LTSS Newsletter—August 2023

Stay tuned for the September 2023 LTSS webinar

American Indian/Alaska Native Long-Term Services and Supports

Technical assistance for culturally competent care
August 2023
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Report on the role of AAAs

Area Agencies on Aging (AAAs) play a key role in planning, developing, coordinating, and delivering home- and community-based services.

Last month, USAging published a report, titled Area Agencies on Aging: Local Leaders in Aging Well at Home (PDF, 2 MB, 12 pp).

Citing data from the 2022 National AAA Survey, the report discusses ways in which AAA service offerings have broadened to address evolving client and community needs.

The report also highlights the efforts of AAAs to address social determinants of health in collaboration with community-based organizations.


HCBS waivers


Home- and community-based services (HCBS) help make it possible for elders and people with disabilities to age in place.


Oneida Nation provides HCBS under a 1915(b) waiver mandating enrollment into managed care.


To learn about Oneida Nation’s transition from a fee-for-service model to managed care, visit the LTSS TA Center and watch the webinar titled Managed Care and Home- and Community-Based Services.



Request for stories about memory loss

The International Association for Indigenous Aging (IA²) invites elders and caregivers to submit stories, photos, or videos about memory loss.


IA² is interested in submissions that focus on the overall experience of memory loss or highlight taboos and misconceptions surrounding memory loss and dementia in Native communities.


People who share their perspective with IA² by August 31 may be eligible to receive a $30 gift card.


Healthy Brain Initiative Road Map

Front cover of Healthy Brain Initiative Road Map for 2023-2027

The Healthy Brain Initiative Road Map, State and Local Roadmap for Public Health, 2023–2027 (PDF, 21 MB, 80 pp) is now available online.


The updated road map:


  • Integrates brain health and caregiving into state and local public health practice
  • Addresses social determinants of health that impact brain health


Recently, CDC and the Alzheimer’s Association requested input from tribal organizations to help update the Healthy Brain Initiative’s Road Map for Indian Country. Interested tribal organizations are invited to complete a brief survey online.


National Immunization Awareness Month

Bandage folded in the shape of a heart and the words "National Immunization Awareness Month"

August is National Immunization Awareness Month, an ideal time for caregivers and LTSS providers to check and see if their vaccinations are up to date.


Regardless of care setting, elders are at high risk for serious illness due to complications from influenza and COVID-19.


Help keep elders healthy by urging all caregivers and LTSS providers to talk with a health care professional about which vaccines are right for them. Also, download and share list of vaccinations for adults (PDF, 179 KB, 1 p).


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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

Stay tuned for the September LTSS webinar

An LTSS webinar will not be held in August. Check back soon for more information about the September webinar.


In the meantime, visit the LTSS TA Center to view archived LTSS webinars, such as My Advance Care Plan & Guide for Native Americans and Other Resources.


Caregiver's corner

Preventing burnout and enhancing resilience

Caregivers for people with dementia often experience burnout and compassion fatigue. The recording of a recent webinar, Resilience in Dementia Caregiving, reviews research findings and offers real-world insights that caregivers may find helpful.


Available on the National Institute on Aging website, the webinar:


  • Encourages caregivers to learn as much as possible about dementia
  • Discusses the benefits of mindfulness
  • Recommends that caregivers focus on and facilitate activities that care recipients can still do independently


Funding opportunities

Veterans housing rehabilitation and modification


Deadline: August 31
Learn more about the Veterans housing rehabilitation/modification funding opportunity

U.S. Department of Housing and Urban Development (HUD) grants are available to help nonprofit organizations rehabilitate and modify the primary residence of Veterans who are low-income and have disabilities.


HUD expects to award six grants of up to $1 million each.


Upcoming events

Webinar on National AAA Survey findings

August 23 at 1 p.m. Eastern

Register for the webinar on National AAA Survey findings


USAging will host a webinar to review findings from the latest National Area Agency on Aging (AAA) Survey. The webinar will:


  • Discuss trends that have emerged since the previous National AAA Survey
  • Explain how AAA programs and services have adapted in response to evolving needs and challenges
  • Introduce new tools and resources that AAAs can use to promote their work and advocate for funding


Webinar on ethics of elder care

August 23 at 1 p.m. Eastern

Register for the webinar on ethics of elder care


The American Society on Aging will hold a webinar on ethical considerations surrounding autonomy, informed consent, and mental capacity.


The webinar is intended to help attendees recognize biases that could impact their ability to provide elders with person-centered care.


Webinar on physical activity and social engagement

August 24 at 1 p.m. Eastern

Register for the webinar on physical activity and social engagement


Plan to attend a webinar on using physical activity to promote and encourage social engagement among elders.


Hosted by engAGED: The National Resource Center for Engaging Older Adults, the webinar will feature presenters from:

Logo for engAGED: The National Resource Center for Engaging Older Adults


  • YMCA of the USA
  • National Council on Aging
  • National Recreation and Park Association


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.

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