Nursing Facility Transition

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Non-Elderly Disabled Category 2 Housing Choice Voucher Program: An Implementation and Impact Analysis

The Non-Elderly Disabled Category 2 (NED2) Housing Choice Voucher Program aimed to increase access to affordable housing for non-elderly people (age 62 and under) with disabilities currently residing in institutions, such as a nursing home. This evaluation examined the program's implementation in a subset of communities that received NED2 vouchers and estimated the impact of the program on the change in the rate of community transitions among the eligible population.

Short URL: http://www.advancingstates.org/node/65912

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Medicaid-Financed Institutional Services: Characteristics of Nursing Home and ICF/IID Residents and Their Patterns of Care

Despite states' rebalance of long-term care (LTC) systems with greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual/developmental disabilities continue to reside in institutions. Through an analysis of Medicaid enrollment and LTC claims data, this report provides information on the characteristics of institutionalized enrollees, their stays, and the interaction of institutional services and HCBS.

Short URL: http://www.advancingstates.org/node/65911

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Effect of PACE on Costs, Nursing Home Admissions, and Mortality: 2006-2011

This report developed new estimates of the program's effects for Program of All-Inclusive Care for the Elderly (PACE) enrollees in eight states based on more recent data. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community.

Short URL: http://www.advancingstates.org/node/65901

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An Investigation of Interstate Variation in Medicaid Long-Term Care Use and Expenditures Across 40 States in 2006

Shifting the balance in publicly-funded long-term care provision away from institutional care toward greater reliance on home and community-based services has been a federal goal for the past three decades -- a goal often referred to as "re-balancing" state LTC systems. This report explores inter-state variations in LTC expenditure and service use patterns, in terms of institutional and non-institutional services, and also by Medicaid LTC users' age and type of disability.

Short URL: http://www.advancingstates.org/node/65900

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Raising Expectations, 2014: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

This State Long-Term Services and Supports (LTSS) Scorecard is a multidimensional approach to measure state-level performance of LTSS systems that assist older people, adults with disabilities, and their family caregivers. This second edition of the State LTSS Scorecard measures LTSS system performance across five key dimensions: affordability and access; choice of setting and provider; quality of life and quality of care; support for family caregivers; and effective transitions.

Short URL: http://www.advancingstates.org/node/65880

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The Changing Medical and Long-Term Care Expenditures of People Who Transition from Institutional Care to Home- and Community-Based Services

The Money Follows the Person (MFP) demonstration grant program helps long-term residents of institutions move back to the community. This report aims to answer several questions about the expenditures (medical care and long-term services and supports [LTSS] expenditures) of people who transition from institutional care to community-based LTSS.

Short URL: http://www.advancingstates.org/node/65855

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Information Bulletins for ICF-MR Restructuring for Guardians of Individuals with Developmental Disabilities Currently Living in an Intermediate Care Facility or Nursing Home

These six bulletins provide guardians with answers to frequently asked questions about changes to law that created the ICF Restructuring initiative requiring that community plans be developed for residents of ICF-MRs and that these placements be reviewed by courts annually to determine the most integrated, least restrictive setting for people with developmental disabilities.

Short URL: http://www.advancingstates.org/node/51200

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Consensus Recommendations for the 2011 Older Americans Act Reauthorization

This document offers recommendations for improving the efficiency and effectiveness of Older Americans Act (OAA) services upon its reauthorization. Recommendations are made under each Title of the Act. More general recommendations include increasing interaction and coordination with other federal programs that deliver services for older adults such as the Low-Income Energy Assistance Program (LIHEAP), Senior Corps, and Adult Protective Services.

Short URL: http://www.advancingstates.org/node/53188

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Money Follows the Person Website - North Carolina

The North Carolina MFP demonstration project assists Medicaid-eligible individuals who live in inpatient facilities to move into their own homes and communities, and to help identify and address barriers to receiving quality, community-based care. Their website includes historical information, forms, contact information, presentations and outreach materials that can be used as templates for other states seeking to develop similar materials.

Short URL: http://www.advancingstates.org/node/52700

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A Decade of “Little Progress” Implementing Olmstead: Evaluating Federal Agency Impact After 10 Years

The authors of this report conclude that in the 10 years since the Olmstead decision, there has been little national (though some individual state) progress moving people with disabilities out of nursing facilities and public institutions and into communities with supports. The report includes an overview of Olmstead, institutional data, and recommendations for improvement.

Short URL: http://www.advancingstates.org/node/52620

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