developers Collaboration Toolkit
The Long-Term Care Ombudsman Program is federally funded under Title III and Title VII of the OAA and other federal, state and local sources. Title VII of the Older Americans Act (OAA) requires each state to appoint a legal assistance developer (LAD). 

Long-Term Care Ombudsman Programs and Legal Assistance Developers Collaboration Report
This report includes in-depth information about the two programs and the current status of collaborations between LTCOPs and LADs. 

Protection and Advocacy

Long-Term Care Ombudsman Programs and Protection & Advocacy Agencies Collaboration Toolkit
Persons with disabilities receiving or in need of long-term services and supports have available nationally at least two advocacy organizations – Protection and Advocacy (P&A) and the Long-Term Care Ombudsman program (LTCOP).

State Survey Agencies

Ombudsman References in Other Federal Requirements Excluding Nursing Home Regulations

State Unit on Aging Directors

State LTC Ombudsman Program: Revised Primer for State Agencies (2019)
Prepared by the National Association of States United for Aging and Disabilities

 


Ombudsman Program Funding

Medicaid Administrative Claiming

Medicaid Administrative Claiming for Activities Performed by State Long-Term Care Ombudsman Programs
On June 18, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a clarification of its policy regarding Medicaid administrative claiming by State Medicaid Agencies related to the services of States’ Long – Term Care Ombudsman Program. CMS worked with the Administration for Community Living/Administration on Aging (ACL/AOA) and the National Association of State LTC Ombudsman Programs (NASOP) on examples of LTCO activities that are eligible for claiming. CMS has also provided guidance through a work plan to assist state Medicaid agencies and LTCOPs in developing proposals for claiming. More information is available on the CMS Medicaid website.

Civil Monetary Penalty (CMP) Funding

Title VII Allocations

  • State Allocation Tables: Title VII
    The tables linked on AoA's website show the amount of Federal grant funds, provided to each state, under Title VII of the Older Americans Act—Vulnerable Elder Rights Protection Activities.

 


Ombudsman Program Promotion

What is a Long-Term Care Ombudsman Video

The Who, What, Where, Why, and How of the Long-Term Care Ombudsman Program (2022)
LTCOP representatives can use this presentation when training potential LTCOP representatives, during Resident Council and Family Council meetings, community education, and in-services for facility staff. View the slides as a PDF or PPT.

Long-Term Care Ombudsman Program Postcard
This postcard is available in three versions and can be used by long-term care Ombudsman programs or long-term care facilities to share information about the Ombudsman program. Programs can personalize the postcards and/or print and share them with residents and family members.

Fact Sheet: Long-Term Care Ombudsman Program - What You Must Know
This resource walks readers through what the long-term care ombudsman program is, what the Ombudsman program does and does not do, links to information on residents’ rights, and some helpful FAQs. View the fact sheet here.

 

Infographic for Long-Term Care Ombudsman Program Promotion (2024)
This Ombudsman program infographic has been created to give a brief overview of the work Ombudsman programs do and the impact they have around the nation. This infographic can be used for volunteer recruitment or program promotion. View and download the printable infographic here.

 

 


Ombudsman Program Structure & Management

State Long-Term Care Ombudsman Programs: Organizational Structure (Updated October 2024)
Initially released in 2016, this report features updated information on the organizational structure of State Long-Term Care Ombudsman Programs (SLTCOP) and is intended to support state agencies in understanding the unique structure of the programs. Data on SLTCOP, shared by State Long-Term Care Ombudsmen, provides an updated picture of the Long-Term Care Ombudsmen programs across the nation and can serve as a tool for state-by-state comparisons.

State LTC Ombudsman Program: 2019 Revised Primer for State Agencies (Updated April 2019)
This Primer is intended to support State Agency Directors to understand the unique role of the State Long-Term Care Ombudsman Program. The Primer was prepared by the National Association of States United for Aging and Disabilities.

 


Systems Advocacy

The Ombudsman program promotes systems change to address the quality of life for residents of long-term care facilities.

Role and Responsibilities of Ombudsman Programs Regarding Systems Advocacy (February 2018)
This reference guide briefly defines systems advocacy, reviews the federal mandate and support for systems advocacy work by Ombudsman programs, define several systems advocacy strategies, shares examples of Ombudsman program advocacy and additional resources.