1915c

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Studying Recipients of Long-Term Services and Supports: A Case Study in Assembling Medicaid and Medicare Claims and Assessment Data in California

This report describes the process of assembling and integrating Medicaid and Medicare data to study recipients of HCBS in California. Subsequent reports will describe disability levels and service use of HCBS users in Medi-Cal only and dual eligibles between 2005 and 2008.

Short URL: http://www.advancingstates.org/node/53087

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Using Medicaid Funding to Support the Employment of People with Disabilities: A Federal Framework

State Medicaid agencies fund supports & services for individuals with disabilities. As national public policy recognizes & emphasizes the ability of individuals with disabilities to work, states are integrating employment supports into the continuum of long-term care in Medicaid. This brief discusses federal legislative & regulatory framework for funding employment supports in Medicaid, highlights examples of state innovations & best practices to promote positive employment outcomes.

Short URL: http://www.advancingstates.org/node/53061

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State of the States Survey 2011: State Aging and Disability Agencies in Times of Change

State aging & disability agencies are operating in an era of state agency reorganization, re-conceptualization of state government, & restructuring of long-term services & supports delivery systems & financing. Key elements driving continued change include the economic environment, ACA implementation, uncertainty in the federal budget particularly with the failure of the Congressional Super Committee, changes in state level leadership, & the 2012 elections.

Short URL: http://www.advancingstates.org/node/53027

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Home and Community-Based Service Waivers, Total Number of Medicaid 1915(c) in 2008

The latest HCBS data from The Kaiser Commission on Medicaid and the Uninsured and the University of California at San Francisco analysis of The Centers for Medicare & Medicaid Services (CMS) Form 372 have been added and are available for all states and the nation for 2008. This website allows you to do an interactive search. Review the updated topics including total HCBS waivers, participants by waiver type, home health expenditures, and personal care participants.

Short URL: http://www.advancingstates.org/node/53026

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Medicaid 1915(c) Waiver Expenditures: 2011 Update

This report is the latest in a series on expenditures for Medicaid waivers authorized under Section 1915(c) of the Social Security Act, also known as home and community-based services waivers. For the first time, the tables include state-reported data for 1915(c) waiver services provided through managed care programs that are not identifiable in the state CMS 64 reports. Thomson Reuters collected these data for FY 2008 and FY 2009.

Short URL: http://www.advancingstates.org/node/52990

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Federal Financing of Supported Employment and Customized Employment for People with Mental Illnesses: Final Report

A review of the federal financing mechanisms used by state agencies to implement the evidence-based employment models ( IPS and CE) come with the recognition that the federal financing of employment services for people with serious mental illness is a shared responsibility across multiple federal agencies. Improvements in this shared responsibility can lead to more effective support for these evidence-based employment models at the state and local levels.

Short URL: http://www.advancingstates.org/node/52967

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Adult Day Services/Adult Day Health: Financial Viability and Scope of Services Provided Under Medicaid Waivers

Looking to better understand how states pay for adult day services through the Medicaid program? Comparing adult day services to other LTC provider types, adult day tends to be the most cost effective providers within the waiver or State Plan. This report looks at the scope of services provided by adult day and relates the clinical complexity of the care provided with the Medicaid reimbursement. Analyze the growth of programs in relation to the reimbursement and scope of services provided.

Short URL: http://www.advancingstates.org/node/52920

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Medicaid-Funded Long-Term Care: Toward More Home- and Community-Based Options

National policymakers and state Medicaid leaders are paying greater attention to better management of long-term supports and services (LTSS). A combination of factors presents state purchasers with significant opportunities to improve care and control costs by better coordinating and managing the full continuum of long-term care services. In this new publication series, states explore and understand emerging options. Review data and options for transforming long-term-care programs.

Short URL: http://www.advancingstates.org/node/52796

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Money Follows the Person Demonstration Program - Texas

Texas is using its MFP Demonstration to address some of the obstacles to relocation and successful access to community living through interagency collaboration, development of the necessary infrastructure to support relocation, and utilization of evidence-based practices. Attached find two presentations delivered at the 2010 HCBS conference, as well as links to the program’s on-line proposal and operational protocol.

Short URL: http://www.advancingstates.org/node/52722

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Turning Straw into Gold: Harnessing HCBS Networks as a Provider Network Strategy for Global Health Reform

Market approaches must become flexible with broader access to alternate providers and services such as HCBS. In the past, HCBS networks have been expensive to build and at times unwieldy to manage without sufficient dedicated resources. This presentation, which was delivered as the keynote for the September 2010 Medicaid Management Care Congress in Washington, DC., reviews the critical challenges to overcome for success in using HCBS as a strategy to extend care access.

Short URL: http://www.advancingstates.org/node/52716

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