Tennessee

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The Growth of Managed Long-Term Services and Supports (MLTSS) Programs: A 2012 Update

This white paper provides an inventory of all current MLTSS programs and a projection of future programs as of July 2012. The report includes state-by-state results and synthesizes findings across states, reporting national enrollment, characteristics of contractors and multiple program features.

Short URL: http://www.advancingstates.org/node/65881

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Raising Expectations, 2014: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

This State Long-Term Services and Supports (LTSS) Scorecard is a multidimensional approach to measure state-level performance of LTSS systems that assist older people, adults with disabilities, and their family caregivers. This second edition of the State LTSS Scorecard measures LTSS system performance across five key dimensions: affordability and access; choice of setting and provider; quality of life and quality of care; support for family caregivers; and effective transitions.

Short URL: http://www.advancingstates.org/node/65880

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The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid – An Update

This report provides statistics and information about uninsured individuals in the Medicaid coverage gap. The Medicaid gap is a term used to describe uninsured individuals who do not have enough income to qualify for ACA subsidies and who live in a state that has elected not to expand their Medicaid program. According to the Kaiser report, approximately four million individuals are in the Medicaid gap across the country. Of the uninsured individuals, 17% are in the 55-64 age range.

Short URL: http://www.advancingstates.org/node/65847

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2014 State of the States in Aging and Disabilities

In 2014, ADvancing States surveyed state aging and disability agencies regarding the significant policy, fiscal, and operational issues occurring within each state. The survey collected detailed information about the structure of agencies, the supports provided, and the populations served by aging and disability agencies. Of particular interest is the summary of services provided in Medicaid waivers across the country. All of this information is presented in the charts accompanying this document.

Short URL: http://www.advancingstates.org/node/65688

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Medicaid Expenditures for Long-Term Services and Supports in FFY 2012

The annual Medicaid Long Term Services and Supports expenditure report for FFY 2012 is now available. The report includes Medicaid expenditures for all LTSS, including institutional and non-institutional settings, by service category and state. The data comes primarily from CMS-64 reports.

Short URL: http://www.advancingstates.org/node/65301

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Participant-Directed Services In Managed Long-Term Services And Supports Programs: A Five State Comparison

At the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans, with mandatory or voluntary enrollment. Target populations varied by state. In 13 states, MLTSS plan members were afforded the choice to participant-direct (PD) at least some HCBS services. Based on 5 in-depth state case studies expectations regarding availability and take-up of PD services in MLTSS varied as did methods of communicating expectations. PD varied from 1.2% in AZ to 24% in NM.

Short URL: http://www.advancingstates.org/node/61410

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Listening to Family Caregivers: The Need to Include Family Caregiver Assessment in Medicaid Home- and Community-Based Service Waiver Programs

The report presents findings from a 50-state survey examining how well the needs of family caregivers are assessed when states evaluate the needs of older people & adults with disabilities who qualify for HCBS programs under Medicaid. It is the first detailed analysis of family caregiver assessment tools and processes in use by the states in Medicaid waiver programs. The report also highlights “promising practices” in family caregiver assessment in 3 states, and offers policy recommendations.

Short URL: http://www.advancingstates.org/node/61188

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Guardianship Laws and Durable Powers of Attorney: 2013 ADvancing States Survey results

In January of 2013, ADvancing States sent a survey to its members and a list of long-term care contacts in the states seeking information about guardianship laws and practices and about how states assure appropriate use of durable powers of attorney. Review the results from the 20 states who responded.

Short URL: http://www.advancingstates.org/node/53356

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Two-Thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles

New research from AARP and ADvancing States finds that two-thirds of states either have or will launch new initiatives to better coordinate care for people who are dually eligible for Medicare and Medicaid services over the next two years. To contain the growth of costs and improve care, many are moving to risk-based managed long-term services and supports models. This research finds that a number of states are exploring approaches to dual services integration outside of the CMS models.

Short URL: http://www.advancingstates.org/node/53368

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