Long-Term Care

This report describes the activities of 12 Grantees that received Independence Plus (IP) grants in FY 2003 and are using them to increase self-directed services options for persons of all ages with disabilities or chronic illnesses. Grantees encountered a range of issues while implementing. This report provides information for states and stakeholders planning, implementing, or expanding self-direction programs, whether through solely state-funded programs or the Medicaid program.

This MIT Report offers a ten-point plan to start a statewide conversation on change, a research summary on the role that families play as a "shadow workforce" in geriatric healthcare system, and expert commentary on the issues surrounding family caregiver support programs. This new report points the way for state-level action to support family caregivers and for state-level public policy to improve quality of life.

As part of the Oklahoma Real Choice Systems Change Grant, Oklahoma developed a number of training tools for their partnership members. The group consisted of Consumer Consultants and Grant Partners. The presentations and handouts describe roles, working as a team, communication, decision making, policy history, state specific divisions and services and the ADvantage program.

The Minnesota Department of Human Services, through its Continuing Care Administration, is seeking Proposals from qualified Responders to work with DHS staff and key stakeholders to complete a State Long-Term Care Profile. A State Profile tool was developed by Thomson Medstat under contract with CMS. The Profile must describe the state’s long-term care delivery system for 7 population groups that account for the majority of people who need hcbs in MN. Proposals are due January 28, 2008.

This guide offers a quick reference on housing resources that can be used to create integrated, affordable, and accessible housing and basic information on how to use these resources. Including community strategies that increase the amount of integrated, affordable, and accessible housing units that usually fall into three general categories: development of housing units; access to existing housing units; and asset development.

The national percentage of Medicaid spending on home and community-based services (HCBS) has more than doubled from 1992 to 2004. This report presents a summary of the main trends to emerge for the three Medicaid HCBS programs and the results of a survey of policies such as eligibility criteria and waiting lists.

The out-of-pocket cost of caring for an aging parent or spouse averages $5,531 a year, according to the nation's first in-depth study of such expenses, a sum that is more than double previous estimates and more than the average American household spends each year on health care and entertainment combined. This Evercare/NAC study found that as many as 17 million people care for a loved one 50 years or older and are spending more than 10 percent of their annual income on caregiving expenses.

In July 2007, NASHP convened grantees from 10 states and CMS to share their experiences in promoting positive outcomes under Money Follows the Person. To aid in this discussion, the Muskie School of Public Service was invited to facilitate the conversation and to provide a framework for discussing the role of quality management under the MFP initiatives. For the past three years, the Muskie School served as technical resource to states in the implementation of CMS quality improvement grants.

This report provides information about family caregivers of older Americans and the state-level programs serving them. The profiles provide information on state demographics and programs related to caregiving. They offer a snapshot of each state's caregiver support programs, services offered, funding sources, eligibility criteria, and options for consumer direction. Also, information about locating grandparent support programs is included along with highlights of recent state legislation.

The purpose of this survey analysis is to provide states with an overview of the implementation of these DRA changes across the country, specifically in terms of Long-Term Care services and the steps the states have taken. Findings address eligibility, Children with Disabilities, Money Follows the Person, HCBS State Plan Amendments, Transition from Institutions, Managed Care, SPA for Personal Care Services, Cash & Counseling, Care Coordination, Disease Management and Long-Term Care Reform.