Michigan

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Medicaid and Long-Term Care: New York Compared to 18 Other States

New York spends more than most states on Medicaid and long-term care. To understand why this is, the following traits are evaluated: demographics of residents over 65; poverty level; long-term care spending, budgets, and services; and quality of nursing home care. The findings identify a number of demographic and program factors likely contributing to the high rate of spending.

Short URL: http://www.advancingstates.org/node/51911

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Transitioning Medicaid Enrollees from Institutions to the Community: Number of People Eligible and Number of Transitions Targeted Under MFP

Money Follows the Person (MFP) programs only target 0.9% of the people that could be eligible for transitioning out of institutions each year. However, there is a potential to increase rates to 15-40% annually depending on quality of program implementation, who is targeted, and how successful states are in overcoming barriers to transitioning high-needs people. The report looks at grantee states’ potential for accomplishing this rate increase.

Short URL: http://www.advancingstates.org/node/51908

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Implementing Self-Direction Programs with Flexible Individual Budgets: Lessons Learned from the Cash & Counseling Replication States

Twelve states received Cash & Counseling Replication grants in October 2004. Here, the Replication States’ experiences in developing and implementing their new programs are documented in three stages: planning; design/development; and implementation/enrollment. The appendix includes summaries of the states' grant initiatives.

Short URL: http://www.advancingstates.org/node/51903

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A Description and Analysis of the Federal and Selected State Policy Frameworks Regarding Order of Selection Under Title I of the Rehabilitation Act

When states are unable to serve all those eligible for vocational rehabilitation services, they are obligated to use an “order of selection” and first serve people with the most significant disabilities. The paper informs policymakers, agencies, providers, and consumers about the frameworks used by the federal government and selected states to deal with this issue.

Short URL: http://www.advancingstates.org/node/51884

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2009 CMS Money Follows the Person Conference Materials

March 2-4, 2009 state program staff, CMS staff, and technical assistance providers met in Baltimore to discuss Money Follows the Person and other strategies for helping people move out of nursing homes. Speakers presented on topics ranging from service integration, housing finance strategies, mentoring, quality, and many others.

Short URL: http://www.advancingstates.org/node/51879

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Administration on Aging & Veterans Health Administration: Partnerships and Opportunities Meeting

The Veterans Health Administration plans to partner with the Aging Network in order to be serving over 109,000 veterans using HCBS by 2011. February 25 and 26, 2009, these organizations met in Boston to develop the partnership, work out next steps, and identify challenges. Presentations provide details on existing infrastructure, Nursing Home Diversion, financial management services, and existing research on HCBS and self-direction.

Short URL: http://www.advancingstates.org/node/51872

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American Recovery and Reinvestment Act (ARRA): Medicaid and Health Care Provisions

This fact sheet examines the assistance for Medicaid programs and key health provisions in the ARRA that President Obama signed into law on February 17, 2009. Subjects covered include the temporary increase in federal matching money for state Medicaid programs, subsidies for COBRA health coverage for laid off workers and funding for health information technology. It includes a breakdown of additional federal allocations to states for Medicaid costs under the act.

Short URL: http://www.advancingstates.org/node/51870

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Across the States 2009: Profiles of Long-Term Care and Independent Living

This eighth edition of this reference report presents comparable state- and national-level data for more than 140 indicators on long-term services and supports from a wide variety of sources. Published approximately every two years, the series was developed to help inform policy discussions among public and private sector leaders. This publication presents the most up-to-date data available at the time of production, and is displayed in easy-to-use maps, graphics, tables, and state profiles.

Short URL: http://www.advancingstates.org/node/51869

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Addressing Family Responsibilities Discrimination

Family responsibilities discrimination (FRD) occurs when workers are unfairly penalized based on family responsibilities, such as caring for a family member that is older or disabled. Despite the growing number of workers with such responsibilities and the dramatic increase in FRD lawsuits, policies in most states do not yet address it. Find here more information on FRD, a summary of proposed and existing state laws, and resources for further research.

Short URL: http://www.advancingstates.org/node/51867

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State-by-State 1915(c) Home and Community-Based Services Waiver Data

An interactive map displays how many 1915(c) waivers each state has. Clicking on a state’s name displays number of participant and expenditures by waiver type as compared to nationwide numbers. Participant and expenditure data are also available for personal care, home health, and individualized budget services. Clicking “Compare” in any data area displays a table illustrating selected data for all states. Information is taken from CMS form 372 and is downloadable.

Short URL: http://www.advancingstates.org/node/51843

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