Consumer/Participant Direction

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Medicaid Contracts With Medicare Special Needs Plans Reflect Diverse State Approaches to Dually Eligible Beneficiaries

Persons who are dually eligible for Medicare and Medicaid account for a disproportionate share of expenditures under both programs and receive services that are fragmented and inefficient. Learn about how state contracts with Medicare Special Needs Plans can be used to achieve Medicaid policy goals and advance care integration for dually eligible beneficiaries.

Short URL: http://www.advancingstates.org/node/52807

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Federal Tax Changes for Fiscal/Employer Agents in 2011

View the Federal Tax Changes for Fiscal/Employer Agents in 2011, compiled by the National Resource Center for Participant-Directed Services, noting that the Advanced Earned Income Credit must no longer be paid by employers, and Federal tax deposits must be made by electronic funds transfer. Read about these changes and more.

Short URL: http://www.advancingstates.org/node/52798

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ADRC Options Counseling Training - Nevada

Are you looking to develop an Options Counseling training program? Explore Nevada's training materials including a presentation with information on what options and benefits counseling are, efficient ways to establish dialogue with a consumer, tips on conducting the Nevada Options Assessment, a listing of public resources and funding options. Also included are a role playing activity and a pre-test to obtain a baseline measure of knowledge.

Short URL: http://www.advancingstates.org/node/52797

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CHOICES – Tennessee Long Term Care Services Program

In June 2008, Tennessee passed legislation restructuring LTC service delivery, including the expansion of HCBS services by integrating LTC within a managed care environment and providing consumer direction options. In March 2010, the state implemented the CHOICES program, wherein persons enrolled in TennCare that needed LTC services would receive them through a managed care organization. Review a presentation given at the 2010 HCBS conference and the CHOICES website.

Short URL: http://www.advancingstates.org/node/52788

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VDHCBS Participant Handbooks - State Examples

Are you developing a participant handbook for your Veteran-Directed Home and Community Based Services program? Review state examples from Maine, Massachusetts, Texas, and Washington. These participant handbooks provide an overview of the VDHCBS program, the assessment process, developing a person-centered plan and individual budget, legal responsibilities as an employer, working with a Financial Management Services vendor, and more.

Short URL: http://www.advancingstates.org/node/52780

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Status and Trends in the Direct Support Workforce in Consumer-Directed Supports – Journal Abstract

Self-directed programs that allow individuals with intellectual and developmental disabilities to exercise greater control over their finances have become increasingly common, however challenges in the recruitment, retention and training of direct support workers have grown more acute. In this article, the authors investigate the status of the Direct Support workforce for people using self-directed supports in one Midwestern state, based on the results of a statewide survey of service users.

Short URL: http://www.advancingstates.org/node/52771

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States in Action: National Health Reform and Long-Term Care – Newsletter

States are confronting challenging budgets along with the need to implement health reform. Many are looking to improve long-term care as a way to control costs and serve seniors and people with disabilities in settings they prefer. This newsletter describes provisions in the Affordable Care Act that assist states in expanding HCBS, the growing movement to improve facility-based care, and innovative programs in three states that seek to provide consumer-directed long-term care.

Short URL: http://www.advancingstates.org/node/52768

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Hiring Relatives as Caregivers in Two States: Developing an Education and Research Agenda for Policy Makers – Journal Abstract

Hiring relatives as caregivers remains a controversial policy issue. This two-state case study reports findings about views from policy experts regarding a policy option to hire family caregivers in HCBS long-term care programs. Policy makers also discussed information needed by other states considering this option and effective approaches to disseminate findings about this option from the Cash & Counseling Demonstration Evaluation.

Short URL: http://www.advancingstates.org/node/52705

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NASHP's 2010 State Health Policy Conference Presentations

Presentations from NASHP's 23rd annual conference held October 4-6 in New Orleans are available online. Included are remarks from CMS Administrator Donald Berwick , and presentations such as Health Care Reform: New Options for Rebalancing Long Term Services and Supports, Integrating Care for Dual Eligibles, Reforming State Long Term Services and Supports Programs through Participant Direction, and numerous others. Review the presentations about vital issues in state health policy.

Short URL: http://www.advancingstates.org/node/52694

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Annual Report: System and Impact Research and Technical Assistance for CMS FY 2005, FY 2006, and FY 2007 RCSC Grants

Findings in this report focus on what has been learned about the status of grant implementation and factors that facilitate progress early and throughout the implementation period, and progress on grantees’ goals and achievement of Systems Transformation (ST). It presents results for both FY05 and FY06 ST Grantees, builds on findings from the first annual report and focuses on two different stages of implementation for the FY05 grantees (Year 3) and the FY06 grantees(initial 15-months).

Short URL: http://www.advancingstates.org/node/52680

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