Reports

In February 2006, a Round Table Discussion Meeting was held in Oregon to identify and analyze policies and strategies that maintain or increase the availability of supported employment services to persons with developmental disabilities. The meeting focused on how such services may be preserved and expanded in Oregon, but in addition, national perspectives on supported employment were discussed. The discussion report, evaluation and graphic facilitation of the Round Table are included.

This study is intended to describe the nursing facility level of care determination processes in use by the states and to draw general conclusions from the data collected. When read in conjunction with the previous work in this area, this study will aid state staffs, CMS, and other parties interested in understanding how to improve post acute care assessment. The Appendix provide a brief description of data the state collects, the name of the assessment form, plus contact information.

This paper is an expansion of the NCD’s livable community framework (LCF): a set of public policy recommendations for ensuring that people with disabilities have all the opportunities and choices available to people without disabilities. It links key elements of the LCF to specific needs of people with psychiatric disabilities, and discusses stigma and discrimination.

Compare best practices from affordable assisted living projects in Florida, Vermont, Washington and Arkansas. Each study details proven project structures, such as a review of service fees, staffing patterns and project financing; lessons learned from project sponsors; and key distinguishing features such as new construction in rural communities or use of low income housing tax credits and conversion of public housing facilities.

This study evaluates the efficacy of applying standard market study methodologies and benchmarks for assisted living to rural markets and identifies factors that may contribute to the success of assisted living residences in rural markets. Written as part of the Coming Home Program, this publication offers ideas about how states with comparable policy environments should make allowances for more acute resident profiles, a more Medicaid-based payment mix, and higher market capture rates.

This report is about older youth that are involved in the foster care system and have disabilities and the challenges and outcomes they experience in the areas of education, employment, and other indicators of well-being. The goal is to inform and advise state and federal policymakers in improving these outcomes through better services coordination, systems accountability, leadership development, and capacity building, focusing especially on the transition to adulthood.

This study examines dynamics affecting the direct-care workforce in Vermont. It found that only one third of those workers have employer-sponsored health insurance, one half of those surveyed expected to receive a raise, and 42% received formal job training. The report includes nine recommendations to strengthen the state’s direct-care workforce. In addition, the appendices include original surveys given to employers and direct-care workers.

This MIG project is focused on assisting individuals with disabilities to become gainfully employed. Included are work products from CES including: a resource mapping project on the availability of employment related services and supports, summaries of findings from focus groups regarding the rehabilitation needs of un-served and under-served populations, and a summary of input gathered from employer focus groups.

Find an abundance of information on Health Coverage for Workers with Disabilities (HCWD), a Medicaid expansion in North Carolina created under the authority of the Ticket to Work and Work Incentives Improvement Act. Included are: reports on cost and participation projections; a powerpoint presentation on information gathered from workgroups; brochures on the program; and a fact sheet about the shift from personal care services (PCS) to HCWD.

This report details the state-by-state impacts of seven regulations issued by the CMS that would make major wide-ranging changes. Areas affected include cost limits for public providers, graduate medical education, outpatient hospital services, provider taxes, rehabilitative services, school administration and transportation services, and case management services. The website offers an interactive map showing how proposed regulations would impact each state.