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State and Local Governments' Fiscal Outlook: April 2013 Update

An updated fiscal outlook of state and local governments projects an ever increasing gap between receipts and expenditures through 2060, absent any policy changes. The report found that this decline in the state and local government sectors' operating balance is primarily due to rising health related costs of state and local expenditures on Medicaid and the cost of health care compensation for state and local government employees and retirees.

Short URL: http://www.advancingstates.org/node/53383

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State Roadmap to Peer Support Whole Health and Resiliency

SAMHSA has updated its definition of recovery as it pertains to substance use and mental disorders. This working definition and set of guiding principles reflects the increased role peer supports and Peer Specialists have been playing in mental health programming. This document provides a summary of SAMHSA’s new definitions, as well as a checklist for effectively using peer supports in a variety of mental health programs.

Short URL: http://www.advancingstates.org/node/53382

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Basically CDBG - Course Training Manual

This training manual guides Community Development Block Grant (CDBG) grantees in the implementation of local CDBG programs. This manual covers essential topics ranging from CDBG's national objectives to the details of administration. The manual includes 20 topical chapters that clearly delineate the application process, eligible grant activities, various CDBG programs and their standards, as well as performance measurement and reporting.

Short URL: http://www.advancingstates.org/node/53381

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A Profile of Older Americans: 2012

This annual summary uses information from the US Census Bureau, the National Center for Health Care Statistics, and the Bureau of Labor Statistics to display the demographic shift, as well as the health, geographic distribution and economic changes of those over 65 in the United States. This report found that 13.3 percent of the population is 65 and older, but this demographic is expected to grow to 21 percent by 2040. Changes from previous summaries are analyzed and projections are made.

Short URL: http://www.advancingstates.org/node/53380

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Medicaid: A Program of Last Resort for People Who Need Long-Term Services and Supports

This report examines the importance of Medicaid as a safety net for financing long-term services and supports (LTSS). Most older adults will require some form of LTSS, but paid LTSS can be very expensive. Unpaid, family caregiving has enormous economic value and currently accounts for the greatest portion of LTSS provision. However, if an individual needs paid LTSS, and can't afford LTSS insurance, Medicaid is often needed after an individual spends down their assets.

Short URL: http://www.advancingstates.org/node/53379

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Long-term Care: Perceptions, and Attitudes among Americans 40 or Older

With a focus on understanding the experiences and attitudes of this population as they begin to plan for their own care and interact with the long-term care system to provide care for loved ones, we examine their understanding of the long-term care system, their perceptions and misperceptions regarding the likelihood of needing long-term care services and of the cost of those services, and their attitudes and behaviors regarding planning for long-term care.

Short URL: http://www.advancingstates.org/node/53377

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Self-Directed Budget Enhances Access to Home Health and Other Needed Services, Resulting in Fewer Unmet Needs, Better Health Outcomes, and High Satisfaction for Medicaid Beneficiaries

What They Did. Did It Work? How They Did It and Adoption Considerations. These are all the questions that the Policy Innovations Profile will answer about Cash & Counseling. As a voluntary alternative to traditional agency-delivered home care, a joint public-private program gives Medicaid enrollees a monthly allowance for home care and related services that they can spend at their own discretion. Review the evidence. tools and resources and otherimplementation tips.

Short URL: http://www.advancingstates.org/node/53376

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AIRS Standards and Quality Indicators for Professional Information and Referral - 7th edition

What are the current realities, practices and needs of the I&R field? The Version 7.0 of the AIRS Standards is a comprehensive upgrade to the guide that offers foundation and credentialing outlines. Some of the changes from the previous version are relatively minor such as modifications in the wording of the Standard or relocation of a Quality Indicator to another Standard, to add clarity. In addition to these changes, there is the creation of a new Technology Standard (Standard 25).

Short URL: http://www.advancingstates.org/node/53374

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Health Information Technology Successes-You Tube Channel

The U.S. Department of Health and Human Services Agency for Healthcare Research and Quality (AHRQ) has a new YouTube channel. It shows successful health information technology projects that focus on ways to enhance quality measurement, preventive care & medication management. These videos provide insights for health services researchers, health care providers and patient advocates on how AHRQ research supports the use of health IT to improve quality, safety, efficiency and effectiveness of care.

Short URL: http://www.advancingstates.org/node/53373

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