State/Agency Information

Learn from 10 years of experience in administering the consumer-directed Cash & Counseling program in Arkansas. The report provides a candid history of the development, implementation, and lessons learned from the program. The author gives details on partnership development and use, changes in agency culture and operations, and data on outcomes, cost neutrality, and participant demographics. Also included are the 2003 and 2008 program budgets.

Program administrators, advocates, and researchers advise the Senate on ways to improve wellbeing and cost outcomes of long-term care by increasing access to HCBS. They speak on national demographics, successful HCBS programs of the past and present, state programs in Wisconsin and Florida, integrating acute and long-term care for dual eligibles, and program finance models. See “Video Contents Index” for time stamps and information on each testimony.

This document outlines a Forum Session which was sponsored by the National Health Policy Forum at George Washington University. The Forum topic focused on different state's approaches to managing overall long-term care spending, offering consumers broader access to home and community-based services, and coordinating long-term care services.

View the forum session presentations to learn how Arkansas, Texas, and Virginia have created consumer-directed options. They discuss demographics, program details and histories, costs, challenges, and the future. The final presentation goes over Money Follows the Person and Cash and Counseling from the federal level, examining policy, demographics, and outcomes.

Family responsibilities discrimination (FRD) occurs when workers are unfairly penalized based on family responsibilities, such as caring for a family member that is older or disabled. Despite the growing number of workers with such responsibilities and the dramatic increase in FRD lawsuits, policies in most states do not yet address it. Find here more information on FRD, a summary of proposed and existing state laws, and resources for further research.

This quality services review consists of direct feedback from individuals who receive services, record reviews, observations, and discussions with agency staff. Agencies are reviewed against clear benchmarks and receive feedback from review staff throughout the process. Quality Action Plans address areas for improvement and are completed by each agency with technical assistance provided by the Quality Management Unit.

In order to get the word out about their Medicaid Buy-In Program, the state of Texas has provided this documentation. Review the presentation to get a general overview of eligibility requirements, benefits, rights and payment premiums. The flyer provides a list of the main MIG objectives.

While Programs for All-Inclusive Care for the Elderly (PACE) began as an urban model, CMS has now provided its first grants to expand the program to rural areas. Read this article to as an introduction to three rural PACE programs that have launched in South Carolina, Oklahoma, and Montana. The article concludes with lessons learned and contact info for staff that work on these programs.

This report presents findings of a national review—or environmental scan—of caregiver training programs and curricula, conducted by the International Longevity Center (ILC) as an initiative of the Caregiving Project for Older Americans, a joint project of the ILC and the Schmieding Center for Senior Health and Education.

This chart book describes the current demand for long-term care of the elderly and disabled within our health care system, and the challenges this poses for this particular area when it comes to reforming our healthcare system.