All States/Territories

The second in a series focused on affordable housing, this issue brief focuses on developing partnerships with state finance agencies and other stakeholders. It showcases successful strategies that have expanded integrated community living for workers with disabilities. While MIG grantees, who are the main audience of this brief, are unable to use grant funds to provide housing services, they can create linkages with other programs to support the individuals they serve.

The Service Access for Elders in Public Housing project address issues that affect the quality of life of elderly residents of an urban public housing complex. A survey of the elderly residents was conducted under this project, seeking to better coordinate information and services provided by public and private agencies that serve the residents to assist them to better age in place in their apartments. This report outlines those results.

This journal article, which appeared in the Journal of Aging and Social Policy, outlines adult's (ages 40-70) preferences for long-term care, including place of care and the persons providing care. Most adults preferred care in home/community settings by kin or non-kin, with few deeming nursing homes acceptable.

An interactive map displays how many 1915(c) waivers each state has. Clicking on a state’s name displays number of participant and expenditures by waiver type as compared to nationwide numbers. Participant and expenditure data are also available for personal care, home health, and individualized budget services. Clicking “Compare” in any data area displays a table illustrating selected data for all states. Information is taken from CMS form 372 and is downloadable.

This issue of the "Policy Research Brief" series summarizes the results of a national study on the status, implementation, and degree of consumer control across states. Strategies, challenges, and best practices of consumer-directed services and supports are explored. Information was gathered through interviews with administrators of developmental disabilities services in 42 states.

The purpose of this study was to provide the New Mexico Human Services Department with information about variations (if any) in provider payment rates for home and community-based services within the state and across states.

Medicaid expenditures are often presented as a percentage of state or Federal spending. Here, they are illustrated in terms of market shares for 30 markets defined by provider category of service. In 21 markets, Medicaid plays a small role, but in the other 9, such as long-term care and mental health, Medicaid is the dominant payer. Some of the other markets researched include adult day, waiver, case management and home health services.

This report presents the Medicaid Commission's recommendations for the long-term sustainability of the Medicaid program. Review the recommendations about Long-Term Care, Benefits Design, Eligibility, Health Information Technology, Quality and Care Coordination. The Commission strongly recommends increased state flexibility in many areas to tackle more locally influenced issues.

This report discusses the options for expanding home and community based services in the state of Maryland as required by Bill 594. Should Maryland elect to expand access to Medicaid home- and community-based services(HCBS), it has several possible approaches. This report discusses these options for Maryland in detail; ideas other states designing similar programs might find useful.

This article outlines three potential models which may be adopted by states looking to develop programs designed to serve those individuals who are dually eligible for Medicare and Medicaid benefits. The article also discusses possible contractual issues important to state Medicaid agencies as well as environmental factors which may influence the choice of models and potential program's prospects for success.