Arizona

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Chronic Disease Self-Management Program State Profiles

How many people have participated in federally supported evidence-based health promotion programs in your state—and who is involved in these efforts? Find out in our new state profiles compiled by NCOA’s Center for Healthy Aging. The downloadable profiles provide facts about health challenges facing seniors, as well as state efforts to improve older adult health.

Short URL: http://www.advancingstates.org/node/53073

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Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home- and Community-Based Services

In the context of “rebalancing” efforts, the authors describe flexible accounting as budgeting practices and contractual language that incentivize the use of less expensive noninstitutional programs and use savings to expand lower-cost services to further reduce the state’s use of institutional care. The authors offer recommendations for California and pay special attention to flexible accounting in Medicaid managed LTSS and identify examples of flexible accounting practices.

Short URL: http://www.advancingstates.org/node/53064

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The Importance of Federal Financing to the Nation’s Long-Term Care Safety Net

This brief reviews Medicaid’s importance and limitations when it comes to long-term care and makes the case for strengthening Medicaid’s safety net in one of two ways—assumption of full federal responsibility for Medicare beneficiaries who also rely on Medicaid (so-called “dual eligibles”) or an enhanced federal match for Medicaid long-term care services.

Short URL: http://www.advancingstates.org/node/53053

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National Core Indicators Website

NCI is a voluntary effort by public developmental disabilities agencies to measure and track their own performance. The core indicators are standard measures used across states to assess the outcomes of services provided to individuals and families. Indicators address key areas of concern including employment, rights, service planning, community inclusion, choice, and health and safety.

Short URL: http://www.advancingstates.org/node/53051

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On the Verge: The Transformation of Long Term Services and Supports

Many states are undergoing long-term services & supports (LTSS) transformations. The lagging economy & increased demand for publicly funded LTSS are placing pressure on state policymakers to find solutions. As a result, many states either have or plan to implement Medicaid Managed LTSS, with 12 states having existing programs & another 11 with plans for implementation. Many states used the economic downturn as an opportunity to balance services from institutional to non-institutional settings.

Short URL: http://www.advancingstates.org/node/53034

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Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012

Despite continued fiscal pressures on states, eligibility policies remained stable in nearly all state Medicaid and Children's Health Insurance Programs during 2011. Moreover, many states used technology to increase program efficiency and streamline enrollment. The "maintenance of eligibility" requirement in the Affordable Care Act (ACA) played a key role in preserving coverage levels. Without it, more states likely would have limited eligibility or tightened enrollment procedures.

Short URL: http://www.advancingstates.org/node/53032

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State of the States Survey 2011: State Aging and Disability Agencies in Times of Change

State aging & disability agencies are operating in an era of state agency reorganization, re-conceptualization of state government, & restructuring of long-term services & supports delivery systems & financing. Key elements driving continued change include the economic environment, ACA implementation, uncertainty in the federal budget particularly with the failure of the Congressional Super Committee, changes in state level leadership, & the 2012 elections.

Short URL: http://www.advancingstates.org/node/53027

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Home and Community-Based Service Waivers, Total Number of Medicaid 1915(c) in 2008

The latest HCBS data from The Kaiser Commission on Medicaid and the Uninsured and the University of California at San Francisco analysis of The Centers for Medicare & Medicaid Services (CMS) Form 372 have been added and are available for all states and the nation for 2008. This website allows you to do an interactive search. Review the updated topics including total HCBS waivers, participants by waiver type, home health expenditures, and personal care participants.

Short URL: http://www.advancingstates.org/node/53026

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Medicaid Expenditures for Long-Term Services and Supports: 2011 Update

This document is the latest in a series of reports on Medicaid long-term services and supports (LTSS) spending. This year’s report contains newly available data and changes in the services that are included within LTSS. The report explains the changes, summarizes the data, and describes national trends.

Short URL: http://www.advancingstates.org/node/52970

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