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The US is experiencing a severe shortage of qualified direct-care workers to provide personal care services (PCS). Evidence from a number of studies reveals that wages and benefits paid to PCS workers play a fundamental role in determining the quality and quantity of workers. Read this in-depth analysis of state and local practices that reviews the pros and cons of seven strategies for enhancing PCS-worker wages and benefits for direct-care workers delivering Medicaid personal care services.

The DRA may have significant effects, given the high proportion of young children enrolled in Medicaid-28 percent of all children under age 6 in 2001-and the broad range of services covered. This report analyzes the provisions of the DRA and assesses their implications for the provision of early childhood preventive and developmental services. Changes include citizenship documentation, the use of a benchmark option, cost-sharing benefits and the financing of targeted case management.

Popular with journalists, this guide is useful for those interested in health policy issues. Chapters contain key facts, an overview, expert sources with telephone numbers, story ideas and helpful websites. Topics presented for current policy discussion include: the uninsured, private health coverage, children's health coverage, Medicare, Medicare prescription drugs, Medicaid, long-term care, health care costs, quality and health information technology, disparities, mental and public health.

Review two papers that center on the topic of public disability and health benefits and the fundamentals of the Disability Insurance and Supplemental Security Income programs and their relationships with Medicare and Medicaid. Part I looks at definitions, distinctions and overlaps; it reviews the effects on the Ticket to Work and Work Incentives Improvement Act. Part II discusses major initiative and issues in these programs in light of growing administrative, fiscal, and other problems.

This report describes the implementation of consumer directed care by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records. It discusses the program’s goals and features, the ways beneficiaries managed their program responsibilities and took advantage of increased flexibility, and the degree to which beneficiaries were satisfied with the program.

Speaker presentations from the recently concluded 19th Annual State Health Policy Conference in Pittsburgh are now available. Topics include Helping Troubled Youth, High Performance Health Systems, Balancing Long-Term Care, Improving Quality, Assuring Better Child Health and Development, Redesigning Coverage in Medicaid, Patient Safety, and Using Data to Inform Public Policy. Review the presentations and other hot topics in state health policy.

This new web site developed by the U.S. Department of Health and Human Services provides information and resources to help families plan for future long-term care (LTC) needs. This site provides a wide range of information and options to help individuals who don't yet require long-term care plan for future needs. Information about understanding, planning and paying for long-term care can be downloaded including a new resource titled Own Your Future Planning Kit.

This is an MOU between the Arkansas Department of Human Services and the AAA of Southwest Arkansas. It is not applicable statewide, only for the ADRC service area. This MOUs outlines the purpose and scope of agreement between the two divisions.

This resource guide was developed to help CILs: 1. understand specific needs and problems that are unique to older persons as they age, 2. understand the network of aging organizations including their organizational structure and funding sources, 3. help identify ways to network with these established “aging” agencies and 4. locate and tap into some of the monies that are available for “senior” programs. The guide has 13 sections covering topics from assistive technology to collaboration ideas.

ILRU hosted a webcast where Bob Kafka, from ADAPT of Texas and Gwen Gillenwater from the American Association of People with Disabilities (AAPD) offered ideas about how policy planners, agencies, states and advocates can promote Money Follows the Person. There are a number of elements to consider including systemic issues, service coordination, housing, mental health, consumer involvement, quality and accountability. Listen to the presentation, review the transcript or read the handouts.