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Wisconsin's ARPA HCBS Plan

The Wisconsin Department of Health Services proposes to reinvest ARPA Home and Community Based Services (HCBS) enhanced funding to implement a statewide grant program with HCBS providers, advocates and stakeholders. These grants will address the workforce crisis, support businesses and programs transition to a model that supports individual with intellectual, developmental, and other significant disabilities find and retain work in competitive integrated employment and other innovative solutions.

Short URL: http://www.advancingstates.org/node/73666

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Strengthening the Direct Care Workforce: Scan of State Strategies

This scan highlights examples of strategies in 11 states, including Colorado, Iowa, Illinois, Indiana, Massachusetts, Minnesota, Nevada, New Jersey, Tennessee, Washington State, and Wisconsin, that have been aimed at strengthening the direct care workforce through legislation, American Rescue Plan Act funding and training.

Short URL: http://www.advancingstates.org/node/73317

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Wisconsin Eliminates Waitlist for Long-Term Care Services for Medicaid-Eligible Adults

On February 28, 2021, a 40-year-old individual with a physical disability from Adams County was referred to IRIS (Include, Respect, I Self-Direct), Wisconsin’s self-directed long-term care program. This individual was the last person waiting to join one of Wisconsin’s long-term care programs that provide home and community-based services to eligible adults who are elderly or have physical or intellectual disabilities.

Short URL: http://www.advancingstates.org/node/72443

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Do Managed Care Programs Covering Long-Term Services and Supports Reduce Waiting Lists for Home and Community-Based Services?

This paper examines whether there is evidence that MLTSS programs increase access to home and community-based services (HCBS). One theory states that MLTSS programs may reduce costs associated with the use of institutional services, thereby allowing states to expand HCBS services and reduce waiting lists. This brief uses this theory and examines changes in a state's HCBS waiting list as one way to measure access to HCBS.

Short URL: http://www.advancingstates.org/node/70487

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Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction

This report from AARP's Public Policy Institute is part of a series of papers focusing on innovative strategies. It explores the benefits of self-directed care and looks at best practices used in Texas, Iowa, Wisconsin, and Florida. The report also provides a toolkit for educational and training purposes to help states improve and expand upon their self-directed LTSS programs.

Short URL: http://www.advancingstates.org/node/70341

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How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?

This issue brief from the Kaiser Family Foundation examines the implications of work requirements for Medicaid recipients with disabilities. Kaiser’s analysis finds that waivers that condition Medicaid eligibility on meeting a work requirement could affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the stringent SSI level of disability.

Short URL: http://www.advancingstates.org/node/70128

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Medicaid and Work Requirements: New Guidance, State Waiver Details and Key Issues

This brief from the Kaiser Family Foundation describes what the Medicaid eligibility work requirements would be in each state, including what would count as work activities, the hours required, and what the common exemptions to the requirements would be. The brief also describes key issues to consider in implementing such requirements, such as administrative costs, potential confusion over documentation requirements and the risk that some people will lose coverage for which they remain eligible.

Short URL: http://www.advancingstates.org/node/70090

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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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Building Complex Care Programs: A Road Map for States

Building Complex Care Programs: A Road Map for States is a guide for state leaders in establishing and advancing complex care programs. This guide from the National Governors Association Center for Best Practices (NGA Center) Health Division includes lessons learned from their work with states and effective practices gleaned from multiple pioneering state and local complex care initiatives.

Short URL: http://www.advancingstates.org/node/69997

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Report to the President and Congress: The Money Follows the Person (MFP) Rebalancing Demonstration

This report presents the findings and conclusions of this national evaluation of the MFP demonstration. The MFP Rebalancing Demonstration program launched more than nine years ago. There are 44 grantee states, and as of the end of calendar year 2015, grantee states had transitioned a total of 63,337 Medicaid beneficiaries from long-term institutional care to community residences and home and community-based LTSS.

Short URL: http://www.advancingstates.org/node/69994


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