Montana

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Medicaid Home and Community-Based Services: Selected States' Program Structures and Challenges Providing Services

State Medicaid programs are increasingly opting to cover home and community-based services. This report looks at the efforts of various state Medicaid programs, examines their structure, and highlights the challenges encountered. From this review, GAO highlights three main challenges: 1) difficulty recruiting and retaining home care workers, 2) difficulty serving those with complex needs and, 3) limited funding for HCBS services.

Short URL: http://nasuad.org/node/70785

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State Employment First Policies: State Definitions, Goals, and Values

This brief discusses the introduction of Employment First policies in seven states and explores each state’s values, mission, and goals around increasing employment opportunities for people with disabilities. It is a useful tool both for states wishing to bolster their Employment First efforts and for those looking to begin developing Employment First policies.

Short URL: http://nasuad.org/node/70503

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Priced Out: The Housing Crisis for People with Disabilities

This report documents the nationwide housing affordability crisis experienced by people with disabilities. The report discusses how in 2016, millions of adults with disabilities living solely on Supplemental Security Income (SSI) found that renting even a modest unit in their community would require nearly all of their monthly income. The report offers policy recommendations to address this crisis.

Short URL: http://nasuad.org/node/70024

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Medicaid Section 1915(c) Waiver Data based on the CMS 372 Report, 2013 – 2014

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

Short URL: http://nasuad.org/node/69849

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State of the States in Aging and Disability: 2017 Survey of State Agencies

In 2017, NASUAD administered a survey of state agencies that deliver LTSS, including aging and disability agencies as well as Medicaid programs, regarding the significant policy, fiscal, and operational issues occurring within each state. During the survey, we collected detailed information about the structure of agencies, the supports provided, and the populations served by state programs.

Short URL: http://nasuad.org/node/69709

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Fiscal Survey of the States: Spring 2017

The National Association of State Budget Officers has a semi-annual report, with data gathered from all 50 state budget offices, that provides a narrative analysis of the fiscal condition of the states and data summaries of state general fund revenues, expenditures, and balances. The spring edition of the survey of the states details governors' proposed budgets.

Short URL: http://nasuad.org/node/69562

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America's Health Rankings: Senior Report 2017

This report provides a comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. The 2017 edition is the fifth publication of this report, which continues to serve as a benchmark of senior health for individuals, community leaders, policymakers, media and public health professionals.

Short URL: http://nasuad.org/node/69558

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Community First Choice: Final Report to Congress

The Centers for Medicare & Medicaid Services (CMS) released the Community First Choice (CFC) Final Report to Congress. This CFC benefit allows states the option of adding home and community-based attendant services and supports to their State plans. The CFC report is required by the Affordable Care Act. The findings from four states that have implemented the Community First Choice benefit -- California, Montana, Maryland, and Oregon-- are described in the report

Short URL: http://nasuad.org/node/67506

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Celebrating 50 Years with 50+ Fabulous Older People

This year, the Older Americans Act (OAA) celebrates its 50th year—a golden jubilee for seniors and communities across the country. For this occasion, NASUAD and Altarum Institute’s Center for Elder Care and Advanced Illness (CECAI) honor outstanding older adults who both volunteer for and benefit from the law’s programs. This booklet highlights the myriad ways that seniors make the United States a great place in which to live, work, and grow old. Email adiaz@nasuad.org for a hard copy.

Short URL: http://nasuad.org/node/66889

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