All States/Territories

This report from the Kaiser Family Foundation addresses Medicare beneficiaries’ out-of-pocket health care spending. This report highlights the rising medical costs for low-income older adults. It is estimated that by 2030, Medicare beneficiaries will be spending half of their Social Security benefit on out-of-pocket Medicare expenses.

This report outlines concrete steps to protect vulnerable Social Security beneficiaries and recipients. The report includes recommendations for Congress, the Office of Management and Budget and SSA to strengthen the current administrative process, create better monitoring and explore comprehensive, government-wide coordination and cross-agency reform of rep-payee processes.

This resource identifies key challenges related to oral health care access and utilization for low-income adults, and outlines states’ current coverage of dental benefits for adults in Medicaid.

The Administration for Community Living (ACL), joined the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the HHS Office of Civil Rights to produce a report on ensuring beneficiary health and safety in group homes through state implementation of comprehensive compliance oversight. This report serves as a resource for states to use as a part of efforts to ensure that all group homes are safe and healthy places for people with disabilities.

This report discusses how state employee health plans are a vehicle that states can use for improving their health care system and moving the commercial market forward on value-based reforms. Currently, in 18 states, state employee plans cover over 10% of the commercial market. State employee health plans have seen success with reference pricing, limited networks, tiering, bundles, and accountable care models.

The Center for Health Care Strategies (CHCS) and Manatt Health has developed a new toolkit that provides a targeted menu of long-term services and supports (LTSS) reform strategies adopted by state innovators that may be replicated by other states. The toolkit identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms.

In the Fall of 2014, the Center for Medicaid and CHIP Services (CMCS) conducted a Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The survey interviewed a representative sample of adults ages 18 and older enrolled in Medicaid between October 2013 through December 2013. This survey provides baseline information on the experiences of low-income adults prior to a state’s expansion of coverage to the new adult group that took effect on 1/1/2014.

The Senior Community Service Employment Program (SCSEP) is a $400 million federal workforce investment program projected to serve over 67,000 low-income unemployed older adults in program year (PY) 2017. This is the only federally funded program to target older individuals who want to enter or reenter the workforce. The fiscal year (FY) 2018 budget eliminates all funding for SCSEP. This white paper examines the evidence on the value of SCSEP and discusses the potential effects of cutting it.

This is a technical report about the supports and services that people with IDD receive through the State IDD agency. In addition to the report, there are state profiles, which describe status and trends for each state in the country, and a chart gallery, which is an interactive tool to view detailed data by state, year, and funding authority. Topics include ICF/IID and Medicaid Waiver recipients, expenditures and expenditures per person from 1977 to 2015.

This brief analyzes dental service use and cost data for non-elderly Medicaid-enrolled adults by individual, community, and state-level factors. This brief is intended to help stakeholders identify opportunities to improve access to care and, ultimately, achieve sustainable oral health improvements for low-income adults.