Medicaid Managed Long Term Care

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Residential Information Systems Project Annual Report: Status and Trends Through 2015

This is a technical report about the supports and services that people with IDD receive through the State IDD agency. In addition to the report, there are state profiles, which describe status and trends for each state in the country, and a chart gallery, which is an interactive tool to view detailed data by state, year, and funding authority. Topics include ICF/IID and Medicaid Waiver recipients, expenditures and expenditures per person from 1977 to 2015.

Short URL: http://www.advancingstates.org/node/69945

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Bridging the Health and Housing Gap Transitioning Medicaid Recipients from Institutions to the Community in the Context of Housing Shortages and Affordability

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.

Short URL: http://www.advancingstates.org/node/69937

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File Downloads / Links

Improving Professional Caregiving in the United States: Challenges and Opportunities

This paper discusses the long-term services and supports landscape; individuals who work with a direct service worker; the direct service worker profession; the direct service worker shortage; challenges for individuals served by direct service workers; and pathways to improvements.

Short URL: http://www.advancingstates.org/node/69934

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Emerging Innovations in Managed Long-Term Services and Supports for Family Caregivers

This paper provides direct insights from managed care leaders about family caregiver supports and provides examples of how progressive managed care plans are supporting family caregivers who are caring for plan members with LTSS needs. The paper discusses how it is important to understand and address family caregivers’ roles and their needs in order to have a high-performing LTSS system, because the family provides the lion’s share of LTSS to people who need help.

Short URL: http://www.advancingstates.org/node/69915

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Using Medicaid Levers to Support Health Care Partnerships with Community-Based Organizations

This fact sheet outlines strategies to help Medicaid stakeholders encourage partnerships between community-based organizations and health care organizations. States can provide: (1) financial support to build and sustain program capacity; (2) assistance in identifying metrics for evaluation; (3) incentives to providers to address social determinants of health; and (4) use of policy levers, including value-based contracts, managed care organization regulations, and state plan amendments.

Short URL: http://www.advancingstates.org/node/69899

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Key Issues in Long-Term Services and Supports Quality

This issue brief from the Kaiser Family Foundation discusses four key issues related to long-term services and supports (LTSS), including institutional and home and community-based services (HCBS) quality, highlighting major legislative and policy changes over the last 30 years. The brief also includes data about LTSS providers and consumers, summarizes key federal laws and policies related to quality, and lists selected federal quality measures.

Short URL: http://www.advancingstates.org/node/69883

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Medicaid Long-Term Services and Supports Beneficiaries in 2013

This report provides information about Medicaid LTSS beneficiaries in 2013. The report estimates that approximately 5.2 million people received Medicaid-funded long-term services and supports (LTSS) during calendar year 2013. This data includes state-reported estimates for managed LTSS programs. 72 percent of LTSS beneficiaries received home and community-based services (HCBS), including people who received institutional services during the year.

Short URL: http://www.advancingstates.org/node/69848

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Collaborating to Reduce Hospital Readmissions for Older Adults with Complex Needs: Eastern Virginia Care Transitions Partnership

The Eastern Virginia Care Transitions Partnership (EVCTP) is a largescale partnership including Bay Aging and four other Area Agencies on Aging (AAAs), four health systems, three managed care organizations (MCOs), and other health care and human service providers. This case study describes several topics including the service delivery model, information sharing and reporting, shared governance, success factors, and challenges.

Short URL: http://www.advancingstates.org/node/69841

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