Policy alerts, briefs, letters & papers

This updated issue brief defines Veterans and the new Veterans Directed Home and Community Based Services (VDHCBS) programs to enhance home-based supports for veterans. Also included are sucessful state collaboration examples and a list of resources. Appendix A provides an overview of the VA Priority Groups. Appendix B shows estimated VA Expenditures by state.

Looking for quick talking points on how the expansion of home and community-based long term care services can significantly help address the health care needs of many older adults? A new Fact Sheet provides examples and data on why HCBS is a critical component of Health Reform.

This issue brief examines the early successes and challenges of MFP. A 2008 survey of 29 states receiving MFP grants turned up several key findings, including that several hundred people have moved from institutional to community settings; that states are providing a broad range of services to facilitate transition; that housing issues for MFP participants are a major challenge for states; and that the severe economic downturn had not yet prompted states to scale back their efforts.

As the President and Congress forge legislative solutions to the current health care crisis, are they overlooking equally compelling arguments for reforming long-term services needed by some ten million Americans with severe, chronic disabilities? A two-part series, these bulletins deal with the impact of health reform legislation on persons with lifelong disabilities explores the similarities and differences in underlying strategies for restructuring health care and long-term services policies.

Two developmental disability news publications cover national policy developments and initiatives affecting persons with developmental disabilities and the programs that serve them. Topics covered in CSR include self-advocacy; key state legislation; facility closures; litigation summaries; autism updates, budget overviews, and helpful resources. Readers keep in tune with the latest shaping publicly funded disability services. The June issue is complimentary; consider becoming a subscriber.

What are the policy options for Medicaid HCBS? This fact sheet suggests: broadening the scope of covered services, enhancing federal Medicaid matches to states to expand HCBS, allowing Medicaid HCBS beneficiaries to retain more assets to pay for home modifications or health services not covered by Medicaid, and allowing Medicaid HCBS waiver programs to serve people with lower levels of functional disability than those required for people in nursing homes.

More than 10 million Americans require long-term care supports and services yet the system for delivering and paying for this assistance is deeply flawed. The national health reform debate allows policymakers to reconsider long-term care as well. This paper assesses proposals to restructure the delivery and financing of long-term care services.

NASHP identified 10 leading state quality improvement partnerships - interrelated broad-based partnerships, mostly with public and private sector representation, which have long-term, statewide, systemic quality improvement strategic intent, and transparent agendas. This issue brief summarizes results of NASHP's full report that examines these partnerships in Colorado, Kansas, Maine, Massachusetts, Minnesota, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington.

This policy brief presents four options that merit serious consideration in the current health care reform discussions. The first two options would improve long-term care for people with low incomes and limited financial resources. Review ideas on expanding Medicaid support for home and community-based services and improve coordination of medical and long-term care for Medicare-Medicaid “Dual Eligibles”. Poll results also gauge interest in reform if long-term services and supports were included.

IPAWS is a modernization and integration of the nation’s alert and warning infrastructure. This paper serves to demonstrate how IPAWS addresses the challenges of reaching the whole community, including the 25% of our population who might need assistance. It offers evidence that while IPAWS doesn't solve all of the challenges, it can certainly mitigate them, particularly with greater stakeholder engagement and public awareness. Emerging technologies that could improve accessibility are reviewed.