LTSS Newsletter— July 2023

LTSS webinar, July 26 – Advantages of Having a Tribal Nursing Home

American Indian/Alaska Native Long-Term Services and Supports

Technical assistance for culturally competent care
July 2023
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Role of social connection in health and wellness

Data suggest that loneliness and social isolation may increase people’s risk for physical health conditions such as dementia, heart disease, and stroke.

Recently, the U.S. Surgeon General released a report that explores how social connection can improve both physical and mental health.

Titled Our Epidemic of Loneliness and Isolation (PDF, 7.9 MB, 82 pp), the report also recommends steps that individuals, organizations, and governments can take to help communities become more socially connected.


Keeping facility residents socially engaged


The pandemic increased awareness of social connection’s impact on the health and well-being of elders in care facilities.


To learn more about how tribal care facilities can help residents stay socially engaged, watch the webinar, Keeping Tribal Elders Connected: Real Stories from the Front Lines.


In this webinar, panelists from tribal care facilities cover topics such as:


  • Holiday celebrations
  • Using technology to connect residents with family and friends
  • Activities involving traditional foods



American Society on Aging’s urgent call for proposals

Tuesday, August 1, is the deadline to submit conference presentation proposals to the American Society on Aging (ASA) for On Aging 2024, to be held March 25–28, in San Francisco.


ASA is especially interested in proposals that highlight innovation and social impact.


Reimagining congregate meal sites

Elders are more likely to participate in meal programs that make them feel comfortable and welcome.


That’s why the Nutrition and Aging Resource Center offers resources for meal program planners. Those resources include:



LinkedIn Tribal Affairs Group
Join the conversation on LinkedIn

Want to learn more about or discuss LTSS in Indian Country? Looking to connect with others working in the same field?

Join the Tribal Affairs Group on LinkedIn.

Upcoming webinar

Advantages of Having a Tribal Nursing Home

Wednesday, July 26

This webinar will discuss the funding opportunities and process for tribes to build a nursing facility. The webinar will also describe the positive impacts on the community and the ways residents are able to preserve their culture.




  • Discuss the funding process
  • Explain how tribal nursing homes contribute to economic development
  • Highlight the role of tribal nursing homes in cultural preservation

Please note your

location's call-in time:


8 a.m. Hawaii

10 a.m. Alaska

11 a.m. Pacific

12 p.m. Mountain

1 p.m. Central

2 p.m. Eastern


Have questions for our presenters? Let us know before the webinar by emailing

Register now.


Deb Arbogast

Deb Arbogast, RN
UNITE Board Member
Medicine Wheel Village

Joseph Ray

Joseph Ray
UNITE President and Elder Care Advocate
Former Board Member
Laguna Rainbow Corporation

Dr. Kendall Brune

Dr. Kendall Brune
UNITE Board Member
Adjunct Associate Professor
Meharry Medical College

Ron Ross

Ron Ross
UNITE Treasurer

Jared Denton

Jared Denton
UNITE Board Member

Tiffany Shangreau

Tiffany Shangreau
UNITE Board Member
Oglala Sioux Lakota Nursing Home

Brandi Hodges

Brandi Hodges
UNITE Secretary
White River Health Care Center

Ina Weed

Ina Weed
UNITE Vice President
Human Resource Manager
Morning Star Care Center


Caregiver's corner

Decision-making support for people with dementia

A resource on how to support someone with dementia in decision-making (PDF, 242 KB, 4 pp) is now available online. Developed by the National Alzheimer’s and Dementia Resource Center (NADRC), the resource:


  • Explains how dementia affects people’s ability to communicate and manage daily life
  • Recommends steps caregivers can take to help a person with dementia plan for future health and financial needs
  • Includes tips for working with other family members


Additional resources to help people with dementia simplify money management and participate in advance care planning are also available on NADRC’s website.


Funding opportunities

Alzheimer’s Disease Programs Initiative


Deadline: August 7
Learn more about the Alzheimer’s Disease Programs Initiative funding opportunity

Alzheimer’s Disease Programs Initiative funds are available to help develop and expand culturally competent, person-centered home and community-based services for people with dementia and their caregivers.


The Administration for Community Living expects to award 30 cooperative agreements. Tribes and tribal organizations are encouraged to apply.


NextFifty Initiative grants to advance equity in aging


Deadline: August 16
Learn more about the NextFifty Initiative funding opportunity

NextFifty Initiative grants are available to support healthy aging and improve the lives of historically underserved elders.


Applicants are strongly encouraged to speak with a NextFifty Initiative staff member before applying for funds. Call (303) 574–1800 or email to schedule an appointment.


Upcoming events

Webinar on spousal caregiving

August 2 at 1 p.m. Eastern

Register for the August 2 webinar


American Society on Aging (ASA) reports that about 12% of family caregivers provide care for a spouse or partner. Join ASA for a webinar to learn about:


  • Challenges that are unique to that caregiving relationship
  • Resources for spousal caregivers


Send us your news

Do you have news to share about LTSS in Indian Country? Send it to, and we'll include it in a newsletter. Contact us with other comments or feedback, too.


About the newsletter

American Indian/Alaska Native Long-Term Services and Supports Solutions is published monthly by the CMS Division of Tribal Affairs to share information, funding opportunities, and resources with LTSS planners, tribal leaders, and supporters.

Centers for Medicare & Medicaid Services Indian Health ServiceAdministration for Community Living