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Dirigo Health Reform Act: Addressing Health Care Costs, Quality, and Access in Maine

In June ‘03, Maine Gov. Baldacci signed into law the Dirigo Health Reform Act. A major premise behind the law is that successful health care reform must address cost, quality, & access simultaneously & with equal vigor. Named for Maine's motto: To Lead-the program is designed to guarantee health coverage by ‘09 to those who cannot afford insurance. The ME Governor’s Office of Health Policy & Finance (GOHPF) has partnered with NASHP to develop issue briefs keeping states abreast of the reform.

Short URL: http://www.advancingstates.org/node/49725

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10th Circuit Court Olmstead Ruling

Complete ruling from the 10th Circuit Court for the Olmstead Case. On June 22, 1999, the United States Supreme Court held in Olmstead vs. L.C. that the unnecessary segregation of individuals with disabilities in institutions may constitute discrimination based on disability. The court ruled that the Americans with Disabilities Act may require states to provide community-based services rather than institutional placements for individuals with disabilities.

Short URL: http://www.advancingstates.org/node/49720

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Long-Term Care: Workforce Issues for States in a Changing Society

The attached presentation entitled \"Long-Term Care: Workforce Issues for States in a Changing Society\" which was given by Robyn I. Stone, Dr.P.H. during the annual NASHP conference in Philadelphia from August 4-6. The presentation looks at who the long term care workers are and implications for the field.

Short URL: http://www.advancingstates.org/node/49718

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Quality Mall

The Quality Mall is \"a place where you can find lots of free information about person-centered supports for people with developmental disabilities. Each of the Mall stores has departments you can look through to learn about positive practices that help people with developmental disabilities live, work and participate in our communities and improve the quality of their supports.\"

Short URL: http://www.advancingstates.org/node/49717

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CMS letter: Allowing coverage of transition costs under 1915 (c)

CMS letter allowing coverage of transition costs under 1915 (c) waivers. This letter clarifies some methods by which HCBS waivers under section 1915(c) may aid in the transitioning of individuals from institutional settings to their own home in the community through coverage of one-time transitional expenses. This clarification was promised in the HHS New Freedom Report to the President.

Short URL: http://www.advancingstates.org/node/49713

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Executive Memorandum: Creating the Interagency Working Group on Assistive Technology Mobility Devices

Access to assistive technology for people with disabilities is a basic foundation of the President's New Freedom Initiative. The Executive Memo summarized here furthers the President's desire to ensure that all people with disabilities have access to programs and services that promote the opportunity for them to live independently and lead productive lives. Access to the Memo is available from the file included here.

Short URL: http://www.advancingstates.org/node/49710

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2003 CMS Conference Presentations

The Living and Working in the Community 2003 conference, sponsored by the Centers for Medicare and Medicaid Services (CMS), was held March 4-5, 2003. Participants included Medicaid grantees, consumers, advocates, Federal and State representatives, providers, and academics. The link provide here will direct you to the presentations from this conference. Topics include: Quality assurance, nursing facility transition, mental health, single point of entry, workforce issues and housing issues.

Short URL: http://www.advancingstates.org/node/49707

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