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The WV QA/QI grant designed and developed database as a monitoring tool. This entry includes 5 provider quality monitoring tools: Case Management, Client Home Visit, Homemaker, Personnel Files, Site (Case Management or Homemaker). The database was created by Donna Brewer, Database Administration at the Center for Excellence in Disabilities at WV University for the Quality Assurance & Improvement Project. The Bureau for Medical Services is the lead agency & the grant was funded by WV CMS

This document describes the releationship between WV Real Choice Grants and the Olmstead Plan. The document contains a table showing all grants awarded to the state. The table illustrates the activities of the Real Choice Systems Change for Community Living grants and shows how the programs are closely aligned with the West Virginia Olmstead Plan. This strong relationship is the result of collaboration between the Olmstead Coordinator and other state partners and stakeholders involved.

The Topeka Independent Living Center developed this list of Quality Indicators to be applied to all their consumer-directed programs.

This recent Health Affairs article presents the latest program trends in the three Medicaid home and community-based services programs (waivers, home health, & state-plan personal care) and reports a national survey of cost control policies used on waiver programs in 2002. The findings show slowing annual rates of participation growth on individual programs, widespread use of cost controls on waivers including waiting lists, and the persistence of large interstate variations.

The Independence Plus Initiative was established to give states expanded opportunities within Medicaid to allow for consumer direction of long-term services and supports. The consumer direction movement continues to evolve rapidly, and this calls for federal and state resources to evaluate new and changing programs. This issue paper explores the difference between IP and Cash and Counseling, the 1115 demonstration, IP and HCBS Waivers, and outlines policy implications.

This brief focuses on one consumer-direction model within the Family Care program-the Agency with Choice model-in which a \"co-employment agency\" serves as the Employer of Records and the consumer acts as the Managing Employer. In the other consumer-directed model, the consumer takes on all employer responsibilities. Slightly more than one in five Family Care members choose the co employment option, demonstrating how a managed care program can incorporate consumer direction.

Kansas operates four Medicaid waivers that allow program participants to self-direct their care. These programs permit participants to hire a worker or their choice and choose an organization to act as the Employer of Records for their worker. The programs are noteworthy because of the large number and wide variety of organizations that fulfill this function and the many different ways in which they serve their clients, providing a high level of choice to participants and their representatives.

This website is the site for the Maine Quality Choices grant. Maine’s Work Group for Community-Based Living includes a broad array of consumer and state representatives from five departments (Transportation, Labor, Education, Human Services, and Behavioral and Developmental Services). The website offers information on the Work Group, Accessing Services, Community Living, Data Integration, Person-Centered Services, Quality Improvement, Workforce and a Project Index.

In consumer-directed care, few state aging networks have been more involved than Vermont. For the past 20 years, Vermont has undertaken considerable effort developing its consumer-directed approach to health and long-term care, including significant supports to consumers and their families who choose to participate in consumer-directed programs. This report is one of 5 in a series called Case Studies from the Aging Network: Health and Social Support Systems Integration.

The report contains findings from a 2004 survey of state administrators, an opinion survey, and telephone interviews, and responds to the questions: To what extent have consumer-directed home and community based services for older people taken root across the country? What are the characteristics of these programs and how do state aging administrators view consumer-directed programs working in their state? Report findings document the scope and characteristics of consumer-directed services.