Reports

This report, an extension of the “1992 State LTC Profiles Report,” (November, 1995) updates previous data to 1996 and provides profiles showing state rankings and data regarding the need for long-term care and utilization patterns across States. The main focus of the analysis is on how States are progressing in the provision of home and community based services. The data presented is useful to state administrators, policy makers, agency administrators, and program planners.

This report describes Community Living Excahnge Collaborative's technical assistance needs assessment of the 52 Real Choice Systems Change grantees operating in 37 states and one territory (Guam). The report also describes the findings of the needs assessment.

This report provides information on a piece of Texas legislation which included a rider in the state’s 2001 appropriations act to promote independence and community integration for nursing facility residents. Originally called Rider 37, it allowed Medicaid funding to follow an individual moving from a nursing facility into the community.

Description of LTC system for elders and younger persons with disabilities in Alabama in 2001

This introduction to root cause analysis, and its adaptation to developmental disabilities systems, has been commissioned by the Human Services Research Institute (HSRI) in an effort to assist state DD program administrators enhance their risk management and quality improvement activities. It is designed to provide guidance on the use of root cause analysis to individuals charged with managing programs and larger systems that serve and support persons with developmental disabilities.

HSRI conducted a study of five states that made significant changes in their licensing requirements to be more person-centered and outcome-based. The study addressed these questions: What outcomes and requirements were commonly incorporated in most states’ licensing regulations and outcomes? What types of services did the states license/certify under these regulations and outcomes? What survey methodologies did the states use? What conclusions and recommendations can be drawn from the study?

Sixteen Regional Office waiver review reports were reviewed to identify the areas most frequently cited using the HCBS Quality Framework categories as a guide. States included in the sample represented all regions of the country, as well as sparsely and densely populated states.

Direct-care worker associations can give individuals a means of gaining additional skills, accessing support and recognition, and networking with peers. They can also raise awareness to the value of caregiving work and help workers develop leadership skills needed to become involved in discussions about long-term care policy and workplace practices. The article provides a historical overview of associations, reviews successful models, and addresses ways to organize and sustain groups.

Initial Readiness Review for Counseling/Fiscal Agent in Arkansas Cash and Counseling Demonstration. The purpose of the CFA Initial Readiness Review is to determine whether the vendor selected by the Division has developed and implemented the systems and policies and procedures necessary to act as a CFA in accordance with the provision of the State’s RFP and the CFA contract.

The Formative Evaluation of the Real Choice Systems Change Grants evaluates how the Systems Change grantees are progressing towards meeting their goals. The Formative Evaluation identifies problems faced by the grantees and ways that they deal with the problems. The purpose of this report is to describe the progress fiscal year (FY) 2001 Grantees have made on their activities during the first year of the three-year Grant period (October 1, 2001 through September 30, 2002.)