State/Agency Information

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State Standards for Access to Care in Medicaid Managed Care

The OIG report examines state standards and requirements for network adequacy and access to care. The report was based on surveys and interviews of state officials, CMS employees, and External Quality Review Organizations. In the report, OIG notes that state standards on access to care vary widely, and that state oversight of health plans also varies. Based on its findings, OIG offers recommendations to CMS in the report.

Short URL: http://www.advancingstates.org/node/65893

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Benefits and Cost-Sharing for Working People with Disabilities in Medicaid and the Marketplace

Access to affordable health insurance is essential to the ability of people with disabilities to seek and maintain employment. As their income fluctuates, people may migrate between Medicaid and Marketplace coverage, and they may face changes in their benefits and out-of-pocket responsibilities as a consequence. This issue brief uses hypothetical examples of working people with disabilities to illustrate the experiences they might have with Medicaid and Marketplace coverage in four states.

Short URL: http://www.advancingstates.org/node/65890

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Transitioning Long Term Services and Supports Providers Into Managed Care Programs

This paper identifies the concerns and considerations in transitioning traditional LTSS providers from fee-to-service models to a managed care program.The findings of the study are based on qualitative interviews conducted with a variety of stakeholders, including state Medicaid program officials, representatives from managed care companies, LTSS providers, LTSS provider associations, and private consultants.

Short URL: http://www.advancingstates.org/node/65883

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The Growth of Managed Long-Term Services and Supports (MLTSS) Programs: A 2012 Update

This white paper provides an inventory of all current MLTSS programs and a projection of future programs as of July 2012. The report includes state-by-state results and synthesizes findings across states, reporting national enrollment, characteristics of contractors and multiple program features.

Short URL: http://www.advancingstates.org/node/65881

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Improving Access to Benefits for Persons with Disabilities Who Were Experiencing Homelessness: An Evaluation of the Benefits Entitlement Services Team Demonstration Project

This study evaluates the outcomes of the disability applications submitted to the Social Security Administration (SSA) through the Benefits Entitlement Services Team (B.E.S.T) Demonstration Project. B.E.S.T was a collaborative effort to locate homeless adults and assist them in applying for Supplemental Security Income (SSI) payments and/or Disability Insurance (DI). The findings show that B.E.S.T contributed to increased access to disability benefits for applicants.

Short URL: http://www.advancingstates.org/node/65862

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Data Systems and Decision-making: State Intellectual/Developmental Disability Agencies and Their Employment Data Collection Systems

A growing emphasis on government accountability has increased interest in the collection and use of employment outcomes data. At the national level, data on employment for individuals with disabilities are available through multiple data collection systems. However, many systems are fragmented and only loosely coordinated across agencies. This article offers a qualitative, in-depth look at how employment data is collected and used within four state intellectual/developmental disability agencies.

Short URL: http://www.advancingstates.org/node/65860

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Guardianship Laws and Durable Powers of Attorney: 2013 ADvancing States Survey results

In January of 2013, ADvancing States sent a survey to its members and a list of long-term care contacts in the states seeking information about guardianship laws and practices and about how states assure appropriate use of durable powers of attorney. Review the results from the 20 states who responded.

Short URL: http://www.advancingstates.org/node/53356

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Two-Thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles

New research from AARP and ADvancing States finds that two-thirds of states either have or will launch new initiatives to better coordinate care for people who are dually eligible for Medicare and Medicaid services over the next two years. To contain the growth of costs and improve care, many are moving to risk-based managed long-term services and supports models. This research finds that a number of states are exploring approaches to dual services integration outside of the CMS models.

Short URL: http://www.advancingstates.org/node/53368

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Mental Health Programming for Seniors and People with Disabilities: 2013 Survey Results

In January of 2013, ADvancing States sent a survey to its members and a list of long-term care contacts in the states asking how/where they are serving individuals with these complications and what services have been most effective. The survey is at the request of a ADvancing States member that works closely with their mental health program staff to serve individuals who are eligible for both mental health and aging/disability programming.

Short URL: http://www.advancingstates.org/node/53355

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Aging Commissions in the States: Oversight vs. Advisory

States endow Commissions on Aging Services with different responsibilities. States that have Commissions with more of an oversight nature advise states about aging issues and are responsible for working with legislators, advocating for seniors, and evaluating needs and services. More advisory Commissions offer guidance in identifying and researching aging issues. Results of a ADvancing States survey found that 20 states have Commissions in place, 5 with oversight capacity, and 15 that are more advisory.

Short URL: http://www.advancingstates.org/node/53179

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