Rhode Island

The goal of Rewarding Work is to give people who need support with daily activities choice and control in finding personal assistants. So far, the site has partnered with five states in the Northeast. The searchable database can be used by both people looking to hire help and job seekers. The attached news release describes a special connection these services made possible - the example, a 14-year-old with severe disabilities, and a nursing student looking for a work as PCA.

This website is an on-line query system based on AoA-related data files and surveys, and includes population characteristics from the Census Bureau. The system allows users to produce descriptive information in graphical or tabular form, at the level of detail most suited for their needs. The four options through AGID provide different levels of focus and aggregation of the data from individual data elements within Data-at-a-Glance to full database access within Data Files.

Tables listing the formal strategies adopted by each state to achieve compliance with the Olmstead decision and community integration lawsuits related to the case are maintained here. In 1999, the Supreme Court found that people have the right to receive care in the most integrated, least restrictive setting appropriate. This report gives more details on that decision and summarizes the impact it has had on community integration in general.

PAS Center offers state-by-state participant and expenditure data for all of Medicaid and the three main HCBS programs: 1915(c) waivers, home health, and state plan personal care. The December 2008 update provides 2005 data complemented by survey results related to program policies and provider reimbursement rates.

This report estimates that public financial and personal clinical outcomes can be improved by moving dual eligibles to capitated managed care. The authors view the clinical and eligibility characteristics of dual eligibles as well-matched to the strengths of integrated care programs. The document lays out the reasoning and data behind the estimate, recommends policy changes needed to make the transition, identifies potential barriers to implementation and offers examples from KY and MN.

About 52 million people provided family caregiving worth about $375 billion in 2007. That amount exceeds Medicaid long-term care spending in each state. Caregiving services included in the estimate are personal care, help with everyday tasks, and health-related interventions. The document presents data nationally and by state and concludes with policy recommendations to support and sustain family caregivers.

Everything from program structure, eligibility, services, financing and expenditures are covered here in concise summaries. This updated edition also contains graphics showing expenditures by service and the growth of Medicaid acute care spending as compared to private health plans. The tables at the end present data broken down by state. Refer to the 2007 version for historic perspective.

This summary of demographic and economic statistics from 2007 on the non-institutionalized population with disabilities is meant for policy makers, advocates, reporters, and the public. Data include information on the population size and disability prevalence for various demographic subpopulations, as well as statistics related to employment, earnings, and household income. Comparisons are made to people without disabilities and across disability types.

Since 2002, MetLife Mature Market Institute has gathered data on the costs of long-term care in institutional and community-based settings. This 2008 report looks at home care and adult day services. Costs are broken down by state, metropolitan statistical area (MSA), and “rest of state,” or areas not in a MSA. Home care costs are measured in hourly private pay rates, and adult day costs are measured in daily private pay rates.

The Department of Health and Human Services announces $36 million in new grant programs to 28 states to help older Americans, veterans, and people with Alzheimer’s disease to remain in their homes and communities. About $19 million of this involves a collaboration between the Administration on Aging and the Department of Veterans Affairs. The grants are designed to reach people who are not eligible for Medicaid but are at high risk for nursing home placement and to spend-down to Medicaid.