Indiana

Prior to COVID-19, Indiana hosted stakeholder workgroups to identify needed improvements to its Medicaid-funded long-term services and supports (LTSS) system. The pandemic amplified existing disparities, including inequitable access to community-based care, unaligned and uncoordinated care for dually eligible individuals, and broad gaps in capacity and resources to effectively oversee and implement the LTSS reform effort. With support from Arnold Ventures, Indiana’s Family and Social Services Administration (IN FSSA) is working with project partners to design a Medicare-Medicaid integration strategy for dually eligible individuals enrolled in MLTSS and engage providers in its development process.

In this blog post, Nancy Archibald, MHA, MBA, Associate Director of Integrated Care at CHCS, describes the state of Indiana's plan to launch Medicaid managed long-term services and supports in 2024. The state is receiving grant funding through Advancing Medicare & Medicaid Integration, an Arnold Ventures initiative developed in partnership with CHCS that assists states in filling resource gaps in designing and launching integrated care programs.

This scan highlights examples of strategies in 11 states, including Colorado, Iowa, Illinois, Indiana, Massachusetts, Minnesota, Nevada, New Jersey, Tennessee, Washington State, and Wisconsin, that have been aimed at strengthening the direct care workforce through legislation, American Rescue Plan Act funding and training.

This issue brief from the Kaiser Family Foundation examines the implications of work requirements for Medicaid recipients with disabilities. Kaiser’s analysis finds that waivers that condition Medicaid eligibility on meeting a work requirement could affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the stringent SSI level of disability.

This brief from the Kaiser Family Foundation describes what the Medicaid eligibility work requirements would be in each state, including what would count as work activities, the hours required, and what the common exemptions to the requirements would be. The brief also describes key issues to consider in implementing such requirements, such as administrative costs, potential confusion over documentation requirements and the risk that some people will lose coverage for which they remain eligible.

This report documents the nationwide housing affordability crisis experienced by people with disabilities. The report discusses how in 2016, millions of adults with disabilities living solely on Supplemental Security Income (SSI) found that renting even a modest unit in their community would require nearly all of their monthly income. The report offers policy recommendations to address this crisis.

This report presents the findings and conclusions of this national evaluation of the MFP demonstration. The MFP Rebalancing Demonstration program launched more than nine years ago. There are 44 grantee states, and as of the end of calendar year 2015, grantee states had transitioned a total of 63,337 Medicaid beneficiaries from long-term institutional care to community residences and home and community-based LTSS.

This issue brief provides an overview of state agency data systems that are utilized to collect, aggregate, and analyze data for the administration of the Older Americans Act (OAA) programs. This report provides a snapshot of current state systems in 2017, changes to which are impacted by both national and state-level factors.

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

In 2017, ADvancing States administered a survey of state agencies that deliver LTSS, including aging and disability agencies as well as Medicaid programs, regarding the significant policy, fiscal, and operational issues occurring within each state. During the survey, we collected detailed information about the structure of agencies, the supports provided, and the populations served by state programs.