Rutgers/NASHP

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Discussion Paper: Redefining Quality: Participant-Directed Services

This paper explores the various participant-direction models, existing quality management strategies, and the potential for change that allows participant-directed quality management systems to remain true to the core values they were founded upon. Participant-directed programs face unique challenges in meeting federal requirements while remaining faithful to the principles of participant-direction. Well-defined roles and responsibilities are essential and will directly influence the design.

Short URL: http://www.advancingstates.org/node/51536

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Meeting the Employment Transportation Needs of People with Disabilities in New Jersey

The New Jersey Department of Human Services created this report to design and implement services that support individuals with disabilities as they secure and sustain employment in an integrated setting. The project developed a five-year transportation plan to identify and document transportation barriers to work for people with disabilities and made recommendations related to addressing the barriers and providing enhanced transportation services in a variety of settings throughout the state.

Short URL: http://www.advancingstates.org/node/51529

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NASHP's 20th Annual State Health Policy Conference Presentations

Over 25 speaker presentations from the 20th Annual State Health Policy Conference in Denver. Workshop sessions include State Children’s Health Insurance Program, Health Care Reform, Early Childhood Development, Managed Long-Term Care, Quality Improvement and Measurement, Patient Assessment, State Initiatives on Nursing Homes and Increased Community Care, and Medicaid Funding. Review the presentations and other hot topics in state health policy.

Short URL: http://www.advancingstates.org/node/51486

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Quality Management Under Money Follows the Person: Summary Notes - July 29-31, 2007, Portland, Maine

In July 2007, NASHP convened grantees from 10 states and CMS to share their experiences in promoting positive outcomes under Money Follows the Person. To aid in this discussion, the Muskie School of Public Service was invited to facilitate the conversation and to provide a framework for discussing the role of quality management under the MFP initiatives. For the past three years, the Muskie School served as technical resource to states in the implementation of CMS quality improvement grants.

Short URL: http://www.advancingstates.org/node/51449

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State Policy in Practice: A Medicaid Primer for Housing Officials

The most striking characteristic of housing and health care in this country is the disconnection between the two. Access to affordable, accessible housing is critical to the success of the Money Follows the Person Demonstration Program, which will provide opportunities for thousands of Medicaid beneficiaries living in institutions to relocate to the community. Presented in a concise question and answer format, this document explains many of the features of what can be a complicated program.

Short URL: http://www.advancingstates.org/node/51396

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The Minimum Data Set: Recommendations to Help States Better Support Nursing Home Residents Who Seek Community Living

This Discussion paper summarizes the background and recommendations for potential changes to make the Minimum Data Set and related policies and practices more useful to states for identifying and supporting nursing home residents who wish to return to their homes and communities. Section Q of the MDS has, for some years, been discussed at state and national conferences, training sessions, on conference calls, during technical assistance visits, and in talks among state Medicaid staff.

Short URL: http://www.advancingstates.org/node/51301

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Money Follows the Person Toolbox: Services for Individuals with Developmental Disabilities

This targeted Tools Update/Addendum is intended to compile information about states' efforts to transition individuals with Mental Retardation or Developmental Disabilities (MR/DD) from Medicaid funded facilities into the community and to provide support services to these individuals using techniques compatible with the Money Follows the Person (MFP) Demonstration program that has been created by the Deficit Reduction Act.

Short URL: http://www.advancingstates.org/node/51297

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Reducing Nursing Home Utilization and Expenditures and Expanding Community-Based Options

This paper explores and analyzes selected state approaches to engage nursing facility operators to be part of systems change activities that offer individuals additional, less restrictive choices to live more independently with appropriate supports. The strategies described offer other states lessons learned that may be replicated as part of a broader approach to meet changing and growing demand for home and community-based services. Efforts in IN, IA, MI, MN, NE, ND, NY, and WI are described.

Short URL: http://www.advancingstates.org/node/51194

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Money Follows the Person Demonstration: Covering Case Management Services

CMS awarded Money Follows the Person awards to 17 states and another 21 states may receive awards in the near future. Supporting individuals in institutions to move to the community is a critical component of MFP. Transition coordination, relocation coordination, supports coordination and case management are terms often used to describe this complex activity. This brief reviews optional targeted case management services, 1915(c) home and community based waivers and administrative activity.

Short URL: http://www.advancingstates.org/node/51192

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