Sustainability

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Real Choice Systems Change Grant Program - FY 2003 Grantees: Final Report

RTI is preparing a series of reports to document outcomes from the Systems Change grants. Divided into six parts, the first four provide an overview of the enduring improvements, continuing challenges, lessons learned, and recommendations of the 48 Research & Demonstration Grantees, organized by the four types of grants: CPASS, MFP, IP, & QA/QI. Part 5 provides summaries of the FTF Grants. Part 6 reviews the Respite for Adults and Children and Community-Based Treatment Alternatives for Children.

Short URL: http://www.advancingstates.org/node/52010

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Explaining Health Care Reform: What is Medicaid?

The brief explains how Medicaid works in today’s health care system and answers some of the key questions of how Medicaid fits into broader health reform efforts. Information is given in question and answers. The authors offer their opinion on how eligibility, benefits, finance, and other characteristics of the program should be changed.

Short URL: http://www.advancingstates.org/node/51976

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Estimating the Expense of a Mandatory Home- and Community-Based Personal Assistance Services Benefit Under Medicaid

Three researchers use data from the Survey of Income and Program Participation to estimate the expense of a mandatory personal assistance services (PAS) benefit under Medicaid for persons with low incomes, low assets, and significant disability. They conclude that the cost would be much lower than estimated by the Congressional Budget Office. They also argue that this step would help eliminate the institutional bias of Medicaid.

Short URL: http://www.advancingstates.org/node/51962

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Social Security and Mental Illness: Reducing Disability with Supported Employment

The largest and fastest growing group of Social Security disability program beneficiaries is people with psychiatric disabilities. The paper finds that combining evidence-based supported employment with mental health services could reduce the rate of disability and enable those already disabled to gain employment, potentially saving personal and government money. Four policy recommendations are given to achieve this goal.

Short URL: http://www.advancingstates.org/node/51959

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Maintaining a Focus on Employment in Tough Economic Times

While progress is being made in finding meaningful jobs for individuals with developmental disabilities, an economic downturn makes it difficult to hold the focus on employment goals and maintain momentum within state agencies, services providers, and community employers. State officials offer talking points to guide and assist decision-making to maintain critical components of the service delivery system.

Short URL: http://www.advancingstates.org/node/51924

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Funding Sources for Direct Service Workforce Initiatives

This website offers information on the range of funding sources available to State Medicaid and other agencies and stakeholders to support the development of a high quality direct service labor force. It breaks the information down into 5 categories including current, federal, state, foundation and other types of funding and includes examples of sources and strategies for funding future DSW initiatives.

Short URL: http://www.advancingstates.org/node/51904

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The Massachusetts Disability Employment Initiative (MA-DEI): A Plan to Maximize Employment for People with Disabilities in Massachusetts

Here is the strategic plan guiding a statewide public-private partnership meant to improve employment opportunities for people with disabilities. The document reviews the current state of employment, the planning process, mission, priorities, and implementation and evaluation plans.

Short URL: http://www.advancingstates.org/node/51900

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Taking the Long View: Investing in Medicaid Home and Community-Based Services Is Cost-Effective

The authors present evidence in support of states investing in HCBS and nursing home diversion as strategies to deal with declining revenue. They review research reports illustrating how the balance of spending on institutional versus HCBS spending affects future long-term care costs. Using these data and case studies of Washington and Vermont programs, they conclude that HCBS is indeed cost-effective.

Short URL: http://www.advancingstates.org/node/51893

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Senate Committee on Aging Hearing on Health Care Reform in an Aging America

Program administrators, advocates, and researchers advise the Senate on ways to improve wellbeing and cost outcomes of long-term care by increasing access to HCBS. They speak on national demographics, successful HCBS programs of the past and present, state programs in Wisconsin and Florida, integrating acute and long-term care for dual eligibles, and program finance models. See “Video Contents Index” for time stamps and information on each testimony.

Short URL: http://www.advancingstates.org/node/51877

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