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

Many obstacles impede states from rebalancing their long-term supports and services (LTSS) programs toward greater emphasis on HCBS alternatives. This brief outlines policy recommendations for reforming the Medicaid-funded LTSS system to support more cost-effective and consumer-oriented long-term care options. The authors discuss the current LTC environment, barriers and promising solutions to rebalancing LTSS, and policy recommendations for improving the Medicaid LTSS system.

Short URL: http://www.advancingstates.org/node/52536

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An Analysis Of Medicare And Medicaid In Long-Term Care And Suggestions Of Reform – Archived Webinar

An expert explores patterns in services and spending under long-term care programs and examines the rise in HCBS, the existence of waivers from federal and state coverage requirements, and the changing populations who use long-term care services. He concludes with a discussion on the need to reduce the fragmentation and lack of coordination in LTC services by removing the divide between Medicare and Medicaid programs. Listen to the recorded webinar and find Mr. Ng’s published paper.

Short URL: http://www.advancingstates.org/node/52493

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Long Term Services and Supports and Chronic Care Coordination: Policy Advances Enacted by the Patient Protection and Affordable Care Act

What are the policy changes related to the continuum of care for older people—specifically long term services and supports (LTSS) and chronic care coordination? This analysis examines major provisions in these areas which are organized into five categories: 1) national insurance for long term services and supports; 2) Medicaid options and incentives to expand LTSS; 3) other LTSS provisions; 4) chronic care coordination; and 5) nursing home reforms.

Short URL: http://www.advancingstates.org/node/52453

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CMS Policies Related to the Provision of F/EA Services

This presentation was part of the 2007 Government and Vendor Fiscal/Employer Agent Workshop. This presentation provided an update on policies regarding self-direction, with an emphasis on those related to fiscal management activities. The session also answered some of the more frequently asked questions and explored some of the differences between section 1915(c) waiver programs and the new State Plan options for self-directed services.

Short URL: http://www.advancingstates.org/node/52301

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Self-Directed Care for Adults With Serious Mental Illness

The New Freedom Commission on Mental Health identified self-directed care as one service innovation that could create a more consumer- and family oriented mental health system. Four years later, there are still fewer than 400 consumers in five states accessing self-directed care in the public mental health system. This Open Forum identifies three main barriers to explain this lack of progress. The abstract and article are available for download here.

Short URL: http://www.advancingstates.org/node/52294

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CMS State Medicaid Directors Letter: Ticket to Work Program - Clarification Regarding the Receipt of Federal Funds

This letter provides clarification on the receipt of Federal funds under the SSA Ticket to Work program and encourages utilization of the program’s flexible funding offers. Policy clarifications regarding State Medicaid providers’ acceptance and the treatment of SSA ticket payments are included, as well as clarification regarding the prohibition of using Ticket Outcome and Milestone payments as the State share of financial participation.

Short URL: http://www.advancingstates.org/node/52273

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File Downloads / Links

File Downloads / Links

File Downloads / Links

Medicaid Costs Under Consumer Direction for Florida Children with Developmental Disabilities

This study of Consumer Directed Care, Florida's Cash & Counseling Demonstration program for children, examines the ways in which consumer direction affects the cost of Medicaid personal care services, as well as the cost and use of other Medicaid services. Outcome measures were drawn from Medicaid claims data for 1,002 children for the first two years post-enrollment.

Short URL: http://www.advancingstates.org/node/52247


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