Expenditures

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File Downloads / Links

IndependentChoices Procedure Manual - Arkansas

An alternative to the traditional care delivery system, Arkansas’ IndependentChoices was the first program nationally that offered participant directed care as an option to its’ Medicaid population. Arkansas serves as a model for other states interested in implementing similar programs. This in depth procedures manual outlines the history, philosophy and detailed procedures for the program. Review examples of these enrollment and operating policies.

Short URL: http://www.advancingstates.org/node/52310

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Analysis of Medical Expenditures and Service Use of Medicaid Buy-In Participants, 2002-2005

Review the key findings of this report which uses information from multiple state and federal data sources and provides the most comprehensive information to date on patterns of Medicaid and Medicare spending and service use among Buy-In participants. Overall findings suggest that Buy-In participants who are working may require fewer services or a less expensive mix of services than other adult disabled Medicaid enrollees.

Short URL: http://www.advancingstates.org/node/52291

File Downloads / Links

File Downloads / Links

Reducing Nursing Home Use Through Consumer-Directed Personal Care Services

This article focuses on the effect of Arkansas' Cash & Counseling demonstration on nursing facility use and expenditures. The results are compared to traditional Medicaid PCS and the affect on total Medicaid costs are examined. The abstract (free) and full report (subscription required) are available.

Short URL: http://www.advancingstates.org/node/52285

File Downloads / Links

File Downloads / Links

Medicaid Costs Under Consumer Direction for Florida Children with Developmental Disabilities

This study of Consumer Directed Care, Florida's Cash & Counseling Demonstration program for children, examines the ways in which consumer direction affects the cost of Medicaid personal care services, as well as the cost and use of other Medicaid services. Outcome measures were drawn from Medicaid claims data for 1,002 children for the first two years post-enrollment.

Short URL: http://www.advancingstates.org/node/52247

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Leveraging Philanthropic Investments to Advance Policy Change

This article by the Assistant Secretary for Aging, Josefina G. Carbonell, describes how the US Department of Health and Human Services' Administration on Aging leveraged the investments of a number of private foundations and entered into a partnership with them to develop, test, and support the initiatives that were eventually included in the Bush administration's Choices for Independence Reauthorization Proposal.

Short URL: http://www.advancingstates.org/node/52246

File Downloads / Links

File Downloads / Links

What Impact Does The Ability To Purchase Goods And Services Have On Participants In Cash & Counseling Programs?

This issue brief, developed by the National Resource Center for Participant-Directed Services, examines the impact of the purchase of goods and services on participants. The brief uses information collected from project staff and program participants from the Cash & Counseling demonstration.

Short URL: http://www.advancingstates.org/node/52232

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