Expenditures

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Briefing on State Medicaid Programs, the Recession and Health Reform – Archived Resources

The Kaiser Family Foundation's Commission on Medicaid and the Uninsured (KCMU) held a briefing to examine the challenges facing states as they continue to struggle with the lingering impacts of the recession and begin preparing to implement health reform. Find links to three reports released at the event, archived presentations, video, podcast, transcript, agenda and more.

Short URL: http://www.advancingstates.org/node/52767

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Money Follows the Person 2009 Annual Evaluation Report – Final Report

States have faced considerable challenges, but by the end of 2009, MFP programs had helped approximately 5,600 people transition to community living. This report describes the program’s status through December 2009, including how states are progressing toward their goals, and provides baseline information for analyses of impacts and outcomes.

Short URL: http://www.advancingstates.org/node/52733

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Evaluation of the Work Incentives Planning and Assistance (WIPA) Program: Beneficiaries Served, Services Provided, and Program Costs

What are the short and intermediate-term outcomes for beneficiaries receiving WIPA services, and what are the program variations in outputs and costs? This report presents findings on the activities of the 103 organizations receiving SSA grants under the WIPA program, established in 2006 to disseminate information on work incentives and support beneficiaries in their efforts to return to work. This is the first in a series of reports that make up the sixth Ticket to Work evaluation report.

Short URL: http://www.advancingstates.org/node/52729

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How Are the Experiences of Individuals with Severe Mental Illness Different from Those of Other Medicaid Buy-In Participants? – Issue Brief

Review a brief that profiles Medicaid Buy-In participants with severe mental illness and compares their characteristics, employment experiences, and medical expenditures with those of other program participants. Findings show that Buy-In participants had lower medical expenditures, were more likely to be employed and to increase their earnings over time.

Short URL: http://www.advancingstates.org/node/52667

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Self-Directed Care in Mental Health: Learnings from the Cash & Counseling Demonstration Evaluation

Review findings of a study of outcomes of adults with mental illnesses in the Cash & Counseling program compared to those receiving traditional Medicaid services. Such individuals experienced higher satisfaction with their quality of life and with their paid caregivers, fewer unmet needs, no more injuries or other adverse health outcomes than other patients, no significant differences in total expenditures, and were able to successfully manage the cash option.

Short URL: http://www.advancingstates.org/node/52657

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Older Americans 2010: Key Indicators of Well-being

Review this updated report describing the overall status of the U.S. population 65 years of age and older. The report includes 37 indicators that are grouped into five sections: Population, Economics, Health Status, Health Risks and Behaviors, and Health Care. It uses data from over a dozen national data sources to construct broad indicators of well-being and to monitor changes in these indicators over time. A Powerpoint presentation of the indicators is available as well as the full report.

Short URL: http://www.advancingstates.org/node/52653

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Annual Report on the Use and Availability of Home and Community-Based Services Waivers for Persons with Disabilities – Minnesota

Since the inception of the HCBS waivers, Minnesota has experienced an increased demand to provide services to individuals living in the community. Review a report on county and state use of available resources for the following waiver programs in MN: Community Alternative Care (CAC), Community Alternatives for Disabled Individuals (CADI), Developmental Disabilities (DD), Traumatic Brain Injury (TBI). Overviews of each waiver are provided as well as enrollment and expenditure data.

Short URL: http://www.advancingstates.org/node/52623

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A Government Performance and Results Act (GPRA) Report: The Status of the Medicaid Infrastructure Grants Program as of 12/31/08

Are MIGs assisting individuals with disabilities to become employed? An annual GPRA report has been produced since 2007. This report builds on previous work, and shows the continued impact of MIG funding in 2008 on programs and services that facilitate employment among individuals with disabilities. As the MIG program approaches the end of its authorized period, many states are committing to evaluating the programs, documenting their impacts, and sustaining the efforts beyond 2011.

Short URL: http://www.advancingstates.org/node/52619

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VD-HCBS Procedures - Draft

Review a draft of VHA’s VD-HCBS Procedures including participation requirements, target population details, services and goods offered, allowable expenditures, referral and follow up processes, rate determination and construction, VAMC payments, payment rates for non-professional workers and workload reporting. VA contacts are listed. This is a working document, revised on 3/22/10.

Short URL: http://www.advancingstates.org/node/52599

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Medicaid Long-term Care: The Ticking Time Bomb – Issue Brief

According to the authors, transforming Medicaid’s LTC programs is an urgent priority given states’ challenging fiscal environment. Based on this paper’s model, more than 35 percent of a state’s budget will be needed for Medicaid by 2030, of which half will be for LTC services. The brief examines Medicaid expenditures for LTC, in both institutional and community settings, and presents ideas for consideration for states to transform their programs to help address budget constraints.

Short URL: http://www.advancingstates.org/node/52597

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