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Transitioning Medicaid Enrollees from Institutions to the Community: Number of People Eligible and Number of Transitions Targeted Under MFP

Money Follows the Person (MFP) programs only target 0.9% of the people that could be eligible for transitioning out of institutions each year. However, there is a potential to increase rates to 15-40% annually depending on quality of program implementation, who is targeted, and how successful states are in overcoming barriers to transitioning high-needs people. The report looks at grantee states’ potential for accomplishing this rate increase.

Short URL: http://www.advancingstates.org/node/51908

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Who are Direct-care Workers? Fact Sheet

Here are demographic, employment, and income characteristics of one of the largest and fastest-growing workforces in the country. Due to this dynamic, understanding the direct care workforce is critical for effective service delivery and policy making in areas from health reform to economic growth. Key figures include job titles and responsibilities, employment status, work setting, wages and benefits.

Short URL: http://www.advancingstates.org/node/51878

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A Revolution in the Employment Process of Individuals with Disabilities: Customized Employment as the Catalyst for System Change

The experience of the Cobb and Douglas Counties Community Services Boards in Georgia in shifting from a segregated traditional service system to an innovative system focusing on economic development for persons with disabilities illustrates some common aspects of system change. The 7-year organizational evolution is analyzed here. The main points that emerged are: staff development; partnerships and funding; sustainability; management and HR practices; and expanding coverage to new populations.

Short URL: http://www.advancingstates.org/node/51868

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Innovative Models and Best Practices in Case Management and Support Coordination

Models, innovations, and best practices in case management and support coordination for persons with disabilities are described here. Policy issues, the CMS Quality Framework, and types of case management and differences in service by waiver group are given. The brief also links to innovative programs in 7 states and England.

Short URL: http://www.advancingstates.org/node/51865

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When Culture Change Meets Home and Community-Based Services

Several culture change models are well-established in skilled nursing, but how can they be adapted to home and community-based services? Here is a look at how providers are putting culture change to work for their clients, with a special emphasis on building engagement and fighting isolation for clients still living in their own homes.

Short URL: http://www.advancingstates.org/node/51858

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Country Caring: The PACE Model, Fine-Tuned in Urban Areas, is now Being Adapted to Serve Rural Seniors

While Programs for All-Inclusive Care for the Elderly (PACE) began as an urban model, CMS has now provided its first grants to expand the program to rural areas. Read this article to as an introduction to three rural PACE programs that have launched in South Carolina, Oklahoma, and Montana. The article concludes with lessons learned and contact info for staff that work on these programs.

Short URL: http://www.advancingstates.org/node/51856

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The Arc of Spokane Advocacy & Family Support - Website & Newsletters

Through advocacy and support services, the Arc of Spokane promotes independence, choice, and improved quality of life for people with developmental disabilities and their families in Eastern Washington. This edition of their newsletter discusses state and county advocacy and politics, words from staff, tax advice, upcoming events, and program information. Check their website regularly for additional issues and news.

Short URL: http://www.advancingstates.org/node/51848

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Making the Connection: Building Cross Agency Partnerships

The second in a series focused on affordable housing, this issue brief focuses on developing partnerships with state finance agencies and other stakeholders. It showcases successful strategies that have expanded integrated community living for workers with disabilities. While MIG grantees, who are the main audience of this brief, are unable to use grant funds to provide housing services, they can create linkages with other programs to support the individuals they serve.

Short URL: http://www.advancingstates.org/node/51846

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The Green House: A New Model of Care – Audio

The narrator interviews proponents, staff, and consumers of the Green House model. During visits to two Green Houses for people with Alzheimer’s in Texas, she discusses costs, outcomes, terminology, and guiding principles. According to the interviews, outcomes such as consumer satisfaction and well-being and employee retention and interaction are better than in institutional settings. The 11 minute audio file is part of the “New Directions in Health Care” podcast series.

Short URL: http://www.advancingstates.org/node/51823

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