1915c

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File Downloads / Links

File Downloads / Links

File Downloads / Links

Beyond Cash & Counseling: The Second Generation of Individual Budget-based Community Long Term Care Programs For the Elderly

States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. This report describes 10 operating individual budget model programs that serve older persons and identifies four areas of program design that are of particular importance to the success of the individual budget model.

Short URL: http://www.advancingstates.org/node/52139

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Beyond Cash & Counseling: An Inventory of Individual Budget-based Community Long-Term Care Programs

This brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use this model for an expanded range of home and community based services in their state Medicaid plans without having to obtain a waiver.

Short URL: http://www.advancingstates.org/node/52138

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Medicaid HCBS Waiver Expenditures FY 2003 through FY 2008

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.

Short URL: http://www.advancingstates.org/node/52133

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Medicaid Home and Community-Based Service Programs: Data Update

Developing HCBS alternatives to institutional care has been a priority for many state Medicaid programs over the last three decades. While the majority of long-term care dollars still go toward institutional care, the national percentage of spending on HCBS has more than doubled from 19 percent in 1995 to 41 percent in 2007. This article presents a summary of the main trends to emerge from the latest (2006) expenditures and participant data for the three main Medicaid HCBS programs.

Short URL: http://www.advancingstates.org/node/52110

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Consumer Satisfaction with Self-Direction West Virginia Personal Options

Interested in how self-directed options in the 1915(c) Medicaid Aged and Disabled Waiver program are succeeding? In June of 2008 PPL, a nationwide company that provides financial management and supports for self-directed programs, conducted a survey of all 241 participants enrolled in Personal Options for the West Virginia Bureau for Medical Services. The attached report, includes results and summary.

Short URL: http://www.advancingstates.org/node/52105

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Rebalancing Long-Term Care Systems: State Case Studies-Final Case Studies

As part of Research on Program Management Techniques by States to Rebalance their Long Term Care Systems, Final Case Studies were conducted in each State for the time period ending December 2007. These Case Studies focus particularly on the reflections of State government officials on rebalancing goals, accomplishments, and next steps as they reflect on all the State’s experiences in moving towards more community-based services.

Short URL: http://www.advancingstates.org/node/52097

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