California

A study was conducted on consumer-directed personal assistance services (PAS) cooperatives, with an emphasis on workplace PAS. This report presents case studies of seven cooperatives, describes advantages of consumer-run cooperatives, identifies funding issues and sources, and presents considerations for those contemplating starting. It contains a review of the literature which reveals only a few examples of successful consumer-directed PAS cooperatives in the US, however, they show promise.

The national percentage of Medicaid spending on home and community-based services (HCBS) has more than doubled from 1992 to 2004. This report presents a summary of the main trends to emerge for the three Medicaid HCBS programs and the results of a survey of policies such as eligibility criteria and waiting lists.

This report provides information about family caregivers of older Americans and the state-level programs serving them. The profiles provide information on state demographics and programs related to caregiving. They offer a snapshot of each state's caregiver support programs, services offered, funding sources, eligibility criteria, and options for consumer direction. Also, information about locating grandparent support programs is included along with highlights of recent state legislation.

The purpose of this survey analysis is to provide states with an overview of the implementation of these DRA changes across the country, specifically in terms of Long-Term Care services and the steps the states have taken. Findings address eligibility, Children with Disabilities, Money Follows the Person, HCBS State Plan Amendments, Transition from Institutions, Managed Care, SPA for Personal Care Services, Cash & Counseling, Care Coordination, Disease Management and Long-Term Care Reform.

States now have more discretion in changing Medicaid policies; consumers and advocates want to make sure they have a voice in that. This AARP Public Policy Institute Issue Paper examines the processes states have in place to solicit public input into Medicaid policy changes developed and implemented through Section 1115 waivers or State Plan Amendments (SPAs). Recommendations are offered on how federal and state governments can improve or enhance existing opportunities for public involvement.

This report describes the enduring changes brought about by the NFT Grantees who either established or improved nursing facility transition programs or helped establish infrastructure. This two-part paper first examines changes and remaining challenges, lessons learned and recommendations, and later provides state-specific summaries. Review grantee activities including new statutes, policies, funding and expense changes, plus outreach and technical materials developed to facilitate transition.

Grantees are required to establish measurable performance goals for their programs as well as indicators that enable them to track progress. Relating to consumer and client satisfaction with services, it is important that established goals assess visibility, trust, ease of access and responsiveness of program functions and staff. This summary contains findings of ADRCs assessments of consumer satisfaction relating to performance indicators and reported in the semi-annual report.

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined. This decline was driven primarily by two factors. States reported new citizenship documentation requirements were causing delays in processing applications, affecting individuals already eligible for the program. State officials also cited good economy and lower unemployment for reducing enrollment. 42 states expect to expand coverage to the uninsured in the next year.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2001 through 2006. Each HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations. This year's memo also identifies which waivers exclusively serve children.