All States/Territories

Centers for Medicare and Medicaid Services (CMS) has provided funding and technical assistance to states to develop state plans' to coordinate care for dual eligibles, persons eligible for both Medicare and Medicaid. This chart shows the status of those states selected for the Dual Demonstration grants, the model chosen, and target implementation. It also includes links to each state's plan.

This Informational Bulletin provides information on recent Department of Housing and Urban Development (HUD) actions, policies, and resources that are available to states as they continue to develop long-term service and support systems that are compliant with the Americans with Disabilities Act (ADA) and the Olmstead decision.

Today there are over 9 million Medicare-Medicaid enrollees in the United States. To provide a greater understanding of the Medicare-Medicaid enrollee population, Centers for Medicare & Medicaid Services has put together individual State profiles that examine the demographic characteristics, utilization, and spending patterns of Medicare-Medicaid enrollees and the programs that serve them in each State. Also review the National Summary Profile.

States have continued to rebalance their long-term services and supports (LTSS) toward more home and community-based services (HCBS). This report uses diverse methods to assess the different incentives affecting states’ decisions to implement the four Medicaid HCBS options under the Patient Protection and Affordable Care Act (PPACA); two new options (Community First Choice and the Balancing Incentive Program) and two existing [Money Follows the Person and 1915(i)].

This report discusses recent major policy developments that pertain to the service needs of people with developmental disabilities and their families, and recommends opportunities to enhance collaboration among the aging, disability and long-term care networks. Key policy initiatives addressed include the Aging and Disability Resource Centers, the Lifespan Respite Act, the National Alzheimer’s Project Act, and the Patient Protection and Affordable Care Act.

This paper provides a brief overview of the direct-care workforce in the U.S. It uses PHI research to detail many of the issues facing the workforce, including low wages, inadequate benefits, and a lack of career advancement opportunities.

Launched in 2007 during the Bush administration, the Money Follows the Person Program has supported states’ rebalancing efforts of moving low-income older adults and disabled people from long-term care facilities into the community. The program offers states extra Medicaid funding to pay for the participant's home and community-based services over 12 months. This article addresses the major challenges of the participating states in terms of administering the program.

As state and federal policymakers move to develop and test integrated care models for people dually eligible for Medicare and Medicaid, two new Kaiser Family Foundation articles in the June 2012 issue of Health Affairs highlight the diverse needs and challenges facing these 9 million beneficiaries, describe their current care arrangements, and raise issues to consider for proposed reforms aimed at better coordinating their care and reducing health care spending.

The SCAN Foundation recently released Ten Conversations to Plan for Aging with Dignity and Independence in both English and Spanish. This guide offers ten key areas for conversation starters that can help older adults and their loved ones begin planning for the future they want as they grow older. This publication is the second in a series of tools designed to empower individuals and engage everyone in the process of aging with dignity and independence.

This report advocates for a stronger, more rigorous research approach in Title IV (Activities for Health, Independence, and Longevity-Program Innovations) of the Older Americans Act. Title IV authorizes the Assistant Secretary for Aging to fund training, research, and demonstration projects, which Congress did not fund in FY 2012. Recommendations include creating a new Chief Science Officer, establishing a national advisory council for aging services program research, and renaming Title IV.