Transition/Diversion from Institutions

These are the notes from the TAE Monthly Grantee Teleconference on Pennsylvania's Streamlined Eligibility that was held on April 1, 2004. The call focused on the state's reform of long term care, specifically the Community Choice Program.

This report was produced by the Pennsylvania Council on Long Term Care outlining procedural, informational and systemic barriers to home and community-based services.

Brief description of Georgia's experience in streamlining their financial determination process. Prepared by the Community Living Exchange Collaborative for the ADRC grantees.

This conference was designed to assess state initiatives to improve quality, cost, and access and to help policy makers—from both the executive and legislative branches—identify the most promising and cost effective of these programs and policies. Sessions of interest for grantees include: Quality Challenges in LTC, Self-Direction Sweeping States, Information to Live by...Building Integrated Health Data Systems, Beyond HCBS Waivers, Money Follows the Person, Medicare Modernization Act

In this letter, CMS outlines several methods by which states may facilitate the transition of individuals from institutional to community settings through Medicaid coverage of medical equipment (ME) costs. This letter also serves to reiterate the July 25, 2000, State Medicaid Directors’ letter on this issue and to encourage states to explore this opportunity for persons with disabilities.

This transcript is from a call on \"Emergency Back-Up and Independence Plus\". Participants on the call discussed the requirement for states to have an Emergency Back-Up System at both the individual level and the systems level. Grantees heard examples from states in action, which included New Hampshire, Louisiana, Florida and South Carolina. These states discussed what they are doing around emergency back-up and some of the lessons that they have learned.

More states than ever are re-directing Medicaid funds to keep more people out of institutions and living in their own communities and homes, and there are many approaches that states can use to accomplish this, the Centers for Medicare & Medicaid Services (CMS) said August 17th in a letter to state Medicaid directors. In addition there is a link to the two previously sent State Medicaid Directors letters, which are referenced in the letter.

The Cash & Counseling approach provides consumers with a flexible monthly allowance that is based on an individualized budget, which allows them to direct and manage their own personal assistance services and address their own specific needs. This website hosts a library, offers information the original demonstrations, news & events.

The Cash & Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services. This report discusses the effects of this program on both the medicaid costs and personal care services recieved in Arkansas.

A booklet for individuals who want to leave a nursing facility and move to the community. This condensed booklet will give people basic information to plan their move to the community and get the needed supports.