Missouri

The Centers for Medicaid & Medicare Services released a report that profiled the 10 states with the greatest change in Long-Term Services and Support (LTSS) system balancing. The report highlights characteristics of the 10 states and compares their change in LTSS system balancing with other states and provides a national overview on LTSS system balancing. State profiles consist of characteristics and strategies states utilized in their progress towards rebalancing their LTSS systems.

In Missouri, as many as one in eight seniors are struggling with food insecurity. This new report provides in-depth analysis of the factors contributing to senior hunger in the state of Missouri. It also summarizes opportunities to help alleviate local senior food insecurity.

These profiles include promising practices that agencies use to conduct education and outreach to inform consumers about benefits, and to help aging and disability professionals connect clients to benefits, such as the Medicare low-income subsidies, SNAP, and LIHEAP. The tip sheets include practices about: engaging consumers through fun and interactive games; a system for providing comprehensive eligibility information; and tools to simplify benefits information for staff.

This report documents the nationwide housing affordability crisis experienced by people with disabilities. The report discusses how in 2016, millions of adults with disabilities living solely on Supplemental Security Income (SSI) found that renting even a modest unit in their community would require nearly all of their monthly income. The report offers policy recommendations to address this crisis.

This report presents the findings and conclusions of this national evaluation of the MFP demonstration. The MFP Rebalancing Demonstration program launched more than nine years ago. There are 44 grantee states, and as of the end of calendar year 2015, grantee states had transitioned a total of 63,337 Medicaid beneficiaries from long-term institutional care to community residences and home and community-based LTSS.

This issue brief provides an overview of state agency data systems that are utilized to collect, aggregate, and analyze data for the administration of the Older Americans Act (OAA) programs. This report provides a snapshot of current state systems in 2017, changes to which are impacted by both national and state-level factors.

This paper from AARP describes promising practices on how aging and disability network agencies, Veterans Affairs Medical Centers (VAMCs), and Veteran Benefits Offices in seven states have forged partnerships to better support Veterans in community living. The paper includes a checklist for these local organizations to enhance collaboration and truly create a “no wrong door” for Veterans and their family caregivers to receive services in the community.

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

In 2017, ADvancing States administered a survey of state agencies that deliver LTSS, including aging and disability agencies as well as Medicaid programs, regarding the significant policy, fiscal, and operational issues occurring within each state. During the survey, we collected detailed information about the structure of agencies, the supports provided, and the populations served by state programs.

The National Association of State Budget Officers has a semi-annual report, with data gathered from all 50 state budget offices, that provides a narrative analysis of the fiscal condition of the states and data summaries of state general fund revenues, expenditures, and balances. The spring edition of the survey of the states details governors' proposed budgets.