Washington

This report describes grant activities in three major LTC systems areas: Access to Long-Term Care Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure. For each of the focus areas the report describes Grantees’ accomplishments, illustrates the challenges and discusses the consumers’ role in the implementation and evaluation of activities. The report uses information provided during the reporting period October 1, 2004 to September 30, 2005.

This report highlights the work of nine CMS Money Follows the Persons Grantees, with a focus on Texas and Wisconsin. The report describes the initiatives, and discusses policy and design factors states should consider when developing MFP programs, including developing legislation and budget mechanisms for making transfers of funds, assuring availability of services and housing, identifying potential consumers for transition, developing NFT infrastructure, and monitoring and quality assurance.

A new monthly report from HUD is available on-line and is broken down state-by-state and downloadable in an MS Excel spreadsheet. Participating Jurisdiction (PJs) can use the reports to view open activities in IDIS including activities with 100% of the funds drawn and with a status code of FD, or final draw. PJs can view activities that have been open (OP) for several years with little or no HOME funds drawn. These projects, if not progressing, should be cancelled. The data is updated monthly.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2000 through 2005. Each individual 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 2005 (Sept 2004-Sept 2005). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1993-2005. Data included for Nursing Homes, ICF-MR, Personal Care, HCBS Waivers, Home Health, Home Care, Inpatient Hospital Care, Inpatient DSH, Inpatient Mental Health, Mental Health DSH, Medicaid Managed-Care, Prescribed Drugs, Long-term Care, Targeted Case Management and PACE.

This Executive Summary and accompanying Abbreviated State Reports encapsulates the comprehensive case studies that Congress directed CMS to perform as a first year task in a 3-year study of state management practices in balancing long-term care systems. The studies were undertaken in 8 states (AR, FL, MN, NM, PA, TX, VT, WA) and examine “rebalancing” from a qualitative and quantitative perspective.

Managed by the Home Care Quality Authority (HCQA), a public agency in Washington, this Registry is a customized internet-based system designed to match the needs of publicly funded in-home consumers/employers with pre-qualified individual providers. The day-to-day operations are administered by Referral and Workforce Resource Centers (RWRCs). Local sites offer programs and services including referral searches, a Resource Clearinghouse and outreach materials such as the attached newsletter.

This paper discusses the activities of 11 grantees and the program and policy issues they have encountered. The paper’s primary purpose is to provide information that states and stakeholders will find useful when planning or implementing consumer-directed initiatives, whether through solely state-funded programs or the Medicaid program. In particular, the report highlights program and state and federal policy challenges and how Grantees are addressing them.

This report draws on interviews with Medicaid care planners for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana, New Jersey, Ohio and Washington—each received federal grants for nursing home transition activities and had varied experiences.

This paper describes the activities of the 19 Grantees funded in fiscal year 03 and 04 from CMS and six Grantees funded in fiscal year 02 by the Maternal and Child Health Bureau (MCHB). F2F Health Information Centers assist families of children with special health care needs. This paper provides information states and stakeholders will find useful when planning or implementing similar initiatives. Read about the grant activities, implementation challenges, and accomplishments.