Hawaii

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.

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.

The CPASS Hawaii project identified stakeholders, particularly people with developmental disabilities and their families, willing to participate in collaborative efforts towards systems change. This report will elaborate on the accomplishments of the project related to their 5 goals including barriers and areas of success, as well as further recommendations. Also included are two matrixes summarizing accomplishments and training efforts, a demonstration report and an evaluation summary.

These materials help case managers and stakeholders figure out where to get started. The Case Manager Handbook explains the roles and responsibilities, plus worksheets and evaluations. The Self-Advocate Handbook helps identify goals and create a person centered plan. The Community Support Guide and Orientation Presentation provide an overview of terms and ways to implement personal assistance programs. A one page handout on stakeholder values and vision plus the overview brochure are included.

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.

Hire Abilities Hawaii, Hawaii’s MIG program, produced multiple fact sheets in 2007, informing consumers with disabilities of the services available to them through State programs. The fact sheets address topics such as One-Stop Career Centers, Career Development, Working While Maintaining Benefits, Tips for Filing and Free Tax Preparation, and Information for People with Disabilities entering the job market. The fact sheets also identify resources like the Hawaii Disability Rights Center.

The State Employment Leadership Network (SELN) is sponsored by Hawaii’s MIG program to improve employment outcomes for people with developmental disabilities. The SELN developed a work plan which outlines the objectives, barriers, processes, persons responsible, and target dates for completing goals within the disability employment arena.