Aging/Older Adults

A presentation for the 2003 Gerontological Society of America Annual Scientific Meeting. Presented are findings on the purchase of goods and services under Cash & Counseling in Arkansas and New Jersey. A topic report on the presentation is also available here.

An overview of Cash & Counseling including a historical context, the theoretical framework for evaluation, and information on design.

This presentation provides an overview of the Cash & Counseling design and research results.

States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. This report describes 10 operating individual budget model programs that serve older persons and identifies four areas of program design that are of particular importance to the success of the individual budget model.

This brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use this model for an expanded range of home and community based services in their state Medicaid plans without having to obtain a waiver.

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.

This report presents Medicaid long-term care expenditures data in Federal Fiscal Year 2008 (Oct 2007 - Sept 2008). Table 1 shows national data from 1996 - 2008. Other tables present state-by-state data for nursing homes, ICF/MR, state plan personal care, state plan home health, 1915(c) waivers, 1115 waivers that provide HCBS, and other Medicaid services.

Interested in how self-directed options in the 1915(c) Medicaid Aged and Disabled Waiver program are succeeding? In June of 2008 PPL, a nationwide company that provides financial management and supports for self-directed programs, conducted a survey of all 241 participants enrolled in Personal Options for the West Virginia Bureau for Medical Services. The attached report, includes results and summary.

What are some of the highlights and milestones of the CLP programs? Review the presentations given at the The Gerontological Society of America Annual Meeting on November 19-22, 2009. Officials from the Administration on Aging and representatives from Connecticut, Georgia, Massachusetts and New York on presented.

The Alzheimer's Association, through its Campaign for Quality Care, recently released Dementia Care Practice Recommendations for Professionals Working in a Home Setting. This report is Phase 4 of the Campaign and it covers the topics covered in Phases 1-3. The evidence-based recommendations in Phases 1-3 covered good dementia care, food and fluid consumption, pain management, social engagement, wandering, falls, physical restraints, and end-of-life-care practices and issues.