Reports

Of the Real Choice Systems Change grantees awarded funding under CMS’s Fiscal Year (FY) 2001 solicitation, 20 have one or more initiatives to improve the recruitment and retention of direct service workers. This report focuses on the workforce initiatives of these 20 Grantees, with an in-depth look at 7 Grantees (AR [2 grants], KY, MT, NH, NC, VT, with whom RTI conducted site visits).

This memorandum and the accompanying tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1998 through 2003.

Outlines the challenges facing service providers in addressing the needs of Latino caregivers. This monograph uses case studies to illustrate how specific cultural characteristics, such as language, customs and religion, can impact caregiving situations, and offers suggestions on ways cultural competency can be improved at organizational and policy levels. This publication is supported by a grant from the Archstone Foundation.

Traces the development of the oftentimes confusing array of programs and services in the U.S. health and long-term care system, and describes how service providers can help families pull the pieces together. The monograph examines the challenges facing caregivers and offers a list of useful resources available to providers and caregivers. Part of a series of reports from Family Careigver Alliance. This publication is supported by a grant from the Archstone Foundation.

How would a system of supports look if people with disabilities and their circle of friends, or network, were truly in charge of their own needs, if they truly achieved self-determination? This paper is a call to action and an illustration of the depth of change required if we are truly to become responsive to people with disabilities.

The Vermont Work Incentives Initiative is comprised of several interconnected grant projects that fund direct services to clients, research, and systems change efforts focused on improving employment outcomes and independence for people with disabilities. The web site prvides a wide array of resources on several topics, including benefits counseling, medicaid buy-in program, personal assistance services and other employment supports. A link to the Reports page is provided.

This document looks at Colorado's home and community based services. Specifically, the report focuses on single point of entry and single access points.

How can person-level data in the Medicaid Analytic eXtract (MAX) data system be used to better understand Medicaid long-term care service use and expenditures? In the analysis, the authors: compare expenditure and utilization-based measures of the balance of institutional and community-based LTC services; examine Medicaid LTC expenditures and utilization for two key groups of enrollees; decompose community-based LTC service expenditures by type of service; and summarize other Medicaid services.

Project Out is an effort within Wyoming to expand the state’s Olmstead Plan to provide the least restrictive environment for consumers with disabilities. This two page document is an overview of Wyomings plan to successfully move people from nursing facilities out to the community.

These documents describe the Littleton Model Community Project. Included is a description of the project, a list of expectations, a a questionnaire for Advisory Council Members and a definition of what a model community is.