All States/Territories

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2000 through 2005. Each individual HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2005 (Sept 2004-Sept 2005). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1993-2005. Data included for Nursing Homes, ICF-MR, Personal Care, HCBS Waivers, Home Health, Home Care, Inpatient Hospital Care, Inpatient DSH, Inpatient Mental Health, Mental Health DSH, Medicaid Managed-Care, Prescribed Drugs, Long-term Care, Targeted Case Management and PACE.

Review the archives from the June 28, 2006 Deficit Reduction Act teleconference with Kathy Rama and Donna Schmidt of the Centers for Medicare and Medicaid Services. The call includes discussion of section 1937 and the option of states to amend their state plan to provide alternative benefit packages to beneficiaries, without regard to comparability, statewideness, freedom of choice or other traditional Medicaid requirements.

This CMS letter provides a status update on the web-based version of the application for 1915(c) Home and Community Based waivers, the revised paper version of the waiver application (Version 3.3) and the evaluation of it, as well as the 373 S and Q.

A few recent Medicaid initiatives have emerged that take the program into new directions. States have a number of objectives in developing these approaches, including offering beneficiaries greater choice, promoting personal responsibility and healthier behaviors among enrollees, and looking at the private marketplace. This brief examines how these approaches change financial risk and responsibility for states, the federal government, beneficiaries and providers.

This fact sheet provides information on the new federal requirement that all U.S. citizens and nationals applying for or renewing their Medicaid coverage provide documentation of their citizenship status and examines the implications for Medicaid beneficiaries and the states. This is one of the significant changes the DRA makes to Medicaid effective July 1, 2006.

This publication summarizes and synthesizes some of the most important things that research and demonstration programs have learned about consumer direction. The paper provides leaders and practitioners with a common framework of understanding for our next challenge: To build upon current knowledge and to make “consumer direction” an integral part of the options available for all older persons who may need long-term care. Read the 12 common consumer direction myths and then learn the reality.

This report outlines the efforts of the State’s Department of Disabilities, Aging & Independent Living to create a balanced system of care for elders and adults with disabilities. It discusses the Department’s successes and obstacles in increasing home and community-based services, including respite care and consumer-directed services for care recipients and caregivers, and shifting away from institutionalized care. It also outlines the services of the five Area Agencies on Aging offices.

The Missouri Independence Plus Grantees have developed a number of tools during the implementation of their consumer-directed program aimed at helping people with disabilities. Review the 7 participant workbooks titles include Designing Supports, Financial Management, Individual Budget, Orientation & Overview, Person Centered Planning, Support Broker, Self-Determination. Visit their website and view the program brochure for additional information.

The Shawnee County CDDO is pleased to present the Kansas Personal Assistance Supports and Services (K-PASS) Self-Direction Toolkit. The purpose is to provide people with disabilities the information and tools they need to hire and manage their personal assistant supports and services. The toolkit includes such items as job descriptions, training information, emergency back-up plans and other useful resources.