Public Policy Resources
Adult Day Services are on the public policy agenda of most every state in the United States as advocates seek to help sustain equitable laws and funding for this valuable community-based service that keeps people living in their homes and communities for as long as possible.
Rural Health Transformation Program (RHTP) Toolkit
The CCAM-Technical Assistance Center recognizes the importance of coordination and rural health outcomes which is the cornerstone of the Rural Health Transformation Program (RHTP), a major federal initiative (authorized under Public Law 119‑21) directing $50 billion into rural health systems between 2026 and 2030. We gathered information and resources, with approval from CMS and FTA, to create this toolkit to support communities as they navigate this new program.
One of the most important sections of the toolkit is the Interactive State Map and Strategy Resource Guide, where you can access state-specific information including award amounts, current strategies, open RFPs and contact information for your state’s RHTP lead. Because funding is moving rapidly and must be obtained on a tight timeline, the map helps you quickly see where opportunities exist and how you can engage.
Other sections of the toolkit provide information to deepen your understanding of the program, learn about implementation strategies, innovative solutions to rural health access and get a peek at the approaches some states have already applied.
Beneficial Ownership Information (BOI)
Effective January 1, 2024, many companies in the United States must report information about their beneficial owners who are the individuals who ultimately own or control the company to the Financial Crimes Enforcement Network (FinCEN), a bureau of the U.S. Department of the Treasury. Filing is simple, secure, and free of charge. Beneficial ownership information reporting is not an annual requirement. Unless a company needs to update or correct information, a report only needs to be submitted once.
Your company may need to report information about its beneficial owners if it is:
1. a corporation, a limited liability company (LLC), or was otherwise created in the United States by filing a document with a secretary of state or any similar office under the law of a state or Indian tribe; or
2. a foreign company and was registered to do business in any U.S. state or Indian tribe by such a filing.
Additional information is available by clicking on the following links:
Home & Community Based Services Definition
In 2014, the Centers for Medicare and Medicaid (CMS) adopted new rules for programs funded under Medicaid Home and Community Based Services (HCBS) waivers about what it means to live in a community setting. Adult day centers may be impacted by this ruling.
For more information about the Medicaid HCBS regulation, including a settings requirements toolkit, please visit: https://www.medicaid.gov/medicaid/long-term-services-supports/index.html
HCBSadvocacy.org is a platform to share information and resources regarding the new Home and Community Based Settings rule and stay informed about steps each state is taking to comply with the new rule. The website is a project of the Association of University Centers on Disabilities, the National Association of Councils on Developmental Disabilities, and the National Disability Rights Network. It includes news and documents from states, advocacy resources, comment deadlines, and links to the final rule and official guidance.
Just Like Home: An Advocate’s Guide for State Transitions Under the New Medicaid HCBS Rules. The guide provides analysis and recommendations for multiple aspects of the new regulations, including determining which settings are disqualified for HCBS, and enforcing consumer protections.
Organizations and Reports
NADSA Participation in National Organizations
- Better Medicare Alliance
- Leadership Council of Aging Organizations
- Long-Term Quality Alliance
- Modern Medicaid Alliance
NADSA Collaboration with National Organizations
- ADvancing States
- ARCH National Respite Network and Resource Center
- LeadingAge
- Justice in Aging
- National Council on Aging
Government
- Centers for Disease Control and Prevention
- Centers for Medicare and Medicaid Services
- Disability.gov
- Eldercare Locator
- United States House of Representatives
- United States Senate
- Veterans Administration
Tools & Reports
- Rural Health Transformation Program Toolkit
- ARCH Report: Adult Day Services and Respite
- Innovative Approaches to Addressing Social Determinants of Health for Medicare Advantage Beneficiaries
- Positive Outcomes for High-Need, High-Cost Beneficiaries in Medicare Advantage Compared to Traditional FFS Medicare
- BMA Report on Health Disparities in Medicare
- Kaiser Foundation Medicaid Managed Care Market Tracker
- Modern Medicaid Alliance 2020 December Update
- National Study of Long Term Care Providers
- CMS LTSS Rebalancing Tool Kit