Developmental/Intellectual Disabilities

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Do Managed Care Programs Covering Long-Term Services and Supports Reduce Waiting Lists for Home and Community-Based Services?

This paper examines whether there is evidence that MLTSS programs increase access to home and community-based services (HCBS). One theory states that MLTSS programs may reduce costs associated with the use of institutional services, thereby allowing states to expand HCBS services and reduce waiting lists. This brief uses this theory and examines changes in a state's HCBS waiting list as one way to measure access to HCBS.

Short URL: http://www.advancingstates.org/node/70487

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How do Managed Long-Term Services and Supports (LTSS) Programs Interact With Federal LTSS-Related Initiatives?

This paper explores how state MLTSS programs interact with federal LTSS initiatives. It examines this interaction in four states: Illinois, Iowa, New York, and Ohio. It specifically focuses on the the interaction of these states' MLTSS programs with the Money Follows the Person (MFP) demonstration, the Balancing Incentive Program, the Health Home State Plan Option, and the Financial Alignment Initiative (FAI).

Short URL: http://www.advancingstates.org/node/70486

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The Impact of Managed Long-Term Services and Supports (MLTSS) Policies on Access to LTSS

This paper looks at the impact of various MLTSS policies on access to LTSS. It looks specifically at four states and the policies which these states identify as important to ensuring access. All four states identified network adequacy standards, transition of care, provider reimbursement, and level of care criteria as important factors. In addition, the paper examined participant-directed services policies and care coordination models.

Short URL: http://www.advancingstates.org/node/70485

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Implications of the ACA Medicaid Expansion: A Look at the Data and Evidence

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

Short URL: http://www.advancingstates.org/node/70484

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National Adult Maltreatment Reporting System FFY 2016 Report 1.2: Agency Component

This report is the first in a series of three total Year 1 reports from NAMRS. It provides a general overview of the operating procedures of state Adult Protective Services agencies. While this report focuses on the hard data provided by states, future reports will discuss the narrative data also submitted by states. NAMRS has also released a background report summarizing the purpose and process of their national data collection system, as well as reference appendices A-C.

Short URL: http://www.advancingstates.org/node/70448

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MLTSS for People with Intellectual and Developmental Disabilities: Strategies for Success

This report is the second in a series of publications from the MLTSS Institute. There are unique challenges in implementing a managed long-term services and supports (MLTSS) program for people with intellectual and developmental disabilities (I/DD). The report provides context on the intersection of program design and participant advocacy and outlines successful strategies for both states and health plans. It also highlights promising practices from MLTSS programs delivering I/DD services.

Short URL: http://www.advancingstates.org/node/70437

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Summary of Responses from a Request for Information: People with Disabilities and Opioid Use Disorder

In early 2018, NIDILRR issued a request for information about people with disabilities and opioid use disorder. NIDILRR received comments from 50 respondents, including consumers, community and national organizations, research teams, and federal partners. Overall, the responses to this RFI revealed a need to further explore the intersection of chronic pain, opioid misuse, and people with disabilities.

Short URL: http://www.advancingstates.org/node/70436

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The National Evaluation of the MFP Demonstration: Health Care Expenditures Two Years Post-Transition

This recently released follow-up report was aimed at studying changes in the second year after individuals transitioned out of institutional care into community settings. Participants in the MFP program had higher costs during the first twelve months than non-MFP participants who also transitioned to community-based care. However, this study showed that these costs became comparable after the first year of transition.

Short URL: http://www.advancingstates.org/node/70414

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Managed Long-Term Services and Supports: Interim Evaluation Report

As part of Mathematica’s ongoing evaluation project of section 1115 demonstrations, they have released their interim findings on MLTSS programs. This preliminary report looked closely MLTSS programs in New York and Tennessee and found mixed results regarding the goals of reducing hospitalizations and rebalancing care. Mathematica aims to release a final report on the effectiveness of MLTSS in 2019.

Short URL: http://www.advancingstates.org/node/70413

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Delivery System Reform Incentive Payments: Interim Evaluation Report

As part of Mathematica’s ongoing evaluation project of section 1115 demonstrations, they have released their interim findings on the DSRIP program. This report shows quantitative evidence of DSRIP motivating positive provider actions, but the program’s impact on outcomes is still unclear. Mathematica aims to release a final report on the effectiveness of DSRIP in 2019.

Short URL: http://www.advancingstates.org/node/70412

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