West Virginia

The Center for Health Care Strategies, Inc. summarizes findings from a survey of Medicaid agencies to identify which consumer-directed approaches are being considered and implemented. Findings show growing trends toward consumer direction, agencies initiating policies to reward health-related behaviors and increasingly allocating control of funds to recipients, and states interest in health savings account-like plans and increasingly providing health plan quality data to the public.

HHS announced an $8.8 million investment to help states provide more affordable choices to individuals struggling to remain in their homes and communities as they age. A total of $5.7 million in federal funding was awarded to 12 states for grants for this nursing home diversion program that will improve state efforts to assist individuals avoid unnecessary nursing home placement, impoverishment and spend-down to Medicaid.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2001 through 2006. Each HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations. This year's memo also identifies which waivers exclusively serve children.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2006 (Oct 2005-Sept 2006). Table 1 presents national data on Medicaid expenditures for Long-Term Care from 1994-2006. Other tables present state-by-state data 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, Targeted Case Management and PACE.

The West Virginia Medicaid Infrastructure (MIG) is transitioning to Comprehensive Employment Strategies (CES) Grant. The CES grant has 3 major goals: Maximizing employment for people with disabilities, Increasing the state’s labor force through the inclusion of people with disabilities, Protecting and enhancing workers’ healthcare, other benefits and needed supports. Review the presentation and overview of their strategic plan including a comprehensive workforce infrastructure.

These position papers completed by a work group result from the Real Choice Consumer Work Group's determination to improve the lives of people with disabilities in West Virginia and to contribute to their own recommendations and strategies on major issues. This compilation of papers address: Waiting Lists; Strengthening Personal Assistance Programs in West Virginia; and Expanding the Horizons of Employement Options for West Virginians with Disabilities.

This statewide community-based participatory action research study was conducted to identify opportunities and barriers for persons with disabilities in obtaining accessible, affordable housing in West Virginia. Using surveys and a facilitated group technique, persons with disabilities identified existing barriers and developed a set of questions for housing industry professionals. This article was published in \"Housing and Society\" the journal of the Housing Education and Research Association.

This report describes grant activities (accomplishments and progress) in three major LTC systems areas: Access to LTC Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure. The report also provides illustrative examples of the challenges Grantees have faced as they implement grant activities, and consumers’ roles in the implementation and evaluation of these activities.

Need an overview of the basic components of the nation’s largest health coverage program? Medicaid covers 55 million low-income individuals and is the dominant source of long-term care financing. Examine the structure of the program, who it covers, what services it provides, and spending. Because Medicaid is jointly financed by the federal and state governments programs vary across states. Tables examining the state-to-state variation in eligibility, enrollment, and spending are included.

In light of this major change and assuming that states may want to learn more about Cash & Counseling, this publication offers an in-depth description of the option, a discussion of key findings from the three-state demonstration, and preliminary information about the program’s expansion into 12 more states. At the end is a list of resources—both Web sites and published materials—for further information. Stories about consumers who have first-hand experience appear throughout this publication.