Expenditures

Since 2001 the State of New Hampshire has utilized MIG funds to improve its infrastructure for providing employment supports to its citizens with disabilities. Through this grant, New Hampshire has built a comprehensive strategic plan to address systemic barriers to creating a lasting transformation of its service system. The Granite State Employment Project(GSEP) and its subsequent evaluations, could serve as a valuable resource for other states. Both are available for download here.

This 15-page slide presentation, summarizes the need for the Medicaid Buy-In Program in Hawaii, called “Hire Abilities”. This presentation outlines the program’s goals, recent successes, need for the MIG option, enrollment, cost and more. It also looks at the national MIG picture and could be a helpful resource for other states.

An alternative to the traditional care delivery system, Arkansas’ IndependentChoices was the first program nationally that offered participant directed care as an option to its’ Medicaid population. Arkansas serves as a model for other states interested in implementing similar programs. This in depth procedures manual outlines the history, philosophy and detailed procedures for the program. Review examples of these enrollment and operating policies.

Review the key findings of this report which uses information from multiple state and federal data sources and provides the most comprehensive information to date on patterns of Medicaid and Medicare spending and service use among Buy-In participants. Overall findings suggest that Buy-In participants who are working may require fewer services or a less expensive mix of services than other adult disabled Medicaid enrollees.

This webcast was given for Area Agencies on Aging throughout the country. The text transcript, presentations, agenda, and link to the archived webcast are available.

This article focuses on the effect of Arkansas' Cash & Counseling demonstration on nursing facility use and expenditures. The results are compared to traditional Medicaid PCS and the affect on total Medicaid costs are examined. The abstract (free) and full report (subscription required) are available.

This SSP was developed for New Mexico's Mi Via program. The SSP outlines review criteria for consumers purchasing goods and services for their individual budget.

This study of Consumer Directed Care, Florida's Cash & Counseling Demonstration program for children, examines the ways in which consumer direction affects the cost of Medicaid personal care services, as well as the cost and use of other Medicaid services. Outcome measures were drawn from Medicaid claims data for 1,002 children for the first two years post-enrollment.

This article by the Assistant Secretary for Aging, Josefina G. Carbonell, describes how the US Department of Health and Human Services' Administration on Aging leveraged the investments of a number of private foundations and entered into a partnership with them to develop, test, and support the initiatives that were eventually included in the Bush administration's Choices for Independence Reauthorization Proposal.

Arkansas developed this template for the development of spending plans by the participant. The plan allows for the calculation of worker hours as well as discretionary cash, transportation, assistive equipment and more.