Reports

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2000 through 2005. Each individual HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2005 (Sept 2004-Sept 2005). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1993-2005. Data included for Nursing Homes, ICF-MR, Personal Care, HCBS Waivers, Home Health, Home Care, Inpatient Hospital Care, Inpatient DSH, Inpatient Mental Health, Mental Health DSH, Medicaid Managed-Care, Prescribed Drugs, Long-term Care, Targeted Case Management and PACE.

A few recent Medicaid initiatives have emerged that take the program into new directions. States have a number of objectives in developing these approaches, including offering beneficiaries greater choice, promoting personal responsibility and healthier behaviors among enrollees, and looking at the private marketplace. This brief examines how these approaches change financial risk and responsibility for states, the federal government, beneficiaries and providers.

This publication summarizes and synthesizes some of the most important things that research and demonstration programs have learned about consumer direction. The paper provides leaders and practitioners with a common framework of understanding for our next challenge: To build upon current knowledge and to make “consumer direction” an integral part of the options available for all older persons who may need long-term care. Read the 12 common consumer direction myths and then learn the reality.

This report outlines the efforts of the State’s Department of Disabilities, Aging & Independent Living to create a balanced system of care for elders and adults with disabilities. It discusses the Department’s successes and obstacles in increasing home and community-based services, including respite care and consumer-directed services for care recipients and caregivers, and shifting away from institutionalized care. It also outlines the services of the five Area Agencies on Aging offices.

During the Pathways to Employment Conference in December 2006, the Ohio MIG program administered surveys and conducted three focus groups in order to assess the struggles and successes of consumers with disabilities in finding work, being in the workforce, and experiences with health coverage. A final report and executive summary were produced which recap and analyze the results of the surveys and focus groups.

This Executive Summary and accompanying Abbreviated State Reports encapsulates the comprehensive case studies that Congress directed CMS to perform as a first year task in a 3-year study of state management practices in balancing long-term care systems. The studies were undertaken in 8 states (AR, FL, MN, NM, PA, TX, VT, WA) and examine “rebalancing” from a qualitative and quantitative perspective.

This is the Quality Management Strategy for its 1115 Waiver covering managed care for non-elderly, non-dual MassHealth members. MassHealth, the state Medicaid Program, provides managed care services to eligible enrollees through its Managed Care Organization (MCO) Program, Primary Care Clinician (PCC) Plan, and the PCC Plan’s associated contracted behavioral health plan, and Senior Care Options (SCO). The Strategy incorporates the efforts and activities of several entities that serve enrollees.

One challenge many ADRCs face is how to provide services over large geographic areas with small numbers of staff. Several states have chosen to use kiosks as part of their outreach and marketing or information and referral components. This issue brief explores kiosks in use by ADRC grantees and other organizations and discusses considerations in designing accessible kiosks.

This publication, a series of 5 guides, provides technical assistance to HOME participating jurisdictions (PJ) and their housing partners on the fair housing laws and regulations that apply to HOME Program participants. The series reviews the applicable Federal fair housing requirements, illustrates best practices in promoting fair housing, and highlights PJ responsibilities for ensuring compliance with fair housing requirements.