Reports

This study from Milliman highlights the success that MLTSS programs have had in reducing institutional care for older adults and people with disabilities compared to states operating a fee for service system, both in absolute numbers as well as the acuity level of consumers receiving services in nursing facilities.

The Centers for Medicare & Medicaid Services released their monthly report for August 2018 on Medicaid and CHIP application, eligibility determination, and enrollment data. This report includes point-in-time data from all 50 states and the District of Columbia, including the number of applications submitted directly to Medicaid and CHIP agencies, the number of eligibility determinations made on these applications, and the total number of individuals enrolled in the Medicaid and CHIP programs.

This bulletin examines the West Virginia Youth Works intervention, which was funded as part of the Youth Transition Demonstration (YTD). This specific program was one of the six sites examined in the Social Security Administration's full YTD evaluation. This bulletin evaluates the effects of the Youth Works program and serves as a potential case study for other states interested in expanding services to youths with disabilities.

This Social Security Bulletin evaluates the effects of the Youth Transition Demonstration (YTD) from 2005-2014. This evaluation used participant surveys and administrative data from 5,103 individuals in six project sites to measure the effects of YTD one and three years post enrollment. The analysis found statistically significant positive impacts on employment rates in three sites during the third post enrollment year.

This report explores the limited availability of supported employment despite the research demonstrating its success. It then presents strategies utilized by states when they expanded supported employment under settlement agreements; practical perspectives from employers, providers, and service users; and valuable lessons learned over the past decade. The paper concludes with a series of recommendations for ensuring that supported employment is widely available.

This guide is intended to educate state advocates nationally about the expansion Medicaid-to-Medicare transition process, assist them in troubleshooting problems their clients are facing, and guide them as they explore potential improvements to current processes. State advocates can use this guide as a roadmap to help residents access Medicare and other insurance programs and ensure that Medicare beneficiaries receive the benefits for which they are eligible.

This study highlights the issues older adults face in maintaining their health and food security status, including chronic disease, social isolation, mobility, transportation, and limited income and affordability. This study engaged almost 150 older adults and 90 program managers and community agencies across 9 states. It examined 17 different program delivery models, including the Supplemental Nutrition Assistance Program (SNAP) and the Commodity Food Supplemental Program (CSFP).

This Road Map outlines actions state and local public health agencies and their partners can take to stimulate changes in policies, systems and environments. The goal is also to ensure that initiatives to address Alzheimer's can be easily and efficiently incorporated into existing public health initiatives. The Road Map outlines 25 action items for the field of public health to promote brain health, better care for people with cognitive impairment, and increase attention to caregivers.

This report is a follow-up to NCD's 2012 report discussing Section 14(c) of the Fair Labor Standards Act. This 2018 report assesses the status of Section 14(c) employment, explores trends regarding American workers with disabilities being paid below minimum wage, and highlights recent policy changes impacting this employment model. NCD also makes recommendations for building capacity for supported employment services and changing pay structures.

State Medicaid programs are increasingly opting to cover home and community-based services. This report looks at the efforts of various state Medicaid programs, examines their structure, and highlights the challenges encountered. From this review, GAO highlights three main challenges: 1) difficulty recruiting and retaining home care workers, 2) difficulty serving those with complex needs and, 3) limited funding for HCBS services.