Policy alerts, briefs, letters & papers

The United States General Accounting Office study conducted on home and community based long-term care that is supported by Medicaid waivers. The population that they focused upon was older adults. The reasons for the study were to look at trends in uses of Medicaid waiver programs, to review quality assurance approaches used by states in their administration of the waivers, and to determine the adequacy of federal oversight of the waivers.

This is a memo from State to Nursing Facilities annoucing NFT grants. This includes information on the Independent Living Partnership, the Nursing Home Transition Grant, and the Hospital Discharge Planning Program.

This issue brief provides a snapshot of associations and public authorities. The intent of this document is to identify and describe existing approaches to addressing long-term care workforce issues, not to endorse or evaluate the different models. Website links are provided for those interested in obtaining more information about the efforts described in this document.

This paper provides states (both the legislative and executive branches) with background about how to involve stakeholders in planning, program development, and quality improvement related to home and community-based services and supports.

This paper report son the author's forays into Systems Chnage.The system change efforts include the closure of a state operated institution for people with mental retardation in Maine (Pineland Center), the closure of a state operated institution in Arizona (theArizona Training Center in Tucson) and the introduction of consumer selfdirected model also in Arizona.

This issue paper explores how consumers can be involved in monitoring community services for people with disabilities. It explores the challenges of finding real roles for people with disabilities as well as other barries, but concludes that goal is worthy of the struggles.

This Working Paper examines the community integration requirement under Title II of the Americans with Disabilities Act (ADA) and how the concept of “fundamental alteration” may affect a public agency’s community integration obligations under the law.

This Working Paper explores key policy issues arising from the United States Supreme Court’s decision in Olmstead v. L.C. Specifically, this paper examines how states have responded to the Court’s suggestion regarding the development of comprehensive, effectively working plans for placing qualified persons with disabilities in less restrictive settings as a way of satisfying the ADA’s “reasonable modifications” requirement.

This paper was developed to consider possible approaches to interpreting the concept of individual assessments as provided in the Olmstead Decision. While the process of carrying out an assessment raises basic issues that are integral to a public determination of whether an individual qualifies for a good, benefit, or status, there appear to be two types of assessments that states need to consider. This paper identifies the two classes of assessments issues for consideration in both cases.

This report, an extension of the “1992 State LTC Profiles Report,” (November, 1995) updates previous data to 1996 and provides profiles showing state rankings and data regarding the need for long-term care and utilization patterns across States. The main focus of the analysis is on how States are progressing in the provision of home and community based services. The data presented is useful to state administrators, policy makers, agency administrators, and program planners.