Physical Disabilities

This paper focuses on how state-funded home and community-based services programs can support low-income older adults. It highlights promising practices that support maximum independence for low-income older adults and/or people with physical disabilities and their family caregivers. The paper explores programs across nine states, including Washington state’s emerging innovation: the Medicaid Transformation demonstration.

The Compendium includes many tables of data, including state and national values and trends over time. The Compendium is broken into eleven sections and includes topics such as employment, health, and education. The Annual Report highlights state and trend data, and complements the detailed tables available in the Compendium & Supplement.

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide presents a checklist of four issues for consideration as states identify issues to consider when developing and adopting value-based payment (VBP) models for HCBS within managed long-term services and supports (MLTSS) programs. The guide also reviews strategies for stakeholder engagement.

This report examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations. It identifies common themes across state approaches to incentivizing and requiring SDOH-related activities. CHCS also provides several additional policy recommendations for bolstering SDOH investment in state Medicaid offices.

NADTC has released the results of a new national poll on transportation needs and awareness. The study is comprised of three national surveys, conducted among older adults, people living with disabilities and family caregivers. The results of this survey are presented in slideshow format.

This report from the Job Accommodation Network (JAN) analyzes the benefits and costs of workplace accommodations. JAN publishes this annual report using data from a survey they conduct with employers who contact them for specific information about workplace accommodations and/or the ADA. This year's results show that the majority of accommodations, 59 percent, were cost-free, while the typical cost of other accommodations was $500.

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

This brief outlines successful EVV implementation in self-direction. Successful implementation is defined as one that protects and upholds the participant's choice and control over their services and supports while strengthening program integrity. The brief describes the functionality required to support self-direction, including flexible scheduling, protocols for EVV system use in areas without internet access, and workflows that support participant control of workers' hours.

This issue brief uses data from the 2017 National Household Travel Survey (NHTS) to examine the daily travel patterns of American adults with travel-limiting disabilities. It also explores data from the 2001 and 2009 NHTS to illustrate trends over time. Several groups of technologies might help people with disability-related transportation limitations, but people with disabilities use them less.

This report examines data from the Disability Equality Index and identifies forty-five companies with strong leadership in areas specific to disability employment and inclusion. Accenture analyzed their financial performance and found that, on average over the four-year period, these companies had twenty-eight percent higher revenue, double the net income, and thirty percent higher economic profit margins than their peers.