Reports

The Louisiana Office for Citizens with Developmental Disabilities (OCDD) chose to explore the use of the SIS as a resource allocation tool. This report is an overview of HSRI and other stakeholder's work in developing assessment informed funding levels. The paper begins with a description of the NOW waiver, follows with a discussion of the process employed by OCDD in collecting SIS data, presents the results, and concludes with a discussion of recent progress and lessons learned.

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.

The unemployment rate of individuals with disabilities seeking work remains well above those without disabilities, and the gap has widened further in recent years. A forum was convened to explore policy options and actions that could be taken to help adults with a current or past work history improve their participation in the workforce. This report summarizes key options and issues identified through the forum discussion and surveys conducted.

Variables that affect supported employment are profiled. The authors examine sociodemographic, health, and income characteristics of participants. They also look at employment-related activities and expectations, traits of those seeking jobs, what kinds of jobs are held, and reasons for not seeking or keeping employment. This report is the second in a series that make up the fifth Ticket to Work evaluation report.

WIPA was created to give beneficiaries guidance and information on available work incentives so as to increase employment. This report, the first in a series that make up the fifth Ticket to Work evaluation report, has three objectives: to capture stakeholder experiences with the program during start-up; to identify early opportunities for improvement; and to inform future program data collection, evaluation, and outcomes analyses.

The study analyzes the long term care (LTC) system in WV and projects costs and savings associated with two models of efforts to transition people out of institutions. The system analysis looks at service delivery in both institutional and community-based settings, levels of access, financing, and quality. The appendices include examinations of care models and rebalancing efforts of other states.

Integrated Care Programs launched in five states in 2005 to coordinate acute and long-term services received by people enrolled in both Medicare and Medicaid. States were granted $100,000 and technical assistance focused on performance measurement, rate setting and risk adjustment, and administrative simplification. Here, state programs are evaluated, federal progress in integrated care is surveyed, and future considerations are identified.

Quantitative and qualitative data are pulled together for a summary of the enrollment and implementation experiences of state DMIE projects through December 2008. The Kansas, Minnesota, Texas, Hawaii and District of Columbia programs are profiled and then a national summary and implications are presented. Another report tentatively scheduled for the spring of 2010 will analyze whether the program improved outcomes for individuals and evaluate the implementation and phase-down activities.

The key details of the partnership between the Veterans Health Administration and the Administration on Aging, created to provide consumer-directed care to veterans, are given. The document summarizes the partnership structure, standards, and target population. It also discusses the referral, follow-up, and rate setting procedures for the defined set of services and goods to be offered.

This program (HWD) is Washington’s implementation of Medicaid Buy-In. The report evaluates HWD’s impact on employment and earnings, Medicaid coverage, and receipt of food stamps by comparing enrollees to traditional Medicaid participants. They found significant outcome improvements for the HWD group in several categories.