Eligibility

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Improving Access to Health Coverage for Transitional Youth

NASHP produced this report and webinar to help states provide Medicaid and SCHIP coverage to youth involved with or exiting foster care and juvenile justice systems. The report focuses on simplifying enrollment, enhancing retention through transitions, and integrating services with partners. The webinar slides present the report findings in brief and highlight programs in New Mexico and Washington that focus on the juvenile justice system and youths released from incarceration.

Short URL: http://www.advancingstates.org/node/51658

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Rhodes to Independence – Rhode Island MIG Resources

In 2000, Rhode Island launched an initiative called “Rhodes to Independence” (RTI) to promote systems changes that reduce barriers to employment. RTI focuses on health care, transportation, housing, youth transitions, and diversity. Below, find RTI’s 2005 annual report, a recruitment brochure for the RI Business Leadership Network, and brochures in English and Spanish advertising Sherlock, a health insurance program for employed people with disabilities.

Short URL: http://www.advancingstates.org/node/51657

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State Medicaid Policy Choices Under the Deficit Reduction Act Provisions Affecting Children and Adults with Mental Disorders

This report and the accompanying tables summarize ways in which states have implemented optional Medicaid programs authorized by the Deficit Reduction Act of 2005 (DRA). Each section of the report explains a program states have the option of implementing, which states did so, and how these changes affect people with mental disorders. The tables illustrate key characteristics of the programs in each participating state.

Short URL: http://www.advancingstates.org/node/51642

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Amendment to the Ticket To Work and Self-Sufficiency Program; Final Rule

These are the final rules on the Ticket to Work and Self-Sufficiency Program published May, 2008 by the Social Security Administration. The changes were authorized by the Ticket to Work and Work Incentives Improvement Act of 1999. The rules affect the areas of eligibility, funding for employment networks, and reimbursement allocation and sharing between employment networks and state vocational rehabilitation agencies, among others.

Short URL: http://www.advancingstates.org/node/51625

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The CMS Medicaid Targeted Case Management Rule: Implications for Special Needs Service Providers and Programs

This issue brief reviews how new rules issued by CMS governing Medicaid coverage of targeted case management (TCM) services would affect people with complex health needs receiving home and community-based services. The author finds that the availability of several important services and strategies used in TCM would be significantly reduced. New record keeping requirements would also increase administrative burdens and costs.

Short URL: http://www.advancingstates.org/node/51618

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In the Driver’s Seat: A Guide to Self-directed Mental Health Care

Here, consumers and advocates can find information and tools needed for effective self-directed mental health care. The guide summarizes the goals of self-directed planning and the rights of the consumers. It also lists strategies by states to support these services. Fact sheets and questions-and-answers provide further information on financing, eligibility, evaluation, planning, and support brokerage.

Short URL: http://www.advancingstates.org/node/51617

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Medicaid Targeted Case Management (TCM) Benefits

A reader can use this report to better understand proposed rule changes regarding which TCM services are eligible for federal financial participation. Various perspectives on the changes are presented. Several tables and graphs illustrate past and projected TCM expenditures. Prompted by the Americans with Disabilities Act, CMS issued the interim rule in order to limit the growth of TCM costs. Current proposed legislation would delay rule implementation until April 1, 2009.

Short URL: http://www.advancingstates.org/node/51603

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The 2008 Red Book - A Guide to Work Incentives

The Red Book 2008 serves as a general reference source about the employment-related provisions of the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). In addition to the PDF versions posted here in English and Spanish, the Red Book website has a page highlighting recent changes to the programs and html versions of the resource in both languages.

Short URL: http://www.advancingstates.org/node/51585

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CMS Case Management Regulation Rule Guidance

The Deficit Reduction Act (DRA) of 2005 clarified which case management and targeted case management services are covered by Medicaid. The rule addresses concerns about improper billing of non-Medicaid services to the program by some states, while aiming to ensure comprehensive services that meet the needs of beneficiaries. These documents from CMS are meant to assist practitioners in understanding and abiding by these rules.

Short URL: http://www.advancingstates.org/node/51572

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Employment for Persons with Brain Injuries

This report provides recommendations for persons with Acquired Brain Injury (ABI) or Traumatic Brain Injury (TBI) to acquire and maintain employment in Oregon. Currently, the common program for people with TBI/ABI nationally is Vocational Rehabilitation. However, this report suggests expanding services by using a supported employment model with an interdisciplinary team. Major characteristics of this model include paid employment, integrated worksites and ongoing support.

Short URL: http://www.advancingstates.org/node/51567

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