Physical Disabilities

This study explores the services, supports, and accommodations that people with disabilities use to find and keep competitive employment; how they obtain needed supports; and the extent to which they pay out of pocket for work-related supports. The authors conducted an exploratory study using in-depth interviews with 15 workers with disabilities who in 2013 earned at least 250% of the poverty level, or about US$28,000 a year for a single person.

This primer describes long-term services and supports (LTSS) delivery and financing in the U.S. and highlights covered services and supports, types of care providers and care settings, beneficiary subpopulations, costs and financing models, quality improvement efforts, and recent LTSS reform initiatives.

For Social Security beneficiaries and Supplemental Security Income recipients who are not capable of managing their own benefit payments, the Social Security Administration (SSA) pays benefits to a representative payee. The authors estimate that the demand for representative payees will increase from 2.94 million beneficiaries in 2013 to 3.27 million by 2025 and to 3.56 million by 2035.

This report seeks to provide empirical evidence on the relationship between the primary impairments of Social Security disability program beneficiaries and the employment and earnings experiences of those beneficiaries. The authors' findings can inform new initiatives designed to help beneficiaries return to work or successfully transition into the adult workforce.

In 2005, the National Council on Disability published "The Current State of Transportation For People With Disabilities in the United States," a major transportation overview report. This report examines what has changed since the writing of the previous report. The report focuses on surface transportation and addresses accessibility-related progress as well as problems. The report also makes recommendations to Congress and the Executive Branch designed to improve federal collaborative efforts.

This report reflects on Medicaid’s accomplishments and challenges and considers the issues on the horizon that will influence the course of this major health coverage and financing program moving forward. The report follows Medicaid’s evolution, including major legislative changes and other inflection points in the program’s history and analyzes how Medicaid threads through our health care system today and the measure of its impact.

Person-centered planning encompasses the idea that the individual is at the heart of all decisions about services, supports, and care. This report analyzes how well states are implementing a 2014 rule that creates the right to person-centered care planning for Medicaid consumers of Long-Term Services and Supports. The report is a tool for health care providers, plan administrators, and advocates to help them understand the scope of the rules and be able to identify provision shortfalls.

This report details results of a survey administered to Adult Service providers to learn more about the locations, funding sources, and supports that these programs provide to seniors and people with disabilities. The report demonstrates how Adult Services include a wide array of services, including a combination of social and medical supports. ADvancing States is concerned that new CMS regulations may reduce the number of available providers in the Medicaid program.

This FDIC report provides information about the population of households headed by working-age adults with and without disability, including account ownership; use of prepaid debit cards; use of alternative financial services; mobile phone,smartphone, and online access. Participation in mainstream financial services is a critical indicator of the economic inclusion; yet the findings show 46.5% of households headed by working-age adults with disabilities are identified as unbanked or underbanked.

The Money Follows the Person (MFP) demonstration aims to give Medicaid beneficiaries living in long-term care facilities more choice about where they live and receive services and to strengthen state systems of LTSS to serve more people in community settings. This report examines how six MFP grantees (MO, LA, NE, NJ, OH, IL) are serving populations with diverse needs in the community and the factors that have contributed to their strong performance on key outcome measures.