State/Agency Information

Wondering how states are organizing and educating their key vocational and employment-related stakeholders? Attached is the agenda of the Consumer Workforce Development Strategic Workgroup Planning Session II, held as part of Hawai‘s Mental Health Transformation State Incentive Grant. Sections included are group sharing, actionable next steps, and a chance to review purpose and desired outcomes for the day.

This report is the latest in a series of annual reports on Medicaid long-term care expenditures. Table 1 presents national expenditures data for FY 1997–FY 2009. Tables A through T present state-by-state expenditures data for FY 2004–FY 2009 for specific categories of service. Tables U, V, and W present the distribution of each state’s LTC expenditures among institutional and community-based services.

This letter informs States of several changes to Section 1915(i) of the Social Security Act (the Act) made by the Affordable Care Act (ACA). These changes, which become effective October 1, 2010, include revised and new 1915(i) provisions for removal of barriers to offering HCBS services through the Medicaid State plan. This letter is intended to provide guidance on important changes to the law including: Number Served & Statewideness, Financial Eligibility, Targeted Benefits and Services.

Find an example of an emergency preparedness handout created for Oregon residents. In a disaster, your most immediate source of help are the neighbors living around you. This document describes steps to take immediately following a disaster, illustrates how to create a neighborhood map and identifies skills and equipment that are useful in an effective disaster response.

Integral to the coverage framework laid out in the reform law is a dramatic expansion of the Medicaid program. This primer provides key information about the program today, including a definition of what it is, who and what services are covered, Medicaid expenditures and how they are financed, and information of how health reform reshapes the program for the future.

Explore how this state deals with Assessments, Level of Care, Money Follows the Person and other policies through their comprehensive online HCBS Case Management Manual. Included are detailed information on services, units and rates, and forms. Find an online index to the manual, where each link loads a separate Word document with detailed information on the item.

How are online training resources helping New York employers and disability service providers build more powerful strategies, practices and partnerships for disability inclusive workplaces? New York's MIG program, New York Makes Work Pay, provides online tutorials on their website for employers and service providers. This approach could serve as a useful sample to other states.

Find national and state by state estimates of the increases in coverage and the associated costs compared to a baseline scenario without the Medicaid expansions in health reform. Findings show there will be large increases in coverage and federal funding in exchange for a small increase in state spending. Since it is impossible to predict the behavior of each state, the analysis examines two participation rate scenarios differing in the strength of outreach and enrollment efforts.

Changes CMS is making in the State plan amendment (SPA) review process are explained in this letter. CMS has identified a process that will expedite the review of SPAs while ensuring that CMS and States resolve other questions that may arise. States will now have the option to resolve issues related to State plan provisions that are not integral to the SPA through a separate process. Several examples based on actual State plan issues are included.

Find a synopsis of how state coordinating councils operate, including a 50-state reference table, and profiles of the 25 existing state coordinating councils. Focused on improving coordination at the state and local levels, the Councils are a key to successfully keeping people in the community. Some of these states have created their Councils by state statute, some by state executive order or governor initiative.