All States/Territories

This report briefly describes a managed long-term care pilot project the State of Florida has initiated to test a Medicaid managed care program that includes incentives for coordinating acute and long-term care and for using less expensive, community-based alternatives to nursing homes for people age 65 or older with disabilities. This report includes background information and descriptions of the intervention, implementation, and impact.

This Community Living Brief explores the transition to an independent, integrated living situation. This article serves as a guide to assist the individual when considering moving back into the community. The article provides information on finding an advocate and also provides a transition checklist to help facilitate the moving process.

This article evaluates the potential for using negotiated risk contracts in consumer-directed home and community based long-term care.

This is a companion paper to Balancing Safety and Freedom in Consumer-Directed Systems of Support, written to provide concrete strategies for the design and implementation of a process for evaluating and improving both the freedom and the safety of those receiving support. Recommendations are offered to address key issues that are present in consumer-directed systems of support.

This Working Paper examines the community integration requirement under Title II of the Americans with Disabilities Act (ADA) and how the concept of “fundamental alteration” may affect a public agency’s community integration obligations under the law.

This paper identifies and reviews key issues involved in states’ efforts to balance the need to ensure health and safety with the competing necessity to respect the right of the individual to freely determine the events of his or her life.

This Working Paper explores key policy issues arising from the United States Supreme Court’s decision in Olmstead v. L.C. Specifically, this paper examines how states have responded to the Court’s suggestion regarding the development of comprehensive, effectively working plans for placing qualified persons with disabilities in less restrictive settings as a way of satisfying the ADA’s “reasonable modifications” requirement.

This paper was developed to consider possible approaches to interpreting the concept of individual assessments as provided in the Olmstead Decision. While the process of carrying out an assessment raises basic issues that are integral to a public determination of whether an individual qualifies for a good, benefit, or status, there appear to be two types of assessments that states need to consider. This paper identifies the two classes of assessments issues for consideration in both cases.

This report provides a thumbnail sketch of long-term care budgets, legislation and planning in the 50 states and the District of Columbia. The goal of the project is to obtain insights into recent state long-term care public policy reforms,as evidenced by their proposed or recently enacted legislation, task forces and budgets.

The data presented in Tables A through N are derived from HCFA 64 reports submitted by states to the Health Care Financing Administration. The HCFA 64 is the form used by states to claim Federal Financial Participation (FFP) for state Medicaid outlays, and is audited by the Federal government. It is thus considered to be one of the most reliable sources of information on state Medicaid spending.