Physical Disabilities

Providing personal assistance services (PAS) in the workplace (WPAS) is one approach to support the employment of individuals with disabilities. This study examined the implementation of Medicaid WPAS by collecting & analyzing telephone interview data from key informants selected from county & public authority officials in California in 2010. The results showed that less than a fraction of 1% of individuals with disabilities who used Medicaid personal care services used the services at work.

This resource for programs includes State Lifespan Respite Programs, that provide respite and are interested in developing & implementing participant-directed respite, especially through voucher programs. Included are: overview materials that provide content information regarding participant direction, examples from two states that currently implement participant-directed respite programs using a voucher system, important tax and financial information, & resources for additional materials.

The Money Follows the Person (MFP) Demonstration supports state efforts to help Medicaid beneficiaries living in long-term care facilities transition back to community-based residences and to make community-based long-term care services and supports more accessible. This report uses aggregate data from annual financial reports and service claims records submitted by grantees to examine the costs and types of community-based services received by participants in the MFP program.

This manual is meant to help community-based programs assess their individual needs, plan & implement volunteer respite programs and assist state Lifespan Respite programs as they address the requirements in the Lifespan Respite Care Act to build respite capacity through volunteer training & recruitment. Review text boxes throughout the document with resources for reading further, highlights of National Volunteer Respite Initiatives plus examples of local volunteer respite programs.

State and local disability employment services are operated by a number of different public & nonprofit agencies. Organizations find it necessary to access funds from more than one program, agency, or funding stream. As a result, many program administrators & staff face the challenge of developing strategies to braid disability employment funding. This report profiles four programs that have implemented braided funding strategies to support hiring initiatives with employer partners.

State Medicaid agencies fund supports & services for individuals with disabilities. As national public policy recognizes & emphasizes the ability of individuals with disabilities to work, states are integrating employment supports into the continuum of long-term care in Medicaid. This brief discusses federal legislative & regulatory framework for funding employment supports in Medicaid, highlights examples of state innovations & best practices to promote positive employment outcomes.

Each year, AoA compiles a summary of the latest statistics on individuals 65 years or older across 15 topical areas including income, poverty, employment, health, disability, and caregiving. This report has now been updated to reflect the most recent year for which data is available, 2010.

A growing number of beneficiaries with disabilities are being enrolled in risk-based managed care arrangements. Further growth in managed care is expected in 2014, when the Affordable Care Act expands Medicaid eligibility to many uninsured low-income adults, including those with disabilities. This issue brief looks at issues related to the development and implementation of managed care programs with the capacity to serve Medicaid beneficiaries with disabilities.

In 2008, Congress revised the regulations for Ticket to Work, a federal program created to improve incentives and supports for people who receive disability benefits to seek employment. This issue brief discusses how Ticket to Work participation by service providers and beneficiaries has changed under the revised regulations. It also describes providers' early experiences with these regulations.

One priority for an aging America is to enable older adults to live independently in their homes and communities. For those with limited income or resources, benefits can be a critical resource to receive support and avoid institutionalization. Many miss out on benefits due to lack of awareness, perceived complexity of applications, stigma, & misunderstanding eligibility. The You Gave, Now Save campaign connects eligibles with free & low-cost resources: BenefitsCheckUp & the Eldercare Locator.