Long Term Services and Supports

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A Right to Person-Centered Care Planning

Person-centered planning encompasses the idea that the individual is at the heart of all decisions about services, supports, and care. This report analyzes how well states are implementing a 2014 rule that creates the right to person-centered care planning for Medicaid consumers of Long-Term Services and Supports. The report is a tool for health care providers, plan administrators, and advocates to help them understand the scope of the rules and be able to identify provision shortfalls.

Short URL: http://www.advancingstates.org/node/66400

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Medicaid HCBS Settings Regulations and Adult Services

This report details results of a survey administered to Adult Service providers to learn more about the locations, funding sources, and supports that these programs provide to seniors and people with disabilities. The report demonstrates how Adult Services include a wide array of services, including a combination of social and medical supports. ADvancing States is concerned that new CMS regulations may reduce the number of available providers in the Medicaid program.

Short URL: http://www.advancingstates.org/node/66398

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The Right Supports at the Right Time: How Money Follows the Person Programs Are Supporting Diverse Populations in the Community

The Money Follows the Person (MFP) demonstration aims to give Medicaid beneficiaries living in long-term care facilities more choice about where they live and receive services and to strengthen state systems of LTSS to serve more people in community settings. This report examines how six MFP grantees (MO, LA, NE, NJ, OH, IL) are serving populations with diverse needs in the community and the factors that have contributed to their strong performance on key outcome measures.

Short URL: http://www.advancingstates.org/node/66384

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Money Follows the Person 2013 Annual Evaluation Report

The fifth in a series of annual reports from the national evaluation of the MFP rebalancing demonstration, the report presents three sets of analyses that show the overall progress and effects of the MFP demonstration: progress made by grantees on their statutory transition and expenditure goals; the extent to which states are rebalancing their LTSS systems; and 3) changes in expenditures patterns and utilization of select services following an individual's transition from institutional to HCBS.

Short URL: http://www.advancingstates.org/node/66371

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Home and Community-Based Services: Creating Systems for Success at Home, at Work and in the Community

This report offers recommendations for federal and state entities from a thorough review of the legal and regulatory home and community-based services (HCBS) framework outlined by the Americans with Disabilities Act and new HCBS regulations. The bearing of setting size and configuration on the quality of supports and services received by people with intellectual and developmental disabilities and individuals with mental health disabilities in home and community-based arrangements is the focus.

Short URL: http://www.advancingstates.org/node/66314

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"Redefining Longevity": Proceedings of the October 28, 2014 Advocacy Network Listening Session for the 2015 White House Conference on Aging

This report is a write-up of priorities and recommendations developed from a pre-White House Conference on Aging (WHCOA) event hosted by the Washington Association of AAAs (W4A) and the Washington State Council on Aging in October 2014. All four WHCOA issue areas were discussed with a group of about 125 people made up mostly by State Council on Aging members, AAA Advisory Council members and staff invited from all of the AAAs.

Short URL: http://www.advancingstates.org/node/66265

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International Survey of Older Adults Finds Shortcomings in Access, Coordination, and Patient-Centered Care

This Health Affairs article presents key findings from The Commonwealth Fund's 2014 International Health Policy Survey. The survey compared the views and experiences of people 65 and older on issues of health and health care use, health care costs and access, care coordination, end-of-life planning, and more. The survey was conducted in 11 countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States.

Short URL: http://www.advancingstates.org/node/66260

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State Long-Term Services and Supports Scorecard: What Distinguishes High- from Low-Ranking States? Case Studies

These are three case studies of LTSS services in Minnesota, Idaho, and Georgia done by the Public Policy Institute of AARP as follow-up studies to the Raising Expectations 2011 State Scorecard on LTSS. The State LTSS Scorecard examines states' performance across 25 indicators that comprise four key dimensions of a high-performing system.

Short URL: http://www.advancingstates.org/node/66188

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Fostering Person-Centered Supports and Services in Michigan's Nursing Homes

As part of PHI's One Vision: Moving Forward project, Michigan long-term care stakeholders discussed the potential use of Medicaid financial incentives to encourage person-centered care in nursing homes.The resulting publication outlines the ideas and recommendations produced by the discussion. The stakeholders primarily considered metrics, such as resident and staff satisfaction, that could be used to quantify nursing homes' commitment to person-centeredness.

Short URL: http://www.advancingstates.org/node/66158

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