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This booklet, through Arkansas’ “Choices in Living” aging and disabilities resource center, profiles the home and community-based long-term care (LTC) options available in the state. Older adults, people with disabilities, families and support workers can determine which of the five profiled programs are best for them based on eligibility criteria and scope of coverage.

Attached is an initial guide for use by States regarding current CMS case-management policy in light of the moratorium. This document does not represent a comprehensive list of all relevant Medicaid policy issuances, but is designed to assist States in assessing the impact of the exception included in the CMS 2237-IFC moratorium. The Supplemental Appropriations Act, 2008, was signed into law on June 30, 2008. State Medicaid Director (SMD) Letters are included as reference.

This document contains best practice examples and ideas for follow-up policies. Aging and disability resource centers (ADRCs) are required to have a written policy describing when and how they will follow-up with people that contact them for information and assistance. The policy helps determine outcomes and provides additional assistance when needed.

Families and government spend $200 billion annually on long-term care (LTC), yet many elderly and disabled people still do not receive needed care. This brief illustrates the flaws of the current LTC finance system and presents three potential solutions and some challenges and advantages of each option. The proposed solutions are: enhance private insurance; base public financing on social insurance rather than welfare; or meld private and public insurance.

A survey of AARP members in CO provides insights into how and why seniors use public transport or drive, and how these habits affect their well-being. The survey showed a heavy reliance on cars for transportation and independence, even when public transport is available. People with multiple health and disability problems were most likely to be isolated and have few transportation alternatives. Data reports are available for the entire state and each of the four urban areas surveyed.

States are ranked in this report based on the outcomes of Medicaid services provided to people with intellectual and developmental disabilities. The key outcomes measured are the promotion of independence and meaningful employment, tracking quality and safety, keeping families together, and reaching those in need. Each state’s progress is measured by comparing data from the previous year. This report is issued annually with past editions available on the included website.

This comprehensive report provides data and macro level analyses on public and private residential services. The Executive Summary and Section 3 compare Medicaid utilization and expenditures for home and community-based services with services provided in institutional settings. Data are also presented in state-by-state profiles. Past editions of this annual report dating from 2000 are available at the website provided.

The author of this policy brief presents his perspective on the future challenges of long-term care (LTC) in the U.S., with a focus on family caregivers, public policy, and funding. Noting the strain placed on caregivers and the market dynamics that discourage the purchase of LTC insurance, he encourages a broader role for the public sector. These include more funding for the National Family Caregiver Support Program and expanding Medicare to cover comprehensive LTC services.

This report examines common barriers that mental health consumers face in accessing transportation and provides emerging best practices for overcoming these barriers. Successful strategies include expanding access to existing public transit as well as providing specialized transportation. They encompass urban, suburban, and rural settings. The report also lists potential funding sources and recommendations for developing transportation initiatives.

Here is a brief profile of an innovative program that combines palliative care with employment services to help people with chronic pain acquire or keep employment. Learn how core teams of nurses, social workers, and pharmacists coordinate healthcare services and provide referrals to employment services. The profile examines the history and development, program goals, funding, and keys to success of the program.