Minnesota

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Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals’ Needs for Home- and Community-Based Services

The Government Accountability Office (GAO) examined states’ needs assessment processes for provision of long-term services and supports. GAO studied six states that differed in the following ways: assessment tools in use, participation in federal initiatives, HCBS delivery systems, and geographic location. GAO also reviewed federal requirements and documents and interviewed CMS officials and stakeholders.

Short URL: http://www.advancingstates.org/node/70095

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Priced Out: The Housing Crisis for People with Disabilities

This report documents the nationwide housing affordability crisis experienced by people with disabilities. The report discusses how in 2016, millions of adults with disabilities living solely on Supplemental Security Income (SSI) found that renting even a modest unit in their community would require nearly all of their monthly income. The report offers policy recommendations to address this crisis.

Short URL: http://www.advancingstates.org/node/70024

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Advancing Medicare and Medicaid Integration: Key Program Features and Factors Driving State Investment

For individuals who receive services from both Medicare and Medicaid, care is often fragmented across a wide array of medical, behavioral health, and long-term care providers. Medicare and Medicaid offer otherwise uncoordinated systems of care with different eligibility criteria, benefits, provider networks, and enrollment processes. This issue brief describes key features of effective integrated care programs and presents top policy considerations driving state investment in these programs.

Short URL: http://www.advancingstates.org/node/69991

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No Wrong Door: Supporting Community Living for Veterans

This paper from AARP describes promising practices on how aging and disability network agencies, Veterans Affairs Medical Centers (VAMCs), and Veteran Benefits Offices in seven states have forged partnerships to better support Veterans in community living. The paper includes a checklist for these local organizations to enhance collaboration and truly create a “no wrong door” for Veterans and their family caregivers to receive services in the community.

Short URL: http://www.advancingstates.org/node/69916

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Medicaid Section 1915(c) Waiver Data based on the CMS 372 Report, 2013 – 2014

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

Short URL: http://www.advancingstates.org/node/69849

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State Strategies to Reduce the Risk of Long-Term Nursing Home Care after Hospitalization

This paper describes strategies used in four highly ranked or significantly improved states, including Minnesota, to reduce the risk of long-term nursing home care after a hospitalization. Included in the paper is a toolkit of resources that can help others learn more and potentially replicate these practices, as well as contact information for experts.

Short URL: http://www.advancingstates.org/node/69820

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State of the States in Aging and Disability: 2017 Survey of State Agencies

In 2017, ADvancing States administered a survey of state agencies that deliver LTSS, including aging and disability agencies as well as Medicaid programs, regarding the significant policy, fiscal, and operational issues occurring within each state. During the survey, we collected detailed information about the structure of agencies, the supports provided, and the populations served by state programs.

Short URL: http://www.advancingstates.org/node/69709

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Update on Demonstrations for Dual-Eligible Medicare-Medicaid Beneficiaries

This is a report on the dual eligible financial alignment demonstrations. The Financial Alignment Initiative is a series of demonstrations launched in 2011 by the Medicare-Medicaid Coordination Office (MMCO) and the Center for Medicare and Medicaid Innovation within the Centers for Medicare and Medicaid Services (CMS).

Short URL: http://www.advancingstates.org/node/69666

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