Washington

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.

This report offers recommendations to increase opportunities for people with disabilities to become fully involved in the economic mainstream of society. It presents research findings in key areas such as education and health care. It also describes selected state-level innovations affecting asset development and wealth accumulation. Finally, the report makes policy recommendations for securing meaningful employment, career advancement, and benefits needed for daily living and accommodations.

AARP Bulletin Online has compiled a state-by-state list of local supports to help you quickly access transportation in your community. More than 6,000 transit systems nationwide provide some form of service to older riders, from reduced fares to use of low-floor vehicles to personalized training sessions. This resource puts information about these options in one place.

Wisconsin uses MIG funds to increase integrated employment using strategies such as vocational planning, peer support, social enterprises, and self-employment. The first resource here presents best practices in integrated employment from 23 states. The rest are manuals and training materials for replicating vocational planning, social enterprise, and self-employment programs.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2002 through 2007. Each HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2007 (Oct 2006-Sept 2007). Table 1 presents national data on Medicaid expenditures for Long-Term Care from 1995-2007. Other tables present state-by-state data for Nursing Homes, ICF/MR, Personal Care, HCBS Waivers, Home Health, Home Care, 1115 Waivers focused on HCBS, and other Medicaid services.

The goal of this copyrighted program is to help those facing the most significant challenges to employment to gain economic self-sufficiency. The two-tiered “train the trainer” strategy includes career development curriculum for counselors to develop necessary skills. Counselors then conduct workshops with customers to develop portfolios of skills and strengths. Resources available here include the proposal, an introductory presentation and brochure, and trainer and participant manuals.

Here are materials used to develop a one-stop employment website to help Washingtonians with disabilities find local career information and supports. The proposal offers a needs statement, a project plan, detailed budget and staffing needs, and a draft of the top-level organization scheme for the site. The presentation slides were used as part of a focus group study to determine which information and tools would be most useful on the site.

Three focus group studies on employment support services for people with developmental disabilities are presented here. The first was conducted by self-advocates who gathered feedback from vocational rehabilitation consumers about services received . The second gathered views from consumers on which services were most effective in helping them gain employment. The final is a presentation on the perceptions of people with disabilities and employers on the meaning and importance of work.