Reports

The second annual report to Congress examines the services utilized by Medicaid's behavioral health beneficiaries. The findings indicate that low-income children have high levels of unmet need in the mental health care arena. Additionally, the review of Medicaid's dental coverage found considerable variation between states, particularly for services provided to adults. The report findings illustrate the potential directions for change to improve care for beneficiaries.

A report published by the Government Accountability Office found that almost 4 million seniors are faced with food insecurity. Findings showed that 1 in 5 seniors did not know where their next meal would come from and were in need of transportation services. However, some improvement was seen with home-based care. This report indicates that the funding for the Older Americans Act program is not sufficient for the increasing population.

This report is a study of the severe housing affordability problems experienced by people with disabilities. Priced Out calculates the difference between what an individual receiving Supplemental Security Income (SSI) can reasonably afford to pay for housing costs and the average cost of modest housing units. The report confirms that non-elderly adults with disabilities living on SSI confront an enormous housing affordability gap across the entire nation.

Adult day services (ADS)--a non-residential service provided outside an individual's home for less than a full day--provides direct care to older adults and younger adults with physical disabilities. This report provides information about each state's approach to regulating this key community service. The report details different models, forms of regulation, and funding sources used by states to run ADS programs.

This study provides insights into higher-hour caregivers (at least 21 hours of care a week), caregivers ages 75 and older, multicultural caregivers, and the challenges facing caregivers in the workplace. While the “typical” family caregiver is a 49-year-old woman who cares for a relative, caregivers on the whole are becoming much more diverse. The study found nearly a quarter of America’s caregivers are millennials between the ages of 18 and 34 and are equally likely to be male or female.

This primer describes long-term services and supports (LTSS) delivery and financing in the U.S. and highlights covered services and supports, types of care providers and care settings, beneficiary subpopulations, costs and financing models, quality improvement efforts, and recent LTSS reform initiatives.

This report addresses: 1) federal programs that fund HCBS and supports for older adults, in particular in-home and nutrition services, affordable housing, and transportation; 2) how HCBS and supports are planned and delivered in selected localities; and 3) agencies’ efforts to promote a coordinated federal system of HCBS for older adults.

For Social Security beneficiaries and Supplemental Security Income recipients who are not capable of managing their own benefit payments, the Social Security Administration (SSA) pays benefits to a representative payee. The authors estimate that the demand for representative payees will increase from 2.94 million beneficiaries in 2013 to 3.27 million by 2025 and to 3.56 million by 2035.

This third edition of an annual report takes an in-depth look at the health of seniors in America. The report examines core measures of behaviors, community and environment, policy, clinical care, and outcomes. The findings are provided at a national level as well as in state summaries and rankings.

In 2005, the National Council on Disability published "The Current State of Transportation For People With Disabilities in the United States," a major transportation overview report. This report examines what has changed since the writing of the previous report. The report focuses on surface transportation and addresses accessibility-related progress as well as problems. The report also makes recommendations to Congress and the Executive Branch designed to improve federal collaborative efforts.