Medicaid

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Vermont’s Medicaid Buy-In Program: Preliminary Cost-Benefit Analysis

Use this presentation to learn how VT has measured the effectiveness of the Working People with Disabilities program. The primary cost measured was money spent on Medicaid claims and benefits counseling. This was compared with the earnings increases experienced by individuals in the program. The analysis found that every $1 spent on new Medicaid claims and benefits counseling, participant earnings increased by $1.23.

Short URL: http://www.advancingstates.org/node/51684

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Economic Impact of the Medicaid Buy-In Program for the Working Disabled

This report looks at the overall effect South Carolina’s Medicaid for the Working Disabled program has on the net state revenue. It also examines predicted impacts of changing program characteristics and eligibility requirements. The state data are compared to other states with Buy-In programs.

Short URL: http://www.advancingstates.org/node/51675

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Earnings of Medicaid Buy-In Participants – Issue Briefs

Mathematica researchers examine the effects that the Medicaid Buy-In program has had on participants’ earnings. The first brief looks at whether earnings increase after enrollment. The second profiles the workers that earn the highest wages. The last brief profiles all Buy-In participants and compares earnings data by state. Each brief analyzes the traits of the workers and different state programs to identify successful strategies.

Short URL: http://www.advancingstates.org/node/51672

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Rhodes to Independence – Rhode Island MIG Resources

In 2000, Rhode Island launched an initiative called “Rhodes to Independence” (RTI) to promote systems changes that reduce barriers to employment. RTI focuses on health care, transportation, housing, youth transitions, and diversity. Below, find RTI’s 2005 annual report, a recruitment brochure for the RI Business Leadership Network, and brochures in English and Spanish advertising Sherlock, a health insurance program for employed people with disabilities.

Short URL: http://www.advancingstates.org/node/51657

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The Case for Inclusion 2008: An Analysis of Medicaid for Americans with Intellectual and Developmental Disabilities

States are ranked in this report based on the outcomes of Medicaid services provided to people with intellectual and developmental disabilities. The key outcomes measured are the promotion of independence and meaningful employment, tracking quality and safety, keeping families together, and reaching those in need. Each state’s progress is measured by comparing data from the previous year. This report is issued annually with past editions available on the included website.

Short URL: http://www.advancingstates.org/node/51647

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MIG Innovations: Nebraska Ticket to Work Palliative Care Program

Here is a brief profile of an innovative program that combines palliative care with employment services to help people with chronic pain acquire or keep employment. Learn how core teams of nurses, social workers, and pharmacists coordinate healthcare services and provide referrals to employment services. The profile examines the history and development, program goals, funding, and keys to success of the program.

Short URL: http://www.advancingstates.org/node/51643

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State Medicaid Policy Choices Under the Deficit Reduction Act Provisions Affecting Children and Adults with Mental Disorders

This report and the accompanying tables summarize ways in which states have implemented optional Medicaid programs authorized by the Deficit Reduction Act of 2005 (DRA). Each section of the report explains a program states have the option of implementing, which states did so, and how these changes affect people with mental disorders. The tables illustrate key characteristics of the programs in each participating state.

Short URL: http://www.advancingstates.org/node/51642

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State Strategies for Determining Eligibility and Level of Care for ICF/MR and Waiver Program Participants

This report presents the results of a survey of state developmental disabilities agency officials regarding the determination of initial eligibility/level of care and the “annual level of care” for services furnished under Medicaid waiver and ICF/MR programs. Forty-seven (92%) states provided information on state waiver eligibility criteria and practices. The report describes state level of care assessment approaches and provides legislative cites and contact information for state staff.

Short URL: http://www.advancingstates.org/node/51639

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State Promising Practices Related to Medicaid Exception Trusts

Medicaid exception trusts are generally exempt under federal law from the usual rules of counting trust income and resources. A Special Needs Trust (SNT) is a type of exception trust established by certain third parties for the benefit of a disabled individual under age 65. This report highlights examples of state laws, forms, eligibility rules, and operating practices states use to properly administer the statutory SNT provision and make recoveries.

Short URL: http://www.advancingstates.org/node/51631

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Accounting for Sources of Projected Growth in Federal Spending on Medicare and Medicaid

This budget analysis compares the degree to which the aging of the population and rising health care costs, as well as the interaction of the two factors, will contribute to an overall increase in the federal spending on Medicare and Medicaid as a portion of the GDP. Using four different scenarios, it finds that a significantly larger portion of this increase will come from rising health care costs rather than aging.

Short URL: http://www.advancingstates.org/node/51616

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