All States/Territories

This policy primer focuses on consumer-directed care for people with physical and mental disabilities. Although the primer is targeted to an Arizona readership, people in other states should find much of the content useful. Sections related to Consumer-Directed include definitions, history, factors driving expansion, challenges, liability, managed long-term care, and other policy and practice issues.

The Alabama Department of Rehabilitation Services (ADRS) Medicaid Infrastructure Grant developed this Logical Model to illustrate the collaboration project in the demonstration sites. The Model charts the phases of resources, activities, outputs, outcomes (short-term, intermediate, and long-term).

The Alabama Department of Rehabilitation Services (ADRS) Medicaid Infrastructure Grant is working to develop health care supports that help people with disabilities become - and remain - employed. One of the key objectives focuses on students ages 18-22 in transition who have severe disabilities. The survey gathered information to inform and guide implementation and to identify areas for resource mapping in the demonstration sites.

The purpose of this analysis is to assess the relative need for affordable housing with supportive services in Arkansas and to compare this need with the available resources for low-income senior and disabled populations. To conduct this analysis, data was gathered from both direct sources and statistical surveys. The data was analyzed to identify the gaps between needs and resources, as well as other patterns.

The Deficit Reduction Act of 2005 adds a new section 1937 to the Social Security Act (the Act). Under section 1937 a state may amend its State plan to provide alternative benefit packages to some of its recipients without regard to comparability, statewideness, freedom of choice, or certain other traditional Medicaid requirements. This paper looks briefly at how Section 1937 might be used by a state to develop a LIFE Account model.

The New Jersey Department of Human Services’ Division of Developmental Disabilities (DDD) presents their action plan for systems change. This Plan outlines the process of transitioning individuals with developmental disabilities from developmental centers (DCs) to the community over the next 8 years (State FY 2008 through FY 2015). The Plan addresses the requirements of state legislation (S1090, PL 2006, Chapter 61) as well as the issues in the NJ P&A Olmstead lawsuit.

This study projects to 2040 the number of people ages 65 and older with disabilities and their use of long-term care services. Declining family sizes, increasing childlessness, and rising divorce rates will limit the number of family caregivers. Rising female employment rates may further reduce the availability of family care, increasing the need for paid home care. The simulations show that under the most optimistic scenario, LTC burdens on families and institutions will increase substantially.

This updated report provides the latest data on the 37 key indicators selected by the Forum for its 2004 report to portray aspects of the lives of older Americans and their families. It is divided into five subject areas: population, economics, health status, health risks and behaviors, and health care.

The Arizona Consumer-Driven Quality Improvement System Project developed two survey instrument to gather information regarding the attendant care services that consumers receive from the Division of Developmental Disabilities. They have also shared their EAzI(Empowering Arizona’s Individuals with Developmental Disabilities) Quality Traits which were created to assist in developing a survey instrument specific to the service quality needs of consumers who use Home and Community Based Services.

This policy outlines the role and function of the Delaware Health and Social Services, Division of Developmental Disabilities Services Performance Analysis Committee. This group plays a central part in the collection, analysis and reporting of data in relation to performance indicators identified by various stakeholders as important in a state MR/DD program. The policy offers definitions, standards, procedures, and a flow chart to illustrates their continuous quality improvement cycle.