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In late 2007, the Center for State Health Policy surveyed 23 states that operate Medicaid waivers targeted to individuals with brain injuries. Data was obtained about the cost and number of individuals served by these waivers for the waiver years 2002 through 2006. Three states began waivers for those with brain injuries in 2002 or later, and 3 other states discontinued waivers in 2006. Every state except Arizona has multiple Medicaid 1915(c) home and community-based services (HCBS) waivers.

The purpose of this compendium is to establish baseline knowledge of the scope of assistive technology and home modification services that states make available to Medicaid-eligible adults. This study provides federal and state policymakers with basic information to inform planning and policy development. It also provides other stakeholders, including consumers, with valuable information about Medicaid State Plan and HCBS waiver.

The Ohio MIG grantees hosted a Pathways to Employment Conference in 2006. Find a brochure with information and registration information as an example of the education opportunities promoting community employment, services and programs.

This paper is an expansion of the NCD’s livable community framework (LCF): a set of public policy recommendations for ensuring that people with disabilities have all the opportunities and choices available to people without disabilities. It links key elements of the LCF to specific needs of people with psychiatric disabilities, and discusses stigma and discrimination.

This MIG project is focused on assisting individuals with disabilities to become gainfully employed. Included are work products from CES including: a resource mapping project on the availability of employment related services and supports, summaries of findings from focus groups regarding the rehabilitation needs of un-served and under-served populations, and a summary of input gathered from employer focus groups.

Find a variety of documents used in the strategic planning process for a Comprehensive Employment System in North Dakota. A diagram outlines the planning process and roles of individuals involved. A criteria sheet discusses elements that needed to be included in the final strategic plan. Two summaries provide information covered in regional planning meetings. Finally, an agenda and the minutes for the statewide planning meeting present an overview of the meeting’s accomplishments.

Over the last eight years, federal, state, and local governments have re-envisioned how to deliver and pay for an ever-growing caseload of elderly individuals and persons with disabilities who need services at home, in the workplace, or in more costly nursing facilities. This discussion provides a vision and a context for HCBS reform consistent with CMS’ vision for reforming post-acute care that focuses on addressing system barriers and informing and empowering health care consumers.

This paper explores the various participant-direction models, existing quality management strategies, and the potential for change that allows participant-directed quality management systems to remain true to the core values they were founded upon. Participant-directed programs face unique challenges in meeting federal requirements while remaining faithful to the principles of participant-direction. Well-defined roles and responsibilities are essential and will directly influence the design.

The Compendium contains basic information about each of the Real Choice Systems Change Grantees receiving awards in FY 2004. It includes information for the Family-to-Family and Systems Transformation Grantees who received awards in FY 2005 and FY 2006 plus the Person-Centered Planning Implementation awards in FY 2007. It is divided into sections corresponding to the different types of grants and year of award; the report helps Grantees identify others with similar goals and activities.

The New Jersey Department of Human Services created this report to design and implement services that support individuals with disabilities as they secure and sustain employment in an integrated setting. The project developed a five-year transportation plan to identify and document transportation barriers to work for people with disabilities and made recommendations related to addressing the barriers and providing enhanced transportation services in a variety of settings throughout the state.