Florida

Under 1115 Research and Demonstration waivers granted by HCFA, the CCDE program was implemented in three states: Arkansas, New Jersey, and Florida. Consumers are able to choose between traditional agency-delivered personal assistance services and their cash equivalent. Outcomes from the treatment and control groups are compared in areas such as client satisfaction, quality of care, costs, the types and amounts of personal assistance services received.

This study was designed to determine whether regulation effects the quality of care in licensed board and care home.

The Compendium contains basic information about each of the Systems Change Grantees. Each section is alphabetical by state. Information for each state includes: the name of the grantee organization, the title of the grant, the type of grant, the amount awarded and fiscal year awarded, the primary contacts for each grant, the target populations to be served under the grant, the primary goals and activities of each grant project, and a brief description of the grant activities.

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.

State legislatures continue to face the challenges presented by the Supreme Court's 1999 ruling in L.C. & E.W. v. Olmstead. These briefings report on the measures undertaken in each of the 50 states and the District of Columbia in dealing with this critical issue. Provided here are the complete 2001, 2002, and 2003 reports as well as individual state excerpts from the 2003 report.

In these reports, the National Conference of State Legislatures (NCSL) traces the budget issues that states confronted in 2002 & 2003 and examines how they addressed those issues. The report also describes long-term care legislation enacted in 2002 & 2003 and long-term care planning work that is under way in many states.

The accompanying two tables and two graphs present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1995 through 2001. This is the second annual memo we have produced on Medicaid spending for individual HCBS waivers. As we did last year, we have classified each waiver by target population to present information on the distribution of HCBS waiver expenditures across long term care populations.

The data presented in these files is based upon HCFA reports which states submit to the Centers for Medicare and Medicaid Services (CMS). The HCFA 64 report is the form used by the states to claim Federal Financial Participation (FFP) for state Medicaid outlays, and is audited by the Federal government. It is therefore considered one of the more reliable sources of information on state Medicaid spending.

This memorandum and the accompanying tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1997 through 2002.

This memorandum presents data on Medicaid long term care expenditures in Federal Fiscal Year 2002 (September 2001 through September 2002). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1990 to 2002.