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Medicaid Long Term Care Expenditures, FY 2004

This memorandum presents state-by-state data on Medicaid long term care expenditures in Federal Fiscal Year 2004 (October 2003 through September 2004). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1992 to 2004. A new table this year shows the effect of supplemental nursing facility payments in some states on expenditure data. A separate file ranks states based on the proportion of LTC spending for community services.

Short URL: http://www.advancingstates.org/node/50590

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Medicaid HCBS Waiver Expenditures – FY 1999-2004

This entry presents data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1999-2004. As in previous years, information is classified for each individual HCBS waiver by the target population served in order to present information on the distribution of HCBS waiver expenditures across long term care populations. Tables include waiver spending by target population; growth in spending; expenditures by state; distribution of expenditures.

Short URL: http://www.advancingstates.org/node/50589

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Promising Practices in HCBS: South Carolina-Care Call Automated Provider Monitoring System

The State of South Carolina implemented a state-wide automated monitoring system whose real time data allows for monitoring & verification of the providers delivering services under the state's home and community-based services waivers. The toll-free number allows providers to check-in and check-out as they deliver services in a participant's home, while the database inferfaces with claims data to minimize fraudulent billing. The database has empowered waiver service recipients.

Short URL: http://www.advancingstates.org/node/50582

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Promising Practices in HCBS: South Carolina-Simplified Provider Agreement

South Carolina developed a simplified provider agreement to make Medicaid enrollment easier for providers that normally do not provide Medicaid services. The State piloted the agreement in an Independence Plus Medicaid Home and Community-Based Services Waiver and in a Nursing Home Transition Grant. The six-item agreement contains only the minimum federal requirements for Medicaid providers and can allow Medicaid participants to receive services, equipment, etc. from non-traditional providers.

Short URL: http://www.advancingstates.org/node/50581

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Promising Practices in HCBS: Minnesota-American Indian Tribe Providing Assessment and Case Management for Home and Community-Based Waiver Services

The State of Minnesota contracts with the White Earth Nation to provide functional eligibility determination and case management for Medicaid and state-funded home and community-based services for seniors. Tribal staff report their member are more likely to use the services when they can access them through familiar tribal health services. The federal government pays 100% of costs for Medicaid services provided by tribal organizations.

Short URL: http://www.advancingstates.org/node/50580

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Medicaid HCBS Waiver Payment for Community Transition Services: State Examples

This topic paper summarizes how states can use Medicaid to pay for most institutional transition program costs on a permanent basis as a result of policy change since 2000. It also describes how states are currently using Medicaid HCBS Waivers to pay for community transition services-temporary supports people need when trying to move such as housing deposits, utility set-up fees, and furniture.

Short URL: http://www.advancingstates.org/node/50527

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Promising Practices in HCBS: Wisconsin-Supporting Consumer-Directed Services within Managed Care

This brief focuses on one consumer-direction model within the Family Care program-the Agency with Choice model-in which a \"co-employment agency\" serves as the Employer of Records and the consumer acts as the Managing Employer. In the other consumer-directed model, the consumer takes on all employer responsibilities. Slightly more than one in five Family Care members choose the co employment option, demonstrating how a managed care program can incorporate consumer direction.

Short URL: http://www.advancingstates.org/node/50526

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Promising Practices in HCBS: Kansas-Providing Choice among Providers of Financial Management Services

Kansas operates four Medicaid waivers that allow program participants to self-direct their care. These programs permit participants to hire a worker or their choice and choose an organization to act as the Employer of Records for their worker. The programs are noteworthy because of the large number and wide variety of organizations that fulfill this function and the many different ways in which they serve their clients, providing a high level of choice to participants and their representatives.

Short URL: http://www.advancingstates.org/node/50525

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1998 - 2000 Nursing Home Transition Grant Programs

Case study reports on programs in 9 states that received federal Nursing Home Transition Grants from 1998 - 2000 are now available. New reports describe programs, implementation, and lessons learned from transition programs in Arkansas, Florida, New Jersey, Pennsylvania, Texas, Vermont, Michigan, Wisconsin and from a hospital to nursing home diversion program in Colorado.

Short URL: http://www.advancingstates.org/node/50522

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Risk Management and Quality in HCBS: Individual Risk Planning and Prevention, System-Wide Quality Improvement

Recognizing that states are engaging in risk planning for HCBS waiver participants, CMS requested this report that explores the topic of effective individual risk management. Potential risk falls into three general categories: health, behavioral and personal safety risks. The project selected 11 states to determine: how programs are addressing risk for participants, identify risk management themes and emerging issues, identify any state tools or policies that can be useful to other states.

Short URL: http://www.advancingstates.org/node/50487

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