All States/Territories

Presentations from NASHP’s 21st annual state health policy conference are now available. The conference is planned by state health policymakers for state agencies' staff, legislators, and legislative staff. Review the presentations to learn how others are improving and innovating healthcare through state-level policy.

This is the eighth consecutive year that state Medicaid officials were surveyed to track program trends. In addition to data on expenditures and enrollment, the report outlines policy enhancements and restrictions in all states and the District of Columbia. The resource ends with a discussion of current key Medicaid issues and perspectives of State Medicaid Directors.

Determining how to optimally balance our demand for the best health care with limited funding represents one of the most challenging policy dilemmas facing the U.S. To help understand how to best accomplish this task, the document authors forecast Medicaid expenditures and enrollment for the next ten years. The data are organized by enrollment groups and service settings/categories.

Watch employers attest to how their business’ needs are met by skills that workers with developmental disabilities have brought to the workplace. The five firms included in the video found that those skills are crucial as they convert to computerized record systems in order to increase efficiency and drive down record keeping costs.

The 2008 national Aging and Disability Resource Center meeting took place in October in Boston. Find here the presentations and handouts from the workshops and plenary sessions. Topics ranged from nursing home diversion to quality to information flow and technology.

In an effort to address integration across CMS Home and Community-based Services Programs, CMS worked with its National Quality Contractor to develop an this matrix. The Grid highlights specific quality requirements across HCBS program authorities that include program standards, measures, accountability, and sources of financing for quality activities. The tool is expected to be a helpful resource for planning purposes and for providing technical assistance to states and researchers.

The GAO conducted a study in which they examined the extent to which states (1) include, as a critical incident, deaths among individuals with developmental disabilities in waiver programs; (2) have basic components in place to review such deaths; and (3) have adopted additional components to review deaths. The report outlines six basic mortality review components. Review the two key recommendations offered to CMS.

This letter is another in a series of CMS communications that support state efforts to improve the quality of services and supports provided through the Medicaid Home and Community-based Services waiver program. This communication announces three new items designed to assist states in enhancing oversight and operations: GAO Mortality Study in Developmental Disabilities, HCBS Quality Requirements Grid: A Technical Assistance Tool and the National HCBS Quality Enterprise award to Thomson Reuters.

Working Well, the Texas Demonstration to Maintain Independence and Employment, tests whether health and employment-related services can prevent workers with serious health issues from becoming disabled and dependent on federal benefits. These Issue Briefs introduce the program and present participant data. Brief 3 examines healthcare support workers participating in the project who are at risk for becoming disabled themselves. The website has participant stories and further project information.

This poster and brochure tell older adults, caregivers and individuals with disabilities living about information and referral services available at the Arkansas aging and disabilities resource center (ADRC). Use these as examples of how other ADRCs might consider spreading the word about their programs and services.