Proposals

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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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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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Improving the Qualified Medicare Benefit Program for Dual Eligibles

This paper provides recommendations on changes to improve delivery of the Qualified Medicare Beneficiary (QMB) program so that it can more fully serve the purposes for which the program was established. It is the last in a series of four papers that highlight pressing issues facing dual eligibles and provide recommendations to the federal Medicare-Medicaid Coordination Office (MMCO), state Medicaid agencies and other interested policymakers and stakeholders on how to address them.

Short URL: http://www.advancingstates.org/node/52999

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Supporting Work: A Proposal for Modernizing the U.S. Disability Insurance System - California

When Congress created SSDI in 1956, disability and employability were viewed as mutually exclusive states. As a result, the 1956 law defines disability as the “inability to engage in a substantial gainful activity in the U.S. economy”—in other words, the inability to work. This proposal would assist workers with work-limiting disabilities to remain in their current jobs or to transition to more suitable jobs and would assist employers to accommodate workers to perform their jobs.

Short URL: http://www.advancingstates.org/node/52866

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Strategic Plans for Supported Employment and Proposed Funding - Alaska

Alaska's Supported Employment Task Force has created a Strategic Action Plan for increasing the number of people with developmental disabilities receiving supported employment services and how to most effectively shape protocol to assist employees and employers. Attached are a proposed funding matrix and a strategic action plan for employment services for individuals with behavioral health disabilities. These sample documents may be useful for other states implementing similar programs.

Short URL: http://www.advancingstates.org/node/52703

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New York Makes Work Pay Strategic Plan - New York

Looking for a sample strategic MIG plan? Through the NYS Strategic Plan, the MISCC Employment committee and New York Makes Work Pay team have developed and implemented a set of cross-systems strategic recommendations to close the employment gap through executive, legislative and budgetary action. Find the Strategic Plan, as well as a link to the New York Makes Work Pay website.

Short URL: http://www.advancingstates.org/node/52590

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Employment Workgroup - Rhode Island

As part of its MIG grant, Rhode Island’s Executive Office of Health & Human Services members were asked to join at least one of six workgroups. This paper is the culmination of the work performed and the recommendations of the committed group of individuals who are the Global Waiver Task Force Employment Workgroup. Seven corresponding attachments are also attached. These samples could be helpful to other MIG grantees or states looking to start a program of their own.

Short URL: http://www.advancingstates.org/node/52501

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Follow the Money: Financing Home and Community-Based Services

This report focuses on creating a more balanced delivery system by expanding home and community-based services and reducing reliance on institutional care where possible is a major goal for virtually all states and the Centers for Medicare & Medicaid Services. The paper concludes by summarizing initiatives and drawing implications for the future financing of home and community-based services.

Short URL: http://www.advancingstates.org/node/52115

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Long-Term Care in Balance: The Role of Medicaid Policy in Pennsylvania

The proportion of long-term care spending that goes to institutional care has been dropping over time, from 81 percent in 1995 to 63 percent in 2005. However, there remains significant concern that many people who would prefer to receive care in the community are unable to do so because of what has been termed the ‘institutional bias’ of Medicaid. This report discusses the issues surrounding efforts underway to shift the balance toward HCBS in the state of Pennsylvania.

Short URL: http://www.advancingstates.org/node/52114

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Rebalancing Long-Term Care Systems: State Case Studies-Final Case Studies

As part of Research on Program Management Techniques by States to Rebalance their Long Term Care Systems, Final Case Studies were conducted in each State for the time period ending December 2007. These Case Studies focus particularly on the reflections of State government officials on rebalancing goals, accomplishments, and next steps as they reflect on all the State’s experiences in moving towards more community-based services.

Short URL: http://www.advancingstates.org/node/52097

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