LTSS Newsletter—January 2026

LTSS webinar, January 28 – Oregon’s Aging and People with Disabilities Tribal Navigator Program

American Indian/Alaska Native Long-Term Services and Supports

Technical assistance for tribal health care
January 2026
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How AAAs can promote advance care planning

Advance care planning (ACP) helps ensure elders’ health needs are met in ways that align with their goals and preferences.

Area Agencies on Aging (AAAs) are well positioned to foster wider engagement in ACP. To that end, the USAging website offers a toolkit highlighting opportunities for AAAs to create, implement, and expand ACP programs (PDF, 517 KB, 17 pp).

The toolkit provides tips for incorporating ACP into AAA workflows and delivering ACP services in a culturally responsive manner.

It also suggests that AAAs partner with state Medicaid programs, health plans, and accountable care organizations to identify and reach people who might benefit from ACP.

 

     
   

Advance care planning for Native elders

 
       
   

Advance care planning enables people to identify what is important to them and which types of treatment they want.

 

It also provides guidance for the health care team, family members, and loved ones so they can make decisions about care if an elder can no longer tell them what they prefer.

 

My Advance Care Plan & Guide for Native Americans (PDF, 1.7 MB, 17 pp) is a culturally adapted tool to help elders make decisions about the types of health care they want in the future.

 

To learn more about this tool, watch the LTSS webinar, My Advance Care Plan & Guide for Native Americans and Other Resources.

 

 

Update on the minimum staffing standards

Last month, to avoid impacting access to care in rural and tribal communities, the U.S. Department of Health and Human Services (HHS) repealed key provisions of the minimum staffing standards for long-term care (LTC) facilities.

 

The provisions set minimum nurse-aide and registered-nurse hours of care per resident per day as part of the Minimum Staffing Standards for LTC Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule.

 

Tribal communities had previously shared concerns about their ability to comply with the minimum staffing provisions, given Indian Country’s unique funding and staffing challenges. During the open comment period prior to the rule’s release, CMS’s Tribal Technical Advisory Group wrote (PDF, 221 KB, 9 pp):

 

“Tribal long-term care facilities receive no funding from the Indian Health Service (IHS) and are nearly entirely dependent on Medicare and Medicaid funding to operate. As a result, if proposed staffing standards like these are too expensive or not possible to meet due to staffing shortages, tribal LTC facilities will simply cease to exist, and there will be no more long-term care in our communities.”

 

HHS is taking steps to ensure future policymaking includes robust tribal consultation.

 

PCTI services guide

A person-centered, trauma-informed (PCTI) approach to service delivery helps create an environment where elders and their families are more likely to seek support. It also promotes resilience and reduces burnout among service providers.

 

That’s why State Unit on Aging leadership and staff should fully understand and adopt the PCTI approach, as noted in a recently published guide for State Units on Aging (PDF, 5.9 MB, 28 pp).

 

The guide was researched and written by a workgroup that included people affiliated with the International Association for Indigenous Aging and the National Council on Indian Aging.

 

The PCTI approach combines 4 person-centered principles (respect, personalization, self-determination, and coordination) with 6 trauma-informed principles (empowerment, voice, and choice; cultural, historical, and gender considerations; peer support; collaboration and mutuality; trustworthiness and transparency; and safety).

 

The PCTI approach combines principles of person-centered and trauma-informed care, as shown in this image from Changing States’ Approach to Aging Services: A Guide on the Person-Centered, Trauma-Informed Approach for State Units on Aging.

 

No-cost course on PCTI care

Individuals and teams are invited to complete a recently refreshed self-paced course on PCTI care.

 

Available online at no cost, PCTI Essentials for Aging Services includes videos, downloadable resources, and assignments to promote reflection and assess knowledge.

 

The course is intended for social workers, policy makers, community leaders, organization executives, and family caregivers. People who complete the course will be better able to:

 

  • Explain how trauma impacts health, aging, family caregiving, and service delivery
  • Provide an overview of the PCTI approach
  • Apply the PCTI approach in different care settings and across populations

 

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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

Oregon’s Aging and People with Disabilities Tribal Navigator Program

Wednesday, January 28

Oregon’s Aging and People with Disabilities Tribal Navigator Program is a formal partnership between the local Office of Aging and People with Disabilities/Area Agency on Aging (APD/AAA) points of contact and tribal nations. Hear from two tribal navigators who serve as liaisons between APD/AAA and tribal members who are elders or people with disabilities.

