Housing

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Home and Community-Based Services: Creating Systems for Success at Home, at Work and in the Community

This report offers recommendations for federal and state entities from a thorough review of the legal and regulatory home and community-based services (HCBS) framework outlined by the Americans with Disabilities Act and new HCBS regulations. The bearing of setting size and configuration on the quality of supports and services received by people with intellectual and developmental disabilities and individuals with mental health disabilities in home and community-based arrangements is the focus.

Short URL: http://www.advancingstates.org/node/66314

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Creating An Age-Advanced Community: A Toolkit for Building Intergenerational Communities that Recognize, Engage, and Support All Ages

Generations United has developed a series of tools to help communities develop intergenerational best practices. This publication compiles some of these tools including: planning tips from across the United States, inspiring stories from award winning communities, engagement and development scales to assess programs, self-administered community assessment, and an infographic on why intergenerational solutions are critical to building strong communities.

Short URL: http://www.advancingstates.org/node/66282

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Non-Elderly Disabled Category 2 Housing Choice Voucher Program: An Implementation and Impact Analysis

The Non-Elderly Disabled Category 2 (NED2) Housing Choice Voucher Program aimed to increase access to affordable housing for non-elderly people (age 62 and under) with disabilities currently residing in institutions, such as a nursing home. This evaluation examined the program's implementation in a subset of communities that received NED2 vouchers and estimated the impact of the program on the change in the rate of community transitions among the eligible population.

Short URL: http://www.advancingstates.org/node/65912

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Fulfilling the Promise: Overcoming Persistent Barriers to Economic Self-Sufficiency for People with Disabilities

This report shares findings from an investigation with 400 people with disabilities who have experienced poverty. Their experiences identified six major factors that limit the ability of people with disabilities to gain employment and contribute to a disproportionate number living in poverty.

Short URL: http://www.advancingstates.org/node/65895

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Money Follows the Person (MFP) Demonstration: Overview of State Grantee Progress, July to December 2013

Review the progress by the 42 MFP grantee states (including the District of Columbia) that are actively transitioning MFP participants. MFP grants support state efforts to help individuals living in institutions move to home and community-based settings if that is where they wish to receive LTSS. During the second half of 2013, states transitioned 5,485 new enrollees, bringing the total number of people that had ever transitioned to the community through MFP to 40,693 at the close of 2013.

Short URL: http://www.advancingstates.org/node/65655

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State Medicaid Directors Letter: Application of Liens, Adjustments and Recoveries, Transfer-of-Asset Rules and Post-Eligibility Income Rules to MAGI Individuals

This letter provides guidance to states on how the long-term services and supports-related rules, including the estate recovery rules, in section 1917 of the Social Security Act (the Act), and federal regulations at 42 C.F.R. 435.700, et seq., apply to individuals who are eligible for Medicaid under Modified Adjusted Gross Income (MAGI) eligibility rules (“MAGI individuals”) and receive coverage for long-term services and supports (LTSS).

Short URL: http://www.advancingstates.org/node/61324

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Money Follows the Person: Impediments to Implementation

Money Follows the Person (MFP) is one program that appropriates federal grants to states to design programs to transition Medicaid beneficiaries from institutional care to home and community-based services. Beginning as a demonstration program, there are many impediments and uncertainties surrounding implementation. This overview provides a description of impediments as an opportunity for solutions that anticipate implementation issues and touches upon program start up, capacity, and access.

Short URL: http://www.advancingstates.org/node/53159

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2012 State of Aging and Disabilities Survey: Another Year of Challenges Tempered by Opportunities

State aging and disability agencies have operated within a tumultuous environment for the past several years. It has become increasingly more difficult to reconcile the needs of older adults and people with disabilities with the resources available to address those needs. Five themes are identified from the 2012 state of aging and disabilities surveys, which include the acceleration of Medicaid managed long term services and supports and continuing loss of historical knowledge around the nation.

Short URL: http://www.advancingstates.org/node/53349

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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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