Oregon

This report describes the FY 2002 and FY 2003 Grantees’ challenges and progress using information provided by the Grantees during the reporting period October 1, 2003 to September 30, 2004. The report describes grant activities in four major LTC systems areas: Access to Long-Term Care Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure and Long-Term Care Service and Support Workforce

The Kaiser Commission on Medicaid and the Uninsured has updated and improved the Medicaid Benefits Online Database, an interactive tool providing easy access to information on services provided by each state's Medicaid program. This site contains Medicaid Benefits survey data from 2003 and 2004 with information about benefits covered, limits, co-payments and reimbursement methodologies for the 50 states, the District of Columbia and the Territories.

The following summary and white paper outline the accomplishments of Oregon's FY 2001 Real Choice Systems Change Grant. Their white paper held nine recommendations for the transformation of mental health services here in Oregon. The RCSC Consumer/Survivor Task force and other consumers/survivors have also asked that legislation be drafted that directs the Department of Human Services to develop a policy that promotes self-determination. SB 771 and HB3108 are the results of our efforts.

Medicaid is the major public payer of community services and supports for working age adults with serious mental illnesses. This handbook explains how existing Medicaid options and waivers are used by states to finance a broad range of community services and supports for adults with serious mental illnesses, and demonstrates what aspects of state-of-the art community services and supports for this population are funded by Medicaid.

Long term care reform is happening across the nation and some states are using systems change as an opportunity to better coordinate across aging and disability networks. Using the HHS framework as a guide, this paper examines promising practices in LTC reform in four states: Oregon, South Carolina, Vermont, and Wisconsin. As part of our examination of systems change in these states, we will consider how their LTC reform efforts have impacted collaboration across aging and disability networks.

This memorandum presents state-by-state data on Medicaid long term care expenditures in Federal Fiscal Year 2004 (October 2003 through September 2004). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1992 to 2004. A new table this year shows the effect of supplemental nursing facility payments in some states on expenditure data. A separate file ranks states based on the proportion of LTC spending for community services.

This entry presents data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1999-2004. As in previous years, information is classified for each individual HCBS waiver by the target population served in order to present information on the distribution of HCBS waiver expenditures across long term care populations. Tables include waiver spending by target population; growth in spending; expenditures by state; distribution of expenditures.

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. This document provides summary information about each of the FY2004 Grantees.

The information in this paper supports the President's New Freedom Initiative initiative by describing how a state might use the Health Insurance Flexibility and Accountability (HIFA) waiver option under Section 1115 authority to improve access to community-based services for persons with mental illness. These services can include basic health care coverage, enhanced community-based supports, and provisions to encourage the use of employer-sponsored insurance (ESI).

This topic paper summarizes how states can use Medicaid to pay for most institutional transition program costs on a permanent basis as a result of policy change since 2000. It also describes how states are currently using Medicaid HCBS Waivers to pay for community transition services-temporary supports people need when trying to move such as housing deposits, utility set-up fees, and furniture.