Physical Disabilities

This report is the latest in a series of annual reports on Medicaid long-term care expenditures. Table 1 presents national expenditures data for FY 1997–FY 2009. Tables A through T present state-by-state expenditures data for FY 2004–FY 2009 for specific categories of service. Tables U, V, and W present the distribution of each state’s LTC expenditures among institutional and community-based services.

Ten grants were awarded to states to develop a profile of the publicly funded LTC system and to assist CMS to develop national benchmarks that will be used to measure the degree and success of states' efforts to offer community based LTC services. Review Michigan’s report which focuses on the priority population of the elderly and adults with physical disabilities, but also includes systems that serve adults with developmental disabilities, adults with mental illness and children.

This brief underscores the role of asset development for individuals with disabilities given that they are more likely to be unemployed and live in poverty than any other demographic in the US. It describes some of the interaction between asset accumulation and disability benefits programs, particularly SSDI and SSI, and presents information on Individual Development Account programs and strategies by which Assets for Independence grantees can improve access to IDAs for people with disabilities.

This is the fourth in a series of briefs that focus on affordable housing strategies and state and local partnerships that increase housing opportunities for workers with disabilities. Asset-building strategies that can support affordable rental and homeownership occupancy are discussed, as well as shared equity strategies such as cooperative housing and community land trusts. Also find a link to the entire brief series.

Since the inception of the HCBS waivers, Minnesota has experienced an increased demand to provide services to individuals living in the community. Review a report on county and state use of available resources for the following waiver programs in MN: Community Alternative Care (CAC), Community Alternatives for Disabled Individuals (CADI), Developmental Disabilities (DD), Traumatic Brain Injury (TBI). Overviews of each waiver are provided as well as enrollment and expenditure data.

The authors of this report conclude that in the 10 years since the Olmstead decision, there has been little national (though some individual state) progress moving people with disabilities out of nursing facilities and public institutions and into communities with supports. The report includes an overview of Olmstead, institutional data, and recommendations for improvement.

Are MIGs assisting individuals with disabilities to become employed? An annual GPRA report has been produced since 2007. This report builds on previous work, and shows the continued impact of MIG funding in 2008 on programs and services that facilitate employment among individuals with disabilities. As the MIG program approaches the end of its authorized period, many states are committing to evaluating the programs, documenting their impacts, and sustaining the efforts beyond 2011.

Forthcoming legislation provides an opportunity to improve specialized transportation services, particularly those funded by the Federal Transit Administration. This report recommends that policymakers take steps to strengthen coordinated planning, increase support for mobility management, and improve data collection and reporting on these services. Also included is a link to a table delineating key characteristics of the FTA Programs and some background papers.

Through research, education and advocacy, AAHD’s goal is to contribute to national, state, and local efforts to prevent health complications, and promote wellness, in people with disabilities. They launched the Disability and Health Journal (DHJ), the first peer reviewed, multidisciplinary journal that focuses on these issues. The organization also publishes an informative quarterly newsletter and offers a free on-line clearinghouse through their site.

Are you looking to develop resources for a Veteran-directed HCBS program? Find materials developed for Southern Maine’s program, including a marketing brochure, a detailed guidebook defining concepts such as self-direction and financial services, forms and instructions for emergency backup, safety and prevention strategies, care plan development and budget worksheets, and detailed information and forms to help veterans in their role as an employer.