New York

Integrated Care Programs launched in five states in 2005 to coordinate acute and long-term services received by people enrolled in both Medicare and Medicaid. States were granted $100,000 and technical assistance focused on performance measurement, rate setting and risk adjustment, and administrative simplification. Here, state programs are evaluated, federal progress in integrated care is surveyed, and future considerations are identified.

The key details of the partnership between the Veterans Health Administration and the Administration on Aging, created to provide consumer-directed care to veterans, are given. The document summarizes the partnership structure, standards, and target population. It also discusses the referral, follow-up, and rate setting procedures for the defined set of services and goods to be offered.

The Network consists of 10 regional centers funded by the National Institute on Disability and Rehabilitation Research (NIDRR), a division of the U.S. Department of Education. The mission is to provide information and Technical Assistance on the Americans with Disabilities Act (ADA) to individuals, organizations and employers. They provide training materials, referrals, and a searchable database of legal documents, fact sheets and checklists.

Nearly every state provides at least some funds for services for low-income older adults or people with disabilities who have too many assets to qualify for Medicaid. AARP reports on how much each state spends on both multiservice and single-service programs. It also compares funding sources, eligibility criteria, services, cost management strategies, consumer direction, and other characteristics.

Medicaid currently fills in the gaps in Medicare’s benefit package for 8.8 million enrollees with limited income and resources (dual eligibles). Shifting aspects of this financing to the Federal government could save states money and create opportunities for better care management and coordination. Data tables show how much each state could save if certain financing roles were shifted.

New York has 12 long-term care (LTC) programs: two residential and ten community-based. Data from all are compiled here with the goal of informing policymaking and addressing challenges to the state’s Medicaid LTC programs. An overview of current programs and a snapshot of data such as enrollment and spending are also presented. The first chapter takes a look at the whole system and four other chapters offer data on the largest programs in terms of people served and dollars spent.

The assessment helps workers determine the level of care and appropriate placement for people needing long-term services. Diagnoses, nursing care needed, level of functioning in daily activities, and mental status and impairments are taken into account. Instructions come after the tool and begin on page 5.

The study compares monthly income for people receiving Supplemental Security Income (SSI) to local median incomes and Fair Market Rent rates for modest units across the U.S. In 2008, there were 219 housing markets in 41 states where recipients of SSI, people with long-term disabilities and virtually no assets, would have to pay 100% of their income for a modest one-bedroom unit. Ten years ago there were 44 such markets in 13 states. Policy recommendations are given to reverse this trend.

Follow the link for a comprehensive listing of state statutes, regulations, policies, and procedures regarding the use of emergency or planned physical, chemical, mechanical, or other restraints. Additional documents offer information on positive behavior support guidelines, training manuals, and other policy-related materials. Many emphasize the use of positive or non-aversive interventions. Links are provided to access documents on many state DD agency websites.

As part of these demonstrations, six successful interventions that overcome barriers to independent living and employment for young adults are studied in-depth. The first document gives detailed information on the design of the study's evaluation. The second summarizes the core components, services, and strategies of each demonstration project.