New York

This report is the latest in a series of annual reports on Medicaid long-term care expenditures. Table 1 presents national expenditures data for FY 1997–FY 2009. Tables A through T present state-by-state expenditures data for FY 2004–FY 2009 for specific categories of service. Tables U, V, and W present the distribution of each state’s LTC expenditures among institutional and community-based services.

Are MIGs assisting individuals with disabilities to become employed? An annual GPRA report has been produced since 2007. This report builds on previous work, and shows the continued impact of MIG funding in 2008 on programs and services that facilitate employment among individuals with disabilities. As the MIG program approaches the end of its authorized period, many states are committing to evaluating the programs, documenting their impacts, and sustaining the efforts beyond 2011.

Integral to the coverage framework laid out in the reform law is a dramatic expansion of the Medicaid program. This primer provides key information about the program today, including a definition of what it is, who and what services are covered, Medicaid expenditures and how they are financed, and information of how health reform reshapes the program for the future.

According to the authors, transforming Medicaid’s LTC programs is an urgent priority given states’ challenging fiscal environment. Based on this paper’s model, more than 35 percent of a state’s budget will be needed for Medicaid by 2030, of which half will be for LTC services. The brief examines Medicaid expenditures for LTC, in both institutional and community settings, and presents ideas for consideration for states to transform their programs to help address budget constraints.

Looking for a sample strategic MIG plan? Through the NYS Strategic Plan, the MISCC Employment committee and New York Makes Work Pay team have developed and implemented a set of cross-systems strategic recommendations to close the employment gap through executive, legislative and budgetary action. Find the Strategic Plan, as well as a link to the New York Makes Work Pay website.

How are online training resources helping New York employers and disability service providers build more powerful strategies, practices and partnerships for disability inclusive workplaces? New York's MIG program, New York Makes Work Pay, provides online tutorials on their website for employers and service providers. This approach could serve as a useful sample to other states.

Looking for samples of MIG program training materials for consumers? The state of New York created a series of informative guides to educate New Yorkers with disabilities about their programs. These reports cover areas such as the earned income tax credit, how to build assets with a plan for achieving self support, and the impact of earnings on supplemental security income benefits. Samples are attached and could serve as guides to other states looking for clear, well designed models.

The US Department of Labor sponsored three national demonstration projects to research effective policies and practices that improve self-employment outcomes for people with disabilities. These projects represented a diversity of locations, economic environments and stakeholder groups, and resulted in new knowledge as well as local policy and program improvements that will help individuals achieve their entrepreneurship career goals. The projects are described in the attached report.

How is New York's MIG program helping train employers about the benefits of hiring disabled employees? New York created Employer Briefs. Examining effective business practices for improving the bottom line of organizations, such as recruiting and retaining a productive workforce is the basis of Employer Brief One. Employer Brief Two covers six action steps companies can take to create a more inclusive, productive workforce. Samples are attached, which could be useful to other MIG states.

How is New York providing concise information about the details and requirements for their MIG program? Fact sheets are one way New York is providing this information efficiently. Samples of some of these are attached and cover topics such as Earned Income Tax Credit, Building Assets and Local Asset Summits. These could be useful samples to other MIG states.