Long-Term Care

CMS has announced the standards effective January 1, 2008. Review the minimum, maximum and monthly maintenance figures.

This report describes the enduring changes brought about by the NFT Grantees who either established or improved nursing facility transition programs or helped establish infrastructure. This two-part paper first examines changes and remaining challenges, lessons learned and recommendations, and later provides state-specific summaries. Review grantee activities including new statutes, policies, funding and expense changes, plus outreach and technical materials developed to facilitate transition.

The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined. This decline was driven primarily by two factors. States reported new citizenship documentation requirements were causing delays in processing applications, affecting individuals already eligible for the program. State officials also cited good economy and lower unemployment for reducing enrollment. 42 states expect to expand coverage to the uninsured in the next year.

Partnerships to Independence (PTI) was created by the Birmingham Independent Living Center in Birmingham, Alabama through a grant from CMS. This transition guide addresses nursing home outreach, support needs and skills, follow-up, and barriers. The purpose of PTI was to develop a model program that could be replicated in other CILs in Alabama and the US. ILC staff identified a number of basic resources and strategies that can be used to promote nursing home transition.

The fundamental structure to both of Oklahoma's Real Choice System Change grants is an infrastructure that supports a service delivery system that is accountable to Oklahoma long-term care stakeholders. Grant monies will be used to create and support an Oklahoma Partnerships consisting of consumers and advocates. This handout offers an introduction to the system and terms used in the grant partnership.

This photo essay captures the people behind the design of Oklahoma's Consumer Directed Personal Assistant Supports and Services (CDPASS) design. The Oklahoma Partnership, organized to support Oklahoma's Real Choice System Change and the CDPASS grants. It was also designed to engage Consumer stakeholders in an interactive environment.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2001 through 2006. Each HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations. This year's memo also identifies which waivers exclusively serve children.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2006 (Oct 2005-Sept 2006). Table 1 presents national data on Medicaid expenditures for Long-Term Care from 1994-2006. Other tables present state-by-state data for Nursing Homes, ICF/MR, Personal Care, HCBS Waivers, Home Health, Home Care, Inpatient Hospital Care, Inpatient DSH, Inpatient Mental Health, Mental Health DSH, Medicaid Managed-Care, Prescribed Drugs, Targeted Case Management and PACE.

For people who have disabilities and consequent difficulty living independently, living in the community requires not only medical and support services, but also housing. This paper explores one approach to merging the worlds of housing and long-term care clustered housing-care. Clustered housing-care arrangements make it possible for individuals to age in place in secure, comfortable, residential-like settings. The paper defines, discusses the impact and questions the futures of this concept.

These position papers completed by a work group result from the Real Choice Consumer Work Group's determination to improve the lives of people with disabilities in West Virginia and to contribute to their own recommendations and strategies on major issues. This compilation of papers address: Waiting Lists; Strengthening Personal Assistance Programs in West Virginia; and Expanding the Horizons of Employement Options for West Virginians with Disabilities.