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Medicaid and Long-Term Care: New York Compared to 18 Other States

New York spends more than most states on Medicaid and long-term care. To understand why this is, the following traits are evaluated: demographics of residents over 65; poverty level; long-term care spending, budgets, and services; and quality of nursing home care. The findings identify a number of demographic and program factors likely contributing to the high rate of spending.

Short URL: http://www.advancingstates.org/node/51911

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Implementing Self-Direction Programs with Flexible Individual Budgets: Lessons Learned from the Cash & Counseling Replication States

Twelve states received Cash & Counseling Replication grants in October 2004. Here, the Replication States’ experiences in developing and implementing their new programs are documented in three stages: planning; design/development; and implementation/enrollment. The appendix includes summaries of the states' grant initiatives.

Short URL: http://www.advancingstates.org/node/51903

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Developing and Implementing Self-Direction Programs and Policies: A Handbook

The Handbook was developed to provide state staff, policymakers, service providers, program participants, and other stakeholders with a comprehensive source of information about participant direction programs and policies. Its primary purpose is to explain how States can increase program participants’ choice of and control over their services and supports. In addition to providing detailed information, the Handbook also provides links to additional web resources on the selected topics.

Short URL: http://www.advancingstates.org/node/51890

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Informational Materials for the MBIWD Project - Ohio

In this collection of informational materials, Ohio outlines what its Medicaid Buy-In for Workers with Disabilities (MBIWD) program is. Documents include an explanatory booklet, flyer and fact sheets. A website link with the government site that houses these documents, application forms and additional information is also included. While this material was intended for consumer use, it could serve as a guide to other states contemplating or running a similar MIG program.

Short URL: http://www.advancingstates.org/node/51857

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Rising Demand for Long-Term Services and Supports for Elderly People

This report provides a summary of how long-term services and supports (LTSS) are financed and describes factors that contribute to uncertainty of the future costs for LTSS, including changes in how LTSS will be delivered. Three projections of future LTSS spending for senior populations under different scenarios are offered. These scenarios differ based on projecting the number of people with varying functional limitations and the resulting need for varying degrees of LTSS.

Short URL: http://www.advancingstates.org/node/51763

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How Do Employment Outcomes of Medicaid Buy-In Participants Vary Based on Prior Medicaid Coverage? An Example from Massachusetts

This brief, the eighth in a series on working with disability, looks at the employment outcomes of participants in CommonHealth Working (CHW), Massachusetts’s Medicaid Buy-In program. Differences in post-enrollment employment rates, monthly hours worked and earnings, and private health insurance coverage are compared between new CHW enrollees previously covered by MassHealth, Massachusetts’s Medicaid program, and those without prior MassHealth coverage.

Short URL: http://www.advancingstates.org/node/51762

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Headed for a Crunch: An Update on Medicaid Spending, Coverage and Policy Heading into an Economic Downturn: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2008 and 2009

This is the eighth consecutive year that state Medicaid officials were surveyed to track program trends. In addition to data on expenditures and enrollment, the report outlines policy enhancements and restrictions in all states and the District of Columbia. The resource ends with a discussion of current key Medicaid issues and perspectives of State Medicaid Directors.

Short URL: http://www.advancingstates.org/node/51756

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Economic Impact of the Medicaid Buy-In Program for the Working Disabled

This report looks at the overall effect South Carolina’s Medicaid for the Working Disabled program has on the net state revenue. It also examines predicted impacts of changing program characteristics and eligibility requirements. The state data are compared to other states with Buy-In programs.

Short URL: http://www.advancingstates.org/node/51675

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Improving Access to Health Coverage for Transitional Youth

NASHP produced this report and webinar to help states provide Medicaid and SCHIP coverage to youth involved with or exiting foster care and juvenile justice systems. The report focuses on simplifying enrollment, enhancing retention through transitions, and integrating services with partners. The webinar slides present the report findings in brief and highlight programs in New Mexico and Washington that focus on the juvenile justice system and youths released from incarceration.

Short URL: http://www.advancingstates.org/node/51658


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