Reports

A recent trend in health care has been the increasing integration of behavioral health services into primary care settings. This paper discusses the benefits of such integration and the role of safety net primary care providers as behavioral health providers within the Medicaid program. The authors focus on organizational structure and reimbursement models in analyzing how four state programs achieve this integration.

This paper examines the use of research, demonstration, and program waivers as vehicles for innovation in the delivery and payment of health care and long-term care. It summarizes the context of the creation of the programs and reviews their legal underpinnings. It also analyzes the dynamics between state and federal authorities. Finally, the paper examines the impact of the Deficit Reduction Act of 2005 on the need for or desirability of waivers.

The Americans with Disabilities Act (ADA) does NOT affect an employer's right to hold all employees to performance and conduct standards. It does mandate that employers make reasonable accommodations so individuals with disabilities can meet those standards. This guide explains how and when employees should request these accommodations and how employers should handle such requests. The Equal Employment Opportunity Commission periodically updates the guide on their website.

Approximately 2.4 million young adults had a serious mental illness in 2006. To better understand challenges that will arise as these youth transition into adulthood, GAO was asked to provide information on the demographic characteristics of these young adults, how selected states assist them, and how the federal government supports states in serving them. The data come from national surveys, the Social Security Administration, published research, and site visits.

Using information from published literature, interviews and focus groups, this review covers a wide variety of characteristics of the jobs of direct care workers in the behavioral health field. It also looks at the prospects and requirements for developing more effective career paths that recognize and reward quality workers. It concludes with 12 policy recommendations.

MAPP is the Wisconsin Medicaid Buy-In program, allowing qualified workers with disabilities to purchase Medicaid healthcare coverage. Find here several reports outlining enrollment and expenditure data, policies and activities. Also available is a report that evaluates the effectiveness of WI’s return-to-work programs.

Wisconsin used MIG funds to increase self-directed supports within a managed care framework in their state. Find here a set of policy recommendations used for setting the stage for this effort as well as a qualitative study outlining the implementation process. There are also several presentations focused on training support workers to understand and facilitate self-direction, using Cash & Counseling to support employment, and helping people with traumatic brain injuries return to work.

Wisconsin uses MIG funds to increase integrated employment using strategies such as vocational planning, peer support, social enterprises, and self-employment. The first resource here presents best practices in integrated employment from 23 states. The rest are manuals and training materials for replicating vocational planning, social enterprise, and self-employment programs.

The goal of this MIG project was to understand and reduce mental health stigma among employers. The year-end report summarizes events and trainings held, public awareness work, and other deliverables produced as part of this effort.

Wisconsin developed this project to improve work opportunities for students with sensory impairments by educating employers. The first document is a resource guide on low-cost workplace accommodations, with a focus on assistive technology. The second presents the findings of a statewide employer survey on accommodations and trainings used. The final document is the year-end MIG report for the project.