Psychiatric Disabilities/Mental Illness

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.advancingstates.org/node/70901

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Electronic Visit Verification: A Blueprint for Self-Direction

This brief outlines successful EVV implementation in self-direction. Successful implementation is defined as one that protects and upholds the participant's choice and control over their services and supports while strengthening program integrity. The brief describes the functionality required to support self-direction, including flexible scheduling, protocols for EVV system use in areas without internet access, and workflows that support participant control of workers' hours.

Short URL: http://www.advancingstates.org/node/70895

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Travel Patterns of American Adults with Disabilities

This issue brief uses data from the 2017 National Household Travel Survey (NHTS) to examine the daily travel patterns of American adults with travel-limiting disabilities. It also explores data from the 2001 and 2009 NHTS to illustrate trends over time. Several groups of technologies might help people with disability-related transportation limitations, but people with disabilities use them less.

Short URL: http://www.advancingstates.org/node/70877

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Getting To Equal: The Disability Inclusion Advantage

This report examines data from the Disability Equality Index and identifies forty-five companies with strong leadership in areas specific to disability employment and inclusion. Accenture analyzed their financial performance and found that, on average over the four-year period, these companies had twenty-eight percent higher revenue, double the net income, and thirty percent higher economic profit margins than their peers.

Short URL: http://www.advancingstates.org/node/70876

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Has the Promise Been Kept? Federal Enforcement of Disability Rights Laws

This report assesses the degree to which the Equal Employment Opportunity Commission and the U.S. Access Board have addressed the recommendations issued in the 2000 NCD report, "Promises to Keep: A Decade of Federal Enforcement of the Americans with Disabilities Act". NCD also uses the framework developed in this previous report to evaluate how various agencies implement and enforce the Americans with Disabilities Act and other federal disability rights laws and programs.

Short URL: http://www.advancingstates.org/node/70860

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States Focus on Quality and Outcomes Amid Waiver Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019

This recently released report examines the reforms, policy changes, and initiatives that occurred in FY 2018 and those adopted for implementation for FY 2019. The report focuses on changes in eligibility, managed care and delivery system reforms, long-term services and supports, provider payment rates and taxes, covered benefits, and pharmacy and opioid strategies.

Short URL: http://www.advancingstates.org/node/70859

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A comparison of nursing home usage in states with and without Medicaid Managed LTSS

This study from Milliman highlights the success that MLTSS programs have had in reducing institutional care for older adults and people with disabilities compared to states operating a fee for service system, both in absolute numbers as well as the acuity level of consumers receiving services in nursing facilities.

Short URL: http://www.advancingstates.org/node/70858

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Advances in Employment Policy for People with Serious Mental Illness

This report explores the limited availability of supported employment despite the research demonstrating its success. It then presents strategies utilized by states when they expanded supported employment under settlement agreements; practical perspectives from employers, providers, and service users; and valuable lessons learned over the past decade. The paper concludes with a series of recommendations for ensuring that supported employment is widely available.

Short URL: http://www.advancingstates.org/node/70841

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National Disability Employment Policy, From the New Deal to the Real Deal: Joining the Industries of the Future

This report is a follow-up to NCD's 2012 report discussing Section 14(c) of the Fair Labor Standards Act. This 2018 report assesses the status of Section 14(c) employment, explores trends regarding American workers with disabilities being paid below minimum wage, and highlights recent policy changes impacting this employment model. NCD also makes recommendations for building capacity for supported employment services and changing pay structures.

Short URL: http://www.advancingstates.org/node/70828

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HCBS Conference 2018- Presentations

While faced with new challenges, reduced budgets, and growing populations requiring more services, states are stronger than ever, and the work they do is more effective than ever in reaching individuals and addressing their needs. The National Home and Community Based Services (HCBS) Conference 2018 highlights these achievements, allowing states to share best practices, present unique partnerships, and recognize the work of their peers.

Short URL: http://www.advancingstates.org/node/70802

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