Physical Disabilities

The Medicaid Buy-In program is a key component of the federal effort to make it easier for people with disabilities to work without losing health benefits. This issue brief, the ninth in a series on workers with disabilities, examines the prevalence and characteristics of Medicaid Buy-In participants who leave the program as well as their participation status in other public programs and their employment outcomes after disenrollment.

This report is a collective summary of the impact and outcomes of Medicaid services to over half a million unique individuals with intellectual and developmental disabilities. Using data and statistics, from 2007, State rankings are given with the intention of providing guidance as to how each State performs overall in serving these individuals, acknowledging areas for each State that need improvement, and identifying top performance areas for each State, making resources easily identifiable.

The purpose of this report is fourfold: 1) to present a brief overview of the results of the Systems Change grants awarded from FY 2001 through FY 2004, 2) to describe the remaining challenges to community living that Grantees identified, 3) to provide Grantees’ recommendations for actions needed at the state and federal level to further improve their long-term care systems, and 4) to discuss the key lessons learned regarding factors that are needed to improve states’ long-term care systems.

The U.S. Census Bureau has compiled a set of disability-related facts and figures as part of its Facts for Features series. Facts for Features consist of collections of statistics from the Census Bureau's demographic and economic subject areas intended to commemorate anniversaries or observances or to provide background information for topics in the news. This edition of Facts for Features commemorates the 19th anniversary of the signing of the Americans with Disabilities Act (ADA).

IPAWS is a modernization and integration of the nation’s alert and warning infrastructure. This paper serves to demonstrate how IPAWS addresses the challenges of reaching the whole community, including the 25% of our population who might need assistance. It offers evidence that while IPAWS doesn't solve all of the challenges, it can certainly mitigate them, particularly with greater stakeholder engagement and public awareness. Emerging technologies that could improve accessibility are reviewed.

The unemployment rate of individuals with disabilities seeking work remains well above those without disabilities, and the gap has widened further in recent years. A forum was convened to explore policy options and actions that could be taken to help adults with a current or past work history improve their participation in the workforce. This report summarizes key options and issues identified through the forum discussion and surveys conducted.

Quantitative and qualitative data are pulled together for a summary of the enrollment and implementation experiences of state DMIE projects through December 2008. The Kansas, Minnesota, Texas, Hawaii and District of Columbia programs are profiled and then a national summary and implications are presented. Another report tentatively scheduled for the spring of 2010 will analyze whether the program improved outcomes for individuals and evaluate the implementation and phase-down activities.

In two short videos, Lana and Janet, participants in the Missouri MFP program, share their experiences moving out of nursing homes. They also discuss some program details and encourage others to sign up. The videos were produced by the Disability Resource Association to promote MFP.

The key details of the partnership between the Veterans Health Administration and the Administration on Aging, created to provide consumer-directed care to veterans, are given. The document summarizes the partnership structure, standards, and target population. It also discusses the referral, follow-up, and rate setting procedures for the defined set of services and goods to be offered.

Nearly every state provides at least some funds for services for low-income older adults or people with disabilities who have too many assets to qualify for Medicaid. AARP reports on how much each state spends on both multiservice and single-service programs. It also compares funding sources, eligibility criteria, services, cost management strategies, consumer direction, and other characteristics.