 

Objectives:

 

  • Explain how tribal navigators help increase access to long-term services and supports
  • Highlight the role of tribal navigators in repairing relationships between APD/AAA and the tribal nations of Oregon

Please note your

location's call-in time:

 

9 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 LTSSinfo@kauffmaninc.com.

Register now.

Barbara Black.

Barbara Black
Tribal Navigator
Confederated Tribes of Coos, Lower Umpqua, and Siuslaw Indians

Danielle Broncheau.

Danielle Broncheau
Public Services Coordinator
Yellowhawk Tribal Health Center

Laura Hunker.

Laura Hunker
Tribal Affairs Consultant
Office of Aging and People with Disabilities
Oregon Department of Human Services

Debbie McCuin.

Debbie McCuin
Program Analyst
Community Services and Supports Unit
Office of Aging and People with Disabilities
Oregon Department of Human Services

Jane-ellen Weidanz.

Jane-ellen Weidanz
Deputy Director of Policy
Office of Aging and People with Disabilities
Oregon Department of Human Services

Caregiver's corner

AARP Family Caregiving Guide

The cover of the AARP Family Caregiving Guide shows a middle-aged woman as she embraces an elder sitting in a wheelchair.

The AARP Family Caregiving Guide (PDF, 11.5 MB, 20 pp) helps family members plan their caregiving journey, based on the needs of their loved ones.

 

The guide provides resources for every stage of care, from starting the care conversation to navigating available services to coping with grief. Key topics include financial, legal, and technological considerations as well as tips for creating or updating a caregiving plan.

 

“Caring for a family member or close friend is one of the most important roles you’ll ever play. Everyone’s caregiving journey is unique.”
– AARP

 

Funding opportunities

ACCESS Model

Applications due: April 1
View the ACCESS Model funding opportunity

 

The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model under Medicare Part B uses technology-supported care to help people manage their health and prevent chronic disease.

 

The model is meant to give clinicians more flexible care delivery through telehealth, wearable devices, apps, and other technological innovations. It will focus on outcomes of activities to help people prevent and manage common chronic conditions, such as high blood pressure, diabetes, musculoskeletal pain, and depression.

 

Upcoming events

American Society on Aging webinars

Register for the following American Society on Aging webinars:

 

Navigating Family Dynamics: Collaborative Caregiving and Support
February 4, 1–2 p.m. Eastern

 

Learn about the impact of family dynamics on elder care, and gain a better understanding of how to navigate emotional conversations, collaborate on solutions, and find available resources and tools.

 

Mental Health in Older Adulthood: What Community Providers Need to Know
February 11, 1–2 p.m. Eastern

 

Learn about mental health concerns that can arise later in life and develop strategies to support elders with mental health challenges.

 

Elder abuse symposium

February 26–27
Pasadena, California

Register for the elder abuse symposium

 

“The Elder Justice Panorama: Promising Programs, Sustainable Progress, and the Path Forward” is the theme of the University of Southern California Judith D. Tamkin International Symposium on Elder Abuse. Symposium topics include:

 

  • Elder financial exploitation
  • Abuse and neglect in licensed facilities

 

Researchers, practitioners, advocates, thought leaders, and lawmakers are encouraged to attend.

 

IHS Clinical and Community Workforce Summit

March 10–12
Denver, Colorado

Register for the IHS Clinical and Community Workforce Summit

 

The 2026 IHS Clinical and Community Workforce Summit’s theme is “Alzheimer’s and Elder Care: Knowledge, Compassion, and Community at Work.” The event will foster collaboration to address the unique challenges and opportunities around elder care and memory health in tribal communities.

 

Tribal Public Health Conference

April 7–9
Oklahoma City, Oklahoma

Early bird registration deadline: February 20
Register for the Tribal Public Health Conference

 

The theme for this year’s Tribal Public Health conference is “The Vision for Generational Healing, Health, and Wellness.” Attendees will explore healing and wellness across lifespans and generations.

 

The conference will cover topics such as:

 

  • Environmental health and emergency management
  • Culturally adapted public health
  • Data and epidemiology
  • Oral health
An elder securing a traditional hat on the head of her grandson who is getting a piggyback ride from his father.

 

Conference art: “Dance on My Shoulders” by Kevin Tushka

 

Send us your news

Do you have news to share about LTSS in Indian Country? Send it to LTSSinfo@kauffmaninc.com for possible inclusion in an upcoming 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