Direct Care Workforce

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Characteristics and Service Use of Medicaid Buy-In Participants with Higher Incomes: A Descriptive Analysis

Few employer-sponsored and private insurance plans offer the range of services that workers with disabilities may need. Medicaid Buy-In programs are a viable option that allows these workers to receive needed services without spending down for Medicaid. This report describes findings from a study of characteristics and service utilization of higher-income enrollees compared to regular Medicaid enrollees. Providing these programs may keep higher-income workers with disabilities employed.

Short URL: http://www.advancingstates.org/node/53407

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Care Management for Medicaid Enrollees Through Community Health Teams

The effective management of patients' complex illnesses across providers, settings, and systems places extraordinary demands on primary care providers, especially those that work in resource-limited small or rural practices. This issue brief identifies eight states that have adopted strategies to build practice capacity to care for high-need Medicaid beneficiaries through the development of community health teams and reports early data to inform other states thinking about this model of care.

Short URL: http://www.advancingstates.org/node/53406

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At the Crossroads: Providing Long-Term Services and Supports at a Time of High Demand and Fiscal Constraint

A survey of state aging, disability and Medicaid agencies was conducted in 2012, in order to better understand challenges and concerns for funding and providing quality LTSS. Five common themes were identified in this report, including staff turnover and reductions during a sluggish recovery of state budgets. Other findings include an overall expansion of home and community-based services, LTSS transformation and reduced funding and high demand for non-Medicaid aging and disability services.

Short URL: http://www.advancingstates.org/node/53391

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Health Home Information Resource Center

The Affordable Care Act authorized the Medicaid Health Home State Plan Option, which allows states to design health homes to provide comprehensive care coordination for Medicaid beneficiaries with chronic conditions. States will receive enhanced federal funding to support the rollout of this new integrated model of care. This link directs to the Health Home Resource Center that provides technical assistance services for states as they submit their proposals for these health homes to CMS.

Short URL: http://www.advancingstates.org/node/53385

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State Roadmap to Peer Support Whole Health and Resiliency

SAMHSA has updated its definition of recovery as it pertains to substance use and mental disorders. This working definition and set of guiding principles reflects the increased role peer supports and Peer Specialists have been playing in mental health programming. This document provides a summary of SAMHSA’s new definitions, as well as a checklist for effectively using peer supports in a variety of mental health programs.

Short URL: http://www.advancingstates.org/node/53382

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Leveling the Playing Field: Attracting, Engaging and Advancing People with Disabilities

This report looks at how employers are building competitive advantage through workplace practices that engage people with disabilities, including recent veterans and older workers. It finds that companies that employ people with disabilities reap numerous benefits. For instance, active recruiting and retention of employees with disabilities can both significantly expand the pool of talent and create new business opportunities.

Short URL: http://www.advancingstates.org/node/53363

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Employer Assistance & Resource Network Website

The Workforce Recruitment Program (WRP) is a recruitment and referral program for students and recent graduates with disabilities, including veterans. The program uses a database to connect federal and private sector employers nationwide with college students and recent graduates with disabilities who are seeking summer or permanent jobs. Private sector employers can also access the WRP through ODEP's national Employer Assistance and Resource Network (EARN).

Short URL: http://www.advancingstates.org/node/53340

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Connecting Older Adults and Persons with Disabilities with Personal Care Assistance

Several states are experimenting with solutions to help individuals who need long term services and supports connect with available workers. One approach is a publicly-funded matching service registry (MSR) that facilitates connections between qualified home care workers and individuals who self-direct their in-home services and supports. This document explains how registries can help match supply and demand, what the benefits of MSRs are for states and how to begin creating these registries.

Short URL: http://www.advancingstates.org/node/53338

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Opportunities for ADRCs to Strengthen the Home and Community-Based Direct Service Workforce

The availability of trained direct service workers is threatened by dramatic increase in population age 65 and older and the growing demand for long-term services and supports. This document explains why states and ADRCs need to focus on building their Direct Service Workforce to meet this growing demand.

Short URL: http://www.advancingstates.org/node/53337

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Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement

The Office of Inspector General’s (OIG) body of work examining Medicaid personal care services (PCS) has found significant and persistent compliance, payment, and fraud vulnerabilities that demonstrate the need for Centers for Medicare & Medicaid Services (CMS) to take a more active role with States to combat the issues. This document summarizes OIG’s PCS work and, on the basis of the analysis of this work in the aggregate, offers recommendations to improve the integrity of Medicaid PCS.

Short URL: http://www.advancingstates.org/node/53328

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