Physical Disabilities

Federal data is used to describe the status of Americans with disabilities and their quality of life. The report measures indicators such as employment, education, health status and health care, financial security, leisure and recreation, personal relationships, and crime and safety. The authors also lay out a road map for the federal government to expand the national disability indicator set, as well as for installing the set into a key national indicator system.

The DMIE awards funds to states to develop, implement, and evaluate interventions that are intended to improve health care coverage and employment services for working adults with potentially disabling conditions. It allows states to offer Medicaid-equivalent coverage, employment support, and case management services in order to sustain employment. This issue brief reviews the rationale for the DMIE, the interventions of the four most recent states, evaluation, and information dissemination.

Medicaid waivers funds can be used to support self-employment, but may not be used directly to fund the development of a business. This factsheet provides answers to questions about how to leverage waivers supports for self-employment while complying with these regulations. It also outlines eligibility requirements and presents short case studies.

Wisconsin used MIG funds to increase self-directed supports within a managed care framework in their state. Find here a set of policy recommendations used for setting the stage for this effort as well as a qualitative study outlining the implementation process. There are also several presentations focused on training support workers to understand and facilitate self-direction, using Cash & Counseling to support employment, and helping people with traumatic brain injuries return to work.

Wisconsin developed this project to improve work opportunities for students with sensory impairments by educating employers. The first document is a resource guide on low-cost workplace accommodations, with a focus on assistive technology. The second presents the findings of a statewide employer survey on accommodations and trainings used. The final document is the year-end MIG report for the project.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2002 through 2007. Each HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations.

Wisconsin Pathways to Independence convened a series of symposia to improve the process of maintenance and repair (M&R) for mobility assistive technology (AT) and its effects on outcomes such as employment. The symposium report presents current knowledge and sums up future objectives. The mobility survey reports on user experience and employment outcomes. Finally, the current practices report analyzes the processes involved in M&R to identify aspects that increase complexity and time of repair.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2007 (Oct 2006-Sept 2007). Table 1 presents national data on Medicaid expenditures for Long-Term Care from 1995-2007. Other tables present state-by-state data for Nursing Homes, ICF/MR, Personal Care, HCBS Waivers, Home Health, Home Care, 1115 Waivers focused on HCBS, and other Medicaid services.

Seven states received a share of over $8 million in federal grants to increase awareness of home-and community-based long-term care options for people leaving hospitals who otherwise may enter a nursing home. Over $7 million of the awards will be used to develop person-centered hospital discharge planning models. An additional $574,613 will supplement grants from FY07 to Wisconsin and Alaska so they can continue their Person-Centered Planning Implementation programs for another two years.

In 2000, Rhode Island launched an initiative called “Rhodes to Independence” (RTI) to promote systems changes that reduce barriers to employment. RTI focuses on health care, transportation, housing, youth transitions, and diversity. Below, find RTI’s 2005 annual report, a recruitment brochure for the RI Business Leadership Network, and brochures in English and Spanish advertising Sherlock, a health insurance program for employed people with disabilities.