Pennsylvania

States’ efforts to expand consumer-directed long-term care service programs, are often hindered by challenges related to costs, staffing and organizational issues, infrastructure requirements, and resistance from stakeholders. Yet states have developed a number of successful strategies for overcoming these challenges. Their experiences offer valuable insights, guidance, and encouragement to other states considering CDS. The abstract (free) and full report (subscription required) are available.

This presentation by Thomson Medstat was given on a July 25, 2006 TA call with state grantees. The presentation outlines available technical assistance, trends in waiver quality, and the different components to quality management.

This webcast was given for Area Agencies on Aging throughout the country. The text transcript, presentations, agenda, and link to the archived webcast are available.

This bibliography summarizes current thinking about developing core competencies for all direct care workers, regardless of the setting they work in. It includes recommendations from six state-level reports, two national studies, and the federal Retooling the Health Care Workforce for an Aging America Act.

A summary from the June 2001 symposium titled, “Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities”. Major themes and outcomes are highlighted based on the dialogue from the various speakers including policymakers, program administrators, consumer advocates, service producers, and researchers.

A presentation that outlines the goals of Pennsylvania's Cash & Counseling project. A presentation and handout on Frequently Asked Questions specific for this state are also provided.

Pennsylvania developed this plan for their Services My Way program. The plan summarizes the results of an internal and external scan, lays out intended messages and activities, and details a timeline for activities.

This paper focuses on the first three stages of the CCDE: Choosing states and the evaluator, preparation, and implementation/data gathering. This paper is part of Consumer Voice and Choice in Long-Term Care, a book inspired by a Robert Wood Johnson Foundation- and Scripps Gerontology Center- supported conference.

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.

This report presents Medicaid long-term care expenditures data in Federal Fiscal Year 2008 (Oct 2007 - Sept 2008). Table 1 shows national data from 1996 - 2008. Other tables present state-by-state data for nursing homes, ICF/MR, state plan personal care, state plan home health, 1915(c) waivers, 1115 waivers that provide HCBS, and other Medicaid services.