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NAMRS FFY2016 Data Report - Release 1

The Administration for Community Living’s National Adult Protective Services Technical Assistance Resource Center has released their first National Adult Maltreatment Reporting System (NAMRS) FFY 2016 data report. NAMRS is a voluntary data reporting system which collects data from state and local Adult Protective Services systems. This report contains information about the quantity and type of data submitted by states, the District of Columbia, and territories.

Short URL: http://www.advancingstates.org/node/69708

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Moving Toward Value-Based Payment for Medicaid Behavioral Health Services

Value-Based Payment (VBP) are alternative payment models that reward high-quality, cost-effective care. While many Medicaid state programs are developing VBP systems for physical health services, they have not made such advances in Medicaid behavioral health care services. The Center for Health Care Strategies’ (CHCS) brief, produced with the California Health Care Foundation, details how five states are innovating their Medicaid managed care organizations through VBP models.

Short URL: http://www.advancingstates.org/node/69557

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Spring 2016 Fiscal Survey of States Report

The National Association of State Budget Officers (NASBO) released the Spring 2016 “Fiscal Survey of States” report. The report indicates that, for the first time, estimated state general fund spending and revenues in fiscal 2016 surpassed their fiscal 2008, pre-recession peak levels after adjusting for inflation. However, the progress has been uneven across states and long-term spending pressures remain in areas such as health care, education, pensions, and infrastructure.

Short URL: http://www.advancingstates.org/node/68040

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How States Can Support and Aging Population: Actions Policy Makers Can Take

Milbank Memorial Fund’s Reforming States Group partnered with The New York Academy of Medicine to develop sessions focused on some of the major challenges and opportunities facing states as they work to support an aging population. This report provides a review of the issues discussed at the meetings, as well as recommendations for state policy interventions. The report also focuses on topics of specific interest to state leaders: age-friendly communities; LTSS and workforce.

Short URL: http://www.advancingstates.org/node/67956

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2015 State of the States in Aging and Disabilities

The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.

Short URL: http://www.advancingstates.org/node/66820

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Services for Individuals with I/DD in the U.S. Territories

Through collaboration with the Universities of Minnesota, Colorado, and Massachusetts, this report focuses on the services and supports for individuals with I/DD in the U.S. territories. The first long-term data collection focuses on collecting, tracking, and analyzing services to provide information to improve and increase productivity, independence, integration, and inclusion of people with I/DD into their communities.

Short URL: http://www.advancingstates.org/node/66580

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Services for Youths with Disabilities Provided Under Title I of the Workforce Investment Act: Results from a Survey of Local Workforce Investment Boards

This report for the Department of Labor examines the workforce system's current efforts to provide assistance to youth with disabilities. The focus of the research is mainly at the local level, coming from practitioners to gain insight on what factors are in need of improvement. Data was obtained through surveys completed by representatives of Local Workforce Investment Boards with specific attention to the practices and policies currently in place.

Short URL: http://www.advancingstates.org/node/66578

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June 2015 Report to Congress on Medicaid and CHIP

The second annual report to Congress examines the services utilized by Medicaid's behavioral health beneficiaries. The findings indicate that low-income children have high levels of unmet need in the mental health care arena. Additionally, the review of Medicaid's dental coverage found considerable variation between states, particularly for services provided to adults. The report findings illustrate the potential directions for change to improve care for beneficiaries.

Short URL: http://www.advancingstates.org/node/66568

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Measuring Up: A Novel Approach to Assessing State Oversight of Medicaid Managed Care

The lack of recognized standards for what constitutes sufficient monitoring has hindered efforts to assess the effectiveness of state oversight of managed care plans. This brief describes an approach used to evaluate state oversight of a new Medicaid managed care program for individuals with disabilities in Washington. The approach evaluates both the type and vigor of monitoring activities by the state and the degree to which the state's activities achieved their desired program outcomes.

Short URL: http://www.advancingstates.org/node/65960

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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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