Developmental/Intellectual Disabilities

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Managed Long-Term Services and Supports: Status of State Adoption and Areas of Program Evolution

This chapter is part of MACPAC's June 2018 Report to Congress on Medicaid and CHIP. It reports on the trend of states using managed long-term services and supports (MLTSS). The chapter discusses program outcomes, the added complexity of long-term services and supports in Medicaid managed care, and different directions being explored in MLTSS. It also identifies issues for further examination.

Short URL: http://www.advancingstates.org/node/70555

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State Vocational Rehabilitation Agencies’ Early Implementation Experiences with Pre-Employment Transition Services

This report is one of three reports released around the same time from Mathematica Policy Research focusing on how transition services are being used for youth with disabilities. This report examines states' experiences with a new mandate requiring them to provide pre-employment transition services available to all students with disabilities.

Short URL: http://www.advancingstates.org/node/70540

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Potential Strategies to Improve the Employment Outcomes of Youth SSI Recipients

This report is one of three reports released around the same time from Mathematica Policy Research focusing on how transition services are being used for youth with disabilities. This report outlines evidence-based strategies to promote sustained, gainful employment for youth with disabilities who are receiving SSI.

Short URL: http://www.advancingstates.org/node/70539

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Medicaid Expenditures for Long-Term Services and Supports in FY 2016

This annual report outlines Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. This report covers trends in total LTSS expenditures, LTSS as a Percentage of Total Medicaid Spending, HCBS as a Percentage of Total Medicaid LTSS, and more.

Short URL: http://www.advancingstates.org/node/70524

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State Employment First Policies: State Definitions, Goals, and Values

This brief discusses the introduction of Employment First policies in seven states and explores each state’s values, mission, and goals around increasing employment opportunities for people with disabilities. It is a useful tool both for states wishing to bolster their Employment First efforts and for those looking to begin developing Employment First policies.

Short URL: http://www.advancingstates.org/node/70503

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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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