District of Columbia

This report summarizes the status of the Medicaid Buy-In program in Washington, DC. It describes the role of the program and the estimated number of participants after four years. The report analysis enrollment estimates based heavily on the enrollment experiences in other state programs.

The Medical Assistance Administration (MAA) contracted with George Washington University’s Department of Health Policy, School of Public Health and Health Services (GWU) in order to evaluate the Washington, DC MIG activities. This memo summarizes all of the MIG-related activities which occurred or started in the first half of 2007.

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.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2006 (Oct 2005-Sept 2006). Table 1 presents national data on Medicaid expenditures for Long-Term Care from 1994-2006. Other tables present state-by-state data 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, Targeted Case Management and PACE.

This report describes grant activities (accomplishments and progress) in three major LTC systems areas: Access to LTC Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure. The report also provides illustrative examples of the challenges Grantees have faced as they implement grant activities, and consumers’ roles in the implementation and evaluation of these activities.

Need an overview of the basic components of the nation’s largest health coverage program? Medicaid covers 55 million low-income individuals and is the dominant source of long-term care financing. Examine the structure of the program, who it covers, what services it provides, and spending. Because Medicaid is jointly financed by the federal and state governments programs vary across states. Tables examining the state-to-state variation in eligibility, enrollment, and spending are included.

Thirteen states and the District of Columbia will get more than $547 million in grants over five years to build Medicaid long-term care programs that will help keep people at home and out of institutions. This “Money Follows the Person” initiative was included in the Deficit Reduction Act of 2005 (DRA), currently being implemented by CMS. The press release lists the states and the amount of money committed over the next five years.

The Compendium contains basic information about each of the Real Choice Systems Change Grant awards in FY03–FY04 plus the Family to Family and Systems Transformation Grantees awarded in FY05 and FY06. The Compendium will help Grantees identify others with similar goals and activities. Learn more about how the grants will be used to allow more people of all ages with a disability or long term illness to live and participate in their communities. The sixth edition replaces all previous editions.