Hawaii

The Hawaii Medicaid Infrastructure Grant, called Hire Abilities–Hawaii, is brand new this year but a dynamic website has already been unveiled. The site offers information about the project’s goals and strategies, advisory board and staff, and work incentive programs. It also serves as an important communication tool through the use of a public discussion board and on-line calendar. As an added feature, the site contains administrative tools to help the project team manage grant activities.

This report describes the FY 2002 and FY 2003 Grantees’ challenges and progress using information provided by the Grantees during the reporting period October 1, 2003 to September 30, 2004. The report describes grant activities in four major LTC systems areas: Access to Long-Term Care Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure and Long-Term Care Service and Support Workforce

The Kaiser Commission on Medicaid and the Uninsured has updated and improved the Medicaid Benefits Online Database, an interactive tool providing easy access to information on services provided by each state's Medicaid program. This site contains Medicaid Benefits survey data from 2003 and 2004 with information about benefits covered, limits, co-payments and reimbursement methodologies for the 50 states, the District of Columbia and the Territories.

On August 18, 2005 CMS Administrator Mark B. McClellan, and Administration on Aging Assistant Secretary Josefina Carbonell announced $15 million in grants to 19 states to create a single source of information and assistance for families navigating the often confusing array of long-term care services. Part of the New Freedom Initiative, the ADRC grants are jointly administered by CMS and HHS’ Administration on Aging. A complete list of grantees and award amounts are included in the press release.

Medicaid is the major public payer of community services and supports for working age adults with serious mental illnesses. This handbook explains how existing Medicaid options and waivers are used by states to finance a broad range of community services and supports for adults with serious mental illnesses, and demonstrates what aspects of state-of-the art community services and supports for this population are funded by Medicaid.

This memorandum presents state-by-state data on Medicaid long term care expenditures in Federal Fiscal Year 2004 (October 2003 through September 2004). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1992 to 2004. A new table this year shows the effect of supplemental nursing facility payments in some states on expenditure data. A separate file ranks states based on the proportion of LTC spending for community services.

This entry presents data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1999-2004. As in previous years, information is classified for each individual HCBS waiver by the target population served in order to present information on the distribution of HCBS waiver expenditures across long term care populations. Tables include waiver spending by target population; growth in spending; expenditures by state; distribution of expenditures.

The sixth biennial edition of the AARP Public Policy Institute's databook, presents an overview of long-term care in each state plus the District of Columbia by using numbers, graphs, charts, and maps. Data includes each state's demographics, need for LTC and HCBS services, the number of LTC workers per thousand people aged 65 and over, urban average for private-pay home health aide wages, and CNA hours per resident day. Each state is compared with others through rankings and national averages.

The survey results highlight inconsistencies and gaps in training, testing, and other pre-employment requirements for nursing assistants. The results from the nurse aide registries are presented in a series of charts. The survey notes who pays for pre-certification training in each state, whether candidates are allowed to become certified by passing the test without undergoing training, whether nurse aides pay a fee to be licensed or certified, who does criminal background checks, and more.

The Compendium contains basic information about each of the Real Choice Systems Change Grantees. The Compendium will help you learn more about how these 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. Real Choice Systems Change Grantees will also find the Compendium useful to identify other Grantees with similar goals and activities. The fourth edition of the Compendium replaces all previous editions.