Reports

This article evaluates the potential for using negotiated risk contracts in consumer-directed home and community based long-term care.

This is a companion paper to Balancing Safety and Freedom in Consumer-Directed Systems of Support, written to provide concrete strategies for the design and implementation of a process for evaluating and improving both the freedom and the safety of those receiving support. Recommendations are offered to address key issues that are present in consumer-directed systems of support.

This paper identifies and reviews key issues involved in states’ efforts to balance the need to ensure health and safety with the competing necessity to respect the right of the individual to freely determine the events of his or her life.

This report is focused on the status of Family Care implementation in WI. It contains background information on the Family Care program, as well as evaluative information on the development of each pilot project. The report also contains a glossary of terms and a research methodology section that demonstrates the contacts made by The Lewin Group in the five pilot counties—Fond du Lac, La Crosse, Milwaukee, Portage and Richland—in order to assess the current status of the Family Care program.

State legislatures continue to face the challenges presented by the Supreme Court's 1999 ruling in L.C. & E.W. v. Olmstead. These briefings report on the measures undertaken in each of the 50 states and the District of Columbia in dealing with this critical issue. Provided here are the complete 2001, 2002, and 2003 reports as well as individual state excerpts from the 2003 report.

This report provides a thumbnail sketch of long-term care budgets, legislation and planning in the 50 states and the District of Columbia. The goal of the project is to obtain insights into recent state long-term care public policy reforms,as evidenced by their proposed or recently enacted legislation, task forces and budgets.

In these reports, the National Conference of State Legislatures (NCSL) traces the budget issues that states confronted in 2002 & 2003 and examines how they addressed those issues. The report also describes long-term care legislation enacted in 2002 & 2003 and long-term care planning work that is under way in many states.

This report, an extension of the “1992 State LTC Profiles Report,” (November, 1995) updates previous data to 1996 and provides profiles showing state rankings and data regarding the need for long-term care and utilization patterns across States. The main focus of the analysis is on how States are progressing in the provision of home and community based services. The data presented is useful to state administrators, policy makers, agency administrators, and program planners.

This report describes Community Living Excahnge Collaborative's technical assistance needs assessment of the 52 Real Choice Systems Change grantees operating in 37 states and one territory (Guam). The report also describes the findings of the needs assessment.

This report provides information on a piece of Texas legislation which included a rider in the state’s 2001 appropriations act to promote independence and community integration for nursing facility residents. Originally called Rider 37, it allowed Medicaid funding to follow an individual moving from a nursing facility into the community.