Reports

This report examines experiences of Beneficiaries, State Vocational Rehabilitation Agencies (VR), Employment Networks (ENs), and the Social Security Administration (SSA) during the TTW rollout period from 2002–2004. Overall, Mathematica found that the Ticket to Work Program did not have a significant impact on the way VR does business or on the practices of ENs in the community. TTW did, however, begin a fundamental shift within SSA toward focusing on improving the earnings of beneficiaries.

This final report summarizes the findings from five years of research on how each of the three demonstration states implemented its program, and on how the programs have affected the consumers who participated, the consumers’ paid and unpaid caregivers, and the costs to Medicaid. The analysis is based on an experimental design to ensure that the estimates of program effects are unbiased, and has sample sizes that are adequate to detect program effects of policy-relevant magnitudes.

The out-of-pocket cost of caring for an aging parent or spouse averages $5,531 a year, according to the nation's first in-depth study of such expenses, a sum that is more than double previous estimates and more than the average American household spends each year on health care and entertainment combined. This Evercare/NAC study found that as many as 17 million people care for a loved one 50 years or older and are spending more than 10 percent of their annual income on caregiving expenses.

In July 2007, NASHP convened grantees from 10 states and CMS to share their experiences in promoting positive outcomes under Money Follows the Person. To aid in this discussion, the Muskie School of Public Service was invited to facilitate the conversation and to provide a framework for discussing the role of quality management under the MFP initiatives. For the past three years, the Muskie School served as technical resource to states in the implementation of CMS quality improvement grants.

This report describes the process evaluation findings related to ADRC implementation approaches in three expansion sites, presents an initial evaluation of the role and functioning of the ADRC Coalition, and describes the formation of the collaboration between the AAA and the Regional Offices of MHDDAD. A framework includes benchmarks for successful collaboration development, and program logic modeling is discussed as an evaluation framework to guide future process and outcome evaluations.

This report provides information about family caregivers of older Americans and the state-level programs serving them. The profiles provide information on state demographics and programs related to caregiving. They offer a snapshot of each state's caregiver support programs, services offered, funding sources, eligibility criteria, and options for consumer direction. Also, information about locating grandparent support programs is included along with highlights of recent state legislation.

In 2006, Maine’s Medicaid Infrastructure Grant was awarded funds to provide outreach about Medicare’s new prescription drug coverage to MaineCare Workers with Disabilities Option dual eligible members. Methods for raising awareness and education about the transition to Medicare Part D were implemented. To identify the usefulness of outreach efforts and to learn about experiences with transitioning prescription drug coverage, a telephone survey was conducted. A report highlights the findings.

The Maine Department of Health and Human Services and Department of Labor worked with a coalition from public and private sectors to recommend steps to support people with disabilities who work, or who wish to work. The full and abridged reports identify information on resources, opportunities, and short- and long-term activities to increase the number of workers with disabilities. Additionally, key findings for the MaineCare Workers with Disabilities Option are available in the Reader’s Guide.

The purpose of this survey analysis is to provide states with an overview of the implementation of these DRA changes across the country, specifically in terms of Long-Term Care services and the steps the states have taken. Findings address eligibility, Children with Disabilities, Money Follows the Person, HCBS State Plan Amendments, Transition from Institutions, Managed Care, SPA for Personal Care Services, Cash & Counseling, Care Coordination, Disease Management and Long-Term Care Reform.

A series of presentations, funded by the MI-CEO grant, discuss a variety of issues related to the employment of people with disabilities in Massachusetts. Topics covered include: rates of unemployment, barriers to employment, ways to overcome barriers, the relationship of programs and services (e.g., MassHealth and Medicaid Buy-In) to employment efforts, recommendations from agency leaders, and implications for MI-CEO.