Mathematica Policy Research

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Another Perspective: Capturing the Working-Age Population With Disabilities in Survey Measures

A new criticism of the variety in measures serving to identify the disabled population in the American Community Survey (ACS) has been raised by Burkhauser, Houtenville, and Tennant. This article provides another perspective on the relationship of the current ACS measure and a work limitation measure demonstrating the complications introduced by combining measures that represent two different metrics and introducing an unmeasured environmental element.

Short URL: http://www.advancingstates.org/node/65856

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The Changing Medical and Long-Term Care Expenditures of People Who Transition from Institutional Care to Home- and Community-Based Services

The Money Follows the Person (MFP) demonstration grant program helps long-term residents of institutions move back to the community. This report aims to answer several questions about the expenditures (medical care and long-term services and supports [LTSS] expenditures) of people who transition from institutional care to community-based LTSS.

Short URL: http://www.advancingstates.org/node/65855

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Innovations in Home- and Community-Based Services: Highlights from a Review of Services Available to Money Follows the Person Participants

The report features select qualified, demonstration, and supplemental services that seem particularly innovating and promising. The MFP grant program allows states to test and implement innovative services without the restrictions of a waiver. This report provides illustrative examples of how states are taking advantage of this flexibility, particularly in the areas of pre-transition and short-term services.

Short URL: http://www.advancingstates.org/node/65656

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Money Follows the Person (MFP) Demonstration: Overview of State Grantee Progress, July to December 2013

Review the progress by the 42 MFP grantee states (including the District of Columbia) that are actively transitioning MFP participants. MFP grants support state efforts to help individuals living in institutions move to home and community-based settings if that is where they wish to receive LTSS. During the second half of 2013, states transitioned 5,485 new enrollees, bringing the total number of people that had ever transitioned to the community through MFP to 40,693 at the close of 2013.

Short URL: http://www.advancingstates.org/node/65655

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Characteristics and Service Use of Medicaid Buy-In Participants with Higher Incomes: A Descriptive Analysis

Few employer-sponsored and private insurance plans offer the range of services that workers with disabilities may need. Medicaid Buy-In programs are a viable option that allows these workers to receive needed services without spending down for Medicaid. This report describes findings from a study of characteristics and service utilization of higher-income enrollees compared to regular Medicaid enrollees. Providing these programs may keep higher-income workers with disabilities employed.

Short URL: http://www.advancingstates.org/node/53407

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Health Home Information Resource Center

The Affordable Care Act authorized the Medicaid Health Home State Plan Option, which allows states to design health homes to provide comprehensive care coordination for Medicaid beneficiaries with chronic conditions. States will receive enhanced federal funding to support the rollout of this new integrated model of care. This link directs to the Health Home Resource Center that provides technical assistance services for states as they submit their proposals for these health homes to CMS.

Short URL: http://www.advancingstates.org/node/53385

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Toward a More Perfect Union: Creating Synergy between the Money Follows the Person and Managed Long-Term Services and Supports Programs

As increasing numbers of state Medicaid agencies implement both MFP and MLTSS programs, it is important to understand how they can work together to achieve common goals -- shifting the balance of LTSS from institutional care to HCBS settings. This report examines how 5 states have structured the interface between the two programs, including overlap in eligible groups, design of Medicaid payment rates to managed care organizations (MCOs); and how MFP and MCO staff share or divide responsibility.

Short URL: http://www.advancingstates.org/node/53357

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Which Medicaid Buy-In Participants Use SSA Work Supports?

This issue brief revisits the use of SSA work supports among the nearly three-quarters of Buy-In Participants who also receive Social Security Disability Insurance (SSDI). To better understand who might benefit most from program outreach, this report explores variation in use rates by age, education, and disabling health condition. It also examines the relationship between work-support use, employment, and earnings.

Short URL: http://www.advancingstates.org/node/53342

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Recommendations for Conducting High Quality Systematic Evidence Reviews

This brief provides recommendations for conducting high quality systematic reviews. Systematic reviews can be useful for policy decision makers to draw accurate lessons from a large assortment of relevant studies because they identify, assess, and synthesize key pieces of evidence on policy or program effectiveness. Increasing high quality systematic reviews will provide decision makers with a greater number of useful evidence summaries that can inform decision making.

Short URL: http://www.advancingstates.org/node/53325

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Identifying Transition-Age Youth with Disabilities Using Existing Surveys

Using the International Classification of Functioning, Disability, and Health as a framework, this paper identifies definitions of disability for transition-age youth that can be used to compare and contrast statistics on the characteristics and outcomes of this population across different surveys.

Short URL: http://www.advancingstates.org/node/53301

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