Specialized Information for:

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

Federal Laws & Regulations

Long-Term Care Ombudsman Final Rule


Older Americans Act

Older Americans Act (Title VII, Chapter 2, Sections 711/712)
The Long-Term Care Ombudsman Program is authorized under the Older Americans Act and administered at the state level. It provides residents of long-term care facilities with access to effective advocacy in order to ensure that they receive the quality of care and quality of life they deserve and are entitled to by law.

Information regarding the recent reauthorization of the Older Americans Act is available on the ACL website. Click here to find the official compilation, frequently asked questions, summary of changes, and more.

Highlights of changes related to the LTCOP, elder abuse, and the funding formula for Titles III B, C & D and more is available on the Older Americans Act page here.

Federal Nursing Home Regulations

Final Regulations

On October 4, 2016, the final regulations for nursing homes participating in the Medicare and/or Medicaid programs were published in the Federal Register. The regulations are effective as of November 28, 2016 and will be implemented in three phases. Click here to view the implementation timeframe chart. For more information including a summary of the regulations created by Consumer Voice, along with Justice in Aging and the Center for Medicare Advocacy, visit the Consumer Voice website.

Note: The regulations included in Phase 1 must be implemented by November 28, 2016, regulations included in Phase 2 must be implemented by November 28, 2017, and regulations included in Phase 3 must be implemented by November 28, 2019.

Revised Federal Nursing Home Regulations

Home and Community Based Services Final Regulations

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:

Federal Guidance


ACL Guidance for Outreach and Providing Services for Holocaust Survivors (January 2017)
ACL created this guidance as a vehicle by which the Aging Services Network can build stronger connections to organizations and stakeholders providing care to Holocaust survivors, to enhance service capacity and quality. The guidance examines the unique needs and challenges of serving Holocaust survivors, with a particular focus on mental and physical health, nutrition, transportation, caregiver support, outreach, legal and ombudsman services, with a foundation in person-centered, trauma-informed approaches.

August 10, 2011 AoA Memorandum re: Clarification on the Definition of "Facility Coverage" for NORS Reporting

AoA Program Instructions

CMS Policy and Memos to States and Regions

Click here for CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.


View archive here

AoA Correspondence

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