Michigan

State legislatures continue to face the challenges presented by the Supreme Court's 1999 ruling in L.C. & E.W. v. Olmstead. These briefings report on the measures undertaken in each of the 50 states and the District of Columbia in dealing with this critical issue. Provided here are the complete 2001, 2002, and 2003 reports as well as individual state excerpts from the 2003 report.

In these reports, the National Conference of State Legislatures (NCSL) traces the budget issues that states confronted in 2002 & 2003 and examines how they addressed those issues. The report also describes long-term care legislation enacted in 2002 & 2003 and long-term care planning work that is under way in many states.

The accompanying two tables and two graphs present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1995 through 2001. This is the second annual memo we have produced on Medicaid spending for individual HCBS waivers. As we did last year, we have classified each waiver by target population to present information on the distribution of HCBS waiver expenditures across long term care populations.

The data presented in these files is based upon HCFA reports which states submit to the Centers for Medicare and Medicaid Services (CMS). The HCFA 64 report is the form used by the states to claim Federal Financial Participation (FFP) for state Medicaid outlays, and is audited by the Federal government. It is therefore considered one of the more reliable sources of information on state Medicaid spending.

This memorandum and the accompanying tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1997 through 2002.

This memorandum presents data on Medicaid long term care expenditures in Federal Fiscal Year 2002 (September 2001 through September 2002). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1990 to 2002.

This report, an extension of the “1992 State LTC Profiles Report,” (November, 1995) updates previous data to 1996 and provides profiles showing state rankings and data regarding the need for long-term care and utilization patterns across States. The main focus of the analysis is on how States are progressing in the provision of home and community based services. The data presented is useful to state administrators, policy makers, agency administrators, and program planners.

The HCBS Promising Practices in Quality bulletin describes Michigan’s Mission-Based Performance Indicator System. The system provides comparative reports on the performance of Prepaid Health Plans (PHPs) in serving and supporting persons with developmental disabilities in Michigan’s Medicaid 1915 b/c Waiver. Performance measure data are used by the state to identify problems and serve as the basis for quality improvement activities.

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. The purpose of this report is to describe the progress fiscal year (FY) 2001 Grantees have made on their activities during the first year of the three-year Grant period (October 1, 2001 through September 30, 2002.)