Physical Disabilities

This brief includes the latest (FY 2018) Medicaid HCBS enrollment and spending data from KFF’s 18th annual 50-state survey. It contains data about per-enrollee spending on HCBS by target population and HCBS waiver waiting lists. This issue brief also includes tables with detailed state-level data. One key finding analyzed here is that most HCBS enrollees receive services provided at the state option.

The CMS Office of the Actuary released the 2018 National Health Expenditures. The study includes estimates on health care services and goods, health insurance costs, government administration, public health activities, and other areas related to health care including personal care, residential services, and nursing care facilities.

This issue brief explores software systems that state aging and disability agencies use for resource databases and for client tracking, case management, and reporting. Data and findings are drawn from ADvancing States’ 2018 National Survey of Aging and Disability Information & Referral/Assistance (I&R/A) Agencies. This issue brief highlights responses from state agencies on aging and disability, though in some instances, data from all survey respondents is shared for comparison purposes.

CMCS has released the FFY 2018 Adult Core Set data. This data set provides information on 23 adult measures voluntarily reported by states. Recently released publications include an overview of 2018 findings, a core set chart pack, a summary of performance on measures, and the 2018 quality measures dataset.

The Home and Community Based Services (HCBS) Conference is hosted annually by ADvancing States (formerly known as NASUAD). This event highlights best practices from across the country in home and community-based services. The conference includes federal, state, and local policymakers as well as those who administer, manage, and deliver waiver and other HCBS programs. This link contains all of the slide presentations from the 2019 HCBS Conference.

This blog post discusses the concept of using value-based payment models in Managed LTSS. The post reviews the challenges of using VBP in HCBS and highlights lessons learned from CHCS' work with five MLTSS states.

This infographic provides information on coverage and costs for low-income Medicare beneficiaries. The resource describes people on Medicare, financial needs among beneficiaries, programs supporting low-income beneficiaries, and ways to improve access.

This fact sheet from the AARP Public Policy Institute takes a closer look at LTSS, revealing insights and new information, such as: what LTSS encompass, who needs LTSS, who provides LTSS, and where people with LTSS reside.

The Centers for Medicare & Medicaid Services issued a State Health Official letter that provides guidance on legislative changes to the modified adjusted gross income (MAGI)-based methodologies used for determining Medicaid and CHIP eligibility. In order to implement the changes to MAGI-based methods, states may need to update eligibility policies and procedures and make changes to eligibility systems logic.

On July 31, Governor Tom Wolf of Pennsylvania announced, by an executive order, an overhaul of the state services and systems to protect the most vulnerable Pennsylvanians. The executive order establishes an Office of Advocacy and Reform, Child Advocate, and Council on Reform. The executive order also lists responsibilities of the state agencies and the Governor’s Office of Performance through Excellence.