Expenditures

According to the authors, transforming Medicaid’s LTC programs is an urgent priority given states’ challenging fiscal environment. Based on this paper’s model, more than 35 percent of a state’s budget will be needed for Medicaid by 2030, of which half will be for LTC services. The brief examines Medicaid expenditures for LTC, in both institutional and community settings, and presents ideas for consideration for states to transform their programs to help address budget constraints.

Looking for sample e-newsletters funded by the MIG grant and geared towards employing people with disabilities? The state of Maine created 'Working Together e-News' as a way of providing timely, relevant, business-oriented information and updates for employers that are interested in diversifying Maine's workforce. An archive of these newsletters are provided on their website and could serve as an example to other states considering a newsletter sponsorship model.

Looking for a sample strategic MIG plan? Through the NYS Strategic Plan, the MISCC Employment committee and New York Makes Work Pay team have developed and implemented a set of cross-systems strategic recommendations to close the employment gap through executive, legislative and budgetary action. Find the Strategic Plan, as well as a link to the New York Makes Work Pay website.

Review an early assessment of the balance of state LTC systems before the implementation of the MFP demonstration. The authors’ goal was to develop a baseline against which the impacts could be measured as the program matures and evolves. This baseline information is used to identify key differences in the makeup of states’ LTC systems, and the observations suggest that the impacts of the program are likely to differ across states.

Find an article produced for the general public discussing the progress of Money Follows the Person. The author cites study findings suggesting reasons for states’ slow movement in nursing home transition: problems finding affordable housing, resistance from nursing homes, stringent federal rules limiting eligibility and types of community settings individuals can move into. Included are links to a related video and interactive map showing each state’s goals and transitions made to date.

Did you miss the disability forum which provided an overview of the Demonstration to Maintain Independence and Employment? You can access a live recording of presentations where the rationale for DMIE, a review of its core goals, and descriptions of four states’ implementations of the program were presented. Findings and implications for disability policy are discussed as well.

Understanding the myriad of rules governing SSI/SSDI, Medicaid, Medicare & related work incentives for people with disabilities is essential in creating successful MIG programs. One tool the state of Virginia is using is a true/false test given to trainees at the beginning, and again at the end of a two day training session. A sample of the test is attached, along with the training agenda and table of contents for the manual used in the training.

Reducing In Home Support Services (IHSS) in California will be costly for taxpayers according to this report, which summarizes and refutes the conclusions of an earlier CA Legislative Analyst’s Office report. It presents what it sees as a more realistic set of assumptions and re-estimates the relative benefits of the IHSS program, considering the savings to the state if it transitioned one third of nursing home residents back into the community.

Find two fact sheets geared towards assisting state and local aging network entities in their implementation of the VD-HCBS program in partnership with local VA Medical Centers. These documents offer information on target population, referral, services and goods, rate information and criteria for allowable expenditures.

Explore how Medicaid policies have been used in some states to expand the range and availability of services. Third in a series, this brief explains why these policies lead to so much variation in current state Medicaid long-term care programs. It also draws lessons from innovative states to suggest reforms in national Medicaid policies that would make home and community based services accessible to more program participants.