Long-Term Care

This policy brief addresses opportunities for integrating care for this high-cost, high-need population. The brief outlines the rationale for integrating care for duals, reasons why integration has been slow to progress, and emerging vehicles to accelerate the pace of fully integrated care. A companion resource paper provides additional details on promising integrated care models and the challenges and opportunities for supporting integrated approaches.

The State of New Mexico Aging and Long-Term Services Department requested proposals from qualified entities to provide statewide services as a Consultant Contractor Agency to individuals who choose to direct their own waiver services in New Mexico’s Self-Directed Waiver program, Mi Via. The attached request outlines the initial instructions for submission, along with qualifications, and responsibilities required for the performance of services as a CCA in the program.

This technical advisory includes a description of the choice voucher system and prototypes for a Fiscal Intermediary Agreement, a Self-Determination Agreement, an Employment Agreement, a Purchase of Service Agreement and a Medicaid Provider Agreement.

This survey was developed for Michigan's Self Determination in Long Term Care program. The survey includes questions on fiscal services, hiring workers and enrollment.

Self Determination in Long Term Care (SDLTC) is a MI Choice waiver program option. The following forms are used for this program: Budget worksheet, Disenrollment form, Right to Hire form, Right to Hire with Driving Record, Job description form for a PCA/HHA, and Backup Worker form.

This Organizational Readiness Structure was developed for the Self Determination in Long Term Care program. It includes staff, workforce, participant, and quality components.

Self Determination in Long Term Care (SDLTC) is a MI Choice waiver program option. The materials included here were developed to market the program to individuals. Materials include an overview sheet, a Q&A sheet, an introductory letter, an information sheet, and a self assessment.

This brief reviews the history and current status of federal special needs plans (SNPs) authority, with particular attention to provisions of interest to state Medicaid programs that have or are considering entering into contracts with SNPs to integrate or coordinate Medicaid long-term care services with Medicare primary, acute and prescription drug services for dually eligible beneficiaries. Key future changes to the program and a legislative history are outlined.

TAC is a national non-profit organization that advances proven solutions to the housing and community support needs of vulnerable low-income people with significant long-term disabilities. Their goal is to achieve sustainable public sector systems change through evidenced-based, promising approaches in mental health, substance abuse, human services and affordable and permanent supportive housing. Visit this website to find news, training, publications, and policy and program info.

This series of chart books summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs — Older Adults, Living at Home, and Autism, and on nursing facility utilization among Maryland Medicaid recipients. These books are now available to the public online to monitor trends in these programs.