Long-Term Care

On May 28, 2004, Glenn Stanton Acting Director of CMS’ Disabled Elderly Health Programs Group transmitted modifications and additions to the Interim Procedural Guidance for oversight of Medicaid waivers to all CMS Regional Administrators. The Guidance documents include the memo from Mr. Stanton, a diagram detailing the HCBS Waiver Quality Life Cycle and several attachments. The Guidance was updated in Feb. 2007, the link to that letter is also attached.

The Administration on Aging (AoA) and the National Governors Association (NGA) will sponsor a policy academy as part of Idaho Governor Dirk Kempthorne's Long-Term Care Initiative. Activities include creating strategies to improve the availability of community-based long-term care services. In addition to the meeting, technical assistance and a grant will assist academy states or territories in implementing strategies to balance long-term care systems throughout the course of one year.

Millions of Americans with disabilities or long-term illnesses need assistance with daily activities. Family members and friends fill much of that need, but paid workers are a critical source of care and services. The need for assistance is increasing yet the number of people available is growing slowly. CMS funded this paper to summarize literature and research on the home care, home health, and personal assistance services workforce, highlighting issues raised and lessons learned.

The Formative Evaluation of the Real Choice Systems Change Grants evaluates how the Systems Change grantees are progressing towards meeting their goals. The Formative Evaluation identifies problems faced by the grantees and ways that they deal with the problems. This document provides summary information about each of the FY2003 Grantees.

The purpose of this report is to compare and contrast the fiscal year (FY) 2001 Systems Change Grantees’ goals and planned activities as identified in their Grant applications submitted to CMS. This report provides a summary of the goals of the 52 FY 2001 Grantees and representative examples of the various activities they plan to implement to help them achieve these goals. The report also includes a summary of States’ views of the strengths, challenges and barriers of their LTC systems.

This memorandum presents data on Medicaid long term care expenditures in Federal Fiscal Year 2003 (September 2002 through September 2003). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1991 to 2003.

This memorandum and the accompanying tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1998 through 2003.

This presentation will address a recent pilot study of the implementation of Rider 37 in Texas, the six pioneers and their support network that facilitated in the transition process from a nursing facility to the community, and the stakeholders in Texas who participated in the interviews.

In fiscal year (FY) 2004, Congress appropriated approximately $40 million in funding for a new round of Real Choice Systems Change Grants. With this solicitation, the Centers for Medicare & Medicaid Services (CMS) invites proposals for grants totaling approximately $31 million of these funds.

This document looks at Colorado's home and community based services. Specifically, the report focuses on single point of entry and single access points.