Mathematica Policy Research

This report synthesizes information from in-person interviews with program staff, a mail survey of program counselors, and telephone interviews with consumers who had the opportunity to receive the program allowance. It also discusses the program's goals and features, how consumers managed their responsibilities under it and made use of its flexibility, and levels of consumer satisfaction with the program.

This Issue Brief features information gathered from Arkansas' IndependentChoices program including satisfaction and how consumers used their budgets.

This is the third report in a series, from Mathematica's five-year evaluation of the Money Follows Person demonstration, aimed at helping Medicaid enrollees transition, from long-term care institutions to the community. It describes states’ early implementation experiences and state transition activity as of December 2008. Also discussed, are the challenges that states have encountered in trying to launch the program, and implications for making fundamental changes in the long-term care system.

Transition to adulthood can be difficult for young people with disabilities, and changes in public policy are needed to give them the support to find meaningful work, stay employed, and reduce their dependency on federal and state benefits. This brief highlights the importance of improving policy, reviews lessons from research, and considers transformative policies and why such changes might be tested. It also discusses an example of the Transition to Economic Self-Sufficiency (TESS) program.

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 second report in a series focuses on how state variation in level of experience and infrastructure to undertake large-scale transition programs can affect implementation. The authors describe differences in strategies to 1) expand transition coordination capacity 2) locate appropriate housing 3) enhance long-term supports & services 4) change Medicaid HCBS programs/policies to ensure that those who transition can remain in the community after the MFP eligibility period ends.

Variables that affect supported employment are profiled. The authors examine sociodemographic, health, and income characteristics of participants. They also look at employment-related activities and expectations, traits of those seeking jobs, what kinds of jobs are held, and reasons for not seeking or keeping employment. This report is the second in a series that make up the fifth Ticket to Work evaluation report.

WIPA was created to give beneficiaries guidance and information on available work incentives so as to increase employment. This report, the first in a series that make up the fifth Ticket to Work evaluation report, has three objectives: to capture stakeholder experiences with the program during start-up; to identify early opportunities for improvement; and to inform future program data collection, evaluation, and outcomes analyses.

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.

Here is a snapshot of the program , seven years after implementation. The report introduces the grants, their assessment process, profiles funding recipients, and measures how well the program protects workers’ benefits and increases employment. Finally, recommendations for improving outcomes are provided.