Psychiatric Disabilities/Mental Illness

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Emerging Technologies to Support an Aging Population

This report explores innovations that have the potential to improve quality of life for Americans who live with physical or cognitive burdens due to aging or disability. The report identifies six opportunities for emerging technologies to help Americans live longer, healthier, and more independent lives. These six areas are: Key activities of daily living, Cognition, Communication and social connectivity, Personal mobility, Transportation, and Access to healthcare.

Short URL: http://www.advancingstates.org/node/71191

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Home and Community-Based Services Beyond Medicaid: How StateFunded Programs Help Low-Income Adults with Care Needs Live at Home

This paper focuses on how state-funded home and community-based services programs can support low-income older adults. It highlights promising practices that support maximum independence for low-income older adults and/or people with physical disabilities and their family caregivers. The paper explores programs across nine states, including Washington state’s emerging innovation: the Medicaid Transformation demonstration.

Short URL: http://www.advancingstates.org/node/71163

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Value-Based Payment in Medicaid Managed Long-Term Services and Supports: A Checklist for States

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide presents a checklist of four issues for consideration as states identify issues to consider when developing and adopting value-based payment (VBP) models for HCBS within managed long-term services and supports (MLTSS) programs. The guide also reviews strategies for stakeholder engagement.

Short URL: http://www.advancingstates.org/node/71057

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Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations

This report examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations. It identifies common themes across state approaches to incentivizing and requiring SDOH-related activities. CHCS also provides several additional policy recommendations for bolstering SDOH investment in state Medicaid offices.

Short URL: http://www.advancingstates.org/node/70963

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Workplace Accommodations: Low Cost, High Impact

This report from the Job Accommodation Network (JAN) analyzes the benefits and costs of workplace accommodations. JAN publishes this annual report using data from a survey they conduct with employers who contact them for specific information about workplace accommodations and/or the ADA. This year's results show that the majority of accommodations, 59 percent, were cost-free, while the typical cost of other accommodations was $500.

Short URL: http://www.advancingstates.org/node/70924

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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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