Maine

The Formative Evaluation of the Real Choice Systems Change Grants evaluates how the Systems Change grantees are progressing towards meeting their goals. The Formative Evaluation identifies problems faced by the grantees and ways that they deal with the problems. This document provides summary information about each of the FY2004 Grantees.

This database, developed under Maine's QA/QI grant, helps to organize program design and QM system information in a way that is compatible with both CMS's Quality Framework and Review Protocol. Once information is entered into the system, the database can generate one page snapshots of a state's QM structure. <br> Please Note: You must download either database to your computer in order to run.

The information in this paper supports the President's New Freedom Initiative initiative by describing how a state might use the Health Insurance Flexibility and Accountability (HIFA) waiver option under Section 1115 authority to improve access to community-based services for persons with mental illness. These services can include basic health care coverage, enhanced community-based supports, and provisions to encourage the use of employer-sponsored insurance (ESI).

A wage pass-through is an additional allocation of funds provided through Medicaid reimbursement for the express purpose of increasing compensation for direct-care workers. Twenty-one states have implemented these programs in expectation that doing so will help address the worker shortage. The purpose of this issue brief is to: describe the structure in selected states; summarize what is known about the impact of these programs on recruitment and retention; and identify key design elements.

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.

This report focuses the development of increased access to community transportation services for individuals with disabilities as part of the Access to Services project in Maine. The report includes a summary of grant activity, lessons learned throughout the project, and recommendations for next steps to sustain the work of this grant. The specific project goal was as follows: To make transportation more available and responsive to persons with disabilities.

This report brings together the research, analysis, and conclusions of the work completed under Maine’s Quality Choices grant concerning flexible funding systems for youth with developmental disabilities as they establish themselves in ‘adult’ communities on their road to independent living. The report includes a review of the project history and implementation, research findings Strategies and Recommendations, and a Fiscal Roadmap.

This report is a final list of recommended “dashboard” indicators for use in assessing the quality of HCBS Waiver services. The indicators are organized according to the HCBS Quality Framework to provide a common frame of reference. The report includes recommendations for implementing the “dashboard” indicators, lessons learned throughout the project and a plan for sustaining the work of this grant.

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.