Expenditures

The Consumer Directed Attendant Support Program developed this resource for participants. The manual contains ideas, approaches, and suggestions for consumers as they hire, train, and supervise attendants. Training includes budgeting, employer issues, and communications skills.

An excel spreadsheet used to track a participant's hours of personal care and other expenditures for their monthly allowance.

Workforce3 One, an online resource sponsored by the U.S. Department of Labor’s Employment and Training Administration, has a new Disability and Employment Resource Page to provide employment-related resources for the workforce system. This page outlines promising practices and expands the capacity of the One-Stop Career Center system to serve customers disabilities. The resource page includes videos and podcasts, toolkits and training materials, promising practices, and other materials.

The NQE provides free technical assistance on quality to states operating Medicaid HCBS programs. States can use the site to request technical assistance, pose questions to staff, engage online with other HCBS staff, and learn about upcoming events and NQE publications.

Do you have questions about the different models of fiscal services in consumer-directed care? The first fact sheet compares the Fiscal/Employer Agent (either government or vendor), Agency with Choice, and Fiscal Conduit models. The second illustrates the factors that influence the costs of these different models.

A central part of consumer direction is ability of the consumer to manage the budget and decide what to purchase. Evaluation data and anecdotes are given to show how this ability influences the outcomes of program participants.

Trends of population, economics, health status, health risks and behaviors and health care are drawn from several governmental statistics sources. Over 38 indicators are complemented by a one-time special feature on health literacy. This is the fourth chart book prepared since 2000. Detailed tables are available as excel spreadsheets.

In this collection of informational materials, Ohio outlines what its Medicaid Buy-In for Workers with Disabilities (MBIWD) program is. Documents include an explanatory booklet, flyer and fact sheets. A website link with the government site that houses these documents, application forms and additional information is also included. While this material was intended for consumer use, it could serve as a guide to other states contemplating or running a similar MIG program.

The Older Americans Act (OAA) gave rise to important HCBS programs such as the Choices for Independence initiative, ADRCs, and Nursing Home Diversion grants. Here is a concise summary of the legislation, its reauthorization in 2006, and data on the types of support provided under these programs, recipients, and expenditures.

Find out about the outcomes of people with serious mental illnesses that participate in Florida's Cash & Counseling program. Self-directed care was effective in lowering costs and time spent in psychiatric inpatient and criminal justice settings. Many program details are provided, such as financing, start up, structure, and evaluation.