Enrollment

Fourth and final in a series that explores the cross-payer effects of providing Medicaid long-term supports and services on Medicare acute care resource use, this report provides a summary of the initial work of a study, described more fully in the first three reports, with an emphasis on lessons that state Medicaid administrators should consider as they move toward more formal programs of integrated care for persons dually eligible for Medicare and Medicaid.

What are the major components of the Community Living Assistance Services and Supports (CLASS) program? The program establishes a national, voluntary insurance program for purchasing community living services and supports that is designed to expand options for people who become functionally disabled and require long-term help. Find a description of the program, including its financing, eligibility criteria, benefit design and interaction with Medicaid.

Statistics for how many people on the Social Security disability rolls return to work published by the SSA each year are based on the behavior of beneficiaries over a short period. Longer-term statistics offer “good news” in that, compared to the short-term statistics, they show more beneficiaries leaving the rolls after finding work. They also show that some beneficiaries who return to work but don’t leave the rolls could become more self sufficient if better work incentives were in place.

Is Indiana's Work Incentive Planning & Assistance program creating sustainable work incentive supports? The attached presentation outlines how policies and resources implemented by the program have helped create long term sustainability by providing training, technical assistance & quality assurance. A sample of this presentation is attached and could be useful to other MIG states with similar program goals.

Many obstacles impede states from rebalancing their long-term supports and services (LTSS) programs toward greater emphasis on HCBS alternatives. This brief outlines policy recommendations for reforming the Medicaid-funded LTSS system to support more cost-effective and consumer-oriented long-term care options. The authors discuss the current LTC environment, barriers and promising solutions to rebalancing LTSS, and policy recommendations for improving the Medicaid LTSS system.

How is benefits planning & assistance being incorporated into Nevada's Disability Employment Education Project? To fight the fear of losing benefits, which prevents many individuals with disabilities from seeking work or returning to work, Nevada created a benefits planning and assistance program. A sample of the marketing material, which includes services offered, eligibility and contact information, is attached. It could be a useful sample for other MIG states.

How is Nevada using an online newsletter to keep consumers and service providers updated on all things pertaining to their MIG grant Program? EmployAbility is a monthly e-newsletter which covers programs, policies, resources and events related to the Nevada Disability Employment Education Project. Event announcements often include registration forms needed. Samples are included which might be useful to other states.

Find a sample Member's Guides to a MIG program. The state of Louisiana created the attached reference guide to help consumers understand the Medicaid Purchase Plan, its benefits and services. Some of the topics included are eligibility, Medicaid rights, responsibilities to Medicaid, covered services and helpful contacts. This can serve as an example that could be useful to other states interested in providing similar information to consumers.

How is Louisiana's Family Opportunity Act keeping parents or guardians of children waiting for services informed about new MIG services they could be getting immediately? Attached is a sample of a letter sent out to parents or guardians to inform them of the Family Opportunity Act (FOA). In this program, there are no resource limits, and the family can be covered by other health insurance programs. This approach to marketing new MIG programs could be useful to other states.

Service use as a barrier to employment for people with disabilities is an obstacle for many MIG programs. The state of North Carolina addressed this issue with this presentation at the 2009 annual meeting of the American Public Health Association. The presentation, including data and their implications, addresses intensive and irregular service use as possible barriers to employment. It is information that could be useful to other states.