Consumer/Participant Direction

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An Investigation of Interstate Variation in Medicaid Long-Term Care Use and Expenditures Across 40 States in 2006

Shifting the balance in publicly-funded long-term care provision away from institutional care toward greater reliance on home and community-based services has been a federal goal for the past three decades -- a goal often referred to as "re-balancing" state LTC systems. This report explores inter-state variations in LTC expenditure and service use patterns, in terms of institutional and non-institutional services, and also by Medicaid LTC users' age and type of disability.

Short URL: http://www.advancingstates.org/node/65900

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An Inventory of Publicly Funded Participant-Directed Long-Term Services and Supports Programs in the United States

After a decade of changes in federal law, regulation, and policy designed to promote the growth of publicly funded participant-directed long-term services and supports (PD-LTSS) programs, the number of these programs has grown considerably. This article details the process for developing this data resource, describes some of the major characteristics of PD-LTSS programs in the United States, and discusses possible implications and areas for future research.

Short URL: http://www.advancingstates.org/node/65887

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FLSA Home Care Rule Toolkit

A resource for participant direction program stakeholders, this toolkit is in response to new rules promulgated by the US Department of Labor (DOL) that will take effect January 1, 2015. This webpage is designed to be your one-stop location for information and resources about the FLSA Home Care Final Rule and it's impact on participant direction programs. Resources include webinars, toolkits, and flowcharts. More resources will be added as they are developed.

Short URL: http://www.advancingstates.org/node/65649

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Participant-Directed Services In Managed Long-Term Services And Supports Programs: A Five State Comparison

At the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans, with mandatory or voluntary enrollment. Target populations varied by state. In 13 states, MLTSS plan members were afforded the choice to participant-direct (PD) at least some HCBS services. Based on 5 in-depth state case studies expectations regarding availability and take-up of PD services in MLTSS varied as did methods of communicating expectations. PD varied from 1.2% in AZ to 24% in NM.

Short URL: http://www.advancingstates.org/node/61410

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2012 Survey on Medicaid Funded Long Term Services and Supports

A February 2012 online survey consisting of 30 questions was sent to all states and focused on three topics: consumer-directed personal care services; assessments and care plan changes; and case management. The survey results provide information about respondent states’ practices regarding Medicaid funded LTSS. Consumer-directed care was found to be provided majorly through waivers; most assessments contracted out; and case management paid for as a service rather than administrative cost.

Short URL: http://www.advancingstates.org/node/53165

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State of Aging: 2009 State Perspectives on State Units on Aging Policies and Practices

Interested in the work and current challenges that face The National Association of State Units on Aging members? This report, resulting from a February through April 2009 NASUA survey, was given to its members to obtain a snapshot of their work and the current challenges they face. The results, divided into 10 themes, provide that snapshot as well as the states’ perspective on the evolution of the aging network as it works to redesign the long-term care delivery system.

Short URL: http://www.advancingstates.org/node/52100

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HCBS Waiver Conference 2005 - Presentations

Held in May 2005 this national conference was designed to meet the unique training needs of waiver program operators. This year’s conference, titled "The Sun Shines Brighter at Home," offered substantive opportunities to learn about the national initiatives, policy directions and grant programs that shape the current environment. The attached agenda has links to all of the presentation overheads.

Short URL: http://www.advancingstates.org/node/50676

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Factors affecting participant engagement in the design and implementation of public programs

This research issue brief summarizes the results of an in-depth research study on participant engagement in the design and improvement of Cash & Counseling programs. It is intended to provide policymakers, program funders, advocates, and program participants with insights into the challenges faced and subsequent outcomes when developing and sustaining meaningful participant engagement practices. This issue brief aims to provide concrete recommendations based on the research conducted.

Short URL: http://www.advancingstates.org/node/53307

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