Olmstead

This State Policy in Practice brief describes Indiana’s efforts to develop a new, comprehensive program that helps people in Indiana (the Hoosiers) avoid nursing home placement if possible and desirable. It also describes pilot programs to transition those who choose to enter a nursing home, but then want to return to their homes. It is intended to help state policy and program leaders, advocates, and providers learn from their peers and colleagues across the states.

This guide was prepared by Maine’s Work Group for Community-Based Living in response to the 1999 Olmstead Supreme Court decision. The work group submits this Roadmap as an interdepartmental approach for improving home and community services for people with disabilities. Section topics include: advocacy, integrated services, using data, service coordination, direct-care workers, improving quality, housing, transportation, and employment.

This memorandum presents state-by-state data on Medicaid long term care expenditures in Federal Fiscal Year 2004 (October 2003 through September 2004). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1992 to 2004. A new table this year shows the effect of supplemental nursing facility payments in some states on expenditure data. A separate file ranks states based on the proportion of LTC spending for community services.

This document describes the releationship between WV Real Choice Grants and the Olmstead Plan. The document contains a table showing all grants awarded to the state. The table illustrates the activities of the Real Choice Systems Change for Community Living grants and shows how the programs are closely aligned with the West Virginia Olmstead Plan. This strong relationship is the result of collaboration between the Olmstead Coordinator and other state partners and stakeholders involved.

This topic paper summarizes how states can use Medicaid to pay for most institutional transition program costs on a permanent basis as a result of policy change since 2000. It also describes how states are currently using Medicaid HCBS Waivers to pay for community transition services-temporary supports people need when trying to move such as housing deposits, utility set-up fees, and furniture.

Case study reports on programs in 9 states that received federal Nursing Home Transition Grants from 1998 - 2000 are now available. New reports describe programs, implementation, and lessons learned from transition programs in Arkansas, Florida, New Jersey, Pennsylvania, Texas, Vermont, Michigan, Wisconsin and from a hospital to nursing home diversion program in Colorado.

As represented in the U.S. Supreme Court’s 1999 Olmstead decision, our nation’s values and laws have moved to a point where states should be developing community supports and services with people, not for them. Yet many professionals were trained and agency protocols were set in motion in an earlier time period, when the current view was far from predominant. This research looks at how a sample of agencies within the State of Connecticut promotes self-determination.

Across the nation, people with disabilities, of all ages, are currently facing an affordable housing crisis. This guide provide information and guidance for states as they work collaboratively to develop realistic systems-level strategies to expand housing opportunities for people with disabilities. This guide was developed based on information and approaches detailed at a Regional Housing Forum in Washington, D.C. in Nov. 2002. A link to that meeting notes & presentation is below.

This document focuses on Sunrise Towers, a public housing complex for older people in Laconia, New Hampshire. This form of public housing is modeled after assisted living and provides meals and personal assistance to keep residents in the community. The document describes the program, the services the program offers, and funding sources.

Wisconsin uses a variety of initiatives to support Medicaid participants who want to leave nursing facilities, including ensuring services are available as soon as the person is ready to move and providing funding for transition. This document describes some of these initiatives.