Physical Disabilities

This report examines the role of formal long-term services and supports (LTSS) in Medicaid. The report focuses on how sociodemographic changes will impact the demand for LTSS in the future, and as a result, Medicaid use and expenditures.

This paper examines the success of grants given to initiatives that address the employment gap between people with and without disabilities. Independent evaluations identified five elements which were common to successful projects, namely, 1) A focus on changing attitudes about people with disabilities and their ability to work, 2) A person-centered approach to employment, 3) Technological platforms or model documentation, 4) Strong community partnerships, and 5) Wraparound services.

This annual report focuses on how CMS is working to improve care for Medicare-Medicaid enrollees. The report outlines the progress of CMS as it works to meet its strategic goals. It also identifies four legislative recommendations for improving care coordination and benefits.

This chapter is part of MACPAC's June 2018 Report to Congress on Medicaid and CHIP. It reports on the trend of states using managed long-term services and supports (MLTSS). The chapter discusses program outcomes, the added complexity of long-term services and supports in Medicaid managed care, and different directions being explored in MLTSS. It also identifies issues for further examination.

This report is one of three reports released around the same time from Mathematica Policy Research focusing on how transition services are being used for youth with disabilities. This report examines states' experiences with a new mandate requiring them to provide pre-employment transition services available to all students with disabilities.

This report is one of three reports released around the same time from Mathematica Policy Research focusing on how transition services are being used for youth with disabilities. This report outlines evidence-based strategies to promote sustained, gainful employment for youth with disabilities who are receiving SSI.

This annual report outlines Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. This report covers trends in total LTSS expenditures, LTSS as a Percentage of Total Medicaid Spending, HCBS as a Percentage of Total Medicaid LTSS, and more.

This paper examines whether there is evidence that MLTSS programs increase access to home and community-based services (HCBS). One theory states that MLTSS programs may reduce costs associated with the use of institutional services, thereby allowing states to expand HCBS services and reduce waiting lists. This brief uses this theory and examines changes in a state's HCBS waiting list as one way to measure access to HCBS.

This paper explores how state MLTSS programs interact with federal LTSS initiatives. It examines this interaction in four states: Illinois, Iowa, New York, and Ohio. It specifically focuses on the the interaction of these states' MLTSS programs with the Money Follows the Person (MFP) demonstration, the Balancing Incentive Program, the Health Home State Plan Option, and the Financial Alignment Initiative (FAI).

This paper looks at the impact of various MLTSS policies on access to LTSS. It looks specifically at four states and the policies which these states identify as important to ensuring access. All four states identified network adequacy standards, transition of care, provider reimbursement, and level of care criteria as important factors. In addition, the paper examined participant-directed services policies and care coordination models.