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Alaska's Supported Employment Task Force has created a Strategic Action Plan for increasing the number of people with developmental disabilities receiving supported employment services and how to most effectively shape protocol to assist employees and employers. Attached are a proposed funding matrix and a strategic action plan for employment services for individuals with behavioral health disabilities. These sample documents may be useful for other states implementing similar programs.

Disability rates among older Americans have declined, and the ways in which community-dwelling older people with disabilities managed their conditions have substantially changed over the 20 years covered by this survey. Among those receiving human assistance, the vast majority were helped by family caregivers, who are increasingly taking full responsibility for providing care. Find detailed analyses of the data in two research reports that provide insight into the factors driving these changes.

States are curtailing optional services, extending waiting lists, cutting provider reimbursement, and taking other measures to cope with the worst economic downturn in 70 years according to a comprehensive 50 state survey. Even as state revenues shrink, the demand for services is increasing. On a brighter note, many states may participate in expanded HCBS services through ACA opportunities. Review preliminary findings presented at the National HCBS Conference in September, 2010.

Check out New Mexico’s Medicaid Buy-in Program (WDI) website. The program was created in 1999. Collaborative efforts of agencies, employers and consumers statewide continue to build upon the MIG initiatives for a sustainable, streamlined employment support system. See their website which includes marketing materials in both Spanish and English, applications, employment survey, policies, and much more.

Statistics show a significant percentage increase in older persons able to receive LTSS outside of nursing homes, however unnecessary institutionalization is still a routine problem. This report clearly delineates the limitations on progress, including differences in Medicaid structure around nursing home vs. HCBS waiver coverage. The authors recommend specific steps that federal and state governments should take to reduce unnecessary institutionalization.

Access the latest information on health care reform and learn how it impacts seniors and those with disabilities in your community. Resources include new grant releases, updates, fact sheets, blog links, state-by-state reports, CMS guidance and White House.gov links.

Dual eligibles comprise only 17% of the Medicare population but represent 28% of Medicare beneficiaries with five or more chronic conditions. Find key facts and analyses on older Americans and long-term care issues. DataBriefs examine health and supportive services and the people who use them, while exploring opportunities to improve care through the implementation of health reform. Each Databrief is offered in the form of a Powerpoint presentation and one page PDF.

Many low-income individuals with severe mental illness leave state institutions without health insurance and therefore without financial access to the treatment they need to live successfully in their communities. Read an evaluation of Oklahoma’s efforts to develop and implement a model program to ensure that eligible individuals with mental illness were enrolled in Medicaid at discharge from state prisons and institutions for mental diseases.

Review a brief that profiles Medicaid Buy-In participants with severe mental illness and compares their characteristics, employment experiences, and medical expenditures with those of other program participants. Findings show that Buy-In participants had lower medical expenditures, were more likely to be employed and to increase their earnings over time.

Read two reports about successful initiatives in outreach efforts. One describes how the SSA and Dept. of Veterans Affairs worked collaboratively to improve data exchange and outreach, thus increasing it’s service to the military community. The other examines two lives in Colorado and Arkansas that have improved as a result of provisions in the MIPPA Act of 2008.