Aging/Older Adults

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.

This AARP Public Policy Institute Issue Brief discusses the financial impact of caregiving on the caregivers themselves as well as the economic value of their contributions to society. It compares the economic value of family caregiving to other benchmarks in order to underscore the magnitude of these unpaid contributions, presents estimates of productivity losses to U.S. businesses, and highlights the critical role that family caregivers play in the nation's long-term care system.

Iowa offered this web-based seminar to assist senior Medicare patrols in educating and reaching out to diverse older populations. There are three presentations which offer information on demographics and outreach. Certain specific populations are addressed including Asians, Eastern Europeans, East Africans, and Religious Communities, African Americans, Latinos, and Native Americans.

This guide was created to help serve as a resource for seniors and caregivers when you making decisions about transitions. The guide can be used as a tool to help think about many important aspects of transitions from hospitals, nursing homes, assisted living facilities, and community based living. The guide was written in collaboration between numerous organizations in Maine.

This agreement represents a mutual understanding and establishes a partnership for meeting the goals of the State’s Aging and Disability Resource Center grant. The parties to this understanding are Senior and Long Term Care Division and its Aging Services Bureau and the Home and Community Services Division and their local contractors and offices in the areas that the ADRC is being implemented. The agreement outlines the background and the general responsibilities of each party.

The federal government will match expenditures that it deems necessary to support the “efficient and effective” administration of the Medicaid program. This administrative federal financial participation (FFP) is typically 50% of the costs, but in certain cases, enhanced match of up to 90% is available. Medicaid administrative activities can include many of the ADRC functions.

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.

One of two mini-projects aimed at engaging Medicaid-eligible consumers in an experiment with options of self-direction, the purpose of Community Access was to test creative methods that increase the opportunity of children and adults with disabilities to exercise self-determination. The project met the three objectives of supporting at least 12 individuals, develop a community advisor model to identify core competencies, and to identify barriers to full responses for requested services.

This policy development paper was written as part of the C-PASS demonstration project. The paper offers an overview and definition of self-determination plus three overall recommendations that are critical to making self-direction a reality. The challenge of moving self-direction from a relatively small scale to the foundation upon which all services to people with disabilities and older persons are built remains but the MASS-CPASS initiative, along with others, will help create that path.

This plan describes fundamental changes that states have implemented and found effective in controlling the public costs of long-term care while insuring that people receive quality services of the type, and in the settings, that they choose.