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CMS Letter: Quality Inventory Report

In his letter to State Medicaid Directors dated February 17, 2004, Glenn Stanton (Acting Director, DEHPG, CMS) introduces the Quality Inventory Report. The Report summarizes and discusses the results of this first-time nationwide systematic survey of state waiver QA/QI systems. The report also includes recommendations for CMS follow-up. This letter is also referred to as CMS Quality Communication #4.

Short URL: http://www.advancingstates.org/node/50056

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Strategies and Challenges in Promoting Transitions from Nursing Facilities to the Community for Individuals with Disabilities: A Pilot Study of the Implementation of Rider 37 in Texas

This study was designed as a small scale, pilot qualitative study of the implementation of Rider 37 in Texas.

Short URL: http://www.advancingstates.org/node/50009

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Improving The Quality Of Medicaid Personal Assistance Through Consumer direction

This paper presents findings from the Cash & Counseling demonstration in Arkansas. The report shows results from a survey of 1,739 elderly and nonelderly adults. The results include that relative to agency-directed services, Cash and Counseling greatly improved satisfaction and reduced most unmet needs. Additional results and presented and discussed.

Short URL: http://www.advancingstates.org/node/49898

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Understanding Medicare

Medicare is our country’s health insurance program for people age 65 or older, certain people with disabilities who are under age 65 and people of any age who have permanent kidney failure. It provides basic protection against the cost of health care, but it doesn’t cover all medical expenses or the cost of most long-term care. This briefing paper focuses primarily on Medicare issues related to individuals receiving Social Security disability benefits.

Short URL: http://www.advancingstates.org/node/49892

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Lessons from the Implementation of Cash and Counseling in Arkansas, Florida, and New Jersey

Cash & Counseling provides a flexible monthly allowance (based on the consumer’s care plan or claims history) that consumers can use to hire their choice of workers, including family members, and to purchase other goods & services. A demonstration was implemented in three states-Arkansas, Florida, & New Jersey. Based on their experiences, this paper draws lessons on designing & implementing a Cash & Counseling program, to provide information useful to states thinking of adopting such a program.

Short URL: http://www.advancingstates.org/node/49869

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HHA Partnering Collaborative Evaluation: Practice/Research Brief

The VNSNY HHA Partnering Collaborative was designed to better integrate professional and paraprofessional services and employ established principles of quality improvement to achieve two main goals: improving the quality of work life of home care paraprofessionals, and increasing nurses' and aides' support for patients' improvement in key ADLs. This brief describes the key components of the model, implementation challenges and successes, and the results and implications from the evaluation.

Short URL: http://www.advancingstates.org/node/49864

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States in Action: Building Nursing Home Transition into a Balanced Long Term Care System: The Washington Model

This summary was prepared by Robert Mollica based on a site visit to the state of Washington in April 2003 organized by the Rutgers Center for State Health Policy/National Academy for State Health Policy Technical Assistance Exchange Collaborative. Thirteen representatives from Nursing Home Transition Grantees from Alaska, California, Delaware, Indiana, Maryland, Massachusetts and New Jersey participated in the site visit.

Short URL: http://www.advancingstates.org/node/49830

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