Promising practices

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Health Home Information Resource Center

The Affordable Care Act authorized the Medicaid Health Home State Plan Option, which allows states to design health homes to provide comprehensive care coordination for Medicaid beneficiaries with chronic conditions. States will receive enhanced federal funding to support the rollout of this new integrated model of care. This link directs to the Health Home Resource Center that provides technical assistance services for states as they submit their proposals for these health homes to CMS.

Short URL: http://www.advancingstates.org/node/53385

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State Roadmap to Peer Support Whole Health and Resiliency

SAMHSA has updated its definition of recovery as it pertains to substance use and mental disorders. This working definition and set of guiding principles reflects the increased role peer supports and Peer Specialists have been playing in mental health programming. This document provides a summary of SAMHSA’s new definitions, as well as a checklist for effectively using peer supports in a variety of mental health programs.

Short URL: http://www.advancingstates.org/node/53382

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Self-Directed Budget Enhances Access to Home Health and Other Needed Services, Resulting in Fewer Unmet Needs, Better Health Outcomes, and High Satisfaction for Medicaid Beneficiaries

What They Did. Did It Work? How They Did It and Adoption Considerations. These are all the questions that the Policy Innovations Profile will answer about Cash & Counseling. As a voluntary alternative to traditional agency-delivered home care, a joint public-private program gives Medicaid enrollees a monthly allowance for home care and related services that they can spend at their own discretion. Review the evidence. tools and resources and otherimplementation tips.

Short URL: http://www.advancingstates.org/node/53376

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Toward a More Perfect Union: Creating Synergy between the Money Follows the Person and Managed Long-Term Services and Supports Programs

As increasing numbers of state Medicaid agencies implement both MFP and MLTSS programs, it is important to understand how they can work together to achieve common goals -- shifting the balance of LTSS from institutional care to HCBS settings. This report examines how 5 states have structured the interface between the two programs, including overlap in eligible groups, design of Medicaid payment rates to managed care organizations (MCOs); and how MFP and MCO staff share or divide responsibility.

Short URL: http://www.advancingstates.org/node/53357

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The Facts Hurt: A State-by-State Injury Prevention Policy Report

Injuries are the third leading cause of death nationally, and the leading cause of death for Americans between the ages of 1 and 44. This report concludes that millions of injuries could be prevented each year if more states adopted additional research-based injury prevention policies, and if programs were fully implemented and enforced.

Short URL: http://www.advancingstates.org/node/53354

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Dual Eligible Integrated Care Demonstrations: Resources for Advocates

The Centers for Medicare and Medicaid Services (CMS) is currently working with states to design and implement new models for integrating the benefits and financing of both programs. This website is designed as a resource for advocates, providing resources, background information and, most importantly, in the Advocate Tools section, concrete recommendations that advocates need to engage constructively with their states to ensure that new models improve care for dual eligibles.

Short URL: http://www.advancingstates.org/node/53103

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A Roadmap to a 21st-Century Disability Policy

Despite decades of increases in program participation and spending, the disability support infrastructure in the United States and the economic independence of people with disabilities have eroded. Rather than tighten eligibility or reduce program benefits, this issue brief proposes gradual programmatic reforms and evidence-based structural changes to improve the economic status of Americans with disabilities.

Short URL: http://www.advancingstates.org/node/53040

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Ensuring Safe Transitions from Hospital to Home Challenge

The care transitions challenge aims to stimulate the use of simple, information technology-enabled processes and tools to make transitions easier and safer for patients, caregivers and providers, particularly when a patient is discharged from a hospital. The first health IT challenge, Ensuring Safe Transitions from Hospital to Home, called upon developers to create a web-based application that could empower patients and caregivers to better navigate and manage a transition from a hospital.

Short URL: http://www.advancingstates.org/node/53037

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Guiding Principles for Partnerships with Unions and Emerging Worker Organizations When Individuals Direct Their Own Services and Supports

These Guiding Principles were developed to help to preserve the rights of individuals under participant direction, no matter what form or model, if and when workers choose to form a union. The NRCPDS cover letter, Guiding Principles, and NRCPDS Director Kevin Mahoney's signing ceremony remarks are available here.

Short URL: http://www.advancingstates.org/node/53001

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Research to Practice: Driving Cessation and Dementia

The number of older adult drivers with dementia is increasing—and with it, so too must our understanding of the day-to-day experiences of older drivers with dementia, their functional abilities and the transportation options best suited to them. This research-to-practice article provides insight into current knowledge about the transition from driving for older adults with dementia.

Short URL: http://www.advancingstates.org/node/52989

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