Indiana

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.

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.

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.

This issue brief will present several approaches that attempt to tackle the underlying challenge of reducing nursing facility utilization and expenditures. These range from modifying the nursing facility reimbursement methodology; to converting nursing facilities to assisted living centers, paying nursing facilities to take beds off-line, and using capitated managed long-term care; to approaches with theoretical promise that have yet to be adopted in any state.

The sixth biennial edition of the AARP Public Policy Institute's databook, presents an overview of long-term care in each state plus the District of Columbia by using numbers, graphs, charts, and maps. Data includes each state's demographics, need for LTC and HCBS services, the number of LTC workers per thousand people aged 65 and over, urban average for private-pay home health aide wages, and CNA hours per resident day. Each state is compared with others through rankings and national averages.

The survey results highlight inconsistencies and gaps in training, testing, and other pre-employment requirements for nursing assistants. The results from the nurse aide registries are presented in a series of charts. The survey notes who pays for pre-certification training in each state, whether candidates are allowed to become certified by passing the test without undergoing training, whether nurse aides pay a fee to be licensed or certified, who does criminal background checks, and more.

The Compendium contains basic information about each of the Real Choice Systems Change Grantees. The Compendium will help you learn more about how these grants will be used to allow more people of all ages with a disability or long term illness to live and participate in their communities. Real Choice Systems Change Grantees will also find the Compendium useful to identify other Grantees with similar goals and activities. The fourth edition of the Compendium replaces all previous editions.

States face significant obstacles in diverting individuals from institutional settings. Throughout the long-term care system, there exists an institutional bias for placing people in institutional settings over HCBS settings. Most states have some form of nursing home diversion program however, these programs face several challenges. This paper outlines many of the challenges, details strategies, and offers resources.

The National Aging Services Network has played a key role in integrating information about community services, including health, social support, educational, and recreational services, resources, and funding streams. This document compares two Area Agency on Aging (AAA) computerized information systems in Georgia and Indiana. This study is one of a series of five reports called Case Studies from the Aging Network: Health and Social Support Systems Integration.

The Indiana Department of Administration (IDOA) released an RFP for a statewide-automated case management system that included case management, overall tracking & control of cases, person centered planning to formulate & monitor individually centered plans of service, management & control of provider claims, direct linkage to all state systems, outcome-related information, waiting list management to track unmet demands by type of service and individual, & electronic billing to include Medicaid.