Missouri

The attached presentation entitled \"Long-Term Care: Workforce Issues for States in a Changing Society\" which was given by Robyn I. Stone, Dr.P.H. during the annual NASHP conference in Philadelphia from August 4-6. The presentation looks at who the long term care workers are and implications for the field.

An alert is documented featuring the Kaiser Family Foundation State Health Facts Online \"This new resource contains the latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation.\" The site link is also provided with information about the states.

This is The National Academy for State Health Policy (NASHP) report entitled State Assisted Living Policy 2002. This comprehensive report examines current regulations and Medicaid reimbursement policies for assisted living facilities in each of the 50 states. The report includes detailed comparisons of state policy and a summary of each state's assisted living regulations.

This document is an Information Bulletin (# 54) on subsidized housing. The report includes a weblink and information on a \"new\" source of information available that can assist disability advocates find affordable and accessible units.

These slides were presented at the 2nd Annual Training Institute for State Mental Health Olmstead Coordinators (9/30/2002 - 10/2/2002). They provide a brief overview of the FY01 and FY02 Systems Change Grants, including charts depicting which states are focusing their efforts in areas such as housing, mental health, nursing facility transition, etc.

The Compendium contains basic information about each of the Systems Change Grantees. Each section is alphabetical by state. Information for each state includes: the name of the grantee organization, the title of the grant, the type of grant, the amount awarded and fiscal year awarded, the primary contacts for each grant, the target populations to be served under the grant, the primary goals and activities of each grant project, and a brief description of the grant activities.

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.