Reports

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.

This report focuses on how to cover targeted case management for nursing facility transition activities. The report includes sample Medicaid state plan amendment language.

A transcript and summary of the primary options for covering case management as discussed during a call on 11/10/03 with Mary Jean Duckett are provided here. The three options states may use to cover case management under Medicaid that are relevant to NFT were discussed. These included: 1915 (c) home and community based waivers; Targeted cased management services; and Administrative activity.

In this report to the Georgia Department of Community Health, Geogia reports on their nursing home transition process. The report provides an overview of the Olmstead decision, and a description of the survey used determine which individuals might be interested in transitioning from institutions. The report discusses the two grants currently underway in the state and provides recommendations for future directions.

The Texas Promoting Independence Plan is the comprehensive, effectively working plan called for as a response to the U.S. Supreme Court Olmstead decision. The Plan includes all long-term care services and supports and the state’s efforts to improve the provision of community-based alternatives. The goal is to ensure that these programs effectively foster independence and acceptance of people with disabilities and provide opportunities for people to live productive lives in their communities.

Connecticut conducted a survey of their Transition Coordinators in order to evaluate the states outreach strategies. Included are the survey questions, responses and recommendations.

This 20-page document illustrates the evolution of Colorado's Single Entry Point(SEP) System. The report provides information about the system's expansion, stakeholder involvement and the responsibilities of the SEP's. It gives detailed information on person centered services, facilitating individuals' access to needed supports and reports on options.