Reports

Existing national disability-related survey & administrative data are limited in their ability to meet needs of federal programs & policy makers. One potential response to these shortcomings is the fielding of a national disability survey. This report was prepared to assess the need for developing & fielding another national disability survey data collection effort. It presents findings from one of the project’s major activities designed to review the disability-related information.

As state and federal agencies strive to meet the growing needs of people with disabilities while using fewer resources, better disability data are needed for monitoring and improving the health, economic status, and overall well-being of this population. The report identifies limitations in national survey data on disability and outlines a wide range of potential short- and long-term options for addressing them, including developing and fielding a national disability survey.

This brief describes key features of Georgia’s MFP program & highlights recent experiences. Through MFP, Georgia has achieved a 2 percent growth in annual spending on home & community-based services. With the extension of MFP under the ACA, the state plans to continue the program through 2016 with hopes to transition more than 2,000 individuals with the help of over $93 million in enhanced federal matching funds. Also, review brief profiles on several Georgia residents enrolled in the program.

This report examines state policies that are needed to help older adults age in place. These policies include integrating land use, housing and transportation; efficiently delivering services in the home; providing more transportation choices, particularly for older adults who no longer drive; and improving affordable, accessible housing to prevent social isolation.

In an effort to improve care & reduce costs, states & the federal government are seeking new ways to provide services to people eligible for both Medicare & Medicaid. Missing from the discourse are the voices of these dual eligibles. Changes to the way their care is organized & delivered could have profound effects on their health, quality of life, & satisfaction. This project aims to complement state & federal efforts by offering perspectives on what duals want from their models of care.

The MO HealthNet Division administers the MFP program called My Life, My Way, My Community. This site is an example of how this state presents material to the community about the program. See samples of the Initial Application, Operational Protocol, Brochure and Participation Agreement.

Using six states as examples, this report illustrates how the DD Network partners, working with each other and in collaboration with state developmental disability agencies and others, have positively affected the lives of hundreds of thousands of individuals with intellectual and developmental disabilities - assuring their rightful place as full community members through advocacy, research, training, and programs that directly support individuals and families.

Two reports look at costs, services, characteristics, and impacts of the Work Incentives Planning and Assistance program, which aims to inform beneficiaries with disabilities about work incentive programs, help them increase employment, and reduce their dependence on benefits. The program is serving a select group of beneficiaries who are actively working, seeking employment, using the SSA work incentive provisions, and leaving the disability rolls at relatively high rates.

Research from Mathematica's disability experts offers findings on programs to help move people with disabilities off the beneficiary rolls & into employment. As part of the 7-year evaluation of the Ticket to Work program, a recent report looks at the experiences of employment service providers after the Social Security Administration revised regulations to address challenges in the original program. The SSA successfully educated providers about revised regulations & instituted related supports.

Examine new state-by-state estimates of public and private health spending from the Centers for Medicare and Medicaid Services (CMS), published in the online journal, Medicare and Medicaid Research Review. Also available, a webcast with an expert panel offering perspectives on the trends within and across states, as well as the outlook for policy efforts to control costs, including provisions of the Affordable Care Act and various state initiatives.