All States/Territories

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Promising Practices In HCBS: Arkansas – Cash Allowances and Support Services for People with Disabilities

Arkansas is part of a demonstration project to measure the impact of substituting a cash allowance for Medicaid services from provider agencies. This report describes how the participants were randomly assigned to two groups, one that received Medicaid personal care through a provider agency and one that received a monthly cash allowance and services to help them effectively use the allowance, and their respective outcomes.

Short URL: http://www.advancingstates.org/node/49624

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Stakeholder Involvement in Home and Community-Based Services: Roles in State Planning, Program Development, and Quality Improvement

This paper provides states (both the legislative and executive branches) with background about how to involve stakeholders in planning, program development, and quality improvement related to home and community-based services and supports.

Short URL: http://www.advancingstates.org/node/49617

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System Change and Self-Directed Services: Lessons Learned

This paper report son the author's forays into Systems Chnage.The system change efforts include the closure of a state operated institution for people with mental retardation in Maine (Pineland Center), the closure of a state operated institution in Arizona (theArizona Training Center in Tucson) and the introduction of consumer selfdirected model also in Arizona.

Short URL: http://www.advancingstates.org/node/49616

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Consumer Roles in Monitoring Community Services for People with Developmental Disabilities

This issue paper explores how consumers can be involved in monitoring community services for people with disabilities. It explores the challenges of finding real roles for people with disabilities as well as other barries, but concludes that goal is worthy of the struggles.

Short URL: http://www.advancingstates.org/node/49614

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Promising Practices in HCBS: Florida- Providing Managed Care Organizations with Financial Incentives to Expand Community Care and Limit Nursing Home Care

This report briefly describes a managed long-term care pilot project the State of Florida has initiated to test a Medicaid managed care program that includes incentives for coordinating acute and long-term care and for using less expensive, community-based alternatives to nursing homes for people age 65 or older with disabilities. This report includes background information and descriptions of the intervention, implementation, and impact.

Short URL: http://www.advancingstates.org/node/49612

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Community Living Brief: Going Home: Taking Charge of Your Transition Services

This Community Living Brief explores the transition to an independent, integrated living situation. This article serves as a guide to assist the individual when considering moving back into the community. The article provides information on finding an advocate and also provides a transition checklist to help facilitate the moving process.

Short URL: http://www.advancingstates.org/node/49611

File Downloads / Links

File Downloads / Links

Balancing Safety and Freedom in Consumer-Directed Systems of Support: Strategies and Recommendations

This is a companion paper to Balancing Safety and Freedom in Consumer-Directed Systems of Support, written to provide concrete strategies for the design and implementation of a process for evaluating and improving both the freedom and the safety of those receiving support. Recommendations are offered to address key issues that are present in consumer-directed systems of support.

Short URL: http://www.advancingstates.org/node/49609

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The Americans with Disabilities Act and Community Integration: Understanding the Concept of \"Fundamental Alteration\"

This Working Paper examines the community integration requirement under Title II of the Americans with Disabilities Act (ADA) and how the concept of “fundamental alteration” may affect a public agency’s community integration obligations under the law.

Short URL: http://www.advancingstates.org/node/49608

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