State/Agency Information

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Promising Practices in HCBS: Oregon- Maximizing Participant Control Over Services

Oregon's Independent Choices Program allows Medicaid-eligible individuals to pay cash directly to providers for personal care and related services. Under this five-year project, participants receive a monthly cash payment and are fully responsible for the mechanics of payroll and budgeting for needed services.

Short URL: http://www.advancingstates.org/node/50150

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Promising Practices in HCBS: Florida- Cash Allowances and Support Services for People with Disabilities

This report describes a Florida cash payment program, Consumer Directed Care, which is testing the effectiveness of increased participant control for people with disabilities, including children and older persons. Florida is part of a demonstration project to measure the impact of substituting a cash allowance for Medicaid services from provider agencies. This document provides information on the program implementation and impact.

Short URL: http://www.advancingstates.org/node/50147

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Promising Practices in HCBS: New York State- Managed Long-Term Care Plan for Integrated Long-Term Care Services

This document provides information on VNS Choice, the New York long-term care program for older people with disabilities. Case managers work with healthcare and long-term care providers to coordinate participants’ Medicare and Medicaid services. The document discusses the intervention and implementation of this program. According to program staff, VNS CHOICE has reduced hospital and nursing home use among participants and has low disenrollment.

Short URL: http://www.advancingstates.org/node/50146

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Promising Practices in HCBS: New Hampshire- Care Options for People in Public Housing

This document focuses on Sunrise Towers, a public housing complex for older people in Laconia, New Hampshire. This form of public housing is modeled after assisted living and provides meals and personal assistance to keep residents in the community. The document describes the program, the services the program offers, and funding sources.

Short URL: http://www.advancingstates.org/node/50145

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Promising Practices in HCBS: California- Village Integrated Service Agency

This document highlights the Village Integrated Service Agency, a program of the Mental Health Association in Los Angeles County. The program provides coordinated, comprehensive services for people with mental illness. Available services are determined by the needs and goals of the participants. This report describes the program and its effectiveness in helping people with mental illness live independently.

Short URL: http://www.advancingstates.org/node/50144

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Promising Practices in HCBS: Wisconsin- Assistance to People Who Want to Leave Nursing Facilities

Wisconsin uses a variety of initiatives to support Medicaid participants who want to leave nursing facilities, including ensuring services are available as soon as the person is ready to move and providing funding for transition. This document describes some of these initiatives.

Short URL: http://www.advancingstates.org/node/50143

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Promising Practices in HCBS: Washington- Facilitating Nursing to Community Transitions

This document describes the State of Washington’s many resources specifically designed to facilitate the transition of nursing facility residents to less restrictive, community settings. The state also offers four funding sources for transitional services people may need when leaving a nursing facility. The document notes the specific programs, their implementation and impact.

Short URL: http://www.advancingstates.org/node/50142

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Promising Practices in HCBS: Vermont- Facilitating Nursing Facility to Community Transitions

In 1996, Vermont began to shift resources from nursing facilities to home and community-based services. To implement the legislation, several programs, new services, and policy changes were created that offered individuals more choices for long-term services. This report describes how Vermont changed its long-term care system to reduce institutional reliance by supporting people with physical disabilities and older people in the most appropriate and least restrictive environment possible.

Short URL: http://www.advancingstates.org/node/50141

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Families USA Updates Report on Economic Effect of Medicaid

Families USA has released Medicaid: Good Medicine for State Economies predicting the impact state Medicaid spending will have on business activity, jobs, & wages in 2005. The report argues that extending the $10 billion in fiscal relief provided by Congress to the states last year, through enhanced Federal participation in Medicaid, through the end of fiscal year 2005 would help strengthen state economies by generating even more business activity, jobs,& wages. Includes data for every state.

Short URL: http://www.advancingstates.org/node/50140

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Promising Practices in HCBS: Utah- Informing Nursing Home Residents about Community Long-Term Care Options

This document describes Utah’s efforts to educate nursing home residents about community-based long-term care options. Group and individual educational sessions and assessments are conducted through organizations knowledgeable about community services. The document provides further information on the implementation of this program.

Short URL: http://www.advancingstates.org/node/50139

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