Iowa

States’ efforts to expand consumer-directed long-term care service programs, are often hindered by challenges related to costs, staffing and organizational issues, infrastructure requirements, and resistance from stakeholders. Yet states have developed a number of successful strategies for overcoming these challenges. Their experiences offer valuable insights, guidance, and encouragement to other states considering CDS. The abstract (free) and full report (subscription required) are available.

This presentation was part of the 2007 Government and Vendor Fiscal/Employer Agent Workshop. This presentation provided an update on policies regarding self-direction, with an emphasis on those related to fiscal management activities. The session also answered some of the more frequently asked questions and explored some of the differences between section 1915(c) waiver programs and the new State Plan options for self-directed services.

This presentation by Thomson Medstat was given on a July 25, 2006 TA call with state grantees. The presentation outlines available technical assistance, trends in waiver quality, and the different components to quality management.

This bibliography summarizes current thinking about developing core competencies for all direct care workers, regardless of the setting they work in. It includes recommendations from six state-level reports, two national studies, and the federal Retooling the Health Care Workforce for an Aging America Act.

A primary original intent of the Medicaid Infrastructure Grant program was to ensure that states could learn from each other as they pursued their individual employment initiatives. With this in mind, George Washington University released this report, outlining options for raising the unearned income limit for the Arkansas Medicaid Buy-In, with projections of increased enrollment. Also included is a separate report explaining the methodology.

Iowa has developed several marketing materials for their Consumer Choices Option. Materials include a one-page fact sheet, a brochure, talking points, a postcard, and an overview PowerPoint presentation.

This handbook explains the Consumer Choices Option available in Iowa. It explains the process of creating quality support services. The handbook talks about how you can have choices in your life-choices about where you live, where you work, and who you can count on for support.

A summary from the June 2001 symposium titled, “Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities”. Major themes and outcomes are highlighted based on the dialogue from the various speakers including policymakers, program administrators, consumer advocates, service producers, and researchers.

This paper focuses on the first three stages of the CCDE: Choosing states and the evaluator, preparation, and implementation/data gathering. This paper is part of Consumer Voice and Choice in Long-Term Care, a book inspired by a Robert Wood Johnson Foundation- and Scripps Gerontology Center- supported conference.

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.