Wisconsin

This report is the latest in a series on expenditures for Medicaid waivers authorized under Section 1915(c) of the Social Security Act, also known as home and community-based services waivers. For the first time, the tables include state-reported data for 1915(c) waiver services provided through managed care programs that are not identifiable in the state CMS 64 reports. Thomson Reuters collected these data for FY 2008 and FY 2009.

This document is the latest in a series of reports on Medicaid long-term services and supports (LTSS) spending. This year’s report contains newly available data and changes in the services that are included within LTSS. The report explains the changes, summarizes the data, and describes national trends.

Review this policy brief which summarizes 15 states' preliminary proposals to better coordinate care for people who are in the Medicare and Medicaid programs. The design contracts are an outgrowth of new efforts under the health reform law to develop service delivery and payment models that integrate care for the nation’s nearly 9 million "dual eligibles," whose medical needs and health care costs typically exceed those of other Medicare and Medicaid beneficiaries.

The estimated economic value of family caregivers’ unpaid contributions contribution was approximately $450 billion in 2009. If family caregivers were no longer available, the economic cost to the U.S. health care and long-term services and supports systems would increase astronomically. This report updates national and individual state estimates of the economic value of family care using the most current available data, and provides recommendations for taking care of the caregivers.

Since 1988, Thomson Reuters has produced annual reports on state Medicaid spending for long-term services and supports (LTSS). One limitation to the reports has been that LTSS spending provided through Medicaid managed care programs often is not identified. This report presents estimated Federal Fiscal Year 2008 and 2009 managed care spending not included in previous LTSS expenditures reports. These estimates are based on data provided by states with managed LTSS programs.

Workforce boards, job development centers, and community colleges across the country are recognizing affordable, reliable and accessible transportation as being vital to their individual and business customers' success, and they are taking steps to make transportation happen. Visit the links from this site for a sampling of the strategies these workforce development professionals are putting into action.

An exciting new trend in community mental health services is the increasing use of "Peer Specialists" on treatment teams serving people with mental illness. Peer Specialists use their own recovery experiences, along with specialized mental health training, to provide services that are strengths based and recovery oriented. To learn more, explore the attached presentation, article, and mentoring plan.

This needs assessment is one example of how the state of Wisconsin is working to achieve the goals of the Medicaid Infrastructure Grant and to strengthen its employment infrastructure for residents with disabilities. Within this report find input from consumers, employment service providers, advocacy groups, and other stakeholders as well as recommendations for for emerging training needs in order to best serve those involved in the community rehabilitation process.

This report provides the latest national and state data on enrollment and spending for individuals enrolled in both Medicaid and Medicare, also known as dual eligibles. There were about 8.9 million dual eligibles in 2007. Dual eligibles are among the sickest and poorest individuals covered by either program. Although they comprised 15% of Medicaid enrollment, dual eligibles accounted for 39% ($121 billion) of Medicaid spending for medical services & for more than a quarter of Medicare spending.

Wisconsin was one of four state based projects authorized by the SSA to begin testing a proposed benefit offset feature for the SSDI program. The pilot program was able to organize and implement its activities much as had been planned, however there were serious implementation problems at the Social Security Administration, according to this report which presents findings from both a process evaluation and the analysis of participant employment related outcomes.