All States/Territories

Recognizing that states are engaging in risk planning for HCBS waiver participants, CMS requested this report that explores the topic of effective individual risk management. Potential risk falls into three general categories: health, behavioral and personal safety risks. The project selected 11 states to determine: how programs are addressing risk for participants, identify risk management themes and emerging issues, identify any state tools or policies that can be useful to other states.

Access to Recreation’s purpose is to expand opportunities for integrated recreational, social and cultural activities in Maine for people with disabilities by providing information to programs and to raise awareness and level of program and facility accessibility and to inform consumers about accessible locations and activities. The grantees have developed a resource guide for fitness facility managers, ran focus groups, produced reports, comment card, calendars, icons and keyword lists.

This document describes IDA, a proposed generic, virtual information service, supporting both operational (e.g., client service) and analytical needs for integrated data. In IDA, source data would stay with the agency that owns it and be made available to an end-user only when permitted by the owning agency. IDA responds to many of the persistent barriers to data integration that confront the State.

North Carolina issued a Request for Proposal notice for an information and referral vendor to serve the ADRC program in February 2005. The purpose of this RFP is to solicit proposals for the implementation of an integrated cost-effective commercial-off-the-shelf (COTS) solution that will provide a scalable and flexible Information & Referral (I&R) data management system that incorporates both a central web-accessible I&R data repository and individual I&R services, with minimal customization.

The Pennsylvania ADRC program has developed a number of measurement instruments including three surveys and an assessment instrument. This program is a joint effort between Pennsylvania’s Office of Health Care Reform as well as the Departments of Aging and Public Welfare. The products include a survey for eligible, ineligible and enrolled consumers and a community choice assessment instrument.

The MOU is developed among the ADRC in Richland County, the Economic Support Services Unit (ESS), the enrollment consultant for WI Family Care program, and the Care Management Organization (CMO). The MOU is intended to help clarify the specific roles and responsibilities, ensure that the participating units understand the key elements of coordination and communication, and to facilitate their working in partnership to achieve quality outcomes for program consumers and the general public.

The supply of affordable assisted living facilities is now insufficient to meet the demands of low-income, frail older persons. This gap between demand and supply is much more apparent in some locations than others. This article uses various measures of locational inequality to assess the extent to which counties in Florida have less than their fair share of ALFs, particularly in comparison to the locations of Medicaid nursing home beds.

The “Housing Search Guide” was developed to assist professionals who have a role in “relocation” of people with disabilities from nursing facilities to community living arrangements with appropriate services and supports. The Guide was developed by staff of the Texas Independent Living Partnership, a program of ARCIL, Inc. funded by the federal Centers for Medicare & Medicaid Services under the “Real Choice Systems Change” program.

The purpose of this project is to promote transition from an institution-based to a community-based system, in keeping with the goals of the federal New Freedom Initiative. This document summarized the policy recommendations of the Texas Independent Living Partnership over the three-year grant period, providing a resource to Texas state agencies, Centers for Independent Living, and other interested parties for ongoing systems advocacy and program development.

This letter dated February 18, 2005 provides guidance on CMS disclosure of LTC/MDS data to State Medicaid Agencies, Section 1915 Waiver Programs, and “Real Choice Systems Change Grant” Programs in order to assist states in their efforts to comply with the integrated care setting and reasonable accommodation requirements of Title II of the ADA. Share this letter with appropriate state agency staff and designated entities that are working on waiver and grant programs.